NP Full-time
Houston Methodist

Nurse Practitioner Acute Care, Nights - Hospitalist - (Sugarland)

Overview

At Houston Methodist, the Nurse Practitioner Acute Care (NP-AC) is responsible for functioning as a licensed registered nurse and care provider to provide all aspects of patient care, including diagnosis, treatment and consultation while maintaining and promoting the health of the patient. This position may work in both inpatient and outpatient situations and performs according to the nurse practice act of the State of Texas and as part of a treatment team. The NP-AC position role models compassionate communication with patients, physicians and the interprofessional health care team and provides education to patients about preventative care and prescribed treatments. This position may also conduct physicals, order tests and serve as a patient's healthcare provider, prescribing medications as appropriate. The NP-AC position affects direct patient care according to the Houston Methodist Professional Practice Model Nursing Practice and Professional Performance policies and procedures.

Houston Methodist Standard

PATIENT AGE GROUP(S) AND POPULATION(S) SERVEDRefer to departmental "Scope of Service" and "Provision of Care" plans, as applicable, for description of primary age groups and populations served by this job for the respective HM entity.

HOUSTON METHODIST EXPERIENCE EXPECTATIONS

  • Provide personalized care and service by consistently demonstrating our I CARE values:
    • INTEGRITY: We are honest and ethical in all we say and do.
    • COMPASSION: We embrace the whole person including emotional, ethical, physical, and spiritual needs.
    • ACCOUNTABILITY: We hold ourselves accountable for all our actions.
    • RESPECT: We treat every individual as a person of worth, dignity, and value.
    • EXCELLENCE: We strive to be the best at what we do and a model for others to emulate.
  • Practices the Caring and Serving Model
  • Delivers personalized service using HM Service Standards
  • Provides for exceptional patient/customer experiences by following our Standards of Practice of always using Positive Language (AIDET, Managing Up, Key Words)
  • Intentionally collaborates with other healthcare professionals involved in patients/customers or employees' experiential journeys to ensure strong communication, ease of access to information, and a seamless experience
  • Involves patients (customers) in shift/handoff reports by enabling their participation in their plan of care as applicable to the given job
  • Actively supports the organization's vision, fulfills the mission and abides by the I CARE values

Responsibilities

PEOPLE ESSENTIAL FUNCTIONS
  • Demonstrates leadership as a clinical resource, interprofessional consultant, and patient advocate. Identifies staff development opportunities for professional growth of colleagues, provides coaching to meet identified goals.
  • Communicates organizational information and aspects of administrative and clinical practice in a respectful and positive manner when interacting with staff. Advocates for a balanced workload, promotes positive behaviors, and peer-to-peer accountability. Facilitates the promotion of teamwork.
  • Collaborates with the interprofessional healthcare team members to manage/coordinate patient care. Advocates on patient/family's behalf to identify and resolve clinical and ethical concerns.
  • Collaborates to foster healthy relationships in the work environment. Acts as a role model and coaches staff in effective verbal, non-verbal and written communication. Serves as preceptor for Nurse Practitioner students and medical resident(s), as applicable. Uses peer-to-peer accountability towards improvement of department score for employee engagement.
SERVICE ESSENTIAL FUNCTIONS
  • Coordinates appropriate, timely patient care under physician supervision, for a defined patient population(s), focusing on identified expected unit/optimal outcomes, individualized to the patient. Prioritizes care based on the patient's needs, abilities, and preferences.
  • Coordinates patient care between healthcare providers. Attends and participates in interprofessional rounds, as appropriate.
  • Helps drive improvement of department score for patient satisfaction, through peer-to-peer accountability to service standards.
QUALITY/SAFETY ESSENTIAL FUNCTIONS
  • Functions as a quality care provider, coordinating, maintaining, and promoting the health of the patient. Assists the interprofessional healthcare team in the development and implementation of protocols to ensure patient safety. Affects direct patient care according to the Nurse Practice Act of the State of Texas and the Houston Methodist Professional Practice Model Nursing Practice and Professional Performance.
  • Conducts health assessments (initial, ongoing, discharge, as appropriate). Identifies normal/abnormal health characteristics, develops plan of care, initiates appropriate interventions, and evaluates care outcomes on defined patient populations(s).
  • Performs invasive, diagnostic, or therapeutic procedures necessary for defined patient population(s) based on licensure and credentialed privileges.
  • Provides safe and effective care by leading and initiating outcome, quality, and safety improvement activities in alignment with organizational goals. Integrates and contributes to professional practice standards, policies, procedures, protocols and leads improvements in patient safety-related processes.
FINANCE ESSENTIAL FUNCTIONS
  • Implements department strategies to achieve financial targets and mentors others to do the same through timely documentation of care, decreasing length of stay, optimizing efficiency, and other areas according to departmental specifications.
  • Projects awareness and understanding of resource allocation based on patient needs and staff experience, knowledge, and skills.
GROWTH/INNOVATION ESSENTIAL FUNCTIONS
  • Promotes quality health care through integration of current research into practice and participation in research/evidence-based activities. Identifies opportunities for practice changes and performance improvement.
  • Provides education of information/knowledge in professional activities such as research, presentations, and publications. Expands individual nursing knowledge and coaches staff to grow in knowledge, abilities, skills, and attitudes. Serves as clinical resource. Ensures own career discussions occur with appropriate management. Completes and updates the My Development Plan on an ongoing basis.
This job description is not intended to be all-inclusive; the employee will also perform other reasonably related business/job duties as assigned. Houston Methodist reserves the right to revise job duties and responsibilities as the need arises.

