Nurse Practitioner Jobs in Kentucky

Mission Statement
To advance the health and wellbeing of our community with a compassionate and caring spirit.

A Brief Overview
Advanced Practice Providers (APPs) include Advanced Practice Nurses (APNs) as defined by the Indiana Code 25-23-1-1, Kentucky Revised Statutes 314.011, and Illinois Nurse Practice Act (225 ILCS 65/65-43); and Physician Assistants (PAs) as defined by the Indiana Code 25-27.5, Kentucky Revised Statutes 311.840 to 311.862, and the Illinois Physician Assistant Practice Act of 1987 (225 ILCS 95/). The Advance Practice Provider provides comprehensive health assessments, determining diagnosis, plans and prescribing treatments and managing health care regimens in collaboration with the designated physician(s). Provides care to patients in the hospitalized and ambulatory setting. This role includes the promotion of wellness, prevention of complications and management of acute and chronic conditions. Works autonomously as well as in collaboration with a variety of individuals to diagnose and manage health care problems. APNs practice within the scope of practice outlined in the Indiana Nurse Practice Act (848 IAC 4-2-1), Kentucky Revised Statutes 314.011, and the Illinois Nurse Practice Act (225 ILCS 65/65-30). This includes both an independent and interdependent scope; the interdependent scope requires a collaborative agreement with the collaborating physician(s). PAs practice within the scope of practice outlined in the Indiana Code 25-27.5, requiring a supervisory agreement with the collaborating physician(s) for all aspects of their scope, the Kentucky Revised Statutes 311.854 to 311.860, and the Illinois Physician Assistant Practice Act of 1987 (225 ILCS 95/). APPs are health care providers, interdisciplinary consultants, and patient advocates within the interdisciplinary team in collaboration with the collaborating physician/physician group to provide coordinated continuity of care for the patient population served within their respective specialty service. The APP practices in various sites within Deaconess Health System.

What you will do

• Job duties may include any of the following, depending on the specialty area and location in which the APP is working.
• Obtains histories and performs physical examinations.
• Diagnoses and manages acute and chronic health conditions via evidence-based guidelines.
• Orders, conducts, and interprets diagnostic studies and laboratory tests.
• Prescribes or recommends pharmacologic and non-pharmacologic therapies, including controlled medications in accordance with practicing state’s Codes/Regulations, State Controlled Substance Registries, and supervisory agreements.
• Performs diagnostic and therapeutic procedures including but not limited to suturing, wound care, incision and drainage, splinting, casting, biopsies, invasive procedures such a line placement, etc. in accordance with training, scope of practice and collaborative and supervisory agreement requirements.
• Assists patients to maximize their abilities to cope with health and illness.
• Promotes self-care, health promotion, and disease prevention through the provision of information, counseling, and education for individuals, families and groups as indicated.
• Refers patients to appropriate sources of care as indicated.
• Consults appropriate physician(s) for patient care needs.
• Maintains a collegial relationship with the interprofessional team involved in care of the patient inclusive of the primary care physician.
• Takes responsibility for assuring patient/family satisfaction with care provided.
• Presents and documents patient data.
• Assures the efficient utilization of resources while supporting clinical pathway implementation and compliance.
• Supports the primary care physician/patient relationship.
• Actively establishes primary care relationships for patients who do not have primary care physicians.
• Participates in the assurance of robust communication system (including telephone communications as needed) on the admission/status updates, discharge summaries, etc. in acknowledgement of the inpatient hospitalization as a component of the continuum of care provided by the primary care physician.
• Assists with relevant billing documentation and development of efficient billing processes.
• Develops and participates in community outreach programs/activities.
• Works to exceed national benchmarks for quality care delivery, cost containment and length of stay for various disease states.
• Responsible with hospitalist team to help reduce patient length of stay by performing tasks and evaluations in a timely manner, as well as, advocating for the patient regarding system issues in the hospital preventing them from creating barriers that increase patient length of stay, i.e. timely laboratory results, radiology reports, social issues, etc.
• Assures appropriate and timely referrals to an appropriate facility as indicated by the patient care needs in consultation with the primary care physician.
• Plans/coordinates patient discharge and/or transfer.
• Responds to the Emergency Department for evaluation and treatment of patients.
• OTHER FUNCTIONS:
• Prescriptive authority will include controlled substance prescriptions for medications as is compliant within the practicing state’s codes/regulations — including Indiana Code IC 25-23-1-19, Kentucky Revised Statutes KRS 218A.060–130, under the conditions set forth in KRS 314.042, and Illinois Nurse Practice Act (225 ILCS 65/65-43) and Illinois Controlled Substances Act, as administered through the Illinois Department of Financial and Professional Regulation (IDFPR).
• Collaborative physician providers and APNs/PAs will meet to discuss patient care and management and to review current literature regarding practice trends as needed.
• Collaborative physician providers will evaluate the prescribing practices of the Advanced Practice /Physician Assistant by random, regular review.
• Competencies: If applicable and not listed below, please refer to the department for required competencies.
• PROFESSIONAL ACTIVITIES:
• Attends lectures, meetings, and conferences to maintain knowledge of current trends in a particular area of expertise.
• The Advanced Practice Nurse/Physician Assistant must be able to demonstrate knowledge and skills necessary to provide care appropriate to the age of the patients served. The individual must demonstrate knowledge of the principles of growth and development over the life span and possess the ability to assess data reflective of the patient’s status and interpret the appropriate information needed to identify each patient’s requirements relative to his/her age-specific needs, and to provide the care needed as described in the department’s policies and procedures. Age-specific information is developed further in the departmental job standards appropriate to the individual Advanced Practice Nurse/Physician Assistant.

