H&P - Nurse Practitioner

St. Elizabeth Physicians; Edgewood (KY); On-site; USD 100,000 - 140,000; Full time

Job summary

St. Elizabeth Physicians is seeking a compassionate History & Physical Nurse Practitioner to join our H&P team.

This role focuses on comprehensive pre-procedure evaluations and ensuring patients are prepared for planned procedures. The ideal candidate will have strong assessment skills, clinical judgment, and the ability to work with physicians, nursing, anesthesia, and the care team in a collaborative environment.

Qualifications

• Graduate of an accredited Nurse Practitioner program.
• Current APRN license for the required state(s).
• Current national Nurse Practitioner certification.
• Prescriptive authority or other credentials as required.
• Experience in pre-procedure assessment preferred.
• Ability to work independently within scope and with the care team.

Responsibilities

• Obtain and review patient histories, medical records, and referral information.
• Perform comprehensive H&P histories and physical examinations for planned procedures.
• Identify medical conditions, risk factors, and changes affecting the procedure.
• Review labs and diagnostics and obtain additional information as needed.
• Integrate findings to develop clinical impression and plan.
• Collaborate with physicians, anesthesia, and nursing on findings.
• Document H&P accurately in the electronic medical record.
• Educate patients and families about evaluation and follow-up.
• Escalate significant findings to the physician or care team.

Skills

Clinical assessment

Critical thinking

Communication skills

EMR proficiency

Time management

Team collaboration

Patient safety

Independent practice

Clinical guidelines

Education

NP program graduate

Master's degree or higher

Tools

EMR systems

Job description

Job Type

Regular

Scheduled Hours

40

Job Description

H&P Nurse Practitioner

St. Elizabeth Physicians is seeking a compassionate, detail-oriented Nurse Practitioner (NP) to join our History & Physical (H&P) team. This role focuses on completing comprehensive pre-procedure patient evaluations and helping ensure patients are appropriately assessed and prepared for their planned procedure.

The ideal candidate will have strong assessment skills, sound clinical judgment, excellent attention to detail, and the ability to work both independently and collaboratively with physicians, nursing, anesthesia, and other members of the care team.

Position Highlights

• Dedicated History & Physical (H&P) Nurse Practitioner position
• Focus on comprehensive patient history and physical examinations in preparation for procedures
• Collaborative environment working with physicians, nursing, anesthesia, and other members of the interdisciplinary care team
• Opportunity to use advanced assessment and clinical decision-making skills in a focused patient-care setting
• Nurse Practitioner candidates only

Essential Duties And Responsibilities

• Obtain and review patient histories, medical records, referral information, and relevant electronic medical record documentation.
• Perform comprehensive patient histories, including chief complaint, history of present or related illness, current medications, allergies and reactions, past medical history, family history, social history, and review of systems.
• Perform appropriate physical examinations, including assessment of vital signs and organ systems relevant to the patient's condition and planned procedure.
• Identify pertinent medical conditions, risk factors, abnormal findings, or changes in patient status that may affect the patient's planned procedure.
• Review available laboratory, diagnostic, and screening results and obtain additional information when clinically appropriate.
• Integrate history, physical examination findings, diagnostic information, and available medical records to develop an appropriate clinical impression and plan.
• Collaborate and communicate with physicians, anesthesia, nursing, and other members of the interdisciplinary care team regarding findings requiring additional evaluation or follow-up.
• Complete accurate, timely, and thorough H&P documentation within the electronic medical record in accordance with organizational and medical staff requirements.
• Educate patients and families regarding the evaluation process, identified needs, and appropriate follow-up as applicable.
• Escalate significant or unexpected clinical findings to the appropriate physician or care team member.
• Promote patient safety, confidentiality, advocacy, and a positive patient experience.
• Participate in quality improvement, continuing education, peer review, and other activities designed to support clinical quality and regulatory compliance.
• Maintain compliance with applicable laws, regulations, organizational policies, clinical standards, and patient confidentiality requirements.
• Perform other duties and responsibilities as assigned.

