Description
Summary of Position:
The Advanced Practice Provider (APP) – Ambulatory Medicine provides direct patient care within state and scope of practice guidelines at assigned Barton HealthCare System outpatient clinic facilities in support of the Patient Centered Medical Home (PCMH) or Patient Centered Specialty Practice (PCSP). Services are provided based on the ages of the population served; Newborn through geriatric - 65 years or older and in collaboration with the multidisciplinary. Assesses, plans, implements and evaluates care in collaboration with the multidisciplinary care team. Demonstrates the knowledge and skill necessary to identify and meet the individualized needs of the population served. This position relies on the appropriate authorization protocols when performing medical functions including diagnosing, treating and performing any other function within the scope of medical practice.
Qualifications
Education:
● Completion of an accredited Nurse Practitioner training program which has been accredited by the Committee on Accreditation of Allied Health Education Programs (CAAHEP); or Completion of an accredited Physician Assistant training program which has been accredited by the Committee on Accreditation of Allied Health Education Programs (CAAHEP)
Experience:
● Must possess recent clinical experience as an APP with the exception of practitioners who have completed an approved training program within the past year. Recent clinical experience is defined as having performed at least 100 outpatient clinical activities/procedures and/or 30 inpatient clinical activities/procedures during the past two years.
● Minimum three years Outpatient Clinic and or Urgent Care experience preferred.
● Prior experience working within the Patient Centered Medical Home or Patient Centered Specialty Practice model preferred.
Knowledge/Skills/Abilities:
● Sufficient computer skills are required to complete an online application and the pre- employment/annual computer requirements.
● In compliance with patient safety standards, must be able to effectively communicate in English; Bilingual abilities preferred.
Certifications/Licensure:
● Current National Certification as a Nurse Practitioner through the National Certification Corporation (NCC), American Nurses Credentialing Center (ANCC), Pediatric Nursing Certification Board (PNCB) or American Academy of Nurse Practitioners (AANPCB); or Current Certification by the National Commission on Certified Physician Assistants (NCCPA)
● Current California and Nevada licenses or ability to obtain prior to start date as required by worksite location.
● Current CPR/BLS certification by the American Heart Association (BLS for the Healthcare Provider)
● Current ACLS certification by AHA for Urgent Care settings.
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.
● While performing the duties of this job, the employee is frequently required to walk, stand, sit, and talk or hear.
● The employee is occasionally required to use hands to finger, handle, feel or operate objects, tools, or controls; and reach with hands and arms.
● The employee is occasionally required to climb or balance; stoop, kneel, crouch, or crawl.
● Specific vision abilities required by this job include close vision, color vision, and the ability to adjust focus.
● The employee must occasionally lift and/or move up to 25 pounds.
Working Conditions
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.
● Contact with patients and guests under a wide variety of circumstances.
● Regularly exposed to the risk of bloodborne diseases.
● Exposure to infections and contagious disease.
● Exposed to hazardous anesthetic agents, body fluids and waste.
● Subject to hazards of flammable and explosive gasses.
● Subject to varying and unpredictable situations, including the handling of emergency or crisis situations.
● Subject to pressure due to irregular hours, frequent interruptions and stressful situations due to multiple demands.
● Occasional travel to various health system locations.
Essential Functions
1. Provides consistently exceptional care at all times.
2. Participates in initial assessment (from focused to comprehensive, depending upon the setting) and longitudinal care to the specified patient population. Provides a wide range of health care services to patients of all ages, including infants, adolescents, adults and seniors.
3. Takes detailed patient medical history, performs physical examinations and makes assessments and diagnosis. Notifies the Supervising Physician of any abnormal findings and communicates treatment plan accordingly.
4. Interprets health information and establishes diagnoses consistent with the accumulated data. Assists Telehealth specialists with assessment and coordinates plan of care when needed.
5. Formulates and implements the treatment plan, ensuring timely provision of necessary health care services.
6. Analyzes accumulated health information and collects additional observational, interview, historical, physical examination, and diagnostic data, modifying treatment as appropriate.
7. Reviews treatment and therapy plans and presents pertinent data in a manner meaningful to the Supervising Physician.
8. At qualified locations will assist in the management of substance abuse treatment with Medical Director oversight..
9. Orients, instructs and trains assigned personnel.
10. Operates equipment and performs job related duties in a safe manner. Insures proper functioning of equipment and follows procedure when equipment malfunctions.
11. Provides direct patient care, evaluates outcomes, consults with physicians as required and adjusts care processes as indicated to ensure optimal patient care.
12. Ensures that all aspects of patient care and observations are documented. Documentation is complete, accurate and timely. Signs off medical record within 48 hours of seeing patients.
13. After reviewing with the Supervising Physician, initiates arrangements for admissions, completes forms and charts pertinent to the patient's medical record, and provides services to patients requiring continuing care, including patients at home.
14. Is able to demonstrate knowledge and skills necessary to provide care appropriate to the age of the patients served. Demonstrates knowledge of the principles of growth and development over the life span of the patient and possesses the ability to identify each patient's age- specific needs.
15. Aids patients and families as needed in times of stress or crisis.
16. Enhances professional growth and development through participation in educational programs, current literature, in-service meetings, and workshops.
17. Ensures 5 rights of Medication Administration and commitment to safety.
18. Participates in quality improvement activities; assist in maintaining compliance with Joint Commission and other internal and external regulatory standards.
19. Supports and upholds established organizational policies, procedures, and objectives related to quality improvement, safety, environmental and infection control.
20. Responds to the needs of the department by performing other duties, as necessary.
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