Advanced Practice Provider III

Cottage Health•Santa Barbara, CA

About The Position

The Advanced Practice Provider (APP) provides direct patient care to assigned patients within Cottage Medical Group (CMG), working independently and in collaboration with supervising physicians and leadership. The APP assesses, interprets, and integrates clinical findings to determine appropriate diagnostic, educational, and therapeutic management plans. The role calls for specialized knowledge, critical thinking, sound judgment, and strong customer service skills. The APP provides medical services in clinic and hospital settings within the scope of their education, training, and experience. Work may be primarily in a clinic and operating room with regular hospital rounds, or in the operating room with regular hospital rounds, depending on organizational needs and assignment. The role also includes collaboration with physicians on acute and long-term patient needs; care coordination and follow-up; prescribing medications and treatment regimens; and referring patients to specialists and other care options as appropriate. The APP contributes to patient, family, and community education and supports the education and professional development of patient-care practitioners. The position may also involve supervising ancillary staff and conducting research.

Requirements

  • For the Physician Assistant pathway: graduate of an accredited Physician Assistant program as defined by the California Physician Assistant Board, and a master's degree or certificate from a specialized medical training program associated with a medical school that includes classroom study and clinical experience.
  • For the Nurse Practitioner pathway: Master of Nursing degree and graduation from an accredited Nurse Practitioner program approved by the California Board of Registered Nursing as defined in Section 1482 of the Nurse Practice Act, Business and Professional Code.
  • Alternatively, graduation from an accredited school or university of nurse-midwifery.
  • Current California Registered Nurse license, California Nurse Practitioner licensure and certificate, and California Furnishing license; or current California Physician Assistant licensure and certificate; or current California Registered Nurse license and Certified Nurse Midwife licensure, as applicable to the credential pathway.
  • Approval for privileges by Medical Staff, if applicable.
  • American Heart Association Basic Life Support for Health Care Providers certification within 45 days of hire.
  • Knowledge of medical terminology and electronic medical records.
  • Ability to maintain effective and organized systems to ensure timely patient flow.
  • Two years of PA or NP experience, or two years of experience specific to the assigned clinic or inpatient practice specialty.
  • Exceptional independent and collaborative critical-thinking skills.
  • Exceptional customer service and phone etiquette.
  • Ability to communicate effectively.
  • Skill in correct grammar, spelling, and punctuation.

Nice To Haves

  • Certified Nurse Operating Room (CNOR) certification for Nurse Practitioners in Surgery.
  • Experience working with the EPIC electronic medical record.
  • Bilingual in English and Spanish; Spanish-speaking ability is preferred.
  • Experience in Orthopedic/Trauma services in an inpatient setting.
  • Additional education and certifications based on specialty, as referenced in the addendum.

Responsibilities

  • Provide medical services in clinic and hospital settings within the scope of education, training, and experience, including surgical procedures in the operating room, patient visits, histories and physical examinations, ordering and evaluating laboratory and diagnostic studies, developing and implementing treatment plans, monitoring interventions, and managing follow-up care.
  • Collaborate with physicians to manage patients’ acute and long-term medical needs, including consultations, continuity of care, pre- and post-treatment surveillance, and postoperative visits.
  • Maintain and review patient records, charts, and other pertinent information; post test and examination results; triage patient telephone calls; and provide consultation.
  • Seek physician input on patient treatment and care issues as needed.
  • Collaborate with physicians and the care treatment team to establish and manage Transitional Care and Chronic Care Management.
  • Manage an individual sub-clinic, providing patient assessment, education, and clinical recommendations within scope of practice.
  • Prescribe pharmaceuticals, other medications, and treatment regimens appropriate to assessed medical conditions, and refer patients to specialists and relevant care options.
  • Perform peripheral intravenous access consistent with training guidelines and using appropriate techniques and devices.
  • Coordinate services with coworkers and other departments, communicate effectively, respond calmly and rationally to stressful situations, and cooperate to facilitate integrated services.
  • Behave professionally and empathetically to build trust and effective relationships with patients, clinic management, and personnel.
  • Facilitate education and professional development of patient-care practitioners and participate in education for clients, families, and the community.
  • Assist staff in maintaining clinical competencies and promoting critical-thinking skills.
  • Develop and evaluate clinical orientation frameworks for professional staff with unit-based educators, preceptors, and directors.
  • Mentor preceptors and other professional nursing staff in unit-based leadership roles; may supervise ancillary staff and perform research.

Benefits

  • Eligible employees may receive shift differentials, on-call pay, incentive pay, and bonus opportunities, where applicable.
  • Managers and above may participate in Cottage Health’s annual management incentive program.
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