The Family Nurse Practitioner
is responsible for delivery of quality medical care to patients of the Center and functions as a member of the multi-disciplinary health care team within the scope of his or her medical practice.
Duties and Responsibilities
- Provides clinical services.
- Maintains clinical expertise and competency (to include age specific competency) as well as demonstrates thorough knowledge of procedures to deliver quality primary health care.
- Provides clinic sessions, as scheduled, in direct patient care at clinic site, including extended hours clinics.
- Provides a minimum average of three thousand five hundred (3500) primary care encounters for the contract year and provides services equaling to at least forty (40) hours per week in clinic.
- Examines, diagnoses, treats and/or refers patients assigned to physician’s panel, on an in-patient and out-patient basis (as per individual employment agreements); prescribes pharmaceuticals, other medications, and treatment regimens as appropriate to assessed medical conditions.
- Refers clients for appropriate specialty care services, lab and x-ray and any other ancillary services that are appropriate for patient’s management and care. Reviews all lab and x-ray reports for patients under his/her care on a timely basis and makes medical management decisions appropriately. Follows appropriate standards of care for each patient.
- Provides continuity of care to center patients on his or her patient panel and other patients as assigned, including routine in-patient and nursing home care to center patients. Performs emergency on-call on a scheduled basis with other providers within the clinic.
- Maintains a problem oriented health record for each patient seen in accordance with the Center’s established Health Information Management policies and procedures.
- Ensures that patient and family/significant others are educated about diagnosis and the plan of care. Acts as a resource for facilitating communication when necessary.
- Participates in specified health promotion, education and/or prevention programs as needed i.e. diabetes collaborative/health fairs etc.; attends and participates in clinic meetings / departmental meetings and other clinic functions as required by the Center.
- Provider is responsible for practicing accepted infection control procedures at all times to include attending individual/group infection control training, and to comply with infection control monitoring.
- Demonstrating flexibility, enthusiasm and willingness to cooperate while working with others in assigned inter-professional care teams to support PCMH programmatic activities.
- Participate in population management activities, as directed.
- Assist the care team by helping to measure quality and identify, refine and implement practice improvements that support the medical home, and assist in performance evaluation and quality improvement.
- Apply the principles of comprehensive, community-based, patient-centered, developmentally appropriate, and culturally and linguistically sensitive care.
- Provides clinical oversight under the supervision of the Medical Director.
- Assumes responsibility/accountability for delegating, directing, and supervising patient care activities. Trains, mentors and supervises students and clinical support staff engaged in activities and procedures, as appropriate.
- Participates in the analysis of community health problems and assists in the development of the community health care plan.
- Participates in Compliance and Performance Improvement activities for continuous care quality improvement and risk management purposes.
- Participates in the review and development of patient care policies, including health maintenance schedules and continuity of care.
- Participates in the review and development of protocols and standing orders.
- Implements the plans, procedures and protocols for the medical team.
- Serves as a resource and positive, proactive leader for the department.
- Accepts responsibility for remaining current with medical and health care trends and information that impact the medical practice.
- Leads the health care team in identifying, evaluating, and prioritizing patient and family needs to develop a plan of care.
- Participates in the evaluation of products, procedures, and patient care standards.
- Maintains professional courtesy at all times.
- Performs all other related duties as assigned.
Knowledge, Skills and Abilities
Required
- Knowledge of advanced principles of health promotion, prevention and motivation.
- Knowledge of protocols in general and an ability to quickly gain specific knowledge of the Center’s current operational protocols.
- Knowledge of medical terminology and appropriate abbreviations.
- Demonstrates knowledge of the Texas Medical Practice Act.
- Ability to document, with clarity, all information relevant to a patient’s needs.
- Ability to effectively present information in small group situations to patients, Center staff, and the general public.
- Ability to use office equipment including but not limited to computers, fax machines, telephones and copiers.
Preferred
- Spanish speaking and writing skills.
Credentials and Experience
Required
- Graduate from an accredited school of nursing with an Advance Practice Nursing degree in Family Practice.
- Current certification from the Texas Board of Nursing Examiners to practice as an Advance Practice Nurse –Family Nurse Practitioner in the State of Texas.
- Annual continuing education as required by Board specialty.
- Must be registered and have current DEA, DPS and other such certificates to legally operate as an Advance Nurse Practitioner in the State of Texas.
- Hospital privileges at designated area hospitals if required for specialty.
- Current Cardiopulmonary Resuscitation (CPR) for Healthcare Professionals Certification.
Preferred
- One (1) year of practice experience as a Family Nurse Practitioner giving direct patient care.
La Esperanza Clinic, Inc., a Federally Qualified Health Center (FQHC), is deemed by the Bureau of Primary Health Care of the U.S. Department of Health and Human Services to be a federal employee for purposes of medical malpractice claims and, as such, qualified for protection under the Federal Tort Claims Act.
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