Advanced Practice Clinician (NP/PA), Street Medicine (Los Angeles, CA)

Healthcare in Action•Los Angeles, CA

14d•$125,400 - $172,780•Onsite

About The Position

Healthcare in Action provides care to people experiencing homelessness through a street medicine model, delivering services directly in places such as encampments, parks, parking lots, shelters, and the Los Angeles Riverbed area. The Advanced Practice Clinician supports patients who are experiencing or at risk of homelessness by providing direct care as an independent healthcare provider and coordinating care with partner homeless-services agencies. The clinician performs assessments, diagnoses and documents health conditions, develops individualized care plans, and supports patients in managing chronic conditions. The role provides clinical leadership for quality initiatives and teams that include social workers and peer navigators, and serves as a liaison to the overseeing physician and psychiatrist. Care is delivered in collaboration with patients, primary care physicians, peer navigators, and other healthcare professionals. The position requires a graduate nursing degree, a current California Nurse Practitioner license, and relevant credentials and field-care experience. It also requires driving a personal vehicle and the ability to walk or hike to reach patients while carrying supplies. The advertised base salary is $125,400–$172,780 per year.

Requirements

Master of Science in Nursing or Doctor of Nursing Practice from an accredited nursing school.
Current California Nurse Practitioner license in good standing.
National Provider Identifier (NPI).
DEA license in good standing.
Current First Aid/CPR/AED certification.
At least 2 years of experience as a Nurse Practitioner in a medical office, hospital, field, and/or population health setting.
Demonstrated experience providing direct patient care in the field.
Experience with substance abuse and mental health.
Excellent assessment skills and ability to problem-solve and prioritize changing patient conditions.
Knowledge of efficient interviewing practices and techniques for gathering information.
Strong interpersonal skills and ability to build relationships with providers and patients.
Ability to work on a team and maintain good working relationships with staff and patients.
Excellent verbal, written, and listening skills, both in person and by phone.
Excellent customer service skills; cultural sensitivity and ability to work with a diverse patient population.
Ability to maintain quality, safety, and infection-control standards.
Knowledge of or ability to learn computer applications, including MS Office and electronic medical record systems.
Knowledge of medical records and documentation requirements; ability to maintain patient confidentiality and knowledge of HIPAA requirements.
Ability to remain calm and resourceful in emergencies and maintain a professional demeanor.
Ability to climb, stoop, kneel, crouch, bend, reach, lift, pull, push, and carry up to 15 pounds regularly and up to 50 pounds occasionally.
Valid California driver’s license and state liability insurance.
Ability to walk distances and hike as needed while carrying supplies.
Proof of tuberculosis screening upon hire or proof of a negative screening within the past year, subject to the stated accommodation process.
Background check required.

Nice To Haves

Experience in the military or international relief providing patient care in outdoor environments is strongly preferred.
Understanding of ICD-10 coding is preferred.

Responsibilities

Conduct physical exams and assessments, take medical histories, diagnose and document health conditions, perform wellness exams, administer vaccinations, and draw blood for laboratory tests when necessary.
Perform chronic care assessments and interpret diagnostic tests to identify clinical problems and healthcare needs.
Document chronic health conditions and determine appropriate follow-up with SCAN’s local provider network.
Organize and complete chronic care assessments, chart audits, and individualized care plans.
Develop care plans with patients, peer navigators, and primary care physicians; educate and advise patients on medical issues; consult physicians and the Medical Director as needed; and keep primary care physicians informed of patients’ conditions and progress.
Provide health education and support prevention, health promotion, and patients’ adjustment to chronic health problems.
Provide internal and external referrals to appropriate medical resources.
Build trusting relationships with providers and patients and maintain a safe, efficient, and pleasant care environment.
Work collaboratively with physicians and other healthcare professionals in the clinical management of patients, maintaining productive relationships with personnel, medical staff, and administration.
Follow policies for handling laboratory specimens and biohazardous waste, documenting patient visits accurately and promptly, and reporting suspicious, unethical, or illegal conduct while cooperating with approved investigations and inspections.
Learn the Health Plan encounter-data submission process and CMS requirements; participate in grievance, audit, continuing-education, quality-assurance, and quality-improvement programs.
Serve as an ongoing resource to providers and case-management teams and participate in clinical committees as assigned.
Maintain professional and technical knowledge through educational workshops, publications, professional networks, and professional societies.
Monitor, train, and coach patients living with chronic conditions to help them meet health goals.
Collaborate with SCAN, Healthcare in Action, and the Quality Improvement team to achieve organizational goals.
Practice within the scope of a California Nurse Practitioner license and function as an independent healthcare provider with advanced expertise in history taking, physical examinations, treatment, and clinical care management.
Provide clinical leadership to teams that include social workers and peer navigators, and serve as a liaison to the overseeing physician and psychiatrist.
Support team objectives and Healthcare in Action’s vision and goals; perform other duties as assigned.
Drive a personal vehicle to perform work duties; mileage is reimbursed at federal rates.