Advanced Practice Registered Nurse (APRN) Job at SIERRA NEUROSURGERY GROUP

SIERRA NEUROSURGERY GROUP Reno, NV 89511

General Summary of Duties: Provides medical care under the supervision of a pain management physician. Assists the physician in assessing and treating patients with pain management diagnosis. Care is provided in a clinical, and outpatient operative setting.

Supervision Received: Directly supervised by the pain management physician assigned as primary supervising physician. Receives direction from physicians. Direct supervising physician or managing partner if direct physician is not available.

Supervision Exercised: Shares in supervision of the pain management department medical assistants. May give clinical direction to nursing, radiology and office staff as needed.

Principal Duties and Responsibilities:

1. Follows protocols and procedures for practice of pain management.

2. Provides preventative care and management for chronic pain patients in outpatient setting.

3. Maintains the operational activities and patient care for the clinic.

4. Exercises judgment on conditions requiring consultation, referral, or evaluation by the supervising physician or other healthcare professional

5. First assistant in surgery, if allowed, for all requested pain management procedures/surgeries.

6. Assists with preparation of sterile area and OR setup before procedure, including planning and ordering of supplies needed for surgeons.

7. Assist with preparation of the OR prior to surgery by ensuring that all films, scans and other imaging studies are placed in the OR prior to surgery.

8. Communicates supply and equipment repairs to appropriate personnel

9. Sees new patients and performs a complete history and physical examination that is problem oriented to pain management conditions.

10. Orders appropriate imaging studies and lab tests.

11. Interprets laboratory and diagnostic tests

12. Evaluate, screen and counsel patients on health maintenance

13. Interprets and correlates subjective and objective data associated with nature of the patient’s presenting problem.

14. Formulate differential diagnosis and establish a working diagnosis.

15. Develop a treatment plan for pain management conditions within the scope of practice for specific conditions where appropriate and in conjunction with the supervising physician.

16. Provides treatment by performing various injections under scope of practice.

17. Conducts routine follow-up visits, evaluates follow-up and post procedure patients.

18. Discuss procedures with patients providing educational materials, reviewing expectations and outcomes and providing procedure training.

19. Remove staples and sutures postoperatively.

20. Assist at outreach clinics.

21. Dictate accurate and concise patient records and maintain and update charts as necessary.

22. Review imaging and laboratory reports for abnormalities and report to supervising physician.

23. Return phone calls from patients.

24. Handle prescription refills. Call in or write needed prescriptions.

25. Follow-up post procedure phone calls.

26. Triage patient phone calls to facilitate patient care delivery.

27. Assists in the orientation and training of new staff including physicians, APRN’s and PA’s..

28. Assist office personnel with patient related issues.

29. Demonstrates effective written communication skills, via completion of insurance forms other related forms /letters, documents clearly and concisely.

30. Maintain inventory of education materials and reorder when depleted.

31. Liaison to other outside health professionals.

32. Responds to emergencies including use of CPR.

33. Takes call as assigned by the department.

34. Maintains strict patient confidentiality consistent with HIPAA privacy law, and other federal, state and local regulations.

35. Enhances professional growth and development through participation in meetings, training and educational programs, in-house and outside training and conferences where appropriate.

36. Performs other duties as requested

Qualifications:

Requirements: Current state APRN, board certification; Federal DEA certificate, NV controlled substance certificate; malpractice insurance certificate, completion of required annual CME.

Education: Graduate of an accredited APRN program.

Experience: One-year experience preferred, however, new graduates may be accepted.

Knowledge:

1. Knowledge of acute and chronic pain management protocols, administration of medications, delivering physical care and following a treatment plan.

2. Knowledge of how to assess patient’s pain management problems.

3. Knowledge of health promotion principles and techniques and patient learning measurements.

4. Knowledge of operating room policies and procedures.

5. Knowledge of patient safety procedures.

6. Knowledge of pain management equipment and supply needs.

Skills and abilities:

1. Skill in gathering and analyzing patient data.

2. Ability to make responsible decisions within the scope of duties.

3. Skill in accurately evaluating patient problems in person or via phone and providing appropriate advice, intervention, or referral.

4. Skill in evaluating and revising care plan based on patient changes.

5. Skill in effective participation on surgical team.

6. Skill in safety and infection control procedures.

7. Skill in using computers, computer programs and applications.

8. Skill in establishing and maintaining effective working relationships with patients, medical staff and the public.

9. Ability to work collaboratively with patients, physicians, other health care professionals and office staff.

10. Ability to organize and prioritize tasks efficiently.

11. Ability to incorporate new trends and changes into daily routine.

Working Conditions: Normal medical office and exam room, hospital inpatient and outpatient settings. Possible exposure to communicable diseases, blood borne pathogens and other conditions common to this environment. Frequent contact with patients, staff, other providers and peers. Contact may involve dealing with angry, fearful or upset patients. Operating room setting may be fast-paced and stressful. Overtime work may be common.

Physical/Mental Demands: Frequent standing, stooping, bending, walking, lifting and twisting. May require occasional assisting patients in standing, sitting or lying down. May involved lifting up to 60 lbs. Stress from dealing with multiple tasks, tense patients and surgical assisting. Requires manual dexterity to handle procedure equipment and tool. Requires hand dexterity for office machine operation, including telephone, writing utensils and computers; exam room equipment like blood pressure cuffs; and suture and staple removal.

Privacy Rule Access: May have access to all patient protected health information when needed for appropriate care of the practices patients. May have access to patient billing and demographic PHI on an as needed basis. In order to complete coding and correct billing of services rendered.

Offer: Competitive compensation package, full medical benefits, PTO, and an outstanding 401K retirement plan.

The statements above are intended to describe the general nature and level of work being performed. They are not to be construed as an exhaustive list of all responsibilities, duties and skills required for this job position.

Job Type: Full-time

Pay: $87,000.00 - $97,000.00 per year

Benefits:

  • 401(k)
  • 401(k) matching
  • Dental insurance
  • Employee assistance program
  • Flexible schedule
  • Health insurance
  • Life insurance
  • Paid time off
  • Retirement plan
  • Vision insurance

Medical specialties:

  • Pain Medicine
  • Radiology
  • Surgery

Standard shift:

  • Day shift

Weekly schedule:

  • Monday to Friday

Work setting:

  • Clinic
  • Outpatient

Ability to commute/relocate:

  • Reno, NV 89511: Reliably commute or planning to relocate before starting work (Required)

License/Certification:

  • Certified Nurse Practitioner license (Preferred)

Work Location: One location




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