Cedars-Sinai Nurse Practitioner in Los Angeles, California

Requisition #: M11923
Working Title: Nurse Practitioner
Business Entity: MDN - Medical Delivery Network
Cost Center # - Cost Center Name: 0109000 - Operations
City: Los Angeles
Job Category: Allied Health/Clinical
Job Specialty: Other Allied Health
Position Type: Regular-F/T
Shift Length: 8hr
Hours: 8:00 a.m. - 5:00 p.m.
Days: Monday - Friday
Shift Type: Day
Weekends: None

Job Posting: Allied Health Professionals perform a vital role in Kerlan-Jobe Orthopaedic Clinic’s commitment to deliver effective and efficient quality health care services to its patients. Together, the collaborative physician and Nurse Practitioner (NP) will share responsibility for the health and welfare of our members. This dynamic position will provide support for pre-operative screening and post-operative rehabilitation management for the collaborating physician. The Nurse Practitioner (NP) position offers an opportunity to work closely with top academic and research physicians affiliated with the Cedars-Sinai Medical Center. The Nurse Practitioner will also work collaboratively with physicians in the multidisciplinary team working with the Kerlan-Jobe Institute.

The Nurse Practitioner (NP) is responsible and accountable for the application of the nursing process, supervision of clinical practice, research involvement, consultative services, inter and intradepartmental liaison, education, leadership, and patient care management across the healthcare continuum of the physician’s practice. The Nurse Practitioner’s practice incorporates both independent decision making abilities and collaboration with the physician to provide expert care to the patients.

Qualification Requirements/Preferences:

Education Certifications/Licensure Experience Physical Abilities QUALIIFICATIONS:

Nurse Practitioners (NPs) are registered nurses with specialized advanced education and clinical competency to provide health and medical care for diverse populations in a variety of primary, acute and long term care settings.

The Nurse Practitioner must have the following education and training:

1. Graduation from a Nurse Practitioner Program approved by the Board of Registered Nursing.

2. Current unrestricted Nurse Practitioner license issued by the State of California.

3. Minimum three years clinical nursing experience (including acute care, Cardiology and Pulmonary Hypertension).

4. Current Drug Enforcement Agency (DEA) Certificate.

5. Furnishing number issued by the Board of Registered Nursing (BRN).

ESSENTIAL DUTIES AND RESPONSIBILITIES:

A. ASSESSMENT OF HEALTH STATUS

1. Nurse Practitioner will independently obtain a relevant health and medical history.

2. Performs a physical examination based on age and history and dictates a progress note if needed with the appropriate physicians.

3. Performs and/or orders preventive and diagnostic procedures based on the patient’s age and history.

4. Identifies health and medical risk factors.

5. Nurse Practitioner will help coordinate timely consultations.

6. The Nurse Practitioner will help the physicians provide screening, consultation and answers to incoming questions from referring physicians.

7. Nurse Practitioner will have prescriptive authority to order and perform diagnostic tests including X-rays, MRI scans, CT scans, etc.

8. Nurse Practitioner will scree patients from enrollment of clinical trials and research projects and participate actively in the conduct of these clinical trials.

9. Communicates with and guides staff in relaying information regarding patient diagnosis, management plan, and progress as instructed by the collaborative physician.

10. Assesses quality of patient care delivery as instructed by collaborative physician.

11. Along with physician analyzes new skills, technology, and equipment for safety and clinical/fiscal efficiency.

B. DIAGNOSIS

The NP makes a diagnosis by:

• Utilizing critical thinking in the diagnostic process

• Synthesizing and analyzing the collected data

• Formulating a differential diagnosis based on the history, physical examination, and diagnostic test results

C. DEVELOPMENT OF A TREATMENT PLAN

The NP, together with the patient and family, will establish a mutually acceptable plan of care that maximizes health potential.

Formulation of the treatment plan includes:

• Ordering additional diagnostic tests

• Selecting appropriate pharmacologic and non-pharmacologic interventions

• Developing a patient education plan

• Appropriate consultation/referral

• Coordinate prescriptions with specialty pharmacies and help obtain authorizations for medications

D. IMPLEMENTATION OF THE PLAN

Actions by the NP are:

• Individualized

• Consistent with the appropriate plan of care

• Based on scientific principles, theoretical knowledge and clinical expertise

• Consistent with teaching and learning opportunities.

