Nurse Practitioner/Physician Assistant

JOB TITLE: Nurse Practitioner/Physician Assistant 

REPORTS TO: Chief Medical Officer

Western Sierra Medical Clinic is an engaging, enthusiastic, mission driven organization dedicated to providing high-quality primary care to all members of our community. This includes the delivery of evidence-based preventative care, chronic disease management, and addressing urgent care needs as indicated for our pediatric and adult patient population.

GENERAL STATEMENT OF DUTIES:

Provide general and preventative care, conduct check-ups, treat illnesses, order lab tests and prescribe medication for children and adults.

GENERAL DUTIES (Note: This list may not include all of the duties assigned):

• Obtain a relevant patient health and medical history
• Initial and ongoing assessment of patient’s medical, physical, and psychosocial status
• Conduct non-invasive preventive screening procedures based on age and history
• Perform a physical examination based on age and history
• Update and record changes in health status
• Identify medical and health risks and needs
• Identify needs of the individual, family or community as a result of the evaluation of the collected data
• Formulate the appropriate differential diagnosis based on the history, physical examination, and clinical findings
• Develop and provide a relevant patient education plan
• Order and interpret appropriate diagnostic/laboratory tests (within standardized procedures/protocol guidelines, including delegation of services agreement provisions, in collaboration with collaborating/supervising physician)
• Prescribe non-pharmacologic therapies
• Order and administer tests including bloodwork
• Review and interpret test results
• Administer medications
• Operate medical equipment
• Recommend further treatment options or future appointments if needed
• (Pediatric care) Assess developmental milestones and educate family about development and growth
• Prescribe and/or administer pharmacologic agents in accordance with standardized procedures and/or delegation of services agreement.
• Determine the effectiveness of the plan of care through documentation of client care outcomes
• Make appropriate referrals to other health professionals and community agencies
• Reassess and modify care plan as necessary to achieve medical and health goals
• Deliver quality care while maintaining WSMC metrics pertaining to productivity
• Participate in on-call assignments
• Consult with patients by telephone as appropriate
• Participate in staff meetings
• Participate in risk management activities
• Follow all Nurse Practitioner protocols, orders and standardized procedures/perform services only in accordance with delegation of services agreement (PA)
• Document all pertinent information in patient’s electronic medical record according to Western Sierra Medical Clinic's policies and ensure patient records are kept up to date including test results, immunizations, condition changes, etc.
• Uphold Western Sierra Medical Clinic's Policies and Procedures, infection control standards, applicable State, federal and local laws.
• Participate in Quality Improvement activities, including:
  • Interdepartmental quality improvement team efforts; and
  • Contributing to overall efforts toward higher-quality, more cost-effective health care for patients and improved quality of work-life for staff members
  • Cooperate and participate in peer review, health care risk management and compliance activities
  • Consult with other healthcare professionals as needed
• Other duties as assigned.

EDUCATION and/or EXPERIENCE:

• Valid California license to practice as a Nurse Practitioner/Physician Assistant.
• Current provider card in Basic Life Support (BLS)Advanced Cardiac Life Support (ACLS)
• PALS provider card as required by CMO
• Computer literate (i.e. logging on to computer, usage of keyboard and mouse, familiarity with Windows, Microsoft Word and Microsoft Excel).
• Ability to type a minimum of 40 WPM

This position has a salary range of $120,000-145,000 annually.