About The Position

The Nurse Practitioner or Physician Assistant-Certified (Advanced Practice Provider) provides comprehensive family medicine services to Columbia Valley Community Health patients in its Express Care clinic, an urgent care setting. The role provides continuous primary care in a patient-centered medical home, including at approved non-clinic sites such as nursing homes, patients’ homes, school-based and mobile clinics, and telehealth settings. The provider collaborates with other clinicians, makes referrals as appropriate, performs minor outpatient procedures within CVCH privileges, and educates patients and families about health maintenance, prevention, diagnosis, treatment, and follow-up. The provider maintains accurate and timely clinical and billing documentation, participates in practice guideline development, quality improvement, risk management, and required meetings, and helps supervise and train ancillary health care staff. The provider maintains required credentials and complies with CVCH policies, Joint Commission standards, and HIPAA regulations. Physician Assistants-Certified also develop and maintain a practice plan with the supervising physician and Medical Director and participate in required physician oversight activities. This per diem position is not eligible for telecommuting. The work is performed in a typical office environment with moderate noise and standard administrative working conditions. Tasks carry potential exposure to blood, fluids, or tissue; appropriate personal protective equipment is required.

Requirements

  • Graduate from an accredited Nurse Practitioner program or an accredited Physician Assistant program.
  • For the Physician Assistant role, hold Physician Assistant certification.
  • Hold a valid Washington State ARNP license with evidence of prescriptive authority, or be a PA-C in Washington State or eligible to obtain licensure.
  • Hold Basic Life Support (BLS) certification; ACLS or ATLS may substitute for BLS.
  • Be eligible for enrollment in Medicare and not currently opted out of the Medicare program.
  • English fluency required.
  • Maintain compliance with regulatory agencies and collaborate with medical and administrative staff.
  • Meet age-specific competency needs for infants, pediatric patients, adolescents, adults, and geriatric patients.
  • Be able to sit, stand, and walk frequently; occasionally lift up to 10 pounds; kneel or crouch minimally; and perform work requiring close- and distance-vision acuity.
  • Use personal protective equipment when appropriate for tasks involving potential exposure to blood, fluids, or tissue.

Nice To Haves

  • Three years of experience working in a community health center or managed care environment.
  • Experience delivering services to medically underserved populations.
  • English and Spanish language skills.

Responsibilities

  • Provide comprehensive and continuous primary care services in a patient-centered medical home, including approved non-clinic and telehealth settings.
  • Provide consultation to clinic providers in person or by telephone and consult with physicians, specialists, pharmacists, nurses, and other health care professionals as appropriate.
  • Assess needs for specialty referrals, diagnostic services, and inpatient care, and make appropriate referrals.
  • Participate in developing and using CVCH practice guidelines and procedures.
  • Participate in audits and meet CVCH Quality Improvement and Risk Management program standards.
  • Complete accurate, timely, and comprehensive patient records and billing documents.
  • Perform minor outpatient procedures in accordance with CVCH privileges.
  • Educate and counsel patients and family members on health maintenance, disease prevention, diagnosis, treatment, and follow-up, and verify patient understanding.
  • Provide clinical supervision and appropriate training to ancillary health care staff in coordination with the Clinical Services Director, Nursing Supervisor, and nursing staff.
  • Maintain credentials essential for practice, including licensure, certification, and continuing medical education.
  • Attend required staff and provider meetings and participate in CVCH committees as directed by the Medical Director.
  • For Physician Assistants-Certified, develop and maintain a practice plan in cooperation with the supervising physician and Medical Director, and participate in required physician oversight activities.
  • Perform other duties and tasks as assigned by the supervisor.
  • Start shifts on time and meet attendance standards for the assigned FTE in the HRIS system.
  • Follow safety policies and maintain a clean, safe work environment.
  • Demonstrate sound work ethics, flexibility, and cultural sensitivity; uphold CVCH’s mission and core values; and comply with CVCH policies, Joint Commission standards, and HIPAA regulations.
  • Participate in internal committees or special projects and contribute to internal communications or newsletters as applicable.

Benefits

  • 403(b) retirement plan through Lincoln Financial with a 150% CVCH match up to 3% of the employee’s contribution; effective immediately. Vesting is 20% at 2 years, 50% at 3 years, 60% at 4 years, and 100% at 5 years.
  • Washington State sick leave accrual of 1 hour for every 40 hours worked; employees may use paid sick leave for qualifying purposes after 90 days of employment.
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