Nurse Practitioner (NP) - PT

STGi•Town of Potsdam, NY

About The Position

STGi is seeking a Nurse Practitioner to provide professional clinical services at a Community Based Outpatient Clinic under the direction of the CBOC Primary Care Provider. The Nurse Practitioner is an Advanced Practice Registered Nurse who delivers urgent and emergent evaluation of episodic and chronic problems, along with comprehensive, integrated primary health care addressing patients’ ongoing health care needs. The role includes assessing, treating, and evaluating a broad range of health care problems; providing emergency and preventive care; prescribing medications and treatments; ordering, conducting, and interpreting laboratory and diagnostic studies and procedures; and educating patients and families using community, social, and health resources. The Nurse Practitioner maintains current clinical knowledge, serves as a role model and mentor to other APRNs, advocates for clients, and participates in professional activities at the local and state levels. The position provides primary and preventive medical care within the practitioner’s training, skills, privileges, and applicable CPT limits, and follows nationally recognized Nurse Practitioner standards, the state Nurse Practice Act, Joint Commission standards, VA Medical Center guidelines, and applicable Inspector General requirements. The Nurse Practitioner collaborates with the Patient Aligned Care Team and support staff, supervises support staff in patient care, and contributes to clinic operations and performance improvement. This is a part-time position, as indicated by “PT” in the job title.

Responsibilities

  • Provide primary and preventive medical care addressing patients’ physical, mental, and emotional needs within the practitioner’s training, skills, and permitted CPT scope.
  • Deliver care in accordance with nationally recognized Nurse Practitioner standards, the state Nurse Practice Act, Joint Commission standards, VA Medical Center guidelines, and applicable Inspector General requirements.
  • Collaborate with the Patient Aligned Care Team and extended support staff, including participating in daily team huddles.
  • Emphasize wellness, prevention, and early detection.
  • Supervise support staff in the delivery of patient care.
  • Maintain universal precautions and infection control practices.
  • Support timely patient flow according to VA access standards and triage protocols.
  • Perform CPR and assist during respiratory and cardiac arrest procedures.
  • Investigate health problems and needs by gathering and assessing historical information.
  • Perform physical examinations appropriate to the patient’s history and within the limits of privileges; document findings.
  • Diagnose health problems based on patient history, examination findings, and diagnostic test results.
  • Develop individualized treatment plans that include health education and pharmacologic and non-pharmacologic treatment; evaluate results and modify plans as needed.
  • Prescribe and administer medications within the limits of privileges and applicable state and federal regulations.
  • Make referrals for specialty evaluation or treatment.
  • Direct and coordinate primary care services, including care for walk-in patients.
  • Model clinical practice within the clinic setting.
  • Set up and operate therapeutic and emergency equipment, including monitors, EKGs, oxygen, AEDs, and portable suction.
  • Obtain and document histories for new and follow-up patients according to VA standards.
  • Order diagnostic tests based on complaints, physical and emotional or mental findings, and symptoms; recommend and follow up on laboratory tests and specialized diagnostic procedures as necessary.
  • Document pertinent patient information in medical records and VISTA to support quality care and continuity of care.
  • Keep the VISTA clinic reminder tracking system current for each enrolled patient.
  • Close patient charts within 24–72 hours of the encounter and promptly place Return to Clinic orders.
  • Assist with scheduling initial and follow-up appointments according to VA access standards and medical necessity.
  • Keep patients informed about their care plans, including laboratory and diagnostic test results as needed.
  • Provide health education materials, resources, and education to patients and families according to their needs and learning capacity.
  • Assist the Registered Nurse in ensuring electronic encounter documentation is complete and accurate.
  • Comply with applicable federal, state, and local regulations and operational standards, including Joint Commission, OSHA, VA, and subcontractor requirements.
  • Participate in the ongoing performance improvement program between the VAMC and STGi Performance Excellence program, including scheduled peer reviews.
  • Complete required reports and clinical information accurately, completely, and on time.
  • Participate in staff development programs.
  • Maintain confidentiality and support patient privacy, rights, and safety.
  • Assist with management and coordination of the CBOC’s day-to-day activities.
  • Perform other clinical duties assigned within the limits of privileges.
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