Nurse Practitioner - Occupational Health

ERP International is seeking a Nurse Practitioner,  for a Full-Time position supporting Occupational Health at Barksdale AFB, LA.  Apply online today and discover more about this exceptional employment opportunity.  www.erpinternational.com

Be the Best!  Join our team of exceptional health care professionals across the nation. Come discover the immense pride and job satisfaction ERP Employees experience in providing care for our Military Members, their Families and Retired Military Veterans!  ERP International is honored to have been named one of The Washington Post’s 2024 Top Workplaces!

* Excellent Compensation & Exceptional Comprehensive Benefits!
* Paid Vacation, Paid Sick Time, Plus 11 Paid Federal Holidays! 

* Medical/Dental/Vision, STD/LTD/Life, and Health Savings Account available!
* Annual CME Stipend and License/Certification Reimbursement!

* Matching 401K!

About ERP International, LLC: ERP is a nationally respected provider of health, science, and technology solutions supporting clients in the government and commercial sectors. We provide comprehensive enterprise information technology, strategic sourcing, and management solutions to DoD and federal civilian agencies in 40 states. Founded in 2006, ERP is headquartered in Laurel, MD and maintains satellite offices in Montgomery, AL and San Antonio, TX - plus project locations nationwide. ERP is an Equal Opportunity Employer - Disability and Veteran.

Work Schedule:
Monday - Friday, 9 hours between 7:00am and 5:00pm, including a one hour lunch

Core Duties: The Family Nurse Practitioner (FNP) works as an independent health care provider of a primary care team. The practitioner is self-directed and has a high level of independence. The FNP may have a defined enrolled population of adult and geriatric patients aged 18 years and older, uses the results of health assessment tools and data to assist patients in obtaining an appropriate level of care and resources. As a member of the Medical Treatment Facility (MTF) Care Team, coordinates patient care through a continuum facilitating the achievement of optimal outcomes in clinical, quality and cost-effectiveness arenas. Provides direct clinical care to patients requiring the intervention of a mid-level provider and providing patient education and medication guidance as needed to patients. Uses population health guidelines to ensure patients receive appropriate clinical preventive services. Reviews diagnosis and medical records for active-duty members to determine pre-deployment and post deployment fitness and health concerns. Evaluates and responds to telephone consultations/MHS Genesis In-Between encounters from patients and other staff members. Provides risk factor counseling and preventive services. Prioritizes identified risk factors and triages/refers patients to Specialty Services, Health and Wellness Center (HAWC), or other prevention programs as appropriate. Uses and develops protocols in conjunction with existing clinical guidelines. Develops tools, monitors metrics to evaluate and continuously improve the effectiveness of programs and the health of the defined population. Knows scope of practice for support staff and offers opportunities for their personal and professional development. Guides support staff in gaining breadth and depth of experience in order to enhance delivery of patient care.

• Conduct medical assessments to determine deployment status in a private setting.
• Conduct pre-deployment review of health record for any conditions that may impact deployment status.
• Review the Electronic Health Record (EHR) to identify current prescribed medications and discuss current use of over-the-counter medications and supplements with the patient.
• Verify all medications are compatible with Area of Responsibility (AOR) restrictions; initiate waivers as applicable and notify Public Health and Deployment Waiver Manager.
• Provide health education and information and recommend medical referrals/follow-up for deployment-related health concerns as indicated and/or aligned with appropriate Clinic Practice Guidelines (CPGs).
• A complete and legible copy of DRHAs 1-5 must be documented in the deployer’s EHR.
• Ensure Service Members have access to comprehensive counseling on the full range of methods for contraception, pregnancy, pregnancy prevention and menstrual suppression, as applicable and directed by DHA-PI and prescribe specific deployment medications as indicated by Public Health and deployment location.
• Make deployment determination and indicate clearance status in the ASIMS DMC module. Update ASIMS DD Form 2766 IAW AFMAN 41-210.
• Coordinate referrals with deployer’s PCM via T-CON, as applicable. In most cases a referral to the Internal Behavioral Health Consultant (IBHC) in Primary Care is appropriate for an initial referral for mental health care (where the Behavioral Health Optimization Program [BHOP] is available).
• Complete the Health-Care Provider portion of the medical waiver packages for deployment limiting conditions, as directed by BOMC standard work process.
• Capture active component DRHA workload using the provider’s Medical Expense and Performance Reporting System code.

Performance Expectations:

