Advanced Practice Provider Hospital Medicine - Mem City

Memorial Hermann Health System•Forrest City, AR

About The Position

Memorial Hermann is seeking an Advanced Practice Provider for Hospital Medicine. The role provides comprehensive patient care through assessment, diagnosis, treatment, management, and follow-up, in accordance with the provider’s approved population focus and scope of practice. The provider works as part of an interdisciplinary team and collaborates with physicians and other healthcare professionals to support safe, high-quality, efficient, and personalized care across the hospital and healthcare system. The position includes hospitalist services such as rounding, admissions, co-management and consultation, transfers of care, transfer-center coverage, and responses to Code Blue and Rapid Response events. The provider may float between facilities, take first call, and provide additional coverage during emergencies or disasters. The role also includes clinical documentation, billing and coding, patient and staff education, participation in quality and performance improvement, and maintaining professional competencies and required certifications.

Requirements

For Nurse Practitioner / Advanced Practice Nurse applicants: graduate of a Nurse Practitioner program approved by the State of Texas; Master of Nursing required.
For Nurse Practitioner / Advanced Practice Nurse applicants: licensed to practice professional nursing as an Acute Care Nurse Practitioner by the State of Texas.
For Nurse Practitioner / Advanced Practice Nurse applicants: Texas APRN licensure and eligibility for full prescriptive authority in Texas.
For Nurse Practitioner / Advanced Practice Nurse applicants: certification recognized by the Texas State Board in the applicable population focus and/or additional specialty recognition beyond the APRN.
Eligibility for DEA licensure.
Basic Cardiac Life Certification or Advanced Cardiac Life Certification.
For Physician Assistant applicants: graduate of a nationally accredited Physician Assistant program.
For Physician Assistant applicants: certification by the National Commission on Certification of Physician Assistants, Inc.
For Physician Assistant applicants: license from the Texas State Board of Physician Assistant Examiners.
Ability to perform the role within approved protocols, guidelines, scope of practice, delegated authority, and credentialed privileges.
Ability to communicate and collaborate effectively with patients, families, physicians, nurses, and other members of the treatment team.
Two years of clinical experience in the intended area of practice is preferred.

Nice To Haves

Two years of clinical experience in the intended area of practice.
For Physician Assistant applicants, a Master of Nursing degree is strongly preferred.

Responsibilities

Provide health promotion and assess, diagnose, and manage patient problems using pharmacologic and non-pharmacologic interventions, triage, and therapeutic management throughout the disease process.
Work as an integral member of an interdisciplinary team and collaborate with physicians and other providers on patient care and unit performance.
Practice within approved protocols, guidelines, clinical pathways, evidence-based medicine, and the provider’s legal scope, delegated authority, and credentials.
Act under a supervising physician’s delegation for prescriptive authority and maintain an active Prescriptive Authority agreement in accordance with regulations and policy.
Float, round at multiple facilities, and take first call as needed.
Provide accurate billing, coding, and documentation; complete medical records and submit charges promptly.
Obtain medical histories; perform physical examinations; review, order, and interpret diagnostic tests and radiographic results; and formulate and manage treatment plans and outcomes.
Perform interventions and procedures within the provider’s approved, delegated, and credentialed scope, including incision and drainage, pelvic exams, lesion removal or destruction, suturing, and casting or splinting.
Collaborate in the development and evaluation of patient care; update clinical guidelines, protocols, and pathways; accept accountability for outcomes; sign orders as required; and participate in research and teaching projects and apply research to practice.
Attend and actively participate in multidisciplinary hospital rounds for hospitalist primary-service patients and, when appropriate or requested, patients receiving co-management or consultative care.
Cover Code Blue and Rapid Response events in accordance with campus code committee recommendations.
Provide admission services for Emergency Department patients, incoming transfers, and direct or emergent admissions according to the on-call schedule and patient assignment guidelines.
Provide co-management and consultative services for subspecialty services and Medical Staff members when within the hospital medicine provider’s scope and privileges.
Accept appropriate transfers of care from other clinical service lines following physician-to-physician handoff communication and acceptance by the hospitalist attending.
Provide transfer-center call for incoming non-critical-care medical patients according to the hospital on-call schedule.
Evaluate hospitalized patients within the timelines set by Medical Executive Committee bylaws.
Follow hospital tenets, guidelines, and bylaws, and provide internal sign-out during transitions of care consistent with standards of care.
Participate in nursing and staff education when requested by the CNO, CMO, or COO.
Respond to clinical queries, nursing pages, and call-backs in a timely manner, unless responding would affect patient safety or experience.
Document History and Physicals within 12 hours and Discharge Summaries within 48 hours of the discharge order.
Maintain current knowledge of the regulatory environment related to patient status and status patients in accordance with national guidelines.
Provide post-discharge coverage for appropriate home health orders for up to two weeks or until patients see their primary care physicians.
Encourage in-network resource utilization for continuity of care unless the patient specifies otherwise or the needed expertise is unavailable within the system.
Provide additional coverage during emergencies or disasters according to campus protocol.
Participate in continuing education and maintain ACLS certification.
Direct patient care throughout the healthcare system via Consult Orders and provide consultation in collaboration with the attending or primary care provider.
Communicate with attending physicians, nurses, families, and other treatment team members as appropriate to develop the patient care plan; communicate with the treatment team promptly and professionally.
Comply with best practices and care directives, follow Performance Improvement initiatives, and work with Memorial Hermann Physicians, Risk Managers, and Case Managers to resolve clinical, administrative, or technical problems.
Maintain patient confidentiality and comply with Memorial Hermann privacy policies.
Educate patients and families about care resources and participate in process improvement and multidisciplinary clinical outcome improvement activities.
Promote safe care for patients, staff, and visitors and comply with Memorial Hermann policies, procedures, and standards, including budget, time management, supply management, productivity, and service-quality expectations.
Meet mandatory and continuing education and competency requirements; support department goals; and serve as a preceptor, mentor, and resource to less experienced staff.
Model Memorial Hermann service standards by providing safe, caring, personalized, and efficient experiences to patients and colleagues.
Perform other duties as assigned.