Nurse Practitioner Employer Solutions Full-Time (Frederick, MD Client Site)

Job Summary

The Worksite Nurse Practitioner functions in the role of clinician consultant educator researcher. The work-site nurse practitioner will be a certified nurse practitioner who will practice in the work-site setting. This may be for one client or many. This Nurse Practitioner is responsible for providing direct worker health care following accepted occupational health medical protocols. The Worksite Nurse Practitioner will also be responsible for the day-to-day management of the corporate clients OSHA medical surveillance programs the OSHA 200 log and other programs as contracted with the corporate client.

The Worksite Nurse Practitioner 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.

Example of Essential Functions:

• Job Functions for the Worksite Nurse Practitioner:
  • Collaborates with specific company management to carry out the objectives of the companys occupational health and safety efforts.
  • Provides initial assessment and treatment of on the job injuries and illnesses. Confers with the Medical Director of FHES as needed. Refers work related injuries or illnesses for further evaluation to the appropriate medical specialist as necessary.
  • Provides or coordinates the appropriate ongoing care treatment and follow-up of work related injury and illness based on knowledge of the specific work environment.
  • Collaborates with appropriate company management and health care providers to facilitate early return to work and alternate duty assignment.
  • Provides ongoing evaluation of the injured worker the work environment and the ergonomic factors to bring about resolution of alternate duty and return to full capacity.
  • Assesses non-occupational illnesses occurring at work determines need for immediacy of treatment. May initiate treatment for non-serious illnesses in order to facilitate the worker remaining at the work-site. Gives guidance to seek further care from personal health care provider.
  • Performs health screenings and provides guidance and direction for wellness initiatives including group and individual health education activities.
  • Administers vaccines such as Influenza Hepatitis B and other appropriate immunizations.
  • Maintains and safeguards confidentiality of employee health information and medical records.
  • Implements health and safety training appropriate for work environment.
  • Works with company management and the safety tem to establish effective loss control programs. Maintains client/company confidentiality and recognizes legal implications and consequences of actions.
  • Communicates potential problems/complaints to FHES Director of Operations and the FHES Medical Director
  • Maintains expertise on current occupational health topic by attending seminars and participation in professional occupational health nurse practitioner organizations.
• 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 Frederick Health and Frederick Health Employer Solutions 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.
  • Demonstrates complete compliance with Frederick Health Confidentiality and HIPAA policies.
  • Truthful in all interactions.
  • Meets responsibilities tied to the FH Corporate Compliance Program Standards.
  • 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 Employer Solutions is involved in.
  • Maintains proficiency with Frederick Health Employer solutions 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 Employer Solutions 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 Employer Solutions 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.
  • 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.
• 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.

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.
• Knowledge of case management Marylands workers compensation laws and governmental regulations desirable.
• Certification in hearing spirometry and breath alcohol or willingness to obtain.

Patient Contact

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

• Adult (18 years thru 65 years)
• 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