Nurse Practitioner - Primary Care

Housecall Providers, a Chapters Health affiliate, is Oregon's only non-profit organization providing in home primary care, advanced illness care, and hospice care serving the Portland Metro area. We offer a collaborative model with support of care coordination, nursing, social work, and pharmacy. Our vision is to sustainably transform home-based medicine so all homebound adults and those living with serious illness have access to care that improves their quality of life. We have been an innovative collaborator over the past 20 years in a variety of CMS demonstrations to support home based medical care. The Nurse Practitioner - Primary Care 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: Regular Care: Provides ongoing care for patients within an assigned caseload and/or territory and includes long-term strategies focused on disease prevention. Relief Care: 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. Essential Responsibilities Clinical Service Provide diagnosis, treatment, consultation, and follow-up care as indicated of patients 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 and/or acute change in condition, 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, chronic care, or urgent care needs, as well as the use of prescribed medications and treatment. Develop and maintain working relationships with lay and professional caregivers, including care facilities, to assure patient experience excellent continuity of care and orders are implemented appropriately. 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. Participate in the after-hours call schedule. Administration Communicate effectively with members of the medical staff on issues concerning consultation, collaboration, and referrals. Determine need for specialty and rehabilitative services and make appropriate referrals. Oversee the care plan/case management activities for assigned patients. 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 maintain medical records according to agency protocols and in support of quality metrics. Working Conditions Work Environment(s): Indoor/Office, Community, Outdoor Exposure Member/Patient Facing: Telephonic and In Person Hazards: May include, but not limited to, physical, ergonomic, and biological hazards Equipment: General office equipment Travel: This position requires travel outside of the workplace at least weekly; the employee’s personal vehicle may be used. Driving infractions will be monitored in accordance with organizational policy. Work Location: Hybrid-Community, member facing Location: Employees permanently assigned to see members and patients in Marion or Polk counties are required to live within 15 miles of their county assignment. Schedule: Work a flexible schedule, including evenings and weekends. If you receive an offer of employment for this position, it is contingent on the satisfactory completion of a pre-employment background check, immunization review, and drug screen (including THC/Marijuana). CareOregon is a federal contractor and must comply with all federal laws. We offer a strong Total Rewards Program This includes competitive pay, bonus opportunity, and a comprehensive benefits package. Eligibility for bonuses and benefits is dependent on factors such as the position type and the number of scheduled weekly hours. Benefits-eligible employees qualify for benefits beginning on the first of the month on or after their start date. Housecall Providers offers medical, dental, vision, life, AD&D, and disability insurance, as well as health savings account, flexible spending account(s), lifestyle spending account, employee assistance program, wellness program, discounts, and multiple supplemental benefits (e.g., voluntary life, critical illness, accident, hospital indemnity, identity theft protection, pre-tax parking, pet insurance, 529 College Savings, etc.). We also offer a strong retirement plan with employer contributions. Benefits-eligible employees accrue PTO and Paid State Sick Time based on hours worked/scheduled hours and the primary work state. Employees may also receive paid holidays, volunteer time, jury duty, bereavement leave, and more, depending on eligibility. Non-benefits eligible employees can enjoy 401(k) contributions, Paid State Sick Time, wellness and employee assistance program benefits, and other perks. We are an equal opportunity employer Housecall Providers is an equal opportunity employer. The organization selects the best individual for the job based upon job related qualifications, regardless of race, color, religion, sexual orientation, national origin, gender, gender identity, gender expression, genetic information, age, veteran status, ancestry, marital status or disability. The organization will make a reasonable accommodation to known physical or mental limitations of a qualified applicant or employee with a disability unless the accommodation will impose an undue hardship on the operation of our organization. Portland Oregon is known for its extensive park system, natural areas, and outdoor recreation opportunities. The Oregon coast, Mount Hood, Columbia River Gorge, and Cascade Mountains are all within a few hours' drive, making day trips easy. Portland has a nationally known food culture, strong arts and music offerings, and innovation in environmental stewardship. To learn more about our organization: Experience and/or Education Master’s degree from an accredited advanced nurse practitioner program required Licensed nurse practitioner in the state of Oregon (ANCC or AANP certified) required Drug Enforcement Administration (DEA) license required Valid driver’s license, acceptable driving record, and automobile liability coverage or access to an insured vehicle required CPR certification at hire or within 6 months in position required Minimum 2 years of related clinical experience preferred Knowledge, Skills and Abilities Required Knowledge of the principles and practice of medicine including urgent care and triage practices for providers focused on Relief Care Proficient in the practice of geriatrics and palliative care 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 Familiar with the medical charting system Skills and Abilities 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 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, and 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 #J-18808-Ljbffr