Nurse Practitioner - Primary Care Provider Employer-Based Clinic Opportunity in Coeur d'Alene Idaho

Position Summary The Nurse Practitioner serves as the primary onsite provider in an employer-based clinic with the Hagadone Corporation, 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. Collaboration & Leadership Serve as the onsite clinical lead ; provide guidance to MAs/RNs and allied staff; uphold standards for triage, infection control, and patient flow. Engage employer stakeholders through regular touchpoints; present health trends and action plans; contribute to workplace safety committees . Offer health education sessions, toolbox talks, and return-to-work counseling tailored to specific departments or job tasks. Uphold organizational values: ensure trauma-informed, respectful care for all employees.