Nurse Practitioner - Wailuku - Full Time - Chronic Care

Job Summary:

Provides direct nursing care by utilizing advanced scientific knowledge, nursing theory and skills to assess, plan, and implement appropriate health and nursing care to patients, in addition to performing registered nursing functions. Provides indirect nursing care. Plans, guides, evaluates, and directs nursing care given by other personnel associated with the health care team. Teaches and counsels individuals or groups. Utilizes theories and skills to increase communication and knowledge among all members of health care team. Serves as a consultant and resource of advanced nursing knowledge and skills to those involved directly or indirectly in patient care. Participates in joint and periodic evaluation of services rendered.

Essential Responsibilities:

Evaluates physical and psychosocial health status of the patient through a comprehensive health history and physical examination, using skills of observation, inspection, palpation, percussion, and auscultation, and using or ordering diagnostic instruments or procedures that are basic to nursing evaluation of physical signs and symptoms.

Assesses normal and abnormal findings from history, physical examination, and diagnostic reports.

Diagnoses patients health status and health care issues.

Oversees and directs nursing, medical and clerical personnel in provision of patient care.

Plans, implements, and evaluates care.

Consults with patient, support systems, and members of health care team to provide for acute and ongoing health care or referral of patient.

Manages plan of care prescribed for patient.

Initiates and maintains accurate records, appropriate legal documents, and other health and nursing care reports.

Develops individualized teaching plans with patient based on overt and covert health needs.

Counsels individuals, families, and groups about health and illness and promotion of health maintenance.

Recognizes, develops, and implements professional and community educational programs related to health care.

Participates in periodic and joint evaluation of services rendered.

Conducts research and analyzes health needs of individuals and populations and designs programs which target at-risk groups and cultural and environmental factors which foster health and prevent illness.

Participates in policy analysis and development of new policy initiatives in the area of practice specialty.

Contributes to development, maintenance, and change of health care delivery systems to improve quality of health care services and consumer access to services.

Incorporates the KP Nursing Vision, Model and Values through out their Nursing Practice.

Performs other duties and accepts responsibility as assigned.

May perform patient care to the extent necessary to maintain clinical expertise, competency and licensing necessary to fulfill job responsibilities and to direct the provision of care on the unit.

Share this job

Related Jobs

Full-time

1 week ago

Physician Assistant II / NP II - Orthopedics, Full-time (Antelope Valley)

Kaiser Permanente Lancaster, CA

Job Summary: Physician Assistants (PA) provide health care services to patients who may have acute episodic conditions or chronic problems, as well as those seeking health evaluation, preventive care and/or education and counseling. Under physician supervision, PAs provide care in areas within KP in primary care or specialty departments consistent with their educational preparation following the Regional Practice Guidelines and Protocols for Ambulatory and Hospital-Based Practice. They perform complete physical examinations, including ordering, interpreting and evaluating diagnostic tests and examinations. Assume on-going responsibility for each patient from discovery of the disorder to recovery. Diagnose and treat both chronic and episodic disorders including complications of otherwise normal processes. Establish and document the health care plan and diagnosis, maintain records of each case that are sufficiently complete for any physician reviewing them to evaluate the effectiveness of the plan.Consistently demonstrates the knowledge, skills, abilities and behaviors necessary to provide superior and culturally sensitive service to each other, to our members and to customers, contracted providers and vendors. Functions in an expanded role to regularly provide primary, acute or emergency care to patients with complicated medical or surgical conditions which requires an intensive level of care and advanced certification in a specialty area (e.g., neonatal, intensive care, emergency medicine, operating room, etc.). A formal internship and/or equivalent on-the-job training in the specialty area are also required. Essential Responsibilities: Collect subjective data (obtain history). Collect objective data (perform a physical exam). Develop an assessment (diagnosis). Develop and implement a management plan. Facilitate the referral of patients to the appropriate health facilities, agencies and resources within the community. Order pharmacologic interventions. Develop and implement an educational plan. Plan for appropriate follow-up care. Manages the care of patients with complicated medical or surgical conditions. Consistently supports compliance and the Principles of Responsibility (Kaiser Permanentes Code of Conduct) by maintaining the privacy and confidentiality of information, protecting the assets of the organization, acting with ethics and integrity, reporting non-compliance, and adhering to applicable federal, state and local laws and regulations, accreditation and licenser requirements (if applicable), and Kaiser Permanentes policies and procedures.

