Physician Assistant or Nurse Practitioner - Occupational Health

A licensed and credentialed Nurse Practitioner (NP) or Physician Assistant (PA) provides diagnosis treatment consultation and followup under the direction of 1 or more physicians in the clinic. The NP provides age and specialtyappropriate medical care at the level of training achieved. As an expert professional the Nurse Practitioner is responsible and accountable for the application of the nursing process supervision of clinical practice research involvement consultative services inter and intradepartmental liaison education leadership and patient care management across the healthcare continuum from preventative acute care through discharge.

Position: ProviderOccupational Health Services

Department: OEM and Absence Management

Schedule: Full Time

ESSENTIAL RESPONSIBILITIES / DUTIES:

1. Clinical Practice
   1. Provides direct care counseling and teaching to patients and families according to established collaborative protocols and standards of care.
   2. Sets priorities for appropriate and efficient management of patient care that reflects costeffective management of time available human resources supplies and equipment.
   3. Performs physical examinations and provides preventive health measures within prescribed guidelines and appropriate to patient needs.
   4. Orders interprets and evaluates appropriate lab and diagnostic tests to assess patients clinical problems and health care needs.
   5. Based on the outcome of diagnostic lab and physical assessment findings arrange for appropriate plan of care and followup.
   6. Records pertinent patient care findings in the medical record. Maintains interdisciplinary approach to planning and communicating patient care information by discussing patient data with appropriate physicians and other health care professionals.
   7. Evaluate outcomes of patient care and make necessary revisions in the care plan.
   8. Seeks and provides consultative services as required.
   9. Through patient education and counseling incorporate the concepts of health maintenance prevention and promotion into daily practice.
   10. Demonstrates awareness of community resources and assists staff patients and families to effectively utilize them.
   11. Demonstrates the knowledge and skills necessary to provide care appropriate to the age groups of patients regularly served.
   12. Notifies supervisor when patients in age groups not regularly served present and seeks assistance from individuals with the knowledge of the specialized needs of such patient age groups.

1. Professional Development
   1. In collaboration with appropriate physicians assists in the development implementation evaluation and revision of nurse practitioner guidelines policies procedures and protocols.
   2. Demonstrates leadership skills in problemsolving with and directing designated personnel in assigned clinical areas.
   3. Maintains current knowledge of legislation that may affect the health care delivery system and the function of the nurse practitioner in the hospital setting. Serves on nursing and hospital committees when requested and refers appropriate information to various departmental and hospital committees as needed.
   4. Identifies own learning needs and assumes responsibility for maintaining current knowledge and competency in the clinical practice area.
   5. Educates patients families and professionals through the development of educational materials inservices formal lectures and/or publications.

1. Quality Assessment/improvement and Research
   1. Consistently participates in the quality assessment/improvement program for the service.
   2. Based on quality improvement findings identify appropriate followup quality improvement projects or research studies.
   3. Utilizes quality improvement data and research findings to enhance patient care.
   4. Participates in patient care research at a level consistent with educational background and experience.

Other Duties

• Perform other duties as needed.

(The above statements in this job description are intended to depict the general nature and level of work assigned to the employee(s) in this job. The above is not intended to represent an exhaustive list of accountable duties and responsibilities required).

JOB REQUIREMENTS

EDUCATION:

• Masters degree in nursing required. Completion of an accredited educational program for nurse practitioners or physician assistants is required.

CERTIFICATES LICENSES REGISTRATIONS REQUIRED:

• Current license to practice as a registered nurse in the Commonwealth of Massachusetts with authorization by the Board of Registration in Nursing to practice in an expanded role.
• Registered with the ANCC or other accrediting organization for Nurse Practitioners.
• Registered with the State of Massachusetts and DEA for prescription writing privileges.
• Current BLS and ACLS Certification.

EXPERIENCE:

• A minimum of three years of current clinical nursing experience and two years of experience in adult practice are required. Prior experience in Occupational Health is preferred.

KNOWLEDGE AND SKILLS:

• Expert clinical judgment and ability to be selfdirective and demonstrate initiative in an expanded role.
• Demonstrated critical thinking problem solving and conflict resolution skills.
• Full command (verbal and written) of the English language.
• Demonstrated ability to apply principles of adult learning to provide effective patient and/or family education.
• Organizational skills to set priorities and efficiently complete assigned work.
• Effective interpersonal skills to facilitate communication with the various members of the health care team patients and families.
• Computer proficiency inclusive of the ability to access enter and interpret computerized data/information required.
• Physical ability to meet the core job responsibilities in accordance with the practice setting demands for the patient populations regularly served.