Nurse Practitioner (Non-Exempt)

Adventist Health•Saint Helena, CA

About The Position

St. Helena Hospital seeks a Nurse Practitioner to provide expert clinical care in general or specialty areas. The role assesses, plans, and provides patient care in collaboration with attending physicians. It includes conducting comprehensive health assessments, diagnosing acute and chronic illnesses, writing prescriptions, formulating treatment plans, implementing interventions, assisting with medical and surgical patient care, and evaluating patient responses with attending or consulting physicians. The Nurse Practitioner interviews patients and, when appropriate, employees or family members; takes medical histories; conducts physical examinations; evaluates patient behavior and health needs; provides patient education; coordinates continuity of care; orders and interprets diagnostic studies; follows up on acute and chronic problems and abnormal test results; documents patient care; and provides treatments, medications, vaccines, and procedures within the scope of practice. The role works as an agent of the physician, obtains informed consent when needed, adjusts medication orders subject to required review or consultation, and uses cost-containment measures by limiting medications, referrals, and diagnostic procedures to those that are clinically necessary. Employment is subject to Adventist Health’s required vaccination policy, with medical and religious exemptions potentially available. Adventist Health participates in E-Verify.

Requirements

Master’s degree in Nursing (MSN) or Doctor of Nursing Practice (DNP).
Registered Nurse (RN) licensure in the state of practice.
Nurse Practitioner (NP) licensure in the state of practice.
CPR or Basic Life Support (BLS) certification from an approved vendor per Adventist Health policy.
Facility-specific Basic Life Support (BLS) certification from an approved vendor per Adventist Health policy.

Nice To Haves

Two years of relevant clinical experience.

Responsibilities

Assess, plan, and provide patient care in collaboration with attending physicians.
Conduct comprehensive health assessments and diagnose acute and chronic illnesses.
Formulate treatment plans, implement interventions, and assist with medical and surgical patient care.
Evaluate patient responses in collaboration with attending or consulting physicians.
Interview patients and, when appropriate, employees or family members; construct comprehensive medical histories and perform initial and periodic physical examinations.
Evaluate patient behavior and explore patients’ interpretations of their health needs.
Provide patient education about diagnoses, treatment, prognosis, health maintenance, and preventive care; provide handouts and refer patients to health education classes when available.
Secure appropriate informed consent for procedures.
Provide continuity of care, including discussing treatment-plan completion and administration of medications and injections.
Directly perform or order appropriate diagnostic studies and interpret completed results.
Follow up on acute and chronic problems and significant abnormal test results.
Oversee and maintain adequate, concise, legible, and up-to-date patient-care documentation, including relevant medical, medication, discharge, allergy, laboratory, diagnostic, education, and treatment information.
Provide treatment as needed, including administering medications and vaccines and performing procedures.
Write orders to increase, decrease, or change medications, subject to checking and medical consultation as indicated.
Use cost-containment measures, including prescribing only clinically necessary medications, using generic medications when appropriate, and making only clinically necessary referrals and diagnostic orders.
Work within the nurse practitioner scope of practice and as an agent of the physician.
Perform other job-related duties as assigned.