Nurse Practitioner

Job Title:

Nurse Practitioner – Community Health

Home Department:

Adult Medicine

Reports To:

Chief of Adult Medicine

Effective Date:

January 1, 2024

This document is intended to describe the general duties required for this position. It is not intended to serve as an exhaustive list of all duties, responsibilities or physical requirements. Nothing in this job description restricts management’s right to assign or reassign duties and responsibilities to this job at any time. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions of this position.

Position Summary

The Community Health Nurse Practitioner is responsible for health maintenance, disease prevention, diagnosis, and treatment of common episodic and chronic conditions. The community health nurse practitioner will focus on providing services to patients in underserved areas that need access to quality healthcare. The community health nurse practitioner will also provide services to special patient populations to include HIV, Hepatitis C and other communicable diseases. The Community Health Nurse Practitioner must be able to deliver HIV prevention services, including follow-up HIV testing, prescribing PrEP and PEP, HIV testing counseling and appropriate referral to community resources. The applicant must feel comfortable working with patients in the LGBTQIA+ community and foster a welcoming and inclusive environment. The community health nurse practitioner will serve as the HIV clinical consultant for the organization and provide routine clinical updates for staff. This position requires the provider to provide healthcare services in the community, outside of a typical clinic setting. This may include participating in health fairs and seeing patients at “pop up clinics” and on a mobile unit.

Essential Duties and Responsibilities

• Performs initial and ongoing assessments of patients' medical, physical and psychological status, including histories and physical examinations.
• Develops treatment plans individualized to the patient's needs.
• Records notes in the medical record.
• Writes orders for medications, treatments, tests, and provides direct patient care and education
• Provide health maintenance, chronic disease co-condition management and HIV specialty care for patients living with HIV infection/AIDS.
• Coordinate services for patients living with HIV/AIDS with the support of registered nurses, medical assistants, health educators, and case managers.
• Provide HIV pre-exposure prophylaxis (PrEP) to persons at risk for HIV infection and HIV post exposure prophylaxis (PEP) for persons with recent HIV exposure.
• Serve as the HIV clinical consult for all staff within the agency.
• Serve as the CQM (clinical quality management) committee lead for the Ryan White Program
• Provide routine updates for staff on HIV treatment, care and management
• Responds to organizational needs for leave coverage, office emergencies, chart completion, forms completion, peer review, lab review, and other needs in a cooperative fashion.
• Stays current in professional field, maintains licensure and follows principles of evidence- based medicine and clinical guidelines adopted by the organization.
• Performs all the essential duties of Adult Medicine staff provider
• Performs other related duties as assigned by management

Specific Functions

• Primary care/health maintenance health screenings in the community, patient education about screening results and need for follow up, referrals to the adult medicine/peds clinic to establish care with a primary care provider and "gaps in care" services. Offered on a rotating basis in our service area.

• HIV: Serve as the primary provider for all newly diagnosed, new to care and returning to care patients living with HIV. Serve as the clinical consult for staff with HIV related questions. Provide routine (quarterly) staff updates and in-service to all clinical staff. Serve as the provider for all DHEC PrEP referrals. Meet with all HIV positive patients annually for a HIV focused annual wellness visit

• Ryan White: Serve as the RW CQM committee lead. Hold monthly care conferences with MCMs and providers on select clients to ensure all client needs are met, identify barriers to care and increase retention and viral load suppression.

• Administration/Outreach: Meetings, leadership duties, charting f/u, health fairs

Supervisory Duties and Responsibilities

• This job has no supervisory responsibilities.

