Heal at Home Nurse Practitioner – St Louis


Job Title: Nurse Practioner

Reports To: Heal At Home Physician/Operations Manager
The Heal at Home Nurse Practitioner (NP) is an advanced practice Registered Nurse in an expanded role that
provides acute health care to adults in the comfort of their homes. The NP is equipped with point of care
resources to treat acute illness in lieu of ED visit or Hospitalization. In your role with Heal at Home you will
provide comprehensive assessments, as well as POC labs, Infusion Therapies, medication management, ancillary
services deployment over a 3–4-day period to stabilize the patient. You will perform history and physical
examinations for acute and chronic illness care, and health education to patients and their families, as well as
promoting health and wellness. The NP works under the supervision and direction of a physician. The NP
represents Esse Health by providing health care information to Esse patients and the community through individual
and group encounters.
• Education: Formal training which will be indicated by a master’s degree of Science in Nursing.
• Licensure/Certification: A Missouri Registered Professional Nursing license, if not already, must become
board certified within 2 years of employment date. The NP will maintain active certification as defined by
either the National Certification Board or Internal Medicine Nurse Practitioners or the American Nurses
Association Certification Board.
• Current BLS required, ACLS certification preferred.
• Years of Experience: At least one year of experience and board certified, or board eligible for
certification by the National Certification Board of Internal Medicine Nurse Practitioners and Nurses or
American Nurses Association.
• Those with less than two years of experience as an APP, but with two or more years’ experience as a
paramedic, RN (ED or ICU), Flight Nurse or a graduate from an ENP program or fellowship (NP’s) or
EM/Hospitalist residency (PA’s) are also encouraged to apply.
Knowledge, Skills & Abilities:
– Possess knowledge of Family health issues including normal versus abnormal physical findings, normal
versus abnormal diagnostic test findings, nutrition, assessment and treatment of acute and episodic
chronic illness, family, and community dynamics.
– Identify and proactively solve problems.
– Driving or riding in a vehicle to the place of service.
– Medical coding proficiency.
– Possess the skills of physical exam and developmental screening.
– Thorough knowledge of medical terminology.
– Provide therapeutic interventions, such as starting peripheral IV, infusion therapy, wound care, and minor
– Advanced knowledge of pharmacology.
– Understanding of insurance coverage.
– The ability to provide individual and group health education and participate in health care research.
– The ability to interact professionally with the patient and their families, other health care providers, and
community members.
Physical Requirements:
Physical guidelines include ability to:
– ability to stand/walk for up to eight hours/day
– bend, stoop, twist
– assist patients in turning.
– assist patient in arising from exam table.
– push wheelchair patients
– assist patient in arising from and returning to wheelchair.
– ability to lift and carry equipment up to fifty pounds.
– ability to walk up and down several flights of stairs easily.
This document is intended to describe the general nature and level of work performed. It is not intended to serve
as an exhaustive list of all duties, skills, and responsibilities required of personnel so classified.
Duties & Responsibilities:
1. Elicits a comprehensive health history, including nutritional, behavioral, and social factors.
2. Performs routine physical examinations.
3. Orders and/or performs appropriate diagnostic testing.
4. Analyze test data to diagnose, treat and arrange appropriate follow up for the patient to ensure
continuity of care.
5. Develops and implements with the family a plan of care to promote, maintain, or restore health.
Provides anticipatory guidance.
6. Consults with physicians, as appropriate, to develop and implement treatment plans for minor illness
care. The physician will prescribe appropriate medications.
7. Evaluates with the family, the response to plan of care and adapts it, as necessary. These evaluations
may be done through both repeat visits and/or telephone follow-up.
8. Collaborates with other professionals, when necessary, to meet the family’s needs.
9. Refers patients to physician and other resources as appropriate when patient needs specialty services
that are beyond the scope of the NP’s practice.
10. Records all pertinent data regarding services rendered to the patients.
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11. Acts as a clinical resource to the nursing staff formally (providing in-service education when requested)
and informally.
12. Represents Esse Health at community events as requested.
13. Participates in clinical and health service research as appropriate.
14. Participates in development and implementation of patient education programs as appropriate.
15. Provides counseling and health care information by telephone as requested.
16. If directed by the department or by an individual office, will be involved in the on-call service.
17. Other duties as assigned.
18. Flexible to work evenings, weekends, and holidays, as needed
Other Functions & Responsibilities:
1. Esse Health’s healthcare delivery business model is the Patient Centered Medical Home as defined by the
National Committee for Quality Assurance
2. Office staff are all part of the Patient Centered Medical Home (PCMH) team.
3. PCMH team members are responsible for:
a. Care Coordination: Obtaining test and referral results; following-up with patients when they
have not kept important test and referral appointments; communicating with health plans, other
providers, facilities, and community organizations to coordinate the care of the patient/customer.
b. Referring patients/customers to the Esse Health Care Management team when patients have
demonstrated barriers to obtaining clinical goals or require transition of care intervention.
c. Engaging in, and/or conducting, a daily huddle with all team members to prepare for each day’s
patient/customer appointments and specific care needs.
d. Utilizing the NextGen EMR System to communicate with all other team members to facilitate
communication of critical patient care data among all team members.
e. Utilizing standing orders approved by Esse Health physicians through the Performance
Improvement Committee
f. Using Evidenced Based Medicine protocols to provide care for all patients/customers, especially
high-risk and vulnerable populations.
g. Utilizing gaps in care data and information to engage patients/customers to close the gaps in care.
h. Engaging in performance improvement efforts through and as facilitated by the Performance
Improvement Committee

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