Full-time

1 week ago

Inpatient Case Manager, Emory Decatur Hospital, Full Time

Kaiser Permanente Decatur, GA

Job Summary: Responsible for working collaboratively with physician partners to optimize quality and efficiency of care for hospitalized members by carrying out daily utilization and quality review, monitoring for inefficiencies and opportunities to improve care, developing a safe discharge plan to include recommending alternative levels and sites of care when appropriate. The activities will include daily review of hospital care by chart review and discussion with attending physician, admission and concurrent review for inpatient admissions, meetings with patient and families to develop discharge planning, identification of patients for ambulatory case management, communication with case managers, home care reviewers, social workers, members and providers, quality improvement reviews, and education of the member/family, provider and hospital staff. Achieves desired utilization and quality outcomes and promotes high customer satisfaction to the population served. Essential Responsibilities: Plans, develops, assesses and evaluates care provided to members. Collaborates with physicians, other members of the multidisciplinary health care team and patient/family in the development, implementation and documentation of appropriate, individualized plans of care to ensure continuity, quality and appropriate resource use. Reviews, monitors, evaluates and coordinates the patients hospital stay to assure that all appropriate and essential services are delivered timely and efficiently. Communicates via huddles with hospitalist partner multiple times throughout the day . Reviews all new inpatient admissions within 24 hours and begins the discharge planning process immediately. Assesses high risk patients in need of post-hospital care planning. Develops and coordinates the implementation of a discharge plan to meet each patients identified needs; communicates the plan to physicians, patient, family/caregivers, staff and appropriate community agencies to enhance the effect of a seamless transition from one level of care to another across the continuum. Ensures that the appropriate level of care is being delivered in the most appropriate setting. Recommends alternative levels of care and ensures compliance with federal, state and local requirements. Performs psychosocial assessments on all patients that meet the high risk indicators for discharge planning. Comprehensively assesses patients goals as well as their biophysical, psychosocial, environmental, economic/financial, and discharge planning needs. Provides patients with education to assist with their discharge and help them cope with psychological problems related to acute and chronic illness. Refers patients to the ambulatory case managers, care managers and/or social workers as appropriate. Documents all admissions and discharges in the patients Kaiser Permanente electronic medical record. Makes post discharge follow-up calls to all patients who are not referred to an ambulatory case/care management program. Attends scheduled rounds 2 times/week with the Physician Director of Resource Stewardship to discuss clinical course and discharge planning for assigned patients identifying any real or potential delays in care or quality of care issues. Acts as a liaison between inpatient facility and referral facilities/agencies and provides case management to patients referred, serving as an advocate for patients and families. Coordinates transfer of patients to appropriate facilities; maintains and provides required documentation. Builds highly effective working relationships with physicians, SNF staff, vendors, and other departments within the health plan.

