Family Nurse Practitioner FNP

Job Description
Job Description: Family Nurse Practitioner (FNP)



SMART Purpose: Our purpose is to break the cycle of poverty and positively impact the trajectory of lives. We achieve this by identifying and delivering interventions to address the physical, social, emotional, and behavioral barriers to classroom success, and thus creating optimal conditions for learning through the deployment of Active Access to deliver Active Care for ALL students, school faculty and staff, and students' families.



Summary: Working closely with the SMART behavioral health provider(s), the Family Nurse Practitioner will proactively manage the student health population of a given school system in order to support academic achievement through the deployment of Active Access and the delivery of Active Care. This includes the provision of integrative, preventive, and basic primary health care, urgent care, and behavioral health care, as needed, by screening, assessing, triaging, referring, and following up with each student in accordance with the policies and procedures of FAITHworks, the laws of the state, and appropriate standards of good care. In addition, the Nurse Practitioner will also be available to diagnose and treat students' families, as well as school faculty and staff, to support student outcomes in keeping with the SMART Whole Child, Whole School approach. To perform this job successfully, an individual must be able to perform each essential duty satisfactorily. The requirements listed below are representative of the knowledge, skill, and/or ability required. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.

FTE: .50, work hours match school calendar

Salary Range: TBD per hour, commensurate with experience

PTO (to be taken during non-school days)

Benefits



Qualifications/Requirements

• National certification as a Family Nurse Practitioner with 3-5 years of work experience

• Must be licensed as an RN and as a Nurse Practitioner with prescriptive privileges in the state

• Must be ANA or ANCC certified as a Family Nurse Practitioner

• Master's degree in Nursing required

• Child Abuse Mandated Reporter Training required, which will be provided

• Pediatric, urgent care, and ICU experience preferred

• HIPAA compliance training

• CPR/BLS certification



Essential Duties and Responsibilities: The following list of duties is not intended to be restrictive or all-inclusive. The fact that certain duties may not be listed does not limit the assignment of additional and/or other duties.

Clinical Practice

• Utilize the scientific process and national standards of care as a framework for managing patient care.

• Maintain a close, ongoing relationship with physicians and consult with the appropriate FAITHworks physician as needed and in accordance with FAITHworks policies and procedures and standards of good care. Review more complex or serious patient problems with the appropriate FAITHworks physician at each session or with the on-call physician or the Associate Medical Director. Refer patients to the physician as needed and as outlined in FAITHworks policies and procedures and standards of good care. Confer with SMART Clinical Director to maintain clinical approach and practices in fidelity to SMART Model.

• Participate in Smart Team meetings, trainings, and school events as needed.

• Remain mindful of federal, FAITHworks, and SMART Model productivity guidelines.

• Participate in performance improvement, risk management, and peer review activities at FAITHworks as per FAITHworks policies and procedures. This includes peer review audits, chart reviews, etc.

• Provide health care through history-taking, physical assessment, regulatory compliance, injury care, and follow-up.

o Contact parents or send home a consent form when a student is not consented.

o Prioritize patients' needs and schedule different appointments based on what must be addressed first. Each single visit is performed in a timely manner, keeping in mind that:

• Classroom time is a priority

• There are no barriers to plan of care or transportation

• There is ease of access, which allows for frequent visits and regular follow-ups, all of which are proven to be highly efficacious

• Review family history and explain risk factors during each visit, which may include nurse visits, acute visits, well child visits, school/sport physicals, pregnancy, STI visits, etc.

• Review each patient's medical history and ensure there is a recent BMI; check immunization records and compare to school records; and perform age-appropriate screening.

• Identify individual trends/symptoms in patients and seek to resolve root causes (e.g., Are there too many kids going to the clinic for the same reason, such as headaches and/or stomachaches?)

• Determine if a follow-up is necessary for each student visit. If an appointment is required, communicate to the front desk staff through appropriate channels.

• Refer all patients who have not received an annual risk assessment to the Health and Wellness Coordinator/LCSW.

• Conduct integrated risk assessments on patients as needed/schedule allows.

• Establish priorities to meet the health and medical needs of the students, faculty, staff, and school community. As
part of SMART's Whole Child 360 approach, this may include families of students and faculty.

• Maintain accurate and confidential records per EHR protocols.

• Facilitate and implement systems that promote and maintain effective communication and team care coordination.

• Act as a resource and role model to the entire SMART Team, providing leadership that embodies the SMART purpose, professionalism, flexibility, and the highest level of customer service.

• Provide input and assist in the development of critical paths and other issues related to case management.

• Establish a diagnosis by utilizing critical thinking in the diagnostic process, synthesizing and analyzing the collected data, and formulating a differential diagnosis based on the history, physical examination, and diagnostic tests.

Team Management and Edification

• Encourage critical thinking and problem solving with the entire SMART Team.

• Identify developmental educational needs of the staff/unit.

• Identify learning needs and provide for programs that will increase staff's knowledge and improve clinical performance.

• Lead improvement science framework and rapid cycle change strategies, encouraging a flexible, entrepreneurial environment that displays a sense of urgency.

