H&P - Nurse Practitioner

SEP Summit Medical Group•Edgewood, KY

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 help ensure patients are appropriately assessed and prepared for planned procedures. The Nurse Practitioner uses advanced assessment skills and clinical judgment while working independently within scope and collaborating with physicians, nursing, anesthesia, and other interdisciplinary care team members. The position includes obtaining and reviewing patient histories, medical records, referral information, and electronic medical record documentation; performing comprehensive histories and appropriate physical examinations; identifying medical conditions, risk factors, abnormal findings, and changes in patient status that may affect a planned procedure; and reviewing available laboratory, diagnostic, and screening results. The Nurse Practitioner integrates clinical findings and available records to develop an appropriate clinical impression and plan, communicates findings requiring evaluation or follow-up, and escalates significant or unexpected findings to the appropriate physician or care team member. The role also requires complete and timely H&P documentation in the electronic medical record, patient and family education as applicable, and commitment to patient safety, confidentiality, advocacy, and a positive patient experience. The Nurse Practitioner participates in quality improvement, continuing education, peer review, and activities supporting clinical quality and regulatory compliance, and maintains compliance with applicable laws, regulations, organizational policies, clinical standards, and confidentiality requirements. Other duties may be assigned.

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.
  • Additional certifications, prescriptive authority, or other credentials as required by the position, applicable law, and organizational policy.
  • 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.

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.
  • Collaborate and communicate 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 designed to support 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.
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