Nurse Practitioners are primary health care providers who practice in ambulatory care settings. According to their practice specialty, these primary care providers provide medical services to individuals, families, and groups. Teaching and counseling individuals, families, and groups is a major part of the nurse practitioner’s role.
This role is specific to the delivery of Comprehensive Health Assessments to Renown Health’s Medicare and commercial membership. The incumbent should have a strong familiarity with the CMS Hierarchical Condition Category (HCC) coding system and proficiency in chronic condition coding as it is applicable to the overall understanding of the health of the patient and the corresponding management of the patient. The incumbent will also be proficient in obtaining appropriate, evidence-based care gaps as a continuum of appropriate preventative care.
The incumbent must provide optimal patient care through assessment, planning, implementation, and evaluation of pediatric, adult, and geriatric patients and families, as applicable. Demonstrates the knowledge and skills necessary to provide care, based upon physical, motor/sensory, psychosocial, and safety appropriate to the age of the patient served. A Nurse Practitioner performs the following acts within the standard of medical practice for their specialty and as appears in their protocols:
1. Systematically access the health status of persons and families by:
a. Taking, recording, and interpreting medical histories and performing physical examinations as applicable.
b. Performing or initiating selected diagnostic procedures.
2. Based on information obtained in the assessment of a person’s health, help coordinate the care management of selected persons and families common, acute, recurrent, or long-term health problems. Care management may include:
a. Initiation of a program of treatment for the patient, in conjunction with the supervising physician.
b. Prescribe medications consistent with Nevada prescribing laws and DEA privileges, although this is not typically relevant in this setting, but may necessitate consultation with the patient’s primary care provider.
c. Evaluation of responses to health problems and programs of treatment
d. Informing a person or family of the status of the patient’s health and alternatives for care.
e. Evaluation of compliance with a program of treatment agreed upon by the person or family and the Nurse Practitioner
f. Modification of programs of treatment based on the response of the person or family to treatment, after consultation with the patient’s primary care provider.
g. Referral to appropriate providers of health care, when appropriate for this specialized role
i. Commencement of care is required to stabilize a patient’s condition in an emergency until a physician can be consulted.
3. Any other act if:
a. The nurse practitioner is certified to perform that act by an organization recognized by the Nevada Board of Nursing
b. The performance of the act was taught in a program of education attended by the Nurse Practitioner
c. The performance of the act was taught in a comprehensive program of instruction successfully completed by the Nurse Practitioner, which included clinical experience.
d. The act is within the scope of practice of a nurse practitioner as it pertains to this specialized role.
KNOWLEDGE, SKILLS & ABILITIES:
1. Adopts a philosophy consistent with the Renown Health Purpose Statement and models “Standards of Conduct” concepts.
2. Effective communication skills – written and verbal.
3. Ability to establish positive working relations with Provider Staff.
4. Work efficiently and cooperatively in a multi-physician/provider office setting.
5. Work as part of a team toward clinic goals.
6. Has a working knowledge of proper Hierarchical Condition Category and chronic condition assessment and coding as is applicable to the CMS risk adjustment model
7. Maintains accurate, legible, and confidential records within the Epic electronic medical record.
8. Actively participate in quality assurance, peer review programs, and health care outcome evaluations.
9. Direct nursing and/or medical assistant duties consistent with clinic protocols.
10. Ensures the highest quality of care requiring a code of ethical practice, evidence of continuing professional development, and maintenance of clinical skills.
11. Patient advocate through ethical and legal standards.
12. Combines the roles of provider, mentor, educator, researcher, manager, and consultant, as applicable
13. Interprets the role of the nurse practitioner to individuals, families, and other professionals.
14. Works efficiently, cooperatively, and autonomously in long-term and acute care facilities, as applicable
15. The Nurse Practitioner shall at all times comply with the provisions of NRS 632 and Regulations of the Nevada State Board of Nursing.
16. Attend and participate in departmental and Renown Health meetings consistently.
This position does provide patient care.