Under the general direction of the Center for Medication Management Clinic Manager, provide advanced education and care to patients receiving anticoagulant therapy, hyperlipidemia management, and diabetic education. Responsible for working with physicians within the predefined guidelines approved by the P&T Committee for management of patients referred for anticoagulation therapy, hyperlipidemia management, and diabetic education. This includes but is not limited to the following medications warfarin (Coumadin), low molecular weight heparin (LMWH), aspirin, simvastatin (Zocor), lovastatin (Altoprev, Mevacor), rosuvastatin (Crestor), fluvastatin (Lescol), atorvastatin (Lipitor), pitavastatin (Livalo), and pravastatin (Pravachol). Other medications include bile acid resins: cholestyramine, colestipol, colesevelam, and the antilipemic agent: eztimibe (Zetia). Niacin, Fish oil, and fibric acid derivatives: Fenofibrate, gemfibrozil, and fenofibric acid are several other medications. The nurse practitioner is responsible directly for the warfarin (Coumadin) dosing, patient education, scheduling of appointments, identifying drug-drug interactions and other responsibilities related to issues that arise in the management of patients’ warfarin (Coumadin) therapy, such as bleeding and scheduled procedures. The nurse practitioner is also responsible for managing a patient’s basic or advanced lipid profile by medication management and lifestyle modification. The nurse practitioner provides education and other responsibilities involving lipid management. The nurse practitioner also provides detailed diabetic education, including but not limited to, information about drug regimen, diet, and exercise. Responsible for providing tools and educational opportunities to enhance services provided by all staff members. Serves as assistant preceptor to students and residents. Participates in supervision of technical staff.
Education
Masters Nursing - Required
Experience
2-3 Years clinical nursing experience - Required
License & Certification
Professional License with State of Practice - Required
Professional Certification - Required
Core Job Functions
After receiving a Physician order, provides full therapy education with verbal and written communication. Assess and maintain warfarin therapy. Manage Home Health care patients regarding PTTs/INR.
Functions in accordance with Medical staff rules and regulations. Complete history and physicals are present for every patient. Maintains regular and frequent communication with the medical staff involved in the care of the patients.
Assess pharmacotherapy and individualize therapy to specific patient needs and communicate therapeutic recommendations to the Medical Staff. Establish and clarify goals and objectives of therapy in collaboration with the physician for each problem being treated. Provide patient education and counseling and participate in discharge planning for the purpose of ensuring continuity of drug therapy.
Supervise staff competencies for INR and Piccolo testing devices. Ensure quality controls are maintained both internal and external. Assist with ordering an maintenance of supplies.
Position Summary The Nurse Practitioner/Physician Assistant provides high quality, patient-focused health care services to all patients in collaboration with the other staff members to ensure that the individually planned needs and desires of patients are met, regardless of age or gender, on a continuing basis by performing the duties outlined below. The NP/PA will practice/perform the medical services as delegated or directed by the supervising physician as long as they are within the scope of practice for the RN/APRN. The NP/PA will abide by the standards and laws governing the practice of nursing and advanced practice registered nursing or state board of medical examiners as established by the designated State Board and specified State Professional and Occupational Standards. It is the obligation of each NP/PA to ensure that their supervisory requirements are adhered to, that the relationship of and access to the supervising physician is defined, and that a process for evaluation is established. It is the obligation of each NP/PA to keep current with required continuing education and licensure. Education Masters in Nursing - Required Experience 1 Year - Preferred License & Certification State Registered Nursing License; State Advanced Practice Registered Nurse License; Collaboration Agreement; CDS Controlled Substance License as applicable per prescriptive authority; DEA Drug Enforcement Agency Registration Number as applicable per prescriptive authority. Active medical board certification required per state requirements. - Required Basic Life Support (BLS) - Required Advanced Cardiovascular Life Support (ACLS) - Preferred for Full Time NP/PA Core Job Functions Maintains appropriate clinical standards. Follows the guidelines established