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Nurse Practitioner Service: Department Educator/LEAD Days
Job Ref # 15461
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Location:
Houston Methodist Hospital
6565 Fannin St
Houston, TX 77030

Category: Nurse Practitioner

Job Type: Full-Time

Posted Date: Sept. 17, 2021

JOB SUMMARY
At Houston Methodist, the Lead Nurse Practitioner (NP)/Physician Assistant (PA) position is a clinical leader and scholar who functions at the Expert level of Benner's model of clinical practice or according to the Board of Physician Assistant Examiners. This position leads and coordinates interdisciplinary activities, focusing on clinical practice, consultation, education and research, incorporating evidence into practice. The Lead NP/PA position conducts comprehensive assessments, identifying normal and abnormal health characteristics, develops plan of care with physician and/or the nursing staff, initiates appropriate interventions and evaluates care outcomes on a defined patient population. This position uses expert communication skills to serve as patient and family advocate to educate, mentor and coach staff in clinical practice, assuming an advanced leadership role in analyzing systems to anticipate and or reduce risk and improve patient safety and quality. In addition to responsibilities which include contributions at the unit and house wide levels, with expectation to collaborate, manage, and lead system wide and national initiatives, this position functions as a clinical provider maintaining and promoting health of the patient requiring acute care. The Lead NP/PA position affects direct patient care according to the Nurse Practice Act of the state of Texas or the Board of Physician Assistant Examiners.

Requirements:

PRIMARY JOB RESPONSIBILITIES
Job responsibilities labeled EF capture those duties that are essential functions of the job.

PEOPLE - 20%

  1. Role models and coaches staff to use efficient and effective communication to establish and maintain a team environment, and to include the patient and family as a part of the team regarding their plan of care. Partners with the interprofessional health care team to facilitate communication with patient and family across the continuum of care. Fosters staff engagement by demonstrating active listening, requesting and acknowledging feedback, making equitable decisions, providing rationale when appropriate, and supporting organizational goals. (EF)
  2. Leads education and training of professional students through collaboration with faculty and supervising clinical activity. Supports and provides coordination and direction to other physician assistants, nurse practitioners and other staff by proactively offering assistance. Serves as a preceptor by mentoring others regarding care of defined populations in resource utilization and time management. (EF)
  3. Actively participates in the interviewing process of candidates in department or service line. Coordinates the orientation schedule of newly hired Nurse Practitioners and Physician Assistants, as appropriate. Collaborates in the preparation of annual evaluations with supporting physicians and management personnel to ensure all paperwork is in compliance with all HR policies and guidelines (EF)

SERVICE - 20%
  1. Conducts quality, timely, license-appropriate, patient care, under physician supervision, for a defined patient population(s), identifying normal/abnormal health characteristics, recognizing subtle cues to change in patient condition and focusing on identified expected unit/optimal outcomes, individualized to the patient. Prioritizes care based on the patient's needs, abilities and preferences. Advocates for patients/families concerning ethical conflicts; develops supportive policies and guidelines, offers educational resources; empowers patients/families to speak/represent selves when possible. (EF)
  2. Teaches coworkers to develop comprehensive plans of care in collaboration with patients and families, incorporating individual differences and preventive planning. (EF)
  3. Oversees patient assignment and distribution among Advanced Practice Providers for consults, new admissions, inpatients, as appropriate. Partners with leaders to coordinate scheduling for staffing optimization of department or service line, prior to manager approval. (EF)

QUALITY/SAFETY - 35%
  1. Leads patient/family care rounds to assure patient safety and satisfaction. Rounds on service lines weekly, as appropriate, managing assignment of complex patient and other department demands. Reports "near misses" as well as errors promptly and consistently to improve systems and processes and identify trends; role models situational awareness using "teachable moments" to improve safety. (EF)
  2. Anticipates routine and unexpected changes based on evidence. Elevates emergent situations and leads/coordinates team to achieve issue resolution. (EF)
  3. Provides safe and effective care by leading and initiating areas for improvement in patient care or unit operations, outcome, quality and patient safety improvement activities in alignment with organizational goals. Integrates, modifies, and contributes to professional practice standards, policies, procedures, protocols by participating in unit projects, shared governance activities or interdisciplinary team activities. (EF)
  4. Leads and supports colleagues and staff in conducting evidence-based practice/performance improvement projects and implementing findings. Facilitates active involvement of others in team meetings, unit activities and process improvement. (EF)

FINANCE - 5%
  1. Implements department strategies to achieve financial target on entity scorecard and mentors others to do the same through timely documentation of care, decreasing length of stay, optimizing efficiency, and other areas according to departmental specifications. (EF)
  2. Measures and analyzes resource allocation based on patient needs and staff experience, knowledge, and skills; contributes to unit plans for resource utilization and capital needs. Identifies cost saving or revenue opportunities. (EF)

