Nurse Practitioner I (On-call/As I Needed) - Open Until Filled

Ponca Tribe of Nebraska•Omaha, NE

2h•$82,445 - $120,171•Onsite

About The Position

This position is responsible for providing primary care services across the lifespan, including assessing, diagnosing medical conditions, prescribing, treating, and educating patients. Works with physicians and other clinicians in a team-based approach to patient-centered care. May specialize in a specific type of clinical care, i.e., pediatrics, geriatrics, etc. The role involves 100% clinical hours and is on-call as needed.

Requirements

Active and in good standing BSN License
Masters of Science in Nursing from an accredited program
Two years of clinical experience as a BSN-Registered Nurse
Active Temporary Nurse Practitioner License in good standing
Active and good standing APRN License and successful completion of National Certification Exam
Computer proficiency in electronic health records systems, Microsoft Word, Excel, PowerPoint and Access programs.
Excellent written and oral communication skills.
Valid driver's license and be insurable.
Must successfully pass drug and alcohol testing, motor vehicle, education, character, and criminal background checks.
Able and willing to travel.
For Level II: Active and good standing APRN License with a minimum of two years nurse practitioner experience
For Level II: Recognized as an Independent Nurse Practitioner by the State of Nebraska (Neb. Rev. Stat. 38-2322)
For Level II: Successful completion of National Certification Exam
For Level II: Unrestricted Federal DEA License
For Level III: Active and good standing APRN License with a minimum of three years of clinical nurse practitioner experience with two years working as an Independent Nurse Practitioner by the State of Nebraska (Neb. Rev. Stat. 38-2322)
For Level III: Graduate of an accredited Doctor of Nursing Practice Program
For Level III: Unrestricted Federal DEA License

Nice To Haves

Doctorate degree in Nursing
One or more years' experience working with Native Americans or Native American organizations.
Knowledge and understanding of Public Law 93-638: Indian Self-Determination Education Assistance Act of 1975.

Responsibilities

Assesses patient status by obtaining health history through patient/family interviews and chart reviews; assessing/presenting illness, risk factors, family history, psychosocial situation, and cultural factors; and performing appropriate physical examination.
Orders/performs appropriate laboratory diagnostic and other screening tests. Seeks other information as needed including consultation as needed.
Discerns between normal and abnormal findings to recognize early stages of serious physical, emotional, or mental problems.
Works independently with Full Practice Authority and in collaboration with the care team (clinicians, nursing, and support staff) to make decisions concerning patients' needs. Seeks and obtains input from physicians (internal and/or external) regarding questions and issues pertaining to the treatment and/or care of patients as needed.
Provides surveillance over medical practices applied to stabilize chronically ill persons; adjusts treatments within established guidelines recognizing when to refer the patient to the physician or other health team members.
Provides emergency services or crisis intervention including life-saving emergency procedures in order to stabilize a patient sufficiently for transport to a hospital facility.
Evaluates the medical aspects of treatment plans periodically, recognizing the need for reassessment by a physician or other health professional.
Provides medical care and preventative services, including guidance in nutrition, common illnesses, accidents, child growth and development, and child-rearing.
Consistently completes documentation within the electronic health record to include documentation of patient encounters, entry of relevant patient data, review and signature of labs, care plans, etc., including communication with patients, specialists, and members of the patient’s care team.
Exhibits knowledge of evaluation and management (E&M) coding guidelines and demonstrates appropriate application of those guidelines as evidenced by accurate E&M coding.
Exhibits awareness of managed care and health plan requirements in respect to prescription formularies, prescription formularies, and pre-certification requirements for lab or diagnostic tests, participating facilities, and medical necessity criteria. Utilizes appropriate health and medical resources to coordinate treatment plans for patients per requirements of the managed care plans where applicable.
Collaborates with other professionals and agencies involved in providing health care and services such as immunizations and disease control, environmental health, health education, health researchers, nursing students, and residency training programs.
Participates in quality assurance functions of the health center, including participation and acceptance of leadership roles in a variety of required committees as directed. Serves as a role model and in selected situations precepts clinical staff.
Takes a well-ordered approach to solving problems and uses sound judgment in making decisions despite obstacles or resistance.
Assumes responsibility and accountability for time management, professional relationships, and interpersonal interactions within the job setting.
Applies knowledge of principles, practices, methods, and techniques in the management of the FLHWC health / Ponca Tribe of Nebraska care delivery system to assist with planning, organizing, implementing, evaluating, and recommending changes in programs, functions, services, and activities of the FLHWC.
Adheres to the policies and procedures of the Ponca Tribe of Nebraska.
Maintains confidentiality.
Performs other duties as assigned.