Nurse Practitioner - Physical Medicine

Overview

Located in the heart of Washington, we enjoy open skies, snow‑capped mountains, and the lakes and rivers of the high desert. We are the proud home of orchards, farms, and small communities. Confluence Health actively supports the communities we serve and their quality of life through our community support program and through our individual efforts as involved community members.

$133,000 - $154,000

• Medical, Dental & Vision Insurance
• Flexible Spending Accounts & Health Saving Accounts
• Paid Time Off
• Generous Retirement Plans
• Life Insurance
• Long-Term Disability
• Gym Membership Discount
• Tuition Reimbursement
• Employee Assistance Program
• Adoption Assistance
• Shift Differential

Provides primary appropriate specialized outpatient Spine Health Care Services. Performs examinations and provides treatment to minor/routine problems; performs or orders diagnostic tests; establishes diagnosis; prescribes medication; instructs patients and family members about continuing care.

Practice Manager

• Provides specialty outpatient spine care by evaluating, diagnosing, and treating patients with back and spine conditions. Conducts comprehensive, problem focused histories and physical examinations for new patients with acute and chronic spine disorders. Develops and implements treatment plans, orders and interprets diagnostic studies, and manages non operative spine care within scope of practice. Identifies conditions requiring escalation and refers to or collaborates with spine surgeons or physicians as appropriate.
• Formulates a differential diagnosis and establishes a working diagnosis. Orders laboratory and diagnostic tests.
• Develops a treatment plan for spinal conditions within the scope of practice and in conjunction with the Physiatrist. Refers patients to specialty services when appropriate.
• Writes prescriptions and performs procedures within the scope of expertise, protocols, and available equipment.
• Maintains accurate and complete patient records in compliance with organizational policy.
• Required to maintain active Basic Life Support (CPR) certification.
• Educates patients and families on spine conditions, treatment options, recovery expectations, and self‑management strategies, addressing both physical and emotional aspects of care. Actively supports health promotion by reinforcing injury prevention, ergonomics, lifestyle modifications, and adherence to treatment plans related to spine health.
• Refers patients to specialty services when appropriate.
• Performs other duties as assigned.

Demonstrate Standards of Behavior and adhere to the Code of Conduct in all aspects of job performance at all times.

• Active Registered Nurse and ARNP licensure with prescriptive authority in the state of Washington, by start date.
• Basic Life Support (CPR) certification.

• Related Experience

O = Occasional, represents 1 to 25% or up to 30 minutes in a 2‑hour workday.

F = Frequent, represents 26 to 50% or up to 1 hour of a 2‑hour workday.

C = Continuous, represents 51% to 100% or up to 2 hours of a 2‑hour workday.

• Walking – F
• Sitting/Standing – F
• Reaching:
  Shoulder height – F
• Reaching:
  Above shoulder height – O
• Reaching:
  Below shoulder height – O
• Climbing – O
• Pulling/Pushing: 25 pounds or less – O
• Pulling/Pushing: 25 pounds to 50 pounds – O
• Pulling/Pushing:
  Over 50 pounds – O
• Lifting: 25 pounds or less – F
• Lifting: 25 pounds to 50 pounds – O
• Lifting:
  Over 50 pounds – O
• Carrying: 25 pounds or less – O
• Carrying: 25 pounds to 50 pounds – O
• Carrying:
  Over 50 pounds – O
• Crawling/Kneeling – O
• Bending/Stooping/Crouching – O
• Twisting/Turning – O
• Repetitive Movement – O

Work is performed at inpatient exam and treatment rooms, where space may be limited and confined. Requires a combination of working independently and also working closely with others.

• FLSA:
  Exempt
• Hourly/Salary:
  Salary

• Unprotected Heights – No
• Heat – No
• Cold – No
• Mechanical Hazards – No
• Hazardous Substances – Yes
• Blood Borne Pathogens Exposure Potential – Yes
• Lighting – No
• Noise – Yes
• Ionizing/Non‑Ionizing Radiation – Yes
• Infectious Diseases – Yes