Nurse Practitioner I

San Francisco Community Health Center•San Francisco, CA

About The Position

The Nurse Practitioner (NP), a key clinical position for the Wellness Clinic at the San Francisco Community Health Center, seeks to provide quality care for the LGBT community, people of color, and other underserved communities in San Francisco and beyond. The NP is an independent, licensed, advanced practice nurse who provides medical evaluation and care to patients at the clinic. This activity is performed in collaboration with other members of the interdisciplinary health care team. In addition to patient care, the incumbent may occasionally be responsible for the supervision of NP students. In addition, the incumbent will be asked to lead quality initiatives such as clinical protocol development.

Requirements

Master's Degree from an accredited NP program - doctoral degree preferred, but not required
2+ years of NP experience
Current California Nurse Practitioner license (Adult-Gerontology Nurse Practitioner or Family Nurse Practitioner)
Active NP Furnishing number for prescriptive authorization
Certification by the American Nurse Credentialing Center (ANCC) or the American Association of Nurse Practitioners (AANP) as an Adult-Gerontology Nurse Practitioner or Family Nurse Practitioner
DEA license (schedules II – V) for ordering controlled substances, such as buprenorphine
Current provider card in Basic Life Support (BLS) and/or Advanced Cardiac Life Support (ACLS)
Experience using electronic health record (EHR) systems: EPIC experience preferred
Ability to lead, manage, self-direct and develop health care initiatives
Strong communication (both verbal and written) and problem-solving skills
Experience working in a community health center. Knowledge of federal and state policies governing the administration of a community health center preferred
Experience and knowledge of working with underserved and marginalized populations, especially LGBTQ communities and communities of color
Strong knowledge base of HIPAA and OSHA
Strong computer skills, including Microsoft Word, Excel, and PowerPoint
Fully vaccinated against COVID-19, complete with booster shot, and able to show proof of vaccination

Nice To Haves

Experience in HIV and gender affirming care preferred
Experience supervising nursing students preferred

Responsibilities

Independently assesses acute and chronic clinical problems common in both episodic and primary care settings, as well as primary care specialty areas including but not limited to cardiovascular disease, HIV, hepatitis, sexual health, reproductive health/family planning, transgender health including hormonal replacement therapy evaluation, initiation and maintenance as well as gender affirmation surgery evaluation as part of an interdisciplinary team, and urgent care issues that arise
Performs and documents physical assessments and patient histories, analyzes trends in patient conditions, and develops, documents and implements a patient management plan in response to the data obtained. This also includes assisting in the development of the nursing plan of care and providing appropriate counseling and education to patients, their families and significant others
Plans patient care based on in-depth knowledge of the specific patient population and/or protocol, anticipating and identifying medical and/or psychological problems commonly encountered including the consideration of the patient’s cultural background, level of understanding, personality and support systems
The NP practice includes ordering and interpreting data obtained from diagnostic tests and laboratory studies, ordering the appropriate medications and treatments, and providing patient and staff education
Serves as patient advocate
Participates in alternating weekly after hours on-call schedule with other providers (phone availability)
Patient management includes the following: 1) conducting thorough history and physical, 2) ordering and interpreting appropriate laboratory and diagnostic studies: 3) ordering of appropriate medication and treatments; 4) referring patients for consultation when indicated i.e. emergency room, dermatology, neurology, ophthalmology, endocrine, surgery, intensive care, infectious disease, hematology, mental health services, social service, and dietary; 5) proactively manages and monitors patient diagnostics and health outcomes with appropriate action; and 6) documentation through progress notes and problem lists
Evaluates and interprets findings
Participates in patient care rounds and conferences. Communicates patient management strategies to members of the patient care team. Collaborates with members of the inter-professional team to ensure that patient management strategies are successful in meeting patient care needs
Supervises nursing and NP students to meet objectives of clinical placements
In coordination with the CMO and Medical Director, creates protocols and standing orders for clinical practice
Productivity expectation: see at least 1 patient per hour with a daily target of an average of 7 or more patients per day, and continued growth over time as patient panel increases
Works collaboratively with San Francisco Community Health Center administrative and clinic team to bring the clinic to the standards of a Patient Centered Medical Home (PCMH) and Federally Qualified Health Center
Participates in continuous quality improvement measures included evaluation of clinical treatment and medical record evaluations
Works collaboratively in the submission of accurate and timely documentation and billing
Works collaboratively across the agency to develop strategies to grow patient census at the clinic, such as working with the street medicine team, conducting home visits as clinically indicated, and participating in providing group care for patients with hepatitis C, substance use disorder, chronic pain and diabetes, among others.
Implements, monitors, and reports on quality management activities in accordance with regulatory guidelines and agency policies