NPST Nurse Practitioner

The NP is responsible for practicing the nursing profession ethically, dutifully, and according to and within the Scope and Standards of Practice of the Texas Board of Nursing. The NP is responsible for Provider-level care coordination, as outlined in the Texas Independence Health Plan (ISNP) Model of Care, for all ISNP Members.

The NP is generally expected to be in his/her facilities during customary working hours (approximately 8:00am – 5:00pm) to ensure that these facilities have adequate Provider-Level coverage to meet patient/resident/member health care needs while also allowing the NP to have adequate time for documentation, and rotational weekday/weekend on-call responsibility.

• Maintain a high level of professionalism in dress and behavior that reflects the mission and policies of the organization and affiliated facilities.
• Attend and participate in daily morning meetings when present in assigned facilities.
• Be accountable for personal clinical and professional actions and perform duties within the scope of practice defined by prescriptive authority agreements with collaborating physicians.
• Respond promptly to compliance-related requests.
• Report to the Clinical Operations Manager and maintain communication with the manager and facility staff regarding plan members and facility or family concerns.
• Provide provider-level healthcare delivery and preventative care management for assigned Texas Independence Health Plan ISNP plan members.
• Deliver proactive preventative and maintenance care for members’ medical, emotional, and behavioral health conditions.
• Provide clinical care and health education to plan members and provide guidance to family members and nursing facility staff.
• Adhere to and remain accountable for all ISNP Model of Care provider metrics and performance goals.
• Participate in on-call rotations to ensure continuity of care for members after hours, weekends, and holidays.
• Maintain effective communication with facility staff regarding patient questions, notifications, and family concerns.
• Use laptop systems efficiently and enter documentation and clinical data daily into designated electronic medical record systems.
• Participate in ongoing staff education and assist with facility or community quality improvement initiatives when requested.
• Communicate professionally with families, staff, and healthcare providers during in-person interactions.
• Review medications, physician orders, and diagnostic tests and respond appropriately to abnormal findings within the approved scope of practice.
• Provide evaluation and treatment for chronic illnesses and manage acute exacerbations of chronic conditions.
• Provide education and support for advance care planning including goals of care discussions and anticipatory planning.
• Review and respond to consultant recommendations such as psychiatric, dietary, rehabilitative therapy, and pharmacy consultations.
• Perform other duties consistent with the ISNP plan as assigned.
• Licensed Nurse Practitioner authorized to practice in accordance with the Texas Board of Nursing standards.
• Ability to work collaboratively with physicians, facility staff, patients, and families.
• Strong clinical assessment, communication, and documentation skills.
• Proficiency in electronic medical record systems and computer-based documentation.
• Ability to participate in on-call coverage as required.
• Must maintain adequate medical malpractice insurance coverage, typically expected to be $1 million per occurrence and $3 million aggregate.