Nurse Practitioner / NP - Primary Care - Hrly

Nurse Practitioner / NP - Primary Care - Hrly ---------------------------------------------------------------

This NP position provides medical care and treatment services with emphasis on chronic disease management and promotion of health and palliative care for patients not best served in a clinic setting. Care is provided in patient residencies, as well through audio and video sessions. This position may focus on one of the following areas:

• New Patient intake: Provides initial comprehensive assessment management and on-boarding of new patients to the clinic.
• Relief Care: Provides post hospital visits or urgent care visits for change in condition and supports change in the plan of care where needed. Provides relief and/or urgent care for patients on a short-term basis, focusing on filling in for providers who are out of the office.

NOTE: This is a 2 day/wk NP position covering the Portland metro area for primary care admissions.

Estimated Hiring Range:

$67.76 - $82.81

Bonus Target:

Current CareOregon Employees: Please use the internal Workday site to submit an application for this job.

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Essential Responsibilities

Clinical Service

• •Provide diagnosis, treatment, consultation, and follow-up care of patients in collaboration with patient assigned PCP including diagnosis and treatment of critical, prolonged, and long-term healthcare issues.
• •Perform comprehensive health assessment of clients by completing a physical and psychosocial history; identify actual and potential health needs based on medical, mental/emotional, financial, and social factors.
• •Make referrals to appropriate social or medical agencies and practitioners.
• •Identify, evaluate, and address the prevention of diseases, maintenance of chronic diseases, and appropriate end-of-life care per the goals of care outlined by the patient and their families.
• •Develop and implement proactive patient centered care plan with the assistance of other disciplines within the care team.
• •Order testing in diagnostics, orders medications with appropriate follow up and reassessment, and performs some surgical procedures as appropriate under certification.
• •Approve medication refills and home health orders and respond to caregiver requests to provide continuity of care.
• •Provide compassionate anticipatory guidance through decline due to chronic disease and provide high quality palliative care focused on the goals of the patient and family.
• •Educate patients and families on goal-based, appropriate preventative care, medical issues, and use of prescribed medications and treatment.
• •Develop and maintain relationships with lay and professional caregivers, including care facilities, to assure patient experience excellent continuity of care and orders are implemented appropriately.
• •Educate patients and families on their preventive care, medical issues, and use of prescribed medications and treatment.
• •Deliver quality care while maintaining all company metrics pertaining to productivity.
• •Practice within the scope of license where applicable, and as required by law and regulation.
• •May participate in the after-hours call schedule.

Administration

• •Communicate effectively with members of the medical staff on issues concerning consultation, collaboration, and referrals.
• •Educate patients and families on their preventive care, medical issues, and use of prescribed medications and treatment.
• •Determine need for specialty and rehabilitative services and make appropriate referrals.
• •Attend and participate in all required staff meetings and other ad hoc committees as assigned.
• •Provide coverage for clinical colleagues in their absence.
• •Participate in quality improvement activities as assigned.
• •Complete and maintains medical records according to agency protocols and in support of quality metrics. Document new patient history and physical to appropriate coding standards and quality metrics.

Organizational Responsibilities

• •Perform work in alignment with the organization’s mission, vision and values.
• •Support the organization’s commitment to equity, diversity and inclusion by fostering a culture of open mindedness, cultural awareness, compassion and respect for all individuals.
• •Strive to meet annual business goals in support of the organization’s strategic goals.
• •Adhere to the organization’s policies, procedures and other relevant compliance needs.
• •Perform other duties as needed.

Experience and/or Education

Required

• •Master’s degree from an accredited advanced nurse practitioner program
• •Licensed nurse practitioner in the state of Oregon (ANCC or AANP certified)
• •Drug Enforcement Administration (DEA) license
• •Valid driver’s license, acceptable driving record, and automobile liability coverage or access to an insured vehicle
• •CPR certification at hire or within 6 months in position

Preferred

Minimum 2 years of related clinical experience

Knowledge, Skills and Abilities Required

Knowledge

• •Knowledge of the principles and practice of medicine especially
• •Knowledge of principles, practices and procedures of general medicine
• •Knowledge of methods and techniques of diagnosing and treating a variety of diseases and injuries
• •Knowledge of sources of information and current literature applicable to the field of general medicine
• •Knowledge of the ethical and medico-legal aspects of medical practice
• •Knowledge of the principles and practices of public health, including familiarity with epidemiology, health services delivery and financing systems, and environmental health
• •Knowledge of the population served in adult health, including culture, demographics, patterns of disease, barriers to care and other unique features or special needs
• •Knowledge of the principles and practices of clinical quality improvement

Skills and Abilities

• •Proficient in the practice of geriatrics and palliative care
• •Skill in utilizing electronic systems appropriately and effectively, including audio and video supported encounters
• •Ability to perform medical diagnostic and treatment services
• •Ability to establish and maintain effective working relationships with diverse patients, staff, peer groups, and varied agency and institutional representatives
• •Ability to deal professionally and calmly with individuals that may act inappropriately, be verbally abusive, hostile and/or in crisis
• •Ability to communicate clearly, compassionately, and concisely, both verbally and in writing
• •Cultural competence and ability to work effectively with people from all walks of life
• •Compassion, commitment, and integrity required for success in this position
• •Ability to work within a team and take direction from other team members with expertise in the care plan development
• •Ability to adhere to organizational standards, policies, procedures.

Ability to work effectively with diverse individuals and groups

• •Ability to learn, focus, understand, and evaluate information and determine appropriate actions
• •Ability to accept direction and feedback, as well as tolerate and manage stress and grief
• •Ability to see, read, hear, speak clearly, sit and perform repetitive finger and wrist movement for at least 6 hours/day

• •Ability to stand, climb stairs, bend, lift, carry, push, pull and/or pinch small objects for at least 3-6 hours/day
• •Ability to walk, crouch, crawl and reach for at least 3 hours/day
• •Ability to operate a motorized vehicle in all kinds of weather conditions

Working Conditions

Work Environment(s): ☒ Indoor/Office ☒ Community ☐ Facilities/Security ☒ Outdoor Exposure

Member/Patient Facing: ☐ No ☒ Telephonic ☒ In Person

Hazards: May include, but not limited to, physical, ergonomic, and biological hazards

Equipment: General office equipment and/or mobile technology

Travel: This position requires travel outside of the workplace at least weekly; the employee’s personal vehicle may be used. Driving infractions will be monitor