Nurse Practitioner; Outpatient

Job Summary

Maintains responsibility for providing expert clinical care in general or specialty areas. Assesses, plans and provides patient care in collaboration with the attending physician. Provides comprehensive health assessments, performs medical diagnosis of acute and chronic illnesses, writes prescriptions and formulates treatment plans. Diagnoses medical conditions, plans and implements interventions. Assists in medical/surgical care of patients and evaluates responses in collaboration with the attending/consulting physicians.

Education and

Work Experience:

• Master's Degree in Nursing (MSN) or Doctor of Nursing Practice (DNP):
  Required
• Two years' relevant clinical experience:
  Preferred

• Registered Nurse (RN) licensure in the state of practice:
  Required
• Nurse Practitioner (NP) licensure in state of practice:
  Required
• Cardiopulmonary Resuscitation (CPR) certification or Basic Life Support (BLS OR HS-BLS OR RQIBLS) certification from approved vendor per AH policy:
  Required

• AHA-BLS or ARC-BLS or AHA-CPR or ARC-CPR:
  Required

• Interviews patients, employees and/or family members. Constructs comprehensive medical histories. Performs initial and periodic physical examinations. Evaluates patient behavior and explores patient’s interpretation of health needs. Works under the scope of practice of a nurse practitioner and as an agent of the physician.
• Provides appropriate patient education. Explains the diagnosis, treatment and prognosis. Secures appropriate informed consent for procedures. Instructs patients about health maintenance and preventive care. Provides patient education handouts. Makes referrals to health education classes when available. Provides continuity of care. Directly performs or orders appropriate diagnostic studies and interprets finished results.
• Provides continuity of care including discussing the completion of treatment plans and administration of medications and injections. Follows-up on acute and chronic problems and significant abnormal tests.
• Oversees the maintenance of adequate, concise, legible and up-to‑date documentation of patient care. Makes note of problem medical, medication and discharge records, drug allergies, lab orders, subjective and objective data, diagnostic procedures, patient education and treatment. Provides treatment of patients as needed, including administering medications and/or vaccines and performing procedures. Works under the scope of practice of a nurse practitioner and as an agent of the physician.
  
  Writes orders to increase, decrease, or change medication (subject to checking and medical consultation as indicated).
• Uses cost-containment measures which include, but are not limited to, prescribing only clinically necessary medications, prescribing generic medications when appropriate, making only clinically necessary referrals and ordering only clinically necessary diagnostic procedures.
• Performs other job‑related duties as assigned.

Adventist Health is committed to the safety and wellbeing of our associates and patients. Therefore, we require that all associates receive all required vaccinations as a condition of employment and annually thereafter, where applicable. Medical and religious exemptions may apply.

• Job Identification: 68327
• Job Category:
  Practitioner
• Posting Date:
• Location:
  
  Sonora, CA, United States
• Assignment Category:
  Full‑time regular
• Pay Range:
  The estimated base pay for this position is $145,954 to $218,931. Additional individual compensation may be available for this role through differentials, extra shift incentives, bonuses, etc. Base pay is only a portion of the total rewards package, and a comprehensive benefits program is available for qualifying positions.
• Hiring Department:
  Sonora Primary Care
• Shift Length: 9 Hours