Nurse Practitioner (NP)

About the Role

STGi is currently seeking a Nurse Practitioner to provide services at our Community Based Outpatient Clinic (CBOC) in Kingston, New York. The Nurse Practitioner is an Advanced Practice Registered Nurse who provides a wide range of health services, including urgent and emergent evaluation of episodic and chronic problems; and comprehensive, integrated primary health care which addresses a majority of the client's health care needs on an ongoing basis.

Responsibilities

• Provides primary and preventive medical care to meet the needs (physical, mental, and emotional) of patients under a limited scope of CPT codes and within his/her skills and training
• Provides medical patient care to the scope and standards of practice established by a nationally recognized credentialing organization representing Nurse Practitioners
• Functions within the scope of practice of the state Nurse Practice Act (NPA), the Joint Commission standards, the VA Medical Center guidelines, and Office of the Inspector General
• Works closely with the Patient Aligned Care Team (PACT) and extended support staff including daily huddles with the team
• Emphasizes wellness, prevention, and early detection
• Supervises support staff in delivery of care to patients
• Maintains universal precautions and infection control practices
• Provides smooth and timely flow of patients in accordance with the VA access standards and triage protocol
• Performs CPR and assists during respiratory and cardiac arrest procedures
• Investigates health problems or health needs by gathering and assessing historical information
• Performs a physical examination appropriate to the patient's history
• Diagnoses health problems based on interpretation of the patient's history, physical exam findings, and diagnostic test results
• Develops a treatment plan, tailored to the patient's needs, which includes health education, pharmacologic and non-pharmacologic treatment
• Prescribes medications, as appropriate
• Evaluates the results of the treatment plan, modifying the plan as needed to achieve the treatment goals
• Makes referrals for specialty evaluation or treatment
• Directs and coordinates the provision of health care services for patients in primary care, i.e., walk in patients
• Provides a model for clinical practice within the clinic setting
• Sets up and operates therapeutic and emergency equipment, including monitor, EKG, oxygen, AED, and portable suction
• Obtains patient history on new and follow-up and record appropriate findings according to VA standards
• Performs initial and periodic physical examinations within limits of privileges and record findings
• Orders diagnostic tests according to the chief complaint, physical and emotional/mental findings and symptoms
• Demonstrates the knowledge of pharmacology
• Prescribes and administers medication within limits of privileges and state and federal regulations
• Recommends and follows up on laboratory tests and specialized diagnostic procedures, as deemed necessary
• Documents all pertinent patient information in the medical records and VISTA to demonstrate quality care delivery and promote continuity of care
• Keeps the VISTA clinic reminder tracking system current for each enrolled patient
• Closes patient charts within 24-72 hours of encounter and places Return to Clinic (RTC) orders promptly
• Assists in scheduling patients for initial and follow-up appointments in accordance with the VA's access standards and the patient's medical necessity
• Keeps patients informed of their plan of care, including lab and diagnostic test results as needed
• Provides health educational materials, resources and education to patients and their families for informational purposes and in accordance to their need and learning capacity
• Assists the Registered Nurse to ensure all patient information on electronic encounter documentation is complete and accurate
• Complies with all federal, state, local, Joint Commission, OSHA, Veteran Affairs, and Subcontractor safety and operational regulations, directives and standards
• Participates in the ongoing Performance Improvement Program between the VAMC and STGi Performance Excellence program including regularly scheduled peer reviews
• Ensures that all required reports and clinical information is completed in an accurate, timely and complete fashion
• Participates in staff development programs
• Maintains confidentiality of all information and supports patients' privacy, rights, and safety
• Aids in management/coordination of the CBOC's day-to-day activity
• Performs other clinical duties assigned within limits of privileges

Qualifications

• Must possess a master's degree in nursing from an NLNAC or CCNE accredited nursing program
• Must maintain a full and current certification as a Nurse Practitioner from the American Nurses Association (ANA)
• Must have ANA certification as a Nurse Practitioner in either Adult Health or Family Practice
• Current and unrestricted New York license
• APRN must have a current and unrestricted DEA License
• APRN will be required to obtain and maintain a Scope of Practice/Collaborative Agreement with a state licensed physician prior to delivery of health care
• Prescriptive authority in accordance with state rules and regulations
• Possess BLS/CPR certification from American Heart Association (AHA) or the Military Training Network (MTN)
• Must comply with all state requirements and regulations

Required Experience & Skills

• Three years of clinical nursing experience is required
• Minimum of one-year clinical experience as an APRN is required (three years preferred)
• Experience in outpatient care in a Family Medicine or Internal Medicine environment is preferred
• Ability to set realistic, measurable education goals for patients, taking into consideration patient/family needs, level of understanding, and available local resources
• Ability to develop and provide individualized and group counseling, guidance, and health instruction with a focus on disease prevention and health maintenance
• Experience with safe and reasonable practices regarding opioid medications for chronic pain
• Working knowledge of Microsoft Office Software and excellent computer maneuverability
• Must have exceptional diplomatic communication skills and experience in handling difficult customer situations
• Must be detail oriented and have the ability to multi-task

Working Conditions

• Moderate physical activity. Requires handling of average-weight objects up to 25 pounds or standing and/or walking for more than four (4) hours per day
• Work is normally performed in a typical interior/office work environment
• Required to respond to any medical emergency within the clinic, where a fast walk or job may be necessary to provide assistance

Benefits

• Medical, Dental, Vision
• 401k with company match
• Generous PTO policy