1+ months

Lead Nurse Practitioner, Lead Physician Assistant

Houston Methodist
Houston, TX 77002

Work Shift: DAY

Work Week: M \ F

Job Summary

At Houston Methodist, the Lead Nurse Practitioner (NP)/Physician Assistant (PA) position is a clinical leader and scholar who functions at the Expert level of Benners model of clinical practice or according to the Board of Physician Assistant Examiners. This position leads and coordinates interdisciplinary activities, focusing on clinical practice, consultation, education and research, incorporating evidence into practice. The Lead NP/PA position conducts comprehensive assessments, identifying normal and abnormal health characteristics, develops plan of care with physician and/or the nursing staff, initiates appropriate interventions and evaluates care outcomes on a defined patient population. This position uses expert communication skills to serve as patient and family advocate to educate, mentor and coach staff in clinical practice, assuming an advanced leadership role in analyzing systems to anticipate and or reduce risk and improve patient safety and quality. In addition to responsibilities which include contributions at the unit and house wide levels, with expectation to collaborate, manage, and lead system wide and national initiatives, this position functions as a clinical provider maintaining and promoting health of the patient requiring acute care. The Lead NP/PA position affects direct patient care according to the Nurse Practice Act of the state of Texas or the Board of Physician Assistant Examiners.

Refer to departmental "Scope of Service" and "Provision of Care" plans, as applicable, for description of primary age groups and populations served by this job for the respective HM entity.

oProvide personalized care and service by consistently demonstrating our I CARE values:
\INTEGRITY: We are honest and ethical in all we say and do.
\COMPASSION: We embrace the whole person including emotional, ethical, physical, and spiritual needs.
\ACCOUNTABILITY: We hold ourselves accountable for all our actions.
\RESPECT: We treat every individual as a person of worth, dignity, and value.
\EXCELLENCE: We strive to be the best at what we do and a model for others to emulate.
oFocuses on patient/customer safety
oDelivers personalized service using HM Service Standards
oProvides for exceptional patient/customer experiences by following our Standards of Practice of always using Positive Language (AIDET, Managing Up, Key Words)
oIntentionally rounds with patients/customers to ensure their needs are being met
oInvolves patients (customers) in shift/handoff reports by enabling their participation in their plan of care as applicable to the given job

Job responsibilities labeled EF capture those duties that are essential functions of the job.

PEOPLE \ 20%
1.Role models and coaches staff to use efficient and effective communication to establish and maintain a team environment, and to include the patient and family as a part of the team regarding their plan of care. Partners with the interprofessional health care team to facilitate communication with patient and family across the continuum of care. Fosters staff engagement by demonstrating active listening, requesting and acknowledging feedback, making equitable decisions, providing rationale when appropriate, and supporting organizational goals. (EF)
2.Leads education and training of professional students through collaboration with faculty and supervising clinical activity. Supports and provides coordination and direction to other physician assistants, nurse practitioners and other staff by proactively offering assistance. Serves as a preceptor by mentoring others regarding care of defined populations in resource utilization and time management. (EF)
3.Actively participates in the interviewing process of candidates in department or service line. Coordinates the orientation schedule of newly hired Nurse Practitioners and Physician Assistants, as appropriate. Collaborates in the preparation of annual evaluations with supporting physicians and management personnel to ensure all paperwork is in compliance with all HR policies and guidelines (EF)

1.Conducts quality, timely, license\appropriate, patient care, under physician supervision, for a defined patient population(s), identifying normal/abnormal health characteristics, recognizing subtle cues to change in patient condition and focusing on identified expected unit/optimal outcomes, individualized to the patient. Prioritizes care based on the patients needs, abilities and preferences. Advocates for patients/families concerning ethical conflicts' develops supportive policies and guidelines, offers educational resources' empowers patients/families to speak/represent selves when possible. (EF)
2.Teaches coworkers to develop comprehensive plans of care in collaboration with patients and families, incorporating individual differences and preventive planning. (EF)
3.Oversees patient assignment and distribution among Advanced Practice Providers for consults, new admissions, inpatients, as appropriate. Partners with leaders to coordinate scheduling for staffing optimization of department or service line, prior to manager approval. (EF)

1.Leads patient/family care rounds to assure patient safety and satisfaction. Rounds on service lines weekly, as appropriate, managing assignment of complex patient and other department demands. Reports near misses as well as errors promptly and consistently to improve systems and processes and identify trends' role models situational awareness using teachable moments to improve safety. (EF)
2.Anticipates routine and unexpected changes based on evidence. Elevates emergent situations and leads/coordinates team to achieve issue resolution. (EF)
3.Provides safe and effective care by leading and initiating areas for improvement in patient care or unit operations, outcome, quality and patient safety improvement activities in alignment with organizational goals. Integrates, modifies, and contributes to professional practice standards, policies, procedures, protocols by participating in unit projects, shared governance activities or interdisciplinary team activities. (EF)
4.Leads and supports colleagues and staff in conducting evidence\based practice/performance improvement projects and implementing findings. Facilitates active involvement of others in team meetings, unit activities and process improvement. (EF)

