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Nurse Practitioner Diabetes In

Methodist Health System Omaha, NE
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Job Description

  • Purpose of Job
    • Provides quality of care and safety to our patients and employees.
  • Job Requirements
    • Education
      • Graduate of Masters of Science in Nursing (MSN) or Doctorate of Nursing Practice (DNP) program.
      • Satisfactory completion of annual mandatory education requirements.

    • Experience
      • Three years clinical nursing experience with clinically challenging patients.
      • 2 years experience in diabetes related community health preferred.
      • 2 years experience Advanced Practice Nurse Practitioner (APRN-NP) preferred.

    • License/Certifications
      • Current valid Registered Nurse (RN) License, valid compact multi-state license , or a temporary permit while awaiting licensure required for the work state.
      • Current Advanced Practice Registered Nurse - Nurse Practitioner (APRN.NP) licensure required.
      • Current American Heart Association Basic Life Support (BLS) Certification required.

    • Skills/Knowledge/Abilities
      • Strong leadership, problem-solving and medical judgement skills required.
      • Advanced interpersonal skills required in order to communicate effectively with patients.
  • Physical Requirements
    • Weight Demands
      • Medium Work - Exerting up to 50 pounds of force.

    • Physical Activity
      • Occasionally Performed (1%-33%):
        • Climbing
        • Crawling
        • Kneeling
        • Sitting
      • Frequently Performed (34%-66%):
        • Balancing
        • Carrying
        • Crouching
        • Distinguish colors
        • Keyboarding/typing
        • Lifting
        • Pulling/Pushing
        • Repetitive Motions
        • Stooping/bending
        • Twisting
      • Constantly Performed (67%-100%):
        • Fingering/Touching
        • Grasping
        • Hearing
        • Reaching
        • Seeing/Visual
        • Speaking/talking
        • Walking

    • Job Hazards
      • Not Related:
        • Electrical Shock/Static
        • Radiation Non-Ionizing (Ultraviolet, visible light, infrared and microwaves that causes injuries to tissue or thermal or photochemical means)
      • Rare (1-33%): - Radiation Alpha, Beta and Gamma (particles such as X-ray, Cat Scan, Gamma Knife, etc)
      • Occasionally (34%-66%):
        • Physical hazards (noise, temperature, lighting, wet floors, outdoors, sharps) (more than ordinary office environment)
        • Equipment/Machinery/Tools
        • Explosives (pressurized gas)
      • Frequent (67%-100%):
        • Chemical agents (Toxic, Corrosive, Flammable, Latex)
        • Biological agents (primary air born and blood born viruses) (Jobs with Patient contact) (BBF)
        • Mechanical moving parts/vibrations
  • Essential Job Functions
    • Essential Functions I


      • Perform primary health care for patients by utilizing the processes of assessment and diagnosis of health status.
        • Obtain patient's medical and history information, data collection is prioritized according to immediate condition or needs.
        • Perform physical exam and determine patient's mental status.
        • Develop and implement treatment, follow-up and evaluation plans for patient outcomes.
        • Collaborate with physicians and other disciplines as appropriate and provides regular and consistent feedback.
        • Use appropriate assessment techniques & diagnostic information. Performs tests relevant to patient condition and record findings.
        • Order appropriate ancillary tests.
        • Derive diagnosis from the assessment data and diagnostic information as data becomes available.
        • Use new or additional data to form a treatment plan.
        • Perform telephone triage to determine patient condition and provides appropriate consultation scheduling appointments when needed.
        • Incorporate research into clinical practice as appropriate.

      • Implement interventions consistent with the established plan of care in a safe and appropriate manner.
        • Apply established therapeutic practices to patient's problem.
        • Administer medications and immunizations using the appropriate method and with physician oversight if applicable.
        • Prescribe medications according to Controlled Substance Registration Certificate issued by the DEA.
        • Generate referrals to appropriate services as needed to further diagnose and/or progress of care.

      • Evaluate patient care to determine response to care/interventions for optimal patient outcome.
        • Evaluate the patient's capabilities and/or limitations related to nursing and medical interventions.
        • Recognize and address patient and family capabilities and limitations (physical and mental).
        • Return patient telephone calls.
        • Monitor outcomes and documents patient response to interventions.
        • Seek out new treatment methods necessary to ensure patient progress.

      • Provide patient and family teaching and education specific to the patient's health care.
        • Proper use of medication and health/illness prevention to ensure adequate knowledge/awareness.
        • Interview and advise specific to patient needs.
        • Demonstrate sensitivity to family regarding need for patient information on a timely basis.
        • Work collaboratively with physicians and other team members to provide appropriate patient education geared to the patient's needs and family's ability to provide care.
        • Use adult learning principles for teaching purposes being careful to check for understanding and being available for follow-up questions.
        • Recommend references and resources such as printed materials, online, community and other information sources to fulfill the family's need for education.

      • Maintain a professional behavior in attitudes, demeanor, and interactions to achieve organization's mission.
        • Communicate effectively with physicians, staff and patients.
        • Is approachable and professional in working with other health professionals, patients and their family.
        • Maintain a professional appearance, behavior, and work environment.
        • Initiate action to correct, prevent, and/or minimize risk(s) to the patient, family or hospital/clinic employees (i.e., falls, needle sticks, patient concerns).
        • Communicate to appropriate personnel regarding unresolved issues.
        • Serve as a role model in the provision of emerging care.
        • Serve as a reliable/knowledgeable resource for staff.
        • Participate in meetings, research on special projects and professional organizations.

