Nurse Practitioner Adults & Pediatrics Floater

# NURSE PRACTITIONER ADULTS & PEDIATRICS FLOATER HARLINGEN CLINIC - HARLINGEN, TX 78550## Description
** GENERAL DESCRIPTION OF POSITION:
** Performs all duties to ensure the patient has a pleasant and satisfactory experience in the way their health care is delivered, managed, coordinated with both internal and external entities and in which the patient participates in decision making.  As a member of the clinical team, this position requires total support of the PCMH principles, policies, and procedures as appropriate, provider will be providing services to patients by any of the following methods: telemedicine, telehealth, telephonic.

Functions under staff physicians in the provision of medical care and supporting a panel of patients assigned to physician.
Work involves assessing, planning, and providing patient care.
When assessing the patient, the age of the patient is taken into consideration. As a member of the clinical team, this position requires total support to the PCMH principles, policies, and procedures. This position will be headquartered in Harlingen with expectation to travel to Santa Rosa, Raymondville and Brownsville anytime that there is a provider vacancy, to include evening and weekend hours.
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* TRAVEL REQUIRED:

** 50%
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* ESSENTIAL JOB FUNCTIONS:

** (With or without accommodations)
Supports pediatric and adult patient care.  Initiates brief basic diabetes and nutrition education for newly diagnosed diabetics and hypertensive patients.  Participate in clinical team meetings for identification of high-risk super utilizers.  Participates in daily huddles.  Assess walk in patients that nursing triage determines needs to be seen by provider, provide care with disposition or consult with physician.  Assists with reviewing charts and completing DME and other forms that are necessary and follows up on referrals as needed.

Assures all pre-visit work is completed by MA team to include pertinent hospital discharge data.  Assures standing orders for health maintenance are completed.  Performs annual wellness visit for Medicare ACO (Accountable Care Organization), THSteps with follow up appointment with physician scheduled as needed.  Reviews qualify performance for identified panels and develop corrective actions or care plans with team to reduce unnecessary utilization of ER or Hospital.  

Answers critical patient phone calls that have been referred to provider by nurse message line.  Works at the highest level of credentials, delegating other duties as necessary.

Obtains a health and development history from patient or patient’s parent and records findings in a succinct, systematic, accurate, problem-oriented manner and critically evaluates the history. Evaluates health care needs of patients and develops plans to meet these needs.

Performs a basic physical assessment using techniques of observation, inspection, auscultation, percussion, and palpation.  Performs or requests special screening and development tests, lab tests and interprets results. Provides health care and preventive service to healthy individuals, including guidance in nutrition, episodic illnesses, child growth and development, problems of child rearing, and well adult care.

Discriminates between normal and abnormal findings, recognizes early stages of serious physical or emotional problems and determines when to refer the patient to the physician for further evaluation and supervision.  Makes decisions involving health needs of patients prospectively and collaboratively with the physician.  Works collaboratively with the physician in the management of selected complex medical problems.

Identifies and manages minor illnesses under established protocols and medical directives.  Gives direct physical and psychological…