Description

Position Summary:

Under general supervision of the Chief Medical Officer, the Advanced Practice Provider (APP), Nurse Practitioner (NP) or Physician Assistant (PA) provides comprehensive medical care for ambulatory patients, including chronic disease management, continuity and acute care for individuals of all ages at the Winslow Indian Health Care Center (WIHCC) and/or Dilkon Medical Center (DMC), including the Leupp satellite clinic. The APP works under supervision but is expected to function autonomously in a variety of clinical settings. Uphold the principles of WIHCC’s Vision, Mission, and Value Statements. Maintains confidentiality of all privileged information at all times.

This list of duties and responsibilities is illustrative only of the tasks performed by this position and is not all-inclusive.

Essential Duties & Responsibilities:

• Maintains regular attendance and punctuality.
• Provides diagnostic, preventative, and therapeutic health services to patients of all ages in a primary care setting, with the ability to function as an independent practitioner at isolated field clinics on Navajo Reservation. 
• Secures a medical and developmental history from the patient or parent and performs a detailed physical exam, records findings, and makes critical evaluations. 
• Orders diagnostic tests and procedures and interprets the results. 
• Discriminates between normal and abnormal findings to recognize early stages of physical, physiological, emotional, or mental problems.
• Makes decisions concerning medical care needs of patients which may involve various treatment modalities, medication prescription, and consultant/referral, and follow-up services when appropriate. 
• Provides direct and independent medical care in the presence of illness or injury in order to maintain life, provide comfort, reduce distress, and enhance coping ability. Notifies supervisor of all emergencies or unusual situations, as appropriate.
• Educates and counsels patients and families on topics to promote positive health outcomes, emphasizing responsibilities of medical care, diagnosis, treatment, and preventative care.
• Works collaboratively with physicians in management of selected complex medical problems. 
• Provides guidance to field clinic personnel in emergent situations regarding triage and disposition of patients. 
• Serves as a consultant and works collaboratively with other WIHCC staff, including clinic nursing, community health nursing, social work and other disciplines regarding clinical issues and policies.
• Documents medical care appropriately in the electronic health record, and in keeping with national standards as mandated by CMS and AAAHC. Documentation for completed patient encounters shall be sufficient to support appropriate billing for services by WIHCC. 
• Ensures clinical care is consistent with standards of practice, guidelines, and specific department policies and procedures.
• Attends department meetings and in-services of the medical staff or as specified by the Chief Medical Officer.
• Maintains professional knowledge, skills, and refines expertise by attending continuing education programs; maintains certification in compliance with Arizona state laws and participates in professional affiliations.
• Maintains regular attendance and punctuality.
• Dependable in attendance and job performance.
• Ability to meet attendance, overtime, and other reliability requirements of the job.
• Uphold all principles of confidentiality and patient care to the fullest extent.
• Adhere to all professional and ethical behavior standards of the healthcare industry.
• Interact in an honest, trustworthy and dependable manner with patients, employees and vendors.
• Possess cultural awareness and sensitivity.
• Performs other duties as assigned.

Qualifications

Family Nurse Practitioner requires completion of an accredited nursing program, valid unrestricted Registered Nurse license and license as a Nurse Practitioner, along with prescribing privileges. Physician Assistant requires completion of an accredited training program for Physician Assistants, certification from the national qualifying exam, and an Arizona license as a PA. Candidate must have demonstrated experience with electronic medical record systems. Advanced FNP/PA experience is required: minimum of two years demonstrated clinical experience as a licensed FNP/PA in a family practice or general practice setting including pediatrics, preferably with at least eighteen months in one location highly encouraged. For Urgent Care/ER, minimum of two years of Emergency Room/Urgent Care experience and current training in ACLS and PALS preferred. Must maintain a valid unrestricted and insurable driver’s license. Must successfully pass a background investigation and maintain suitable requirements for a Child Care position. This position is considered as a Child Care position, which requires a satisfactory background check investigation and is subject to the requirements of the Indian Child Protection and Family Violence Prevention Act, as amended (henceforth referred as the ICPFVP Act).

Salary : $118,723 - $166,213