Nurse Practitioner/Physician Assistant-Nimkee

Open to the Public

Posting: 3/18/25-OUF

Full Time 1st shift Monday-Friday

Starting Wage: $41.58 Exempt Annual Salary $86,486.40

N.H.S.C., I.H.S. and M.S.L.R.P. Loan Repayment Programs Eligible Clinic.

Links to information https://www.nhsc.hrsa.gov/loan-repayment , www.ihs.gov/loanrepayment ,

https://www.michigan.gov/mdhhs/doing-business/providers/slrp/michigan-state-loan-repayment-program-overview

Position Summary:

Under the supervision of Medical Clinic Director, participate as an essential team member in the Medical Clinic following the Patient Centered Medical Home (PCMH) model of care. Provide quality, comprehensive care to Native American patients eligible for medical services through Nimkee Memorial Wellness Center under the clinical supervision and collaboration with the Tribal Physicians. All Nimkee staff must adhere to mandated reporting laws.

Essential Duties and Responsibilities:

• Provide comprehensive, diagnostic, preventative and therapeutic medical care to patients in a primary care medical clinic under the guidance of a physician.
• Order and/or perform screening, diagnostic tests and procedures. Interpret results and analyze data to recognize early stages of serious physical, emotional or mental health problems.
• Perform specific procedures within the FNP/PA scope of practice and experience approved through the clinical privileging process.
• Work collaboratively with physicians, departmental staff, and outside agencies in management of select complex medical problems.
• Ensure communicable disease control within the tribal community through screening, treatment, education, follow-up, reporting, and documenting cases.
• Assist in stabilizing patients in emergency situations, including life-saving emergency procedures and crisis intervention in preparation for transport to the hospital.
• Provide current and up-to-date documentation in the Electronic Health Record (EHR) according to Indian Health Service standards and established clinic guidelines.
• Conduct or assist with specialty clinics and education programs based upon community and clinic needs.
• Order medications to be dispensed from the pharmacy following current prescriptive authority.
• Assist with facilitation, participation and mentorship of medical students, Physician Assistant students, and Family Nurse Practitioner students.
• Participate in and conduct quarterly general and focused peer reviews of select patient records for quality assurance.
• Evaluate total health care needs of patients and develop or maintain plans to meet these needs.
• Teach patients and family members techniques to maintain or improve their health status.
• Refer to outside specialty practices/services those patients requiring care who are unable to be treated in the medical clinic. Provide follow-up care as recommended by specialist.
• Provide after hours, weekend and holiday telephone coverage for Nimkee Clinic Patients.
• Work within established protocols for management of specific acute and chronic illnesses following the standards of medical practice.
• Participate in quality improvement and assurance processes and studies to improve patient services and care.
• Comply and follow standards as set forth by the accreditation organization.
• Comply with the indicators and guidelines of the Clinical Reporting System (CRS) / Government Performance and Results Act (GPRA) and assist with analysis of the data collected to improve patient care.
• Maintain knowledge and proficiency in medical practices through continuing education, staff meetings, and workshops.
• Adhere to patient confidentiality and complies with clinic policies and federal regulations under the Privacy rules of the Health Insurance Portability and Accountability Act (HIPAA).
• Provide excellent customer service for all internal and external customers of the operations at all times. Provide solutions for customer concerns and continually focus on customer service as our top priority.
• Must maintain strict confidentiality and present a positive, professional demeanor and image at all times.
• The above duties and responsibilities are not an all-inclusive list but rather a general representation of the duties and responsibilities associated with this position. The duties and responsibilities will be subject to change based on organizational needs and/or deemed necessary by the supervisor.

Contacts/Purpose of Contacts:

• Direct contact with patients and families to provide care, treatment and counseling.
• Contact with other health professionals, staff, and community resources to exchange information, for collaboration and consultation, and to provide education.
• Contact with outside vendors.

Minimum Qualifications:

• Family Nurse Practitioner or Physician Assistant License.
• Masters of Science Degree in Nursing for Family Nurse Practitioner.
• Graduate of Physician Assistant program of study and successfully completed the Physician Assistant Certification examination.
• Must be able to pass background check to meet the employment eligibility requirements as they pertain to the position.

Desired Qualifications:

• Two years experience working in an outpatient or clinic setting.

License, Certification, or Special Requirements:

• Family Nurse Practitioner or Physician Assistant License in the State of Michigan.
• DEA Controlled Substance License or ability to obtain upon hire.
• Ability to obtain HIPAA Certification, Blood Borne Pathogens Certification, BLS Certification and Safety Training within thirty days of hire.
• Native American preference shall apply to all positions.

Knowledge, Skills, and Abilities:

• Knowledge of FNP/PA principles, practices and procedures in providing comprehensive health program in clinic, home and community environments.
• Knowledge and skills necessary to assist in providing care appropriate to the age of the patients served.
• Knowledge and applied skills in utilizing concepts of adult education including motivation behavior changes.
• Knowledge of moral and customs of the ethnic group within the area and the ability to generate an appreciation of cultural differences.
• Knowledge and skills necessary in making physical and psychosocial assessments of communities, families and individuals, recognizing the range of “normal” and the manifestations of common abnormalities, and selects, plans and implements necessary therapeutic actions based on the assessments.
• Knowledge of drugs and biological effects, and the desired effect on treatment of disease.
• Knowledge and ability to interview and provide counseling in preventive health care on nutrition, common illnesses, child growth and development patterns, mental health, etc.
• Knowledge and familiarity with the mandatory reporting requirements under the Indian Child Protection Act, with regards to suspected incidence of child abuse or child neglect.
• Knowledge of related accreditation and certification requirements.

• Skill in treating patients with tact, courtesy, and respect.
• Skill in operating business computers and office machines, including in a Windows environment, specifically Word, Excel, Access, and PowerPoint.
• Ability to assess and treat minor illnesses such as colds, cuts, etc.Ability to take medical histories, conduct physical examinations and communicate results of laboratory tests
• Ability to maintain quality, safety, and/or infection control standards.
• Ability to work both independently and in a team environment.
• Ability to communicate effectively both verbally and in writing.
• Ability to establish and maintain professional relationships with individuals of varying social and cultural backgrounds and with co-workers at all levels.
• Ability to maintain confidentiality.
• Ability to observe, assess, and record symptoms, reactions, and progress.

Physical Demands:

• Frequent use of hands, wrists, fingers associated with providing medical care and with computer equipment.
• Required to stand, sit and walk for extended periods of time.
• Occasionally stoop, kneel, crouch or crawl.
• Normal visual acuity, ability to talk and hear.
• Occasionally lift and/or move up to 20 pounds.

Work Environment:

• Medical clinic.
• Risk of exposure to bodily fluids such as blood and saliva and/or the potential for needle sticks and/or skin puncture.
• Latex may be used in the office which can produce allergic reactions.
• Potential contact with chemicals and/or cleaning reagents utilized within the clinic.
• Exposure to unpleasant odors, radiation, blood-borne pathogens, hazardous material and infectious disease.
• Situations occur where surgical masks, safety goggles, gloves and protective face shields are needed.
• Extended hours and irregular shifts may be required.

Experience

• 2 year(s): working in an outpatient or clinic setting

Education

• Masters or better