Certified Registered Nurse Practitioner, Street Medicine at The Wright Center for Graduate Medical Education

Scranton, Pennsylvania, United States -

Full Time

Start Date

Immediate

Expiry Date

07 Jan, 26

Salary

0.0

Posted On

09 Oct, 25

Experience

2 year(s) or above

Remote Job

Yes

Telecommute

Yes

Sponsor Visa

Skills

Patient Care, Medication Administration, Health Assessment, Patient Education, Care Coordination, Collaboration, Documentation, Emergency Care, Clinical Resource, Disease Prevention, Health Promotion, Surgical Procedures, Invasive Procedures, Behavioral Health, Continuing Education, Quality Improvement

Industry

Public Health

Description

Description POSITION SUMMARY The Nurse Practitioner provides care and treatment to patients; has professional responsibility for diagnosis, determination of treatment methods, leadership in the implementation of treatment plans, and discharge planning; prescribes medication with collaboration of supervising physician; manages prescriptions, administration of medications; and, provides patient/family counseling and education. REPORTING RELATIONSHIPS The position reports to the Supervising Physician for medical issues, to the Practice Manager and Co-Directors of CRNP & PA Services for practices and policies and Medical Director of the clinic. No staff report to this position. ESSENTIAL JOB FUNCTIONS AND RESPONSIBILITIES Clinical Responsibilities: Assess health needs for children and/or adults Perform and document comprehensive care and health histories and examinations on patients; Gather, interpret and integrate data to determine patient treatment plans. Order and interpret diagnostic studies related to the patient’s plan of care and response to treatment; Provide follow-up care on an inpatient and outpatient basis Collaborate with the behavioral health team Interview and advise patients regarding health and illness prevention, and recommend resources to meet patient and family needs Instruct patients and families regarding medications and treatment instructions Document medical records regarding all patient encounters in the office and on the telephone while staying compliant and up-to-date with the EMR process Exercise HIPAA confidentiality and security measures at all times during office hours and outside of the office Serve as a clinical resource for staff, clients, and families Practice as an outpatient provider with thirty-six (36) hours of patient care per week as worked out with the Medical Director and Practice Manager Work at the assigned location and other TWCCH sites as necessary Perform other duties as assigned consistent with experience and training of the CRNP Obtain, compile and record patient medical data, including health history, progress notes and results of physical examination Interpret and integrate data to determine appropriate treatment plans as needed Instruct and counsel patients. Communicate clearly and effectively with patients and other health-care workers Collaborate with physicians in managing acute and long-term medical needs of patients Order necessary diagnostic tests, such as x-ray, electrocardiogram, and laboratory tests Interpret diagnostic test results including to assess and identify deviations from normal Diagnose and treat acute, chronic, and long-term healthcare issues. Interview and advise patients regarding health and illness prevention Recommend resources to meet patient and family needs Provide counseling and instruction regarding patient treatment and follow-up care Provide effective and meaningful patient education Assist in supervision of Medical Assistants and Licensed Practical Nurses Effectively identify, evaluate, and address disease prevention and health promotion issues of the population in the practice while administering quality patient care Understand and participate in meaningful use data Utilize and document in the electronic health record Administer emergency care per BCLS, ACLS or PALS standards Document medical records with all patient encounters in the office and on the telephone while staying compliant and up-to-date with the EMR process Understand and adhere to “incident-to” and “non-incident-to” service and billing guidelines using proper procedures based on service conditions at the time Exercise HIPAA confidentiality and security measures at all times during office hours and outside of the office Demonstrate responsibility for self-learning through participation in continuing education activities and conferences Participate in quality improvement reviews and activities in the clinical setting Serve as a clinical resource for staff, clients and families which includes answering triages, help streamline patient flow in office Practice as an outpatient provider with thirty-two (32) hours of patient care per week (with availability for 3 patient slots per hour, 96 patient slots per week) and eight (8) 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 Participate in nursing home on call coverage as needed Work in an independent and interdependent relationship with members of the medical staff, which allows for consultation, collaboration, or referral Timely completes patient care documentation in the outpatient and inpatient settings and required resident evaluations and direct observation assessments as assigned Timely completion of Peer Reviews as assigned by Credentialing department to be compliance standards Perform other duties as assigned Medication Administration Administration of medications and injections, including Tetanus prophylaxis and non-prescription medicine Prescribe and dispense relevant to the area of practice for the CRNP Prescribe and dispense schedule II with DEA certificate Prescribe and dispense schedule III, IV and V with DEA certificate Basic Invasive Procedures Ability to do the following: Cautery; Epistaxis management; Urethral catheter insertion and removal; Collection and preparation of specimens, i.e. gram strains, C&S; EKG tracings; Pap Smears; Foreign body removal: ears, nose, throat, rectum, soft tissue Ophthalmologic Procedures Ability to do the following: Visual screening; Corneal screening; Simple removal of foreign bodies; Conjunctiva; Visual Activity Surgical Procedures Ability to do the following: Subcutaneous local and digital anesthesia; Repair simple lacerations; Laceration management; Cleansing/irrigation; Simple edge revisions/suturing; Suture and staple removal; Treatment for minor superficial (1st and 2nd degree) burns; Incision and drainage of abscess; Wound irrigation, packing; Control of external hemorrhage; Carry out aseptic and isolation techniques Care Coordination Maintain ongoing appropriate documentation on care coordination to promote awareness and ensure patient safety and follow-through on care plan Assist patients in problem solving potential issues related to the health care system, financial and psychological barriers Functioning as the system navigator and point-of-contact for high-risk patients and family, with the patient and family having direct access for asking questions and raising concerns. Educational Responsibilities: Provide information related to disease, treatment, health promotion, and disease prevention to patients and families Educate professional staff through consultations and presentations. Evaluate patient, nursing, and community educational programs and materials and act as a resource in relation to those materials Participate in multi-disciplinary committees and conduct research as needed Participate in continuing education activities and conferences Provide education to medical residents, students, NP and nursing students in collaboration with the program director Requirements REQUIRED QUALIFICATIONS Licensed by the State of Pennsylvania as both a Registered Nurse (RN) and a Certified Registered Nurse Practitioner (CRNP) Valid DEA To write prescriptions, one must also be licensed by the State of PA for a CRNP Prescriptive Authority Demonstrated ability to function both independently and in collaboration with other health care professionals Previous experience working as a nurse in home health, hospital, or other medical setting BLS, ACLS and PALS Certifications Valid PA driver’s license

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Responsibilities

The Nurse Practitioner provides care and treatment to patients, including diagnosis, treatment planning, and patient education. They collaborate with healthcare teams and manage patient care in both inpatient and outpatient settings.