by the Company policy and procedure manuals. Examines patients for symptoms and/or physical information while ensuring the delivery of high quality, patient-focused health care all while recognizing the patient’s individual rights. Aides the patients in their right to be informed and to participate in making decisions in all aspects of their medical care and treatment and initiates a patient education plan according to the individualized needs of the patient, including patient and family instruction. Ensures that all aspects of care have respect for personal values and beliefs and is focused on the individual needs of each patient. Elicits and reviews information about patient’s medical history. Orders or executes various tests, analyses, results, reports and diagnostic images to provide information on patient’s condition in a timely manner to determine appropriate treatment and follow up. Administers or prescribes treatments and medications appropriate for patient condition. Promotes health by educational instruction as well as advising patients concerning diet, hygiene, and methods for prevention of disease. Refers patients to medical specialist for consultant services when necessary for patient’s well-being. Accurately, efficiently, and completely documents necessary data for patient records to facilitate completion of billing processes. All entries into the medical record whether electronic or on paper will be legible, complete, dated, timed and signed with appropriate credentials. Documentation will be completed prior to discharge from the facility when possible but no later than 48 hours after discharge from the facticity. Utilizes all equipment, supplies, facilities, and resources of the Company in a prudent and efficient manner. Participates in department quality improvement activities, staff educational programs, attends departmental meetings, and demonstrates and maintains clinical competency in the delivery of patient care services in accordance with Company guidelines. Participates in Peer Review and Chart Audit processes as designated by the Medical Director. Maintains supervisory duties over staff as required. Must maintain collaboration with the physician to deal with issues outside of their scope of practice. Maintains competency in skills relevant to the scope of services provided in the facility. The scope of services in specific markets will require employees to complete relevant training and to obtain additional certifications or licensure. (DOT Certification, Occupational Medicine Certification, Dispensing Permits, Telemedicine permits, etc.) Other duties as needed.
Position Summary Nurse Practitioners may instruct and counsel patients and their families, and involve them in informed decision making, with regards to their illness or injury, therapeutic and diagnostic procedures, treatment regimens, normal growth and development, family planning, advanced directives, emotional problems of daily living, and health maintenance. May also facilitate referrals of patients to other medical providers, medical facilities, or other health/social service agencies when appropriate as per the delegation of the supervising physician. Education Masters in Nursing - Preferred Experience 1 Year Working as a physician extender - Preferred New graduates will be given consideration. License & Certification Professional License with State of Practice - Required Professional Certification - Required Core Job Functions Refers patients to correct laboratory, radiology center, hospital or specialist. Ensures precertification is obtained when needed prior to services being rendered. Follows referral process based upon insurance company's policies and procedures. Provide guidance on available services and self management. Assist patients in navigating health education and supportive services within and outside of clinic, including the facilitation of referrals. Follow-up on care and ensure that patients are receiving appropriate care. Administers medication safely. Provides quality care to all patients. Takes initiative and uses sound judgment. Follow policies and procedures for routine office procedures, test, administration of medications and assisting providers up to and including IV therapy. Recognizes and anticipates urgent and emergent patient situations and responds appropriately. Identifies patient education needs and may assist in patient teaching as to appropriate health maintenance and management of illness. Communicates effectively with patients, families, and other members of the health care team. Informs patients on physician instructions and any preparations. Informs patients about procedures prior to performing procedures. Explains consent forms to patients and has patients sign consent forms. Vital signs are taken on each patient, on each visit and input into eClinical Works. Verifies and updates patients clinical record on each visit.
