Advanced Practice Provider at Portland, OR (Waterfront) – Portland, Oregon

Job Key Responsibilities and Performance Expectations

• Patient Care: Assure the safe, efficient, high quality and customer oriented management of patient care to identified patient populations, including but not limited to completing a comprehensive assessment of the patient’s status; developing, monitoring and revising, as appropriate, an evidence-based treatment plan that addresses diagnoses, patterns of disease, risk factors, and treatment alternatives; treat many common acute and chronic health problems; interpret diagnostic tests prescribe and manage medications and other therapies, provide health teaching with an emphasis on prevention of illness and health maintenance; and, refer patients to other healthcare professionals as necessary.
• The PMC NP performs preoperative risk assessment on pre surgical patients by obtaining an H and P and ordering appropriate diagnostic studies and laboratory tests. He/she will collaborate with other members of the team regarding pre-op instructions, medication management, and patient education. The NP is expected to function independently but also work in close collaboration with providers from other departments (cardiology, anesthesiology, internal medicine, etc.) to coordinate medical optimization of the patient prior to surgery. This includes but is not limited to following up on lab tests, cardiac testing, referrals to other specialties and documenting plan of care in EMR. NPs also communicates with the surgical team (surgeons, surgery schedulers) when necessary to share concerns about patient readiness for scheduled surgeries. Timely, focused documentation with the referring surgeon, PCP and anesthesiologist when appropriate to ensure quality patient care. The NP will review the patient’s history, via patient’s verbal report and the review of previous medical records from internal and external sources, and perform a complete physical exam on each patient- including but not limited to auscultation of the heart and lungs. Consistent patient education about good preparation for surgery. Documentation in the EMR of the clinical assessment will be executed according to documentation standards for licensed providers at OHSU. Chart documentation will be accurate and timely. The NPs will perform peer reviews on a yearly basis. This is a requirement of the academic staff . The NP staff will perform peer chart audits according to the chart audit program in PMC. The PMC medical director will review peer chart audits and provide the NPs with feedback about documentation completeness. Charts will be forwarded to coding professionals for billing. All encounters will be closed by the end of the work day and submitted for billing within 24 hours of patient encounter. These nurse practitioners are billing for services rendered.
  PMC NPs are responsible for reviewing and signing off on the documentation and medication/allergy review of all medical assistant staff. The NP as assigned will be asked to cover for the Nurse Manager during vacations and/or extended illness.
• Education: Support OHSU’s academic missions by participating in the design, development and assessment of program curricula for professional specialty area; including course objectives, instructional methods, learning outcomes, projects and assessment measures. Teach program courses as needed according to specified learning outcomes; academic advising and career related counseling for students; monitoring student retention and identifying and assisting at-risk students. May serve as the faculty of record and principle contact for extern placements and student’s performance at the assigned site.
• Clinical Supervision: Deliver individual instruction to support fellows’, residents’ and interns’ (these are all residents with their personal program of learning in the applicable specialty area. Provide instruction and review of the practices, policies and procedures in a variety of functions; including but not limited to development of treatment plans, interpretation of clinical diagnostic data; developing orders; patient and family communication and education; management of medical equipment, electronic medical records; performing procedures, and transitioning patients to the next level of care. Assures adherence to the specialty specific protocols, best practices, quality, and organizational indicators. Provides input to the performance of the resident as a provider in the clinical setting.
• The PMC NP provides clinical instruction and supervision for CRNA students and residents related to the preoperative assessment and risk stratification.
• Performance Improvement: Keep abreast of changes in field and applies knowledge to identify and recommend enhancements to clinical quality, patient experience/satisfaction, length of stay and to achieve improvement that demonstrates a higher standard of care. Assesses and recommends initiatives to improve performance indicators related to patient experience, quality, and costs.
• The NP will attend monthly NP PMC QI meetings. The NP will be required to select a clinical topic and present his/her topic, via a power point presentation, at these monthly meetings. The PMC NP may be asked to participate in special projects as assigned by the medical director and or clinic manager. The focus on these projects may include but will not be limited to improving quality of patient care, clinic work flow and/ or customer service. OHSU Clinic support is provided (conference days/financial support-see PMC NP Continuing Education policy) to enhance professional development of the NP staff. NPs are encouraged to participate in continuing education opportunities such as classes and conferences at least once a year.
• Research: Fosters advances in healthcare by participating in research activities in specialty area; including but not limited to identifying protocols to improve care delivery; contributing to development of new drugs to effectively treat disease; performing clinical trials using human or animal subjects to determine the effectiveness and effects of pharmaceuticals. Demonstrate success or productivity in the field as evidenced by securing research funding, publication in journals and/or other forms of peer presentations.
• PMC NP will initiate and participate in formal research projects.

• 3 – 5 years clinical experience as an Advanced Practice Provider.
• Previous experience with Epic and/or Centricity
• Computer/word processing skills.
• Experience with the AIDET service excellence process.
• Credentialed at OHSU-current
• National certification- current