Advanced Registered Nurse Practitioner; APRN​/Physician Assistant; PA

Advanced Registered Nurse Practitioner (APRN)/ Physician Assistant (PA)

Join to apply for the Advanced Registered Nurse Practitioner (APRN)/ Physician Assistant (PA) role at STGi.

This is for a future opening.

STGi is currently seeking a Nurse Practitioner (NP) or Physician Assistant (PA) to provide services at our Community Based Outpatient Clinic. The general duty is to provide professional clinical services under the direction of the CBOC Primary Care Provider (PCP). The NP or PA is an Advanced Practice Generalist who provides a wide range of health services, including urgent and emergent evaluation of episodic and chronic problems;

and comprehensive, integrated primary health care which addresses a majority of the client's health care needs on an ongoing basis. The NP or PA is knowledgeable in the assessment, treatment and evaluation of a comprehensive range of health care problems; emergency measures; preventive health; prescribing medications and other treatments; ordering, conducting, interpreting laboratory, diagnostic studies and procedures; and patient and family education utilizing community, social, and health resources.

The NP or PA maintains knowledge of current practice, acts as a role model and mentor to others, acts as client advocate, and participates in professional activities at local and state level.

• Provides primary and preventive medical care to meet the needs of patients under a limited scope of CPT codes and within his/her skills and training.
• Provides medical patient care to the scope and standards of practice established by a nationally recognized credentialing organization.
• Functions within the scope of practice of the state, the Joint Commission standards and Officer of the Inspector General.
• Works closely with the PACT and extended support staff including daily huddles.
• Emphasizes wellness, prevention, and early detection.
• Supervises support staff in delivery of care to patients.
• Maintains universal precautions and infection control practices.
• Provides smooth and timely flow of patients in accordance with VA access standards and triage protocol.
• Performs CPR and assists during respiratory and cardiac arrest procedures.
• Investigates health problems or health needs by gathering and assessing historical information.
• Performs a physical examination appropriate to the patient's history.
• Diagnoses health problems based on interpretation of the patient's history, physical exam findings, and diagnostic test results.
• Develops a tailored treatment plan, including health education, pharmacologic and non-pharmacologic treatment.
• Prescribes medications, as appropriate.
• Evaluates the results of the treatment plan, modifying the plan as needed.
• Makes referrals for specialty evaluation or treatment.
• Directs and coordinates the provision of health care services for patients in primary care (walk-in patients).
• Provides a model for clinical practice within the clinic setting.
• Sets up and operates therapeutic and emergency equipment, including monitor, electrocardiogram (EKG), oxygen, AED, and portable suction.
• Obtains patient history and records findings according to VA standards.
• Performs initial and periodic physical examinations within limits of privileges and records findings.
• Orders diagnostic tests according to chief complaint and findings.
• Demonstrates knowledge of pharmacology.
• Prescribes and administers medication within limits of privileges and regulations.
• Recommends and follows up on laboratory tests and specialized diagnostic procedures as needed.
• Documents all pertinent patient information in VISTA to demonstrate quality care delivery and promote continuity.
• Keeps the VISTA clinic reminder tracking system current for each enrolled patient.
• Closes patient charts within 24-72 hours and places Return to Clinic orders promptly.
• Assists in scheduling patients for appointments in accordance with VA standards and medical necessity.
• Keeps patients informed of their plan of care, including lab and diagnostic test results.
• Provides health educational materials and education to patients and families.
• Assists the registered nurse to ensure all electronic encounter documentation is complete and accurate.
• Complies with federal, state, local, Joint Commission, OSHA, VA, and subcontractor regulations, directives and standards.
• Participates in the ongoing performance improvement program between VAMC and STGi Performance Excellence program, including peer reviews.
• Ensures required reports and clinical information are completed accurately, timely and completely.
• Participates in staff development programs.
• Performs other clinical duties within limits of privileges.
• Maintains confidentiality of all information and supports patient privacy, rights, and safety.
• Aids in management/coordination of the CBOC's day-to-day activity.
• Performs other work-related duties as assigned.

• Minimum 2 years clinical experience as an APRN/PA in outpatient care in a Family Medicine or Internal Medicine environment; 3-5 years…