Nurse Practitioner: Digestive Health Clinic

Hoag•Newport Beach, CA

About The Position

The Nurse Practitioner provides advanced nursing care in accordance with professional regulatory standards and the scope of the nurse practitioner license. The role includes multidisciplinary patient evaluations and assessments, education, interventions, and documentation of plans of care. The Nurse Practitioner requests physician and multidisciplinary consultations, recognizes ethical, legal, and medical dilemmas, and consults appropriate resources and staff when making ethical decisions. The role may involve working as an independent provider and/or under indirect supervision of a supervising physician and may include patients of varied ages. Depending on the department, the Nurse Practitioner may exercise privileges granted by the Medical Staff Department, including arranging patient admissions and transfers; performing and dictating examinations, histories and physicals; rounding on assigned patients; writing progress notes and plans of care; and dictating discharge summaries. Other possible duties include furnishing medications and durable medical equipment, ordering studies and treatments, removing drains and sutures, and ordering and administering medications and IV therapy while assessing and adjusting dosing. Some departments may require different hours, weekends, holidays, or on-call time. Department-specific duties and qualifications vary. The Hoag Compass Nurse Practitioner provides support in person or through chat, texting, or video and uses consumer health technologies and software. The Hospice Nurse Practitioner explains benefits to GIP program and home hospice candidates or their DPOA, admits patients to the hospice GIP program, participates in the hospice interdisciplinary team, provides daily visits, coordinates care, and may fulfill Medicare hospice face-to-face encounter requirements. The Heart Valve Clinic Nurse Practitioner may provide advanced clinical care for complex heart failure patients in inpatient and outpatient settings in collaboration with cardiologists, surgeons, and the multidisciplinary team. The Risk Adjustment Nurse Practitioner completes guided Annual Health Assessments for Hoag Clinic Medicare patients and provides assessment, diagnosis, education, health promotion, and care coordination for patients with acute and chronic health needs, using advanced HCC coding, documentation, and quality-measure knowledge.

Requirements

Master’s in Nursing (MSN) or DNP.
Completion of proctoring by the Medical Staff Office.
Advanced clinical knowledge and skills in patient care and management.
Current California license in good standing to practice as a Registered Nurse and Nurse Practitioner.
California furnishing license and personal DEA number, except for Breast Center areas; specific department deadlines or exceptions apply.
BLS certification.
National board certification as a Nurse Practitioner in the area of specialty, except Outpatient Oncology.
Department-specific qualifications may apply, including specialty experience and certifications; these are detailed in the posting.

Nice To Haves

Endoscopy/Surgical Center for Digestive Diseases: adult or geriatric care, ambulatory, and/or inpatient experience.
Hoag Compass: primary care experience; experience delivering care in hybrid, virtual, and in-person models; knowledge of electronic medical records, patient registration, scheduling, and insurance verification.
HMG Primary Care: experience in Family or Internal Medicine and/or adolescent, adult, or geriatric care.
HMG Urgent Care: urgent care or ER experience, or three years of Family Medicine as a Nurse Practitioner.
HOI: orthopedics and/or recent adult or geriatric acute care experience.
Neuro/Oncology Clinic: bilingual or multilingual skills and/or clinical trial experience; ONS certification.
Neuroscience: ambulatory or acute healthcare and/or neuroscience experience; two or more years of experience preferred; bilingual or multilingual skills.
Risk Adjustment: Family or Internal Medicine and/or geriatric care experience; bilingual or multilingual skills.
Heart Valve Clinic: two or more years of cardiology or advanced heart failure experience; experience with advanced therapies such as LVAD, transplant, or MCS.
Hoag Orthopedic Institute: Orthopedic Nurse Certification.
Breast Care: training or education in genetics; bilingual skills.
Palliative Care: experience in adult or geriatric care and advanced knowledge and assessment skills in palliative care.

Responsibilities

Provide advanced nursing care in accordance with professional regulatory standards and the scope of the nurse practitioner license.
Evaluate and assess patients, provide education and interventions, and document plans of care.
Request physician consultations and multidisciplinary consultations.
Consult appropriate resources and staff when addressing ethical, legal, or medical dilemmas.
Work independently and/or under indirect supervision of a supervising physician, as applicable.
As authorized by Medical Staff privileges, arrange patient admissions and transfers; perform and dictate examinations, histories and physicals; round on assigned patients; write progress notes and plans of care; and dictate discharge summaries.
As authorized, furnish medications and durable medical equipment, including controlled substances where appropriate licensure or certification is held.
Order blood products, laboratory tests, imaging and other diagnostic studies, oxygen therapy, respiratory treatment, and pulmonary tests, as authorized.
Perform drain and suture removal, as applicable.
Order and administer medications and IV therapy, and assess and adjust appropriate dosing.
For Hoag Compass, support patients in person or through chat, texting, or video and use consumer health technologies and software.
For Hospice, explain benefits to GIP program and home hospice candidates or their DPOA, admit patients to the hospice GIP program, provide daily hospice visits, coordinate care with hospice and hospital staff, and complete Medicare hospice face-to-face encounters as needed.
For the Heart Valve Clinic, provide advanced care to patients with complex heart failure across inpatient and outpatient settings in collaboration with cardiologists, surgeons, and the multidisciplinary team.
For Risk Adjustment, complete guided Annual Health Assessments for Hoag Clinic Medicare patients and provide assessment, diagnosis, education, health promotion, and care coordination.
Perform other duties as assigned.