Advanced Practice Clinician (NP, PA, CNM) Sexual and Reproductive Health

Established in 1971, HealthQ is a non‑profit organization providing sexual and reproductive health. HealthQ's mission is to provide exceptional reproductive and sexual health care to all who need it without judgment and without barriers. With convenient locations on Massachusetts’ North Shore and Merrimack Valley, we provide birth control, abortion care, gender‑affirming care, STI testing and treatment, HIV testing and referral, and other preventive health services.

Position Summary

Under the direction of the Medical Director, the Advanced Practice Clinician (APC) provides sexual and reproductive health care through evaluation, diagnosis, and treatment.

Essential Duties and Responsibilities

• Provide high‑quality, inclusive, patient‑centered, and trauma‑informed sexual and reproductive health care to patients, including adolescents
• Obtain and document comprehensive health histories with sensitivity, respect, and attention to patient experience
• Perform physical examinations, with an emphasis on reproductive health, using trauma‑informed approaches that prioritize patient comfort, consent, and autonomy
• Consult with the Medical Director when patient presentations fall outside established clinical guidelines
• Provide cancer screenings, diagnose and treat sexually transmitted infections (STIs), and perform specialized procedures as indicated
• Deliver compassionate counseling and emotional support; promote shared decision‑making, and informed treatment choices in a non‑judgmental, inclusive manner
• Provide health counseling and emotional support throughout care; teach and support positive self‑care techniques, including problem resolution and selection of treatment alternatives
• Provide birth control education and methods, including IUD and implants
• Provide gender‑affirming hormone therapy
• Provide medication abortion care, including ultrasound services
• Perform and order diagnostic studies as indicated and provide appropriate treatment and follow‑up as necessary
• Perform lab procedures, including phlebotomy, injections, and vaginal/KOH preps, and provide follow‑up for abnormal lab results
• Partner with leadership and staff to support the planning and implementation of organizational goals and initiatives
• Provide clinical oversight and serve as a resource to clinical support staffServe as an active participant in the Clinical Committee (including development and revision of medical guidelines and teaching sheets), and act as liaison to bring back information to medical office staff
• Prepare exam and procedure rooms, assuring adequate stock of all necessary medical supplies; sterilize instruments; maintain standard inventory items, including both medical and patient educational supplies
• Maintain accurate and timely documentation in the electronic health record (EHR), ensuring compliance with clinical protocols, regulatory requirements, and reporting standards

Management Responsibilities

• Collaborate with medical office staff to ensure effective functioning of all systems
• Work in conjunction with management and staff to plan and implement agency goals and objectives
• Provide clinical oversight and serve as a resource to medical office staff
• Serve as an active participant in the Clinical Committee (including development and revision of medical guidelines and teaching sheets), and act as liaison to bring back information to medical office staff
• Develop and maintain relationships with referral sources, agency programs, etc. to ensure medical office growth, reputation and viability
• Prepare exam and procedure rooms, assuring adequate stock of all necessary medical supplies; sterilize instruments; maintain standard inventory items, including both medical and patient educational supplies
• Maintain patient electronic health record (EHR) to ensure compliance with established protocols and documentation requirements; complete relevant reports and patient logs, documenting information to ensure compliance with established practices and regulations

Non‑Essential Duties and Responsibilities

• Perform other duties as assigned

General Expectations

• Strong commitment to the vision, mission and work of HealthQ
• Maintain confidentiality and protect the organization by keeping information concerning clients, employees, and the organization itself confidential
• Produce work that is complete, accurate, timely, serves its purpose(s), and meets applicable documentation standards

Physical Requirements

While performing the duties of this job the employee is regularly required to be mobile. The employee is frequently required to stand; sit; use hands to finger, handle, or feel and reach with hands and arms. The employee is frequently required to lift up to 25 pounds, and occasionally lift up to 50 pounds. The vision requirements include: close vision, color vision and depth perception and the ability to read 10 point or larger type. The employee must be able to hear and speak in a manner understood by most people, and must communicate effectively in English both orally and in writing sufficient to prepare and send reports, and to interact with staff and peers. The employee must be able to use customary office equipment and software.

Work Environment

While performing the duties of this job the employee is frequently exposed to infection. The employee encounters inadequate lighting, fumes or airborne particles on a rare to occasional basis. The noise level in the environment is moderate. Travel to conduct business as needed.

Qualifications Needed for Position

Experience/Skill Requirements

• Graduate of accredited college or nursing institution with nurse practitioner or nurse midwife degree
• Minimum 2 years’ experience in full range of sexual and reproductive health care, including abortion care and gender‑affirming care
• Masters in Nursing required
• Ultrasound certification and experience with medication abortion preferred
• Strong organizational and interpersonal skills and ability to work independently required
• Bi‑lingual in English and Spanish
• Excellent verbal and written communication and active listening skills including the ability to communicate effectively with diverse audiences
• Demonstrated ability to work with people of different races, ethnicities, sexual and gender identities and expressions, ages, abilities, and experiences
• Ability to work in a computerized office environment required, including skill in E‑mail, word‑processing, spreadsheets, and electronic practice management systems

Education/Knowledge Requirements

• Master’s or Doctorate degree with current MA licensure as NP, CNM, or PA
• Satisfactory completion of training in the provision of all methods of contraception and laboratory procedures, including phlebotomy
• Current registration with the Federal Drug Administration (DEA) & Massachusetts Controlled Substances Act (MCSR)
• CPR certification
• Foundational understanding of structural racism and the systems of oppression that contribute to health inequities in our communities

Benefits

• Health insurance (75% employer paid)
• Dental and vision insurance
• Vacation (3 weeks) and sick (2 weeks) time
• Retirement plan (3% match after 1 year)
• Self‑care benefit reimbursement
• Headspace subscription
• Education reimbursement and more!

Salary Description

$110,000 - $124,000