Family Nurse Practitioner

JOB SUMMARY

Provides comprehensive direct and indirect patient care in the appropriate setting across the continuum of care.  Communicates with physicians about changes in patient’s clinical condition, results of diagnostic studies and symptomatology.  Is able to respond quickly and accurately to changes in condition or response to treatment.  Conducts staff and patient education, promotes wellness and prevention of health problems.  Develops resources and communicates knowledge to members of healthcare team, patients and their family members. The American Nurses Association (ANA) Scope and Standards of Practice and Code of Ethics for Nurses provide for a basis for practice.

POSITION GOAL

Provide patient care with utmost customer service, compassion, and integrity to patients/clients in a clinic setting.

SCHEDULE/COMPENSATION

Excellent and competitive benefits package offered which includes medical, dental, vision, disability and life insurance.   Company matching retirement plan and generous paid time off to include vacation and sick leave accruals starting from the date of hire.

RESPONSIBILITIES

• Perform direct patient care duties.
• Examines, diagnoses and treats patients of all ages.
• Referral of NTACHC patients that require services beyond the services that are offered at NTACHC.
• Referral of NTACHC patients to other NTACHC providers if the NTACHC patients requires services beyond the referring NTACHC’s provider’s scope of practice.
• To care for patients referred by other NTACHC providers for primary care services.
• From time to time, provide in-service training for staff in selected topics as deemed necessary by the CMO.
• Completes medical charts after each visit according to the problem-oriented medical records system. If not feasible, to comply with NTACHC’s policy and procedures regarding chart completion.
• Adhere to NTACHC’s policies and procedures regarding management of lab results, diagnostic imaging results and after-hours calls.
• Assists in internal quality control audits.
• Provides quality medical care according to standards established the providers specialty and by the NTACHC’s committee on quality assurance.
• Supervises medical assistants, lab personnel, and other health care professional in area of specific support services for patient care delivery.
• Attends internal and external meetings, workshops, and conferences required by NTACHC.
• To participates on task forces or committees, as necessary and/or required by NTACHC.
• Performs all duties and services in full compliance with NTACHC’s policies and protocols.
• Provides medical orders for prescription refills, administration of medications, ancillary testing, and/or referrals.
• Reviews ancillary test results and coordinates notification to the patient.
• Insert IUD’s; remove IUD’s, Insert subdermal contraception, remove subdermal contraception
• Provides patient education as needed.
• Act as resource person for other staff on medical matters; keep informed of current developments in family planning field; may assist in training new staff, students.
• Supervises patient care by non-clinic agencies including, but not limited to health care, nursing home, or hospice.
• To be accessible to patients personally, electronically, or through clinical staff to answer questions and relay information regarding their care.
• Completion of appropriate paper work to comply with insurance and reimbursement guidelines.
• Completion of all documentation and paperwork in a timely manner.
• Participate in NTACHC’s on-call schedule.
• Works closely with the Chief Medical Officer to provide leadership and medical direction for the clinic and clinical staff.
• Attends all staff, retreats, clinical, board or other special meetings as requested by NTACHC.
• Performs other appropriate duties as requested by NTACHC’s supervisors.
• Represent NTACHC at functions as requested.
• Supports the mission of NTACHC.
• To always maintains patient confidentiality.
• Will be available to participate in providing continuity of care.
• Other duties or responsibilities as assigned by the CMO.
• Remain abreast of current clinical practices/guidelines of the provider’s specialty.
• Remain abreast of NTACHC’s policies and procedures.
• To adhere to NTACHC’s policy and procedures regarding assignment of duties to other clinical staff members.
• To practice within the scope of the providers specialty.
• Perform moderate complexity testing and must follow the laboratory’s procedures for specimen handling and processing, test analyses, reporting and maintaining records of patient test results.
• Maintain records that demonstrate that proficiency testing samples are tested in the same manner as patient simples.
• Adhere to the laboratory’s quality control policies, document all quality control activities, instrument and procedural calibrations and maintenance performed.
• Follow the laboratory’s established corrective action policies and procedures whenever test systems are not within the laboratory’s established acceptable levels of performance.
• Identify problems that may adversely affect test performance or reporting of test results and either must correct the problems or immediately notify the technical consultant, clinical consultant or director, or quality management manager.
• Document all corrective actions taken when test systems deviate from the laboratory’s established performance specifications.
• Provide evaluation, problem identification and formulation of treatment plans as medically indicated.
• Administer appropriate contraceptive methods.
• Act as resource person for other staff on medical matters; keep informed of current developments in family planning field; may assist in training new staff, students.
• Provide referrals to other agencies and medical resources for evaluation/follow-up or treatment.
• Responsible for follow-up of referrals made.
• Provide follow-up exams, problem revisit exams, and pregnancy assessment.
  Provide evaluation, problem identification and formulation of treatment plans as medically indicated.
• Obtain complete and accurate medical history; promote patient well-being through education.
• Give information and carry out screening for STI’s, perform HIV point of care (POC) test and also carry out cervical smears.
• Ensure timely and accurate prescription of drugs, maintain and control storage of equipment and materials, manage stock levels, record all specimens and inform clients.
• Contact patients within specified time frames.
• Work towards agreed personal and service objectives, with freedom to establish how to meet these within a broad framework.
• To assist in a range of activities that will be required to achieve service objectives and national targets.
• To act as a mentor to staff who require additional support and training.
• To promote a positive image for all who come into contact with the services.
• Have a broad knowledge of policies and guidelines and ensure appropriate use of these.
• To ensure services are delivered in a clean, well maintained, and safe environment.
• Provide referrals to other agencies and medical resources for evaluation/follow-up or treatment; responsible for follow-up of referrals made.
• To practice within the scope of the providers specialty and in accordance with NTACHC approved privileges.
• To avoid same day clinic cancellation.
• To obtain approval from CEO or CMO before cancelling or instructing any NTACHC staff member to cancel the provider’s clinic.

