Nurse Practitioner – Adult/Gerontology (AGNP/GNP)

Department: Rural Health Clinic

Hours: Fulltime, Day Shift, Monday-Friday

Description:

Position Overview: The Nurse Practitioner – Adult/Gerontology (AGNP/GNP) provides advanced nursing care for older adult patients across clinic and nursing home settings. The AGNP/GNP assesses, diagnoses, and manages acute and chronic conditions, implements evidence-based treatment plans, and provides preventive care tailored to the geriatric population. This role includes direct patient care in clinic visits and scheduled nursing home rounds, ensuring continuity of care, patient safety, and adherence to HIPAA and organizational policies.

The AGNP/GNP collaborates with physicians, nursing staff, therapists, social workers, and other interdisciplinary team members to optimize functional outcomes, manage comorbidities, and support quality of life for older adults.

Duties and Responsibilities:

• Conducts comprehensive assessments of geriatric patients, including physical exams, functional evaluations, and review of medical history.
• Provides diagnosis, treatment, and management of acute and chronic conditions in geriatric patients.
• Develops, implements, and adjusts individualized care.
• Orders, performs, and interprets diagnostic and laboratory studies as appropriate.
• Prescribes medications, non-pharmacologic therapies, and other treatments within scope of practice and regulatory guidelines.
• Educates patients and families on medications, treatments, disease prevention, and health promotion, with consideration for cognitive or functional limitations.
• Conducts scheduled nursing home rounds, coordinating with facility staff to review patient status, monitor outcomes, and recommend care adjustments.
• Provide on-call coverage for nursing home patients as scheduled, including triage, care coordination, and consultation with the patient’s primary physician as needed.
• Documents all care and interactions accurately and in a timely manner in compliance with HIPAA and Medical Center policies.
• Initiates referrals, consultations, and therapeutic interventions; collaborates with specialists to coordinate care plans.
• Collaborates with interdisciplinary teams to optimize patient outcomes and maintain quality standards of care.
• Monitors patient safety and demonstrates situational awareness in all care environments.
• Complies with departmental, Medical Center, and regulatory guidelines, including American Nurses Credentialing Center (ANCC) and American Academy of Nurse Practitioners (AANP) Code of Ethics and Standards of Practice.
• Participates in quality improvement initiatives focused on geriatric care.
• Maintains professional competence through continuing education and professional organization involvement.
• Meets or exceeds RHC productivity standards.
• Assumes other duties and responsibilities that are related and appropriate to the position and area. The above responsibilities are a general description of the level and nature of the work assigned to this classification and are not to be considered as all-inclusive.

Minimum Education and/or Experience Required:

• Master of Science in Nursing (MSN) or Doctor of Nursing Practice (DNP) Degree required.
• Two years professional nursing experience preferred; experience in geriatric care or primary care for older adults strongly preferred.
• AGNP (Adult-Gerontology Nurse Practitioner) credential preferred; may be waived for extensive geriatric experience.

Additional Qualifications:

• Basic computer skills.
• Excellent oral and written communication skills required.
• Must be able to read, write, comprehend, and verbally communicate in English fluently.
• Integrity and ability to work independently. Initiative to take on tasks without being told.
• Extremely strong attention to detail.
• Adaptive to change, embraces change with optimism.
• Critical thinking and problem-solving skills.
• Empathy and compassion for older adult patients.
• Ability to prioritize assignments and manage time efficiently.
• Ability to operate as part of an interdisciplinary team.
• Ability to operate technologies and equipment associated with the role.
• Maintains a high degree of professional competence by ongoing education, membership in professional organizations, and attendance at relevant meetings.
• Ability to work outside of regularly scheduled hours if needed.
• Ability to provide accurate, effective care under pressure and in stressful situations.

Licensure/Certification Required:

• Current Iowa Registered Nurse (RN) license.
• Current Iowa Advanced Registered Nurse Practitioner (ARNP) license.
• Adult-Gerontology Nurse Practitioner (AGNP) credential preferred; may be waived for extensive geriatric experience.
• Drug Enforcement Administration (DEA) Certificate.
• Controlled Substances Act (CSA) Certificate.
• Basic Life Support (BLS) Certification. (BLS is not required for staff with Advanced Cardiac Life Support (ACLS) and Pediatric Advanced Life Support (PALS) certifications).
• Advanced Cardiac Life Support (ACLS) Certification preferred.

Physical/Cognitive Requirements:

• Sit: Occasionally
• Stand: Constant
• Walk: Frequent
• Lift:
  • 10 pounds Frequent
  • 25 pounds: Frequent
  • 50 pounds*: Occasionally
  • 75 pounds*: Occasionally
  • Greater than 100 pounds*: Occasionally
• Carry:
  • 10 pounds: Frequent
  • 25 pounds: Frequent
  • 50 pounds*: Occasionally
  • 75 pounds*: Occasionally
  • Greater than 100 pounds*: Occasionally
• Push/Pull:
  • 10 pounds: Frequent
  • 25 pounds: Frequent
  • 50 pounds*: Occasionally
  • 75 pounds*: Occasionally
  • Greater than 100 pounds*: Occasionally
• Squat/Kneel/Crouch: Frequent
• Climb: Occasionally
• Balance: Occasionally
• Twist: Occasionally
• Bend/Stoop: Occasionally
• Crawl: Occasionally
• Grasp/Grip: Frequent
• Talk: Constant
• Hear: Constant
• See: Constant

• Anything greater than 50 pounds- assist of two or more, or mechanical lift are required.

• Requires situational awareness to identify hazards and maintain safety of self, patients, and staff.

Environmental Factors:

• May be exposed to communicable diseases due to working in a health care environment.
• Works in a well-illuminated climate-controlled environment.
• Moderate noise level when machines/equipment in use but typically quiet environment.
• May come in contact with blood and other body fluids.

Organizational Relationships:

Reports to: Medical Staff President with day-to-day direction from Clinic Director

Employees supervised: None