H&P - Nurse Practitioner

About the role

Job Type: Regular

Scheduled Hours: 40

About the role

St. Elizabeth Physicians is seeking a compassionate, detail-oriented Nurse Practitioner (NP) to join our History & Physical (H&P) team. This role focuses on completing comprehensive pre-procedure patient evaluations and helping ensure patients are appropriately assessed and prepared for their planned procedure.

The ideal candidate will have strong assessment skills, sound clinical judgment, excellent attention to detail, and the ability to work both independently and collaboratively with physicians, nursing, anesthesia, and other members of the care team.

Position Highlights

• Dedicated History & Physical (H&P) Nurse Practitioner position
• Focus on comprehensive patient history and physical examinations in preparation for procedures
• Collaborative environment working with physicians, nursing, anesthesia, and other members of the interdisciplinary care team
• Opportunity to use advanced assessment and clinical decision-making skills in a focused patient-care setting
• Nurse Practitioner candidates only

Essential Duties and Responsibilities

• Obtain and review patient histories, medical records, referral information, and relevant electronic medical record documentation.
• Perform comprehensive patient histories, including chief complaint, history of present or related illness, current medications, allergies and reactions, past medical history, family history, social history, and review of systems.
• Perform appropriate physical examinations, including assessment of vital signs and organ systems relevant to the patient's condition and planned procedure.
• Identify pertinent medical conditions, risk factors, abnormal findings, or changes in patient status that may affect the patient's planned procedure.
• Review available laboratory, diagnostic, and screening results and obtain additional information when clinically appropriate.
• Integrate history, physical examination findings, diagnostic information, and available medical records to develop an appropriate clinical impression and plan.
• Collaborate and communicate with physicians, anesthesia, nursing, and other members of the interdisciplinary care team regarding findings requiring additional evaluation or follow-up.
• Complete accurate, timely, and thorough H&P documentation within the electronic medical record in accordance with organizational and medical staff requirements.
• Educate patients and families regarding the evaluation process, identified needs, and appropriate follow-up as applicable.
• Escalate significant or unexpected clinical findings to the appropriate physician or care team member.
• Promote patient safety, confidentiality, advocacy, and a positive patient experience.
• Participate in quality improvement, continuing education, peer review, and other activities designed to support clinical quality and regulatory compliance.
• Maintain compliance with applicable laws, regulations, organizational policies, clinical standards, and patient confidentiality requirements.
• Perform other duties and responsibilities as assigned.

Additional information

The H&P-specific clinical elements above are based on St. Elizabeth's medical staff requirements for H&P examinations, which identify the required history, examination, clinical impression, and plan components. [Healthcare...01.06.2025 | PDF]

Required Knowledge, Skills, and Abilities

Clinical Knowledge

• Advanced knowledge of anatomy and physiology, pathophysiology, pharmacology, therapeutics, and clinical assessment.
• Strong knowledge of comprehensive history-taking and physical examination techniques.
• Knowledge of diagnostic testing, interpretation of results, and clinical decision-making.
• Ability to recognize clinical findings and patient risk factors that warrant additional evaluation or physician review.
• Knowledge of patient safety, infection prevention, and confidentiality standards.
• Understanding of health promotion, disease prevention, and patient education principles.

Additional information

These qualifications also remain consistent with the clinical knowledge requirements used in the existing Hospitalist APP (Overnight) Job Description. [Hospitalis...escription | Word]

Professional Skills

• Strong clinical assessment and critical-thinking skills.
• Excellent oral and written communication skills.
• High level of accuracy and attention to detail in clinical documentation.
• Proficiency with electronic medical record systems.
• Strong time-management, organizational, and multitasking abilities.
• Ability to analyze clinical information, identify concerns, and appropriately escalate findings.
• Ability to interpret and apply clinical guidelines, policies, and procedures.
• Ability to practice independently within scope while collaborating effectively with physicians and interdisciplinary care teams.
• Strong interpersonal skills and commitment to patient-centered care.
• Demonstrated ability to work successfully within a team-based care environment.

The communication, EMR, clinical reasoning, time-management, independent-practice, and team-based skills are also consistent with St. Elizabeth's existing provider job-description language. [Hospitalis...escription | Word], [Krystie Da...ls in chat | Teams]

Education

• Graduate of an accredited Nurse Practitioner program.
• Master's degree or higher as required by applicable certification and licensure standards.

Licensure and Certification

• Current license as an Advanced Practice Registered Nurse (APRN) in the state(s) required for the position, or ability to obtain appropriate licensure prior to start date.
• Current national certification as a Nurse Practitioner applicable to the position.
• Additional certifications, prescriptive authority, or other credentials as required by the position, applicable law, and organizational policy.

Preferred Qualifications

• Previous Nurse Practitioner experience in pre-procedure assessment, perioperative care, hospital medicine, internal medicine, primary care, or another setting requiring comprehensive history and physical examinations preferred.
• Experience evaluating medically complex patients and identifying conditions requiring additional evaluation or escalation.
• Experience working collaboratively with physicians, anesthesia, nursing, and interdisciplinary care teams preferred.
• Strong electronic medical record documentation skills.