Nurse Practitioner

Nurse Practitioner Requirements

1. Two (2) years of experience in primary care (adult) as a Nurse Practitioner and within the last three (3) years rendering direct patient care in public or private institution/facility. Clinical competencies must be current and validated for the area in which Temporary/Relief Nurse Practitioner will be assigned.

2. Possess and maintain while performing services for the Correctional Facility a current and valid license issued by the California Board of Registered Nursing to practice as a Nurse Practitioner in the State of California including adherence to all laws and regulations governing the practice of Physician Assistant in California. In addition, complete thirty (30) hours of continuing education every two years Courses must be taken through a continuing education provider recognized by the Board of Registered Nursing (BRN).

Specialty Services

1. In addition to the above requirements, Temporary/Relief Physician Assistants and Nurse Practitioners who are requested to work in a specialized area such as emergency medicine, surgery, etc., shall also have at least two (2) years of experience within the last three (3) years providing patient care within that setting and possess any required certificates.

Obstetrics/Gynecology

2. Temporary/Relief Physician Assistants and Nurse Practitioners providing services to female Institutions/Facilities must also have at least one (1) year of experience within the last five (5) years rendering obstetric and gynecological nursing or patient care services in a healthcare setting in addition to the above qualifications. Clinical competencies must be current and validated for the area in which staff will be assigned.

3. Business and Profession Code 2072

Notwithstanding any other provision of law and subject to the provisions of the State Civil Service Act, any person who is licensed to practice medicine in any other state, who meets the requirements for application set forth in this chapter and who registers with and is approved by the Division of Licensing, may be appointed to the medical staff within a state institution and, under the supervision of a physician and surgeon licensed in this state, may engage in the practice of medicine on persons under the jurisdiction of any state institution. Qualified physicians and surgeons licensed in this state shall not be recruited pursuant to this section. No person appointed pursuant to this section shall be employed in any state institution for a period in excess of two years from the date the person was first employed and the appointment shall not be extended beyond the two-year period. At the end of the two-year period, the physician shall have been issued a physician’s and surgeon’s certificate by the board in order to continue employment. Until the physician has obtained a physician’s and surgeon’s certificate from the board, he or she shall not engage in the practice of medicine in this state except to the extent expressly permitted herein.

4. Any Temporary/Relief Physician Assistants and Nurse Practitioners providing services through this Agreement must be proficient in the English language and be able to communicate effectively with the Correctional Facility. All Temporary/Relief Physician Assistants and Nurse Practitioners must be able to speak, understand oral and written communication and write effectively in the English language. Any Temporary/Relief Physician Assistant or Nurse Practitioner who fails to meet the minimum qualifications shall not be permitted to perform services.

Service Delivery Requirements

Under the direction of the Institution/Facility CEO/CME or designee, the Temporary/Relief Physician Assistant and Nurse Practitioner shall provide services as permitted within the scope of practice for Physician Assistant and Nurse Practitioner services in accordance with Institution/Facility policies and procedures.

A. Standards of Obligation

To assist Correctional Facility in its exercise of its duty to provide and manage medical healthcare services to the patient/youth of the State of California, Temporary/Relief Physician Assistants and Nurse Practitioners shall provide high quality services consistent with established and commonly accepted standards and principles of medical practice. Nothing in the Agreement shall supersede the common law rules for the interpretation of established and commonly accepted standards and principles of medical practice.

Providers shall adhere to the Correctional Facility medical staff by-laws, rules, regulations, policies and procedures, and comply with universal infection control precautions.

B. Authorization

1. Authorization for Treatment

Temporary/Relief Physician Assistants and Nurse Practitioners shall agree that, as required by law, excluding emergency and primary care services, prior authorization must be obtained in writing from the respective Correctional Facility Institution/Facility CEO/CME or designee, in accordance with CCHCS's Utilization Management Plan. Temporary/Relief Physician Assistants and Nurse Practitioners shall complete and return all forms required by Correctional Facilityregarding treatment of patient/youth. Authorization must be documented in the patient's/youth's medical record in all cases of essential services before considering any non-emergency specialty treatment, or any consultations by specialty Physicians, Physician Assistants, and/or Nurse Practitioners or diagnostic procedures not specifically stated in a CDCR/CCHCS prior authorization form.

