Nurse Practitioner - Post Acute Care

Why work for Nebraska Methodist Health System?
At Nebraska Methodist Health System, we focus on providing exceptional care to the communities we serve and people we employ. We call it The Meaning of Care – a culture that has and will continue to set us apart. It’s helping families grow by making each delivery special, conveying a difficult diagnosis with a compassionate touch, going above and beyond for a patient’s needs, or giving a high five when a patient beats a disease or conquers a personal health challenge. We offer competitive pay, excellent benefits and a great work environment where all employees are valued! Most importantly, our employees are part of a team that makes a real difference in the communities we live and work in.

Job Summary:

Location: MPC West Shores
Address: 24110 West Dodge Rd, Waterloo NE

Work Schedule: M-F 8a-5p. Rotating On Call- nights, weekend and holidays.

Provides quality of care and safety to our patients in local post-acute SNF"s.

Responsibilities:

Essential Job Functions

1. Perform primary health care for patients by utilizing the processes of assessment and diagnosis of health status.

• Obtain patient's medical and history information, data collection is prioritized according to immediate condition or needs.
• Perform physical exam and determine patient's mental status.
• Develop and implement treatment, follow-up and evaluation plans for patient outcomes.
• Collaborate with physicians and other disciplines as appropriate and provides regular and consistent feedback.
• Use appropriate assessment techniques & diagnostic information.  Performs tests relevant to patient condition and record findings.
• Order appropriate ancillary tests.
• Derive diagnosis from the assessment data and diagnostic information as data becomes available.
• Use new or additional data to form a treatment plan.
• Perform telephone triage to determine patient condition and provides appropriate consultation scheduling appointments when needed.
• Incorporate research into clinical practice as appropriate.

2. Implement interventions consistent with the established plan of care in a safe and appropriate manner.

• Apply established therapeutic practices to patient's problem.
• Administer medications and immunizations using the appropriate method and with physician oversight if applicable.
• Prescribe medications according to Controlled Substance Registration Certificate issued by the DEA.
• Generate referrals to appropriate services as needed to further diagnose and/or progress of care.

3. Evaluate patient care to determine response to care/interventions for optimal patient outcome.

• Evaluate the patient's capabilities and/or limitations related to nursing and medical interventions.
• Recognize and address patient and family capabilities and limitations (physical and mental).
• Return patient telephone calls.
• Monitor outcomes and documents patient response to interventions.
• Seek out new treatment methods necessary to ensure patient progress.

4. Provide patient and family teaching and education specific to the patient's health care.

• Proper use of medication and health/illness prevention to ensure adequate knowledge/awareness.
• Interview and advise specific to patient needs.
• Demonstrate sensitivity to family regarding need for patient information on a timely basis.
• Work collaboratively with physicians and other team members to provide appropriate patient education geared to the patient's needs and family's ability to provide care.
• Use adult learning principles for teaching purposes being careful to check for understanding and being available for follow-up questions.
• Recommend references and resources such as printed materials, online, community and other information sources to fulfill the family's need for education.

5. Maintain a professional behavior in attitudes, demeanor, and interactions to achieve organization's mission.

• Communicate effectively with physicians, staff and patients.
• Is approachable and professional in working with other health professionals, patients and their family.
• Maintain a professional appearance, behavior, and work environment.
• Initiate action to correct, prevent, and/or minimize risk(s) to the patient, family or hospital/clinic employees (i.e., falls, needle sticks, patient concerns).
• Communicate to appropriate personnel regarding unresolved issues.
• Serve as a role model in the provision of emerging care.
• Serve as a reliable/knowledgeable resource for staff.
• Participate in meetings, research on special projects and professional organizations.

6. Comply with the bylaws, rules and regulations of the organization as they pertain to Nurse Practitioners or Physician Assistants.

• Know and follow organization policy & procedures.
• Follow Medical Protocols for professional discipline.
• Maintain certification/licensure.
• Follow guidelines of regulatory bodies (FDA etc.).

