Nurse Practitioner OR Physician Assistant-Certified (Chelan)

Nurse Practitioner Or Physician Assistant Certified

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:

MedicalPremera (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.

DentalWashington 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 1136 hours Year 2Each 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 4thof 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

Columbia Valley Community Health