Certified Registered Nurse Practitioner, ID Clinic

Description

POSITION SUMMARY

The ID Nurse Practitioner delivers primary medical and HIV/AIDS subspecialty care. Provides care to adults, in the Ryan White HIV/AIDS Program under physician supervision. The NP performs comprehensive assessments, diagnose, orders, conducts, supervises and interprets diagnostic and laboratory tests, prescribes pharmacologic and non-pharmacologic treatments in the direct management of acute and chronic illness and disease. The Nurse Practitioner works within a collaborative model to provide quality care and to improve patient outcomes by strengthening community of care in all settings for patients, families and staff. The position combines the roles of provider, mentor, educator, researcher and administrator. The Nurse Practitioner must honor the Commonwealth of Pennsylvania’s Nurse Practitioner’s guidelines and ethical commitment. All communication to include privacy and security of patient protected health information must be exercised at all times.

DUTIES & ESSENTIAL JOB FUNCTIONS

• Work closely with Infectious Disease Attending physicians to provide evaluation and follow-up services for outpatients in the ID clinic. The scope of service includes managing patients receiving outpatient intravenous antibiotics, patients with HIV or hepatitis C, and patients with latent and active tuberculosis.
• Responsible for seeing patients in the office, performing comprehensive assessments and diagnosing infectious and related diseases, ordering and interpreting diagnostic and laboratory tests, prescribing pharmacologic and non-pharmacologic treatments in the direct management of acute and chronic illness and disease.
• Treatment plans are documented as progress notes in the electronic medical records system. It also includes communication with the inpatient infectious disease team, coordination with other specialties, skilled nursing and rehabilitation facilities, and home care companies to facilitate safe transitions of care from inpatient to outpatient or long term care settings.
• Provides women’s health and wellness services including breast and cervical cancer screening / PAP tests and coordinating a respective Clinical Quality Improvement (CQI) project,
• Provides and monitors continuity of care between patient visits and evaluation and management of emergency situations.
• Provides psychosocial counseling and support to patients and families and makes community referrals as necessary.
• Identifies treatment-related toxicities and initiates medical interventions.
• Evaluates patient intervention outcomes and demonstrates expertise in symptom-management.
• Monitors and adjusts patient medications and treatments according to protocols.
• Manages telephone calls related to emergency situations, symptom management and psychosocial and family concerns.
• Provides continuity of care across settings (home, home health, skilled nursing, hospice, and rehabilitation).
• Exercises HIPAA confidentiality and security measures at all times.
• Participates in quality improvement reviews and activities in the clinical setting.
• Performs and documents comprehensive medical and psychosocial health histories and examinations on patients. Collaborates with physician in managing acute and long-term medical needs of patients.
• Provides follow-up care on an inpatient and out-patient basis.
• Interviews and advises patients regarding health and illness prevention. Recommends resources to meet patient and family needs.
• Instructs patients and families regarding medications and treatment instructions.
• Understands and adheres to “incident-to” and “non-incident-to” service and billing guidelines using proper procedures based on service conditions at the time.
• Practice as an outpatient provider with thirty-six (36) hours of patient care per week (with availability for 3 patient slots per hour, 108 patient slots per week) and four (4) hours of administrative time per week, and must be present on-site at least forty (40) hours per week, which includes administrative time. Administrative time must be coordinated and planned to occur outside of patient care hours and when there is otherwise an adequate number of providers to cover overall patient care responsibilities. The particular days scheduled will be worked out with the Medical Director and Practice Manager
• Must have zero charts overdue > 10 days no more than 100 at end of month
• Monitor lab and document box of other providers as assigned and direct any questions or concerns to the Medical Director
• Work some late nights, on average one to two nights per week
• Participate in the outpatient call schedule, which typically includes one weekend per month and the occasional weekday as needed, with physician as backup.
• Participate in weekend rotation including up to two Sundays per month, or two Saturdays per month, or any combination of one Saturday and one Sunday per month, at any of Corporation’s practice locations; however, additional weekend rotation days could be scheduled from time to time based on operational and clinical needs of the Corporation as determined by Corporation in its sole discretion
• Participate in holiday rotation, working 1-2 holidays per year. When holiday is worked Provider will have 90 days to use as a day off
• Work additional hours/days, as needed, to cover colleague time off and staffing emergencies
• Perform other duties as assigned.

EDUCATIONAL RESPONSIBILITIES

• Provides information on disease, treatment, health promotion, and disease prevention to patients and families.
• Educates professional staff through consultations and presentations.
• Evaluates patient, nursing, and community educational programs and materials and acts as a resource in relation to those materials.
• Participates in multi-disciplinary committees.
• Demonstrates responsibility for self-learning through participation in continuing education activities and conferences.
• Provides education to medical residents, students, NP and nursing students.

RESEARCH RESPONSIBILITIES

• Demonstrates knowledge of the research process.
• Collects and manages data as needed.
• Reviews, disseminates, and incorporates research findings into clinic practice

CLINICAL RESPONSIBILITIES

• Perform many aspects of the management of hepatitis, including ordering and interpreting tests and prescribing medications.
• Identifying appropriate hepatitis C treatment for each patient and implementing proper pre-treatment screenings before starting patient on treatment.
• Implementing treatment and managing the care of the patient and treatment to maximize successful treatment completion.
• Supervising the RN who will be administering professional nursing care to patients as part of the strategic initiative.
• Reporting to nurse practitioner supervisor on strategic initiative progress and any clinical issues.
• Confer and consult with supervisor, physicians, other liver clinic staff to provide continuum of care to hepatitis C patients.
• Participating in the development of hepatitis C related education materials for patients and providers.

Requirements

QUALIFICATIONS

• Current license to practice as a Nurse Practitioner (CRNP) in Pennsylvania.
• CPR Certification and BLS Certification.
• Current DEA number from the United States Drug Enforcement Administration.
• Demonstrated ability to function both independently and in collaboration with other health care professionals.
• Previous experience working in a mental health specialty a plus.
• Extensive HIV/AIDS experience preferred