Nurse Practitioner

The Advanced Practice Registered Nurse (APRN) is responsible for providing comprehensive, patient-centered care to individuals receiving treatment for acute and chronic pain conditions. The APRN evaluates patients, develops and manages treatment plans, prescribes medications when authorized, monitors treatment effectiveness, and ensures accurate and timely clinical documentation.

The APRN is expected to maintain professional standards, follow established clinic policies, comply with applicable federal and Oklahoma laws, and work collaboratively with the medical director, office manager, and clinical staff to provide safe, efficient, and high-quality patient care.

The APRN is also expected to contribute to the clinic's daily operations by maintaining an organized schedule, completing documentation promptly, and supporting the overall success of the practice.

2. PRIMARY JOB RESPONSIBILITIESA. Patient Evaluation and Treatment

• Conduct new-patient evaluations and established-patient follow-up visits.
• Obtain and review patient medical histories, current medications, allergies, and relevant diagnostic information.
• Perform appropriate physical examinations and pain assessments.
• Evaluate the location, severity, duration, and functional impact of patients' pain.
• Establish appropriate treatment plans based on clinical findings and individual patient needs.
• Monitor patient progress and adjust treatment plans when clinically indicated.
• Identify patients who require referrals, additional testing, or evaluation by another specialist.
• Educate patients about their conditions, treatment options, medication safety, and realistic treatment goals.
• Provide compassionate, respectful, and professional care to every patient.

B. Medication Management

• Evaluate patients for appropriate medication therapy based on their medical conditions and treatment goals.
• Prescribe medications within the APRN's legal scope of practice and applicable prescriptive authority.
• Monitor the effectiveness, safety, and potential adverse effects of prescribed medications.
• Review medication histories and conduct appropriate medication reconciliation.
• Review the Oklahoma Prescription Monitoring Program (PMP) when required or clinically appropriate.
• Follow all applicable requirements for controlled-substance prescribing, including documentation and monitoring.
• Maintain appropriate opioid-treatment monitoring and patient agreements when indicated by clinic policy.
• Assess patients for medication misuse, diversion, concerning medication combinations, and other potential safety risks.
• Document clinical reasoning for medication initiation, continuation, modification, or discontinuation.
• Communicate medication-related concerns to the collaborating or supervising physician when appropriate.
• Follow clinic policies regarding medication refills, early refill requests, lost medications, and patient compliance.

Important

All prescribing and medication-management activities must comply with applicable Oklahoma law, federal law, and the APRN's authorized scope of practice.

C. Clinical Documentation and Medical Records

• Complete accurate, thorough, and timely patient documentation in the clinic's electronic health record (EHR).
• Complete SOAP notes and other required clinical documentation for each patient encounter.
• Ensure documentation supports medical necessity, treatment decisions, and services billed.
• Complete and sign clinical records within clinic-established deadlines.
• Finalize charts promptly, preferably by the end of the workday or the next business day, consistent with clinic policy.
• Review and address outstanding charts, orders, referrals, and documentation requests.
• Ensure diagnoses, medication lists, treatment plans, and follow-up instructions are accurately recorded.
• Respond to clinical documentation deficiencies and correction requests promptly.
• Maintain patient confidentiality and comply with HIPAA requirements.

D. Procedures and Clinical Services

When trained, credentialed, authorized, and appropriately supervised or supported as required by law, the APRN may:

• Perform approved pain-management procedures within the APRN's scope of practice.
• Administer injections or other treatments authorized by the clinic.
• Evaluate patients for appropriate procedural interventions.
• Explain the risks, benefits, and alternatives of proposed procedures.
• Obtain and document informed consent when required.
• Maintain appropriate procedural records and monitor patients for complications.
• Follow infection-control, medication-safety, and emergency-response protocols.

Procedures must be approved by the clinic and performed only when the APRN has the necessary training, competency, privileges, and legal authority.

E. Patient Safety and Compliance

• Follow all applicable federal and Oklahoma healthcare regulations.
• Maintain current professional licensure, required certifications, and applicable prescriptive authority.
• Follow clinic policies regarding controlled substances, patient agreements, medication monitoring, and patient dismissal.
• Maintain appropriate professional liability coverage as required by the employment agreement and applicable requirements.
• Recognize and respond appropriately to medical emergencies.
• Report patient safety concerns, adverse events, and suspected medication-related complications.
• Maintain appropriate infection-control practices.
• Protect confidential patient information.
• Cooperate with authorized chart audits, quality reviews, and compliance investigations.
• Participate in continuing education and professional development.