Development, Implementation, and Follow-Up of Treatment Plan

• Establish a mutually acceptable plan of care with the student.

• Adhere to clinical guidelines and best practices when formulating treatment plans, which may include prescriptive medication, consultation with other primary care providers or specialty providers (GYN, asthma and allergist, cardiologist etc.), and/or education on health promotion/lifestyle changes, as needed.

• Coordinate educational sessions with the Health and Wellness Coordinator based on the needs of the student population (e.g., STI/Reproductive Health Education, etc.).

o Referrals and follow-ups:

• Internal referrals to the Health and Wellness Coordinator

• External referrals to primary care or specialty care

• Follow-up as appropriate/needed

• Determine the effectiveness of the treatment plan with documentation of patient care outcomes.

• Reassess and modify the plan as necessary to achieve health and medical goals.

• Use data collected from eTHOS, the SMART Knowledge Management System, to identify individual students and for the aggregate population.

Care Priorities

• Reduce the physical and behavioral health conditions that create barriers to academic achievement.

• Focus on prevention and screening.

• Increase health literacy, self-care, and self-advocacy.

Interdisciplinary/Collaborative Responsibilities

• Participate as a team member in the provision of medical care, interacting with professional colleagues to provide comprehensive care.

• Support organizational strategic plans through participation in system-wide and corporate councils, as able.

• Offer expert advice and skill to the treatment team (i.e., physicians, nurses, ancillary staff, etc.), in order to facilitate the management of complex patient and work-related/safety problems.

• Maintain close collaboration with school administration, faculty and staff, and SMART Teams.

Continued Education and Self-Development

• Participate in quality assurance review, including systematic review of records and treatment plans on a periodic basis, per FAITHworks requirements.

• Apply standardized care guidelines in clinical practice.

• Identify and address opportunities to improve clinical practice and delivery of care.

• Assist with team analysis of eTHOS data, and other available data regarding patient populations, to identify issues and plan for improvement of care in conjunction with SMART Team members.

• Maintain current certification in compliance with current state law and organizational requirements.

• Attend SMART trainings and professional development offerings, including the Annual SMART Symposium.

• Attend continuing education seminars/classes pertinent to SMART Clinics-noting that attendance should correspond with a day that school is not in session or during professional development days to avoid an interruption in continuous patient care.

Additional Key Daily Responsibilities

• Ensure all charting for each patient is done every day at the end of the day. Charting includes:

o EHR charting

o eTHOS charting/SMART Knowledge Management System and database

• Participate in the daily huddle with the Population Care Coordinator and other SMART Team members, as appropriate.

• In conjunction with the nurse and medical assistant:

o Check supplies in the exam rooms, lab rooms, and medical rooms at the end of each day and stock the rooms, if needed.

o Prepare and properly package specimens for shipping (STIs, blood work, etc.), when applicable.

o If required, record and update required information in the immunization book every time a vaccine is administered.

Professional Characteristics

• Committed to the SMART purpose

• Excellent customer service and communication skills

• Strong critical thinking and problem-solving acumen

• Flexible and team-oriented, willing to facilitate all aspects and all levels of patient care, as needed

• Can perform highly developed psychological and physical assessment of patients

• Ability to work a flexible staffing schedule

• Self-motivated, entrepreneurial, and comfortable with innovation and change

• Excellent written skills

Other standards and competencies:

LANGUAGE SKILLS:

• Ability to read and interpret documents such as safety rules, operating and maintenance instructions, and policies/procedure manuals

• Ability to write routine reports and correspondence

• Ability to communicate effectively with staff, patients, and family members

MATHEMATICAL SKILLS:

• Ability to add, subtract, multiply, and divide in all units of measure, using whole numbers, common fractions, and decimals

• Ability to compute rate, ratio, and percent and to draw and interpret graphs

REASONING ABILITY:

• Ability to solve practical problems and deal with a variety of situations where only limited standardization exists

• Ability to interpret a variety of instructions furnished in written, oral, diagram, or schedule form

PHYSICAL DEMANDS: The physical demands described here are representative of those that must be met by an employee to successfully perform the essential functions of this job. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.

• While performing the duties of this job, the employee is regularly required to stand; walk; sit; use hands to finger, handle, or feel; reach with hands and arms; and talk or hear

• The employee must frequently lift and/or move up to 10 pounds

• Specific vision abilities required by this job include close vision, distance vision, color vision, peripheral vision, depth perception, and ability to adjust focus

SUMMARY OF OCCUPATIONAL EXPOSURE:

Classified by CDC as High Risk

Confidentiality: The School District/Medical Provider partner will execute a Business Associates Agreement (BAA) and a separate Non-Disclosure Agreement (NDA) that shall cover all patient health information (PHI), HIPAA, and FERPA.

Company DescriptionSMART (School Health Model for Academics Reaching All and Transforming Lives) FAITHworks is an educational solution that focuses on breaking the cycle of poverty and improving the trajectory of lives by supporting academic achievement through onsite SMART FAITHworks Health and Wellness Centers. Our centers identify and address the physical, behavioral, social, and emotional barriers to classroom success through the proactive delivery of on-site integrative health services, in real time