Advanced Practice Provider (Primary Care)

GENERAL STATEMENT OF DUTIES The primary purpose of this job is to provide medical care through the Primary Care Clinic. DISTINGUISHING FEATURES OF THE CLASS The employee in this position performs medical acts in direct patient care by evaluating, diagnosing, treating, and prescribing for a wide variety of medical and psychosocial conditions with varying degrees of complexity. It is necessary to review, evaluate, and expand upon the work and findings of the health care team to provide individualized health care for each patient. DUTIES AND RESPONSIBILITIES Essential duties and responsibilities include, but are not limited to: Identifies subjective data and risk factors crucial to the patient’s medical care and formulates an individualized plan of care for the patient. Performs a complete physical examination on both men and women including all body systems; identifies any abnormalities and clearly documents findings. Screen for acute and chronic medical conditions including but not limited to sexually transmitted diseases; collect specimens, review results and make treatment decisions based on medical knowledge and practice protocols. Counseling for acute and chronic medical conditions including but not limited to sexually transmitted diseases including HIV; recognizing signs/symptoms of disease to prevent adverse outcomes. Orders, interprets, and manages routine and non‑routine laboratory tests; recognizes implications of abnormal results and orders appropriate plan of care. Diagnoses medical conditions, formulates plan of care, and appropriately treats (including surgical and other invasive procedures), prescribes, and/or refers for patients’ total health care. Explains client eligibility, disease prevention and management; reports abuse/neglect/rape, breach in STD control measures. Manages all methods of contraception including emergency contraception; performs a wide variety of medical acts and renders emergency care if need arises (including CPR, treatment of shock, treatment of anaphylaxis). Teaches patients and their families about their health needs and how to care for themselves to achieve improved health outcomes. Provides services to clients of diverse backgrounds, works with Medical Director, other advanced practice providers, and nursing staff; communicates with hospital and other referral sources to arrange care for patients. May assist in the management of PrEP, PEP and/or TB clients; performs a wide variety of medical acts and renders emergency care if need arises (including CPR, treatment of shock, treatment of anaphylaxis). Other duties as assigned. RECRUITMENT STANDARDS Knowledge of Public Health principles, practice, laws, and ordinances. Extensive knowledge of health issues, including sexually transmitted diseases, PEP, PrEP and/or TB; healthy lifestyles, disease prevention, and primary care health issues. Knowledge of advanced medical theory, practice, principles, and techniques/skills obtained through education and experience. Knowledge of anatomy and physiology; physical assessment principles; techniques for collection of laboratory specimens and principles of interpreting results. Knowledge of epidemiology and prevention of disease/illness. Knowledge of quality improvement and assurance standards. Knowledge of other health and social agencies and medical specialists. Knowledge of Current Procedural Terminology, International Classification of Diseases 9th Revision, Health Systems Information Services, and Health Care Finance Administration Common Procedure Coding System. Ability to establish and maintain effective professional relationships with the public, co‑workers, and other agencies. Ability to interpret and explain the value of the service and obtain cooperation from the client and the public. Ability to function independently and make accurate decisions based on sound principles of practice. Ability to perform physical assessments, conduct medical acts, collect a wide variety of laboratory specimens with strict adherence to quality assurance and distinguish normal versus abnormal findings. Ability to make diagnoses, formulate plan of care, and appropriate treatment for patient’s medical condition. Ability to interpret public health laws and regulations. Ability to accurately document and communicate patient feedback from clients to verify understanding of oral instructions and ability to share information with other staff and physicians. Ability to demonstrate skills to other staff members and students. Ability to make decisions to comply with mandatory coding for medical services. Guilford County Public Health will consider upcoming graduation as an Advanced Practice Student (from a Nurse Practitioner or Physician Assistant program) for vacant APP positions. A contingent job offer will be made, based on receiving an unrestricted license to practice as a nurse practitioner or physician assistant. MINIMUM QUALIFICATIONS Graduation from a Physician Assistant program approved by the N.C. Board of Medical Examiners and preferably one year of experience as a Physician Assistant; OR licensed as a Registered Nurse by the NC Board of Nursing, graduation from a Nurse Practitioner program approved by the N.C. Joint Subcommittee of the Board of Nursing and Board of Medical Examiners, and preferably one year of experience as a Nurse Practitioner. National certification as a Physician Assistant or Nurse Practitioner is required. Must have a reliable means of transportation for job‑related travel. PREFERRED QUALIFICATIONS Physician Assistant or Family Nurse Practitioner with training and experience in Primary Care, Communicable Disease and/or Public Health. New graduates will be considered. SPECIAL QUALIFICATIONS Documentation of immunity to measles, mumps, rubella, and chickenpox, per CDC recommendations. Screening/proof of Hepatitis B immunity, as recommended by the CDC. PHYSICAL DEMANDS An employee in this position must be able to physically perform the basic life operational functions of stooping, kneeling, crouching, reaching, standing, walking, pushing, pulling, lifting, fingering, grasping, feeling, talking, hearing, and repetitive motion. The employee must be able to perform medium work exerting up to 50 pounds of force occasionally, and/or up to 20 pounds of force frequently, and/or up to 10 pounds of force constantly to move objects. WORKING CONDITIONS Work consists of inside environmental conditions. Hazards include a variety of physical conditions, such as proximity to moving mechanical parts, electrical current, working on scaffolding and high places, exposure to high heat or chemicals. MAY REQUIRE DRIVING This position may require driving for county business whether driving a County owned or personal vehicle to attend conferences, meetings, or other county related functions. Motor Vehicle Records may be verified for a valid driver’s license and that the driving record is compatible with the county’s driving criteria. If a personal vehicle is operated for county business proper insurance is maintained as per Guilford County’s vehicle use policy. SPECIAL NOTE This generic class description gives an overview of the job class, its essential job functions and recommended job requirements. However, for each individual position assigned to this class, there is a completed job description with physical abilities checklist available for review before initiating a selection process. They can provide additional detailed information on which to base various personnel actions and can assist management in making legally defensible personnel decisions. #J-18808-Ljbffr