Advanced Practice Provider Pulmonary Clinic

ST. CHARLES HEALTH SYSTEM

JOB DESCRIPTION

TITLE:                                                    SCMG APP - Pulmonary Clinic

REPORTS TO POSITION:                 SCMG Chief Medical Officer (or designee)

DEPARTMENT:                                   SCMG Pulmonary Clinic

DATE LAST REVIEWED:                  October 3, 2019

OUR VISION:                         Creating America's healthiest community, together

OUR MISSION:                      In the spirit of love and compassion, better health, better care, better value

OUR VALUES:                       Accountability, Caring and Teamwork

DEPARTMENTAL SUMMARY: The SCMG Pulmonary Medicine clinic addresses the diagnosis, prevention, and treatment of pulmonary disorders. The clinic serves patients impacted by many conditions, including but not limited to: ARDS (acute respiratory distress syndrome), asthma, COPD (chronic obstructive pulmonary disease), cystic fibrosis, pulmonary hypertension, interstitial lung disease, and lung cancer. The clinic providers work closely with other specialties within SCMG, external referring and consulting providers, and with hospital departments.

POSITION OVERVIEW: The Advanced Practice Provider (APP) works as part of the pulmonary team. The APP has a strong foundation in evidenced based practice and ensures an environment of safe quality care. The APP demonstrates an advanced level of medical knowledge, clinical/technical competence, solid clinical decision making and critical thinking skills, professional communication skills, timely and compliant documentation, and is responsible for personal and professional development and competency validation. Provides quality patient and family centered care as a member of the health care team in accordance with SCHS mission, philosophy, policies, and procedures. Provides primary or specialty medical care within defined scope of practice under the supervision of a licensed physician .  This position provides pulmonary medicine services to patients.  Such care includes evaluation, diagnosis, treatment, and documentation.  Coordinates ancillary, and other services to achieve the best and most cost-effective outcomes for patients under his/her care.

Work schedule: APP will work 40 hours per week. This will generally be four, 10-hour days scheduled as clinic visits.

Work location: APP's primary work location will be the SCMG pulmonary clinic in Bend, Oregon. APP may be required to participate in outreach rotation to SCMG clinics in Redmond, Prineville and Madras. Other outreach locations may be added as patient and business needs dictate.

ESSENTIAL FUNCTIONS AND DUTIES: (May perform additional duties of similar complexity within SCHS as required or assigned)

Behavioral Expectations:   

• Participates in departmental meetings and initiatives and other performance metrics established by SCMG/SCPC/SCHS.
• Engages and implements effective team building, trust development, creative problem solving and conflict resolution processes as it pertains to clinic function.
• Practice and role model excellence in the pulmonary care domains of diagnosis, aligning treatment goals to patient values, definitive treatment, supportive care treatment, follow-up care, promote good health and prevent illness.

Clinical Expectations:   

• The NP/PA will see clinic follow-up patients and hospital follow up patients.  Assignment may include adolescent, adult and geriatric age groups.
• Assess, diagnose and develop treatment plans; implement treatment, follow-up and evaluate patient within the scope of practice protocols as outlined by the American Thoracic Society.
• Performs patient examinations, obtains and records pertinent medical history, subjective and objective findings. 
• Orders and interprets appropriate laboratory, imaging, and other diagnostic procedures. 
• Interprets and integrates data to determine diagnosis and therapeutic plan.
• Administers and prescribes medications in compliance with state law and practice guidelines. 
• Orders and performs appropriate medical procedures in accordance with State law and practice guidelines.
• Instructs patient and family regarding prescribed medications and treatments. 
• Educates patients and/or families regarding health and illness prevention. 
• Recommends community resources to meet patient and family needs.
• Collaborates with physicians and other caregivers to manage the acute and long-term health needs of patients. 
• Provides monitoring and supports continuity of care between physician visits. 
• Maintains and reviews patient records, charts, and other pertinent information, documenting clearly and concisely. 
• Charts tests, examination results, and other appropriate clinical data. 
• Triages patient telephone calls, providing consultation as needed.
• Communicates effectively with colleagues, patients, physicians, and administration.
• Maintains quality of clinical practice by selecting appropriate avenues for professional growth.
• Participates in and supports quality and performance improvement activities; identifies areas and functions where patients, staff, and physicians need information.
• Under physician supervision, may participate in care and management of inpatients, including medical services and specified procedures.
• Participate in SCMG provider meetings and assist in policy formation for SCMG and provider practice.
• Participates in creating a healing environment that supports all aspects of the care environment and the wholeness of each individual, patient and caregiver.
• Participates in creating intentional relationships, and put a high level of focus on attitudes and behaviors that enhance the care experience.
• Provide a therapeutic presence in service to others by purposefully responding to the needs of patients/customers in a caring way.  This includes introducing oneself and stating your purpose, asking the patient their preferred name, spending time with the patient to determine their care goals, active listening, and using skillful communications (appropriate touch, eye contact, etc.).
• Provides and maintains a safe environment for caregivers, patients and guests.
• Conducts all activities with the highest standards of professionalism and confidentiality.  Complies with all applicable laws, regulations, policies and procedures, supporting the health system's corporate integrity efforts by acting in an ethical and appropriate manner, reporting known or suspected violations of applicable rules, and cooperating fully with all health system's investigations and proceedings.

