Lead Nurse Practitioner / Physician Assistant - Orthopedics (Medical Center)

Houston, TX, United States

Overview

At Houston Methodist, the Lead Nurse Practitioner/Physician Assistant (NP/PA) position is responsible for functioning as a clinical leader and scholar 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 interprofessional 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 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/department, 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 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.

Houston Methodist Standard

PATIENT AGE GROUP(S) AND POPULATION(S) SERVED

Refer to departmental "Scope of Service" and "Provision of Care" plans, as applicable, for description of primary age groups and populations served by this job for the respective HM entity.

HOUSTON METHODIST EXPERIENCE EXPECTATIONS

Provide personalized care and service by consistently demonstrating our I CARE values: INTEGRITY: We are honest and ethical in all we say and do.

COMPASSION: We embrace the whole person including emotional, ethical, physical, and spiritual needs.

ACCOUNTABILITY: We hold ourselves accountable for all our actions.

RESPECT: We treat every individual as a person of worth, dignity, and value.

EXCELLENCE: We strive to be the best at what we do and a model for others to emulate.

Practices the Caring and Serving Model

Delivers personalized service using HM Service Standards

Provides for exceptional patient/customer experiences by following our Standards of Practice of always using Positive Language (AIDET, Managing Up, Key Words)

Intentionally collaborates with other healthcare professionals involved in patients/customers or employees' experiential journeys to ensure strong communication, ease of access to information, and a seamless experience.

Involves patients (customers) in shift/handoff reports by enabling their participation in their plan of care as applicable to the given job

Displays cultural humility, diversity, equity and inclusion principles

Actively supports the organization's vision, fulfills the mission and abides by the I CARE values

Responsibilities

PEOPLE ESSENTIAL FUNCTIONS Actively participates in the interviewing process of Nurse Practitioner and Physician Assistant 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.

Leads education and training of professional students through collaboration with department Nurse Practitioners and Physician Assistants 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.

Provides clinical guidance as a Nurse Practitioner or Physician Assistant subject matter expert to administrative and operations personnel. Includes 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. Uses peer-to-peer accountability towards improvement of employee engagement.

SERVICE ESSENTIAL FUNCTIONS 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/department/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.

Teaches coworkers to develop comprehensive plans of care in collaboration with patients and families, incorporating individual differences and preventive planning. Helps drive improvement of department score for patient satisfaction, through peer-to-peer accountability to service standards.

Partners with leaders to coordinate scheduling of Nurse Practitioners and Physician Assistants for staffing optimization of department or service line, prior to manager approval. Oversees patient assignment and distribution among Advanced Practice Providers, as appropriate.

QUALITY/SAFETY ESSENTIAL FUNCTIONS Leads care rounds to assure patient safety and satisfaction. Manages assignment of complex patient and other department demands, rounding on service lines weekly, as appropriate. 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.

Anticipates routine and unexpected changes based on evidence. Elevates emergent situations and leads/coordinates team to achieve issue resolution.

Provides safe and effective care by leading and initiating areas for improvement in patient care or unit/department 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/department projects, shared governance activities or interprofessional team activities.

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/department activities and process improvement.

FINANCE ESSENTIAL FUNCTIONS Implements department strategies to achieve financial target and mentors others to do the same through timely documentation of care, optimizing efficiency, and other areas according to departmental specifications, e.g., decreasing length of stay.

Measures and analyzes resource allocation based on patient needs and staff experience, knowledge, and skills; contributes to unit/department plans for resource utilization and capital needs. Identifies cost saving or revenue opportunities.

GROWTH/INNOVATION ESSENTIAL FUNCTIONS 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.

Demonstrates leadership as clinical resource, interprofessional consultant, and patient advocate by serving as an instructor in continuing education, formal program, or expert consultation. Identifies leadership opportunities for professional growth of Nurse Practitioners and Physician Assistants; coaches/mentors individuals to accomplishment of goals. Identifies, plans, and implements education for the unit, department, and/or service line in collaboration with team members and Nurse Practitioner/Physician Assistant leadership.

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. Ensures own career discussions occur with appropriate management. Completes and updates the My Development Plan on an on-going basis.

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 Master's degree in Nursing and Graduate from an accredited Nurse Practitioners program OR Bachelor's degree for Physician Assistant AND Graduate from accredited Physician Assistant program by National Commission on Certification of Physician Assistants (NCCPA)

WORK EXPERIENCE Three years of clinical experience as a Nurse Practitioners or five years of experience as a Physician Assistant in multi-specialty practice; May consider HM employee with three years' experience, one year who demonstrates progressive leadership abilities

Progressive management experience preferred

License/Certification

LICENSES AND CERTIFICATIONS - REQUIRED PA - Physician Assistant - State Licensure - If Physician Assistant OR

RN - Registered Nurse - Texas State Licensure and/or Compact State Licensure within 60 days OR

RN-Temp - Registered Nurse - Temporary State Licensure within 60 days AND

APRN - Advanced Practice Registered Nurse - Texas Board of Nursing AND

Magnet - ANCC Recognized Certification - If Nurse Practitioner as an Acute Care Nurse Practitioner, based on applicable patient population, i.e. ACNP, AG-ACNP, ACNPC-AG OR

AANP - Credentialed member, American Academy Of Nurse Practitioners (AANP) - If Nurse Practitioner as an Acute Care Nurse Practitioner, based on applicable patient population, i.e., ACNP, AG-ACNP, ACNPC-AG AND

BLS - Basic Life Support (AHA) AND

ACLS - Advanced Cardiac Life Support (AHA) AND

AP - Prescriptive Authority - Texas Board of Nursing AND

DEA - Narcotics License (DEA) within 6 months AND

PALS - Pediatric Advanced Life Support (AHA) within 6 months

LICENSES AND CERTIFICATIONS - PREFERRED FCCS - Fundamental Critical Care Support (SCCM) within 6 months

KSA/ Supplemental Data

KNOWLEDGE, SKILLS, AND ABILITIES 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

Demonstrates highly developed assessment, clinical, documentation, leadership, and analytical skills

Uses therapeutic communication to establish a relationship with patients, families and interprofessional team to collaborate on the plan of care

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 ATTIRE Uniform No

Scrubs Yes

Business professional Yes

Other (department approved) Yes

ON-CALL*

*Note that employees may be required to be on-call during emergencies (ie. DIsaster, Severe Weather Events, etc) regardless of selection below. On Call* Yes

TRAVEL**

**Travel specifications may vary by department** May require travel within the Houston Metropolitan area Yes

May require travel outside Houston Metropolitan area No

Company Profile

Houston Methodist Specialty Physician Group - As one of the nation's leading hospitals and academic medical centers Houston Methodist has brought together some of the nation's leading experts in multiple specialties to serve our patients. As part of Houston Methodist Specialty Physician Group (HMSPG), these specialists not only provide excellent clinical care, but are on the forefront of research, developing leading-edge technologies and treatments, and teaching the medical pioneers of tomorrow. This combination of clinical service, research and academics ensures patients have access to the latest in treatments and technologies while providing the best in comprehensive patient care. Established as a non-profit corporation and certified by the Texas State Board of Medical Examiners, HMSPG enables physicians to maintain autonomy with respect to their clinical practice while growing their practice within an academic environment.