Nurse Practitioner OR Physician Assistant-Certified (Population Health - Part-Time)

CVCH•Wenatchee, WA

2d•$115,897 - $129,400

About The Position

The CVCH Population Health Department leverages data-driven strategies to identify patient populations experiencing health disparities and provides both direct and indirect care aimed at improving health outcomes. The Population Health Nurse Practitioner’s or Physician Assistant Certified’s (Advanced Practice Provider-APP) plays a key role in supporting CVCH’s Medicare patient population by conducting comprehensive Annual Wellness Visits (AWV). The primary job function includes developing personalized care plans, review of patient’s medications, review of chronic conditions, assistance with advanced care planning, and screenings for mental health, substance use, fall risk, and social determinants of health. The Population Health Advanced Practice Provider promotes preventive care, patient engagement, and improves overall health outcomes by encouraging timely follow up with the patient’s primary care provider to address open care gaps and recommended next steps for ongoing health management. The Population Health Advanced Practice Provider is to be responsible for provision of comprehensive preventive family medicine services for the patients of Columbia Valley Community Health. Occasionally, the Nurse Practitioner or Physician Assistant Certified (Advanced Practice Provider-APP) may be requested to provide support to the family medicine practice, including the Express Care clinic (a type of urgent care setting). The position is eligible for additional compensation related to quality goals and has specific productivity goals that may differ from the regular family medicine providers.

Requirements

Education: Graduate from an accredited Nurse Practitioner Program or Graduate from an accredited Physician Assistant Program, Certification as a Physician Assistant.
Certification/Licensure: A valid license to practice as an ARNP with Evidence of Prescriptive Authority in the State of Washington OR PA-C in Washington State or eligible to obtain licensure. Basic Life Support (BLS) required. ACLS or ATLS may be used to substituted for BLS. All Providers must be eligible for enrollment in Medicare and must not be currently opted out of the Medicare program
Experience: Three (3) years of experience working in a community health center or managed care environment preferred.
A high degree of organization and accuracy. Good eye/hand coordination and precision, manual dexterity and patience. Perform complex and comprehensive medical care on a variety of patients. Must demonstrate ability to work with basic computer skills and MS Office products, such as Word, Excel, and Outlook. Ability to work in a fast-paced and often high-stress environment as well as the ability to adapt quickly to workload changes. Ability to apply basic statistical and mathematical concepts to patient data, test results and other related information.
Attuned to the unique needs of the indigent and under-served populations with practice emphasis placed on rural medicine needs. Must demonstrate leadership and team building skills. Must have strong listening, written and oral communication skills, with ability to communicate clearly. Must have the ability to understand and respond effectively and with sensitivity to appropriate age spectrums. Establish and maintain effective working relationships with those contacted in the course of work. Work with various cultural and ethnic groups in a tactful and efficient manner. Ability to work at all site locations with diverse staff as needed.
Requires full range of body motion including handling and lifting patients, manual and finger dexterity and eye-hand coordination. The ability to distinguish letters and symbols, as well as the ability to utilize telephones, computer terminals, and copiers is required. Requires standing and walking for prolonged periods of time. Occasionally lifts and carries items. Ability to help transfer patients. Requires working under stress in emergency situations and irregular hours.
On a continuous basis, know and understand all aspects of the job; intermittently analyze work papers, reports and special projects; identify and interpret technical and numerical information; observe and problem solve operational and technical policies and procedures; explain medical procedures. Maintain unimpeachable skill and knowledge in the principles of sound medical practice. Must be able to communicate the base of knowledge necessary to mentor medical personnel. Must demonstrate an ability to work under stress. Must demonstrate knowledge of administrative and personnel practices. Ability to read, analyze, and interpret general medical and other professional journals and governmental regulations. Ability to write reports and concise, accurate patient chart notes. Ability to effectively present information and respond to questions from supervisors, patients, third party payers, vendors and the general public.
Essential sensory requirements include the ability to: read computer keyboard, monitor, and documents; prepare and analyze documents; read extensively; see, recognize, receive and convey detailed information orally, by telephone and in person; convey accurate and detailed instructions by speaking to others in person and by telephone.
Tasks routinely involve a potential for mucous membrane or skin contact exposure to blood, fluids or tissue. Use of personal protective equipment (PPE), when appropriate, is required
Possesses knowledge and skills required to effectively care for and assist patients in the following age groups: o Neonatal (Birth – 30 days) o Infant (30 days to less than 1 year) o Pediatric (1 year – 12 years) o Adolescent (12 years – 18 years) o Adult (18 years – 65 years) o Geriatric (65 years – Death)

Nice To Haves

Experience in delivering services to medically underserved populations and experience in Primary Care, Geriatrics, and conducting Medicare Annual Wellness Visits desired.
Bilingual in English/Spanish preferred.