      • Comply with the bylaws, rules and regulations of the organization as they pertain to Nurse Practitioners or Physician Assistants.
        • Know and follow organization policy & procedures.
        • Follow Medical Protocols for professional discipline.
        • Maintain certification/licensure.
        • Follow guidelines of regulatory bodies (FDA etc.).

      • Maintain complete patient records.
        • Document data appropriately.
        • Document treatment plan of care that is individualized, appropriate and reflects patient's needs.
        • Document interventions.
        • Document consultations with other practitioners/physicians.

      • Participate in performance improvement and outcome management.
        • Meet regularly with medical director for chart reviews.
        • Identify concerns in patient care & follows up according to hospital policy.
        • Participate in patient satisfaction and other quality improvement initiatives.
        • Participate in tracking of variances in care.
        • Submits PI monitors and outcomes for department to diabetes advisory board.
        • Collaborates with hospital PI coordinator on any inpatient diabetes related projects.

      • Provide appropriate care specific to the age of the patient to ensure understanding and comfort level of treatment as outlined in the "Age Specific Criteria".
        • Demonstrates ability to identify opportunities for and give individualized customer service/patient care according to customer/patient needs.
        • Right Task
        • Right Person
        • Right Communication (clear, concise, correct, complete)
        • Right Feedback

      • Establishes and maintains education program standards consistent with American Diabetes Association (ADA) recognition policies for ongoing certification.
        • Maintains American Diabetes Association (ADA) diabetes education program certification requirements in collaboration with Manager and Service Leader.
        • Compliance monitors such as chart reviews will be completed quarterly with department manager.
        • Education curriculum to be reviewed annually for Diabetes, prediabetes and gestational diabetes classes.
        • Evaluation of education intervention and implementation of performance improvement plans.
        • Completes Medical Staff Allied Health Practitioner Committee skill set review.

      • Coordinates and provides diabetes related health care for adult population serviced by Methodist Center for Diabetes & Nutritional Health by:
        • Utilizing the nursing processes of assessment and diagnosis of health status.
        • Developing and implementing treatment and preventive health plans.
        • Providing follow-up and evaluation of patient outcomes.
        • Maintaining accurate, comprehensive and confidential patient records.
        • Demonstrates collaboration with referring and designated physicians and other health care providers within the Methodist Health System.
        • Maintains accurate, confidential medical record with timely documentation within the scope of practice and Joint Commission on Accreditation of Healthcare Organizations (JCAHO) requirements.
        • Ensures obtaining, storage and distribution of medication samples given to patients is within hospital policy.
        • Seeks out clinical experts for best practices and learning opportunities.

      • Serves as diabetes related clinical expert for Methodist Hospital and MHS employee diabetes disease management program.
        • Active in program development.
        • Serves as clinical resource and oversight of employee diabetes management program requirements.
        • Review diabetes program data seeking areas for improvement.

      • Provides leadership, coaching and role modeling for staff regarding clinical activities, core values, team concepts and customer relations.
        • Serves as a resource for clinical concerns within department.
        • Serves as co-chair of Diabetes Advisory Board.

      • Develops and implements Advanced Practice Registered Nurse (APRN) services including policies, procedures, protocols and performance improvement indicators.
        • Policies and procedures to be reviewed annually.
        • Protocols will be reviewed, updated and discussed with medical director and/or collaborating MD.
        • Approve new departmental and applicable inpatient policies every 2 years.
        • Completes Medical Staff Allied Health Practitioner Committee skill set review.

      • Provides supervision of clinical staff to include: evaluation of performance in clinical activities, competencies, monitoring of charting and participation of treatment plans as appropriate.
        • Reviews annual skills checklist or competencies and works with staff to ensure meeting clinical competency expectations.
        • Reviews staff documentation on a quarterly basis.
        • Participates in on-boarding and training of new staff.

      • Establishes performance improvement (PI) projects for department and Hospital PI team member as related to diabetes and diabetes care for inpatients and outpatients.
        • Submits PI monitors and outcomes for department to Diabetes Advisory Board.
        • Collaborates with hospital PI coordinator on any impatient diabetes related projects.

      • Participates in developing and evaluating house-=wide and unit specific educational programs based on educational needs assessment, identified clinical deficiencies, performance improvement results practice changes.
        • Develop, present and/or facilitate a minimum of one diabetes specific Continuing Education Units (CEU) program with Methodist college annually.
        • Maintain association with healthcare education program/s to provide supervised on site practicum experience for Advanced Practice Registered Nurse (APRN) and other healthcare students.

      • Maintains ongoing collaborative working relationship with department manager, medical supervisor, hospital staff and peers, and all referring providers.
        • Completes a minimum of four visits or provides evidence of collaboration with referring providers including providers with high risk populations; Renaissance Clinic, Perinatal Clinic, Vascular Clinic, foot clinic, IM and FP.
        • Collaborates with community benefit coordinator to seek out opportunities to meet needs within the community.

      • Maintains association with health care education program/s to provide supervised on site practicum experience for nurse practitioner, and other health care students.
        • Develop, present or facilitate one diabetes specific Continuing Education Units (CEU) program.
        • Maintain association with healthcare education program/s to provide supervised on-site practicum experience for Advanced Practice Registered Nurse (APRN) and other healthcare students.

    • Essential Functions II


      • Participate in mandatory in-services and/or CE programs as mandated by policies and procedures/external agencies and as directed by management.

      • Follow and understand the mission, vision, core values, Employee Standards of Behavior and company policies/procedures.

      • Other duties as assigned.

Job Details

Date Posted September 16, 2017
Date Closes November 15, 2017
Requisition 6247
Located In Omaha, NE
Work At NE Methodist Hospital
Department Diabetic Institute
Shift Daytime
Hours 9a-6p hours per week
SOC Category 00-0000.00

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