Midlevel Family Practice (Physician Assistant/Nurse Practitioner - Rural Health Clinic) HRC-143

About the role

Delivers pediatric healthcare and administers specialized medical services within an outpatient rural health clinic environment, operating under the supervision of clinic physicians in alignment with California state laws, regulations, and departmental protocols and policies.

Responsibilities

• Maintains courteous, professional relationships with physicians, patients, peers, families, healthcare team members, and external agencies.
• Provides care in emergent situations following department protocols.
• Maintains composure in high stress situations.
• Affords assistance to the Medical Director and/or supervising physician staff in complicated treatment procedures.
• Communicates patient care and practice-related issues to the Rural Health Clinic medical director, while any work environment concerns are directed to the clinic leadership.
• Prescribes medication within the parameters of his/her ability, certification or licensure.
• Consistently prescribes the correct medication for the diagnosis and follows the protocols for prescribing through the EMR.
• Refills for medications are completed according to policy for the outpatient hospital-based clinics/centers.
• Patient history intake is accurate and complete, documented correctly in EHR system.
• Performs a comprehensive symptom-focused physical exam.
• Assessment and treatment plan are documented with required components in the EHR system on the date of service.
• Provides quality patient education, counsels and educates patients and families re: diagnosis, treatment plan, medications, testing required and expected outcomes based on individual needs.
• Appropriate selection of diagnostic tests and labs, with appropriate interpretation/analysis of test results.
• Appropriate integration of history and physical findings and diagnostic studies to formulate a differential diagnosis.
• Overall integration of clinical information into treatment planning.
• Pharmacology knowledge/appropriate ordering of therapeutics.
• Initiates appropriate and timely follow-up care.
• Applies evidence-based medicine to clinical decisions.
• Makes patient referrals to specialist and ancillary services as necessary, consistently following the approved protocol for referring patients and use of the EHR.
• Referrals are appropriate for the diagnosis.
• Participates in and contributes to the on-going growth of the outpatient clinics/centers including policy and procedure updates.
• Works with the medical director and clinic leadership in this area.
• Accurately charts all patient care activities including date and time into the EHR in the approved format and location for consistency across the continuum.
• Charting is completed and note locked by the end of shift on the date of service per policy.
• Interacts with other departments within the organization and facilities outside of this organization when needed for continuity of care including provider-to-provider notification for transfers to the Emergency Department.
• Maintains cost containment efforts by using supplies and equipment prudently, charging appropriately for supplies and equipment used, and coding appropriate for visit.
• Billing of patient encounters is accurate and completed daily.
• Has knowledge of the use of the EHR systems within the clinics.
• Comprehends and ensures adherence to quality performance metrics, effectively applying them to enhance clinical practice.
• Maintains an updated CAQH profile.

Requirements

Completion of an accredited Nurse Practitioner or Physician Assistant Program. Current Nurse Practitioner/Physician Assistant certification and license recognized by the State of California. Experience in a primary health care setting preferred. Bilingual in English and Spanish preferred. Current and unrestricted DEA & furnishing Licensure. Current BLS Certification by American Heart Association or American Red Cross.