Nurse Practitioner - Primary Care

Harlem United Community AIDS Center Inc•New York, NY

About The Position

Harlem United is the parent company for Upper Room AIDS Ministry (URAM). URAM provides the healthcare services from the Federally Qualified Health Center located in the heart of Harlem. We provide Primary Care, Specialty Care, Dental Care and Wellness Care to those seeking diagnosis and treatment. All employees of URAM are responsible to perform their job practicing good risk management, quality assurance, and delivering excellent internal and external customer service. The Nurse Practitioner assists with leading the care team and provides guidance to all team members. The Nurse Practitioner is expected to help lead the care team with a commitment to ensuring each team works to the top of his or her license consistently adheres with all protocols. It is expected that the Nurse Practitioner will delegate visits that do not require a physician or Nurse Practitioner to the RN allowing the Nurse Practitioner to dedicate more time to those patients that need to be seen with the scope of practice for the Nurse Practitioner. Nurse Practitioner’s are also expected to ensure that each patient has an individualized care plan with oversight by the PCP and that can be used by each care team member to help facilitate and guide care. Nurse Practitioner are also responsible to provide excellent customer service at all times. Under the supervision of the Medical Director and in accordance with established policies and procedures, the Nurse Practitioner delivers high quality comprehensive primary care, with expertise in HIV, immigrant and homeless care. The AIDS institute Guidelines www.hivguidelines.com [http://www.hivguidelines.com/]and the U.S. Preventive Services Task Force (USPSTF) http://www.ahrg.gov/clinic/uspstfix.htm [http://www.ahrg.gov/clinic/uspstfix.htm]are utilized as resources and guides for accepted standards of care.

Requirements

Graduate of an Accredited Nurse Practitioner Program
Licensed and Registered in New York State
Certified by either the American Academy Nurse Practitioners or American Nurses Credentialing Center (ANCC)
BLS Certified
Achieves and maintains HIV specialist status
Possess or obtain within first 90 days of employment a DATA Waiver for Buprenorphine Prescribing authority
Accumulate a minimum of 15 HIV specific CME credits throughout the year and a minimum of 25 Credits per year to maintain certification requirements

Nice To Haves

Bilingual preferred (English/Spanish or English/French).
Experience in treating hard to reach populations, including the homeless, immigrants, HIV infected, substance users, and mentally ill.
Desire and ability to work as part of an interdisciplinary team dedicated to the delivery of high quality care.
Leadership abilities with trouble shooting and problem solving skills.
Proficient in use of electronic medical record systems and other technology required for use in the delivery of care.
Track record of positive interpersonal skills with staff, clients, and others.
Willingness to work off hours on special projects as reasonably dictated by Medical Director.
The spirit and desire to-practice in a community based interdisciplinary, mission driven system of care.

Responsibilities

Provide excellent customer service at all times, apologizing for any throughput delays, engaging patients with a warm and friendly greeting.
Provide direct patient care, including prevention, screening, diagnosis, and treatment of illness, within their licenses scope of practice and specialty training
Provides Primary Care, routine and acute care, for scheduled, same day and walk in appointments for face to face encounters as well as telehealth encounters.
Conduct visits per protocol for all patients with chronic conditions under the direction of the physician and addresses urgent and complex issues. Including Initiation of treatment and management of chronic illnesses including, but not limited to, HIV infection, Hepatitis C, substance abuse, asthma, bronchitis, bronchitis, diabetes, lipid disorders, and hypertension.
Identify and delegate visits that can be handled by RN under the supervision of the physician and having notified the patient in advance
Maintains a professional demeanor at all times, including demonstration of sound moral and ethical character, compassion, adherence to all agency standards for dress and decorum; reports for duty and signs in and out per agency protocol.
Demonstrates proficiency of electronic medical record; including documentation, e-prescribing and coding.
Complies with productivity expectations under the direction of the Medical Director.
Delivers cost effective care, according to evidence based guidelines
Generates appropriate referrals to ancillary and specialty services including medical, mental health and social based services.
Maintains documentation and e-prescribing practices according to standards of the agency and regulatory agencies including but not limited to history and physical, social history and literacy level as well as care management.
Completes and locks progress notes within 48 hours of client encounter.
Ensure timely prescribing, orders, addressing labs, interpreting of test results, addressing telephone encounters, ordering and reviewing of specialty referrals and consultation reports.
Ensure individualized care plan contains care recommendations, recommend frequency of visits, schedule for tests/screenings and red flags/plan of action
Performs routine diagnostic and therapeutic procedures according to accepted practice standards.
Assist with assigned PCP’s panel in managing lab results, reviewing consult reports, and reviewing consultation reports as determined by the PCP.
May administer medications according to the same procedure and protocols applied to the nursing staff
Assists in communicating the management of transitions of members with complex care needs. Discusses and refers complicated patients outside of clinical expertise to appropriate physician.
Provide health education and counseling during visits.
Provides on-call telephone coverage on a rotating schedule.
Assists with direction of care team with commitment to all team members practicing to the top of their license
Follow all protocols for daily huddle
Participates in CQI activities.
Attend patient care related meetings as necessary, including but not limited to morning report, case conferences
Manage coordination of care for individual clients by working with the available resources both internal and external to agency
Other duties as assigned by the Medical Director.