Family Nurse Practitioner

Family Nurse Practitioner/Physician Assistant

For over 40 years, Ritter Center has been dedicated to preventing and resolving homelessness and improving the health, dignity, and well-being of people living in poverty in Marin. When you join Ritter Center, you join a highly trained staff that combines national clinical best practices with a whole-person care approach to solving each person's medical and mental health, housing, and food needs. We are growing to meet the needs of our community. We are looking for staff who are ready for a career with a mission-driven organization, want to be valued, have diverse experience, and have compassion. If this sounds like you, we would love to have you join us!

Ritter Center is currently recruiting a Family Nurse Practitioner/Physician Assistant for our Medical Team. This full-time, exempt position reports to the Director of Clinical Compliance and is based in San Rafael, CA; the role operates out of our main Campus.

Under the supervision of the Director of Clinical Compliance and the Chief Medical Officer, the Family Nurse Practitioner/Physician Assistant will perform evaluations and treatments of patients in outpatient or street settings. Assess medical needs and compile care plans; address acute needs, chronic conditions, and preventive health maintenance. Patient assessments may include emotional, mental, and social needs. Furnish/transmit appropriate medications and treatments.

Essential Functions and Responsibilities:

• Serve as the primary care provider for a panel of patients.
• May perform in-office procedures such as incision and drainage, arthrocentesis, nail removal, skin biopsy, pap-smears, and cryotherapy.
• Productivity requirement of a minimum of 10 patients per in-clinic day.
• Able to perform On-Call duties on a monthly rotation, including weekends, after hours, and holidays (3-5 calls/week). Schedule to be determined by Clinic Manager.
• Experience with women's health i.e. conducting pap-smears, inserting IUDs, etc.
• Awareness or knowledge of MAT (Medicated Assisted Therapy) Program and willing to participate as needed.
• Provide whole-person care for patients, practicing harm reduction approaches, considering creative and flexible solutions, and partnering with the clients to take steps forward with their health.
• Work within clinical privileges that are clearly delineated through Scope of Practice agreement (Nurse Practitioner).
• Keep accurate, concise, and thorough documentation of all patient medical history, exam and assessment findings, treatment/interventions, and education provided; complete documentation and lock progress notes in a timely manner.
• Review and electronically sign off on all laboratory results, diagnostic results, and outside consult notes in a timely manner, ensuring patient is contacted for follow-up if clinically appropriate.
• Initiate and follow through on specialist referrals and e-consults (electronic consults), communicating with specialist providers as necessary in the provision of whole-person care.
• Participate in org-wide Ritter Center, Provider-specific, and All-Staff meetings and trainings as requested.
• Provide compassionate and trauma informed care for patients who are experiencing homelessness, may suffer from mental illness, and/or lack resources to appropriately care for themselves.
• Actively participate in Quality Improvement activities at Ritter Center, including participating in peer reviews, evaluating clinical performance measures, and implementing improvements using a Plan-Do-Study-Act method.
• Assist in provision of health screenings (including TB, diabetes, and hypertension) at outreach events.
• Maintain active enrollment in Medicare, Medicaid, Managed Care, and other payor programs as needed for clinical operations, completing credentialing paperwork in a timely manner to remain actively enrolled in these programs.
• Other duties as assigned.

Qualifications:

• Compliance with being able to produce a negative TB test prior to the start of employment, as well as being vaccinated against COVID-19 (unless applying for an exemption) per the August 5th State Public Order for Healthcare Facilities, providers and employees.
• All employees to receive the Influenza vaccine (unless applying for a qualified medical or religious exemption)
• License to practice in the state of California
• Experience working in a Federal Qualified Health Center
• Experience working with vulnerable populations including women and LGBTQ community
• Valid DEA Certificate
• Demonstrated experience with Electronic Medical Records
• Provider BLS Certification (includes CPR certification) required
• Medical Spanish preferred, conversational Spanish a plus
• Good skills in organization and ability to multi-task and remain calm under stress
• Demonstrated experience working in social service setting; ability to be empathetic and compassionate with clients within a framework of appropriate boundaries
• Strong people management and communication skills

Employment Practices:

Ritter Center is an Equal Opportunity institution and does not discriminate against any person in employment or in admission, treatment, or participation in its programs and benefits on the basis of race, religion, color, gender, age, national origin, physical or mental disability, genetic information, veteran's status, marital status, gender identity and expression, sexual orientation, or any other status protected by applicable law.