Nurse Practitioner Hagadone Employer-Based Clinic
The Nurse Practitioner serves as the primary onsite provider in an employer-based clinic delivering comprehensive acute care occupational medicine and preventive services to employees and eligible dependents. The NP independently evaluates diagnoses treats and follows patients across the spectrum of work-related and non-work-related conditions collaborates with onsite employer stakeholders HR Safety Risk and coordinates referrals to external specialists when appropriate. The NP also champions evidence-based protocols regulatory compliance OSHA DOT workers compensation and data-driven quality improvement to enhance workforce health safety and productivity.
Key Responsibilities
Direct Patient Care, Acute Care & Limited Primary Care
- Perform comprehensive and problem-focused history and physical exams
- Formulate differential diagnoses
- Develop and implement evidence-based treatment plans for acute illnesses and minor injuries, e.g. URI, influenza-like illness, asthma exacerbation, otitis media externa, conjunctivitis, dermatitis, lacerations, sprains/strains, minor fractures, stabilization, burns
- Provide procedures within scope, e.g. wound care, I&D of simple abscesses, splinting, suture/staple placement and removal, ear irrigation, nebulizer therapy
- Prescribe medications and therapeutics per state law and organizational privileges
- Manage medication safety and formulary adherence
- Deliver health maintenance, immunizations, routine screenings, chronic condition triage and referral, e.g. hypertension, diabetes detection and stabilization pending primary care follow-up
- Utilize shared decision-making and culturally competent communication
- Provide patient education and return-to-work guidance
Occupational Medicine
- Conduct and document work injury evaluations
- Initiate treatment plans
- Coordinate workers compensation documentation
- Develop return-to-work and modified duty recommendations
- Perform post-offer/pre-placement exams, fitness-for-duty evaluations, respirator medical clearances, and other job-specific health assessments per employer standards
- Order, interpret, and act on occupational exposure testing, e.g. audiometry coordination, vision screening, bloodborne pathogen follow-up, lead/heavy metals TB screening
- Administer and oversee DOT/FMCSA physicals (requires certification) - covered by employment, including medical certification determinations, maintain required documentation and examiner registry as applicable
- Support OSHA compliance through accurate injury/illness documentation and timely reporting
- Collaborate with Safety/HR on trends, prevention strategies, and policy updates
- Provide vaccination programs, e.g. influenza, Hepatitis B post-exposure prophylaxis protocols, and drug/alcohol testing processes if within scope/policy
Scope of Procedures
- Wound care & closure
- Foreign body removal
- Superficial I&D
- Simple splinting
- Injections (IM/SC)
- PFT coordination
- Phlebotomy oversight
- ECG
- Basic MSK ultrasound (if trained)
Care Coordination & Operations
- Coordinate referrals to external specialists, imaging, and rehabilitation
- Ensure appropriate care transitions and follow-up
- Maintain accurate, comprehensive EHR documentation
- Leverage templates and smart tools for occupational encounters and regulatory forms
- Support population health initiatives, e.g. targeted outreach for high-risk conditions, ergonomic programs, wellness campaigns
- Participate in quality improvement (QI) projects, clinical audits, and policy/protocol development
- Contribute to performance dashboards
Experience
- 2-3 years of NP experience in urgent care, emergency, family medicine, internal medicine, or occupational health
- Employer-based clinic experience strongly preferred
Additional Information