Family Nurse Practitioner

Community Health Services•Greenville, TX

7d•Onsite

About The Position

The Nurse Practitioner (NP) is an advanced practice nurse who provides direct patient services, including assessment, diagnosis, treatment implementation, evaluation, and monitoring of patient management plans. The NP delivers quality medical care to Center patients as part of a multidisciplinary health care team and practices within the scope of their medical practice under the general supervision of a licensed physician in a primary health care setting. The NP provides scheduled direct patient care at the Center, including extended-hours clinics if applicable, averaging 12 primary care encounters per four-hour half-day session and providing at least 40 hours of services per week at the Center. The role also includes weekly telephone on-call coverage through a shared rotation determined by the Chief Medical Officer. In addition to clinical care, the NP provides clinical oversight, supports and supervises patient care activities, contributes to quality improvement and compliance, and participates in developing care policies, protocols, and standing orders.

Requirements

Graduation from an accredited school of nursing and an accredited APRN program.
Current certification from the Texas Board of Nursing Examiners to practice as an Advanced Practice Nurse in Texas.
Complete annual continuing education as required by the applicable Board specialty.
Maintain current registration and DEA, DPS, and other certificates required to legally practice as an Advanced Practice Nurse.
Current CPR certification.
Meet and maintain Community Health Service Agency, Inc. credentialing and licensing requirements.
Knowledge of professional nursing theory and clinical practice standards.
Ability to relate effectively to patients and providers.
Ability to independently seek resources and solve complex problems.
Effective communication with patients, families, visitors, health-care team members, physicians, administrators, leadership, and others.
Ability to use sensory and cognitive functions to process and prioritize information and perform health assessments, treatment, and follow-up.
Fine motor skills and ability to document activities, assessments, and interventions and prepare reports and presentations as needed.
Ability to use computers and new software programs, particularly the organization’s electronic health record.
Ability to provide clinical leadership and contribute to organizational goals.
Knowledge of protocols and ability to quickly learn the Center’s operational protocols.
Knowledge of medical terminology and appropriate abbreviations.
Knowledge of the Texas Medical Practice Act.
Ability to use office equipment, including computers, fax machines, telephones, and copiers.
Ability to lift and/or move more than 50 pounds; perform a full range of body motion, including handling and lifting patients; and use manual and finger dexterity and eye-hand coordination.
Ability to sit, stand, and walk for extensive periods and work under stressful conditions or irregular hours.
Ability to work with frequent exposure to communicable diseases, body fluids, toxic substances, medicinal preparations, and other clinic conditions.
Ability to reach frequently with hands and arms and to meet required close, distance, color, peripheral, and depth vision and focus-adjustment needs.
Ability to work in a moderate-noise environment.

Nice To Haves

Bilingual in English and Spanish.
One year of direct patient-care experience as an Advanced Practice Nurse in a primary care setting.

Responsibilities

Provide direct clinical services and manage patients according to applicable standing orders, policies, procedures, and protocols.
Collaborate with other health team members to promote the health and well-being of a patient panel.
Obtain patient health histories, perform physical examinations, and document pertinent normal and abnormal findings.
Order and interpret appropriate diagnostic and laboratory tests.
Explain procedures, including their necessity, preparation, nature, and anticipated effects, to patients, families, and staff.
Perform approved therapeutic procedures based on patients’ clinical status and document preparation and responses.
Collaborate with physicians and nursing colleagues and document care in medical records and narrative summaries.
Use prescriptive privileges as allowed by the Texas Board of Nursing and document prescriptions in patient records.
Assess patients for changes in status and institute appropriate interventions, including emergency interventions to stabilize patients.
Maintain clinical expertise and age-specific competency and demonstrate knowledge of procedures for quality primary health care.
Provide scheduled clinic sessions and direct patient care, including extended-hours clinics if applicable.
Provide an average of 12 primary care encounters per four-hour half-day session and at least 40 hours of services weekly at the Center, in addition to weekly telephone on-call coverage through a shared provider rotation.
Review laboratory and x-ray reports for patients under the NP’s care in a timely manner and make appropriate medical management decisions in accordance with standards of care.
Participate in health promotion, education, and prevention programs, as well as required Center and departmental meetings and functions.
Follow infection-control procedures, attend infection-control training, and comply with infection-control monitoring.
Provide clinical oversight under the supervision of the Supervising Physician and/or Chief Medical Officer.
Delegate, direct, and supervise patient-care activities; train, mentor, and supervise students and clinical support staff as appropriate.
Participate in compliance and performance-improvement activities for care quality improvement and risk management.
Support organizational accreditation, compliance, and regulatory activities.
Participate in the review and development of patient-care policies, health-maintenance schedules, continuity-of-care practices, protocols, and standing orders.
Implement plans, procedures, and protocols for the medical team.
Serve as a resource and proactive leader for the department.
Remain current with medical and health-care trends and information affecting the practice.
Lead the health-care team in identifying, evaluating, and prioritizing patient and family needs and developing plans of care.
Participate in evaluating products, procedures, and patient-care standards.
Participate in organizational training related to assigned tasks and patient-centered care.
Comply with CHSA, state, and federal policies, procedures, and standards; maintain professional courtesy; and perform other related duties as assigned.