Education Qualifications

• Master’s degree with advanced training or education as an Advanced Practice Nurse licensed to practice in the state of employment and appropriate Board certifications maintained. Required

Experience Qualifications

• None

Skills and Abilities

• Strong interpersonal skills, ability to relate to people in a respectful manner, and the ability to establish mutually satisfying relationships with a wide range of people.
• Ability to read, analyzes, and interprets common scientific and technical journals, financial reports and legal documents.
• Ability to write reports, business correspondence and procedure manual.
• Ability to effectively present information and respond to questions from groups of managers, clients, customers and the general public.
• Ability to apply mathematical concepts such as fractions, percentages, ratios, proportions, and data analysis.
• Able to enter, retrieve, organize, and assemble data.
• Displays well-developed organizational skills
• Requires initiative, judgment, and dependability in completing work assignments.
• Demonstrate appropriate initiative and judgment to monitor and intervene as appropriate.
• Must be able to recognize and interpret non-verbal communication and abnormal behaviors.
• Must be able to select appropriate data to gather and carefully interpret information.
• Must demonstrate independent judgment and be able to make decision of consequence.
• Must be able to balance multiple demands on time and prioritize appropriately.
• Must be able to handle stressful conditions in high workload situations.
• Must possess and demonstrate willingness to train and teach others.
• Must be able to work collaboratively with other organizations and have a commitment to the health of the entire community.
• Ability to learn and use electronic medical record efficiently and effectively.
• Knowledge of Word, Excel and Power Point helpful.
• Demonstrated flexibility to work on an interdisciplinary team; ability to work in various roles and capacities and to respect boundaries in each role. Ability to establish mutually satisfying relationships with a wide range of people.
• Maturity and demonstrated ability to work with patients and their families.
• Ability to work independently and to maintain a flexible schedule. Also able to work effectively as part of an interdisciplinary team in a health care setting.
• Strong organizational skills.
• Demonstrates motivation and ability to learn.

Licenses and Certifications

• Valid Advanced Practice Nurse license in the state of employment and all applicable state(s) providing care. Required and
• Board Certifications as required for credentialing. Required and
• Current Basic Life Support (BLS) for Healthcare Providers certification. Required
• Other certifications as required by specialty group and/or credentialing process.
• If working in Emergency Department, PALS and NIHSS within the first 12 months of employment.

Remote Work Capable
Yes

Remote Work Guidelines

• Choose a quiet and distraction-free working space.
• Have an internet connection that’s adequate for the job.
• Dedicate full attention to the job duties during working hours.
• Adhere to break and attendance schedules agreed upon with manager.
• Ensure schedules overlap with team members for as long as is necessary to complete job duties effectively.

Physical Demands

• Heavy Heavy physical requirements Heavy Work - Exerting 50 to 100 pounds of force occasionally, and/or 25 to 50 pounds of force frequently, and/or 10 to 20 pounds of force constantly to move objects. Physical Demand requirements are in excess of those for Medium Work.

Driving

• Drives personal vehicle for company business 25% or more of the time to perform essential functions of the job No
• Operates company vehicles as essential function of the job No
• Valid Drivers License Required No
• Valid Commercial Drivers License (CDL) Required No

Disclaimer
The duties, responsibilities, and qualifications listed above are intended to describe the general nature and level of work being performed by individuals assigned to this job. This is not intended to be an all-inclusive list of duties, responsibilities, and qualifications. The company reserves the right to modify, add, or remove duties and responsibilities at its discretion. This job description does not constitute an employment contract and the employer retains the right to terminate employment at will, with or without cause, at any time. The company is an equal opportunity employer and prohibits discrimination based on race, color, gender, age, disability, religion, or any other legally protected characteristic.

Compliance and Regulatory
All employees are required to comply with all laws, regulatory guidelines, and health care policies. This includes, but is not limited to: federal, state and local laws, applicable State Departments of Health, Accreditation Commission for Health Care (ACHC), The Joint Commission, Health Insurance Portability and Accountability Act (HIPAA), and Deaconess Policies and Procedures. All employees are required to be compliant with hand hygiene guidelines as well as adhere to safe practices, identifies and reports unsafe practices.

Mental and Emotional
There are mental and emotional requirements of all positions working in a health care setting due to the nature of the services provided. The requirements include: handling multiple priorities, making decisions under pressure, working in close proximity to others and/or in a distracted environment, managing anger/fear/hostility, managing stress appropriately, working with others effectively, and working alone effectively.

Section 1557
The Office for Civil Rights (OCR) enforces Section 1557 of the Affordable Care Act (Section 1557), which prohibits discrimination on the basis of race, color, national origin, age, disability, or sex (including pregnancy, sexual orientation, gender identity, and sex characteristics), in covered health programs or activities. 42 U.S.C. 18116.

Leadership Type
Individual Contributor

Communication

• Effectively exchanges information in a clear, respectful, and timely manner to support patient care, collaboration, and organizational success.

Engagement

• Demonstrates commitment to the mission, values, and people by fostering connection, collaboration, and a positive environment.

Accountability

• Takes responsibility for actions, decisions, and outcomes, ensuring commitments are met and standards are upheld.

Learning Agility

• Openness to learning new things, adapting to change, and applying lessons learned to improve overall performance.

Innovation

• Recognizes opportunities for improvement and contributes to creative, effective solutions that enhance care, processes, and outcomes.

Commitment to Safety & Risk Migration - Individual Contributor

• Responsible to participate in the mitigation of risks and hazards identified in department.