Qualifications

EDUCATION
  • Master's degree or higher from an accredited school of Nursing and graduate from an accredited Nurse Practitioners program
WORK EXPERIENCE
  • Two years of registered nurse, advanced practice or nurse practitioner clinical experience

License/Certification

LICENSES AND CERTIFICATIONS - REQUIRED
  • RN - Registered Nurse - Texas State Licensure -- Compact Licensure - Must obtain permanent Texas license within 60 days (if establishing Texas residency) AND
  • APRN Acute Care state license AND
  • Magnet ANCC-recognized Acute-Care practitioner certification AND
  • BLS - Basic Life Support or Instructor (AHA) AND
  • ACLS - Advanced Cardiac Life Support or Instructor (AHA) AND
  • AP - Prescriptive Authority - Texas Board of Nursing AND
  • DEA - Narcotics License (DEA) within 6 months

KSA/ Supplemental Data

KNOWLEDGE, SKILLS, AND ABILITIES
  • Demonstrates the skills and competencies necessary to safely perform the assigned job, determined through ongoing skills, competency assessments, and performance evaluations
  • Sufficient proficiency in speaking, reading, and writing the English language necessary to perform the essential functions of this job, especially with regard to activities impacting patient or employee safety or security
  • Ability to effectively communicate with patients, physicians, family members and co-workers in a manner consistent with a customer service focus and application of positive language principles
  • Demonstrates highly developed assessment, clinical, documentation, leadership, and analytical skills
  • Uses therapeutic communication to establish a relationship with patients, families and interprofessional team to collaborate on the plan of care
  • Strong organizational and problem-solving skill as evidenced by capacity to prioritize multiple tasks and role components
  • Ability to function independently and exercise judgment in interactions with physicians, interprofessional care team and patients and their families
  • Demonstrates proficient time management skills
  • Uses critical thinking skills and clinical judgment to work autonomously as defined by the Nurse Practice Act

SUPPLEMENTAL REQUIREMENTS

WORK ATTIRE

  • Uniform No
  • Scrubs Yes
  • Business professional Yes
  • Other (department approved) Yes

ON-CALL**Note that employees may be required to be on-call during emergencies (ie. DIsaster, Severe Weather Events, etc) regardless of selection below.

  • On Call* Yes

TRAVEL****Travel specifications may vary by department**

  • May require travel within the Houston Metropolitan area Yes
  • May require travel outside Houston Metropolitan area No

Company Profile

Houston Methodist Specialty Physician Group - As one of the nation’s leading hospitals and academic medical centers Houston Methodist has brought together some of the nation’s leading experts in multiple specialties to serve our patients.  As part of Houston Methodist Specialty Physician Group (HMSPG), these specialists not only provide excellent clinical care, but are on the forefront of research, developing leading-edge technologies and treatments, and teaching the medical pioneers of tomorrow.  This combination of clinical service, research and academics ensures patients have access to the latest in treatments and technologies while providing the best in comprehensive patient care.  Established as a non-profit corporation and certified by the Texas State Board of Medical Examiners, HMSPG enables physicians to maintain autonomy with respect to their clinical practice while growing their practice within an academic environment.

