Your job in the department is to . . .
Provide primary medical care services including assessment, diagnosis, and treatment to patients of the Health Center. Provide direct patient care as the NP for the Office Based Addiction Treatment (OBAT) program if assigned.
Your job also involves . . .
Providing holistic primary medical care for families and clients across the lifespan, emphasizing health promotion and disease prevention, and managing acute and chronic diseases in accordance with accepted medical standards and within the scope of practice.
JOB FUNCTIONS
Within the specialty of the Family Nurse Practitioner (FNP), they are responsible for managing health problems encountered by the client and is accountable for health outcomes. The FNP will follow the six standards of practice:
- Assessment – Collect comprehensive data related to the health of the individual served. Synthesis and analysis of data and application of nursing principles and therapeutic modalities.
- Diagnosis – Prescribing, dispensing, and administration of therapeutic devices and measures, including legend drugs and controlled substances as provided in Division 56 of the Oregon Nurse Practice Act, consistent with the definition of the family nurse practitioner’s scope of practice.
- Outcomes identification – Based on the diagnosis the NP will identify outcomes that are culturally relevant, health literate, based in evidence and promotes the maintenance of health. Document expected outcomes and measurable objectives.
- Planning – Develop a plan that is client-centered and reflects best practices by identifying strategies that are achievable.
- Implementation – The FNP oversees the implementation of the plan through treatment, case management, referrals to community partners, collaboration with care team, other health care providers and community resources, health promotion and education. Documents activities and status of care coordination.
- Evaluation – Apply on-going assessment and analysis of data, revises plan as needed, assures that interventions and activities are appropriate for ultimate health outcomes for the client. Documents changes to enhance effectiveness of interventions.
Family Nurse Practitioner provides treatment of adult, adolescents, and pediatric clients in Primary Care settings:
- Order lab work and other diagnostic tests as indicated as part of the diagnostic evaluation or ongoing management of the client. Follows-up on all abnormal findings, tests and/or lab values.
- Consult and coordinate with physicians, Health Center Medical Director, and Primary Care Program Manager as indicated.
- Assure the care team is functioning efficiently.
- Document in Electronic Health Record to systematically collect, record and analyze data.
- Provide preventive and maintenance care to patients and families consistent with accepted primary care practice and standard guidelines.
Provide leadership, guidance, and feedback to clinic staff to support a high-performance clinic that focuses on quality and safe patient care:
- Aid in various program areas through educating and providing consultation to staff. Helps keep staff informed of the program's overall activities and goals.
- Serve as a consultant, accepting referrals from other health care providers in matters outside their expertise.
- Communicate regularly with staff to review team relationships, specific problem areas and actions necessary for improvement.
- Recognize team members' contributions and celebrates accomplishments.
Ensures quality assurance standards of care are met in programmatic areas:
- Collaborate with Program Manager and Health Center Medical Director to:
- Annually review and revise health care plans, standards of care and standing orders
- Conduct periodic review of patient records
- Participate in peer reviews to assure a high level of skills among other nurse practitioners
- Participate in educational meetings as available and appropriate.
- Audit records upon request from Program Manager or Health Center Medical Director to ensure appropriate data collection and documentation and evaluates care provided by other staff members upon request.
- Ensure quality assurance standards are met through educating, monitoring, and providing consultation to staff as appropriate.
- Participate in the Quality Improvement Committee.
The FNP OBAT may perform additional Primary Care and OBAT responsibilities: These tasks are performed as part of the primary job functions and are not separately allocated by Frequency and % of Time.
- Planning – Develop a plan that is client-centered and reflects best practices by identifying strategies, action plans and alternatives to meeting expected outcomes. Document the plan using health literate and culturally competent language that can be understood by care team and population being served.
- Implementation – The FNP oversees the implementation of the plan through treatment, case management, referrals to community partners, collaboration with community resources, health promotion and education. Document activities and status of care coordination.
- Evaluation – Apply on-going assessment data to revise plans, interventions and activities as appropriate for ultimate health outcomes for the population. Document changes to enhance effectiveness of interventions.
The FNP may perform additional Primary Care and OBAT responsibilities:
- Facilitate access to care, gathering information for phone screening, registration, intake reporting paperwork, quarterly reports, and other required data tracking. Assist the Center to meet targeted goals and outcomes.
