FTE/Scheduled Weekly Hours: 1.00 / 40 / 1st Shift (United States of America) PRIMARY FUNCTIONS Plans and directs care in the clinic and nursing home setting independently and in collaboration with Physicians and other health care professionals, providing primary health care to individuals and families that emphasize health promotion and disease intervention. This includes, but is not limited to, comprehensive assessment, ordering, conducting and interpreting diagnostic tests, prescribing pharmacologic agents and treatments and non-pharmacologic therapies, and performing procedures within the scope of expertise and organizational protocols. ESSENTIAL DUTIES AND RESPONSIBILITIES 1. Assessment • Assesses patients in clinic setting through physical examination and comprehensive history taking. • Assesses need for preventive health maintenance and screening based on age, presence of risk factors, and an understanding of principles of growth and development over the life span. • Differentiates normal and abnormal physical and psychosocial findings and determines which require consultation and/or referral to Physician or other health care professionals. 2. Treatment Plan • Determines diagnosis and develops a treatment plan. • Orders appropriate diagnostic studies, reviews results of the tests, and discuss these results with the patient, family, and Physician as appropriate. • Makes decisions and takes actions on behalf of patients that are guided by ethical standards, including maintaining confidentiality, and delivers care in a non-judgmental and non-discriminatory manner. • Prescribes and administers medications or therapeutic devices in accordance with regulations. • Evaluates progress of care and shows ability to reassess situation, and assists patient and family in setting care goals. 3. Patient Communication • Counsels patients and families on health and medical issues to help them understand limitations and abilities. • Communicates with the patient and others regarding roles in patient care, and makes referrals, including provisions for continuity of care as needed. • Addresses calls and concerns from patients in a timely manner. 4. Patient Health Record and Billing • Ensures documentation of all pertinent patient information meets organizational standards. • Utilizes CPT and ICD-10 coding and codes appropriately. 5. Medical Staff and Community Relations • Communicates effectively with the direction of the Physician allowing for the best patient care experience. • Interacts regularly and positively with the Medical Staff. • Demonstrates the ability to respond to emergency situations and prioritizes patient care needs. • Acts as a resource person for decisions and planning regarding mid-level services in the clinic. • Reads and discusses published research for application to practice and uses research findings in practice as appropriate. • Interacts positively with other community agencies, and seeks out appropriate partnerships that would benefit the institution and its patients. 6. Quality • Assists in assuring the establishment and maintenance of standards of care and standards of practice. • Demonstrates knowledge of current Standards of Practice and applies them to daily practice. • Evaluates the quality and effectiveness of patient care delivery and acts on findings, including making recommendations to Administration. • Considers factors related to safety, effectiveness, and cost in planning and delivering patient care. • Assures compliance with all applicable regulations and Joint Commission standards. MINIMUM QUALIFICATIONS 1. Education, Experience, and Training Iowa Board of Nursing Certification as an Advanced Registered Nurse Practitioner in the Specialty of Certified Nurse Practitioner required. Must possess current Iowa Registered Nurse License. Must possess a current DEA registration and State of Iowa Controlled Substances Act registration. Must possess Master’s Degree or Bachelor’s Degree plus three years of directly related clinical experience. Must possess Master’s Degree if practicing in an outreach clinic or off-site satellite location. Previous experience as an Advanced Registered Nurse Practitioner in a clinical and/or nursing home setting preferred. Must possess the ability to function independently under general guidance of the supervising Physician and the policies and procedures of the institution. Must possess and demonstrate critical thinking skills. Ability to learn and navigate computer systems including the online training modules, the employee timesheet and the performance appraisal system. Job specific systems are also required. Must maintain emotional stability in emergency situations. Must possess valid certifications as determined by hospital privilege delineation. Must be able to read, speak, and write fluent English. 2. Physical Requirements Sitting – Approximately 25% of shift. Standing – Approximately 50% of shift. Walking – Approximately 25% of shift. Lifting – Approximately 25 pounds. Twisting – Infrequent. Bending – Infrequent. Squat/Kneel – Not a requirement. WORK ENVIRONMENT 1. May come in contact with hazardous chemicals or treatment modalities. 2. The possibility exists of exposure to communicable disease due to working in a healthcare environment. 3. Involvement in patient care may result in unavoidable work-related illnesses. This job description in no way states or implies that these are the only duties to be performed by the employee occupying this position. A review of this description has excluded the marginal functions of the position that are incidental to the performance of fundamental job duties. All duties and responsibilities are essential job functions. Employees will be required to follow any other job-related instructions and to perform any other job-related duties requested by his/her manager. Requirements are representative of the minimum levels of knowledge, skills, and/or abilities. To perform this job successfully, the employee will possess the abilities or aptitudes to perform each duty proficiently. Some requirements may exclude individuals who pose a direct threat or significant risk to the health and safety of themselves or other employees. All requirements are subject to possible modification to reasonably accommodate individuals with disabilities. This document does not create an employment contract, implied or otherwise, other than an "at will" employment relationship with the Waverly Health Center. This job description in no way states or implies that these are the only duties to be performed by the employee occupying this position. A review of this description has excluded the marginal functions of the position that are incidental to the performance of fundamental job duties. All duties and responsibilities are essential job functions. Employees will be required to follow any other job-related instructions and to perform any other job-related duties requested by his/her manager. Requirements are representative of the minimum levels of knowledge, skills, and/or abilities. To perform this job successfully, the employee will possess the abilities or aptitudes to perform each duty proficiently. Some requirements may exclude individuals who pose a direct threat or significant risk to the health and safety of themselves or other employees. All requirements are subject to possible modification to reasonably accommodate individuals with disabilities. This document does not create an employment contract, implied or otherwise, other than an "at will" employment relationship with the Waverly Health Center. Patients and families choose hospitals and providers for many reasons. It’s no surprise that quality of care tops the list. What is surprising is when top-quality care is combined with convenience and comfort at the highest levels — especially in a small community. That’s an experience beyond expectations. Waverly Health Center surpasses the level of care one would expect to find in a small town. The breadth and depth of services make it convenient for you to remain close to home, avoiding the stress of traveling for your care. It all works out to a rare combination: We’re big enough to care for you, but small enough to care about you. We know you’ll be pleasantly surprised by our friendly, professional staff and comfortable setting.

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