Full-time

2 weeks ago

Cardiac Device Nurse Practitioner - Full-Time Seattle/Everett

Kaiser Permanente Seattle, WA

Cardiac Device Nurse Practitioner - Capitol Hill (4) days/week - Everett (1) day/week ** Prior Cardiac Device or Cardiology Work Experience HIGHLY Preferred ** Monday - Friday 8am - 5pm Job Summary: Provide nursing care to a designated population of patients. Participate in patient assessment and the formulation, implementation and monitoring of the care plan. The ARNP is an integral member of the Health Care team and has authority to admit or refer patients, prescribe medications and treatments and order tests. The Cardiac Devise Nurse Practitioner is responsible for managing patients with cardiac devices by conducting device interrogations, programming, and troubleshooting, as well as providing education on remote monitoring and lifestyle modifications. This role encompasses both direct patient care, including obtaining medical histories and performing physical examinations-and administrative duties such as documenting evaluations. Additionally, the nurse practitioner coordinates comprehensive care and management for cardiac device patients and conducts both in-office and remote assessments of pacemakers and defibrillators. Essential Responsibilities: Demonstrates current technical skills in all areas of practice. Demonstrates consistent and reliable diagnostic and therapeutic judgment. Supports cooperative clinical initiatives. Seeks appropriate and timely consultations. Actively works to continually learn and apply new skills, pathways, etc. Practices according to KFHPW approved procedures, guidelines, protocols. Cooperates and treats co-workers with courtesy and respect. Shares pertinent patient information in a timely and thorough manner. Demonstrates flexibility; works within the team to help as needed. Demonstrates appropriate communication skills, both verbal and listening. Collaborates with other members of the health care team to provide appropriate care. Regularly attends and participates in practice team meetings. Treats patients with courtesy and respect. Demonstrates service excellence behaviors in teams and during consumer interactions. Participates in problem solving of consumer complaints. Actively participate in initiatives to increase patient access. Involves patient in management of care; is thorough in explanations and demonstrates caring and friendly attitude toward patients. Fulfills all duties as assigned by chief and department. Maintains a productive work schedule; meets department and organizational productivity guidelines. Identifies own learning needs and participates in continuing education programs to meet needs. Initial assessment and management of drop in-patients or patients who call and want to be seen urgently and who have previously been seen in the department. Makes appropriate and timely referrals. Admits to hospital appropriately and manages length of stay if applicable. Referrals to external providers are consistent with protocols. Orders lab, pharmacy, radiology, and special tests appropriately. Routinely and appropriately uses technology provided by the organization to manage clinical practice and communicate effectively and in a timely manner (e.g., OACIS, results reporting, registries, Voicemail, Email) Understands KFHPW business and business environment. Actively works to solve problems/improve systems in constructive thorough manner. Focuses on customer needs and quality; actively encourage other to do so as well. Provides positive, constructive leadership for his/her care team and within dept.; enables and encourages others to participate and achieve high level of performance.

OB/GYN

Per Diem

1 week ago

Nurse Practitioner / Physician Assistant - OB/GYN, Per Diem (Bakersfield)

Kaiser Permanente Bakersfield, CA

Job Summary: Nurse practitioners (NP) provide health care services to patients who may have acute episodic conditions or chronic problems, as well as those seeking health evaluation, preventive care and/or education and counseling. NPs provide care in areas within KP in primary care or specialty departments consistent with their educational preparation following the Regional Standardized Procedures and Process Protocols for Ambulatory and Hospital-Based Practice. They perform complete physical examinations, including ordering, interpreting and evaluating diagnostic tests and examinations. Assume on-going responsibility for each patient from discovery of the disorder to recovery. Diagnose and treat both chronic and episodic disorders including complications of otherwise normal processes. Establish and document the health care plan and diagnosis, maintain records of each case that are sufficiently complete for any physician reviewing them to evaluate the effectiveness of the plan. Consistently demonstrates the knowledge, skills, abilities and behaviors necessary to provide superior and culturally sensitive service to each other, to our members and to customers, contracted providers and vendors. Essential Responsibilities: Collect subjective data (obtain history). Collect objective data (perform a physical exam). Develop an assessment (diagnosis). Develop and implement a management plan. Facilitate the referral of patients to the appropriate health facilities, agencies and resources within the community. Order pharmacologic interventions. Develop and implement an educational plan. Plan for appropriate follow-up care. Consistently supports compliance and the Principles of Responsibility (Kaiser Permanentes Code of Conduct) by maintaining the privacy and confidentiality of information, protecting the assets of the organization, acting with ethics and integrity, reporting non-compliance, and adhering to applicable federal, state and local laws and regulations, accreditation and licenser requirements (if applicable), and Kaiser Permanentes policies and procedures.

