Advanced Practice Healthcare Provider

This position, under the direction of a supervisory physician, is responsible for providing high-quality, general medical care and treatment to Oyate Health Center (OHC) patients.

Key Responsibilities:

• Maintains knowledge and proficiency in medical practices through continuing education and training.
• Performs physical examinations and preventive health measures within prescribed guidelines and instructions of Physician.
• Provides medical care to repairs minor wounds and injuries.
• Administers vaccinations.
• Collects appropriate sample for medical laboratory testing.
• Orders, interprets, and evaluates diagnostic tests to identify and assess patient's clinical problems and health care needs.
• Records physical findings, and formulates plan and prognosis, based on patient's condition.
• Discusses case with Physician and other health professionals to prepare comprehensive patient care plan.
• Submits health care plan and goals of individual patients for periodic review and evaluation by a Physician.
• Prescribes or recommends drugs or other forms of treatment such as physical therapy, inhalation therapy, or related therapeutic procedures.
• Refers patients to Physician for consultation or to specialized health resources for treatment.
• Ensures accurate information is documented within the patient's electronic health record.
• Submits patient records to physician quarterly for chart review.
• Must comply with federal laws and regulations as required by the Health Insurance Portability and Accountability Act (HIPPA).
• Performs related duties.

Professional Requirements:

• Effectively plan, organize workload and schedule time to meet the demands of the position.
• Work in a cooperative and professional manner with OHC and GPTLHB staff.
• Treat Great Plains tribes and collaborators with dignity and respect.
• Utilize effective verbal and written communication skills.
• Advance personal educational development by attending training sessions and seminars as appropriate.
• Exemplify excellent customer service with tribal stakeholders, health board colleagues, program partners, service recipients, visitors and guests.
• Foster a work environment of wellness, courtesy, friendliness, helpfulness and respect.
• Relate well and work collaboratively with coworkers and all levels of staff in a professional manner.
• Consistently demonstrate respect for and acceptance of differing capabilities, cultures, gender, age, sexual orientation and/or personalities.
• Maintain and ensure organizational privacy and confidentiality.
• Handle crisis and tolerate stress professionally.
• Be self-directed and take proactive initiative to assist others.
• Resolve issues with other departments and coworkers without direct supervision if needed.
• Exercise flexibility to alter plans/routines when situations require and continue to perform without projecting stress/frustration that would adversely affect the work environment.
• Promote an alcohol, tobacco and drug-free lifestyle.
• Embrace modes of appearance and attire that reflect a professional presence.
• Adhere to GPTLHB policies and procedures.

Requirements:

• Participates in Core Connections training and applies GPTLHB Core Connections concepts and practices in their work.
• Exemplify excellent customer service with tribal stakeholders, health board colleagues, program partners, service recipients, visitors and guests.
• Foster a work environment of wellness, courtesy, friendliness, helpfulness and respect.
• Relate well and work collaboratively with coworkers and all levels of staff in a professional manner.
• Familiarity and/or experience working with American Indian populations and respect for and knowledge of traditional, cultural, and spiritual practices of diverse American Indian communities, as well as an ability to work with other culturally and ethnically diverse populations.
• Consistently demonstrate respect for and acceptance of differing capabilities, cultures, gender, age, sexual orientation and/or personalities.
• Maintain and ensure organizational privacy and confidentiality.
• Must be able to handle crisis and tolerate stress professionally.
• Must be self-directed and take proactive initiative to assist others.
• Possess the ability to resolve issues with other departments and coworkers without direct supervision.
• Able to exercise flexibility to alter plans/routines when situations require and continue to perform without projecting stress/frustration that would adversely affect the work environment.
• Ability to maintain a flexible work schedule, including evenings, weekends and overnight or extended travel as necessary.
• Ability to effectively present information in one-on-one and small group situations to community members, consumers, and other employees of the organization.
• Proficiency with computer programs (Word, Excel, PowerPoint) and other Internet technologies.
• Valid driver's license must be kept current, and certificates, credentials or licenses must be kept current and consistent with regulations required by applicable federal, state and/or grant regulations.
• Ability to promote an alcohol-, tobacco- and drug-free lifestyle.
• Embrace modes of appearance and attire that reflect a professional presence.
• Adhere to GPTLHB policies and procedures.

Knowledge Required:

• Knowledge of diagnostic, preventive, and therapeutic medical care.
• Knowledge of the scientific process including assessment, planning, implementation, and evaluation of complex and subtle patient needs and interventions.
• Knowledge of exposure control including bloodborne pathogens and respiratory protection protocols.
• Knowledge of State of South Dakota Immunization Program policies and procedures.
• Knowledge of diversity and cultural difference of Native American populations, and the ability to appreciate cultural differences and their effect on healthcare delivery.
• Ability to work with personal computer and utilize a variety of software applications, including database and office software systems.
• Ability to communicate clearly and effectively, both orally and in writing, using tact and sensitivity.
• Ability to collect, organize, record, and proficiently communicate data relevant to primary health assessments.
• Ability to prioritize and shift priorities in a changing environment.
• Ability to organize the multiple demands of the job.
• Skill in identifying factors that adversely impact health status and are not susceptible to treatment by accepted methods.
• Skill in prioritizing and planning.
• Skill in interpersonal relations.
• Skill in use of personal computer and a variety of job related software applications.

Supervisory Controls:

The supervisor assigns work in terms of very general instructions. The supervisor reviews completed work for compliance with procedures and the nature and propriety of the final results. Work is reviewed through conferences, reports, and observation of patient outcomes.

Guidelines:

Guidelines include state and federal laws and regulations; GPTCHB, OHC, and department policies and procedures; OHC Medical Staff Bylaws; professional standards of medical practice; medical standing orders; and Centers or Medicare and Medicaid Services Conditions of Participation manual. These guidelines are not applicable to every situation encountered and require independent judgment, selection and interpretation in application.

Complexity/Scope of Work:

This position consists of patient care duties. The purpose of this position is to provide patient care to the patients of OHC. Successful performance ensures the effective and efficient operation of the OHC and affects the quality of care and patient outcomes.

Contacts:

Contacts are typically with patients, OHC and GPTCHB employees, members of the general public, personnel of other IHS facilities, and providers.

Contacts are primarily for obtaining, furnishing, exchanging and providing factual medical information.

Work Environment/Physical Demands:

The work is typically performed standing or sitting. The work is typically performed in a clinic setting which requires normal safety precaution for infection control and environmental safety measures.

While performing the duties of this job, the employee is regularly required to stand and sit, talk, and hear. The employee is frequently required to reach with hands and arms. The employee must regularly lift and /or move light objects, and occasional lift heavier objects.

The noise level in the work environment is usually moderate.

Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.

Supervisory and Management Responsibility:

This is non-supervisory position that provides medical guidance and direction to OHC staff.

Minimum Qualifications:

• Completion of an accredited Physician Assistant Program or Certified Nurse Practitioner.
• One year of clinical experience practicing as a mid-level provider.
• Must have a permanent, full, and unrestricted license as a Physician Assistant or Nurse Practitioner.
• Must obtain and maintain medical staff clinical privileges, including any licensure requirements.
• Basic Life Support (BLS) certification is required or must be obtained within ninety (90) days of employment.
• ACLS certification, and PALS certification required.

The GPTLHB is a tribal organization which follows tribal preference laws. It is our policy to give preference to qualified Indian/Tribal candidates over qualified non-native candidates in hiring decisions, if all other qualifications are equal.

Employment is contingent upon the outcome of all required criminal background checks.