Nurse Practitioner - Primary Care/Ambulatory - Bicounty - Thomas Jefferson University & Jefferson Health

Responsibilities:
The Advanced Practice Provider (Nurse Practitioner/Physician Assistant) within the ambulatory
setting works in collaboration with, and is an integral member of, a multidisciplinary health care
team. The PRIMARY CARE APP provides comprehensive care in a FAMILY MEDICINE or
INTERNAL MEDICINE practice.
Overview:
• Provides primary care to patients across the life span (family medicine) or adult patients
(internal medicine).
Assessment/Diagnosis and Management of Patients in Primary Care Setting
• Provides preventive health, including well visits, screenings, and immunizations; as well
as acute and complex care visits requiring diagnosis, treatment/management, and referral
to specialists or higher level of care when necessary.
• Collaborates with interdisciplinary health care team.
• Possesses awareness and provides assessment of patient risk factors, including physical,
socioeconomic, and psychosocial risk factors.
• Obtains and documents thorough patient history.
• Performs and documents comprehensive physical exam.
• Orders, performs, and interprets appropriate diagnostic testing, and responds to results
requiring further evaluation or investigation.
• Formulates differential diagnoses by priority.
• Engages/Collaborates with collaborative physicians when needed (i.e. diagnosis in
question, patient not responding to treatment, etc.).
• Coordinates with other specialists as needed.
Formulates Plan of Care
• Identifies expected outcomes from diagnosis, and formulates and documents a plan of
care to address preventive care, acute care, and chronic health care needs.
• Utilizes evidenced-based practice guidelines and protocols in an individualized, dynamic
plan of care that can be applied across the continuum.
• Implements and modifies plan of care based on patient response, diagnostic testing, and
specialist recommendations.
• Prescribes diagnostic strategies and therapeutic interventions (as above).
• May perform in-office procedures consistent with privileges and competency validation.
Documentation
• Outpatient visits are documented in EPIC system using SOAP format.
• Provides timely documentation in Epic; meets compliance standards; and captures patient
history, presenting problem, physical exam, diagnosis(es) and treatment/plan of care.

• Signs/closes visit notes within 24 hours of the patient encounter.
Other Responsibilities
• Reviews results of diagnostic studies in a timely manner, and communicates follow-up
plan to the patient
• Reviews and addresses telephone and Epic portal messages (In-Basket)
• Reviews specialist consults, recent inpatient summaries, or other patient information
copied from other providers
• Provides In-Basket coverage as needed when other providers are out-of-office
• On-call responsibility (including overnight availability via phone) shared with other
providers/team
Communication and Collaboration
• Maintains ongoing communication and collaboration with office staff and
interdisciplinary health care team.
• Facilitates and communicates with patients, patient care team, and staff
• Report compliance concerns or patient safety issues/events.
Quality and Productivity
• Engages with population health team to improve patient access and outcomes.
• Aims to meet annual quality metric goals as defined by Jefferson Medical Group.
• Meets target productivity, measured by work RVUs (relative volume units)
Professional Practice
• Demonstrates Professional Practice behaviors including: preceptor/mentoring, education,
and instruction of graduate students.
• Seeks opportunities for active engagement in research and the analysis of evidenced
based practice.
• Completes annual required health system learning activities
• Actively participates in Advance Practice Grand Rounds and specialty-specific meetings.
• Maintains national board certification, state licensure and required continuing education,

Qualifications
Master’s Degree
National Board Certification as a Primary/Family Care Nurse Practitioner or Physician Assistant
BLS certification

Covid Vaccination is a requirement for employment at Jefferson for employees working at Jefferson’s clinical entities or at the University.  If you are not currently vaccinated you will be required to receive the vaccination prior to hire date if you are offered employment, unless you request and receive an approved medical or religious exemption from Jefferson.

About Jefferson  

Nationally ranked, Jefferson, which is principally located in the greater Philadelphia region, Lehigh Valley and Northeastern Pennsylvania and southern New Jersey, is reimagining health care and higher education to create unparalleled value. Jefferson is more than 65,000 people strong, dedicated to providing the highest-quality, compassionate clinical care for patients; making our communities healthier and stronger; preparing tomorrow's professional leaders for 21st-century careers; and creating new knowledge through basic/programmatic, clinical and applied research. Thomas Jefferson University, home of Sidney Kimmel Medical College, Jefferson College of Nursing, and the Kanbar College of Design, Engineering and Commerce, dates back to 1824 and today comprises 10 colleges and three schools offering 200+ undergraduate and graduate programs to more than 8,300 students.Jefferson Health, nationally ranked as one of the top 15 not-for-profit health care systems in the country and the largest provider in the Philadelphia and Lehigh Valley areas, serves patients through millions of encounters each year at 32 hospitals campuses and more than 700 outpatient and urgent care locations throughout the region. Jefferson Health Plans is a not-for-profit managed health care organization providing a broad range of health coverage options in Pennsylvania and New Jersey for more than 35 years.    

Jefferson is committed to providing equal educa­tional and employment opportunities for all persons without regard to age, race, color, religion, creed, sexual orientation, gender, gender identity, marital status, pregnancy, national origin, ancestry, citizenship, military status, veteran status, handicap or disability or any other protected group or status.