Nurse Practitioner Women's Health (Bilingual)

Women's Health Primary Care Practitioner

Marin Community Clinics, founded in 1972, is today, a multi-clinic network with a wide array of integrated primary care, dental, behavioral, specialty and referral services. As a Federally Qualified Health Center (FQHC), we provide vital health services to almost 40,000 individuals annually in Marin County. The Clinics regularly receive national awards from the Health Resources and Services Administrations (HRSA). Our Mission is to promote health and wellness through excellent, compassionate care for all.

A Women's Health primary care practitioner is responsible for providing reproductive and specialty Women's Health Care to Marin Community Clinic patients. The provider will also work collaboratively with the primary care team, with a flexible schedule based on clinic needs. The provider ideally has prior experience and the ability to add clinical skills and expand scope of practice as required by the clinic. The practitioner must be interested in learning from the Gynecologic physicians and providers at MCC and work closely with them. The provider will participate in disseminating new knowledge, guidelines, or information to non-Women's Health providers in conjunction with the clinic Gynecology physicians.

• 3+ years of hands on primary care clinical experience is required (experience excludes clinical rotations/clerkships) will consider candidates who have completed a residency hands-on training program of 12 or more month's duration.
• Bilingual English/Spanish skills desired.
• Part-Time or Full-Time schedules - 24-40 hrs. per week.
• $135K-$160K/yr. salary range; prorated for part time status; $30K-$50k signing bonus *specific program terms apply

Responsibilities

• Provide direct patient care for reproductive and Women's Health patients.
• Performs mix of both Women's Health and Primary Care across a woman's lifespan.
• Appropriately refer patients to MCC Gynecology physicians and/or other outside specialists.
• Collaborate with non-Women's Health providers in a consultation and educational capacity.
• Communicate with patients' PCP providers if non-reproductive health concerns are identified.
• Communicate and coordinate with the Behavioral Health Team for patients requiring BH services.
• Communicate with staff RNs in the dissemination and follow up of abnormal patient results and any required reporting to the county.
• Properly input relevant medical history and follow up plans into EHR as it pertains to reproductive health.
• Participate in Quality Improvement projects as it pertains to Women's Health, such as cervical cancer, breast cancer, STI screening requirements.
• Participate in audits and other required functions as assigned by the Gynecology Lead Physician in regard to Title X grant, Essential Access, CDP and Every Woman Counts programs.
• Participate in the bi-monthly Women's Health meetings.
• Attend continuing medical education activities within the field to stay abreast of new treatment options, guidelines, and current practice.

Qualifications

Education and Experience:

• Board Certified/Eligible in Gynecology, Internal Medicine, or Family Practice OR Active Physician's Assistant or Advanced Practice Nurse certification.
• A valid and unrestricted license issued by the Nursing Board of California or Physician's Assistant Board of California to practice medicine.
• One year of experience post-licensure is required.
• Willingness and ability to follow clinic policies, objectives and mission established by regulations, grants, management or the Board of Directors.
• Proficiency in medical Spanish preferred.
• A valid and unrestricted license issued by the Medical Board of California to practice medicine OR a current registration issued by the DEA allowing the prescription of drugs.
• Current BLS certification.

Required Skills and Abilities:

Clinical Skills:

• Bilingual English/Spanish is required.
• Proficiency in taking a sexual history.
• Proficiency in contraceptive counseling, considering underlying medical conditions, with a patient-centered approach.
• Proficiency in taking a family history relevant to Women's Health.
• Evaluation, diagnosis, and management/treatment of the following conditions:
• Vaginitis, urinary tract infection.
• Sexually transmitted infections.
• Abnormal uterine bleeding, PCOS and myomas.
• Pregnancy of unknown location, rule out ectopic pregnancy.
• Urinary complaints such as incontinence, overactive bladder, painful bladder syndrome.
• Chronic pelvic pain and endometriosis.
• Adnexal masses, including rule out ovarian torsion.
• Dyspareunia, sexual dysfunction.
• Menopause, vasomotor symptoms, hormone therapy.
• Infertility and pre-conception counseling.
• Breast problems.
• Pelvic organ prolapse.
• Work collaboratively with the Gynecologic physicians on staff to formulate plans, initiate further work-up, and coordinate referrals of more complex patients.
• Recognize patients outside of clinical scope and refer to MCC Gynecologic physicians for further management.
• Identify non-reproductive health issues during patient encounters and refer them to appropriate providers such as PCP or specialist.
• Identify preventive health and quality care issues for women and provide these services in the scope of women's primary care.

Procedural Skills:

• Required Skills:
• Pelvic exam including external, bimanual, and speculum exam.
• Clinical breast exam.
• Collection and performance of wet mount, swabs for STI testing.
• Insertion and removal of current FDA approved intrauterine devices.
• Insertion and removal of subdermal contraceptive implants, with appropriate certification.
• Paracervical block.
• Endometrial biopsy.
• Experience with vulvar biopsies preferred.
• Experience with exam and evaluation of pelvic organ prolapse, including straight catheterization for post-void residual preferred.
• Experience in fitting, insertion, and removal of pessaries preferred.
• Experience in vulvar incision and drainage, insertion of Word catheter preferred.
• Experience in treatment of genital warts preferred.
• Preferred Skills:
• Colposcopy and cervical biopsy, endocervical curettage.
• Basic suturing.
• Basic post-operative management skills including removal of sutures, staples, or wound dressing.
• Insertion and removal of indwelling catheters.
• Basic wound care of cesarean section incisions, vulvar wounds.
• Pelvic ultrasound including transabdominal and transvaginal for diagnosis of intrauterine pregnancy, IUD localization.

Physical Requirements and Working Conditions:

• Fulfil immunization and fit for duty regulatory requirements.
• Prolonged standing, walking, and prolonged periods sitting at desk and working on a computer.
• Must be able to lift up to 25 pounds at times and move medical equipment.
• Fine motor hand movements typical of performing standard Pediatrician job duties.
• Able to read charts graphs and readings on medical equipment.

Benefits:

Our benefits program is designed to protect your health, family and way of life. We offer a competitive Benefits Program that includes affordable health insurance and Health Reimbursement Accounts (HRA), Dental and Vision Insurance, Educational and Continuing Education Benefits, Student Loan Repayment and Loan Forgiveness, Retirement Plan, Group Life and AD&D Insurance, Short term and Long Term Disability benefits, Professional Fee Reimbursement, Mileage and Cell Phone Reimbursement, Scrubs Reimbursement, Loupes Reimbursement