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Advanced Practice Provider - Chronic Disease Management


Summary of Essential Functions

  • Provides comprehensive acute and chronic patient care across inpatient setting

  • 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


Educational Requirements

  • Current Texas Nurse Practitioner License or Physician Assistant (PA)

  • Effective verbal and written communication skills


Licenses and Certifications

  • Meets Texas Board requirements for Advanced Practice Nurses or Physician Assistant

  • Current prescriptive authority (DEA/DPS as applicable)

  • National certification as an Advanced Practice Nurse or Physician Assistant

  • ACLS/PALS preferred


Knowledge/Skills/Abilities

  • Clinical experience preferred

  • Strong critical thinking skills

  • Completion of hospital orientation requirements


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
  • Provide patient and family education to improve understanding of disease processes, treatment plans, and expected outcomes
  • Document all patient 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 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
  • 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 clinical tools (e.g., EndoTool) to support insulin management
  • Collaborate with nursing on insulin and glucose monitoring practices
  • Address barriers to glycemic control
  • Coordinate discharge planning and outpatient referrals
  • Facilitate transitions of care and communicate 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

    Job Identification
    11748
    Job Category
    NURSE
    Posting Date
    04/28/2026, 04:05 PM
    Job Shift
    Occasional
    Locations
    Wichita Falls, TX, United States
    Days and Hours
    PRN; Days
    Total Hours Per Pay Period
    16

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