Nurse Practitioner - Primary Care (Hourly) - Salem

Nurse Practitioner - Primary Care (Hourly) - Salem---------------------------------------------------------------This 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 position is based in Salem, OR. The schedule is 2 weekdays; 8-hour shifts; no nights, weekends or call.**Estimated Hiring Range:**$66.42 - $81.18**Bonus Target:**Bonus - SIP Target, 5% AnnualCurrent CareOregon Employees: Please use the internal Workday site to submit an application for this job.---------------------------------------------------------------## **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 positionPreferred* Minimum 2 years of related clinical experience### Knowledge, Skills and Abilities RequiredKnowledge* 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 improvementSkills 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 ExposureMember/Patient Facing: ☐ No ☒ Telephonic ☒ In PersonHazards: May include, but not limited to, physical, ergonomic, and biological hazardsEquipment: General office equipment and/or mobile technologyTravel: #J-18808-Ljbffr