Hunt Memorial Hospital District

Physician Assistant / Nurse Practitioner

3 months ago
Job ID
# Positions
Nursing - RN/LVN




The Family Nurse Practitioner/Physician Assistant works as part of the HRMP provider team, performing a variety of direct patient services including assessment, diagnosis, implementation of treatment, evaluation, and monitoring the general patient management plan for clinic patients.  The Family Nurse Practitioner (FNP) or Physician Assistant (PA) performs these functions under the general supervision of a licensed physician in the HRMP primary health care system.  Face-to-face services may be performed at a HRMP practice site, home visits to established patients, HRMP Rural Health Centers (RHC), via Telemedicine, or at an HRMP designated nursing home.





Patient Relations


  1. Obtains and documents complete medical history from patient and/or family, and/or previous medical records, etc.
  2. Prescribes medications under the delegation of the supervising physician, based on Texas Medical Board requirements and according to standard and published therapeutic goals and explains treatment to patients and families in accordance with TSBME and/or TSBNE regulations.
  3. Teaches and counsels patients and families regarding health education and disease management.
  4. Ensures and encourages that a scheduled follow up office visit is made at time of departure for chronic disease management (every 90 days, as per standard HRMP protocols) with recommended laboratory studies prior to scheduled appointment. When exceptions to this requirement occur, the reason will be documented in the patient chart by the provider.


 Staff Relations/Team Building


  1. Consults with physicians and other members of the health care team, as necessary.
  2. Performs other necessary duties as required by HRMP Medical Director, to meet the goal of providing quality primary health care services.
  3. Provides leadership and education for clinical staff.


 Clinical Duties


  1. Performs and documents complete physical examinations on patients, to include referrals and recommendation for defined screening studies for preventive care as per USPSTF and HRMP guidelines.
  2. Orders routine and diagnostic laboratory and imaging studies according to protocols.
  3. Formulates a working diagnosis for acute and chronic illness on the basis of clinical findings, laboratory and imaging study reports and/or the results of other diagnostic procedures.
  4. Formulates, initiates, and monitors patient management plans for patients assigned to the Family Nurse Practitioner or Physician Assistant, using defined protocols and/or consultation with supervising physician.
  5. Refers patients requiring hospitalization or further assessment and management of conditions to supervising physicians or appropriate specialist/consultant.
  6. Works in conjunction with designated supervising physician to care for Transitional Care Management of patients after discharge from Emergency Department and/or hospitalization(s), including review of history and physical, progress notes discharge summaries, and review of appropriate diagnostic tests.
  7. Renders emergency care and treatment including cardiopulmonary resuscitation (BLS), administering medications, sutures lacerations.
  8. Performs other minor procedures in the ambulatory care setting, including removal of warts, nevi, skin tags, ingrown toenails and other procedures as privileged.
  9. Performs advanced diagnostic procedure including intra-articular injections, when specifically trained to perform and with supporting documentation of experience and/or CME.
  10. When specifically designated, provides primary health care to nursing home residents that are patients of local nursing homes, i.e., Greenville Health and Rehabilitation Center, Legend Health, Briarcliff Health Center of Greenville. Services may include, but are not limited to: monthly routine evaluations, acute care, lab review, x-ray review, hospital admissions, and discharge planning with referral to home health. Reports clinical issues, concerns, and complexities to supervising physician.
  11. Facilitates physician involvement and assists physician in required visits to patient homes and/or nursing home patients, based on medical necessity.

Administrative Duties


  1. Consults with physicians and other members of the health care team, as necessary.
  2. Complies with HRMP, State, and Federal policies, procedures, and standards.
  3. Participates in approved CME and on-going clinical trainings for enhancing education and remaining up-to-date with clinical standards and protocols.
  4. Participates with the Clinical Leadership team, as requested for input in improving the quality health care delivery at site.
  5. Participates in the monthly Quality Assurance meetings with the Medical Director and in the chart review process to remain in compliance and in alignment with the HRMP Primary Care Performance Improvement plan.

 Performance Improvement Activities


  1. Maintains all electronic patient records to comply with HRMP policies and procedures, as well as required standards; reviews records regularly.
  2. Completes DME paperwork and obtains physician counter signatures where necessary.
  3. Entries and completion of documentation in the medical records must be timely, in accordance with HRMP Policy, including information and details regarding patient cases, on-call record-keeping and response to nursing staff and patients regarding their care.
  4. Attends all medical staff meetings and participates in the HRMP Performance Improvement program, including completion of the Quality Measures component within the patient medical record.
  5. Consults with supervising physician prior to obtaining laboratory tests, which are not published as part of the RHC Laboratory Formulary.


 Safety/Infection Control Activities


      Complies with OSHA, CLIA, and DSHS regulations.




  • The Family Nurse Practitioner and the Physician Assistant reports to, is supervised by, and is evaluated by the Medical Director. Documentation demonstrating discussions and patient chart review(s) will be completed at least on a monthly basis through scheduled QA meetings.
  • Additionally, the FNPs and the Physician Assistants will be reviewed on an annual basis by the Medical Director.
  • The Family Nurse Practitioner/Physician Assistant may be asked to supervise a Clinical Nurse (LVN or Medical Assistant) or members of the primary care team.




    1. Graduation from accredited school of nursing and a Family Nurse Practitioner or Physician Assistant program.
    2. The ability to relate with effectiveness to patients and providers.
    3. Must be qualified and certified in Basic Life Support (BLS) techniques.
    4. Sufficient experience to carry out the duties of this position.
    5. Active Texas licenses to practice as a registered Nurse Practitioner or Physician Assistant.
    6. Certification by the appropriate specialty board.
    7. 2 Years of Experience


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