2. Authorization for Transportation/Transfers

Temporary/Relief Physician Assistants and Nurse Practitioners shall agree that, as required by law, Correctional Facility retains full authority to determine the manner in which a patient/youth is transported to the Correctional Facility institutions/facilities or transferred to other healthcare facilities, after the course of treatment or therapy has been implemented or completed.

Temporary/Relief Physician Assistants and Nurse Practitioners shall not transfer a patient/youth to any facility without prior written authorization from the appropriate Correctional Facility Institution/Facility CEO/CME or designee.

3. Experimental and Investigational Drugs and Procedures

Temporary/Relief Physician Assistants and Nurse Practitioners shall not perform on or administer to any patient/youth any experimental or investigational treatment, therapy, procedure or drug. Such treatment, unless it is otherwise permissible under law, is prohibited under Penal Code, Section 3502, and thus must have prior authorization by the Institution/Facility CEO/CME or designee and Correctional FacilityOffice of Legal Affairs. Temporary/Relief Physician Assistants and Nurse Practitioners shall agree to perform or administer only those medical services which are recognized as being in accord with generally accepted professional medical standards, or as being safe and effective for use in the treatment of an illness, injury or condition at issue, subject to the limitations described in this Agreement.

4. Exclusions and Limitations

a. Temporary/Relief Physician Assistants and Nurse Practitioners shall agree that no healthcare service or treatment shall be provided for those conditions specifically listed in California Code of Regulations (CCR), Title 15, Division 3, Chapter 1, Subchapter 4, Article 8, Section 3350.1. Physicians, Physician Assistants, and Nurse Practitioners, may request individual case exceptions for excluded or limited healthcare service or treatment by seeking prior approval of the Institution/Facility CEO/CME or designee.

b. Temporary/Relief Physician Assistants and Nurse Practitioners shall agree that any excluded healthcare service or treatment needed for pre-existing conditions shall be provided only in the event that the condition has become aggravated in such a manner that it poses a significant threat to the patient's/youth's current health and if not treated would result in morbidity and/or mortality. Temporary/Relief Physician Assistants and Nurse Practitioners shall acknowledge that the appeal must be recognized as medically necessary.

c. The Correctional Facility Medical Standards of Care shall be used as a reference when prior authorization is granted.

5. Clinical Reviews

At the request of the Institution/Facility's CEO/CME or designee, Temporary/Relief Physician Assistants and Nurse Practitioners shall perform clinical reviews to determine the quality of clinical care delivered. This includes clinical reviews of index cases (deaths, adverse outcomes etc.) for the purposes of determining clinical quality. As part of the clinical review process, Temporary/Relief Physician Assistants and Nurse Practitioners can also be required to participate in Professional Practice Committee activities and may be called as witnesses in Professional Practice activities. The process of clinical reviews may include the examination of written health records, discussion with Physicians, Physician Assistants, and/or Nurse Practitioners and Correctional Facility supervisors and direct patient/youth examinations. The Temporary/Relief Physician Assistants and Nurse Practitioners who perform clinical reviews are required to be skilled in the preparation of written clinical review documents.

. CCHCS shall provide a copy of the Correctional Facility formulary to be kept on file by the applicable Temporary/Relief Physician Assistants and Nurse Practitioners. Temporary/Relief Physician Assistants and Nurse Practitioners shall consult with CDCR physicians to assure that whenever possible only those medications which are on the CDCR's formulary are prescribed unless granted prior authorization is given by the Institution/Facility's CEO/CME or designee for deviation.

Job Type: Full-time

Pay: $66.00 - $68.00 per hour

Expected hours: 40 per week

Work Location: In person

Salary : $66 - $68