Nurse Practitioner / NP - Primary Care - Hrly

Housecall Providers • Portland, OR

1d • $68 - $83 • Onsite

About The Position

Provides medical care and treatment, emphasizing chronic disease management, health promotion, and palliative care for patients who are not best served in a clinic setting. Care is provided in patient residences and through audio and video sessions. The position may focus on new-patient intake, including comprehensive assessment and onboarding, or relief care, including post-hospital and urgent visits, changes to care plans, and short-term coverage for providers who are away. This is a two-day-per-week position covering the Portland metro area for primary care admissions. The work includes community-based patient care and requires travel outside the workplace at least weekly.

Requirements

• Master’s degree from an accredited advanced nurse practitioner program.
• Licensed nurse practitioner in Oregon and certified by ANCC or AANP.
• 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 six months in the position.
• Knowledge of general medicine, including principles and procedures, diagnosis and treatment, relevant information sources and literature, and ethical and medico-legal aspects of practice.
• Knowledge of public health, including epidemiology, health services delivery and financing systems, and environmental health.
• Knowledge of adult population health, including culture, demographics, disease patterns, barriers to care, and special needs.
• Knowledge of clinical quality-improvement principles and practices.
• Proficiency in geriatrics and palliative care.
• Skill in using electronic systems, 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, peers, agencies, and institutions.
• Ability to deal professionally and calmly with people who may be hostile, verbally abusive, inappropriate, or in crisis.
• Clear, compassionate, and concise verbal and written communication skills; cultural competence and ability to work effectively with people from diverse backgrounds.
• Ability to work in a team, take direction from care-team members, adhere to organizational standards and procedures, and accept feedback.
• Ability to learn, focus, understand, and evaluate information and determine appropriate actions; ability to manage stress and grief.
• Ability to see, read, hear, speak clearly, sit, and perform repetitive finger and wrist movements for at least six hours per day; stand, climb stairs, bend, lift, carry, push, pull, and pinch small objects for at least three to six hours per day; and walk, crouch, crawl, and reach for at least three hours per day.
• Ability to operate a motor vehicle in all kinds of weather conditions.
• Ability to travel outside the workplace at least weekly; a personal vehicle may be used.

Nice To Haves

• At least two years of related clinical experience.

Responsibilities

• Provide diagnosis, treatment, consultation, and follow-up care in collaboration with patients’ assigned primary care providers, including care for critical, prolonged, and long-term health issues.
• Conduct comprehensive physical and psychosocial assessments and identify actual and potential health needs.
• Refer patients to appropriate social or medical agencies and practitioners, including specialty and rehabilitative services.
• Prevent disease, maintain chronic disease care, and provide end-of-life care consistent with patient and family goals.
• Develop and implement proactive, patient-centered care plans with the care team.
• Order diagnostic testing and medications, provide appropriate follow-up and reassessment, and perform surgical procedures as appropriate under certification.
• Approve medication refills and home health orders and respond to caregiver requests to maintain continuity of care.
• Provide anticipatory guidance and palliative care focused on patient and family goals.
• Educate patients and families about preventive care, medical issues, medications, and treatments.
• Maintain relationships with professional and lay caregivers, including care facilities, to support continuity of care and implementation of orders.
• Deliver quality care while meeting company productivity metrics and practicing within the scope of the license and applicable laws and regulations.
• May participate in the after-hours call schedule.
• Communicate with medical staff regarding consultation, collaboration, and referrals.
• Attend required staff meetings and assigned ad hoc committees.
• Cover for clinical colleagues in their absence.
• Participate in assigned quality-improvement activities.
• Complete and maintain medical records according to agency protocols and quality metrics, including documenting new-patient histories and physicals to appropriate coding standards.

Benefits

• Competitive pay and bonus opportunity, subject to eligibility.
• Medical, dental, vision, life, AD&D, and disability insurance for eligible employees.
• Health savings account, flexible spending accounts, and lifestyle spending account.
• Employee assistance program and wellness program.
• Employee discounts and supplemental benefits, including voluntary life, critical illness, accident, hospital indemnity, identity theft protection, pre-tax parking, pet insurance, and 529 College Savings.
• Retirement plan with employer contributions; 401(k) contributions are also available to non-benefits-eligible employees.
• PTO and Paid State Sick Time for eligible employees, accrued based on hours worked or scheduled hours and the primary work state.
• Paid holidays, volunteer time, jury duty, bereavement leave, and other leave depending on eligibility.

What This Job Offers

• Job Type: Part-time