Summary:- Ref #: MS-NP-
- Profession: Nurse Practitioner (NP)
- Specialty: Correctional/Primary Care/Family/Gerontology/Obstetrics/Emergency
- Job Type: Contract
- Facility Type: Correctional
- Location: Avenal, California
- Start Date: ASAP
- Duration: 28 weeks
- Schedule:Mon-Thu, 7A-5P
- Rate: $55/hour
Requirements:- Active California Advanced Practice Registered Nurse (CA APRN) license
- A minimum of two (2) years of experience in primary care (adult) as a Nurse Practitioner and within the last three years.
- NP residents should be recent graduates, completing their accredited Masters or DNP program no more than twenty (24) months prior
- Must be credentialed or license/credential-eligible as a Family Nurse Practitioner (FNP-C) or Adult Gerontology Nurse Practitioner (AGNP-C)
- Specialty Services: In addition to the above requirements, NPs who are requested to work in specialized areas such as Emergency Medicine, Surgery, etc., must also have at least two years (2) years of experience within the last 3 years providing patient care within that setting and possess any required certificates.
- Obstetrics/Gynecology: NPs who will be staffed at female institutions/facilities must possess a minimum of one (1) year of experience within the last five (5) years providing obstetric and gynecological nursing or patient care services in a healthcare setting.
- Clinical competencies must be up-to-date and validated for the specific area in which the NP will be assigned.
Responsibilities: Under the guidance of the Institution/Facility CEO/CME or their designee, the NP will deliver services within the scope of practice for NP services, adhering to Institution/Facility rules, regulations, policies, and procedures.
- Standards of Obligation: Provide high-quality services, consistent and in alignment with established and widely accepted standards and principles of medical practice. This Agreement does not override the common law rules governing the interpretation of established and widely accepted standards and principles of medical practice.
- Treatment Authorization: Except for emergency and primary care services, NP must obtain prior written authorization from the respective Institution/Facility CEO/CME or designee, as per the Utilization Management Plan. All necessary forms related to the treatment of patients/youth must be completed and submitted. Authorization for essential services must be documented in the patient/youth medical record before considering non-emergency specialty treatment, consultations, or diagnostic procedures not specified in a prior authorization form.
- Transportation/Transfer Authorization: NPs are not permitted to transfer a patient/youth to any Institution/Facility without prior written authorization from the appropriate Institution/Facility CEO/CME or designee.
- Experimental and Investigational Drugs and Procedures: NPs are prohibited from performing or administering any experimental or investigational treatment, therapy, procedure, or drug to any patient/youth unless authorized under law. Such treatment must have prior authorization from the Institution/Facility CEO/CME or designee and appropriate Office of Legal Affairs, unless otherwise permissible by law. NPs are expected to perform or administer only those medical services that are recognized as being in accordance with generally accepted professional medical standards and deemed safe and effective for treating the relevant illness, injury, or condition, subject to the limitations outlined in this Agreement.
- Exclusions and Limitations: NP shall agree that no healthcare service or treatment shall be provided for conditions specifically listed in California Code of Regulations (CCR), Title 15, Division 3, Chapter 1, Subchapter 4, Article 8, Section 3350.1. However, NP may seek individual case exceptions for excluded or limited healthcare services or treatment by obtaining prior approval from the Institution/Facility's CEO/CME or designee. NP shall agree that any excluded healthcare service or treatment required for pre-existing conditions will be provided only in cases where the condition has become aggravated to a significant threat to the patient's/youth's current health. Treatment is permissible if failure to provide it would result in morbidity and/or mortality. The appeal for such treatment must be recognized as medically necessary. When prior authorization is granted, the Medical Standards of Care shall be used as a reference.
- Clinical Reviews: Upon request from the Institution/Facility's CEO/CME or designee, NP will conduct clinical reviews to assess the quality of clinical care provided. This may involve reviewing index cases (deaths, adverse outcomes, etc.) to evaluate clinical quality. As part of the clinical review process, NP may be required to participate in Professional Practice Committee activities and could be called as a witness during such activities. The clinical review process may include examining written health records, engaging in discussions with Physicians, Physician Assistants, and/or Nurse Practitioners, as well as Facility supervisors, and conducting direct patient/youth examinations. NP conducting clinical reviews must possess the necessary skills to prepare written clinical review documents.
- A copy of the formulary will be provided and kept on file by the NP. NP will consult with NP or Physician to ensure that, whenever possible, only medications listed in the formulary are prescribed, unless prior authorization is granted by the Institution/Facility's CEO/CME or designee for any deviations.