Position Summary The Advanced Practice Provider (APP) treats adult patients in a primary care setting, with an emphasis on chronic disease management. The APP performs medical services within the scope of practice for the PA/APRN. The APP collaborates with other team members within the community health center as well as with outside specialty providers. Education Master's of Science in Nursing or Master’s of Science in Physician Assistant - Required Experience 2-3 Years - Preferred License & Certification Professional License with State of Practice (ANPRN or PA) - Required Nurse Practitioner or Physician Assistant national certification (AANPCP, ANCC, or NCCPA) - Required Basic Life Support (BLS) - Required Core Job Functions Obtains patient histories and conducts pertinent physical exams. Orders necessary testing which could include labs, diagnostic imaging, cancer screenings, and EKGs. Interprets results and informs patient of findings in a timely manner. Diagnoses medical problems and prescribes treatment as medically indicated. Prioritizes shared-decision making and patients’ individual preferences into treatment plan. Utilizes evidence-based and value-based care guidelines and internal procedures to guide diagnostic and treatment decisions. Educates patients with regard to medical conditions, treatment plans, preventive medicine and health promotion topics. Refers patients to specialists when necessary. Follows up with recommendations from specialty referrals. Co-manages patients with specialty providers when indicated. Utilizes available clinical resources. Discusses complicated or challenging cases with the supervising physician. Participates in department quality improvement activities, staff educational programs, attends departmental meetings, and demonstrates clinical competency in the delivery of patient care services.
Company: Compassus Position Summary The Palliative Care Nurse Practitioner is responsible for modeling the Compassus values of Compassion, Integrity, Excellence, Teamwork, and Innovation and for promoting the Compassus philosophy, using the 6 Pillars of Success as the foundation. S/he is responsible for upholding the Code of Ethical Conduct and for promoting positive working relationships within the company, among all departments, and all external stakeholders. The Palliative Care Nurse Practitioner provides palliative care for patients facing chronic, complex, and /or life-threatening conditions at various locations within the flow of patient care. S/he provides assessments, disease and treatment education, and symptom management to meet the needs of palliative care patients and their families. The Palliative Care Nurse Practitioner helps the patient and family maintain their maximum level of comfort and coping. S/he provides care and support in collaboration with the PCP and specialists and ensures compliance with practice standards and codes. S/he must collaborate appropriately with the assigned Compassus Medical Director and flex their schedule to meet agency needs. Position Specific Responsibilities Performs routine and urgent assessments: Availability Monday – Friday, 8a-5p local time. 100 visits per month minimum; adjusted for PTO and part-time status. Carries a minimum patient census load of 80 patients, may increase depending on market needs. Ability to triage consults by patient acuity. Performs bedside palliative care with patient/family education. Subject to after hours and weekend on-call requirements per the needs of the organization. Orders, performs, and interprets laboratory and radiology tests within scope of professional practice. Prescribes medications including controlled substances to the extent delegated and licensed. Orders treatments and durable medical equipment as indicated. Performs other therapeutic measures as indicated. Consults with palliative care physician or designees as needed, informs primary physician of services provided and collaborate with other physicians as needed. Assists in all facets of care coordination for palliative care referrals. Prepares and maintains accurate patient records, charts, and documents to support sound medical practice and reimbursement for services provided. Complies with applicable laws and regulations with respect to Collaborative Agreements. Completes accurate billing and coding activities for all patient encounters according to CMS guidelines. Provides training and ongoing education and onboarding support for staff. Defines goals for professional growth and participates actively in professional activities and organizations. Engages in active and frequent self-care activities for personal and professional growth and longevity. Adheres to the practice of confidentiality regarding patients, families, staff and the Organization. Assists patients and families in identification of goals of treatment and ongoing plans of care at every visit. Communicates these goals among Interdisciplinary Team (IDT). Collaborates/communicates with Medical Director, attending Physician, hospital staff, and IDT: Participates in monthly IDT meeting with market team. Collaborates/communicates with IDT needs of patient for clinical and psycho-social interventions. Assists in identifying the need for intervention of other IDT members. Effectively communicates patient