Physician Assistant

SACRAMENTO NATIVE AMERICAN HEALTH CENTER INC•Sacramento, CA
•$146,161 - $197,747•Onsite

About The Position

The Sacramento Native American Health Center, Inc. provides medical services to Native Americans and low-income people of all ages. The Family Nurse Practitioner (FNP) or Physician Assistant (PA) coordinates and provides primary health care to individuals and families, including disease prevention, health education, and treatment for acute and chronic problems in a patient-centered environment. The FNP/PA works under the direct supervision of the Medical Director and may need to float to other locations. This role practices within California scope-of-practice requirements and organizational guidelines. It assesses, diagnoses, treats, and manages patients; provides preventive and chronic-care screenings and education; prescribes medications under physician direction; orders and interprets diagnostic tests; and coordinates care with other providers and facilities. The position also supports clinic operations, documents care in the electronic health record, and complies with applicable laws and regulations. The position may be grant funded. Continued employment depends on renewed or additional funding and may end when the grant cycle closes. Grant funding does not create a contractual right to employment for a specific period or change the organization’s at-will employment status.

Requirements

  • Current Nurse Practitioner or Physician Assistant license with the corresponding California State Board.
  • Certified Family Nurse Practitioner from the American Nurses Credentialing Center.
  • Current active DEA registration or ability to obtain it upon hire.
  • Completion of a certified Family Practice Nurse Practitioner or Physician Assistant program.
  • Successful completion of the provider credentialing process in accordance with National Accreditation requirements.
  • Current Basic Life Support certification.
  • Experience as a Family Nurse Practitioner or Physician Assistant in primary care or a community clinic, or experience assessing, diagnosing, and treating a broad range of conditions, including medication management, under provider supervision.
  • Care and compassion when working with low-income, indigent, and/or substance-abusing individuals.
  • Ability to chart visits comprehensively and complete E&M coding in compliance with medical coding standards.
  • Experience with NextGen or another electronic health record system.
  • Excellent computer skills, preferably with Windows and Microsoft Office Suite.
  • Excellent telephone and communication skills.
  • Excellent organizational, writing, and verbal skills.
  • Ability to work independently, set priorities, and work well under pressure.
  • Ability to maintain a high degree of confidentiality.
  • Ability to demonstrate professionalism when dealing with patients, subordinates, colleagues, community members, and vendors.

Nice To Haves

  • Experience in an FQHC setting as a member of a multidisciplinary team.
  • Knowledge of traditional, cultural, and spiritual practices of the diverse AI/AN community, and ability to work with racially, culturally, ethnically, and financially diverse populations.
  • Bilingual ability.
  • Experience in pediatrics.

Responsibilities

  • Practice within the scope of California nursing or physician assistant practice, under the oversight of the supervising provider and Medical Director, and in accordance with organizational guidelines.
  • Coordinate patient assessment, treatment, and management with the supervising physician and other care providers to facilitate comprehensive care plans.
  • Conduct laboratory services, referrals, patient assessments, history taking, and physical examinations according to scope of practice and department protocol.
  • Diagnose or treat acute health problems, illnesses, infections, and injuries.
  • Analyze patient histories, symptoms, physical findings, and diagnostic information to develop appropriate diagnoses.
  • Provide preventive health and chronic-condition screenings.
  • Counsel and educate patients about reproductive and preventive health, chronic conditions, disease prevention, and pediatric health.
  • Prescribe appropriate medications and dosages using best practices and under the direction of the staff physician.
  • Detect and respond to adverse drug reactions, with particular attention to vulnerable populations.
  • Order, perform, or interpret diagnostic tests, including CBCs, EKGs, and radiographs.
  • Provide family planning services, including contraception initiation, IUD insertion, diaphragm fitting, and distribution of over-the-counter barrier methods.
  • Educate and counsel adolescents and adults about maturational changes, sexuality, contraception, pregnancy, abortion, and family stress, in clinical settings and groups as needed.
  • Coordinate care with ancillary providers, clinics, and hospitals.
  • Assist with daily clinic activities, including patient flow, triage, emergencies, health-record flow, and laboratory, x-ray, consultation, and referral services.
  • Order, interpret, and evaluate diagnostic tests to identify and assess patients’ clinical problems and health care needs.
  • Document physical findings, care plans, and prognoses in the EHR and follow up with patients accurately and promptly.
  • Communicate with other health care providers and departments to support operational efficiency and continuity of care.
  • Comply with applicable state and federal laws and regulations, including HIPAA, sexual harassment, scope-of-practice, and OSHA requirements.
  • Perform other duties as assigned.
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