Licensed Practical Nurse

A.3- Job Description: Nurse Practitioner/Physician Assistant – Evening Clinic

\n

Department: Family Medicine – RHC (1 FTE)

\n

Reports To : Medical Director/Clinic Director / Chief Nursing Officer (or designee)

\n

\n

Position Summary

\n

The Evening Clinic Nurse Practitioner provides primary and urgent care services during extended clinic hours (approx. 2:00 PM – 10:00 PM) to improve access to timely care and reduce non-emergent emergency department utilization.

\n

\n

This role focuses on same-day and after-hours care, management of acute and chronic conditions, and coordination of follow-up services to ensure continuity of care. The position is a key component of the organization’s strategy to shift care from reactive emergency services to accessible, community-based primary care.

\n

\n

Primary Responsibilities

\n

 

\n

1. Direct Patient Care

\n

·        Provide comprehensive primary care services, including:

\n

·        Acute illness evaluation and treatment

\n

·        Chronic disease management

\n

·        Preventive care services

\n

·        Diagnose, treat, and manage a wide range of patient conditions

\n

·        Prescribe medications and therapies in accordance with scope of practice

\n

·        

\n

2. Same-Day and After-Hours Access

\n

·        Deliver care for walk-in and same-day appointments

\n

·        Provide an accessible alternative to emergency department use for non-emergent conditions

\n

·        Ensure timely evaluation and treatment of patient needs

\n

·        

\n

3. Chronic Disease Management

\n

·        Manage patients with:

\n

o  Diabetes

\n

o  Hypertension

\n

o  Cardiovascular conditions

\n

Coordinate care with:

\n

·        Transitional Care RN

\n

·        Population Health Coordinator

\n

·        Registered Dietician

\n

\n

4. Care Coordination and Follow-Up

\n

·        Ensure appropriate follow-up for patients seen during evening hours

\n

·        Coordinate referrals to:

\n

o  Home-based Nurse Practitioner/Physician Assistant (for high-risk patients)

\n

o  Primary care providers

\n

o  Specialty services as needed

\n

o  Support continuity of care across the care team

\n

\n

5. Integration with Care Model

\n

·        Collaborate with care coordination staff to:

\n

·        Reduce avoidable ED utilization

\n

·        Improve access to care

\n

·        Support population health initiatives

\n

·        Utilize patient data and care plans to guide treatment decisions

\n

\n

6. Documentation and Compliance

\n

·        Document all patient encounters in the EHR accurately and timely

\n

·        Ensure compliance with organizational policies and regulatory requirements

\n

·        Support quality reporting and performance improvement initiatives

\n

\n

Performance Expectations

\n

·        Increase same-day and after-hours appointment availability by ≥20%

\n

·        Contribute to a 10–15% reduction in non-emergent ED visits by Year 3

\n

·        Maintain high patient satisfaction and quality of care

\n

·        Ensure timely follow-up and continuity of care for patients seen

\n

\n

Required Qualifications

\n

·        Current Nurse Practitioner (NP)/Physician Assistant (PA) license in the State of Texas

\n

·        Board certification as a Nurse Practitioner (NP), Adult-Gerontology (NP) and Physician Assistant (PA)

\n

·        Prescriptive authority in accordance with Texas regulations

\n

·        Minimum of 2–3 years clinical experience preferred

\n

\n

Preferred Qualifications

\n

·        Experience in:

\n

o  Primary care or urgent care settings

\n

o  Rural or underserved populations

\n

o  Chronic disease management

\n

o  Familiarity with EHR systems (e.g., CPSI/TruBridge)

\n

o  

\n

Skills and Competencies

\n

·        Strong clinical decision-making and diagnostic skills

\n

·        Ability to manage a wide range of patient conditions independently

\n

·        Excellent communication and patient engagement skills

\n

·        Ability to work efficiently in a fast-paced environment

\n

·        Team-based care coordination skills

\n

\n

Work Schedule

\n

·        Primary schedule: 2:00 PM – 10:00 PM

\n

·        May include flexibility based on clinic needs

\n

\n

Work Environment

\n

·        Clinic-based setting with support from Medical Assistants and reception staff

\n

·        Collaborative environment with multidisciplinary care team

\n