Nurse Practitioner Comprehensive Care Center Full-Time

Job Summary

The Nurse Practitioner functions in the role of clinician consultant educator researcher and serves as a resource to the physicians. Coordinates clinical services to provide consistent quality of care for patients in the healthcare setting and responsible for evaluating and managing patients after hospital or emergency room discharge facilitating their connection to primary care. This role also includes clinical support for our Anticoagulation Clinic ensuring safe and effective management of patients on anticoagulant therapy. Conducts physical examinations provides treatment and counsels patients and families.

Supports and is responsible for incorporating into job performance the Frederick Health mission vision core values and customer service philosophy and adheres to the Frederick Health Compliance Program including following all regulatory requirements and the Frederick Health Standards of Behavior. Supports the elements of the Frederick Health Medical Group Physician Compact. Provides high quality care to the patients of the Medical Group.

Example of Essential Functions:

• Provider Competencies:
  • Participates in Process Improvements by engaging and actively participating in new QI workflow and processes.
  • Positive customer focus.
  • Completes Peer Audits in a timely manner.
  • Accepts ownership of own behavior and actions.
  • Completes assigned duties within specified timeframes.
  • Recognizes an opportunity and acts to solve the problem.
  • Follows FHMGs policies and procedures.
  • Does not waste time and resources.
  • Maintains safe and clean work environment.
  • Works cooperatively as a team to service patients.
  • Shares ideas and concerns constructively.
  • Fosters good inter- and intra-departmental relations.
  • Demonstrates respect and dignity in all interactions with patients families and staff across all dimensions of difference to include at least ethnic cultural spiritual and lifestyle differences.
  • Shows courtesy and consideration for others.
  • Complies with FHMG Physician Compact elements.
  • Demonstrates complete compliance with FHMGs Confidentiality and HIPAA policies.
  • Truthful in all interactions.
  • Meets responsibilities tied to the FH Corporate Compliance Program Standards.
• Operational:
• Participates in and adopts practice changes to meet the requirements of Patient Centered Medical Home (PCMH) Meaningful Use and other National State and Payer Programs that Frederick Health Medical Group is involved in.
• Maintains proficiency with Frederick Health Medical Groups EMR initially and with upgrades.
• Attends Provider meetings and in-services on a regular basis.
• Is responsible to patients and staff by maintaining their anticipated schedule on a consistent basis.
• Maintains a professional demeanor at all times.
• Is ready to begin work session at scheduled time.
• Maintains an adequate patient flow to minimize delays.
• Understands the role of his/her nursing assistant in providing patient care to improve waiting times.
• Documentation:
• Uses EMR for documentation as per Frederick Health Medical Group standards. Employs new changes necessary to meet the ongoing requirements for PCMH and other agency/payer entities.
• Documents in a timely manner according to practice and Frederick Health Medical Group standards.
• Accurately documents to maintain an adequate clinical record. All the necessary elements required for a particular visit per standard medical guidelines are documented.
• Complies with pharmaceutical agent dispensing regulations when administrating medications in the office or giving medication samples. Proper documentation is included in the medical chart.
• The level of coding corresponds to the medical care given and to the detail of the documentation done.
• Patient Care:
• Performs appropriate history physical examination assigns a diagnosis and develops a treatment plan that is consistent to standard medical guidelines for patients/families. Care given stems from evidence-based medicine.
• Orders/arranges for appropriate labs radiology tests and consults taking into account evidence-based medicine and costs.
• As indicated by his/her training skill set and experience performs various therapeutic procedures when clinically relevant.
• Patient care given and its documentation are consistent with the PCMH model of care. Care is patient-centered by utilization care plans self-management tools and care coordination for high risk patients.
• Care Coordination: Proactively addresses needs of patients/families by collaborating with Care Team regarding new findings status changes.
• Coordinate care which may include: obtaining test results and referral letters communicating with specialists health plans and other facilities.
• Addresses needs of patients/families based on principles of Population Management by managing the health needs of specific patient populations (eg. Diabetes Hypertension Smokers)
• Proactively participates in the Care Team using evidence-based approaches to self management (patient coaching motivational interviewing).
• Effectively communicates to all patients and families particularly the vulnerable populations.
• Collaborate with pharmacists nurses and social workers to optimize care transition coordination and medical management.
• Provide short-term primary care services to patients post-hospital or ED discharge.
• Serve as a clinical resource for uninsured patients or those without a PCP helping navigate access to care.
• Facilitate continuity of care by connecting patients to long-term primary care providers.
• Educate patients on discharge instructions medication management and self-care strategies.
• Assess and manage acute and chronic medical conditions during the transitional period.
  
• Other duties as assigned

Required Knowledge Skills and Abilities:

• Must have knowledge of computer skills. Experience with prior electronic medical records (EMR) is preferred.
• Maintains the necessary CME credits to maintain licensure.
• Must demonstrate ability to stay organized; is able to multi-task effectively.
• Must demonstrate time management conflict resolution and trouble shooting skills.
• Must demonstrate good interpersonal and communication skills.
• Commitment to serving vulnerable populations with empathy and clinical excellence.
• Able to offer home or telehealth visit if required.
  

Minimum Education Training and Experience Required:

• Nurse Practitioner:Certification of completion from an approved Masters in Nursing program.
• Licensed to practice medicine in the State of Maryland.
• Current DEA license.
• Current Maryland Controlled Substance license.
• Current BLS Certification through American Heart Association or an approved training center.
• License to practice in any state that has never been suspended or revoked.
• Has not been excluded from participation from any Payers.
• Experience in primary care and transitional care preferred.
• Proficiency in anticoagulation protocols INR dosing and patient counseling is required.
  

Patient Contact

Must demonstrate and maintain current knowledge and skills in providing appropriate care/contact for patients in the following age groups:

• X Adult (18 years thru 65 years)
• X Geriatric (66 years)

Physical Demands:

Light Work- Lifting up to 20 pounds on an infrequent basis (less than one lift every three minutes and/or carrying up to 10 pounds or requiring walking or standing to a significant degree (about six 6 hours a day).

Ergonomic Risk Factors:

Repetition: Repeating the same motion over and over again places stress on the muscles and tendons. The severity of risk depends on how often the action is repeated the speed of the movement the required force and muscles involved.

Working Conditions:

Bloodborne Pathogens Exposure Risk: Category A WILL have exposure to blood or body fluids.

Reporting Relationship:

Reports to Medical Director