Family Medicine Nurse Practitioner

Experience preferred

GENERAL DESCRIPTION

The objective of the staff Nurse Practitioner/Advanced Practice Registered Nurse position is to support a comprehensive, community-based, family centered primary care program. The overall program will be designed to:

a) improve access to a comprehensive range of high-quality primary care

services; and

b) improve health outcomes through an integrated delivery model focusing

on prevention and health maintenance, health education, and evidence based chronic

disease management.

DUTIES AND RESPONSIBILITIES

• Proceed with the established plan of care for each patient, including: Complete medical history, physical examination, diagnosis of the causes of injuries and illnesses, appropriate treatment and/or referral.
• Consult with supervising physician whenever appropriate for changes in the established plan of care or unexpected or complicated health issues.
• Stress the importance of preventative medicine and utilizes all available resources, such as laboratory and radiologic testing as aids in diagnosing and confirming or denying the presence of disease.
• Practice medicine by caring for patients without discrimination as regards to age, race, color, national origin, ethnicity, sex, sexual preference, weight, handicap or income.
• Immunize and vaccinate patients against communicable diseases as recommended and required by the standard of care as it from time to time is updated.
• Confer with other supervising physicians, consulting physicians, nurses, patients and patients' relatives concerning treatment and care of patients, using good care and diligence as to confidentiality.
• Refer those cases which require specialist services, adhering to managed care contracts, principles, guidelines, using established and approved provider networks, and maintain responsibility for assuring that those services are
• required.
• Participate in practice development, quality assurance, peer review, staff meetings/activities as deemed necessary by the Medical Director and/or the CEO.
• Cooperate and collaborate with other medical providers and support staff at the practice site to support effective communications and continuous improvement of the site’s clinical operation.
• Maintain accurate and concise documentation of all patient encounters on a timely basis, in such manner and form as determined by CHC, third party payers, federal funding and national accreditation agencies with which CHC has agreements and/or obligations.
• Provide services to a full patient panel, with a target of 1,500 active patients (prorated per FTE). Active patients shall be defined as those individuals who have had at least one completed medical encounter in the past two years. If the Physician Assistant wishes to “close” practice to new patients, the minimum full panel of patients shall be attained, and agreement with the Medical Director and Chief Executive Officer must be obtained in writing.
• Provide coordinated and comprehensive patient care throughout all major life cycles (except in the case of a provider specialty that limits the practice to a specific age, gender, or patient type), in all applicable care settings, including but not limited to: ambulatory outpatient; consultation; assistance to other providers, including mentoring and supervision; community medicine, such as sports physicals or services performed as a “Good Samaritan”; and services as defined/required by hospitals for admitting privileges or by contracts/agreements, i.e., third party payors, in which CHC participates.
• Perform other duties and services which may benefit patients and members of the community, or who could be patients of CHC, or which facilitates the provision of services to patients of the Corporation.
• Adhere to and provides services in accordance with the: a) mission of the
• Corporation; b) established and accepted standards of care; c) any clinical protocols and operational guidelines established by the Corporation; and c) terms and conditions as set forth in the Federal Grant, accrediting and licensing bodies (i.e. credentialing).
• Cooperate with the Department of Justice in the defense of claims (including access to all pertinent documents, patient information and records). Furthermore, as the department of Justice requires, cooperate in providing information related to all previous malpractice claims as permitted by law and court action.
• Collaborate with Administration in the development and implementation of practice specific strategic and operational plans.

All employees of Carolina Health Centers, Inc. are expected to perform the duties of their job and behave in a manner consistent with the Corporate Philosophy which supports the values of: honesty, integrity, openness, the pursuit of individual and collective excellence, and unwavering mutual respect and appreciation.

In addition, this position requires:

Education and Experience:

• Graduate of an accredited Nurse Practitioner/Advanced Practice Registered Nurse program.

Licensure and Certification:

• Active South Carolina medical license.
• Certified or eligible for certification in area of specialty.

Skills and Abilities:

• Demonstrated clinical skill.
• Ability to communicate effectively with all levels of staff.
• Critical thinking, problem solving, and consensus building skills.
• Ability to exercise a high level of confidentiality.
• Ability to coordinate, analyzes, observe, make decisions, and meet deadlines in a detail-oriented manner.

Physical Demands and Work Environment Considerations:

• While performing the responsibilities of a staff Physician Assistant, the employee is required to talk and hear in order to communicate with others.
• The employee is often required to sit and use their hands and fingers, to handle or feel and to manipulate keys on a keyboard.
• The employee is occasionally required to stand, walk, reach with arms and hands, and to stoop, kneel, or crouch.
• Visual abilities required by this job include close vision with moderate exposure to a computer screen.
• The noise level in the work environment is moderate.
• Moderate to regular exposure to blood borne pathogens.
• Requirement for out-of-town and/or overnight travel is minimal.

EVALUATION OF PERFORMANCE

The Director of Family/Pediatric Medicine and/or Chief Medical Officer will provide ongoing feedback as well as formal reports on all aspects of performance including: productivity, efficiency; knowledge and techniques of medical diagnosis and treatment, including knowledge of medications and tests; referral patterns; patient rapport; supervisory ability; record maintenance; adherence to corporate policies, procedures and directives; and interaction with peer, support, and administrative staff.

REPORTING RELATIONSHIPS:

Responsible to:

The staff Nurse Practitioner/Advanced Practice Registered Nurse, under the supervision of a primary supervising staff physician, reports to the Director of Family Medicine/Pediatrics under the oversight of the Chief Medical Officer who retains ultimate oversight of the performance of all medical providers.

Workers Supervised:

While the staff Nurse Practitioner/Advanced Practice Registered Nurse does not directly supervise support staff, he or she will direct the day-to-day activities of assigned support staff and will provide input into the evaluation of support staff performance. The staff Nurse Practitioner/Advanced Practice Registered Nurse may be asked to precept students.

Interrelationships:

Works in cooperation with all CHC staff, partners, and contractors to ensure the effective delivery of patient care.