Urgent Care Nurse Practitioner – PRN

SUMMARY

This position is responsible for providing high-quality urgent and emergent medical care to patients in a rural setting, to assess, stabilize, and treat patients with various acute medical conditions or traumatic injuries.

JOB DUTIES

• Perform triage, initial patient assessment, and ongoing assessments
• Order and interpret diagnostic tests
• Develop comprehensive treatment plans
• Collaborate with physicians, nurses, support staff, and other healthcare professionals to ensure continuity of patient care
• Coordinate with receiving physicians, hospitals, hospital transfer centers, ambulance, and medevac agencies for patients requiring transfer to a higher level of care.
• Provide timely and efficient medical care in emergency situations
• Educate the patient and family about the patient's condition and recommended treatment plan
• Maintain accurate and timely documentation in the patient’s EHR
• Prescribe medications for acute conditions or use clinical discretion to provide bridge prescriptions
• Ensure patient follow-up is coordinated with the patient’s Primary Care Provider, Community Health Aides, and the Patient Care Coordinator/Case Manager.
• Establish and maintain a network of collaborative relationships with private physicians, IHS, tribal, and non-tribal health service providers
• Provide referrals to local providers and specialty clinics when services are not available within the CRNA clinics
• In conjunction with medical, pharmacy, dental, and behavioral health staff assist with developing an appropriate formulary for the Medical Services Department
• Work with Medical Services management and other Providers to write and publish a quarterly newsletter/blog focusing on improving patient education
• Perform other duties as assigned

NECESSARY KNOWLEDGE, SKILLS, AND ABILITIES

• Strong understanding and sensitivity to Alaska Native culture and lifestyle, with demonstrated experience working effectively with the Alaska Native population
• Highly self-motivated and detail-oriented
• Exceptional time management skills and discipline
• Strong clinical assessment and diagnostic skills
• Ability to work effectively in a fast-paced and dynamic environment
• Commitment to providing compassionate and high-quality care to all patients
• Strong written, analytical, verbal, and interpersonal skills
• Strong teaching and oversight skills
• Effective oral and written communication skills, with sensitivity to the lifestyles of targeted participants
• Ability to effectively manage acutely ill patients with minimal resources for an extended period.

• Ability to keep accurate records and produce timely and accurate written reports
• Ability to maintain strict confidentiality as required for HIPAA, other regulations, and organization matters
• Ability to learn and apply CRNA operating policies and procedures
• Ability to manage multiple priorities and tasks concurrently and meet deadlines
• Ability to establish and maintain cooperative working relationships, including outside contacts
• Ability to work independently as well as with teams

MINIMUM QUALIFICATIONS

• Graduate of an accredited Nurse Practitioner Program (Scope of Practice to include birth to death)
• Licensed in Alaska as an Advanced Practice Registered Nurse
• Current BLS certification
• ACLS and PALS certification required within 6 months of hire
• Maintain DEA number

PREFERRED QUALIFICATIONS

• Two years of experience as a Mid-Level Practitioner in a rural healthcare setting
• Two years of experience as a Mid-Level Practitioner in emergency medicine or acute care setting

WORKING CONDITIONS

The physical demands described here are representative of those that must be met by an employee to successfully perform the essential functions of this job. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions. 

The work is generally sedentary, requiring routine walking, standing, bending, and carrying of items weighing less than 25 lbs. The majority of work is performed in a clinical office setting with a wide variety of people with differing functions, personalities, and abilities. CRNA is a smoke-free and tobacco-free campus. May require local travel between compacting villages of CRNA, which may involve exposure to extreme weather conditions. Works in an environment where the protection of client confidentiality is essential. Personal Protective Equipment will be provided when and where needed.

SPECIFICATIONS

Supervision Received:

Work will be monitored through meetings, reports, and regular communication with the immediate supervisor. General guidelines for operations are based on program requirements, conditions of grant award(s), and the general policies and procedures of CRNA. Administratively reports to Medical Services Director, clinically reports to Medical Director.

Supervision Exercised:

Position will not exercise supervision.

Contacts:

Contacts include and not limited to volunteers, organizational staff, clients, and outside agencies.

CONDITIONS OF HIRE

• All employment at CRNA is “at will.” This means that the employee or CRNA may terminate employment at any time and for any reason. Unless specified in writing, no term of employment is expressed or implied for this position.
• CRNA is a no tolerance workplace. All employees must pass an initial and random drug and alcohol screening to be eligible for and maintain employment.
• CRNA has several positions that require a criminal background check for the safety of our clients. All employment offers in the “covered” classification are conditional until CRNA has received a Federal criminal background check verifying eligibility to work in these programs.
• First Aid/CPR certification must be obtained within 90 days of hire for required positions.
• As applicable by position and company policy, must meet standards for fitness for duty, immunizations, credentialing and privileging.