Nurse Practitioner

Advanced Practice Providers to support the mission of the Indian Health Service (IHS).
Crownpoint Healthcare Facility (CHCF).

Place of Performance:

• The contracted provider will be assigned to the Emergency Room at Crownpoint Healthcare Facility, the Adult Ambulatory Care Clinic in Crownpoint or to Thoreau Health Station or the Pueblo Pintado Health Clinic.
• The Crownpoint Healthcare Facility (CHCF} is a small rural hospital with a non-designated trauma-level Emergency Department, Emergency Department Fast Track, inpatient unit, and numerous ambulatory care clinics. The CHCF Emergency Department operates 24 hours a day,

Expected Schedule:

• The provider will work the hours specified per the Crownpoint medical staff schedule.

Emergency Department shifts can be from 10 -12 hours per day starting from 8:30 or 9 am. The schedule and times will vary depending on the facility's needs, including last-minute changes to cover unexpected call outs. Clinic hours would be negotiable 7:30 am to 6 pm or 8 to 4:30 pm.

Contractor Qualification Requirements:

• Shall maintain a valid, current, full and unrestricted license to practice medicine in any state within the United States, District of Columbia or the Common-Wealth of Puerto Rico, throughout the term of this contract
• Basic Life Support (BLS), (PALS) and (ACLS)
• Board certification, either AANP or FNCP.
• Proof of an active and unrestricted NP License and DEA license.

To meet the credentialing standards within the Indian Health Services all providers presented for services must meet the following.

• Have a full and unrestricted licenses in all states in which licenses are held
• Have NEVER been the subject of adverse Medical Staff Action (censure, revocation of privileges) or license revocation.
• Have no criminal arrests or convictions.
• Have never been censured by a medical board for opioid use or misuse or sexual misconduct.
• Have never been terminated early from a Locums Assignment due to behavior or quality of care

ER Duties:

• The Nurse Practitioner will be expected to be able to deal with acute/urgent issues such as toe nail removals, simple laceration repair, splinting of fractures and incision and drainage. However, at our facility, our fast track ER handles a large amount of what would be considered primary care, due to the limited availability of Adult Medicine primary care providers at this time. This includes urgent requests for referrals and medication refills. As such, the NP must be able to enter referrals appropriately into the HER and per service unit policy.
• The NP is required to be aware of and abide by service unit policy regarding chronic pain medication.
• In addition to diagnosing and treating medical conditions, the NP will complete all billing and encounter forms, including discharge instruction sheets. Charts must be completed within four (4) days of the patient encounter. The Clinical Director or Point of Contact will not be able to sign any time sheets unless the Medical Record Department confirms there are no chart deficiencies.
• NP agrees to attend ER staff huddles at 10am on normal work days.
• ER NPs may be assigned to participate in triage by performing brief medical screening exams in the triage room to assist patient flow as determined by the ER charge nurse.

Clinic Duties:

• The contractor will assist the primary care teams by serving as a Same Day Appointment provider for urgent needs, medication refills, referrals, etc.
• This requires the ability to diagnose and manage common adult medical conditions such as hypertension and diabetes.

Background:
IHS is an agency within the U.S. Department of Health and Human Services and is responsible for providing federal health services to American Indians and Alaska Natives. The provision of health services to members of federally recognized tribes grew out of the special government to government relationship between the federal government and Indian tribes. The IHS is the principal federal health care provider and health advocate for the Indian people. The goal is to assure that comprehensive, culturally acceptable personal and public health services are available and accessible to American Indians and Alaska Natives. The IHS currently provides health services to approximately 1.5 million American Indians and Alaska Natives who belong to more than 557 federally recognized tribes in 34 states. There is a nationwide shortage of medical providers in certain specialties which is amplified by the remote and rural areas served by the Indian Health Service.

Health Requirements

Immunizations:

• Immunity to Rubella, Mumps, Measles
• Immunity to Hepatitis B series
• History of chicken pox (varicella) disease or positive titer
• Tetanus Diphtheria (Td) and Pertussis within the last 5 years
• Influenza within the last year
• Documentation of receiving a TB Mantoux skin test (PPD) within the past 12 months with documentation of follow-up for a positive test.
• A signed declination of the Hepatitis B vaccination series will be accepted.

Job Types: Full-time, Contract, Travel nursing, Locum tenens

Expected hours: 40 – 50 per week

Benefits:

• Relocation assistance

Medical specialties:

• Emergency Medicine
• Primary Care
• Urgent Care

Weekly schedule:

• 3x12
• 4x10
• 4x12

Work setting:

• Acute care
• Clinic
• In-person
• Outpatient
• Urgent care center

License/Certification:

• Certified Nurse Practitioner (Required)
• BLS Certification (Required)
• ACLS Certification (Required)
• AANP or FNCP (Required)

Ability to Relocate:

• New Mexico: Relocate before starting work (Required)

Work Location: In person