Nurse Practitioner

Join to apply for the Nurse Practitioner role at Lexington Medical Center. This is a Full Time, PM Shift position (8:00pm–8:00am) with Lexington Hospitalists.

Lexington Medical Center is a comprehensive health care network featuring nearly 600 physicians and advanced practice providers at close to 80 locations across the Midlands of South Carolina. The organization offers services across general medicine, orthopaedics, oncology, cardiology and neurosurgery, with state-of-the-art technology and postgraduate medical education programs in family medicine and transitional year residencies.

Assesses the physical and psychosocial status of patients by interview, health history, physical examination and diagnostic tests. Interprets the data, develops and implements a plan of treatment, and follows through on a continuum of patient care across the health-illness continuum and life span within established protocols.

• Minimum Education: None
• Minimum Years of
  
  Experience:
  
  None
• Substitutable
  
  Education & Experience:
  
  None
• Required Certifications/Licensure: Current licensure as RN in the State of South Carolina;
  Certification by an appropriate credentialing organization recognized by South Carolina as Nurse Practitioner; CPR, BLS.
• Required Training: None
• Essential Functions: See the sections below for detailed responsibilities.

• Documents all situations, both internally and externally, that may arise out of the ordinary or are necessary to maintain accurate patient charts/records.
• Provides diagnosis and treatment of common acute illnesses; prevention and maintenance health care to patients with stable chronic illnesses; and performs interim physical examinations for healthy patients within prescribed guidelines.
  • Elicits appropriate present and past medical history and review of systems.
  • Performs appropriate physical examination and orders appropriate diagnostic studies.
  • Discriminates between normal and abnormal findings in history and physical.
  • Establishes appropriate differential diagnosis.
  • Assesses stability of chronic illness and compliance with present therapy; monitors for complications of disease or therapy.
  • Establishes appropriate treatment plan. Assesses need for hospitalization or physician intervention.
  • Determines timing for follow-up and orders appropriate referrals.
  • Counsels regarding health maintenance and disease prevention, and provides anticipatory guidance as appropriate.
• Provides health education to patients about ways to improve, promote, and maintain their health status, including education on disease processes, self-care practices and healthy lifestyle choices (e.g., diabetes, safe sex, weight management, smoking cessation).
• Maintains accurate records, medication lists, and documentation of care and follow-up for administrative purposes and reimbursement; adheres to the agreed formats.
• Reviews and updates the problem list at least annually (or at episodic visits) and keeps problem and medication lists current for new patients.
• Documents telephone calls with patients and specialists.
• Maintains competence in clinical practice through self-assessment, peer review, and supervisory review; participates in ongoing education to maintain and increase competency.
• Participates in developing, implementing and interpreting quality assurance/risk management programs.

• Supervises and intervenes with clinical issues and supports/directs triage by clinical staff when necessary; implements clinical education and training as needed.
• Is available for feedback on call-back and triage issues as needed.
• Identifies barriers to patient care flow or delivery and assists in formulating corrective action.
• Adheres to the drug formulary developed by the practice; prescribes within the practice agreement set forth by supervising physicians 100% of the time; ensures updated practice agreement every two years as required.
• Maintains confidentiality of patient information with no infractions as noted by supervision.
• Maintains current signed protocols reviewed and revised annually and as needed.
• Maintains a neat appearance and adheres to department/corporation dress and…