Nurse Practitioner

Sign on and Relocation Bonus - $15,000!

Compensation


Salary $150,666 - $168,220 (Based on years of experience and achieving Access and Quality bonus compensation goals).


Job Summary
The Nurse Practitioner or Physician Assistant Certified (Advanced Practice Provider-APP) primary job function is to be responsible for provision of comprehensive family medicine services for the patients of Columbia Valley Community Health.


Job Specific Competencies
1. Provides comprehensive and continuous primary care services in a patient centered medical home, including sanctioned non-clinic sites such as nursing homes, patient home, school-based clinics, mobile clinics, and tele-health settings.
2. Provides consultation to other clinic providers either in person or by telephone.
3. Consults with clinic physicians, specialists, pharmacists, nurses, or other health care professionals as appropriate.
4. Assesses patient needs for specialty referrals, diagnostic and in-patient care and makes appropriate referrals for service.
5. Participates in development and utilization of CVCH practice guidelines and procedures.
6. Participates in audits and meets standards of CVCH Quality Improvement and Risk Management
programs.
7. Responsible for accurate, timely, and complete documentation in patient records.
8. Responsible for accurate and timely completion of billing documents.
9. Performs minor outpatient procedures in accordance with CVCH privileges.
10. Provides patients and family members with counseling and education regarding health maintenance, disease prevention, diagnosis, treatment, and need for follow up as appropriate during each patient visit. Verifies and documents that the patient understands diagnosis, treatment and follow up recommendations.
11. Provides clinical supervision and appropriate training of ancillary health care staff to assure quality of care for CVCH patients in coordination with Clinical Services Director, Nursing Supervisor, and nursing staff.
12. Responsible for maintenance of credentials essential for practice, to include licensure, certification and CME.
13. Attends all required staff meetings, provider meetings, and participates in CVCH committees as directed by Medical Director.
14. Leads by example and sets a standard of excellence for all team members.
PA-C ONLY:
1. Develops and maintains a practice plan which is in accordance with State of Washington Physician Assistant licensure requirements, in cooperation with supervising Physician and Medical Director.
2. Participates in Physician oversight activities as required.

General Duties and Responsibilities
1. Performs other duties and tasks as assigned by supervisor.
2. Expected to meet attendance standards and work the hours necessary to perform the essential functions of the job.
3. Conforms to safety policies, general housekeeping practices.
4. Demonstrates sound work ethics, flexible, and shows dedication to the position and the community.
5. Demonstrates a positive attitude, is respectful, and possesses cultural awareness and sensitivity toward clients and co-workers.
6. Keeps customer service and the mission of the organization in mind when interacting with all clients, co-workers, and others.
7. Employees are expected to embrace, support and promote the core values of respect, integrity, trust, compassion and quality which align with the CVCH mission statement through their actions and interactions with all patients, staff, and others.
8. Conforms to CVCH policies and Joint Commission and HIPAA regulations.


Job Specifications
1. Education: Graduate from an accredited Nurse Practitioner Program or Graduate from an accredited Physician Assistant Program, Certification as a Physician Assistant.


2. Certification/Licensure: A valid license to practice as an ARNP with Evidence of Prescriptive Authority in the State of Washington OR PA-C in Washington State or eligible to obtain licensure. Basic Life Support (BLS) required. ACLS or ATLS may be used to substituted for BLS. All Providers must be eligible for enrollment in Medicare and must not be currently opted out of the Medicare program


3. Experience: Three (3) years of experience working in a community health center or managed care environment preferred. Experience in delivering services to medically underserved populations preferred.


4. Language Skills: Bilingual in English/Spanish preferred.


5. Essential Technical/Motor Skills: A high degree of organization and accuracy. Good eye/hand coordination and precision, manual dexterity and patience. Perform complex and comprehensive medical care on a variety of patients. Must demonstrate ability to work with basic computer skills and MS Office products, such as Word, Excel, and Outlook. Ability to work in a fast-paced and often high-stress environment as well as the ability to adapt quickly to workload changes. Ability to apply basic statistical and mathematical concepts to patient data, test results and other related information.


6. Interpersonal Skills: Attuned to the unique needs of the indigent and under-served populations with practice emphasis placed on rural medicine needs. Must demonstrate leadership and team building skills. Must have strong listening, written and oral communication skills, with ability to communicate clearly. Must have the ability to understand and respond effectively and with sensitivity to appropriate age spectrums. Establish and maintain effective working relationships with those contacted in the course of work. Work with various cultural and ethnic groups in a tactful and efficient manner. Ability to work at all site locations with diverse staff as needed.


