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Job DetailsJob Location: Houston, TX 77090Position Type: Full TimeSalary Range: $120,000.00 - $150,000.00 Salary/yearTravel Percentage: NoneSUMMARY

The Nurse Practitioner (NP) is responsible for conducting Compensation & Pension (C&P) examinations, Physical Health Assessments (PHAs), Department of the Interior (DOI) examinations, and related claimant evaluations for veterans, active-duty service members, reservists, and other designated populations within the clinic setting.

The Nurse Practitioner performs focused history and physical examinations, reviews medical and service records, evaluates diagnostic testing, and completes detailed evaluative reports in accordance with Veterans Health Administration (VHA), Veterans Benefits Administration (VBA), Department of Disability and Medical Assessment (DMA), and organizational guidelines.

This role supports clinical quality, operational efficiency, claimant satisfaction, and regulatory compliance by ensuring timely, accurate, and professional examination services. Nurse Practitioners in this role do not function as primary care providers and do not prescribe medications, provide treatment, or establish ongoing plans of care under this scope of practice.

ESSENTIAL JOB FUNCTIONS

Conduct Compensation & Pension (C&P) examinations for veterans and service members.
Conduct Physical Health Assessments (PHAs), reservist annual physicals, Department of the Interior (DOI) examinations, and related claimant evaluations.
Obtain comprehensive claimant health histories and perform focused physical examinations and assessments.
Review Functional Capacity Certificates, medical records, service records, diagnostics, and claimant-provided documentation to support evaluation processes.
Utilize clinical assessment findings and medical judgment to formulate medical diagnoses and opinions when applicable within examination guidelines.
Complete timely, accurate, legible, and compliant clinical documentation and evaluative reports in accordance with applicable regulations, policies, and client requirements.
Conduct and interpret diagnostic testing including Pulmonary Function Tests (PFTs), Electrocardiograms (EKGs), and Ankle Brachial Index (ABI) testing as appropriate.
Assist with blood draws, diagnostic support, and additional clinical tasks when needed.
Ensure all reports, addendums, and required documentation are completed within established submission timelines and quality expectations.
Maintain familiarity with VBA worksheets, DMA guidelines, VHA/VBA examination standards, and applicable client requirements.
Participate in chart reviews, quality improvement initiatives, utilization review activities, and operational workflow improvements.
Demonstrate awareness of and sensitivity to claimant rights, confidentiality, and customer service standards.
Maintain professionalism, objectivity, and unbiased clinical documentation in all examination activities.
Collaborate effectively with Medical Assistants, operational leadership, providers, and support staff to ensure smooth clinic operations and claimant flow.
Serve as a mentor and clinical resource for Medical Assistants, and operational staff as needed.
Communicate operational concerns, workflow issues, or opportunities for improvement to leadership in a timely manner.
Participate in provider meetings, training activities, continuing education, and operational updates to maintain current knowledge of clinical and operational standards.
Adjust effectively to fluctuating claimant volumes, operational demands, and scheduling changes while maintaining quality and professionalism.
Perform additional clinical or operational duties as assigned based on business needs.

QualificationsMINIMUM REQUIRED QUALIFICATIONS

Education and/or Experience

Graduate of an accredited school of nursing required.
Active and unrestricted Registered Nurse (RN) and Nurse Practitioner (NP) license required.
Master’s degree in Nursing required.
One or more years of nursing or clinical examination experience preferred.
Compensation & Pension (C&P) examination experience preferred.
Experience with computerized charting and healthcare documentation systems preferred.
Previous experience in occupational health, military health evaluations, or ambulatory clinic environments preferred.
Strong clinical assessment, examination, and diagnostic interpretation skills.
Excellent written and verbal communication abilities.
Strong attention to detail and documentation accuracy.
Ability to maintain professionalism, objectivity, and claimant-centered communication during evaluations.
Knowledge of medical terminology, diagnostic procedures, and evidence-based clinical practices.
Ability to work efficiently in a fast-paced clinical environment while maintaining quality and timeliness standards.
Strong organizational, analytical, and problem-solving skills.
Ability to work independently while collaborating effectively within interdisciplinary and operations teams.
Ability to maintain confidentiality and comply with HIPAA and regulatory requirements.
Typing proficiency of at least 35 WPM preferred.

ESSENTIAL COMPETENCIES

QUALIFICATIONS

Must be proficient in multiple software programs, including but not limited to Microsoft Word, Excel, and the Internet.
Must be a qualified typist with a minimum of 35 W.P.M.
Must demonstrate exceptional communication skills.
Must be able to work independently, prioritize work activities and use time efficiently.
Must be able to maintain confidentiality.
Must be able to stay focused and concentrate under normal or heavy distractions.

LANGUAGE/COMMUNICATION SKILLS

Ability to read, analyze and interpret common correspondence, medical records and itemized billing statements, and legal contracts and documents.
Ability to write clearly and informatively to all required audiences and edit own work for appropriate spelling and grammar.
Ability to respond appropriately and professionally to all inquiries or complaints from customers, regulatory agencies, upper management, and/or members of the business community.
Ability to effectively present information one-on-one, in small groups, and/or to clients or vendors of the company.

PHYSICAL DEMANDS

The physical demands described here are representative of those that must be met by an employee to successfully perform the essential functions of this job. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.

This position generally consists of

Ability to work at a desk or similar office-type furnishings up to 8 hours a day or longer as required by business needs.
Ability to operate a computer up to 4 hours at a time.
Ability to travel to different floors of the office or other locations.
Ability to move throughout the office.
Occasionally lifting and/or carrying up to 20 lbs.
Occasionally pushing/pulling up to 20 lbs.

WORK ENVIRONMENT

The work environment characteristics described here are representative of those an employee encounters while performing the essential functions of this job. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.

Extended hours are occasionally required beyond the regular eight (8) hour work day.
The noise level in the work environment is usually moderate.

DISCLAIMER

This Job Description is not an exhaustive list of all functions employees may be required to perform in the described role, and additional functions may be required. This Job Description is applicable to the above position with ExamWorks and/or any of its affiliates (collectively referred to as “ExamWorks”). ExamWorks reserves the right to revise this Job Description at any time with or without notice to employees. Employment with ExamWorks is at-will, and nothing in this Job Description changes that at-will status. Employees must be able to perform the essential functions of this position satisfactorily. If requested, reasonable accommodations may be made to enable employees with disabilities to perform the essential functions of this position, unless such accommodations would cause an undue hardship to ExamWorks