H&P - Nurse Practitioner

St. Elizabeth Healthcare•Edgewood, KY

11d

About The Position

St. Elizabeth Physicians is seeking a compassionate, detail-oriented Nurse Practitioner to join its History & Physical (H&P) team. The role focuses on comprehensive pre-procedure patient evaluations to ensure patients are appropriately assessed and prepared for planned procedures. The Nurse Practitioner works independently within their scope and collaboratively with physicians, nursing, anesthesia, and other members of the interdisciplinary care team. The position involves obtaining and reviewing patient histories and records; performing comprehensive histories and appropriate physical examinations; identifying medical conditions, risks, abnormal findings, or changes in status that may affect a planned procedure; and reviewing diagnostic information. The Nurse Practitioner integrates these findings into a clinical impression and plan, communicates concerns and follow-up needs to the care team, and completes accurate and timely documentation in the electronic medical record. The role also includes patient and family education, escalation of significant findings, and participation in quality improvement, continuing education, peer review, and regulatory-compliance activities. The position requires graduation from an accredited Nurse Practitioner program, a master's degree or higher as required by certification and licensure standards, current or obtainable state APRN licensure, and current applicable national Nurse Practitioner certification. Previous Nurse Practitioner experience in pre-procedure assessment, perioperative care, hospital medicine, internal medicine, primary care, or another setting involving comprehensive histories and physical examinations is preferred. St. Elizabeth Physicians is a physician-led multispecialty group with 517 physicians, 334 advanced practice providers, and more than 2,000 non-provider associates. It serves more than 409,000 patients at over 121 practices in Kentucky, Indiana, and Ohio. The organization describes itself as mission- and values-driven, focused on patient-centered care, accountability, community, innovation, teamwork, and excellence, and is an equal opportunity employer.

Requirements

Graduate of an accredited Nurse Practitioner program.
Master's degree or higher as required by applicable certification and licensure standards.
Current license as an Advanced Practice Registered Nurse (APRN) in the required state(s), or ability to obtain appropriate licensure before the start date.
Current national certification as a Nurse Practitioner applicable to the position.
Advanced knowledge of anatomy and physiology, pathophysiology, pharmacology, therapeutics, and clinical assessment.
Strong knowledge of comprehensive history-taking and physical examination techniques.
Knowledge of diagnostic testing, interpretation of results, and clinical decision-making.
Ability to recognize clinical findings and patient risk factors warranting additional evaluation or physician review.
Knowledge of patient safety, infection prevention, and confidentiality standards.
Understanding of health promotion, disease prevention, and patient education principles.
Strong clinical assessment and critical-thinking skills.
Excellent oral and written communication skills.
High level of accuracy and attention to detail in clinical documentation.
Proficiency with electronic medical record systems.
Strong time-management, organizational, and multitasking abilities.
Ability to analyze clinical information, identify concerns, and appropriately escalate findings.
Ability to interpret and apply clinical guidelines, policies, and procedures.
Ability to practice independently within scope while collaborating effectively with physicians and interdisciplinary care teams.
Strong interpersonal skills and commitment to patient-centered care.
Demonstrated ability to work successfully within a team-based care environment.
Nurse Practitioner candidates only.

Nice To Haves

Previous Nurse Practitioner experience in pre-procedure assessment, perioperative care, hospital medicine, internal medicine, primary care, or another setting requiring comprehensive history and physical examinations.
Experience evaluating medically complex patients and identifying conditions requiring additional evaluation or escalation.
Experience working collaboratively with physicians, anesthesia, nursing, and interdisciplinary care teams.
Strong electronic medical record documentation skills.

Responsibilities

Obtain and review patient histories, medical records, referral information, and relevant electronic medical record documentation.
Perform comprehensive patient histories, including chief complaint, history of present or related illness, current medications, allergies and reactions, past medical history, family history, social history, and review of systems.
Perform appropriate physical examinations, including assessment of vital signs and organ systems relevant to the patient's condition and planned procedure.
Identify pertinent medical conditions, risk factors, abnormal findings, or changes in patient status that may affect the planned procedure.
Review available laboratory, diagnostic, and screening results and obtain additional information when clinically appropriate.
Integrate history, physical examination findings, diagnostic information, and available medical records to develop an appropriate clinical impression and plan.
Communicate and collaborate with physicians, anesthesia, nursing, and other interdisciplinary care team members regarding findings requiring additional evaluation or follow-up.
Complete accurate, timely, and thorough H&P documentation in the electronic medical record in accordance with organizational and medical staff requirements.
Educate patients and families regarding the evaluation process, identified needs, and appropriate follow-up as applicable.
Escalate significant or unexpected clinical findings to the appropriate physician or care team member.
Promote patient safety, confidentiality, advocacy, and a positive patient experience.
Participate in quality improvement, continuing education, peer review, and activities supporting clinical quality and regulatory compliance.
Maintain compliance with applicable laws, regulations, organizational policies, clinical standards, and patient confidentiality requirements.
Perform other duties and responsibilities as assigned.