7. Maintain complete patient records.

• Document data appropriately.
• Document treatment plan of care that is individualized, appropriate and reflects patient's needs.
• Document interventions.
• Document consultations with other practitioners/physicians.

8. Participate in performance improvement and outcome management.

• Meet regularly with medical director for chart reviews.
• Identify concerns in patient care & follows up according to hospital policy.
• Participate in patient satisfaction and other quality improvement initiatives.
• Participate in tracking of variances in care.

9. Provide appropriate care specific to the age of the patient to ensure understanding and comfort level of treatment as outlined in the "Age Specific Criteria".

• Demonstrates ability to identify opportunities for and give individualized customer service/patient care according to customer/patient needs.
• Right Task
• Right Person
• Right Communication (clear, concise, correct, complete)
• Right Feedback

Schedule:

Work Schedule: M-F 8a-5p. Rotating On Call- nights, weekend and holidays.

Job Description:

Job Requirements

Education

• Graduate of Masters of Science in Nursing (MSN) or Doctorate of Nursing Practice (DNP) program.
• Satisfactory completion of annual mandatory education requirements.
• Graduation from an accredited Nurse Practitioner program, valid state license and certification as Nurse Practitioner.

Experience

• Two years previous clinical experience required.
• Red Oak Family Practice – no experience required.

License/Certifications

• Current valid Registered Nurse (RN) license, valid compact multi-state license, or a temporary permit while awaiting licensure required.
• Current valid Nurse Practitioner (APRN or ARNP) licensure for work state required.
• Current American Heart Association or American Red Cross Basic Life Support (BLS) strongly preferred at time of hire, required within 3 months of hire.
• Current Advanced Cardiovascular Life Support (ACLS) preferred.

Skills/Knowledge/Abilities

• Strong leadership, problem-solving and medical judgement skills required.
• Strong interpersonal skills necessary to effectively communicate and interact with patients, family members and hospital personnel/co-workers.
• Ability to perform numerous tasks at once.

Physical Requirements

Weight Demands

• Medium Work - Exerting up to 50 pounds of force.

Physical Activity

• Occasionally Performed (1%-33%):
  • Climbing
  • Crawling
  • Kneeling
  • Sitting
• Frequently Performed (34%-66%):
  • Balancing
  • Carrying
  • Crouching
  • Distinguish colors
  • Keyboarding/typing
  • Lifting
  • Pulling/Pushing
  • Repetitive Motions
  • Stooping/bending
  • Twisting
• Constantly Performed (67%-100%):
  • Grasping
  • Hearing
  • Reaching
  • Seeing/Visual
  • Speaking/talking
  • Walking

Job Hazards

• Not Related:
  • Electrical Shock/Static
  • Radiation Non-Ionizing (Ultraviolet, visible light, infrared and microwaves that causes injuries to tissue or thermal or photochemical means)
• Rare (1-33%): - Radiation Alpha, Beta and Gamma (particles such as X-ray, Cat Scan, Gamma Knife, etc)
• Occasionally (34%-66%):
  • Physical hazards (noise, temperature, lighting, wet floors, outdoors, sharps) (more than ordinary office environment)
  • Equipment/Machinery/Tools
  • Explosives (pressurized gas)
• Frequent (67%-100%):
  • Chemical agents (Toxic, Corrosive, Flammable, Latex)
  • Biological agents (primary air born and blood born viruses) (Jobs with Patient contact) (BBF)
  • Mechanical moving parts/vibrations

About Methodist:

Nebraska Methodist Health System is made up of four hospitals in Nebraska and southwest Iowa, more than 30 clinic locations, a nursing and allied health college, and a medical supply distributorship and central laundry facility. From the day Methodist Hospital was chartered in 1891, service to our communities has been a top priority. Financial assistance, health education, outreach to our diverse communities and populations, and other community benefit activities have always been central to our mission.

Nebraska Methodist Health System is an Affirmative Action/Equal Opportunity Employer and does not discriminate on the basis of race, color, religion, sex, age, national origin, disability, veteran status, sexual orientation, gender identity, or any other classification protected by Federal, state or local law.