Nurse Practitioner

JOB SUMMARY

The OBGYN/Women’s Health NP/PA works as a member of an interdisciplinary health care team to provide direct patient care in the OB/GYN department, including prenatal, postpartum, and gynecological care to Harbor Community Health Centers (HarborCHC) patients.

ESSENTIAL DUTIES & RESPONSIBILITIES

• Provide primary healthcare to both obstetric and gynecologic patients.
• Conduct pre- and post‑treatment surgical care to patients.
• Perform comprehensive family planning counseling, screening, care and procedures.
• Elicit and record information about patient’s medical history.
• Examine patients for symptoms or physical information.
• Order or execute various tests, analyses and diagnostic images to provide information on patient’s condition.
• Analyze reports and findings of tests and examination and diagnose condition of patient.
• Administer or prescribe treatments.
• Determine and prescribe medication, dosage and schedule given the patient’s condition and allergies.
• Discuss any possible side effects to medication or immunization with patient.
• Prescribe vaccinations to immunize patient from communicable diseases.
• Promote health by advising patients about diet, hygiene and methods for prevention of disease.
• Provide prenatal care to pregnant women. Provide postnatal care to mothers and infants.
• Perform surgical procedures commensurate with surgical competency.
• Refer patients to medical specialist for consultant services when necessary for patient’s well‑being.
• Document the patient’s visit including medical history, physical exam, diagnoses and plan of action.
• Obtain health history and physical examinations.
• Order and interpret diagnostic and therapeutic tests relative to the patient’s age, gender, and disease‑specific needs.
• Review incoming reports (labs, x‑rays, EKG, consult notes, outside records) in a timely manner.
• Formulate treatment plan for acute and chronic medical conditions, provide preventive health services, arrange follow‑up.
• Provide health education to clinic patients to promote positive health behaviors and disease prevention.
• Arrange specialty referrals for services not provided by HarborCHC. Review referral/consultation reports and arrange appropriate follow‑up.
• Consult with supervising physician whenever any questions arise as to the diagnostic evaluation or treatment plan.
• Provide back up for fellow providers as needed, which may include:
  • Responding to calls from pharmacies regarding prescriptions and refills.
  • Responding to calls from other physicians.
  • Responding to calls from patients requiring medical advice.
  • Reviewing lab results.
• Ensure that encounter notes are entered into the Electronic Health Record, and closed within 72 hours of the visit. Encounter notes should:
  • Reflect changes in the patient’s condition and other significant information.
  • Include documentation of pertinent history, review of systems, and physical examination.
  • Indicate studies performed, and that results were reviewed and discussed with the patient.
  • Reflect the provider has thought process as to the patient’s problems, diagnosis and treatment.
  • Specify medications prescribed by the provider.
  • Develop and maintain a current chronic problem list.
  • Inform the patient of the general nature of his/her medical problem, the general prognosis, and the nature and purpose of the proposed treatment and procedures.
  • Include referrals to specialty services as deemed medically necessary.
  • Integrate recommendations made by specialists into the patient’s treatment plan.
  • Reflect any pertinent attitudes or behavior on the part of the patient or family towards any aspects of care.
  • Include notation of the need for routine and preventative services including screening tests, periodic lab exams related to chronic disease care, and immunizations.
  • Ensure compliance with coding standards as required by Medi‑Cal, health plans and other regulatory agencies.
• Participate in HarborCHC’s after‑hours call system. On‑call notes should be entered into the patient’s chart within 72 hours.
• Promote patient satisfaction principles and foster an excellent environment for the patient and their family.

OTHER RESPONSIBILITIES

• Use and disclose patients’ protected health information only in accordance with the Health Insurance Portability and Accountability Act (HIPAA) standards.
• Promote a cohesive, cooperative working relationship with fellow providers, which may include helping with excess patient loads.
• Actively participate in Harbor Community Clinic’s peer‑review and quality assurance activities to improve HEDIS, UDS and other quality metrics, including timely access to prenatal care, postpartum care, cervical cancer screening, breast cancer screening, immunization rates, etc.
• Participate in provider meetings, staff meetings, and any other committee meetings as assigned.
• Ensure the proper and timely documentation of medical health records for clinical work and accurate billing.
• Other duties as assigned.
• Committed to providing an exceptional experience in all interactions.
• Ability to understand and to optimize productivity.
• Must have strong analytical and problem‑solving skills.
• Must have proficient computer skills, including Microsoft Office abilities, with intermediate Excel skills.
• Must have the willingness and ability to adapt to change, including advances in technology.
• Ability to handle multiple tasks and be highly organized and detail‑oriented.
• Must maintain confidentiality and handle sensitive information with discretion.