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Home Care Nurse Practitioner - Houston Department: Providers Employment Type: Full Time Location: 509 W Tidwell Suite 200, Houston, TX 77091 Reporting To: George Christides Compensation: $125,000 - $150,000 / year Description We are seeking a highly skilled and compassionate Home Care Nurse Practitioner (NP) to join our healthcare team. The ideal candidate will have expertise in managing patients with complex medical conditions in a home care setting, ensuring high-quality care for individuals who are considered high-risk due to chronic illnesses, multiple comorbidities, and complex healthcare needs. The Nurse Practitioner will work collaboratively with other healthcare professionals to deliver patient-centered care that focuses on keeping patients healthy at home throughout the Houston area, enhancing patient outcomes, and improving quality of life for homebound and complex patients. A significant component of the role will be providing supportive/palliative care to appropriate patients, ensuring symptom management and holistic support for those with serious illnesses. This position offers an exciting opportunity for a Nurse Practitioner to make a significant impact on the lives of patients with complex needs, providing care in the comfort of their own homes in the Houston area. If you are a dedicated, compassionate, and highly skilled healthcare professional, particularly with an interest in palliative care, we encourage you to apply. Our Values: Put Patients First Empower Entrepreneurial Provider and Care Teams Operate with Integrity & Excellence Be Innovative Work As One Team What You'll Do Patient Care & Assessment: Conduct comprehensive health assessments, physical examinations, and diagnostic evaluations for patients in their homes. Complete transitions of care post-discharge. Develop individualized care plans for high-risk patients, considering their medical history, comorbidities, and functional status. Prescribe and manage medications, including managing complex drug regimens for chronic conditions such as heart failure, diabetes, COPD, and more. Perform health screenings and provide preventive care to help minimize hospitalizations and emergency room visits. Palliative Care Management: Assess patients for eligibility and appropriateness for palliative care, focusing on symptom management and quality of life for individuals with serious or life-limiting conditions. Provide compassionate palliative care to improve comfort, alleviate pain, and address psychological, emotional, and spiritual needs for patients and their families. Collaborate with the palliative care team to develop care plans that align with the patient's goals, preferences, and values. Educate patients and families on palliative care options, including advanced care planning, pain and symptom management, and end-of-life care. Monitor and adjust palliative interventions based on patient needs, ensuring a holistic approach to care that includes physical, emotional, and social well-being. Collaboration & Coordination: Collaborate with interdisciplinary teams, including physicians, social workers, care coordinators, and family caregivers, to provide holistic patient care. Ensure effective communication and care coordination between the home care team and any specialists involved in the patient’s care. Serve as a primary point of contact for patients and their families, providing education, support, and guidance as needed. Chronic Disease Management: Monitor and manage high-risk conditions in collaboration with the patient's care team, with a focus on chronic disease management and health promotion. Educate patients and families on disease management, symptom control, medication adherence, and lifestyle modifications. Review patient records regularly and update care plans to adjust to changing conditions or new diagnoses. Clinical Documentation & Reporting: Accurately document all patient interactions, assessments, treatments, and progress in the Electronic Health Record (EHR) system. Maintain confidentiality and comply with all relevant healthcare regulations and standards (e.g., HIPAA). Participate in team rounds on patient progress, interventions, and outcomes. Patient Advocacy & Support: Advocate for patients’ rights and ensure that they receive the best possible care and services in the home setting. Address any concerns or challenges that arise in the home care environment, ensuring patient safety and satisfaction. Support patients and families with end-of-life planning, palliative care needs, and grief counseling when appropriate. Qualifications Active, unrestricted TX NP License Furnishing License Proficient in Spanish Certification as an Adult-Gerontology Nurse Practitioner (AGNP) or Family Nurse Practitioner (FNP), with additional certifications or experience in relevant specialties (e.g., palliative care, wound care, gerontology) preferred. Strong understanding of home health care protocols, chronic disease management, palliative care, and geriatric care. Ability and willingness to travel to patient homes. Ability to independently assess and manage patients in home settings with minimal supervision. Excellent communication and interpersonal skills, with the ability to work collaboratively in a multidisciplinary team. Ability to use electronic health records (EHR) systems and other clinical tools proficiently. Knowledge of state and federal regulations governing home care services. Strong critical thinking, problem-solving, and decision-making skills. Ability to work with patients from various cultural backgrounds, ability to utilize translational services. You’ll be great for this role if you have: Minimum of 3-5 years of experience in a clinical nursing role, with a focus on high-risk, complex patients (home care and palliative care experience preferred). Experience in HEDIS and HCC Environmental Job Requirements and Working Conditions This is a full-time, hybrid position, where you will be expected to travel to patient homes M-F 8 A - 5 P and also work from home. Our patient population is located primarily throughout Houston. The total compensation target pay range for this role is between $125,000 - $150,000 annually. This pay range represents our national target range for this role. Total compensation will be evaluated based on experience, certifications, and skillsets. Astrana Health is proud to be an Equal Employment Opportunity and Affirmative Action employer. We do not discriminate based on race, religion, color, national origin, gender (including pregnancy, childbirth, or related medical conditions), sexual orientation, gender identity, gender expression, age, status as a protected veteran, status as an individual with a disability, or other applicable legally protected characteristics. All employment is decided based on qualifications, merit, and business need. If you require assistance in applying for open positions due to a disability, please email us at humanresourcesdept@astranahealth.com to request an accommodation. Additional Information: The job description does not constitute an employment agreement between the employer and employee and is subject to change by the employer as the needs of the employer and requirements of the job change.