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Confluence Health

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Nurse Practitioner - Anticoagulation

Confluence Health · Chelan County, Washington, United States

Per-diemOn site2-5 yrsListed as no visa sponsorshipHospitals and Health Care
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In short

The clinician performs clinical management of patients on anticoagulation therapy, including adjusting medication dosages and coordinating perioperative plans. They also provide patient education and act as a medication expert within the integrated care team.

What they're looking for

MUST-HAVE SKILLS

Clinical managementAnticoagulation therapyMedication dosage adjustmentPatient counselingPatient educationElectronic medical record documentationCPT codingBasic Life SupportRisk assessmentEvidence-based practiceInterdisciplinary communicationCare coordination

ALSO MENTIONED

Nurse PractitionerAnticoagulationARNPRegistered NurseMedication TherapyElectronic Medical RecordCPRPharmacy ManagerCredentialingCompliance Audits+1 MORE

Candidates must hold an active Registered Nurse and ARNP license with prescriptive authority in Washington state. A Basic Life Support (CPR) certification is required, and three years of related experience is desired.

About the employer

Confluence Health

We are dedicated to improving our patients' health by providing safe, high-quality care in a compassionate manner

About Us Confluence Health is an integrated, rural healthcare delivery system with two hospitals, multi-specialty care in more than 30 service lines and primary care in 12 communities across North Central Washington. Our 300+ physicians and 175+ advanced practice clinicians serve an area of approximately 12,000 square miles and cover nearly every corner of the region through specialty outreach.

Read more

Mission Statement: Local care by and for our community. Our Vision: To serve our community with compassionate care through our dedication to - Enabling joy and pride in our work, - Focusing on local sustainability, - Ensuring access for all, and - Committing to excellent care and service. Core Values: • Our patients are the reason for our being, and their needs will drive all of our actions. • We will treat everyone with dignity, respect and compassion. • We will continue to innovate ways to improve the delivery of excellent, high value care. • We will measure successes and failures and use the results to drive further improvement. • We will be a good neighbor in the communities we serve with donations of time, talent, and capital. • We will be ethical and accountable in all of our decisions and actions.

INDUSTRY
Hospitals and Health Care
COMPANY
Nonprofit
FOUNDED
2013
HEADQUARTERS
Wenatchee, WA
SIZE
1,001-5,000on LinkedIn
OFFICES
1 on LinkedIn
OPEN HERE
2 roles

KNOWN FOR

Quality Healthcare for Everyone

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Questions about this role

Is this Confluence Health role remote?
Tagged on site.
Does it sponsor visas?
Listed as no visa sponsorship.
What experience does it ask for?
Listed as 2-5 years.

The posting, in full

Salary Range $66.35 - $80.29 Overview Located in the heart of Washington, we enjoy open skies, snow-capped mountains, and the lakes and rivers of the high desert. We are the proud home of orchards, farms, and small communities. Confluence Health actively supports the communities we serve and their quality of life through our community support program and through our individual efforts as involved community members.

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Salary Range

$66.35 - $80.29

Overview

Located in the heart of Washington, we enjoy open skies, snow-capped mountains, and the lakes and rivers of the high desert. We are the proud home of orchards, farms, and small communities. Confluence Health actively supports the communities we serve and their quality of life through our community support program and through our individual efforts as involved community members.

Pool Employees of Confluence Health receive a range of benefits in addition to compensation.

  • Retirement Plan
  • Pool Differential
  • Sick Leave
  • Shift Differential
  • Employee Assistance Program

For more information on our Benefits & Perks, click here!

Summary

Please Note: This a pool position. No guarantee of hours.

To perform clinical management of patients on anticoagulation therapy. This involves adjusting medication dosage, developing and coordinating perioperative and procedural plans, counseling patients and family members on full range of issues pertaining to anticoagulation in accordance with approved guidelines and department protocols. The clinician will also provide patient and family education and coordinate communication with patients and other healthcare providers regarding medication therapy and the associated disease states. The clinician is the anticoagulation medication expert on the integrated care team and acts as a resource to team members.

Position Reports to: Pharmacy Manager

Essential Functions

  1. Monitors medication therapy within the scope of practice as outlined in State law. Performs ongoing assessment of patient risk factors, indications for therapy, and works for optimization of therapeutic regimens. Coordinate follow-up with patients and other health care providers.
  2. In collaboration with the Physician Director or Pharmacy Manager, interprets the information in the medical record and the results of testing (laboratory, vitals, etc.) required for monitoring and adjusts medication therapy in accordance with Confluence health approved guidelines, evidence-based practice and department standards.
  3. Maintains competence in CPT coding and maintains competence by passing regular compliance audits.
  4. Documents appropriately in the electronic medical record, including all patient care activities, patient and family teaching, and communication with members of the patient care team.
  5. Communicates with patients, family members, and other health care providers. Serves as a liaison to promote coordinated health care across the continuum.
  6. Demonstrate competency and proficiency in essential job functions by maintaining active credentialed status via Confluence Health delegated credentialing through the Medical Staffing Office.
  7. Enhances professional growth and development through participation in educational programs, current literature, in-service meetings and workshops.
  8. Participates in department driven practices including provider huddles, journal clubs and on-call scheduling. Complies with established departmental policies, procedures and objectives.
  9. Required to maintain active Basic Life Support (CPR) certification.
  10. Performs other duties as assigned.

Demonstrate standards of behavior and adhere to the Code of Conduct in all aspects of job performance at all times.

Qualifications

Required:

  • Active Registered Nurse and ARNP licensure with prescriptive authority in the state of Washington, by start date.
  • Basic Life Support (CPR) certification (within 90 days of hire).

Desired:

  • 3 years related experience.
  • CACP.

Physical/Sensory Demands

O = Occasional, represents 1 to 25% or up to 30 minutes in a 2 hour workday.

F = Frequent, represents 26 to 50% or up to 1 hour of a 2 hour workday.

C = Continuous, represents 51% to 100% or up to 2 hours of a 2 hour workday.

Physical/Sensory Demands For This Position

  • Walking - F
  • Sitting/Standing - F
  • Reaching: Shoulder Height - F
  • Reaching: Above shoulder height - O
  • Reaching: Below shoulder height - O
  • Climbing - O
  • Pulling/Pushing: 25 pounds or less - O
  • Pulling/Pushing: 25 pounds to 50 pounds - O
  • Pulling/Pushing: Over 50 pounds - O
  • Lifting: 25 pounds or less - F
  • Lifting: 25 pounds to 50 pounds - O
  • Lifting: Over 50 pounds - O
  • Carrying: 25 pounds or less - O
  • Carrying: 25 pounds to 50 pounds - O
  • Carrying: Over 50 pounds - O
  • Crawling/Kneeling - O
  • Bending/Stooping/Crouching - O
  • Twisting/Turning - O
  • Repetitive Movement - O

Working Conditions:

Work is performed at in patient exam and treatment rooms, where space may be limited and confined. Requires a combination of working independently and also working closely with others.

Job Classification:

FLSA: Exempt

Hourly/Salary: Salary

Physical Exposures For This Position

  • Unprotected Heights - No
  • Heat - No
  • Cold - No
  • Mechanical Hazards - No
  • Hazardous Substances - Yes
  • Blood Borne Pathogens Exposure Potential - Yes
  • Lighting - No
  • Noise - No
  • Ionizing/Non-Ionizing Radiation – No
  • Infectious Diseases - Yes
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This listing comes from Confluence Health's own careers site. Apply links go to the employer. Company facts are from Confluence Health's public profile. Last checked 12 Nov 2026.