Nurse Practitioner or Physician Assistant

Division/Department:

Front Office Staff

Location:

IMPC, New Albany, MS

Job Title:

Nurse Practitioner/Physician's Assistant

Reports to:

Dr. Harding or Dr. Scott

Type:

Full-time

Hours:

40/week

Job Description

The Need:

Patients’ need to be empowered to make informed health care choices to effect a positive outcome on longevity and quality of life. IMPC desires to be a leader in positive outcome data that is generated by the promotion of disease prevention and minimizes disease progression while utilizing population health strategies to do the greatest good.

Clinical General Expectations:

• Maintain state/national certification in the area of expertise
• Participate in CME that will satisfy certification requirements as well as increase the fund of knowledge that will enable the provider to provide more comprehensive, cost-effective medical care.
• Obtain history and perform physical exams as requested by supervising providers to formulate a differential diagnosis, treatment plan and education for the presenting problem.
• When warranted, order diagnostic tests, including laboratory tests and X-rays, that will aid in narrowing the differential diagnosis so the proper treatment can be prescribed.
• Assist physicians with procedures as assigned.
• Give injections, perform & interpret laboratory test (where qualified), triage patients and assign rooms, should other staff not be available in order to facilitate patient flow through the clinic.
• The practitioner will seek to utilize medications that are cost effective and available for the patients specified condition.
• The practitioner will not utilize narcotics except in circumstances of acute pain or other acute illness. No chronic pain management cases will be undertaken which utilize narcotics.
• Antibiotics will only be utilized when warranted, as to limit bacterial resistance and overuse of these medications. When deemed appropriate the most cost effective and narrow spectrum medication will be utilized.
• Many illnesses in our practice setting which present for acute management are viral in nature. Thorough patient and caregiver education with anticipatory guidance will often suffice.

Specific:

The provider will utilize a variety of formats to engage patients. Telehealth, one on one visits, group visits, Home Visits and phone visits are avenues that can be used to accomplish engagement.

The provider will lead in completing data inquiries for various insurance companies so that gaps in care may be closed.

The provider will design and implement systems that maximally utilize preventative health services for our patients. Examples: AWE, Welcome to Medicare Exams, Color Me Healthy, Wellness Exams, Healthy You!, Well child check ups, etc.

The provider will develop and implement outreach campaigns to drive patient engagement in an effort to educate and facilitate improving negative health outcomes.

The provider will offer advanced care planning to those populations desiring it.

Documentation:

Aprima is our electronic medical record that is used to capture clinical encounters, telephone messages, and all other communication with patients. The practitioner should maximally utilize this system to provide thorough documentation of all patient encounters.

The clinical content including patient information and physical exam should be documented to the degree that it was actually performed. This documentation should support the E & M code that is charged.

Complete all charts within 72 hours of the encounter (unless waiting on pathology or another test result that would affect diagnostic codes) to allow for efficient patient billing.

Should there ever be any concern over proper E & M documentation, the practitioner will ask for the assistance of one of the supervising physicians and/or certified coders that are on staff of IMPC.

All care provided and services rendered as an employee of IMPC will be documented and billed by utilizing the EMR.

Supervision:

The practitioner is part of the health care team of IMPC. Collaborative agreements are maintained in accordance with state law with the supervising physicians of IMPC. The practitioner is highly encouraged to discuss any clinical case at any time with one of the physicians if direction in the proper diagnosis or treatment plan is needed.

Practice Improvement:

The practitioner will participate in activities that improve the overall care of our patients as directed by the supervising physicians. This may include, but is not limited to, chart audits, participating in patient call backs, development of educational materials, EMR template development & modification, etc.

Work Ethic:

As a primary care clinic, no job description is all-encompassing. As a team, it is expected of all employees to go “above and beyond” their job description.