Nurse Practitioner / NP - Primary Care - Salem

This position provides medical care and treatment services with an 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 as through audio and video sessions. This position may focus on regular care, providing ongoing care for patients within an assigned caseload and/or territory, including long-term strategies focused on disease prevention.

This is a 0.8 NP position (4 days a week) covering central, south, and west Salem areas.

Responsibilities

• Provide diagnosis, treatment, consultation, and follow-up care for patients, including critical, prolonged, and long-term healthcare issues.
• Perform comprehensive health assessments, including physical and psychosocial histories; 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.
• Identify, evaluate, and address disease prevention, acute changes in condition, maintenance of chronic diseases, and appropriate end-of-life care per patient and family goals.
• Develop and implement proactive, patient-centered care plans with assistance from the care team.
• Order diagnostics, prescribe medications with follow-up and reassessment, and perform surgical procedures as appropriate under certification.
• Approve medication refills and home health orders; respond to caregiver requests to ensure continuity of care.
• Provide compassionate anticipatory guidance through decline due to chronic disease and high-quality palliative care focused on patient and family goals.
• Educate patients and families on goal-based preventative, chronic, or urgent care needs, as well as prescribed medications and treatments.
• Develop and maintain working relationships with lay and professional caregivers, including care facilities, to ensure continuity of care and appropriate implementation of orders.
• Deliver quality care while maintaining all company productivity metrics.
• Practice within the scope of license as required by law and regulation.
• Participate in the after-hours call schedule.
• Communicate effectively with medical staff on consultation, collaboration, and referrals.
• Determine the need for specialty and rehabilitative services and make appropriate referrals.
• Oversee care plan and case management activities for assigned patients.
• Attend and participate in required staff meetings and ad hoc committees.
• 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 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 of position start.

Preferred Qualifications

• Minimum 2 years of related clinical experience.

Skills

Required Knowledge

• Principles and practice of medicine, including urgent care and triage for providers focused on relief care.
• Practice of geriatrics and palliative care.
• Principles, practices, and procedures of general medicine.
• Methods and techniques of diagnosing and treating a variety of diseases and injuries.
• Sources of information and current literature applicable to general medicine.
• Ethical and medico-legal aspects of medical practice.
• Principles and practices of public health, including epidemiology, health services delivery and financing systems, and environmental health.
• Population served in adult health, including culture, demographics, patterns of disease, barriers to care, and other unique features or special needs.
• Principles and practices of clinical quality improvement.
• Medical charting systems.

Required Skills and Abilities

• Utilize electronic systems 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/institutional representatives.
• Deal professionally and calmly with individuals who 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 care plan development.
• Adhere to organizational standards, policies, and procedures.
• Work effectively with diverse individuals and groups.
• Learn, focus, understand, and evaluate information to determine appropriate actions.
• Accept direction and feedback, as well as tolerate and manage stress and grief.
• See, read, hear, and speak clearly; sit and perform repetitive finger and wrist movements for at least 6 hours/day.
• Stand, climb stairs, bend, lift, carry, push, pull, and/or pinch small objects for at least 3-6 hours/day.
• Walk, crouch, crawl, and reach for at least 3 hours/day.
• Operate a motorized vehicle in all kinds of weather conditions.

Working Conditions

• Work environments include indoor/office, community, and outdoor settings.
• Member/patient-facing interactions occur telephonically and in person.
• Hazards may include physical, ergonomic, and biological risks.
• Use of general office equipment.
• Travel outside of the workplace at least weekly; personal vehicle may be used (driving infractions monitored per organizational policy).
• Work location: Community 4 days/week, member-facing.
• Employees assigned to Marion or Polk counties must live within 15 miles of their county assignment.
• Flexible schedule, including evenings and weekends.

Pay

Estimated hiring range: $140,940.00 – $172,260.00 (pro-rated for 0.8 FTE position). Bonus target available.

Benefits

• Competitive pay with bonus opportunity.
• Comprehensive benefits package for eligible employees, including:
  • Medical, dental, vision, life, AD&D, and disability insurance.
  • Health savings account (HSA), flexible spending account (FSA), lifestyle spending account.
  • Employee assistance program (EAP) and wellness program.
  • Discounts and multiple supplemental benefits (e.g., voluntary life, critical illness, accident, hospital indemnity, identity theft protection, pre-tax parking, pet insurance, 529 College Savings).
• Retirement plan with employer contributions.
• Paid time off (PTO) and paid state sick time accrual based on hours worked/scheduled.
• Paid holidays, volunteer time, jury duty, and bereavement leave (eligibility-dependent).
• Non-benefits-eligible employees receive 401(k) contributions, paid state sick time, wellness and EAP benefits, and other perks.

Schedule

4 days per week, with a flexible schedule including evenings and weekends.