Advanced Practice Provider Urgent Care

St. Charles Health System•Bend, OR

About The Position

The St. Charles Urgent Care are staffed by physicians and Advanced Practice Providers (APPs) who are skilled in providing urgent and acute care. Requirements include the ability to work in a collaborative environment with providers to provide rapid and efficient care for minor emergencies and illnesses. Other duties may include performing basic physical exams such as sports physicals and occupational exams. The ability to work efficiently and refer appropriately is crucial. The ability to stabilize patients who present needing a higher level of service while awaiting transport is required. The Urgent Care functions as a unified regional department and shifts will be rotated among current and future locations. Laboratory services and X-ray radiology services are typically integrated into the department. Providers should have emergency department, urgent care, or primary care experience with substantial acute care exposure. Work schedule: Providers to follow a shift-based model with a base reconciliation of 1 FTE scheduled at 153 shifts per calendar year. Shifts are 12 hours in length. Shift counts will be adjusted accordingly by the providers FTE. Call expectation: Providers are not expected to have call expectations in the Urgent Care; however, it is the expectation that 95% of all shifts will be covered due to call outs, unexpected absences, or any unfilled shift to ensure that clinics have proper staffing at all times. Provider Practice Location: Provider will render the Professional Services at such SCHS Facilities as may be directed by SCMG, and at such other facilities and locations as may be established by SCHS or SCMG from time to time. It is anticipated that the primary work locations will be as follows: Practice Locations: St. Charles Urgent Care [ 61250 SE Coombs Place, Bend, OR] St. Charles Urgent Care [ 51781 Huntington Road, La Pine, OR] St. Charles Urgent Care [384 SE Combs Road, Prineville, OR] St. Charles Mountain Clinic [13000 SW Century Dr. Bend OR]

Requirements

Graduation from an accredited Physician Assistant, or Nurse Practitioner program.
Physician Assistant requires NCCPA certification, or equivalent.
Nurse Practitioner requires AANC certification, or equivalent.
If Physician Assistant, ability to establish and maintain a St. Charles Health System Collaboration Agreement.
Complete annual fire/safety, etc. education in-services as required.
Attend mandatory educational offerings as described in SCHS policies/procedures and/or as required by other regulatory bodies.
Complete annual CME as required to maintain license and appropriate Board certification.
Complete by assigned due date Computer Based Learning modules.
Unrestricted Physician Assistant and/or Nurse Practitioner licensure.
Physician Assistant requires NCCPA certification.
Nurse Practitioner requires AANC, NCC or AANP, AMCB certification.
If Physician Assistant, ability to establish and maintain a St. Charles Health System Collaboration Agreement.
Unrestricted Federal DEA number.
Unrestricted ability to participate in Medicare / Medicaid, or other federal or state governmental health care programs.
Valid driver’s license and the ability to meet SCHS driving requirements.
Current BLS certification required.
Current ACLS and PALS certification required.
Current ATLS
Additional certifications may be required based on privileges granted to provider by Medical Staff Services at SCHS Inpatient locations.
Experience using EMR (Electronic Medical Records) software.
Advanced written and verbal communication skills to effectively interact with a diverse population and professionally represent St. Charles Health System.
Experience working in a team environment and proven ability to collaborate, manage facilitation and consensus building among health care professionals and agencies to achieve expected results.

Nice To Haves

n/a
Oregon License as PA/FNP
Federal DEA number registered in Oregon
Epic EMR software experience
2 years of medical practice in emergency medicine, Urgent Care, or primary care with substantial acute care component
Five years of clinical and progressive leadership in Urgent Care or emergency medicine
Epic EMR software experience.

Responsibilities

Practice medicine within the scope of license, training and credentialing.
Cooperate with other SCHS providers and caregivers to ensure optimal patient care.
Assess, plan, implement and evaluate individual patient care while demonstrating expert knowledge of evidence-based, Urgent Care.
Document all patient care in the proper form and in a timely manner in compliance with hospital policies and regulatory agencies.
Delivers first-rate customer service and/or patient care in a manner that promotes goodwill, and is timely, efficient, accurate, and courteous.
Calculates dosages and orders medications accurately in accordance with SCHS policies and procedures for best practices for medication administration.
Diagnoses and manages minor illness and injury including children; stabilization and appropriate transfer of patients requiring higher level of care; performs emergency patient codes per ACLS and PALS guidelines
Repairs lacerations; incisions and drainage of abscesses and treatment of skin infections; diagnosis and initial management of fractures and dislocations; foreign body removal; ingrown toenail removal; diagnosis and treatment of eye infections and foreign bodies (including use of slit lamp).
Initial interpretation of x-ray; EKG interpretation; review of returning lab and x-ray reports and assigning appropriate dispositions and follow-up.
Willingness to provide short term medication refills (non-narcotic or scheduled) for patients in provider transition; review of appropriate prescription monitoring data bases and conforming to our policy of limited narcotic prescribing.
Provides therapeutic presence in service to others by purposefully responding to the needs of patients/customers in a caring way. This includes introducing oneself and stating your purpose, asking the patient their preferred name, spending time with the patient to determine their care goals, active listening, and using skillful communications
May perform additional duties of similar complexity within the organization, as required or assigned.
Achieve top percentile ranking in surveys of patient experience, with particular emphasis on dimensions of patients experiences with providers and clinical teams
Participate in SCMG’s redesign and implementation of patient journey mapping across the continuum of care to achieve compassionate care delivery during illness episodes and across a lifetime of care experiences.
Implement preventive and curative services at the Clinics
Foster community relations and ensure effective communications for patients in respect to both preventive and curative clinical services.
Ensure access to care according to the standards of the Urgent Care Clinical Division
Expand access by wider application of telemedicine and remote monitoring technologies
Plan, design, develop and implement advanced team-based care models to improve care delivery in partnership with members of the St. Charles care team, including, as appropriate, referring physicians, palliative care, Home Health & Hospice care, care coordination, Integrated Behavioral Health, and patients and families
Advance the roles of patients as partners in care through systematic implementation of Shared Decision-making Models
Systematically implement standards of clinical practice that achieve or exceed the standards for processes of care of the major professional medical and nursing societies appropriate for the Division and Clinic.
Achieve top percentile ranking on surveys of caregiver engagement and resilience
Ensure that every caregiver is empowered as a leader and as a team member through robust and systematic deployment of the principles of workforce inclusion and diversity
Assure safe and evidence-based delivery of clinical services
Participate actively in the Clinical Division’s Patient Safety Program, founded on the principles of patient safety science.
Implement a culture of safety at the Clinics to ensure vigilance in patient care.
In collaboration with the SCHS Population Health team, implement evidence-based models for addressing social determinants of health in the care of patients
Assist in achieving financial forecasts quarterly and annually
Measure and report care outcomes, and benchmark against best practices
Achieve the standards of care at the Clinics as established by the Clinical Division
Participates in creating a healing environment that supports all aspects of the care environment and the wholeness of each individual, patient and caregiver.
Provides and maintains a safe environment for caregivers, patients and guests.
Conducts all activities with the highest standards of professionalism and confidentiality.
Delivers first-rate customer service and/or patient care in a manner that promotes goodwill, and is timely, efficient and accurate, and courteous.
Complies with all applicable laws, regulations, policies and procedures, supporting the health system’s corporate integrity efforts by acting in an ethical and appropriate manner, reporting known or suspected violations of applicable rules, and cooperating fully with all health system’s investigations and proceedings.
Model respect, professionalism and kindness in accordance with the ACTS of Excellence