Walk In Clinic Provider

Ketchikan Indian Community•Ketchikan, AK

3d•$142,833 - $240,732•Onsite

About The Position

The Walk-In Clinic Provider is a licensed and credentialed healthcare professional who provides comprehensive acute, episodic, and chronic healthcare services to patients across the lifespan in a fast-paced outpatient walk-in clinic. The provider conducts health assessments, evaluates and manages illnesses and injuries, orders and interprets diagnostic tests, prescribes treatments, performs approved minor procedures, and coordinates referrals or transfers to higher levels of care as appropriate. The role uses evidence-based practice to promote safe, high-quality outcomes and delivers culturally responsive, trauma-informed, patient-centered care to Tribal Members and the broader community. The provider works closely with physicians, nursing staff, behavioral health providers, pharmacists, community partners, and other interdisciplinary team members, and supports organizational goals in quality improvement, patient safety, population health, and equitable access to care. The position is regular full-time, based at 2960 Tongass Ave in Ketchikan, Alaska, with a Monday–Friday, 8 a.m.–5 p.m. shift and no travel. Per diem applicants are also welcome. The role may be filled at Walk-In Provider I or II level; the level is determined by qualifications and relevant clinical experience and is independent of regular full-time or per diem employment status.

Requirements

Master’s degree in nursing from an accredited nursing program or from an accredited Physician Assistant/Associate program.
Current national Family Nurse Practitioner (FNP) certification, eligibility to practice medicine in Alaska, or current NCCPA certification, as applicable to the provider pathway.
Current unrestricted Alaska RN license or current unrestricted Alaska Physician Assistant license, or ability to obtain the applicable license before hire.
Physician Assistant/Associate applicants must apply for an exemption as allowed by AS08.64.107(d).
For Walk-In Provider I: at least two years of post-training clinical experience as an FNP or PA in urgent care, walk-in care, emergency medicine, primary care, rural health, Tribal health, community health, or a related clinical setting.
For Walk-In Provider II: at least five years of post-training clinical experience as an FNP or PA in urgent care, walk-in care, emergency medicine, primary care, rural health, Tribal health, community health, or a related clinical setting.
Current DEA registration.
Current Basic Life Support (BLS), Advanced Cardiovascular Life Support (ACLS), and Pediatric Advanced Life Support (PALS) certifications.
Ability to obtain and maintain KICTHC credentialing and privileging requirements.
Knowledge of advanced health assessment, diagnosis, treatment planning, and disease management across the lifespan; urgent-care evidence-based practice; acute illness, chronic disease exacerbations, and emergencies; pharmacology and medication management; diagnostic interpretation; infection prevention; quality improvement; patient safety; and risk management.
Understanding and sensitivity to American Indian/Alaska Native culture and ability to work effectively with AI/AN populations.
Understanding of antibiotic stewardship and opioid stewardship in selecting treatment and acute pain management options.
Knowledge of HIPAA, HITECH, and applicable Tribal, state, and federal privacy requirements.
Skills in patient assessment and diagnostic reasoning; evidence-based management of acute and chronic conditions; safe minor procedures; interpretation of diagnostic and laboratory findings; interdisciplinary collaboration; communication and documentation; electronic health records and healthcare technology; and prioritization in a fast-paced clinical environment.
Ability to independently evaluate, diagnose, and manage conditions within APRN scope of practice; recognize emergencies and initiate appropriate interventions; exercise sound clinical judgment; build therapeutic relationships; work with multidisciplinary teams and community partners; manage multiple patients and priorities; educate patients and families; maintain confidentiality; and learn and implement organizational policies, procedures, and clinical protocols.
May be required to possess and maintain a valid driver’s license or be capable of obtaining one, and be insurable by KIC’s company insurance.
Must adhere to KIC drug and alcohol policies and pass pre-employment and subsequent random and/or for-cause drug and alcohol screening to be eligible for and maintain employment.
For positions in a covered classification under the Indian Child Protection and Family Violence Protection Act (P.L. 101-630), employment offers are conditional on a federal criminal background check verifying eligibility to work in those programs.

Nice To Haves

Two or more years of experience in a Tribal Health Clinic or similar integrated care environment.
Experience serving American Indian/Alaska Native populations.
Experience practicing in a remote or rural healthcare environment.

Responsibilities

Evaluate, diagnose, and treat acute, chronic, and episodic illnesses and injuries for patients across the lifespan.
Conduct comprehensive and focused health assessments, including medical histories, physical examinations, and symptom evaluation.
Order, perform, and interpret laboratory, radiology, diagnostic, screening, point-of-care, and other tests to guide clinical decisions.
Develop, implement, and evaluate individualized evidence-based treatment plans; prescribe medications, therapies, durable medical equipment, and other treatments in accordance with applicable regulations.
Evaluate patients and issue work or school excuse notes, return-to-work or school clearances, and activity restrictions as clinically indicated.
Assess, document, and coordinate care with employers, case managers, and other healthcare providers for Workers’ Compensation injuries and illnesses.
Provide same-day access care for acute illnesses, minor injuries, chronic disease exacerbations, and urgent healthcare concerns.
Perform approved minor office procedures within licensure, organizational privileges, and demonstrated competency, including simple laceration closure, minor abscess incision and drainage, foreign body removal, simple fracture splinting, therapeutic joint and trigger point injections, and management of infected or ingrown nails.
Assess, stabilize, and initiate treatment for emergent conditions, including time-sensitive adult and pediatric medical emergencies; activate EMS and coordinate transfer to a higher level of care when appropriate.
Independently interpret 12-lead ECGs/EKGs, point-of-care tests, and other diagnostic findings relevant to clinical presentations.
Perform and document clinical triage to determine patient needs and appropriate levels of care.
Educate patients and families about diagnoses, treatment plans, medications, disease prevention, and health promotion.
Coordinate referrals and consultations with specialty providers and community resources, such as physical therapy or orthopedics.
Ensure complete, accurate, and timely documentation in the electronic health record.
Participate in quality improvement, risk management, patient safety, peer review, infection prevention, and performance improvement initiatives.
Collaborate with primary care providers, nurses, medical assistants, pharmacists, behavioral health providers, and other healthcare professionals to support continuity of care.
Participate in developing and maintaining clinical protocols and evidence-based practice guidelines for the Walk-In Clinic as appropriate.
Maintain compliance with licensing, credentialing, privileging, accreditation, Tribal, federal, and organizational requirements.
Participate in department and provider meetings and required organizational activities.
Perform other related duties as assigned.