PERFORMANCE REQUIREMENTS

1. Courteous, honest and professional at all times.
2. Sets an example as a medical professional by observing work start and stop times, giving adequate notice for absences, and following clinic’s operational and personnel policies and procedures.
3. Able to communicate and relate well with providers and clinical staff.
4. Maintains appropriate licensure and certification including meeting and/or exceeding CME requirements. Observes standards of medical care.
5. Efficient, organized and accurate.
6. Perform complex and comprehensive medical care on a variety of patients.
7. Work with various cultural and ethnic groups in a tactful and efficient manner.
8. Ability to travel between all clinic locations as needed when directed by supervisor.
9. Participate in any special projects, community events, and committees as required by NTACHC.
10. Meet regularly with supervising physician.
11. Provide leadership to other clinical staff and healthcare worker.

MINIMUM QUALIFICATIONS

• At least one-year experience as Nurse Practitioner in Family Medicine.
• Active Texas R.N. license or eligibility to practice professional nursing in the state of Texas.
• National certification (e.g. ANCC or AANP) as a Nurse Practitioner.
• Current prescriptive authority in the state of Texas (APNP certification).
• Current Cardiopulmonary Resuscitation (CPR) for Healthcare Professionals Certification; ACLS, PALS preferred.
• Must have strong listening, written and oral communication skills, with ability to communicate clearly.
• Must have the ability to understand and respond effectively and with sensitivity to all age spectrums.

• Bilingual in English and Spanish optional.
• Consent to scheduled and random drug screen testing as required by NTACHC.
• Able to navigate NTACHC’s chosen EMR and other computer programs effectively.
• Maintain National certification as a Nurse Practitioner.
• Complete all CME training required by the Texas Medical Board.
• Completed all CME training required for the provider to maintain specialty certification once specialty certification is obtained.
• Relies on extensive experience and judgment to plan and accomplish goals.

• Remain eligible for FTCA coverage.
• Successfully complete NTACHC’s credentialing process.

TYPICAL PHYSICAL DEMANDS

The physical demands described herein are representative of those that must be met by a staff member to successfully perform the essential functions associated with this position. Because we are committed to inclusion of those with disabilities, reasonable accommodations will be made to enable individuals with disabilities to perform the essential functions associated with their position.

• Carrying: Transporting an object, usually by hand, arm or shoulder.
• Lifting: Raising or lowering an object 25-50 pounds.
• Repetitive Motions: Making frequent movements with a part of the body.
• Exposure: To communicable diseases, body fluids, toxic substances, medicinal preparations and other conditions common to a clinical environment.
• Requires working under stressful conditions or working under irregular hours.
• Specific vision abilities required by this job include close vision, distance vision, color vision, peripheral vision, depth perception, and the ability to adjust focus.
• Ability to work in a moderate noise level in the work environment is required.

Thank you for your interest in North Texas Area Community Health Centers.