ADV PRAC PROVIDER | CHRONIC DISEASE MGMT

United Regional; Wichita Falls (TX); On-site; USD 110,000 - 160,000; Full time

Job summary

United Regional is seeking an Advanced Practice Provider to manage chronic disease care across inpatient and related settings. You will evaluate patients independently within APP scope and develop evidence-based plans in collaboration with physicians and the interdisciplinary team.

Responsibilities include palliative and diabetes care, education for patients and families, and discharge planning. Collaboration with hospital and community resources ensures coordinated, compassionate care.

Qualifications

• Graduate of an accredited Nurse Practitioner or Physician Assistant program
• Meets Texas requirements for Advanced Practice Nurses or Physician Assistant

Responsibilities

• Conduct comprehensive patient assessments and care plans
• Develop, implement, and adjust individualized care plans with the team
• Lead palliative care consultations and goals-of-care discussions
• Coordinate discharge planning and referrals
• Document care in the EMR and ensure regulatory compliance
• Educate patients and families for continuity of care
• Collaborate with physicians, nursing, case management, and other disciplines
• Participate in interdisciplinary rounds and quality improvement initiatives

Skills

Clinical assessment

Glycemic management

Palliative care

Communication skills

Interdisciplinary collaboration

Education

Nurse Practitioner or PA degree

Texas licensing requirements

Job description

Advanced Practice Provider - Chronic Disease Management

Summary of Essential Functions

• Provides comprehensive acute and chronic patient care across inpatient setting

• Independently evaluates and manages patients within APP scope of practice

• Assesses patient health status and determines diagnostic and therapeutic needs

• Documents patient information accurately within the medical record

• Educates patients and families to support continuity of care

• Collaborates with physicians and interdisciplinary teams

• Acts as a liaison between providers, hospital, and community

• Work between the hours of 7a and 7p with weekend/holiday rotation

Educational Requirements

• Graduate of an accredited Nurse Practitioner or Physician Assistant program

• Meets Texas requirements for Advanced Practice Nurses or Physician Assistant

Licenses and Certifications

Current Texas Licensure Nurse Practitioner or Physician Assistant (PA)

• Eligible to obtain prescriptive authority (DEA/DPS as applicable)
• National certification as and Advanced Practice Nurse or Physician Assistant
• ACLS/PALS preferred

Knowledge/Skills/Abilities

• Clinical experience preferred

• Experience in palliative care, hospice, internal medicine, hospital medicine, endocrinology or critical care preferred

• Strong critical thinking skills

• Completion of hospital orientation requirements

• Excellent verbal and written communication skills

• Commitment to patient-centered, compassionate care

Physical Requirements

• Ability to stand for extended periods and perform clinical tasks

• Ability to lift up to 50 pounds

• Ability to work in high-stress environments

• Exposure to bloodborne pathogens

Duties and Responsibilities

• Conduct comprehensive patient assessments, including medical history, physical examination, and review of diagnostic data to guide clinical decision-making
• Develop, implement, and adjust individualized, evidence-based care plans in collaboration with the interdisciplinary team and supervising physician as required
• Maintain compliance with applicable Texas Medical Board and Texas Board of Nursing supervision/collaborative agreements and regulatory requirements including periodic face-to-face meetings with supervision physician and documentation of chart review as required
• Provide education to patients, families and interdisciplinary team members on disease management, symptom control and goals of care.
• Document all patients encounters accurately and timely in the electronic medical record (e.g., EPIC), ensuring compliance with regulatory and organizational standards
• Collaborate with physicians, nursing staff, case management, social work, and other disciplines- and participate in interdisciplinary rounds as needed- to ensure coordinated, patient-centered care
• Perform palliative care consultations for patients with life-limiting illnesses
• Lead and support goals-of-care discussions, including advance care planning and code status clarification
• Assess and manage complex symptom burden
• Deliver compassionate, comfort-focused care for patients designated as comfort care, ensuring symptom relief, dignity, and alignment with established goals of care
• Participate in quality improvement initiatives focused on clinical outcomes, patient experiences and cost-effective care
• Provide emotional support to patients and families
• Coordinate care with hospice and community palliative resources
• Manage inpatient diabetes care, including glycemic control and insulin titration
• Utilize decision support clinical tools (e.g., Endo Tool) to support insulin management
• Collaborate with nursing on insulin and glucose monitoring practices
• Identify and address barriers to glycemic control
• Coordinate discharge planning and outpatient referrals
• Facilitate transitions of care, including appropriate referrals and communication with outpatient providers
• Participate in interdisciplinary rounds and discharge planning
• Identify high-risk patients and implement interventions
• Provide staff education and support when needed
• Participate in program development and workflow improvement
• Serve as a clinical resource and mentor
• Contribute to quality improvement initiatives and monitor key metrics
• Maintain licensure and certifications
• Adhere to scope of practice and agreements
• Uphold confidentiality and professional standards
• Performs all other tasks/responsibilities as necessary