1.Implements department strategies to achieve financial target on entity scorecard and mentors others to do the same through timely documentation of care, decreasing length of stay, optimizing efficiency, and other areas according to departmental specifications. (EF)
2.Measures and analyzes resource allocation based on patient needs and staff experience, knowledge, and skills' contributes to unit plans for resource utilization and capital needs. Identifies cost saving or revenue opportunities. (EF)

1.Promotes quality health care by initiating, applying and presenting research in collaboration with the Education Department, Research and Evidenced Based Practice Council, nursing, physician assistant or medical schools as appropriate. Contributes to professional practice standards at hospital/regional/national level. (EF)
2.Demonstrates leadership as clinical resource, interdisciplinary consultant, and patient advocate by serving as an instructor in continuing education, formal program, or expert consultation. Identifies leadership opportunities for professional growth of staff' coaches/mentors individuals to accomplishment of goals. Identifies, plans, and implements education for the unit and service line in collaboration with team members and Nurse Practitioner/Physician Assistant Service leadership. (EF)
3.Generates and communicates new ideas to lead team to creative strategies that improve quality or service and impact the department and address organization or department priorities. (EF)

This job description is not intended to be all inclusive' the employee will also perform other reasonably related business/job duties as assigned. Houston Methodist reserves the right to revise job duties and responsibilities as the need arises.

oMasters degree for Nurse Practitioners or Bachelors degree for Physician Assistant

oThree years of clinical experience as an Nurse Practitioners or five years of experience as a Physician Assistant in multi\specialty practice
oProgressive management experience preferred

oLicensed and Credentialed by the Texas Board of Physician Assistants or Texas RN license or temporary TX RN license, must obtain permanent license within 90 days
oRecognized and licensed as an Advanced Practice Nurse (APRN) in the State of Texas
oCertified by American Nurses Credentialing Center (ANCC) or American Association of Nurse Practitioners (AANP) as an Acute Care Nurse Practitioner, based on applicable patient population, i.e. Acute Care Nurse Practitioner (ACNP), Adult\Gerontology Acute Care Nurse Practitioner (AG\ACNP), Acute Care Adult Gerontology Nurse Practitioner (ACNPC\AG)
oAmerican Heart Association Basic Life Support (BLS)
oAmerican Heart Association Advance Cardiac Life Support (ACLS)
oPrescriptive authority privileges through the State of Texas
oDrug Enforcement Administration (DEA) registration within 6 months of hire
oAmerican Heart Association Heartcode Pediatric Life Support (PALS) within 6 months of hire preferred
oFundamentals of Critical Care Support (FCCS) certification within 6 months of hire preferred

oDemonstrates the skills and competencies necessary to safely perform the assigned job, determined through on\going skills, competency assessments, and performance evaluations.
oSufficient proficiency in speaking, reading, and writing the English language necessary to perform the essential functions of this job, especially with regard to activities impacting patient or employee safety or security
oAbility to effectively communicate with patients, physicians, family members and co\workers in a manner consistent with a customer service focus and application of positive language principles
oAbility to communicate in a comprehensive, unbiased, and open way with all health team members in the department and across the institution
oDemonstrates knowledge and behaviors related to environmental, employee or patient safety requirements
oDemonstrates highly developed assessment, clinical, documentation, leadership and analytical, training and mentoring skills
oAbility to adapt to unexpected changes. Ability to facilitate and lead the change process
oDemonstrates adaptability and flexibility in the face of changing demand
oKnowledge of clinical and operational improvement processes
oProficiency in Microsoft office software, as well as the ability to learn new software programs
oProven problem solving and analysis skills
oActive member in pertinent professional organizations

Work AttireYes/No
Uniform No
Business professionalYes
Other (dept approved) No

On\Call* Yes, on a limited basis (for Exempt jobs only)
*Note that employees may be required to be on\call during emergencies (ie. Disaster, Severe Weather Event, etc.) regardless of selection above.

May require travel within Yes
Houston Metropolitan area

May require travel outside No
of Houston Metropolitan area

**Travel specifications may vary by department.

Please note any other special considerations to this job: _________________________

Equal Employment Opportunity

Houston Methodist is an Equal Opportunity Employer.

Equal employment opportunity is a sound and just concept to which Houston Methodist is firmly bound. Houston Methodist will not engage in discrimination against or harassment of any person employed or seeking employment with Houston Methodist on the basis of race, color, religion, sex, sexual orientation, gender identity,national origin, age, disability, status as a protected veteran or other characteristics protected by law.

VEVRAA Federal Contractor €“ priority referral Protected Veterans requested.

Company Profile

Houston Methodist Specialty Physician Group\ As one of the nation's leading hospitals and academic medical centers Houston Methodist has brought together some of the nation's leading experts in multiple specialties to serve our patients. As part ofHouston Methodist Specialty Physician Group(HMSPG), these specialists not only provide excellent clinical care, but are on the forefront of research, developing leading\edge technologies and treatments, and teaching the medical pioneers of tomorrow. This combination of clinical service, research and academics ensures patients have access to the latest in treatments and technologies while providing the best in comprehensive patient care. Established as a non\profit corporation and certified by the Texas State Board of Medical Examiners, HMSPG enables physicians to maintain autonomy with respect to their clinical practice while growing their practice within an academic environment.



Posted: 2020-05-14 Expires: 2020-09-11

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Lead Nurse Practitioner, Lead Physician Assistant

Houston Methodist
Houston, TX 77002

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