Nurse Practitioner (NP)/Physician Assistant (PA)

STGi•Sherman, TX

59d•Onsite

About The Position

STGi is seeking qualified candidates for a Nurse Practitioner (NP) or Physician Assistant (PA) to provide services at our Community Based Outpatient Clinic. This role is for a future opening and hiring is contingent upon STGi's selection as the successful awardee of an active Request for Proposals (RFP). The NP or PA will provide professional clinical services under the direction of the Community Based Outpatient Clinic (CBOC) Primary Care Provider (PCP). As an Advanced Practice Generalist, the NP or PA will offer a wide range of health services, including urgent and emergent evaluation of episodic and chronic problems, and comprehensive, integrated primary health care. Responsibilities include assessing, treating, and evaluating health care problems; performing emergency measures; providing preventive health services; prescribing medications and treatments; ordering and interpreting diagnostic studies; and educating patients and families. The NP or PA is expected to stay current with practice, act as a role model and mentor, advocate for clients, and participate in professional activities.

Requirements

Must be a Nurse Practitioner (NP) or Physician Assistant (PA).
Must possess a valid license to practice as an NP or PA in the state where services are provided.
Must have current Basic Life Support (BLS) certification.
Must have current Advanced Cardiovascular Life Support (ACLS) certification (if applicable to scope of practice).
Must have at least two years of experience in primary care or a related field.
Must be knowledgeable in the assessment, treatment, and evaluation of a comprehensive range of health care problems.
Must be knowledgeable in emergency measures, preventive health, prescribing medications and other treatments.
Must be able to order, conduct, and interpret laboratory and diagnostic studies and procedures.
Must be able to provide patient and family education utilizing community, social, and health resources.
Must maintain knowledge of current practice.
Must act as a role model and mentor to others.
Must act as a client advocate.
Must participate in professional activities at local and state level.
Must be proficient in electronic health record systems, specifically VISTA.
Must maintain confidentiality of all information and supporting patients' privacy, rights, and safety.

Nice To Haves

Experience working with the Veteran Administration (VA) or in a Community Based Outpatient Clinic (CBOC) setting.
Experience with the Veteran Health Information Systems and Technology Architecture (VISTA).
Experience supervising support staff.
Experience in cardiopulmonary resuscitation (CPR) and assisting during respiratory and cardiac arrest procedures.
Experience operating therapeutic and emergency equipment, including monitor, electrocardiogram (EKG), oxygen, automatic electronic defibrillator (AED) and portable suction.

Responsibilities

Provides primary and preventive medical care to meet the needs (physical, mental, and emotional) of patients under a limited scope of Current Procedural Terminology (CPT) codes and within his/her skills and training.
Provides medical patient care to the scope and standards of practice established by a nationally recognized credentialing organization representing Nurse Practitioners and/or Physician Assistants.
Functions within the scope of practice of the state, the Joint Commission standards and Officer of the Inspector General.
Works closely with the Patient Aliened Care Team (PACT) and extended support staff including daily huddles with the team.
Emphasizes wellness, prevention, and early detection.
Supervises support staff in delivery of care to patients.
Maintains universal precautions and infection control practices.
Provides smooth and timely flow of patients in accordance with the Veteran Administration's (VA) access standards and triage protocol.
Performs cardiopulmonary resuscitation (CPR) and assisting during respiratory and cardiac arrest procedures.
Investigates health problems or health needs by gathering and assessing historical information.
Performs a physical examination appropriate to the patient's history.
Diagnoses health problems based on interpretation of the patient's history, physical exam findings, and diagnostic test results.
Develops a treatment plan, tailored to the patient's needs, which includes health education, pharmacologic and non-pharmacologic treatment.
Prescribes medications, as appropriate.
Evaluates the results of the treatment plan, modifying the plan as needed to achieve the treatment goals.
Makes referrals for specialty evaluation or treatment.
Directs and coordinates the provision of health care services for patients in primary care, i.e., walk in patients.
Provides a model for clinical practice within the clinic setting.
Sets up and operates therapeutic and emergency equipment, including monitor, electrocardiogram (EKG), oxygen, automatic electronic defibrillator (AED) and portable suction.
Obtains patient history on new and follow-up and record appropriate findings according to VA standards.
Performs initial and periodic physical examinations within limits of privileges and record findings.
Orders diagnostic tests according to the chief complaint, physical and emotional/mental findings and symptoms.
Demonstrates the knowledge of pharmacology.
Prescribes and administers medication within limits of privileges and state and federal regulations.
Recommends and follows up on laboratory tests and specialized diagnostic procedures, as deemed necessary.
Documents all pertinent patient information in the medical records and Veterans Health Information Systems and Technology Architecture (VISTA) to demonstrate quality care delivery and promote continuity of care.
Keeps the VISTA clinic reminder tracking system current for each enrolled patient.
Closes patient charts within 24-72 hours of encounter and places Return to Clinic (RTC) orders promptly.
Assists in scheduling patients for initial and follow-up appointments in accordance with the VA's access standards and the patient's medical necessity.
Keeps patients informed of their plan of care, including lab and diagnostic test results as needed.
Provides health educational materials, resources and education to patients and their families for informational purposes and in accordance to their need and learning capacity.
Assists the Registered Nurse to ensure all patient information on electronic encounter documentation is complete and accurate.
Complies with all federal, state, local, Joint Commission, Occupational Safety and Health Administration (OSHA), Veteran Affairs, and Subcontractor safety and operational regulations, directives and standards.
Participates in the ongoing Performance Improvement Program between the VAMC and STGi Performance Excellence program including regularly scheduled peer reviews.
Ensures that all required reports and clinical information is completed in an accurate, timely and complete fashion.
Participates in staff development programs.
Performs other clinical duties assigned within limits of privileges.
Maintains confidentiality of all information and supporting patients' privacy, rights, and safety.
Aids in management/coordination of the CBOC's day-to-day activity.
Performs other work-related duties as assigned.