Responsibilities

Conduct comprehensive Annual Wellness Visits for Medicare patients in both clinical and telehealth settings, including medication reviews, preventive screenings, recommended follow-ups, and closure of identified care gaps.
Develop individualized patient care plans based on patient needs, risk factors, and social drivers of health.
Facilitate advance care planning discussions with patients and the necessary documents to accurately record their care preferences.
Screen for mental health conditions, substance use, fall risk, and other health-related concerns.
Educate patients in preventive care, chronic disease management, and available community resources.
Provides comprehensive and continuous preventive primary care services in a patient centered medical home, including sanctioned non-clinic sites such as nursing homes, patient home, school-based clinics, mobile clinics, and telehealth settings.
Provides consultation to other clinic providers either in person or by telephone.
Consults with clinic physicians, specialists, pharmacists, nurses, or other health care professionals as appropriate.
Assesses patient needs for specialty referrals, diagnostic and in-patient care and makes appropriate referrals for service. High focus on Care Management and Social Determinant of Health needs.
Participates in development and utilization of CVCH practice guidelines and procedures.
Participates in audits and meets standards of CVCH Quality Improvement and Risk Management programs.
Responsible for accurate, timely, and complete documentation in patient records. Responsible for extensive chart preparation to edit diagnosis and problem list to ensure appropriate and relevant medical history, including claims generated outside of CVCH’s system.
Responsible for accurate and timely completion of billing documents.
May performs minor outpatient procedures in accordance with CVCH privileges.
Provides patients and family members with counseling and education regarding health maintenance, disease prevention, diagnosis, treatment, and need for follow up as appropriate during each patient visit. Verifies and documents that the patient understands diagnosis, treatment and follow up recommendations.
Provides clinical supervision and appropriate training of ancillary health care staff to assure quality of care for CVCH patients.
Responsible for maintenance of credentials essential for practice, to include licensure, certification, and CME.
Attends all required staff meetings, provider meetings, and participates in CVCH committees as directed by Population Health Manager, supervising Physician, or CMO.
Leads by example and sets a standard of excellence for all team members.
Develops and maintains a practice plan which is in accordance with State of Washington Physician Assistant licensure requirements, in cooperation with supervising Physician and CMO.
Participates in Physician oversight activities as required.
Performs other duties and tasks as assigned by supervisor.
Expected to meet attendance standards and work the hours necessary to perform the essential functions of the job.
Conforms to safety policies, general housekeeping practices.
Demonstrates sound work ethics, flexible, and shows dedication to the position and the community.
Demonstrates a positive attitude, is respectful, and possesses cultural awareness and sensitivity toward clients and co-workers.
Keeps customer service and the mission of the organization in mind when interacting with all clients, co-workers, and others.
Employees are expected to embrace, support and promote the core values of respect, integrity, trust, compassion, and quality which align with the CVCH mission statement through their actions and interactions with all patients, staff, and others.
Conforms to CVCH policies and Joint Commission and HIPAA regulations.

