Nurse Practitioner

GENERAL DESCRIPTION:

Delivers ambulatory care services. Assumes responsibility for delivery of services consistent with community standards. Participates in quality improvement activities. Participates in the development of the health care plan; makes recommendations in regards to health services/programs to be offered, delivery sites, and hours of operation.

MINIMUM QUALIFICATIONS:

• Licensure as a Registered Nurse in the State of Missouri is required.
• Possession of a master's degree in nursing from an accredited college or university including educational preparation as a nurse Practitioner/ Physician Assistant.
• Demonstrated professional commitment to providing services to medically underserved persons.
• Ability to communicate effectively both orally and in writing.
• Computer literate in electronic mail, word processing, and office management system software.
• Ability to walk, bend, kneel, stoop, and lift 25 pounds to shoulder level without assistance.
• Manual dexterity which allows thorough physical examination of patient through palpation.
• Hearing which allows for adequate auscultation during physical examination of patient.
• Visual acuity which allows for thorough inspection during physical examination of patient.
• Weekend Availability

JOB RESPONSIBILITIES:

• Obtains and documents relevant to health and medical history.
• Performs a physical examination based on age and history.
• Conducts preventative screening procedures based on age and history.
• Identify medical and health risks and needs.
• Formulates the appropriate differential diagnosis based on the history, physical examination, and clinical findings.
• Identifies needs of the individual, family or community as a result of the evaluation of the collected data.
• Orders and/or performs pertinent diagnostic tests and analyzes collected data.
• Monitors patient conditions, lab values, and results of diagnostic procedures.
• Identifies and prescribes appropriate pharmacological and non-pharmacological therapies.
• Consults with physician, as indicated.
• Develops a client education plan which includes relevant patient education.
• Makes appropriate referrals to other health professionals and community agencies.
• Determines the effectiveness of the plan of care through documentation of client care outcomes, reassesses and modifies the plan as necessary to achieve medical and health goals.
• Provides appropriate response to life-threatening emergency situations when no physicians are immediately available.
• Be responsible for training nurse practitioner students throughout the term of the clinicial training program, including didactic classroom lectures, and clinical rotations as needed.
• Participates in the development of a quality improvement system incorporating process and quality outcome indicators.
• Participates in development and maintenance of medical care protocols and procedures.
• Participates in quality improvement studies.
• Contributes to development and maintenance of protocols for the telephone triage system.
• Contributes to the development of a continuing medical education policy.
• Participates in review of patient satisfaction surveys and in resolving patient complaints.
• Participates in utilization management and risk management activities.
• Supports diagnostic and E&M coding accuracy, adherence with the corporate compliance plan, attainment of productivity targets, and claims preparation for third party reimbursement.

Administrative Activities -

• Participate in quality improvement review activities on a periodic basis, including systematic review of records and treatment plans.
• Develop guidelines for practice with collaboration from physicians.
• Participates in research activities when indicated.
• Provides education for staff and/or health professional students.
• Participates in development of health care plans to support grant applications.
• Participates in recruiting providers.
• Attends Clinical Practice, Providers Workgroup, and Practice Management meetings.

Community Outreach -

• May participate in community activities that support the mission of Four Rivers Community Health Center

JOB ACCOUNTABILITIES:

• Assumes responsibility for quality of medical services rendered to patients
• Provides professional perspective and direction in implementation of the healthcare plan, and strategic plan for the Center.
• Collaborates in ensuring the viability of the organization through adherence of budgetary guidelines, and attainment of productivity targets.
• Contributes insight to assure alliance of organizational mission with needs of medically underserved community.
• Delivers direct patient care services to ambulatory patients.

PERFORMANCE MEASURES:

• Quality of Care based on patient satisfaction surveys and monthly chart audits