Nurse Practitioner or Physician Assitant

Background:Caduceus is supporting a nationwide operational initiative focused on child safety, location verification, wellness verification, and field support activities involving Unaccompanied Alien Children (UACs) and Former UACs residing throughout the United States. The Safety Verification Initiative (SVI) supports efforts to verify residential locations, confirm living arrangements, conduct wellness and safety-related observations, document case information, and support operational coordination associated with geographically dispersed field operations. Personnel supporting this effort may conduct residential verification visits, perform field-based information gathering, document observations, support operational reporting requirements, and coordinate with designated program personnel. This effort is expected to involve a large mobile workforce operating across multiple states and regions and US territories under dynamic operational conditions. Depending on assigned responsibilities, personnel may work remotely, in office environments, while traveling, or in direct support of field operations. Due to the sensitive nature of the work, all personnel must demonstrate professionalism, sound judgment, confidentiality, attention to detail, and the ability to follow strict operational procedures, reporting requirements, and standards of conduct.

Location: Brooke Army Medical Center (BAMC), Fort Sam Houston, TX
Department: Department of Medicine
Position Type: Full-Time
Work Setting: On-Site – Inpatient and/or Outpatient Care

Position Summary: The Nurse Practitioner (NP) or Physician Assistant (PA) will provide comprehensive healthcare services in support of the Department of Medicine at Brooke Army Medical Center (BAMC). The NP/PA will provide inpatient and/or outpatient medical care within the limits of professional training, scope of practice, specialty certification, and clinical privileges granted by the Medical Treatment Facility (MTF). The NP/PA will work collaboratively with physicians, nursing personnel, and other healthcare professionals to provide high-quality patient care to eligible Department of Defense beneficiaries.

Work Schedule: Providers typically work 7 days within each 14-day period and are expected to work 4 weekend days per month. The current schedule is generally 6:00 AM–4:45 PM, with one late day of approximately 7:00 AM–6:00 PM. Once the schedule is completed, it is submitted to Internal Medicine for approval. Telework is not authorized.

Minimum Qualifications

• Must be a U.S. Citizen.

• Education: Master's degree in Nursing. Must be a graduate of an academic program within the applicable nursing specialty that is accredited by a regional or national nursing accrediting agency recognized by the Accreditation Commission for Education in Nursing (ACEN) or Commission on Collegiate Nursing Education (CCNE). OR Master's degree in Physician Assistant Studies. Must be a graduate of an academic program accredited by a regional or national Physician Assistant accrediting agency recognized by the Accreditation Review Commission on Education for the Physician Assistant (ARC-PA)

• Active DEA and NPI

Experience

• Experience: Contract personnel must have a minimum of 1 years of experience within the last 2 years with at least 6 months of inpatient experience providing services as a Nurse Practitioner or Physician Assistant.

Certification

• Current Basic Life Support (BLS) certification.

• Current Nurse Practitioner or Physician Assistant certification in the specialty required for the position through:

• American Nurses Credentialing Center (ANCC); American Academy of Nurse Practitioners (AANP); or Other recognized national nursing certification organization applicable to the specialty area of practice.

• Physician Assistant National Certifying Examination (PANCE); or Other recognized national nursing certification organization applicable to the specialty area of practice.

• Required certifications must remain current throughout employment.

Licensure

• Must possess and maintain a current, valid, and unrestricted professional license applicable to the position in one of the 50 U.S. States and/or U.S. territories.

• License must have no limitations, stipulations, or pending adverse actions.

Any additional professional licenses held must remain in good standing.

Security

• Must possess or successfully obtain the required Tier 1 (T1) investigation prior to beginning services and maintain the required eligibility throughout performance.

Duties and Responsibilities

• The NP/PA will: Provide a full range of services in primary and specialty medical care within the limits of training and MTF-granted clinical privileges.

• Conduct general medical screenings, examinations, and evaluations for routine, acute, and chronic medical conditions.

• Diagnose, treat, and counsel patients as clinically indicated.

• Provide care for patients with acute, chronic, and minor traumatic conditions.

• Recognize emergency medical conditions and provide appropriate treatment or referral.

• Identify medical problems and determine appropriate courses of action, including referral to physicians or other qualified healthcare professionals.

• Prescribe medications and immunizations in accordance with approved treatment protocols and applicable Pharmacy and Therapeutics Committee requirements.

• Perform diagnostic and therapeutic procedures within the approved scope of practice.

• Manage or co-manage patients with multiple comorbidities.

• Provide services on inpatient general medicine wards and specialty units as directed by the attending Internal Medicine physician.

• Coordinate patient care during pre-operative, post-operative, discharge, and follow-up stages through appropriate written and verbal communication.

• Assist supervising physicians with authorized bedside and clinical procedures within the provider's scope of practice and privileges.

• Promote preventive care, health maintenance, healthy behaviors, and patient self-care.

• Educate and counsel patients and family members regarding treatment, wellness, and responsibility for maintaining health.

• Establish and maintain effective collaborative relationships with physicians, nurses, and other members of the healthcare team.

• Provide technical direction and education to other staff and participate in in-service training.

• Attend staff meetings, case discussions, continuing education activities, and continuous quality-improvement activities.

• Complete required medical documentation and comply with BAMC, DHA, DoD, HIPAA, patient-safety, infection-control, and quality-of-care requirements.

Additional Requirements The selected NP/PA must:

• Successfully complete Government credentialing and privileging requirements.

• Maintain all required professional licenses and certifications throughout performance.

• Complete all Government-directed and facility-required training.

• Meet applicable occupational health, physical examination, immunization, influenza vaccination, and tuberculosis screening requirements.

• Maintain professional appearance and comply with BAMC policies regarding scrubs, PPE, infection control, patient privacy, and workplace conduct.

• Maintain required system access and comply with Government timekeeping requirements.

• Obtain and maintain a DEA registration number as required by the PWS.