Benefits

Sign on Bonus - $7,500!
Medical Premera (Self Insured) Preferred Provider Employee/Spouse/Dependents; receive a Benefit Stipend of up to $500 per month
Dental Washington Dental Employee/Spouse/Dependents; receive a Benefit Stipend of up to $500 per month
Paid Leave 120 hours – Year 1 136 hours – Year 2 Each year after that employee will accrue 8 hours of PTO each year, on their anniversary date, until they reach a maximum of 208 hours at 10+ years. Paid Leave may be used immediately for sick leave and after 3 months employment for vacation. Maximum accrual cap of 320 hours; hours in excess of 320 hours will automatically transfer into the employees EIB.
Extended Illness Bank (EIB) Allows for maximum accrual of 200 hours PTO hours in excess of 320 will transfer into EIB. Employees are eligible to use EIB hours after at least 3 consecutive scheduled working days of PTO (max 24 hours) which have been used for a personal illness and/or a qualifying event under FMLA or the WA Family Care Act.
Holidays 64 hours related to: · New Year’s Day · Memorial Day · 4 th of July · Labor Day · Thanksgiving Day · Day after Thanksgiving · Christmas Eve · Christmas Day Holidays are based on an 8-hour day. Providers will receive a holiday pool of 64 hours as a 1.0 FTE at the beginning of each calendar year. Holiday pool hours must be used by December 31 of each calendar year; unused holiday pool hours will be forfeited. If an employee starts after the calendar year has begun, holiday hours will be prorated based on remaining holidays in the calendar year.
Diversity Days 3 Diversity Days Available after the first payroll cycle after start date. Diversity days will be prorated based on start date as outlined below: · Jan 1- April 30: 3 diversity days (24 hours if 1.0 FTE) · May 1 – August 31: 2 diversity days (16 hours if 1.0 FTE) · Sept 1 – Dec 31: 1 diversity day (8 hours if 1.0 FTE)
403(b) Retirement Plan Lincoln Financial 150% CVCH match up to 3% of the employee’s contribution Immediately. Vesting schedule: 20% at 2 years, 50% at 3 years, 60% at 4 years, and 100% at 5 years.
Spanish Immersion $2,000 Employer will reimburse Provider up to $2,000, for participating in Pop Wuj Spanish Immersion program in Guatemala, or La Hacienda Spanish School in Mexico, for a minimum 3-week period, prior to the Provider’s initial start date.
CME 40 hours / $3,000 per year based on 1.0 FTE Available immediately. CME is loaded the first full pay period in January of each year and available to maintain licensure while working at CVCH. CME must be used by December 31 of each calendar year; unused CME will be forfeited. CME will be prorated based on start date into calendar year. CME is not available during provider’s termination notice period.
Licenses/Dues DEA Certificate; Professional Recertification WA State Medical License. Access to CVCH provided Epocrates and Up To Date $750 towards membership dues, subscriptions or misc. certification For PA-C Only- Board Certification exam and fees for 10-year certification
Employee Assistance Program Mutual of Omaha No cost short-term counseling for employee and family Immediately.
Long-term Disability Mutual of Omaha Employee Only (variable)
Basic Term Life Mutual of Omaha Employee Only (1x annual salary, up to $200,000)
Group Accidental Death and Dismemberment (AD&D ) Mutual of Omaha Employee Only (1x annual salary, up to $200,000)
Supplemental Term Life Mutual of Omaha Employee / Spouse / Dependent(s)
Voluntary AD&D Mutual of Omaha Employee / Family
Health Reimbursement Arrangement RedQuote Reimbursement for out of pocket expenses for services received at CVCH (medical, dental, and prescription) by employees and their dependents enrolled in our medical plan. Up to $750 per family per year.
Flex Plan: Medical RedQuote Flex Plan: Maximum $3,400 per year Direct Deposit available
Flex Plan: Dependent Care RedQuote Flex Plan: Maximum $7,500 per year Direct Deposit available
AFLAC Supplemental insurance – cafeteria plan
Wellness Stipend CVCH will reimburse staff up to $30 per month for a local gym membership OR CVCH will reimburse up to $150 per year for a subscription type workout program service (i.e.: Beachbody on Demand, Les Mills, etc.)
Wellness MyZone Rewards Employees can choose to participate in wellness rewards with the purchase of a MyZone device. Longevity program will reward you for hitting continuous milestones in the MyZone program and receive up to $1500. CVCH also engages employees with seasonal Wellness Challenges and raffles to enter with your earned tickets during the challenge.
Cell Phone Discounts Discounted monthly access fees Discounted select accessories and special equipment Available for personal cell phones, currently in place with AT&T & Verizon
Tuition Reimbursement For approved courses, the cost of tuition, books, and lab fees may be reimbursed at 75% of the actual costs up to a maximum of: · $4,000 for an Associate’s degree, vocational, technical, or certification program · $6,000 for a Bachelor’s degree · $8,000 for a Master’s degree
Loan Repayment Program For approved medical providers to assist with loan repayment for a maximum of 2 years when previously denied by other loan assistance programs. · Full time Employee: Eligible for monthly stipend up to $2,100 for up to 2 years (not to exceed the loan debt) · Less than full time employee: Eligible for monthly stipend up to $1050 for up to 2 years (not to exceed the loan debt)