Actions include

• Accurately conducting and interpreting diagnostic tests

• Prescribing pharmacologic agents and non-pharmacologic therapies

• Providing relevant patient education

• Making appropriate referrals to other health professionals and community agencies

E. FOLLOW-UP ND EVALUATION OF CLIENT STATUS

The NP maintains a process for systematic follow-up by:

• Determining the effectiveness of the treatment plan with documentation of patient care outcomes

• Reassessing and modifying the plan as necessary to achieve health and medical goals

• Provide education to the patients about their conditions and the medications available for their use.

• Provide teaching about any drug prescribed and drug-drug interactions

• Nurse Practitioner will need to have excellent communication and interpersonal skills that will facilitate the delivery of exceptional health care service to our patients

F. THE NP’S PRATICE MODEL EMPHASIZES:

a. Patient and family education

b. Facilitation of patient participation in self care

c. Promotion of optimal health

d. Facilitation of entry into the health care system

e. The promotion of a safe environment

The NP participates as a team member in the provision of health and medical care, interacting with professional colleagues to provide comprehensive care.

The NP maintains accurate, legible and confidential records.

The NP participates in continuous quality review, including systematic review of medical and other records and treatment plans on a periodic basis, maintains current knowledge by attending continuing education programs.

COLLABORATING PHYSICIAN(S)

It is the responsibility of the NP to keep the collaborating physician(s) informed of his/her practice and to seek assistance, refer the patient to the physician or obtain further instructions from the physician whenever doubt exists or prudent medical practice dictates (See Collaborating Physician(s) Policy and Procedure).

STANDARDIZED PROCEDURE PROTOCOLS

The NO and the collaborating physician(s) will utilize The Standardized Procedure Protocols developed and designed to describe the steps of medical care for given patient situations/diagnosis/treatment: they are to be followed in the care and treatment of patients (See Standardized Procedure Protocols Policy and Procedure). The NP is responsible for participating in the establishment/review/revision of the Standardized Procedure Protocols.

The Standardized Procedure Protocols will be utilized in the evaluation of the care and services provided by the NP.

PRESCRIBING MEDICATIONS

The NP must maintain a current Furnishing Number and a DEA. All prescriptions not included in the NP Furnishing Formulary shall be authorized by the collaborative physician.

CODE OF CONDUCT

The NP will conduct all interactions with CSMG physicians, patients, visitors, employees or any other individual, with courtesy, respect and dignity. The NO will refrain from conduct that may be reasonably considered offensive to others or disruptive to the workplace or patient care. This includes the use of profanity, sexual comments or images, racial or ethnic slurs, gender-specific comments or any comments that would offend someone on the basis of his or her age, race, color, marital status, sex, sexual orientation, religion, national origin, and ancestry, physical or mental handicap.

ORGANIZATIONAL EXPECTAIONS

Demonstrates behavior which supports the Cedars-Sinai health System mission. Attends required orientation and training seminars and remain up to date with published pulmonary hypertension guidelines and the most important literature on all aspects of pulmonary hypertension. Meets production standards within established time requirements. Work product and performance meet community standards. Demonstrates respect and positive interpersonal skills with patients, clients, the public, managers and co-workers. Maintains confidentiality of patient care and business matters. Observes time, attendance and dress code standards. Protects the safety of others and of the physical plant and equipment, following institution policies for fire, safety and infection control regulations. The above statements are intended to describe the general nature and level of work being performed: They are not intended to be construed as an exhaustive list of all responsibilities, duties and skills required in the performance of this position.

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Cedars-Sinai is an EEO employer. Cedars-Sinai does not unlawfully discriminate on the basis of race, religion, color, national origin, citizenship, ancestry, physical or mental disability, legally protected medical condition (cancer-related or genetic characteristics or any genetic information), marital status, sex, sexual orientation, gender identity, gender expression, pregnancy, age (40 or older), military and/or veteran status or any other basis protected by federal or state law. If you need a reasonable accommodation for any part of the employment process, please contact us by email at and let us know the nature of your request and your contact information. Requests for accommodation will be considered on a case-by-case basis. Please note that only inquiries concerning a request for reasonable accommodation will be responded to from this email address.

Cedars-Sinai will consider for employment qualified applicants with criminal histories, in accordance with the Los Angeles Fair Chance Initiative for Hiring.