7. Essential Physical Requirements: Requires full range of body motion including handling and lifting patients, manual and finger dexterity and eye-hand coordination. The ability to distinguish letters and symbols, as well as the ability to utilize telephones, computer terminals, and copiers is required. Requires standing and walking for prolonged periods of time. Occasionally lifts and carries items. Ability to help transfer patients. Requires working under stress in emergency situations and irregular hours.


8. Essential Mental Abilities: On a continuous basis, know and understand all aspects of the job; intermittently analyze work papers, reports and special projects; identify and interpret technical and numerical information; observe and problem solve operational and technical policies and procedures; explain medical procedures. Maintain unimpeachable skill and knowledge in the principles of sound medical practice. Must be able to communicate the base of knowledge necessary to mentor medical personnel. Must demonstrate an ability to work under stress. Must demonstrate knowledge of administrative and personnel practices. Ability to read, analyze, and interpret general medical and other professional journals and governmental regulations. Ability to write reports and concise, accurate patient chart notes. Ability to effectively present information and respond to questions from supervisors, patients, third party payers, vendors and the general public.


9. Essential Sensory Requirements: Essential sensory requirements include the ability to: read computer keyboard, monitor, and documents; prepare and analyze documents; read extensively; see, recognize, receive and convey detailed information orally, by telephone and in person; convey accurate and detailed instructions by speaking to others in person and by telephone.


10. Exposure to Hazards: Exposure to or use of sharps, potentially dangerous chemicals, exposure to body fluids/blood/tissue. Frequent exposure to communicable diseases, body fluids, toxic substances, medicinal preparations, and other conditions common to a clinical environment. Some travel may be required and may be exposed to outside working conditions when traveling to other work sites.


Benefits


*Coverage below based on a 1.0 FTE; Medical, Dental, Paid Leave, Holidays, and CME benefits are prorated based on FTE


Benefit:

Coverage:

Effective:

Medical


Premera (Self Insured)


Preferred Provider


Employee/Spouse/Dependents; receive a Benefit Stipend of up to $500 per month


First of the month following the first date of employment.


Dental


Washington Dental


Employee/Spouse/Dependents; receive a Benefit Stipend of up to $500 per month


First of the month following the first date of employment.


Paid Leave


120 hours - Year 1


136 hours - Year 2
Each year after that employee will accrue 8 hours of PTO each year, on their anniversary date, until they reach a maximum of 208 hours at 10+ years.


Paid Leave may be used immediately for sick leave and after 3 months employment for vacation. Maximum accrual cap of 320 hours; hours in excess of 320 hours will automatically transfer into the employees EIB.


Extended Illness Bank (EIB)


Allows for maximum accrual of 200 hours


PTO hours in excess of 320 will transfer into EIB. Employees are eligible to use EIB hours after at least 3 consecutive scheduled working days of PTO (max 24 hours) which have been used for a personal illness and/or a qualifying event under FMLA or the WA Family Care Act.


Holidays


64 hours related to:
New Year's Day
Memorial Day
4th of July
Labor Day
Thanksgiving Day
Day after Thanksgiving
Christmas Eve
Christmas Day


Holidays are based on an 8-hour day. Providers will receive a holiday pool of 64 hours as a 1.0 FTE at the beginning of each calendar year. Holiday pool hours must be used by December 31 of each calendar year; unused holiday pool hours will be forfeited. If an employee starts after the calendar year has begun, holiday hours will be prorated based on remaining holidays in the calendar year.


Diversity Days


3 Diversity Days


Available after the first payroll cycle after start date. Diversity days will be prorated based on start date as outlined below:
Jan 1- April 30: 3 diversity days (24 hours if 1.0 FTE)
May 1 - August 31: 2 diversity days (16 hours if 1.0 FTE)
Sept 1 - Dec 31: 1 diversity day (8 hours if 1.0 FTE)


Please refer to the Paid Leave policy for additional details.


403(b) Retirement Plan


Lincoln Financial


150% CVCH match up to 3% of the employee's contribution


Immediately. Vesting schedule:


20% at 2 years, 50% at 3 years, 60% at 4 years, and 100% at 5 years.


Spanish Immersion


$2,000


Employer will reimburse Provider up to $2,000, for participating in Pop Wuj Spanish Immersion program in Guatemala, or La Hacienda Spanish School in Mexico, for a minimum 3-week period, prior to the Provider's initial start date.


Benefit:

Coverage:

Effective:

CME


40 hours / $3,000 per year based on 1.0 FTE


Available immediately. CME is loaded the first full pay period in January of each year and available to maintain licensure while working at CVCH. CME must be used by December 31 of each calendar year; unused CME will be forfeited. CME will be prorated based on start date into calendar year. CME is not available during provider's termination notice period.