EDUCATION

Required: 

• Unrestricted Physician Assistant and/or Nurse Practitioner licensure in the state of Oregon.
• Physician Assistant requires NCCPA certification.  Nurse Practitioner requires AANC, NCC or AANP, AMCB certification. 
• If Physician Assistant, ability to establish and maintain a Practice Agreement with a Supervising Physician through OMB.
• Unrestricted Federal DEA number registered in Oregon.                        
• Unrestricted ability to participate in Medicare / Medicaid, or other federal or state governmental health care programs.
• Valid driver's license and the ability to meet SCHS driving requirements.
• Current BLS certification required.

LICENSURE/CERTIFICATION/REGISTRATION

Required:

• Oregon license as MD/DO
• Board certified or eligible in Pulmonary Medicine.  To be board certified or qualified to sit for the boards in primary area of practice at the Hospital.  Those applicants who are not board certified at the time of application but who have completed their residency or fellowship training are required to become board certified within seven years of residency or fellowship training.
• Valid driver's license and the ability to meet SCHS driving requirements.
• Maintain unrestricted DEA number.
• Maintain unrestricted ability to participate in Medicare / Medicaid, or other federal or state governmental health care programs.
• Current BLS and ACLS certification required. 

Preferred:

• Board certified in Sleep Medicine
• Prefer Diplomate of the American Board of Sleep of Medicine, or has a Sleep Medicine Certification through an approved medical board such as American Board of Internal Medicine (ABIM) or American Osteopathic Board of Internal Medicine (AOBIM)

EXPERIENCE

Required:  >1 years' experience in hospital or outpatient practice environments providing care

Preferred:  Five years practice in Pulmonary Medicine

PERSONAL PROTECTIVE EQUIPMENT

• Must be able to wear appropriate Personal Protective Equipment (PPE) required to perform the job safely.

GENERAL

• Must have excellent communication skills and ability to interact with a diverse population and professionally represent SCHS. 
• Strong team working and collaborative skills.
• Ability to multi-task and work independently. 
• Attention to detail.
• Excellent organizational skills, written and oral communication and customer service skills, particularly in dealing with stressful personal interactions.
• Intermediate to advanced proficiency in Microsoft applications (Word, Excel and Access), database management, and document preparation.

PHYSICAL REQUIREMENTS:

• Continually (75% or more): Use of clear and audible speaking voice and the ability to hear normal speech level.
• Frequently (50%): Sitting, standing, walking, lifting 1-10 pounds, keyboard operation.
• Occasionally (25%): Bending, climbing stairs, reaching overhead, carrying/pushing or pulling 1-10 pounds, grasping/squeezing.
• Rarely (10%):  Stooping/kneeling/crouching, lifting, carrying, pushing or pulling 11-15 pounds, operation of a motor vehicle.
• Never (0%):  Climbing ladder/step-stool, lifting/carrying/pushing or pulling 25-50 pounds, ability to hear whispered speech level.
• Exposure to Elemental Factors
• Never (0%):  Heat, cold, wet/slippery area, noise, dust, vibration, chemical solution, uneven surface.
• Blood-Borne Pathogen (BBP) Exposure Category
• No Risk for Exposure to BBP

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