Nurse Practitioner: Hagadone Employer-Based Clinic at Kootenai Health – Coeur d'Alene , Idaho

Nurse Practitioner: Hagadone Employer-Based Clinic

The Nurse Practitioner serves as the primary onsite provider in an employer-based clinic, delivering comprehensive acute care, occupational medicine, and preventive services to employees and eligible dependents. The NP independently evaluates, diagnoses, treats, and follows patients across the spectrum of work-related and non-work-related conditions, collaborates with onsite employer stakeholders (HR, Safety, Risk), and coordinates referrals to external specialists when appropriate. The NP also champions evidence-based protocols, regulatory compliance (OSHA, DOT, workers’ compensation), and data-driven quality improvement to enhance workforce health, safety, and productivity.

Key Responsibilities

Direct Patient Care (Acute Care & Limited Primary Care)

• Perform comprehensive and problem-focused history and physical exams; formulate differential diagnoses; develop and implement evidence-based treatment plans for acute illnesses and minor injuries (e.g., URI, influenza-like illness, asthma exacerbation, otitis media/externa, conjunctivitis, dermatitis, lacerations, sprains/strains, minor fractures stabilization, burns).
• Provide procedures within scope (e.g., wound care, I&D of simple abscesses, splinting, suture/staple placement and removal, ear irrigation, nebulizer therapy).
• Prescribe medications and therapeutics per state law and organizational privileges; manage medication safety and formulary adherence.
• Deliver health maintenance: immunizations, routine screenings, chronic condition triage and referral (e.g., hypertension/diabetes detection and stabilization pending primary care follow-up).
• Utilize shared decision-making and culturally competent communication; provide patient education and return-to-work guidance.

Occupational Medicine

• Conduct and document work injury evaluations; initiate treatment plans; coordinate workers’ compensation documentation; develop return-to-work and modified duty recommendations.
• Perform post-offer/pre-placement exams, fitness-for-duty evaluations, respirator medical clearances, and other job-specific health assessments per employer standards.
• Order, interpret, and act on occupational exposure testing (e.g., audiometry coordination, vision screening, bloodborne pathogen follow-up, lead/heavy metals, TB screening).
• Administer and oversee DOT/FMCSA physicals (requires certification – covered by employment), including medical certification determinations; maintain required documentation and examiner registry as applicable.
• Support OSHA compliance through accurate injury/illness documentation and timely reporting; collaborate with Safety/HR on trends, prevention strategies, and policy updates.
• Provide vaccination programs (e.g., influenza, Hepatitis B), post-exposure prophylaxis protocols, and drug/alcohol testing processes (if within scope/policy).

Scope of Procedures:

Wound care & closure, foreign body removal (superficial), I&D (simple), splinting, injections (IM/SC), PFT coordination, phlebotomy oversight, ECG, basic MSK ultrasound (if trained).

Care Coordination & Operations

• Coordinate referrals to external specialists, imaging, and rehabilitation; ensure appropriate care transitions and follow-up.
• Maintain accurate, comprehensive EHR documentation; leverage templates and smart tools for occupational encounters and regulatory forms.
• Support population health initiatives (e.g., targeted outreach for high-risk conditions, ergonomic programs, wellness campaigns).
• Participate in quality improvement (QI) projects, clinical audits, and policy/protocol development; contribute to performance dashboards.

Experience: 2–3+ years of NP experience in urgent care, emergency, family medicine, internal medicine, or occupational health (employer-based clinic experience strongly preferred).