Medical - Nurse Practitioner (Sign-on-bonus)

San Diego Community Health Center•San Diego, CA

1d•Onsite

About The Position

The Family Nurse Practitioner (FNP) provides comprehensive, patient-centered primary care services across the lifespan at the San Diego Community Health Center. The FNP, under appropriate direction and supervision by the Medical Director, practices in accordance with SDCHC policies, evidence-based guidelines, HRSA requirements, and all applicable California State and Federal laws. The FNP functions within the scope of practice as authorized for the RN pursuant to Business and Professions Code, Division 2, Chapter 6. The FNP functions within the scope of practice as specified in the Nursing Practice Act and as it applies to all Registered Nurses. Must be able to demonstrate knowledge and skills necessary to perform all job-related activities as outlined below. Essential Duties and Responsibilities: Clinical Care & Patient Management: Provide comprehensive primary care services across the lifespan (pediatrics, adults, geriatrics). Perform patient histories, physical exams, and assessments. Diagnose and manage acute and chronic medical conditions. Order, interpret, and act on diagnostic tests (labs, imaging, procedures). Prescribe medications, treatments, and durable medical equipment in accordance with CA law. Clinical Care & Patient Management: (continue) Provide preventive care services (well-child visits, adult wellness exams, immunizations). Manage chronic disease care (including but not limited to diabetes, hypertension, asthma, COPD). Provide reproductive and sexual health services, including contraception counseling. Perform in-scope procedures as credentialed and/or trained as applicable, with formal clearance for procedures documented in HR file and overseen by SDCHC Medical Director as required (e.g., wound care, I&D, PAP smears, skin biopsies, joint injections, IUD insertion/removal, contraceptive implant insertion/removal, etc). Provide and/or oversee provisions of behavioral health screening and brief interventions (including but not limited to PHQ-2, 9, GAD-7, SBIRT). Coordinate care with interdisciplinary team members and specialists, external agencies to assure the provision of coordination of health care delivery to individuals and families. Care Coordination & Population Health Participate in team-based, PCMH care modelSupport coordination of referrals and follow-up care with specialists, hospitals, and community resources by clinical support staff (including but not limited to: Referral Coordinators, Medical Assistants, RNs, Data Manager, EHR Manager, Senior Manager of Compliance) Address social determinants of health and refer to grant programs, community resources, internal resources, case management or community health workersSupport care transitions and post-hospital and ER follow-up care Participate in quality improvement initiatives and population health clinical pathways Compliance, Documentation, & Quality Meet productivity, access, and panel management expectations, including documenting all patient encounters accurately and timely in the EHR. Comply with HRSA, UDS, Title 22, and SDCHC documentation and reporting requirements and participate in ongoing improvements in clinic workflows to improve associated tasks Adhere to evidence-based clinical guidelines and organizational policies Participate in peer review, chart audits, and quality assurance activities Support & follow infection control, patient safety, and risk management initiatives & policies Collaboration & Professional Practice Collaborate with other NPs, physicians, behavioral health, nursing, and support staff. Provide clinical guidance to nursing and MA staff within scope. Participate in staff meetings, trainings, and professional development

Requirements

Current CA Nurse Practitioner licensure.
Graduate of a CCNE accredited Nurse Practitioner program.
National Board certification as a Nurse Practitioner (Family Nurse Practitioner (FNP))
CPR/ BLS certification: Maintain a current Basic Life Support (BLS) certification issued by the American Heart Association (AHA), the American Red Cross, or an equivalent organization. Certification must include an in-person, hands-on skills assessment. Online-only certifications are not accepted.
Annual background checks: Consent to annual background checks as a condition of continued employment, to ensure compliance with organizational standards and eligibility requirements.
For-Cause Drug Screening: Comply with drug screening requirements when initiated by the organization for cause, to support a safe, compliant, and drug-free workplace.
Ongoing Compliance Requirements: Maintain up-to-date compliance with all required annual renewals, including professional licenses, certifications, physical examinations, TB testing, and mandatory regulatory trainings as assigned by the San Diego American Indian Health Center (SDAIHC).
Excellent oral and written communication skills.
Excellent time management skills
Excellent organizational skills and attention to detail.
Ability to maintain confidentiality and meticulous records.
Effective interpersonal skills and strong team work skills
Able to deal effectively with a diversity of individuals.
Ability to establish and maintain cooperative working relationships with all during the course of work.
Able to perform basic mathematical calculations necessary to perform the job function.
Must be reliable and extremely trustworthy.
Demonstrated proficiency in Microsoft Suite or related programs.
Able to lift/move up to 10 pounds, move from place to place.
Able to sit at a desk and work on a computer for prolonged periods.
Able to stand, bend and reach for prolonged periods.
Ability to do math, organize and prioritize workload, work effectively and efficiently under stress.
Ability to supervise, multitask, understand, and follow instructions.
Ability to proficiently read, write, speak, and understand English.

Nice To Haves

1+ Year recent experience providing primary care or urgent care in a clinic setting.
Experience serving a multinational, multicultural population.
FQHC and/or IHS experience ECW EHR.
Experience in a medical staff leadership role, such as medical staff department or committee chairperson, preferred.

Responsibilities

Provide comprehensive primary care services across the lifespan (pediatrics, adults, geriatrics).
Perform patient histories, physical exams, and assessments.
Diagnose and manage acute and chronic medical conditions.
Order, interpret, and act on diagnostic tests (labs, imaging, procedures).
Prescribe medications, treatments, and durable medical equipment in accordance with CA law.
Provide preventive care services (well-child visits, adult wellness exams, immunizations).
Manage chronic disease care (including but not limited to diabetes, hypertension, asthma, COPD).
Provide reproductive and sexual health services, including contraception counseling.
Perform in-scope procedures as credentialed and/or trained as applicable, with formal clearance for procedures documented in HR file and overseen by SDCHC Medical Director as required (e.g., wound care, I&D, PAP smears, skin biopsies, joint injections, IUD insertion/removal, contraceptive implant insertion/removal, etc).
Provide and/or oversee provisions of behavioral health screening and brief interventions (including but not limited to PHQ-2, 9, GAD-7, SBIRT).
Coordinate care with interdisciplinary team members and specialists, external agencies to assure the provision of coordination of health care delivery to individuals and families.
Participate in team-based, PCMH care modelSupport coordination of referrals and follow-up care with specialists, hospitals, and community resources by clinical support staff (including but not limited to: Referral Coordinators, Medical Assistants, RNs, Data Manager, EHR Manager, Senior Manager of Compliance)
Address social determinants of health and refer to grant programs, community resources, internal resources, case management or community health workersSupport care transitions and post-hospital and ER follow-up care
Participate in quality improvement initiatives and population health clinical pathways
Meet productivity, access, and panel management expectations, including documenting all patient encounters accurately and timely in the EHR.
Comply with HRSA, UDS, Title 22, and SDCHC documentation and reporting requirements and participate in ongoing improvements in clinic workflows to improve associated tasks
Adhere to evidence-based clinical guidelines and organizational policies
Participate in peer review, chart audits, and quality assurance activities
Support & follow infection control, patient safety, and risk management initiatives & policies
Collaborate with other NPs, physicians, behavioral health, nursing, and support staff.
Provide clinical guidance to nursing and MA staff within scope.
Participate in staff meetings, trainings, and professional development