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Phelps County Regional Medical Center Nurse Practitioner/Physician Assistant- Medical Group in St James, Missouri

The Nurse Practitioner/Physician Assistant, in collaboration and consultation with physicians, staff RNs and other health care professionals, provides holistic, compassionate care to Members and families. The Nurse Practitioner/Physician Assistant practices within the context of collaborative management with a physician(s) in diagnosing, managing, and preventing acute and chronic illness and disease, and promoting wellness. Nurse Practitioners have an advanced nursing practice that includes independent nursing functions based on the applicable Scope of Practice, nursing standards of care and a role in medical management within a collaborative agreement with a physician(s).


  • Performs in-depth health risk assessments on all assigned Members

  • Works collaboratively with physicians, case managers, social workers, family members, key care givers and any appropriate ancillary medical personnel as appropriate

  • Responsible for identifying overall quality improvement activities through assessing and planning health care which is individualized to the member and consistent with policies and protocols

  • Reviews and interprets the medical, surgical and social history of members

  • Performs appropriate screening procedures for members

  • Interprets laboratory and other diagnostic data and recommends appropriate treatments or actions for follow-up, reconciles medications

  • Responsible for prescribing or performing various treatment modalities - including, but not limited to: medications, injections, wellness counseling, suturing and ancillary testing

  • Is compliant with OSHA, State Board of Nursing

  • Participates in all mandatory compliance and other training programs, seeks guidance for compliance-related concerns and adheres to all applicable laws, regulations, policies and procedures

  • Refers members to PCP, case management and disease management programs as necessary

  • Practices in accordance with applicable local, state, and federal laws which govern confidentiality and medical information privacy regulations (HIPAA)

  • Consistently identifies unmet needs and gaps in care, and initiates appropriate referrals as indicated

  • Synthesizes information and easily diagnoses and creates a comprehensive plan of care.

  • Achieves clinical performance targets.

  • Accurately completes HRA and achieves target quality metrics

  • Participates in different roles or interdisciplinary teams as assigned

  • Communicates and collaborates with Facility leadership to achieve Member care needs and goals

POSITION REQUIREMENTS: Knowledge, Skills and Abilities:

  • Must be able to demonstrate computer skills, including use of e-mail and Microsoft office word and excel

  • Must be able to demonstrate effective written communication skills including but not limited to writing reports and correspondence

  • Must be able to demonstrate effective verbal communication skills, including but not limited to speaking effectively to members, providers, families and staff and listening to members, providers and families

  • Demonstrated ability to meet deadlines, and use time effectively and efficiently.

  • Demonstrated successful experience working in an environment of change. Effectively copes with change and uncertainty; responds and "shifts gears" comfortably

  • Is dedicated to meeting the expectations and requirements of both external and internal customers, acts with customers in mind

  • Demonstrated ability to establish and maintain effective relationships with customers, and gain their trust and respect

  • Uses logical methods to solve problems with effective solutions; looks beyond the obvious for solutions

  • Is action oriented and sees challenges as opportunities

Baseline Clinical Knowledge

  • Minimum 2 years clinical experience as a Nurse Practitioner/Physician Assistant in geriatric, adult or family practice setting

  • Proven ability to perform comprehensive, adult/geriatric physical exam

  • Demonstrated ability to identify, diagnose and document chronic disease in adults

  • Demonstrated ability to recognize conditions, characteristics, and behaviors that place seniors at risk

  • Proven ability to pursue feedback, continuing education and professional development

  • Ability to effectively reconcile medications

  • Demonstrated ability to identify and document the needs of clinically complex Members

  • Pertinent Clinical Work Experience which is relevant to population being served.


  • Graduated from an accredited Adult/Gerontological Primary Care Nurse Practitioner/Physician Assistant program


  • Current RN and NP or PA licensure in state of practice

  • Board certification by AANP or ANCC, in Adult, Family Practice and Geriatrics or Adult-Gerontology Primary Care.

  • Current CPR certification through American Heart Association


  • Geriatric certification. If not certified, certification must be obtained within 18 months of employment.

  • NCBDE National Certification Board for Diabetes Educators is preferred.

  • Knowledge of community resources

  • Previous experience working with behavioral health populations

  • Experience working with low income and disadvantaged populations

  • Previous work with vulnerable adults or senior population

Travel Requirements: Travel required

  • Must meet company driving standards

  • Must have valid state driver's license and be able to drive a car

  • Must meet company's automobile liability insurance standards and provide proof of coverage

  • Must be able to independently travel to assigned locations

Physical and Psychological Demands:

  • Requires prolonged sitting

  • Requires bending, stooping, twisting, kneeling, crouching, crawling and/or stretching from seated or standing positions

  • Requires eye-hand coordination and manual dexterity sufficient to operate medical equipment, computer tablet, computer keyboard, telephone, copier, calculator and other office equipment

  • Requires close vision, peripheral vision, and ability to adjust visual focus, hearing and smelling

  • Must be able to communicate information via telephone or computer

  • Requires moderate to intense concentration due to complexity of the job

  • Must be able to lift and/or move up to 50 lbs.

  • Must be able to observe "Universal Precautions" for blood-borne pathogens and body fluids

Work Environment: The work environment characteristics described here are representative of those an employee encounters while performing the essential functions of this job. Reasonable accommodations may be made upon request to enable individuals with disabilities to perform the essential functions. While performing the duties of this job, the employee is occasionally exposed to variable temperatures, fumes or airborne particles, blood and other body fluids. The noise level in the work environment is usually moderate. The time will be split between administrative and clinical duties based on the needs of facility. The preceding functions may not be comprehensive in scope regarding work performed by an employee assigned to this position classification. Management reserves the right to add, modify, change or rescind the work assignments of this position. Management also reserves the right to make reasonable accommodations so that a qualified employee(s) can perform the essential functions of the position.