Advanced Practice Same Day Access Practitioner

Choptank Community Health System, Inc..•Denton, MD

3d•$94,056 - $141,083

About The Position

The Advanced Practice Clinician provides comprehensive medical care to patients served by Choptank Community Health System (CCHS), following CCHS policies, procedures, and philosophy. Care may span the life cycle, including infants, children, adolescents, adults, and geriatric patients, as applicable. This is an exempt, full-time position in pay grade 9, with a stated pay range of $94,056 to $141,083. The position reports directly to the Chief Clinical Officer. The clinician supports CCHS’s same-day access model, primarily addressing acute illness and other time-sensitive needs. This can include high-urgency hospital or emergency-room follow-up and high-priority quality measures, such as uncontrolled hypertension or diabetes, when the patient’s primary care provider (PCP) cannot address the need in the necessary timeframe. Depending on availability and need, the clinician may also perform Annual Medicare Wellness visits. The role bridges immediate clinical needs and continuity of care by collaborating with the PCP when needed and connecting patients back to their primary care team. The Chief Clinical Officer is responsible for clinical oversight and performance. Operations Directors and Practice Managers oversee paid-leave approval, timecard review and approval, work schedules, appointment templates, and daily operations. The clinician coordinates coverage and patient access with clinical and operational leaders; concerns affecting both clinical care and operations are handled jointly by the appropriate leaders. The position works in a general clinical office environment, provides patient care, and involves occasional travel. Regular, reliable attendance and availability at the assigned location during scheduled patient-care hours are required. Night and weekend calls are part of the duties in accordance with CCHS policies.

Requirements

Graduate of an accredited APRN or PA program, or equivalent.
Board certified.
Primary care specialist (Family).
Current Maryland APRN or PA license to practice.
Maintain ongoing professional education as mandated by state regulation.
Maryland CDS and DEA licenses.
Basic Life Support.
Meet evidence-based and best-practice standards for quality medical care.
Regular, reliable attendance and availability at the assigned location during scheduled patient-care hours.
Ability to take night and weekend calls in accordance with CCHS policies and procedures.
Ability to travel occasionally.
Physical capabilities include bending, climbing stairs, walking, kneeling, reaching, fine and gross motor skills, lifting less than 20 pounds, and vision.
Maintain client confidentiality in compliance with state and federal laws and regulations.

Nice To Haves

Bilingual and bicultural skills are valued.

Responsibilities

Assess and manage patients by taking histories, performing physical examinations, and developing treatment plans for acute and chronic health problems and preventive health needs within the clinician’s training, experience, and specialty.
Order and review laboratory and X-ray tests according to evidence-based and best-practice recommendations.
Support services at health centers, community- and school-based health center programs, and the Mobile Health Unit, as applicable.
Interact with patients and staff in accordance with CCHS Standards of Behavior and Code of Ethics.
Complete inbox management and patient-note documentation and closure promptly; ensure patient encounters are signed within 72 hours of the service date, diagnoses are coded accurately, charges are completed, and coding or billing clarification requests are answered.
Refer patients to specialists, subspecialties, emergency rooms, and hospital clinics when appropriate; work with care coordination staff to track referral completion and outstanding follow-up needs.
Provide first aid and, when clinically appropriate, stabilize patients before referring serious injuries or severely acute conditions requiring hospital care to emergency rooms or inpatient facilities.
Participate in medical chart audits, performance improvement, risk management, peer review, and appropriate CCHS committees.
Contribute to team review of same-day capacity utilization, demand met, patient flow, no-shows, care-gap completion, documentation, and charges, and help address workflow barriers.
Provide in-service training for CCHS staff as necessary and participate in patient and staff educational programs and classes.
Attend CCHS staff meetings unless direct patient duties prevent attendance.
Serve as a resource and consultant to other advanced practice clinicians and colleagues, and review problem cases with the team as needed.
Take night and weekend calls in accordance with CCHS policies and procedures.
Obtain and maintain required licensing, credentialing, and privileges; complete yearly CME relevant to board certification and practice.
Coordinate patient-centered care with the health care team; communicate significant findings, treatment changes, and follow-up needs to the PCP and care team, and establish clear handoffs for pending results and unresolved needs.
Understand CCHS’s patient care management plan and effectively perform and communicate role-specific tasks within it.
Participate in medical activities at any CCHS-operated site, including school-based health centers and the Mobile Health Unit, as appropriate to specialty and organizational needs.
Participate in CCHS outreach activities in accordance with policies and procedures.
Maintain client confidentiality in compliance with state and federal laws and regulations.
Perform other job-related duties as directed by the Supervising Director and Chief Clinical Officer.
Work with the Access Team, practice manager, and clinical staff to use approved same-day scheduling templates and protected capacity.
Participate in daily huddles or established team communications to review demand, appointment availability, and patient-flow barriers; partner with medical assistants and nurses on chart preparation, rooming, and readiness for newly scheduled visits.
Use same-day encounters to identify and address relevant care gaps when clinically appropriate; use available capacity for preventive care, annual wellness visits, chronic-condition follow-up, new-patient visits, or transitions of care as appropriate, and arrange additional visits when needs cannot be addressed during the acute encounter.
Do not engage in private practice or provide medical services outside CCHS without written approval from the CCHS CEO; ensure any other medical practice does not interfere with CCHS duties and responsibilities.