APRN Family Physicians of Manchester

To provide patients with access to care through support of the Primary Care Provider's (PCP) Desktop and acute access appointments. Responsible for the assessment and treatment of patients. Provides patient education and coordinates treatment with agencies and organizations for the delivery of primary health and medical care.

DUTIES AND RESPONSIBILITIES

Within established policies and procedures, the incumbent performs the following functions:

Essential Functions:

  1. Interviews patients and/or families to obtain comprehensive history and data about patient's physical and developmental status and behavior.


  1. Examines the patient to obtain objective physical data.


  1. Reviews addresses and completes Consult Notes, Outside Communication and Patient concerns on the PCP Desktop in collaboration with the PCP.


  1. Coordinates treatment with patient and family members under the general guidance of the PCP.


  1. Collaborates with PCP to review test results and documents all interactions in the patient's Electronic Medical Record (EMR).


  1. Contacts patients with follow up information on testing, as directed by the PCP and may at times delegate this to be done by the appropriate office personnel. Documents all interactions in the patient's medical record.


  1. Performs neurological, cardiac, respiratory and other testing indicated by the evaluation.


  1. Administers medication, injections, performs finger stick blood sugars, pap smears, electrocardiograms and other duties.


  1. Completes a physical and psychological assessment based on interview, examination and available data.


  1. Identified medical and health issues and needs based upon the evaluation.


  1. Formulates differential diagnosis based on history, physical and clinical findings.


  1. Develops a treatment plan which may include diagnostic test, pharmaceutical and non-pharmaceutical interventions as well as education.


  1. Reviews clinical data from lab results, x-rays, scans and pathology reports.


  1. Coordinates treatment and reviews with collaborating physician.


  1. Notifies patient of testing results via postcard, letter, or phone call.


  1. Documents data and encounters, including office and phone, with the patient in the Electronic Medical Record (EMR).


  1. Follows progress of patient care to determine the effectiveness of the treatment plan. Updates and records changes in health status. Modifies treatment to achieve clinical goals.


  1. Makes referrals to specialist with a letter of introduction and supporting medical information.


  1. Identifies patient and family learning needs, the need for multi-disciplinary resources and provides instructions and patient education. Adjusts content based on patient's readiness to learn in the time allowed. Validates patient learning and documents level of understanding and ability to perform.


  1. Performs telephone evaluation and triage. Provides medical advice and treatment and documents same.


  1. Writes and calls in prescriptions.


  1. Adheres to infection control procedures, safety procedures and Universal Precautions.


  1. Ensures confidentiality of employee, legal, client/patient, budget and all company matters.


  1. Demonstrates courtesy, respect and caring to patients, families, physicians and coworkers and maintains professional rapport with external parties and organizations.


  1. Maintains documentation in the Electronic Medical Records to the according to PPA policy.


  1. Participates in staff meetings and cooperates with physicians and coworkers to achieve departmental objectives. Reports concerns and problems as they arise.


  1. Provides and promotes effective and compassionate care for patients and their families.


  1. Develops educational programs for patient education including educational materials in the form of posters bulletin boards, pamphlets and handout.


Secondary Functions:

  1. Assists with scheduling appointments for coordinating care with other medical providers.


  1. Participates in continuing development activities, maintains professional affiliations and licenses and strives to increase skill and knowledge.


  1. Attends seminars and workshops for professional growth and development.


  1. Participates in clinical meetings in the practice to develop a team approach to peer support and development.


  1. Participates in appropriate role in disaster, fire drills, fires and other emergency situations.


  1. Exercises care in the operation and use of equipment and reference materials. Maintains work area in a clean and organized manner.


  1. Performs similar or related duties as assigned or directed.


KNOWLEDGE, SKILLS AND ABILITIES

Individuals must possess the knowledge, skills and abilities listed or be able to explain and demonstrate that the individual can perform the essential functions of the job, with or without reasonable accommodation, using some other combination of skills and abilities and to possess the necessary physical requirements, with or without the aid of mechanical devices to safely perform the essential functions of the job:

  1. Ability to deliver patient care in a manner that is appropriate to the demographics and/ or specific needs of the patient population served by the practice.


  1. Demonstrates proficiency in assessing, responding and adapting treatment of care to meet the needs of the patient population served by the practice.


  1. Physical requirements include the ability to bend the body downward and forward by bending spine at the waist; bend legs at knee to come to rest on knee or knees; bend the body downward and forward by bending leg and spine; extend hand(s) and arm(s) in any direction; stand for sustained periods of time; move about on foot to accomplish tasks; use upper extremities to exert force in order to thrust forward, downward or outward; use upper extremities to exert force in order to draw, drag, haul or tug objects in a sustained motion; raise objects from a lower to higher position or move objects horizontally from position-to-position; pick, pinch, type or otherwise working with fingers and palm; perceive attributes of objects, such as size, shape, temperature or texture by touching with skin, particularly that of fingertips.


  1. Ability to express or exchange ideas by means of the spoken word. Essential functions include activities in which incumbent must convey detailed or important spoken instructions to patients, physicians, families and other employees accurately, loudly or quietly.


  1. Ability to receive detailed information through oral communication and to make fine discriminations in sound.


  1. Ability to exert up to 50 pounds of force occasionally and/or up to 20 pounds of force frequently and/or constantly to lift, carry, push, pull or otherwise move objects.


  1. Ability to wear safety glasses, gloves, gowns, masks and other safety equipment.


  1. Visual acuity sufficient for work which deals largely with visual inspection involving small anatomic or physiologic details as well as the whole patient and sufficient for preparing and analyzing data and figures, accounting, transcription, computer terminal operation, extensive reading and visual inspection involving small parts/devices.


  1. Ability to endure periods of heavy workload and stress.


  1. Ability to work with frequent interruptions and respond appropriately to unexpected situations.


  1. Requires the ability to plan and perform a wide variety of duties requiring general knowledge of policies and procedures. Requires considerable judgment to work independently toward general results, devising methods, modifying or adapting standard procedures to meet different conditions, also making decisions based on precedent and policy.


  1. Ability to communicate effectively and establish a cooperative, collaborative working environment.


  1. Ability to accept constructive feedback and initiate appropriate actions to correct situations.


  1. Ability to maintain good communications. Ability to establish and maintain positive working relationships with coworkers, physicians, patients, families and the public.


  1. Ability to transport self to and from off-site locations.


OSHA RATING: Category I (Exposure to blood borne pathogens)

PHI ACCESS: Complete

WORK SCHEDULE:

  1. Generally Monday through Friday. Occasional requirements to work evenings or weekends depending on the schedule of the practice to which the employee is assigned.


Education:

  • Graduate of an accredited APRN program.


Experience:

  • Five years or more as a registered nurse with strong medical/surgical background. One to two years as a practicing adult nurse practitioner preferred.


Licensure/Certification:

  • Current registration as an APRN in adult medicine.


BLS certified. Must maintain BLS throughout employment