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Nurse Practitioner
Groesbeck, TX

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Limestone Medical Center

Nurse Practitioner

Job Description

Nurse Practitioner/Physician Assistant
  • Evening Clinic Department:
    Family Medicine
  • RHC (1 FTE)
Reports To :
Medical Director/Clinic Director / Chief Nursing Officer (or designee) Position Summary 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.
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. Primary Responsibilities 1. Direct Patient Care
  • Provide comprehensive primary care services, including:
  • Acute illness evaluation and treatment
  • Chronic disease management
  • Preventive care services
  • Diagnose, treat, and manage a wide range of patient conditions
  • Prescribe medications and therapies in accordance with scope of practice
  • 2. Same-Day and After-Hours Access
  • Deliver care for walk-in and same-day appointments
  • Provide an accessible alternative to emergency department use for non-emergent conditions
  • Ensure timely evaluation and treatment of patient needs 3. Chronic Disease Management
  • Manage patients with: o Diabetes o Hypertension o Cardiovascular conditions Coordinate care with:
  • Transitional Care RN
  • Population Health Coordinator
  • Registered Dietician 4. Care Coordination and Follow-Up
  • Ensure appropriate follow-up for patients seen during evening hours
  • Coordinate referrals to: o Home-based Nurse Practitioner/Physician Assistant (for high-risk patients) o Primary care providers o Specialty services as needed o Support continuity of care across the care team 5. Integration with Care Model
  • Collaborate with care coordination staff to:
  • Reduce avoidable ED utilization
  • Improve access to care
  • Support population health initiatives
  • Utilize patient data and care plans to guide treatment decisions 6. Documentation and Compliance
  • Document all patient encounters in the EHR accurately and timely
  • Ensure compliance with organizational policies and regulatory requirements
  • Support quality reporting and performance improvement initiatives Performance Expectations
  • Increase same-day and after-hours appointment availability by ≥20%
  • Contribute to a 10-15% reduction in non-emergent ED visits by Year 3
  • Maintain high patient satisfaction and quality of care
  • Ensure timely follow-up and continuity of care for patients seen Required Qualifications
  • Current Nurse Practitioner (NP)/Physician Assistant (PA) license in the State of Texas
  • Board certification as a Nurse Practitioner (NP), Adult-Gerontology (NP) and Physician Assistant (PA)
  • Prescriptive authority in accordance with Texas regulations
  • Minimum of 2-3 years clinical experience preferred Preferred Qualifications
  • Experience in: o Primary care or urgent care settings o Rural or underserved populations o Chronic disease management o Familiarity with EHR systems (e.g., CPSI/TruBridge) Skills and Competencies
  • Strong clinical decision-making and diagnostic skills
  • Ability to manage a wide range of patient conditions independently
  • Excellent communication and patient engagement skills
  • Ability to work efficiently in a fast-paced environment
  • Team-based care coordination skills Work Schedule
  • Primary schedule: 2:00 PM
  • 10:00 PM
  • May include flexibility based on clinic needs Work Environment
  • Clinic-based setting with support from Medical Assistants and reception staff
  • Collaborative environment with multidisciplinary care team
Pay:
From $150,000.00 per year
Benefits:
401(k) matching Dental insurance Health insurance Life insurance Retirement plan Vision insurance
Work Location:
In person