Qualifications

• Graduate of an accredited Nurse Practitioner program
• Must be a licensed Nurse Practitioner in the state of South Carolina
• Must be comfortable with the LGBTQ+ community and discussing sexual health
• Previous HIV/AIDS experience preferred
• Meets all the qualifications of the Nurse Practitioner staff position

Physical Requirements and Work Environment

• Frequently required to stand
• Frequently required to walk
• Frequently required to sit
• Frequently required to utilize hand and finger dexterity
• Occasionally required to climb, balance, bend, stoop, kneel or crawl
• Continually required to talk or hear
• Occasionally required to taste or smell
• Occasional exposure to wet and/or humid conditions (non-weather)
• Occasionally work around fumes, airborne particles, or toxic chemicals
• Occasional exposure to outside weather conditions
• Frequent exposure to blood-borne and airborne pathogens or infectious materials
• While performing the duties of this job, the noise level in the work environment is usually moderate.
• The employee must:

1. occasionally lift and /or move more than 30 pounds
2. frequently lift and/or move up to 10 pounds

• Specific vision abilities required by this job include:

Close vision; Distance vision; Color vision; Peripheral vision; Depth perception and ability to adjust focus

• Additional remarks regarding work environment: must be able to adjust and adapt to unexpected changes in work schedule based on patient needs
• Specialized equipment, machines, or vehicles used: otoscope/ophthalmoscope; EKG, inhalation nebulizer, microscope, etc.

Required Competencies

• Accuracy - Demonstrates accuracy and thoroughness; Looks for ways to improve and promote quality; Applies feedback to improve performance; Monitors own work to ensure quality.

• Communication - Able to communicate information clearly and articulately, both in oral and written form. Uses appropriate language, style and methods depending on audience and the purpose of communication. Anticipates the information that others will need. Listens to others without interrupting; Keeps emotions under control; Remains open to others' ideas and tries new things.

• Computer Skills - The ability to use a computer, navigate the internet, and use common software applications such as Microsoft Office and eClinicalWorks (EHR). Managing and organizing emails, using email etiquette, and using email to communicate effectively with colleagues, patients and vendors.

• Confidentiality - Handles and protects confidential information and understands the importance of maintaining confidentiality to abide by data-protection laws, builds patient/employee trust and keeps patient/employee information safe. Logs out before stepping away from their computer and never accesses confidential data in the presence of unauthorized personnel. Never shares data with colleagues without verifying the identity of the person requesting it and checking that the reasons for sharing are valid.

• Customer Service - Manages difficult or emotional customer situations; Responds promptly to customer needs; Responds to requests for service and assistance; Meets commitments. Approaches others in a tactful manner; Reacts well under pressure; Treats others with respect and consideration regardless of their status or position; Accepts responsibility for own actions.

• Dependability - Is consistently at work and on time; Ensures work responsibilities are covered when absent; Arrives at meetings and appointments on time. Follows instructions, responds to management direction; Takes responsibility for own actions; Keeps commitments; Commits to doing the work necessary to reach goals; Completes tasks on time or notifies appropriate person with an alternate plan.

• Diversity & Ethics - Demonstrates knowledge of EEO policy; Shows respect and sensitivity for cultural differences; Educates others on the value of diversity; Promotes a harassment-free environment; Fosters a diverse workforce. Treats people with respect; Keeps commitments; Inspires the trust of others; Works with integrity and ethically; Upholds organizational values.

• Flexibility - Adapts to changes in the work environment; Manages competing demands; Changes approach or method to best fit the situation; Able to deal with frequent change, delays, or unexpected events.

• Initiative - Volunteers readily; Undertakes self-development activities; Seeks increased responsibilities; Asks for and offers help when needed. Identifies and resolves problems in a timely manner; Gathers and analyzes information skillfully; Develops alternative solutions; Uses reason even when dealing with emotional topics. Pursues training and development opportunities; Shares expertise with others.

• Safety - Observes safety and security procedures; Determines appropriate action beyond guidelines; Reports potentially unsafe conditions; Uses equipment and materials properly.

• Teamwork - Balances team and individual responsibilities; Exhibits objectivity and openness to others' views; Gives and welcomes feedback; Contributes to building a positive team spirit; Puts success of team above own interests; Able to build morale and group commitments to goals and objectives; Supports everyone's efforts to succeed.

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Beaufort Jasper Hampton Comprehensive Health Services, Inc. reserves the right to revise or change job duties and responsibilities as the need arises. This job description does not constitute a written or implied contract of employment.

I acknowledge that I have read and fully understand the above job description and agree to abide by its contents. I understand that failure to satisfactorily perform the assigned duties can and may result in termination.

Employee Signature: _________________________________________________

Date: ______________________________________________________________