and family needs to IDT. Completes and submits required clinical documentation within 24 hours of visit completion. Educates patient and caregiver regarding: Care of patient. Disease process. Goal setting. Symptom control. Treatment options. Prognosis. Advance Care Planning. Supervises nurse trainees, including graduate and advance practice nurses in field placements. Participates in supervision of other trainees, including medical students, residents, fellows, and social work and psychology trainees. Requires regular regional travel, involving driving within a 60-mile radius. Performs other duties as assigned. Education and/or Experience Master’s degree in Nursing required. Minimum of five (5) years nursing experience required; clinical nursing care in oncology, hospice, geriatrics, intensive care preferred. Skills Mathematical Skills: Ability to add, subtract, multiply, and divide in all units of measure, using whole numbers, common fractions, and decimals. Ability to compute rate, ratio, and percentage. Language Skills: Ability to read, analyze, and interpret general business periodicals, professional journals, technical procedures, or governmental regulations. Ability to write reports, business correspondence, and procedure manuals. Ability to effectively present information and respond to questions from leaders, team members, investors, and external parties. Strong written and verbal communications. Other Skills and Abilities: Ability to understand, read, write, and speak English. Articulates and embraces hospice philosophy. Strong organizational and time management skills. Must be able to work a flexible schedule to include nights and weekends. Must be able to travel. Ability to maintain confidentiality of information, such as patient and Company files. Certifications, Licenses, and Registrations Active and unencumbered CNS or Nurse Practitioner license in state of employment required. Certified as a Nurse Practitioner in Adult, Family, Acute, or Geriatric required. Active NPI number. Maintain active DEA certification if state allows prescription of controlled substances by APPs. Board Certification in Hospice and Palliative Care is preferred, but not required. State Specific Requirements Other All states except Iowa: Current collaborative physician agreement in place. Physical Demands and Work Environment: The demands of this role necessitate a team member to effectively perform essential functions. Adaptations can be made to accommodate team members with disabilities. Regular standing, walking, and manual dexterity are fundamental, along with the ability to lift and move objects up to 50 pounds. Visual acuity requirements include close and distance vision, color and peripheral vision, depth perception, and the ability to adjust focus. In a healthcare setting, exposure to bodily fluids, infectious diseases, and conditions typical to the field is expected. Routine use of standard medical equipment and tools associated with clinical care is essential. This description provides a general overview and may vary by role and department, capturing the nuanced demands and conditions inherent to clinical positions in our organization. At Compassus, including all Compassus affiliates, diversity, equity, and inclusion are fundamental to our Pillars of Success. We are committed to creating a fair work environment where our team members feel welcomed, highly valued, and respected. As an equal opportunity employer, all qualified applicants will receive consideration for employment without regard to race, color, religion, gender, gender identity or expression, sexual orientation, national origin, genetics, disability, age, or veteran status. #LI-KH1 Build a Rewarding Career with Compassus At Compassus, we care for our team members as much as we care for our patients and their families. Through our Care for Who I Am culture, we show compassion, respect, and appreciation for every individual. Embark on a career that cares for you while you care for others. Your Career Journey Matters We’re dedicated to helping you grow and succeed. Whether you’re pursuing leadership roles, specialized training, or exploring new career paths, we provide the tools and support you need to thrive. The Compassus Advantage • Meaningful Work: Make an impact every day by honoring the quality of life of our patients, supporting them and their families with compassion, and creating moments that truly matter. • Career Development: Access leadership pathways, mentorship, and personalized professional development. • Innovation Meets Compassion: Collaborate with a supportive team using the latest tools and technologies to deliver exceptional care. • Enhanced Benefits: Enjoy competitive pay, flexible time off, tuition reimbursement, and wellness programs designed for your well-being. • Recognition and Support: Be celebrated for your contributions through recognition programs that honor your dedication. • A Culture of Belonging: Thrive in a culture where you can be your authentic self, valued for your unique contributions and supported in a community that embraces diversity and inclusion. Ready to Join? At Compassus, your career is more than a job—it’s an opportunity to make a lasting impact. Take the next step and join a team that empowers you to grow, innovate, and thrive.