GROWTH/INNOVATION - 20%
  1. Promotes quality health care by initiating, applying and presenting research in collaboration with the Education Department, Research and Evidenced Based Practice Council, nursing, physician assistant or medical schools as appropriate. Contributes to professional practice standards at hospital/regional/national level. (EF)
  2. Demonstrates leadership as clinical resource, interdisciplinary consultant, and patient advocate by serving as an instructor in continuing education, formal program, or expert consultation. Identifies leadership opportunities for professional growth of staff; coaches/mentors individuals to accomplishment of goals. Identifies, plans, and implements education for the unit and service line in collaboration with team members and Nurse Practitioner/Physician Assistant Service leadership. (EF)
  3. Generates and communicates new ideas to lead team to creative strategies that improve quality or service and impact the department and address organization or department priorities. (EF)

This job description is not intended to be all inclusive; the employee will also perform other reasonably related business/job duties as assigned. Houston Methodist reserves the right to revise job duties and responsibilities as the need arises.

Qualifications:

EDUCATION REQUIREMENTS

  • Master's degree for Nurse Practitioners or Bachelor's degree for Physician Assistant

EXPERIENCE REQUIREMENTS
  • Three years of clinical experience as an Nurse Practitioners or five years of experience as a Physician Assistant in multi-specialty practice
  • Progressive management experience preferred

CERTIFICATES, LICENSES AND REGISTRATIONS REQUIRED

  • Licensed and Credentialed by the Texas Board of Physician Assistants or Texas RN license or temporary TX RN license, must obtain permanent license within 90 days
  • Recognized and licensed as an Advanced Practice Nurse (APRN) in the State of Texas
  • Certified by American Nurses Credentialing Center (ANCC) or American Association of Nurse Practitioners (AANP) as an Acute Care Nurse Practitioner, based on applicable patient population, i.e. Acute Care Nurse Practitioner (ACNP), Adult-Gerontology Acute Care Nurse Practitioner (AG-ACNP), Acute Care Adult Gerontology Nurse Practitioner (ACNPC-AG)
  • American Heart Association Basic Life Support (BLS)
  • American Heart Association Advance Cardiac Life Support (ACLS)
  • Prescriptive authority privileges through the State of Texas
  • Drug Enforcement Administration (DEA) registration within 6 months of hire
  • American Heart Association Heartcode Pediatric Life Support (PALS) within 6 months of hire preferred
  • Fundamentals of Critical Care Support (FCCS) certification within 6 months of hire preferred

KNOWLEDGE, SKILLS AND ABILITIES REQUIRED

  • Demonstrates the skills and competencies necessary to safely perform the assigned job, determined through on-going skills, competency assessments, and performance evaluations.
  • Sufficient proficiency in speaking, reading, and writing the English language necessary to perform the essential functions of this job, especially with regard to activities impacting patient or employee safety or security
  • Ability to effectively communicate with patients, physicians, family members and co-workers in a manner consistent with a customer service focus and application of positive language principles
  • Ability to communicate in a comprehensive, unbiased, and open way with all health team members in the department and across the institution
  • Demonstrates knowledge and behaviors related to environmental, employee or patient safety requirements
  • Demonstrates highly developed assessment, clinical, documentation, leadership and analytical, training and mentoring skills
  • Ability to adapt to unexpected changes. Ability to facilitate and lead the change process
  • Demonstrates adaptability and flexibility in the face of changing demand
  • Knowledge of clinical and operational improvement processes
  • Proficiency in Microsoft office software, as well as the ability to learn new software programs
  • Proven problem solving and analysis skills
  • Active member in pertinent professional organizations

SUPPLEMENTAL REQUIREMENTS

Work AttireYes/No
Uniform No
ScrubsYes
Business professionalYes
Other (dept approved) No

On-Call* Yes, on a limited basis (for Exempt jobs only)
*Note that employees may be required to be on-call during emergencies (ie. Disaster, Severe Weather Event, etc.) regardless of selection above. 
 
Travel**  
May require travel within Yes 
Houston Metropolitan area 

May require travel outside No
of Houston Metropolitan area 

**Travel specifications may vary by department.

Please note any other special considerations to this job: _________________________



Company Profile:

Based in the Texas Medical Center, Houston Methodist Hospital is delivering on a mission started in 1919, which continues today – bringing quality, integrity, compassion and innovation into everything we do. As the flagship hospital of Houston Methodist, Houston Methodist Hospital is a nationally recognized medical center with a history of health care innovation. Houston Methodist Hospital was awarded Magnet recognition for nursing excellence for a fourth consecutive time by the ANCC. In addition, Houston Methodist Hospital was recently named by U.S. News & World Report as one of the country’s top 20 hospitals and was also ranked the No. 1 hospital in Texas for the fifth consecutive year.

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