Nurse Practitioner II

Nurse Practitioner II

About Us :

San Francisco Community Health Center is a federally qualified health center that provides culturally competent high quality medical care, mental health services, education, and outreach. We are a safety-net for the LGBTQ community, the unsheltered community, people who use substances, and those with mental health needs. We are an anchor-organization for San Francisco's Tenderloin neighborhood, and we also lead regional, statewide, and national programming. We believe that everyone deserves access to the highest quality care served with dignity and respect!

About You :

• You focus and center your work around giving a high level of service.
• You are empathetic when responding to any situation with compassion and curiosity.
• You are driven by your own internal integrity as well as that of the agency.
• You have a justice and equity mind-set.
• You feel that everyone deserves dignity and respect.
• You consistently pay attention to details.
• You collaborate well in a diverse and cross-functional workplace.

Program Description :

Our Wellness Clinic is a core function of San Francisco Community Health Center. In 2015, we became the first new Federally Qualified Health Center (FQHC) in San Francisco in 40 years, enabling us to expand our capacity and provide full primary care services. The Wellness Clinic works in close collaboration with the Street Medicine team, Trans Thrive, Taimon Booton Navigation Center, and our other sites to coordinate primary care for patients accessing SFCHC services in multiple settings

Role Summary :

The Nurse Practitioner (NP), a key clinical position for the Wellness Clinic at the San Francisco Community Health Center, seeks to provide quality care for the LGBT community, people of color, and other underserved communities in San Francisco and beyond. The NP is an independent, licensed, advanced practice nurse who provides medical evaluation and care to patients at the clinic. This activity is performed in collaboration with other members of the interdisciplinary health care team. In addition to patient care, the incumbent may occasionally be responsible for the supervision of NP students. In addition, the incumbent will be asked to lead quality initiatives such as clinical protocol development.

Essential Duties :

Clinical Practice

• Independently assesses acute and chronic clinical problems common in both episodic and primary care settings, as well as primary care specialty areas including but not limited to cardiovascular disease, HIV, hepatitis, sexual health, reproductive health/family planning, transgender health including hormonal replacement therapy evaluation, initiation and maintenance as well as gender affirmation surgery evaluation as part of an interdisciplinary team, and urgent care issues that arise
• Performs and documents physical assessments and patient histories, analyzes trends in patient conditions, and develops, documents and implements a patient management plan in response to the data obtained. This also includes assisting in the development of the nursing plan of care and providing appropriate counseling and education to patients, their families and significant others
• Plans patient care based on in-depth knowledge of the specific patient population and/or protocol, anticipating and identifying medical and/or psychological problems commonly encountered including the consideration of the patient's cultural background, level of understanding, personality and support systems
• The NP practice includes ordering and interpreting data obtained from diagnostic tests and laboratory studies, ordering the appropriate medications and treatments, and providing patient and staff education
• Serves as patient advocate
• Participates in alternating weekly after hours on-call schedule with other providers (phone availability)
• Patient management includes the following: 1) conducting thorough history and physical, 2) ordering and interpreting appropriate laboratory and diagnostic studies: 3) ordering of appropriate medication and treatments; 4) referring patients for consultation when indicated i.e. emergency room, dermatology, neurology, ophthalmology, endocrine, surgery, intensive care, infectious disease, hematology, mental health services, social service, and dietary; 5) proactively manages and monitors patient diagnostics and health outcomes with appropriate action; and 6) documentation through progress notes and problem lists
• Evaluates and interprets findings
• Participates in patient care rounds and conferences. Communicates patient management strategies to members of the patient care team. Collaborates with members of the inter-professional team to ensure that patient management strategies are successful in meeting patient care needs
• Supervises nursing and NP students to meet objectives of clinical placements
• In coordination with the CMO and Medical Director, creates protocols and standing orders for clinical practice
• Productivity expectation: see at least 1 patient per hour with a daily target of an average of 7 or more patients per day, and continued growth over time as patient panel increases

Administrative Duties:

• Works collaboratively with San Francisco Community Health Center administrative and clinic team to bring the clinic to the standards of a Patient Centered Medical Home (PCMH) and Federally Qualified Health Center
• Participates in continuous quality improvement measures included evaluation of clinical treatment and medical record evaluations
• Works collaboratively in the submission of accurate and timely documentation and billing
• Works collaboratively across the agency to develop strategies to grow patient census at the clinic, such as working with the street medicine team, conducting home visits as clinically indicated, and participating in providing group care for patients with hepatitis C, substance use disorder, chronic pain and diabetes, among others.
• Implements, monitors, and reports on quality management activities in accordance with regulatory guidelines and agency policies

Minimum Qualifications :

• Master's Degree from an accredited NP program - doctoral degree preferred, but not required
• 4+ years of NP experience
• Current California Nurse Practitioner license (Adult-Gerontology Nurse Practitioner or Family Nurse Practitioner)
• Active NP Furnishing number for prescriptive authorization
• Certification by the American Nurse Credentialing Center (ANCC) or the American Association of Nurse Practitioners (AANP) as an Adult-Gerontology Nurse Practitioner or Family Nurse Practitioner
• DEA license (schedules II - V) for ordering controlled substances, such as buprenorphine
• Current provider card in Basic Life Support (BLS) and/or Advanced Cardiac Life Support (ACLS)
• Experience using electronic health record (EHR) systems: EPIC experience preferred
• Ability to lead, manage, self-direct and develop health care initiatives
• Strong communication (both verbal and written) and problem-solving skills
• Experience working in a community health center. Knowledge of federal and state policies governing the administration of a community health center preferred
• Experience and knowledge of working with underserved and marginalized populations, especially LGBTQ communities and communities of color
• Experience in HIV and gender affirming care preferred
• Experience supervising nursing students preferred
• Strong knowledge base of HIPAA and OSHA
• Strong computer skills, including Microsoft Word, Excel, and PowerPoint
• Fully vaccinated against COVID-19, complete with booster shot, and able to show proof of vaccination

Preferred Qualifications

• Bilingual in Spanish or another language preferred
• Strong writing abilities preferred

Benefits :

• Competitive compensation
• Comprehensive health, vision, and dental insurance
• Company sponsored life, and long-term disability insurance
• Generous paid time off including paid holidays
• Company-sponsored retirement plan
• Opportunities for professional growth and development

EEO Statement :


San Francisco Community Health Center is an equal opportunity employer committed to identifying and developing the skills and leadership of people from diverse backgrounds. San Francisco Community Health Center does not discriminate on the basis of age, ancestry, citizenship status, color, creed, disability status, gender identity, HIV status, marital status, medical condition, genetic information, national origin, pregnancy, race, religion, sex, sexual orientation, veteran status, or any other legally protected class. Pursuant to the San Francisco Fair Chance Ordinance, we will consider for employment qualified applicants with arrest and conviction records.