F. Communication and Teamwork

• Maintain professional communication with patients, staff, the medical director, and the office manager.
• Respond to clinical questions and patient-care concerns within a reasonable timeframe.
• Provide clear treatment instructions and follow-up recommendations.
• Communicate changes in treatment plans to appropriate team members.
• Coordinate with medical assistants and other clinical personnel to support efficient patient flow.
• Respond to necessary patient-related messages, medication questions, and clinical requests.
• Participate in staff meetings, clinical reviews, and operational discussions when requested.
• Treat patients, coworkers, and other healthcare professionals with respect.

3. DAILY CLINICAL EXPECTATIONS

The APRN is expected to:

• Arrive on time and be prepared to begin scheduled patient care.
• Review the day's schedule and identify patients requiring additional preparation.
• Complete appropriate evaluations and follow-up visits.
• Maintain accurate and complete clinical records.
• Address outstanding clinical tasks, including orders, referrals, and patient-care messages.
• Communicate schedule changes and patient-care concerns to the appropriate staff member.
• Ensure treatment decisions are clinically appropriate and adequately documented.
• Complete assigned responsibilities before leaving for the day whenever reasonably possible.
• Maintain a professional and respectful environment.
• Follow clinic procedures for absences, schedule changes, and coverage arrangements.

4. PRODUCTIVITY AND PERFORMANCE EXPECTATIONS

The APRN's performance will be evaluated based on the following areas:

Patient Care

• Provides safe, appropriate, and compassionate care.
• Maintains professional relationships with patients.
• Makes clinically appropriate treatment decisions.
• Follows through on patient-care needs.

Documentation

• Completes accurate and thorough clinical notes.
• Meets established chart-completion deadlines.
• Minimizes outstanding charts and documentation deficiencies.
• Supports accurate billing through complete documentation.

Schedule Management

• Maintains an appropriate patient schedule.
• Works with staff to reduce unnecessary appointment cancellations and rescheduling.
• Communicates schedule concerns promptly.
• Uses scheduled clinic time effectively without compromising patient safety or quality of care.

Medication Management

• Follows controlled-substance prescribing requirements.
• Maintains appropriate patient monitoring.
• Documents treatment decisions and medication changes.
• Complies with applicable prescribing laws and clinic policies.

Teamwork and Professionalism

• Communicates effectively with staff and leadership.
• Follows established clinic procedures.
• Demonstrates accountability for assigned duties.
• Participates in efforts to improve patient care and clinic operations.

Clinical and Financial Accountability

• Supports accurate billing by completing required documentation.
• Uses appropriate diagnosis and procedure coding in accordance with clinical findings and applicable coding requirements.
• Supports medically necessary services and appropriate reimbursement practices.
• Participates in quality-improvement initiatives and reviews of clinical performance.

Performance goals, including patient volume, documentation turnaround, and other measurable expectations, will be established by clinic leadership based on patient needs, staffing, scheduling, and the APRN's employment agreement.

5. PROFESSIONAL REQUIREMENTS

The APRN must:

• Maintain an active Oklahoma RN license and applicable APRN recognition or licensure.
• Maintain national certification appropriate to the APRN's role.
• Maintain required prescriptive authority and registrations, as applicable.
• Meet applicable Oklahoma requirements for physician supervision, collaboration, or practice arrangements.
• Maintain current Basic Life Support (BLS) certification if required by the clinic.
• Maintain any additional certifications or credentials required for assigned duties.
• Demonstrate appropriate clinical judgment and professional competency.
• Maintain compliance with applicable continuing education requirements.
• Meet the clinic's credentialing and payer-enrollment requirements for assigned services.

6. CONFIDENTIALITY AND PROFESSIONAL CONDUCT

The APRN must protect confidential patient, employee, and business information.

The APRN is expected to comply with HIPAA, applicable privacy laws, clinic policies, and professional ethical standards.

Job Type

Full-time

Pay: From $600.00 per hour

Benefits:

• Flexible schedule
• Paid time off

License/Certification:

• Certified Nurse Practitioner (Preferred)

Ability to Commute:

• Tahlequah, OK 74464 (Required)

Work Location: In person