Primary Care Advanced Practitioner- Family Medicine of Ashland at Bryan Health – Ashland, Nebraska

The BPN Primary Care Advanced Practitioner provides nursing and medical services to assigned patients according to the Scope of Practice for Nurse Practitioners as identified by the American Academy of Nurse Practitioners OR as a Physician Assistant provides primary health care and performs selective medical services under the direction of the appropriate medical doctor(s). Responsible for health care for families and individuals, promoting good health and disease prevention.

PRINCIPAL JOB FUNCTIONS:

1. *Commits to the mission, vision, beliefs and consistently demonstrates our core values.

2. *Performs and documents medical history and physical examinations on patients; establishes presumptive diagnosis, which are to be countersigned by the responsible physician; reviews patient records.

3. *Makes complete chart entries on patient transaction, writes orders and records consultation and progress notes, which will be reviewed and countersigned by the responsible physician within 24 hours.

4. *Responsible for performing physical exams, ordering appropriate lab tests, and evaluating those tests to ensure quality care of patients; keeps physician informed of changes requiring intervention.

5. *Responsible for electronic medical record entries which reflect the patient's healthcare within the allotted timeframe.

6. *Synthesizes data to determine preliminary diagnosis and therapeutic plan utilizing principles of prevention.

7. Works with members of the interdisciplinary care team to coordinate family conferences and resolve family care problems.

8. Prepares written prescription orders for drugs and controlled substances; may prescribe medications, including Schedule II controlled substances, in the name of the sponsoring physician, if the authority has been assigned by the sponsoring physician.

9. *Completes follow up communication with sending/attending physician.

10. *Triages patients and other referral center(s) telephone calls and provides consultation; may request consultation at the direction of the sponsoring physicians.

11. Performs independent evaluations and treatment procedures in emergency situations; teaches/counsels individuals regarding follow-up care and activities as needed.

12. *Provides monitoring and continuity of care between physician visits.

13. Attends required meetings and participates in committees as requested; assists with activities related to education, site visits, etc.

14. Advances work knowledge by participating in continuing education in-services, reading periodicals/literature and seeking ongoing development opportunities; maintains professional affiliations.

15. *Complies with CLIA and OSHA clinical safety practices as well as administrative and facility regulations.

16. Performs other related projects and duties as assigned.

(Essential Job functions are marked with an asterisk “*”. Refer to the Job Description Guide for the definition of essential and non-essential job functions.) Attach Addendum for positions with slightly different roles or work-specific differences as needed.

EDUCATION AND EXPERIENCE:

Current Registered Nurse licensure from the State of Nebraska or approved compact state of residence as defined by the Nebraska Nurse Practice Act required. Master of Science degree in Nursing with current Advanced Practice Registered Nurse licensure from the State of Nebraska required. Certification with the U.S. Drug Enforcement Administration for prescriptive authority required within two (2) months of hire. Certification as Adult Nurse Practitioner or Family Nurse Practitioner preferred.

OR

Graduate degree from a Physician’s Assistant program required. Current licensure as a Physician Assistant required. Completion of Bryan credentialing and re-credentialing process required for employment. Certification with the U.S. Drug Enforcement Administration for prescriptive authority required within two (2) months of hire.