Nurse Practitioner: Digestive Health Clinic

Hoag•Newport Beach, CA

About The Position

The Nurse Practitioner provides high-quality advanced nursing care in accordance with professional regulatory standards and within the scope of the nurse practitioner license. The role provides multidisciplinary care, including patient evaluations and assessments, education, interventions, and documentation of the plan of care. The Nurse Practitioner requests physician and multidisciplinary consultations, recognizes ethical, legal, and medical dilemmas in nursing practice, and consults appropriate resources and staff when making ethical decisions. The role may work as an independent provider and/or under indirect supervision of a supervising physician, and may care for a variety of age populations. Depending on the department, the role may involve different hours, weekends, holidays, or on-call time. Privileges granted by the Medical Staff Department may include 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. The Nurse Practitioner may also furnish medications and durable medical equipment, furnish controlled substances when appropriately licensed or certified, order blood products and diagnostic studies, oxygen therapy, respiratory treatments and pulmonary tests, perform drain and suture removal, and order and administer medications and IV therapy while assessing and adjusting appropriate doses. Other duties may be assigned. Department-specific duties may include providing patient support through face-to-face, chat, text, or video platforms and using consumer health technologies; explaining benefits and admitting eligible patients to hospice GIP programs, making daily hospice visits, coordinating care, and completing Medicare hospice face-to-face encounters as needed; providing advanced care to patients with complex heart failure across inpatient and outpatient settings; or completing guided Annual Health Assessments for Hoag Clinic Medicare patients, including assessment, diagnosis, education, health promotion, care coordination, and HCC coding and documentation for patients with chronic illnesses.

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 licenses in good standing to practice as a Registered Nurse and Nurse Practitioner.
California furnishing license and personal DEA number for all areas other than Breast Center; department-specific timing or exceptions may apply.
BLS certification and national board certification as a Nurse Practitioner in the area of specialty, except for Outpatient Oncology.
Department-specific requirements may include ACLS, specialty certifications or licenses, a DEA license, ECG course and testing or equivalency, and health screening requirements.
Experience requirements vary by department; examples include 3 years in Women’s Health or Adult Oncology for Breast Care, 3+ years of clinical nursing experience for Hoag Compass, 1+ year of recent Nurse Practitioner experience for Neuroscience, 2 years performing or assisting with invasive procedures using advanced imaging for Medical Imaging, and 2 years of advanced practice nursing experience including prescribing for Palliative Care.

Nice To Haves

Breast Care: training or education in genetics and bilingual ability.
Cardiac Admin: experience in cardiovascular data collection.
Endoscopy/Surgical Center for Digestive Diseases: experience in adult/geriatric care, ambulatory care, and/or inpatient care.
Hoag Compass: primary care experience, experience delivering care through hybrid, virtual, and in-person models, and 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 emergency room experience, or 3 years of Family Medicine as a Nurse Practitioner; comfort working as a single provider and seeing patients of all ages; proficiency in common urgent care procedures.
HOI: experience in Orthopedics and/or recent adult/geriatric acute care.
Neuro/Oncology Clinic: bilingual or multilingual ability and/or clinical trial experience; ONS certification preferred.
Neuroscience: 2+ years of experience preferred; bilingual or multilingual ability preferred.
Palliative Care: experience in adult/geriatric care and advanced knowledge and assessment skills in Palliative Care.
Risk Adjustment: experience in Family or Internal Medicine and/or geriatric care; bilingual or multilingual ability.
Heart Valve Clinic: 2+ years of cardiology or advanced heart failure experience and experience with advanced therapies such as LVAD, transplant, or MCS.
Neurosciences C&L Psychiatric: PMHNP strongly preferred.
Hoag Orthopedic Institute: Orthopedic Nurse Certification preferred.

Responsibilities

Provide advanced nursing care within professional regulatory standards and the scope of the Nurse Practitioner license.
Conduct patient evaluations and assessments; provide education and interventions; and document plans of care.
Request physician and multidisciplinary consultations and consult appropriate resources and staff when addressing ethical decisions.
Depending on granted privileges, arrange 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, order diagnostic studies and treatments, perform drain and suture removal, and order and administer medications and IV therapy while assessing and adjusting doses.
For Hoag Compass, support patients through face-to-face, chat, text, or video platforms 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, conduct daily visits, coordinate care with hospice and hospital staff, and complete hospice face-to-face encounters as needed.
For the Heart Valve Clinic, provide advanced clinical 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; apply HCC coding, documentation, and quality measure guidelines.
Perform other duties as assigned.