QUALIFICATIONS

• Graduate of an accredited Physician Assistant or Nurse Practitioner program.
• Active and unrestricted California Nurse Practitioner or Physician Assistant license.
• National certification as a Physician Assistant from the National Commission on Certification of Physician Assistants (NCCPA) or as a Nurse Practitioner from the American Academy of Nurse Practitioners (AANP).
• Active and unrestricted DEA license.
• BLS certification.
• At least two (2) years of experience in a primary health care setting.
• Familiarity with electronic health records (eClinical Works preferred).
• Must be able to interact with people of various socioeconomic statuses and have the ability to address sensitive issues with tact and diplomacy.
• Ability to multitask and prioritize projects.
• Ability to work independently and/or in a team collaborative setting.
• Excellent customer service, leadership and motivational skills.
• Excellent written and verbal communication skills.
• Ability to work with diverse populations.
• Treat all patients and colleagues with dignity and respect.
• Flexibility with schedule.
• COVID‑19 vaccination or qualifying medical/religious exemption required.

EXPECTATIONS

• Adheres to all HarborCHC policies and procedures.
• Conducts self in a manner that represents HarborCHC’s core values at all times.
• Must possess a solid commitment to the mission, policies, goals, and philosophy of HarborCHC.
• Maintains a positive and respectful attitude with all work‑related contacts.
• Communicates regularly with his/her immediate supervisor about departmental and HarborCHC concerns.
• Consistently reports to work prepared to perform the duties of the position.
• Meets productivity standards and performs duties as workload necessitates.
• Maintain strict confidentiality of all data and information.
• Demonstrates integrity and accountability for duties and responsibilities.
• Performs all job functions in a professional and courteous manner, including answering phone calls and emails in a timely manner.

PHYSICAL REQUIREMENTS

The physical requirements described here are representative of those that must be met by an employee to successfully perform the essential functions of the job. While performing the duties of this job, the employee is regularly required to sit; use hands to manipulate objects, tools or controls; reach with hands and arms; and talk and hear. The employee must frequently lift and/or move up to 10 pounds and occasionally lift and/or move up to 25 pounds. Specific vision abilities required by this job include close vision, distance vision, peripheral vision, depth perception and the ability to adjust.

HOURS OF OPERATIONS

HarborCHC is open Monday‑Thursday 7:00 am‑7:00 pm, Friday 8:00 am‑5:00 pm, Saturday 8:00 am‑5:00 pm with occasional overtime, or other shifts based on clinic need.

HR PROCEDURAL REQUIREMENTS

• Legal authorization to work in the United States.
• Clear all post‑offers, pre‑employment background screening, and education verification.
• This is not intended to cover all aspects of your description as additional duties may be assigned.

EQUAL EMPLOYMENT OPPORTUNITY STATEMENT

HarborCHC does not discriminate in employment opportunities or practices on the basis of race, religion, color, sex/gender (including pregnancy, childbirth, breastfeeding or related medical conditions), sexual orientation, national origin, ancestry, physical or mental disability, medical condition, genetic information/characteristics, marital status/registered domestic partner status, age, sexual orientation, reproductive health decision‑making, military or veteran status, use of cannabis off the job and away from the workplace, and any other basis protected by federal, state or local law or ordinance or regulation, or any other legally recognized protected basis under federal, state or local laws, regulations or ordinances. This policy applies whether the individual has or is perceived to have any of the characteristics protected by law or is associated with a person who has or is perceived to have any of the characteristics protected by law. This policy applies to all terms and conditions of employment, including, but not limited to, hiring, placement, promotion, termination, layoff, recall, transfer, leaves of absence, compensation, and training.

DISCLAIMER

The above statements define this position as it currently exists and are intended to describe the general content of and requirements for this job. They are not to be considered as an exhaustive statement of duties, responsibilities, or requirements and does not limit the assignment of additional duties at the discretion of the supervisor. HarborCHC is an at‑will employer.

In addition, HarborCHC may change your duties, compensation or hours, or transfer, reassign, promote, demote, suspend or otherwise change the terms and conditions of your employment (other than the at‑will relationship), with or without cause or prior notice.