Nurse Practitioner / NP - Primary Care

About the role

This Position Provides Medical Care And Treatment Services With Emphasis On Chronic Disease Management And Promotion Of Health And Palliative Care For Patients Not Best Served In a Clinic Setting. Care Is Provided In Patient Residencies, As Well Through Audio And Video Sessions. This Position May Focus On One Of The Following Areas Regular Care: Provides ongoing care for patients within an assigned caseload and/or territory and includes long-term strategies focused on disease prevention.

Responsibilities

• Provide diagnosis, treatment, consultation, and follow-up care as indicated of patients including diagnosis and treatment of critical, prolonged, and long-term healthcare issues.
• Complete a physical and psychosocial history; identify actual and potential health needs based on medical, mental/emotional, financial, and social factors.
• Make referrals to appropriate social or medical agencies and practitioners.
• Evaluate and address the prevention of diseases and/or acute change in condition, maintenance of chronic diseases, and appropriate end-of-life care per the goals of care outlined by the patient and their families.
• Develop and implement proactive patient centered care plan with the assistance of other disciplines within the care team.
• Order testing in diagnostics, order medications with appropriate follow up and reassessment, and perform some surgical procedures as appropriate under certification.
• Approve medication refills and home health orders and respond to caregiver requests to provide continuity of care.
• Provide compassionate anticipatory guidance through decline due to chronic disease and provide high quality palliative care focused on the goals of the patient and family.
• Educate patients and families on goal-based, appropriate preventative care, chronic care, or urgent care needs, as well as the use of prescribed medications and treatment.
• Establish and maintain working relationships with lay and professional caregivers, including care facilities, to assure patient experience excellent continuity of care and orders are implemented appropriately.
• Maintain all company metrics pertaining to productivity.
• Participate in the after-hours call schedule.
• Communicate effectively with members of the medical staff on issues concerning consultation, collaboration, and referrals.
• Determine need for specialty and rehabilitative services and make appropriate referrals.
• Oversight the care plan/case management activities for assigned patients.
• Attend and participate in all required staff meetings and other ad hoc committees as assigned.
• Provide coverage for clinical colleagues in their absence.
• Participate in quality improvement activities as assigned.
• Complete and maintain medical records according to agency protocols and in support of quality metrics.

  Requirements

  Master’s degree from an accredited advanced nurse practitioner program
  Licensed nurse practitioner in the state of Oregon (ANCC or AANP certified)
  Drug Enforcement Administration (DEA) license
  Valid driver’s license, acceptable driving record, and automobile liability coverage or access to an insured vehicle
  CPR certification at hire or within 6 months in position

  Preferred

  Minimum 2 years of related clinical experience

  Knowledge, Skills And Abilities

  • Knowledge of the principles and practice of medicine including urgent care and triage practices for providers focused on Relief Care
  • Knowledge of the principles and practices of geriatrics and palliative care
  • Knowledge of methods and techniques of diagnosing and treating a variety of diseases and injuries
  • Knowledge of sources of information and current literature applicable to the field of general medicine
  • Knowledge of the ethical and medico-legal aspects of medical practice
  • Knowledge of the principles and practices of public health, including familiarity with epidemiology, health services delivery and financing systems, and environmental health
  • Knowledge of the population served in adult health, including culture, demographics, patterns of disease, barriers to care and other unique features or special needs
  • Knowledge of the principles and practices of clinical quality improvement
  • Familiar with the medical charting system
  • Utilize electronic systems appropriately and effectively, including audio and video supported encounters
  • Perform medical diagnostic and treatment services
  • Establish and maintain effective working relationships with diverse patients, staff, peer groups, and varied agency and institutional representatives
  • Deal professionally and calmly with individuals that may act inappropriately, be verbally abusive, hostile and/or in crisis
  • Communicate clearly, compassionately, and concisely, both verbally and in writing
  • Work within a team and take direction from other team members with expertise in the care plan development
  • Able to adhere to organizational standards, policies, and procedures
  • Able to work effectively with diverse individuals and groups
  • Able to learn, focus, understand, and evaluate information and determine appropriate actions
  • Able to accept direction and feedback, as well as tolerate and manage stress and grief
  • Able to see, read, hear, speak clearly, sit, and perform repetitive finger and wrist movement for at least 6 hours/day
  • Able to stand, climb stairs, bend, lift, carry, push, pull and/or pinch small objects for at least 3-6 hours/day
  • Able to walk, crouch, crawl and reach for at least 3 hours/day
  • Able to operate a motorized vehicle in all kinds of weather conditions

    Working Conditions

    • Indoor/Office
    • Community
    • Facilities/Security
    • Outdoor Exposure
    • Member/Patient Facing: ☐ No
    • Telephonic
    • In Person
    • Hazards: May include, but not limited to, physical, ergonomic, and biological hazards
    • Equipment: General office equipment
    • Travel: This position requires travel outside of the workplace at least weekly; the employee’s personal vehicle may be used. Driving infractions will be monitored in accordance with organizational policy.
    • Schedule: Work a flexible schedule, including evenings and weekends.
    • Work Location: Hybrid-Community 2 days/week, member facing Location: Employees permanently assigned to see members and patients in Marion or Polk counties are required to live within 15 miles of their county assignment.
    • Driving Requirements: May require driving for work purposes.

    Benefits

    • Medical, dental, vision, life, AD&D, and disability insurance
    • Health savings account
    • Flexible spending account(s)
    • Lifestyle spending account
    • Employee assistance program
    • Wellness program
    • Discounts
    • Multiple supplemental benefits (e.g., voluntary life, critical illness, accident, hospital indemnity, identity theft protection, pre-tax parking, pet insurance, 529 College Savings, etc.)
    • Strong retirement plan with employer contributions
    • Paid time off
    • Bereavement leave
    • Jury duty leave
    • Volunteer time
    • PTO
    • Paid state sick time