• Provides comprehensive primary, preventative, and therapeutic health care service to patients and family members empaneled to the MTF; to included, but not limited to, the Flight and Operational Medicine Clinic, Occupational Health Clinic, Base Operational Medicine Clinic, Family Health Clinic, or other privileged Nurse Practitioner positions within the MTF.
• Performs comprehensive physical assessments of patients to include baseline data such as past medical and surgical history, family history, family history, social history, and immunization history.
• Performs complete assessments on patients of adult age. Performs pre-employment physicals, and sports physicals. Secures a health and development history from the patient or patient record findings and makes critical evaluations.
• Performs pre-deployment and post-deployment assessments of active-duty personnel. Performs PHA/Reserve Component PHA exams, overseas clearances for dependents, and medical evaluation board summaries on military personnel in accordance with annual requirements.
• Performs or requests special screening and development tests and laboratory tests and interprets the results. Orders, performs, collects and interpret laboratory tests to include but not limited to EKGs, wet preps, wet mounts, hema-occults. Orders and interprets the following tests performed by outside laboratories including but not limited to routine blood chemistry, hematology, microbiology, bacteriology, virology, toxicology, pathology, and cytology. Orders and interprets the findings of radiological studies, including but not limited to CT scans, MRIs, X-rays, VQ scans, nuclear medicine scans, and other tests that may be necessary for the diagnosis and treatment of a patient. Consultations will be requested on the interpretation of abnormal studies.
• Knowledgeable of a variety of pharmacological agents used in patient treatment, the desired effects, side effects, and complications of their use as well as the accurate administration of the pharmacologic agent, including dosage calculations as required.
• Establishes medical diagnosis for common short term or chronic stable health problems to include but not limited to the diagnosis of short-term health problems such as injuries and infections.
• Independently manages chronic stable health problems including but are not limited to asthma, chronic obstructive pulmonary disease, hypertension, diabetes, arthritis, upper respiratory infections, sexually transmitted diseases, and dermatological or orthopedic conditions.
• Prescribes and monitors pain management regimen for patients with chronic pain.
• Performs procedures to include but not limited to biopsies such as shave biopsies, minor suturing, toenail removals, and joint aspirations if specified in the credential and privilege lists.
• Possesses knowledge of patient education principles and behavioral readiness to change. Possesses knowledge of disease management programs and clinical practice guidelines (e.g. VA/DoD CPGs), and HEDIS Measurements.
• Teaches patients and family member’s ways to maintain or improve their health status. Uses patient education materials as appropriate.
• Recognizes scope of practice/limitations, consults with a physician and or medical specialty services as needed, and refers patients to Disease Management, Case Management, Health and Wellness Center (HAWC) or other services as required.
• Accesses electronic medical records or patient paper charts to track members at risk for disease. Incorporates current knowledge of disease and condition management into daily work activities to include evidence-based primary, secondary, and tertiary prevention.
• Works with TRICARE/Humana Service Center to coordinate referrals with RMC as appropriate. Ensure referrals include the appropriate level of severity/urgency of the care needed. Maintain accurate knowledge of TRICARE benefits and capabilities in local area network.
• Knowledgeable of the Medical Standards Directory (MSD) and how/when to refer patients to the Airmen Medical Readiness Optimization (AMRO) board.
• Applying medical, fitness and profiling standards IAW AFIs 48-123, 36-2905 and 10-203 (including profiling and duty restrictions).
• Performs Base Operational Medical Clinic assessments to include but not limited to: Deployment Risk Health Assessments (DRHA) IAW DHA policy, Separation History Physical Exams (SHPE), and Mental Health Assessments (MHA). Secures a health and development history from the patient or patient record findings and makes critical evaluations.

Professional Qualities:

• Participates in professional development activities and maintains professional affiliations. Attends conferences and workshops related to duties.
• Maintains current knowledge of practice standards, disease management, preventive screening standard/requirements, and current trends in population-based health management and facilitates compliance. Applies medical gold standards for specific disease entities, medical gold standards for diagnostic procedures and U.S. preventive task force recommendations for preventive initiatives and screenings.
• Actively participates in ongoing improvement projects associated with disease management, prevention and population-based health management.
• Participate in MTF required trainings, monthly Pro-Staff meetings, and other required on-the-job training as indicated by local leadership.

Judgement and Decisions:

• Educates and counsels patients about their potential risk for diseases or injuries. Makes appropriate recommendations/referrals. Conducts education and counseling either 1:1 or group setting as appropriate.
• Accesses information systems to analyze, track and quantify program effectiveness and to manage the dissemination of information critical to the success of the population health management.
• Consults with physicians and other healthcare providers on unusual cases, refers cases outside scope of practice to appropriate specialist or subspecialists.
• Intervenes with appropriate individuals/departments regarding delays in service that may impact quality patient care.
• Uses chain of command to focus attention on innovative ideas, best practices, and problem areas.

Comunication Skills:

• Understands the administrative requirements for proper documentation of patient’s condition including disease progress, acknowledgement of teaching, and follow up care.
• Demonstrates strong customer service and fosters development of those skills throughout entire Family Health team.
• Communicates and collaborates with the support staff and appropriate members of the health care team in the direct and indirect care systems to ensure that needs of assigned patients are met without duplication of efforts.
• Serves as a patient advocate by assuming the role of a liaison between the patient, ancillary services and the HAWC, making the system more responsive to patients' needs.

Minimum Qualifications:
• Degree: Master's degree in nursing.
• Education: Graduate from an academic program in the nursing specialty accredited by a recognized nursing accrediting agency (ACEN or CCNE).
• Certification: Certified as a Nurse Practitioner by ANCC, AANP, or appropriate national certification organization.
• Experience: Minumum of 1 years NP experience after graduation

• Licensure: Current, full, active, and unrestricted Registered Nurse license
* Life Support Certification: Possess current ARC or AHA BLS Healthcare Provider certification.
* Security: Must possess ability to pass a Government background check/security clearance.