Nurse Practitioner Iv- Pulmonology

Independence Health System Careers•Greensburg, PA

2d•Onsite

About The Position

The Nurse Practitioner IV provides assessment and direct and indirect patient care in accordance with applicable licensing requirements, hospital policies, professional standards, and physician practice guidelines. The role includes collecting and documenting patient histories, physical findings, and assessment data; managing physical and psychological problems; identifying normal and abnormal findings; developing and implementing treatment plans; prescribing medications and immunizations within applicable authority; and coordinating care with supervising physicians and other healthcare providers. The position provides care across clinic, inpatient, skilled nursing, and outpatient settings, including pre- and post-operative care, patient rounds, discharge planning, counseling, and patient and family education. It may involve assisting in surgery, maintaining sterile technique, performing procedures such as skin closures when directed, and responding to calls from home to assist with emergency surgeries. The practitioner communicates changes in patient status and critical results to the supervising physician, documents care in the medical record, and facilitates appropriate consultation, treatment, transfer, or discharge. The role also supports patient safety, infection control, regulatory compliance, emergency response, quality improvement, and office or department efficiency. It requires professional leadership, sound independent judgment, accountability, effective teamwork, and service as a patient advocate and resource person. The practitioner may precept or mentor new employees or students and performs other appropriate duties as assigned.

Requirements

Graduate of an accredited Physician Assistant Program or Nurse Practitioner Program.
Current licensure to practice in Pennsylvania.
Current Basic Life Support (BLS) certification through an American Heart Association-approved CPR and AED curriculum.
Current certification as a Physician Assistant from the National Commission on Certification of Physician Assistants (NCCPA).
Current DEA license.
Complete required CME and Pennsylvania Act 153 clearances, including Act 34 criminal record check, Act 33 child abuse history clearance, and Act 73 FBI fingerprinting screening within the stated hiring time frames.
Related training or experience, preferably within the past five years.
One year of medical/surgical experience.
Excellent communication, interpersonal, and organizational skills; strong oral and written communication.
Strong leadership, independent thinking, decision-making, analytical problem-solving, and sound judgment.
Ability to work independently and as part of a team, follow directions from team members, and communicate with all members of the healthcare team.
Strong time management and organizational skills; ability to multitask, prioritize assignments, and plan and organize multiple projects.
Ability to work across inpatient, skilled nursing, and outpatient clinic settings and transition between treatment settings; flexibility in scheduling.
Ability to support an interdisciplinary approach to patient care across a comprehensive care continuum.
Basic working knowledge of computers and office equipment.
Experience with JCAHO requirements.
Required availability for call.

Nice To Haves

Previous Pulmonology experience.

Responsibilities

Collect patient assessment data systematically, including physical, psychosocial, age-related, cultural, and spiritual needs; perform histories and physical examinations.
Document assessments, histories, physical findings, screenings, treatment, medication changes, patient communications, session times, and other required information in the medical record within established time frames.
Manage patients’ physical and psychological problems; identify normal and abnormal findings; implement treatment plans and reassess as needed.
Prescribe medications and immunizations within applicable state prescriptive authority guidelines and physician practice direction.
Involve patients, families, supervising physicians, and other healthcare providers in care as appropriate; communicate patient status changes and critical test results in a timely manner.
Maintain patient problem and medication lists, facilitate consultations, direct patients to appropriate levels of care, and connect patients with resources or social agencies for treatment or rehabilitation.
Perform procedures and assist in surgery according to established guidelines; position, prep, and drape patients; maintain sterile technique; perform directed skin closures, suture removal, and dressing changes; monitor patients until clinically stable.
Be available for call from home to assist with emergency surgeries.
Provide pre- and post-operative care, perform physician-designated histories and physicals, provide preoperative teaching, conduct patient rounds, review labs and diagnostic procedures, and report patient progress to the supervising physician.
Order appropriate testing within established guidelines and physician direction; facilitate timely treatment of abnormal results; prepare discharge plans and dictate discharge summaries in a timely manner.
Interview, evaluate, and assess patients in clinic in collaboration with the physician; recommend treatment, assess ongoing care needs and alternate levels of care, adjust medications as indicated, and educate patients and families about medications and possible side effects.
Participate in emergency response and assume the appropriate code team role; support patient safety, use two forms of patient identification, and follow infection-control processes and National Patient Safety Goals.
Assist with regulatory compliance and preparation for surveys or inspections; complete annual competencies; participate in medication reporting, narcotics accountability, and safety drills.
Participate in performance improvement, outcome management, chart reviews, and audits; identify and support initiatives that improve patient outcomes, satisfaction, customer service, and practice efficiency.
Demonstrate professional leadership, critical thinking, accountability, and independent problem-solving; serve as a patient advocate and resource person; precept or mentor new employees or students.
Assist in maintaining or decreasing organizational costs and a safe, clean environment for patients, visitors, and staff.
Perform other appropriate duties as assigned.