The H&P-specific clinical elements above are based on St. Elizabeth's medical staff requirements for H&P examinations, which identify the required history, examination, clinical impression, and plan components. [Healthcare...01.06.2025 | PDF]

Required Knowledge, Skills, And Abilities

Clinical Knowledge

• Advanced knowledge of anatomy and physiology, pathophysiology, pharmacology, therapeutics, and clinical assessment.
• Strong knowledge of comprehensive history-taking and physical examination techniques.
• Knowledge of diagnostic testing, interpretation of results, and clinical decision-making.
• Ability to recognize clinical findings and patient risk factors that warrant additional evaluation or physician review.
• Knowledge of patient safety, infection prevention, and confidentiality standards.
• Understanding of health promotion, disease prevention, and patient education principles.

These qualifications also remain consistent with the clinical knowledge requirements used in the existing Hospitalist APP (Overnight) Job Description. [Hospitalis...escription | Word]

Professional Skills

• Strong clinical assessment and critical-thinking skills.
• Excellent oral and written communication skills.
• High level of accuracy and attention to detail in clinical documentation.
• Proficiency with electronic medical record systems.
• Strong time-management, organizational, and multitasking abilities.
• Ability to analyze clinical information, identify concerns, and appropriately elevate findings.
• Ability to interpret and apply clinical guidelines, policies, and procedures.
• Ability to practice independently within scope while collaborating effectively with physicians and interdisciplinary care teams.
• Strong interpersonal skills and commitment to patient-centered care.
• Demonstrated ability to work successfully within a team-based care environment.

The communication, EMR, clinical reasoning, time-management, independent-practice, and team-based skills are also consistent with St. Elizabeth's existing provider job-description language. [Hospitalis...escription | Word], [Krystie Da...ls in chat | Teams]

Education

• Graduate of an accredited Nurse Practitioner program.
• Master's degree or higher as required by applicable certification and licensure standards.

Licensure and Certification

• Current license as an Advanced Practice Registered Nurse (APRN) in the state(s) required for the position, or ability to obtain appropriate licensure prior to start date.
• Current national certification as a Nurse Practitioner applicable to the position.
• Additional certifications, prescriptive authority, or other credentials as required by the position, applicable law, and organizational policy.

Preferred Qualifications

• Previous Nurse Practitioner experience in pre-procedure assessment, perioperative care, hospital medicine, internal medicine, primary care, or another setting requiring comprehensive history and physical examinations preferred.
• Experience evaluating medically complex patients and identifying conditions requiring additional evaluation or escalation.
• Experience working collaboratively with physicians, anesthesia, nursing, and interdisciplinary care teams preferred.
• Strong electronic medical record documentation skills.

Why Join the H&P Team?

Join a collaborative team where your assessment skills and clinical judgment play an important role in preparing patients for safe, high-quality care. As an H&P Nurse Practitioner, you'll have the opportunity to conduct comprehensive patient evaluations, identify potential concerns, coordinate with interdisciplinary care teams, and help patients move confidently and safely toward their planned procedures.

About St. Elizabeth

St. Elizabeth Physicians is a physician led multi-specialty physician group organization consisting of 517 physicians, 334 advanced practice providers and more than 2,000 non-provider associates. We are very proud of our culture around physician wellness and our high physician engagement and satisfaction scores. St. Elizabeth Physicians serves more than 409,000 patients in our more than 121 conveniently located practices in Kentucky, Indiana and Ohio. In partnership with St. Elizabeth Healthcare, we are transforming how care is delivered in our region.

We are a mission and values driven organization, focused on patient-centered care, accountability, community, innovation, teamwork and excellence. St. Elizabeth is a regional healthcare provider continually recognized as one of the nation's best. Our mission is to ensure our patients receive comprehensive and compassionate care - anywhere. St. Elizabeth Physicians is an equal opportunity employer and will not discriminate on the basis of race, color, sex, religion, national origin, ancestry, disability, age or any other characteristic that is protected by state or federal law.