Office Nurse Practitioner

Join to apply for the Office Nurse Practitioner role at Lexington Medical Center. Position is full‑time, day shift, Monday through Friday 8‑5.

Lexington Health is a comprehensive network of care that includes six community medical and urgent care centers, nearly 80 physician practices, over 9,000 health‑care professionals, and Lexington Medical Center, a 607‑bed teaching hospital in West Columbia, South Carolina. The organization was selected by Modern Healthcare as one of the Best Places to Work in Healthcare, first in the state to achieve Magnet with Distinction status for nursing care, and is consistently ranked as best in the Columbia Metro area by U.S. News & World Report. Lexington Health delivers more than 4,000 babies each year, performs more than 34,000 surgeries annually, and is the region’s third largest employer. Additional facilities include an accredited Cancer Center of Excellence, the state’s first HeartCARE Center, the largest skilled nursing facility in the Carolinas, and an Alzheimer’s care center. Postgraduate medical education programs include family medicine and transitional year residencies and an informatics fellowship.

Job Summary

Assesses the physical and psychosocial status of patients by interview, health history, physical examination and diagnostic tests; interprets data, develops and implements a treatment plan, and follows through on a continuum of patient care across the healthcare continuum and lifespan within protocols approved by both the nurse practitioner and practice physicians.

Minimum Qualifications

• Minimum Education: None
• Minimum Years of Experience: None
• Substitutable Education & Experience: None
• Required Certifications/Licensure: Current licensure as RN in the State of South Carolina; Certification as Nurse Practitioner recognized by South Carolina; CPR, BLS
• Required Training: None

Essential Functions

• Documents all situations, both internally and externally, that may arise out of the ordinary or are necessary to maintain accurate patient charts.
• Provides diagnosis and treatment of common acute illnesses; prevention and maintenance health care to patients with stable chronic illnesses; and performs interim physical examinations for healthy patients within prescribed guidelines:
  • Elicits appropriate present and past medical history and review of systems.
  • Performs appropriate physical examination and orders diagnostic studies.
  • Discriminates between normal and abnormal findings in history and physical.
  • Establishes appropriate differential diagnosis.
  • Assesses stability of chronic illness and compliance with current therapy; monitors for complications.
  • Establishes an appropriate treatment plan and determines need for hospitalization or physician intervention.
  • Determines timing for follow‑up and orders referrals.
  • Counsels regarding health maintenance and disease prevention, and provides anticipatory guidance.
• Provides health education to patients about ways to improve, promote, and maintain health status, including disease processes, self‑care practices, and lifestyle choices.
• Maintains accurate records, medication lists, and documentation of care and follow‑up for administrative purposes and reimbursement of services; adheres to agreed‑upon documentation protocols.
• Reviews and updates problem list at least annually or at episodic visits and initiates problem and medication lists on new patients.
• Documents telephone calls with patients and specialists.
• Maintains competence in clinical practice through self‑assessment, peer review, and supervisory review.
• Participates in educational activities to maintain and increase competency.
• Uses continuing education opportunities to expand knowledge and improve clinical skills.
• Participates in developing, implementing, and interpreting quality assurance and risk management programs.

Duties & Responsibilities

• Supervises and intervenes with clinical issues, supports and directs triage by clinical staff when necessary, and implements clinical education and training.
• Provides feedback on call‑back and triage issues as needed.
• Identifies barriers to patient care flow or delivery and assists in formulating corrective action.
• Adheres to the drug formulary and prescribes within the practice agreement set forth by supervising physicians; maintains updated practice agreement every two years.
• Maintains confidentiality of patient and practice information.
• Maintains current signed protocols reviewed and revised annually.
• Adheres to dress standard and identification policy; maintains professional appearance.
• Demonstrates responsibility for performance and efficient utilization of resources.
• Follows established safety precautions and procedures to ensure a safe environment.
• Manages hazardous waste and pharmaceuticals per RCRA training requirements.
• Performs all other duties as assigned.

Benefits

• Day‑one medical, dental and life insurance benefits.
• Health care and dependent care flexible spending accounts (FSAs).
• Eligibility to enroll in the 403(b) match plan day one; LHI matches dollar for dollar up to 6 %.
• Employer‑paid life insurance equal to one times salary.
• Option to elect supplemental life insurance with low‑cost premiums up to three times salary.
• Adoption assistance.
• Employer‑paid short‑term and long‑term disability coverage after 90 days of eligible employment.
• Tuition reimbursement.
• Student loan forgiveness.

Equal Opportunity Employer

It is the policy of Lexington Health to provide equal opportunity of employment for all individuals, and to remain compliant with applicable state and federal laws and regulations. Lexington Health strives to provide a discrimination‑free environment, and to recruit, select, onboard, and employ all employees without regard to race, color, religion, sex, age, disability, national origin, veteran status, or pregnancy, childbirth, or related medical conditions, including but not limited to lactation. Lexington Health endeavors to upgrade and promote employees from within the hospital where possible and consistent with the employee’s desires and abilities and the hospital’s needs.

Seniority Level

Entry Level

Employment Type

Full Time

Job Function

Health Care Provider

Industries

Hospitals and Health Care