Family Nurse Practitioner

Job Description Job Description *This position is for Full-Time Monday-Friday 8am-430pm at the Pierce County Jail located in Tacoma, WA.* Pay: $86/hr-$96/hr DOE Accountable to: Health Services Administrator (HSA) and on-site Medical Director (MD) (if present), and CMD/CMO. Position Summary: Under the direct administrative supervision of the Health Services Administrator and the clinical supervision of the on-site Medical Director and CMD/CMO, the NP is responsible for ensuring that company goals and objectives are achieved in their assigned service delivery area by conducting, leading, directing, managing, and evaluating medical services to ensure that contractual obligations and client expectations are met. The NP is also responsible for assuring all medical services are in compliance with the requirements of NCCHC, ACA, and professional medical standards. Position Requirements: Must hold a current unrestricted license as a Nurse Practitioner in the state of employment, current DEA registration, ability to obtain a DEA number (as applicable), an appropriate collaborative agreement with the on-site Physician, and a valid CPR card. Must possess strong written communication and verbal skills and have strong computer skills. Performance Expectations: A. Use knowledge and expertise to ensure that processes and systems are followed appropriately according to policies and procedures, company performance, and accreditation standards. B. Work cohesively with the HSA, site Medical Director, other Medical Providers, and psychiatric provider(s) in the coordination of the health care delivery system, as well as other functions within the facility. C. Use all functions and applications of the EHR relevant to the position with no supervision. Assist as requested by the HSA in training other Advance Practice Providers staff in the use of the EHR. D. Communicate effectively with clients, peers, and employees at all levels within the organization. Maintain clear lines of communication throughout issue-resolution processes. E. Demonstrate personal performance based on professional practice standards, relevant statutes, rules and regulations, and organizational criteria. F. Demonstrate professionalism by using objectivity, maintaining self- control when under pressure, separating professional from personal issues, displaying emotional maturity, maintaining a high degree of integrity, and promoting a positive work environment by setting an example. G. Participate when indicated in all monthly, quarterly, and annual meetings as assigned and required in accordance with contract compliance. H. Relay critical information to the next level of management that may have a negative impact on client and/or vendor relations or patient care. I. Evaluate patients in a variety of settings, including the initial intake area, mental health care unit, clinics, emergency situations, housing units, medical housing areas, and segregation units. J. Participate in educational and training activities related to health care for patients, security personnel, and healthcare staff. K. Participate in efforts to evaluate the quality and effectiveness of healthcare services. Assist in developing systems to ensure and monitor patient care and safety. L. Demonstrate the knowledge and skills necessary to refer for appropriate care, based on the physical, psychosocial, educational, safety, and related criteria, appropriate to the age of the patient(s) served. M. Participate in a collaborative approach of patient management using the knowledge and clinical resources of the health care staff to provide the resolution of diagnostic and therapeutic problems and the implementation of effective solutions. N. Along with the Medical Director and other medical providers, maintain quality clinical and administrative performance of the healthcare programs within the facility. O. Utilize appropriate resources, including the clinical support of the Medical Director, CMD and CMO to resolve routine medical and clinical issues and performance improvement processes. P. Understand and ensure adherence to all clinically relevant contract terms, conditions and requirements. Provide feedback to the Medical Director and HSA regarding any clinical issues that could jeopardize contract performance. Q. Review Dashboards daily to ensure all clinical needs are being met within the facilities in a timely fashion. R. Self-Monitor referrals to outside health care facilities for appropriateness, quality, and continuity of care. Ensure that all orders, treatments, or recommendations are reviewed and countersigned following outside referrals. S. Strive toward formulary adherence, and self-monitor non-formulary medication utilization and participate in formulary development and review to provide a full scope of medical benefit at optimum cost. T. Provide direct and indirect basic medical care to meet the physiological, psychological, and emotional needs of the patient within the framework established by the correctional system. U. Evaluate patients who have returned from off-site treatment by the end of the next work day, so as to review any information regarding the diagnosis, recommendations, or additional follow-up treatment required. V. Obtain history and perform physical examination to determine patient health status and communicate all findings verbally and in writing. W. Formulate a working diagnosis, develop and implement a treatment plan, and evaluate/modify therapeutic regimens to promote positive patient outcomes. X. Facilitate patient treatment according to company policies and procedures to include, but not limited to, admission and discharge from medical housing, infirmary, segregation units, mental health unit, housing change requests, seclusion, suicide precautions, and close observation. Y. Respond to and initiate care for medical emergencies throughout the facility. Z. Participate in emergency planning, disaster programing, and drills as appropriate. AA. Conduct rounds in the medical and infirmary units, sick call visits, and chronic care management, using established clinical guidelines. BB. Schedule and perform laboratory and diagnostic procedures as assigned. Review and sign off the results of these in a timely fashion. CC. Identify patient health conditions and prescribe treatment based on diagnosis with appropriate and timely referrals. DD. Provide phone consultation and support for the medical staff and ensure that all verbal orders are countersigned. EE. Consult with site and community medical providers to resolve issues in delivering services to patients when not available through on-site resources. FF. Track and understand the off-site healthcare activities undergone by each patient for whom CHP has responsibility. GG. Participate in implementation and execution of onsite chronic care clinics using established clinical guidelines to support the management of each chronic care condition. HH. Work with the HSA, Medical Director, and other providers to establish systems for the coordination of care among multidisciplinary health care providers. II. Assist with recruiting efforts for site staff and demonstrate proficiency in assessing and selecting candidates using interview techniques that help identify potential candidates with skills that fit in the corrections environment. JJ. Complete reporting tasks as assigned by company policies and procedures. KK. Ensure proper clinical documentation, including, but not limited to, the use of SOAPE notes, progress notes, chronic care management, appointment scheduling, and order entry. LL. Participate in and promote a culture of patient safety and continuous quality improvement. MM. Proactively take action to solve problems and uses objectivity and insightfulness when approaching problems, meet established goals, and take responsibility for results and outcomes. NN. Fundamentally understand the organizational structure and how to appropriately access resources. Uses business knowledge and acumen to influence others. Communicates CHP organizational vision, strategy and objectives within own team. OO. Build productive working relationships with supervisors, security staff, healthcare staff, patients, vendors, and client. Establish and maintain professional relationships where you will be viewed by others as trusted and respectful. PP. Seek mentors for coaching and counseling to support professional growth. Achieves established goals, communicates barriers in accomplishing goal, and seeks assistance and additional resources when needed to meet goal expectations. QQ. Promote team building verses atmosphere of competition, recognize individual and team accomplishments. Encourage members of the team to share ideas and participate in discussions and decisions. Promote team approach with client and vendors, and ensure that this approach is implemented with all levels of staff. RR. Maintain open lines of communication with jail command, CHP on-site leadership, any community partners, and CHP Corporate leadership. SS. For Full Time Providers: Cover up to 10 days of call per month. TT. For Part Time Providers: Cover call each evening/night after shift worked.