Advanced Practice Provider, Specialty

Memorial Hermann Health System

About The Position

The Advanced Practice Provider provides comprehensive patient care within their role and approved population focus, including assessment, diagnosis, treatment, management, and follow-up. The position supports direct patient care across the health and illness continuum as part of an interdisciplinary team, with care tailored to the age and needs of the patient population. The provider practices under approved protocols, guidelines, clinical pathways, and evidence-based medicine, and may transition between inpatient and outpatient settings, float or round at multiple facilities, take first call, and first-assist physicians during procedures. Depending on the specialty and approved credentials, responsibilities may also include External Ventricular Drain insertion at Mischer Neurosciences and procedures such as incision and drainage, pelvic examinations, lesion removal or destruction, suturing, and casting or splinting. The role includes collaborating with physicians and other providers, supporting unit performance, maintaining timely and accurate medical records, coding and billing, and contributing to clinical guideline development, research, teaching, and quality improvement. The provider also educates patients and families, supports colleagues as a preceptor or mentor, and follows organizational policies and service standards.

Requirements

For Nurse Practitioner/Advanced Practice Nurse applicants: graduate of a Nurse Practitioner program approved by the State of Texas; a master’s degree is required.
For Nurse Practitioner/Advanced Practice Nurse applicants: licensed to practice professional nursing in Texas.
For Nurse Practitioner/Advanced Practice Nurse applicants: Texas APRN licensure and eligibility for full prescriptive authority.
For Nurse Practitioner/Advanced Practice Nurse applicants: certification recognized by the Texas State Board in the relevant population focus and/or additional specialty recognition beyond APRN.
For Nurse Practitioner/Advanced Practice Nurse applicants: eligibility for DEA licensure.
For Nurse Practitioner/Advanced Practice Nurse applicants: Basic Cardiac Life Certification or Advanced Cardiac Life Certification.
For Physician Assistant applicants: graduate of a nationally accredited Physician Assistant program; a master’s degree is strongly preferred.
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.
For Physician Assistant applicants: eligibility for DEA licensure.
For Physician Assistant applicants: Basic Cardiac Life Certification or Advanced Cardiac Life Certification.

Nice To Haves

Two years of clinical experience in the intended area of practice.
First Assist and/or EVD experience.

Responsibilities

Promote health and assess, diagnose, and manage patient problems, including pharmacologic and non-pharmacologic interventions, triage, and therapeutic management across the disease process and health-wellness-illness continuum.
Act under a supervising physician’s delegation for prescriptive authority and maintain an active Prescriptive Authority agreement in accordance with regulations and policy.
Practice within approved protocols, guidelines, clinical pathways, and evidence-based medicine.
Transition between inpatient and outpatient settings.
Direct and evaluate throughput, and delegate or provide backup assistance, including triage.
Float, round at multiple facilities, and/or take first call as needed.
Perform External Ventricular Drain insertion at Mischer Neurosciences only.
Provide accurate billing, coding, and documentation; complete medical records and submit charges in a timely manner.
Support overall unit performance in collaboration with physicians and other providers.
First-assist physicians during surgical procedures by providing support as needed.
Obtain medical histories; perform physical examinations; review, order, and interpret diagnostic tests and radiographic results; and formulate and manage treatment plans and outcomes.
Provide interventions and perform procedures within legal scope and authority and as approved, delegated, and credentialed, including incision and drainage, pelvic exams, lesion removal or destruction, suturing, and casting or splinting.
Collaborate in developing and evaluating patient care; update clinical guidelines, protocols, and pathways; work autonomously and accept accountability for outcomes; and sign orders in accordance with institutional and state board requirements.
Collaborate in research and teaching projects and apply research to practice.
Educate patients and families about care resources using interpersonal and verbal communication skills.
Participate in process improvement and multidisciplinary clinical outcome improvement activities.
Ensure safe care for patients, staff, and visitors and comply with Memorial Hermann policies, procedures, and standards, including budgetary specifications, time and supply management, productivity, and service quality.
Maintain professional growth through required continuing education and skills competency; 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.