Licenses/Dues


DEA Certificate; Professional Recertification


WA State Medical License. Access to CVCH provided Epocrates and Up To Date $750 towards membership dues, subscriptions or misc. certification


For PA-C Only- Board Certification exam and fees for 10-year certification


Available after hire date.


Benefits are suspended once an APP has tendered resignation, except as required to continue to work until separation date.


Employee Assistance Program


Mutual of Omaha


No cost short-term counseling for employee and family


Immediately. Call View phone number on click.appcast.io


Long-term Disability


Mutual of Omaha


Employee Only (variable)


First of the month following the first date of employment.


Basic Term Life


Mutual of Omaha


Employee Only (1x annual salary, up to $200,000)


First of the month following the first date of employment.


Group Accidental Death and Dismemberment (AD&D )


Mutual of Omaha


Employee Only (1x annual salary, up to $200,000)


First of the month following the first date of employment.


Supplemental Term Life


Mutual of Omaha


Employee / Spouse / Dependent(s)


First of the month following the first date of employment.


Voluntary AD&D


Mutual of Omaha


Employee / Family


First of the month following the first date of employment.


Health Reimbursement Arrangement


RedQuote


Reimbursement for out of pocket expenses for services received at CVCH (medical, dental, and prescription) by employees and their dependents enrolled in our medical plan. Up to $750 per family per year.


First of the month following the first date of employment.


Flex Plan: Medical


RedQuote


Flex Plan: Maximum $3,400 per year


Direct Deposit available


First of the month following the first date of employment.


Flex Plan: Dependent Care


RedQuote


Flex Plan: Maximum $7,500 per year


Direct Deposit available


First of the month following the first date of employment.

Benefit:

Coverage:

Effective:

AFLAC


Supplemental insurance - cafeteria plan


First of the month following the first date of employment.


Wellness Stipend


CVCH will reimburse staff up to $30 per month for a local gym membership


OR


CVCH will reimburse up to $150 per year for a subscription type workout program service (i.e.: Beachbody on Demand, Les Mills, etc.)


Immediately. Once employee has submitted invoice to HR/Payroll department.


Wellness MyZone Rewards


Employees can choose to participate in wellness rewards with the purchase of a MyZone device. Longevity program will reward you for hitting continuous milestones in the MyZone program and receive up to $1500.

CVCH also engages employees with seasonal Wellness Challenges and raffles to enter with your earned tickets during the challenge.


Available to participate immediately. Purchase a Myzone device with payroll deduction from HR. See Myzone Status form for additional rewards information. Must have a registered Myzone device to participate in wellness challenges.


Cell Phone Discounts


Discounted monthly access fees


Discounted select accessories and special equipment


Available for personal cell phones, currently in place with AT&T & Verizon


Tuition Reimbursement


For approved courses, the cost of tuition, books, and lab fees may be reimbursed at 75% of the actual costs up to a maximum of:
$4,000 for an Associate's degree, vocational, technical, or certification program
$6,000 for a Bachelor's degree
$8,000 for a Master's degree


Upon approval; regular employees who work at least 20 hours per week, have successfully passed their evaluation period and are in good standing may apply.

Employees must agree to work for a period of two (2) years from the date of receipt of tuition reimbursement and obtain satisfactory completion of approved courses or Challenge Exams.


Loan Repayment Program


For approved medical providers to assist with loan repayment for a maximum of 2 years when previously denied by other loan assistance programs.
Full time Employee: Eligible for monthly stipend up to $2,100 for up to 2 years (not to exceed the loan debt)
Less than full time employee: Eligible for monthly stipend up to $1050 for up to 2 years (not to exceed the loan debt)


Upon approval; Medical providers who work at least 20 hours per week, have applied for both state and federal loan repayment programs and been denied.

Employees must apply for the NHSC LRP and WA State LRP once per year while receiving loan repayment through CVCH. If approved for the NHSC LRP or WA State LRP during the two-year period, loan repayment through CVCH will terminate the month prior to the award starting.


Employees must agree to work for a period 12 months from the date of last monthly distribution of funds.


Any questions regarding benefit eligibility or coverage should be directed to the Human Resources Department.


Blood/Fluid Exposure Risk
Category I
1. Tasks routinely involve a potential for mucous membrane or skin contact exposure to blood, fluids or tissue.
2. Use of personal protective equipment (PPE), when appropriate, is required


Age Specific Competency


Telecommuting
Position NOT eligible for Telecommuting


This description is intended to describe the essential job functions and the essential requirements for the performance of this job. It is not an exhaustive list of all duties, responsibilities and requirements of a person so classified. Other functions may be assigned and management may, with or without notice, add or change the duties at any time. Employees are employed "at will".
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