Exciting Full-Time Family Nurse Practitioner Opportunity in Savannah, GA ! KidsStreet Urgent Care is growing, and we are looking to hire a fast, fun, and friendly Family Nurse Practitioner (FNP) to join our team full time! You will provide patient focused care to help our patients feel better FAST! Boom! Services provided to the public include urgent care, primary medical care, telemedicine, and occupational medicine. The ideal applicant will be able to lead a small team while working in a high volume and fast-paced urgent care environment. This is an incredible opportunity for FNPs early in their career – including BRAND NEW GRADS! (Still haven’t taken boards? That’s okay!) Following our on-site hosted HQ orientation and training, you will have several training shifts with existing providers in one of our clinics. But the support doesn’t end there! From a complimentary pediatric urgent care course, to a provider on-call to help you with clinical decision making as you grow into the role, the support we have to help YOU achieve ultimate career success as a provider is unmatched. This is an investment we are making in you because we believe that you can succeed. What else makes this opportunity unlike any other you may be scoping out? Utilize your FULL scope of practice! You are a provider who can handle anything – and due to the nature of urgent care, anything may walk through the door. We do whatever we can within the scope of practice for a patient, no matter the age. We see the whole family! You will be able to treat babies, kids, adults, and geriatric patients alike. Few other positions will allow you to exercise the full scope of care your program and RN experience prepared you to practice. This keeps skills sharp and makes you very marketable for future opportunities and growth in your nursing career. You will not regret the investment of time you are making reiterating your learned skills and putting them all together in an urgent care environment. Be the LEADER on your team! Gone are the nursing days relying on a doctor on the floor to sign off on every little thing you do when caring for your patient. YOU are the medical provider in the clinic and able to treat your patients. Nervous about that? Fortunately, we have tons of treatment protocols ready to guide your decision-making of what is best practice for the patient. Your small team of medical assistants are there to support you, but you are also a leader and professional role model for them! Many report that one of the most rewarding parts of this role is being able to grow and inspire medical assistants to further their medical career. Support FAMILIES in our communities! We love kids, and moms love us! We are able to care for kids of any age, and we also accept Medicaid. This is huge for families in our communities. From the baby on a Friday night who may have an ear infection to a trampoline fall needing an arm X-Ray, KidsStreet is a real safety net for parents wanting peace of mind and needing care now. We are open 362 days a year because we know people still get sick on the weekends and don’t want to get stuck with a $1,500 ER bill. While we do see all ages, this position will give you extensive pediatric care while also keeping all your other skills sharp. This isn’t just a step in your career – it’s a rocket ship build that will give you the launchpad to whatever success you envision for yourself. This is a commitment we are making to YOU for two years, and your two-year investment in yourself and the community will give you returns for years to come. Responsibilities: You and your team will care for every patient who comes through the door within your scope of practice. We do whatever we can for every patient. Some examples of care needed include: Diagnosing and treating cold, flu, strep, COVID, and other upper respiratory issues Minor procedures (toenail removal, foreign object removal, etc.) Suturing Splinting General Orthopedic evaluations/management Review of x-rays (to be over-read by Radiologist, too) General Dermatology General eye problems General EKG interpretations Emergency management skills General GYN expertise Treating children of all ages Occupational medicine Telemedicine Schedule: KidsStreet Clinic Hours We are open extended hours, 7-days-a-week: Monday – Friday 8:00 a.m. – 8:00 p.m. Saturday and Sunday 9:00 a.m. – 9:00 p.m. Work a rotating schedule that includes every other weekend, sample below: Week 1: Monday (ON), Tuesday (ON), Wednesday (OFF), Thursday (OFF), Friday (ON), Saturday (ON) and Sunday (ON). Week 2: Monday (OFF), Tuesday (OFF), Wednesday (ON), Thursday (ON), Friday (OFF), Saturday (OFF) and Sunday (OFF). Qualifications: Family Nurse Practitioner Board Certification required MSN, or higher education required (New graduate friendly!) Are you DOT certified or willing to become DOT certified (we cover the cost of the certification)? Excellent written and verbal communication skills Experience working in EMR and Microsoft Office suite (Word, Excel, etc.) preferred Compensation and Benefits: Health, Dental, Vision Malpractice insurance Starting bonus Bonus Incentive $750 CME allowance per year UpToDate subscription Paid time off Paid orientation and training 401k eligible after 90 days (about 3 months) Rotating shifts – work just 7 out of 14 days (about 2 weeks) MAINSTREET FAMILY CARE IS AN EQUAL OPPORTUNITY EMPLOYER *Standard pre-employment background checks and drug screens are performed.
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