Full-time

2 days ago

Nurse Practitioner Preoperative Anesthesia

UCSF Health San Francisco, CA

Job Description Under the general supervision of the Preoperative Anesthesia Clinic Medical Director, Pain Clinic Medical Director, and Chief of Anesthesia, and in accordance with standardized procedures, the Nurse Practitioner (NP) role will work clinically in the Preoperative Anesthesia Clinic (PAC). The Preoperative Anesthesia Clinic is an ambulatory clinic responsible for the preoperative assessment and optimization of patients undergoing surgery. The clinic offers telemedicine and in-person consultations. The NP role provides clinical and operational support to the Preoperative Anesthesia Clinic at Zuckerberg San Francisco General Hospital. General responsibilities are obtaining a health history, performing a physical assessment, identifying problems and formulating a plan that includes further diagnostic evaluation, risk stratification and counseling. Qualifications Required Qualifications: Graduation from a California Board of Registered Nursing approved or verified school of nursing with a master’s degree in nursing or a Doctor of Nursing Practice (DNP). Nurse Practitioner 1 (less than six (6) months of experience as an NP): At least one year of recent work in outpatient neurology and/or neurosurgery clinic Nurse Practitioner 2 (at least six (6) months of NP experience): At least two years of recent work in outpatient internal medicine or critical care. A minimum one (1) year of recent clinical experience as a Nurse Practitioner. Preferred Qualifications Experience in perioperative setting Fluent in Spanish and/or Cantonese Experience in Pain Management Previous training and experience in Critical Care, Cardiology, or Internal Medicine Training and experience in Family Practice License / Certification Yes License/Certification California Registered Nurse (RN) License without restriction California Certified Nurse Practitioner (NP) without restriction California Nurse Practitioner Furnishing Number including Schedule II furnishing privileges NP national board certification from an accepted certifying agency aligned with the patient population and clinical role, Adult Outpatient (A-GNP-C, ANP-C, FNP-C, GNP-C, AGPCNP-BC, ANP-BC, FNP-BC, GNP-BC, ACNP-BC, AGACNP-BC, ACNPC-AG, ACNPC). See Addendum A below for more detail. California Driver License (if required for position) Drug Enforcement Administration (DEA) Registration with Schedules 2, 2N, 3, 3N, 4, and 5 registered to a California address American Heart Association (AHA) Basic Life Support (BLS) certification Additional required AHA certifications: ACLS UCSF Medical Center and Campus require certain healthcare providers to be credentialed. In most cases this is done through its Office of Medical Affairs & Governance (OMAG) prior to the first working day. Credentialing and approval of the Standardized Procedures takes between 60-90 days but can vary. About UCSF ABOUT US The University of California, San Francisco (UCSF) is a leading university dedicated to promoting health worldwide through advanced biomedical research, graduate-level education in the life sciences and health professions, and excellence in patient care. It is the only campus in the 10-campus UC system dedicated exclusively to the health sciences. We bring together the world’s leading experts in nearly every area of health. We are home to five Nobel laureates who have advanced the understanding of cancer, neurodegenerative diseases, aging and stem cells. Pride Values UCSF is a diverse community made of people with many skills and talents. We seek candidates whose work experience or community service has prepared them to contribute to our commitment to professionalism, respect, integrity, diversity and excellence – also known as our PRIDE values . In addition to our PRIDE values, UCSF is committed to equity – both in how we deliver care as well as our workforce. We are committed to building a broadly diverse community, nurturing a culture that is welcoming and supportive, and engaging diverse ideas for the provision of culturally competent education, discovery, and patient care. Additional information about UCSF is available here . Join us to find a rewarding career contributing to improving healthcare worldwide. Equal Employment Opportunity The University of California is an Equal Opportunity Employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability, age, protected veteran status, or other protected status under state or federal law. Salary Information The final salary and offer components are subject to additional approvals based on UC policy. Your placement within the salary range is dependent on a number of factors including your work experience and internal equity within this position classification at UCSF. For positions that are represented by a labor union, placement within the salary range will be guided by the rules in the collective bargaining agreement. To learn more about the benefits of working at UCSF, including total compensation, please visit: https://ucnet.universityofcalifornia.edu/compensation-and-benefits/index.html