Family Practice Provider (Mobile/Street Medicine Program) - MD/DO/NP/PA

Mosaic Community Health•Bend, OR

71d•Onsite

About The Position

Mosaic Community Health is hiring a full-time advanced practice provider (APP) or MD/DO to deliver services directly to patients experiencing homelessness in their own environment such as under bridges, in encampments, and on the street. As a member of an interdisciplinary care team, this provider will help to pioneer the field of street medicine in Central Oregon, home to a rapidly growing community of patients experiencing sheltered and unsheltered houselessness. As part of a multi-disciplinary team, the provider will perform diagnostic, therapeutic, preventative and health maintenance services. In this position you will join a collaborative, multidisciplinary and dynamic team who is committed to delivering comprehensive, patient centered care to patients with complex social, medical, and behavioral health needs, in particular to those with experiences of homelessness. This position provides services to individuals experiencing homelessness in encampments, on the streets, at shelters, stabilization or navigation centers and other public locations. Mosaic Community Health prides itself on being an innovative health system that pioneers unique and creative ways to provide and improve patient access to health care. Since our founding in 2002 we have proudly served insured and uninsured patients regardless of age, ethnicity, or income. We focus on a holistic approach to patient care by incorporating behavioral health, pharmacy, and nutrition support to serve patients in the most meaningful way. At Mosaic Community Health, you will work with incredibly dedicated and mission-centered peers and be part of a dynamic team based environment. Mosaic Community Health offers more than just a job, it is a lifestyle. A lifestyle of serving others. A lifestyle of being an integral part of your community. A lifestyle that offers work/life balance. A lifestyle of enjoying the outdoors! Central Oregon offers over 300 days of sunshine a year, so enjoy a PTO day on the mountain, biking/hiking trails, or the river! A lifestyle that improves lives, including yours. Of course, we also offer a great benefit package!

Requirements

Employees working in this program must demonstrate a unique combination of behavioral competencies that support compassionate, ethical, and effective care for highly vulnerable populations
Demonstrates genuine care and concern for people experiencing houselessness.
Practices non-judgmental listening and shows emotional intelligence in difficult situations.
Respects the dignity and worth of all individuals, regardless of background or behavior.
Utilizes a trauma-informed approach, recognizing signs of trauma, adapting interactions accordingly and avoiding retraumatization by respecting autonomy and boundaries.
Works effectively in unpredictable, outdoor, and mobile environments.
Manages ambiguity with calmness and professionalism.
Thinks critically and creatively in resource-limited settings.
Recognizes that building trust may take time due to past trauma or system mistrust.
Does not take client behavior personally; maintains boundaries and perseverance.
Adapts to changing conditions and patient needs, capable of quickly shifting priorities and strategies in response to evolving needs.
Manages ambiguity with calmness and professionalism.
An understanding of the core mission and values of the Street Medicine Institute
Basic wound care management
Exceptional ability to connect with patients and establish rapport quickly
Commitment to principles of harm reduction
Trauma informed care training
Comfort with substance use disorders including MAT
Comfort with severe and persistent mental illness
Comfort with managing HIV, Hepatitis C, and other infectious diseases
Comfort with de-escalation principles and techniques

Nice To Haves

current Advanced Practitioner License (PA, NP), MD/DO
3 years in community health, experience working with the homeless population
Three years of relevant work experience preferred
Two years of experience working with patients experiencing houselessness preferred

Responsibilities

Provide patient centered, trauma-informed care in non-traditional health care settings.
Rotates care setting locations and accommodates a non-traditional schedule that is flexible to the changing needs of a rural and urban houseless population.
Acts as an informal leader, who may be the only licensed independent provider in the field.
Uses current evidence-based guidelines in creating diagnostic and treatment plans; utilizing tools such as "Up to Date" or "Choosing Wisely."
Provides care which reflects health care cost consciousness and addresses social determinants of health.
Effectively utilizes team-based care model, leveraging expertise of all members of multi-disciplinary team.
Proactively addresses preventative health issues.
Acts as patient educator, leveraging tools (e.g. EHR, on-line resources, written materials, MY Chart messages, etc.) to effectively communicate information with patients regarding diagnoses, treatment options, disease prevention, safe health behaviors, self-care skills, and health promotion.
Maintains accurate electronic health records of patients and completes documentation in timely manner.
Reflects critical thinking in documentation
Reviews incoming results/reports (e.g. lab, x-ray, EKG), paperwork, refills, etc., and addresses them in a timely manner.
Responds to patient telephone calls and MyChart messages in a timely manner.
Accurately codes patient charts to ensure correct billing.
Utilizes EHR tools (e.g. "fyi", problem-based charting, etc.) to enable other clinical team members to effectively care for patients