Nurse Practitioner / NP - Primary Care

Housecall Providers•Portland, OR

5d•Hybrid

About The Position

This position provides medical care and treatment services with emphasis on chronic disease management and promotion of health and palliative care for patients not best served in a clinic setting. Care is provided in patient residencies, as well through audio and video sessions. This position may focus on one of the following areas: Regular Care: Provides ongoing care for patients within an assigned caseload and/or territory and includes long-term strategies focused on disease prevention. This position would cover Tigard/Tualatin areas.

Requirements

Master’s degree from an accredited advanced nurse practitioner program
Licensed nurse practitioner in the state of Oregon (ANCC or AANP certified)
Drug Enforcement Administration (DEA) license
Valid driver’s license, acceptable driving record, and automobile liability coverage or access to an insured vehicle
CPR certification at hire or within 6 months in position
Knowledge of the principles and practice of medicine including urgent care and triage practices for providers focused on Relief Care
Proficient in the practice of geriatrics and palliative care
Knowledge of principles, practices, and procedures of general medicine
Knowledge of methods and techniques of diagnosing and treating a variety of diseases and injuries
Knowledge of sources of information and current literature applicable to the field of general medicine
Knowledge of the ethical and medico-legal aspects of medical practice
Knowledge of the principles and practices of public health, including familiarity with epidemiology, health services delivery and financing systems, and environmental health
Knowledge of the population served in adult health, including culture, demographics, patterns of disease, barriers to care and other unique features or special needs
Knowledge of the principles and practices of clinical quality improvement
Familiar with the medical charting system
Skill in utilizing electronic systems appropriately and effectively, including audio and video supported encounters
Ability to perform medical diagnostic and treatment services
Ability to establish and maintain effective working relationships with diverse patients, staff, peer groups, and varied agency and institutional representatives
Ability to deal professionally and calmly with individuals that may act inappropriately, be verbally abusive, hostile and/or in crisis
Ability to communicate clearly, compassionately, and concisely, both verbally and in writing
Ability to work within a team and take direction from other team members with expertise in the care plan development
Ability to adhere to organizational standards, policies, and procedures
Ability to work effectively with diverse individuals and groups
Ability to learn, focus, understand, and evaluate information and determine appropriate actions
Ability to accept direction and feedback, as well as tolerate and manage stress and grief
Ability to see, read, hear, speak clearly, sit, and perform repetitive finger and wrist movement for at least 6 hours/day
Ability to stand, climb stairs, bend, lift, carry, push, pull and/or pinch small objects for at least 3-6 hours/day
Ability to walk, crouch, crawl and reach for at least 3 hours/day
Ability to operate a motorized vehicle in all kinds of weather conditions

Nice To Haves

Minimum 2 years of related clinical experience

Responsibilities

Provide diagnosis, treatment, consultation, and follow-up care as indicated of patients including diagnosis and treatment of critical, prolonged, and long-term healthcare issues.
Perform comprehensive health assessment of clients by completing a physical and psychosocial history; identify actual and potential health needs based on medical, mental/emotional, financial, and social factors.
Make referrals to appropriate social or medical agencies and practitioners.
Identify, evaluate, and address the prevention of diseases and/or acute change in condition, maintenance of chronic diseases, and appropriate end-of-life care per the goals of care outlined by the patient and their families.
Develop and implement proactive patient centered care plan with the assistance of other disciplines within the care team.
Order testing in diagnostics, orders medications with appropriate follow up and reassessment, and performs some surgical procedures as appropriate under certification.
Approve medication refills and home health orders and respond to caregiver requests to provide continuity of care.
Provide compassionate anticipatory guidance through decline due to chronic disease and provide high quality palliative care focused on the goals of the patient and family.
Educate patients and families on goal-based, appropriate preventative care, chronic care, or urgent care needs, as well as the use of prescribed medications and treatment.
Develop and maintain working relationships with lay and professional caregivers, including care facilities, to assure patient experience excellent continuity of care and orders are implemented appropriately.
Deliver quality care while maintaining all company metrics pertaining to productivity.
Practice within the scope of license where applicable, and as required by law and regulation.
Participate in the after-hours call schedule.
Communicate effectively with members of the medical staff on issues concerning consultation, collaboration, and referrals.
Determine need for specialty and rehabilitative services and make appropriate referrals.
Oversee the care plan/case management activities for assigned patients.
Attend and participate in all required staff meetings and other ad hoc committees as assigned.
Provide coverage for clinical colleagues in their absence.
Participate in quality improvement activities as assigned.
Complete and maintain medical records according to agency protocols and in support of quality metrics.

Benefits

medical, dental, vision, life, AD&D, and disability insurance
health savings account
flexible spending account(s)
lifestyle spending account
employee assistance program
wellness program
discounts
multiple supplemental benefits (e.g., voluntary life, critical illness, accident, hospital indemnity, identity theft protection, pre-tax parking, pet insurance, 529 College Savings, etc.)
strong retirement plan with employer contributions
PTO
Paid State Sick Time
paid holidays
volunteer time
jury duty
bereavement leave