- Facilitate communication between nurses, program manager, and providers, internal and external stakeholders to meet the needs of patients.
- Provide patient support pre, during and after OBAT services; providing comprehensive Care Coordination that encompasses all relevant information on OBAT, medical, dental and behavioral health.
- Identify and/or develop OBAT education and supportive interventions to increase patients’ skills and confidence in managing their health, including regular assessment of progress and setbacks, goal setting, and relapse prevention support.
- Educate patients and/or family members on OBAT, including medication administration, storage, safety, responsibilities, program expectations and patient treatment agreements.
- Consistently set appropriate priorities in providing quality patient care that is organized and time efficient. Utilize staff feedback in patient care. Maintain and ensure confidentiality of patient’s conditions, records, and other data on a consistent basis.
- Oversee direct care activities of administering medications, observing and documenting patient responses and/or side effects. Administer interventions according to established standing orders and protocols.
- Provide an environment that demonstrates caring, compassion, and respect for all patients and families. Create and maintains a high-performance clinic environment characterized by positive role model, leadership, and a strong team orientation.
- Meet training requirements and practices according to HRSA, HHS and OHA guidelines.
MINIMUM QUALIFICATIONS
Minimum Education Level
Other
Specifics: Completion of a certified nurse practitioner school
Certifications
Other
Specifics: Current Nurse Practitioner Certification as a family nurse practitioner in the State of Oregon at the time of appointment. Possession of a National Certificate for Medicare, or the ability to obtain one by the end of trial service (6 full months from date of appointment). Employee is responsible to maintain current and active Nurse Practitioner licensure/certification and to provide verification at time of renewal.
Driver’s License
Oregon Driver's License required
Specifics: within 30 days of appointment.
Desirable Qualifications: One or more years’ experience as a nurse practitioner.
KNOWLEDGE, SKILLS AND/OR ABILITIES
To perform this job successfully, an individual must be able to perform each essential duty satisfactorily. The required knowledge, skills and/or abilities are listed below:
Knowledge of:
- Nursing principles, methods and procedures, and medical terminology.
- Nurse practitioner clinical skills, preventive care and health maintenance associated with area of specialization.
- Functions and resources of public and private agencies engaged in public or primary health care.
Skill or ability to:
- Exercise considerable professional judgment as nurse practitioner in health assessment and delivery of health care.
- Analyze health problems through physical exams, lab tests, counseling, and medical histories, and to recommend health maintenance or treatment plans.
- Train clients and general public on various preventive care and health maintenance techniques.
- Convey information, ideas, and facts both orally and in writing to supervisors, colleagues, and individuals, inside and outside the county, using language and a format the audience will best understand.
- Utilize computers and other technology to communicate in written and verbal forms (e.g., word processing, texts, emails, spreadsheets, department-specific software).
- Effectively relate well with others, including supervisors, colleagues, and individuals inside and outside the county. Exhibit a professional manner in dealing with others and working to maintain constructive working relationships.
- Take personal responsibility for the quality and timeliness of work. Show up to work on time, and follows instructions, policies, and procedures. Meet productivity standards, deadlines, and work schedules.
WORKING CONDITIONS
Job Conditions: Normal working hours. May work evening clinics at the direction of the Program Manager and/or Health Center Medical Director. Participates in call rotation as assigned by the Health Center Medical Director.
Work Location: Lincoln County
Travel:Some travel may be required between clinic sites.
PHYSICAL DEMANDS
The physical demands are typical of those that must be met by an employee to successfully perform the essential functions of this job. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.
Physical capability to handle high mobility demands and complex personal interactions.
- Physical Ability: Tasks involve the ability to exert very moderate physical effort in light work, typically involving some combination of stooping, kneeling, crouching and crawling, and which may involve some lifting, carrying, pushing and/or pulling of objects and materials of moderate weight (12-20 pounds).
- Sensory Requirements: Some tasks require visual perception and discrimination. Some tasks require oral communications ability. Some tasks require the ability to perceive and discriminate sounds.
- Environmental Factors: Tasks are regularly performed with exposure to adverse environmental conditions, such as dirt, pollen, odors, wetness, humidity, rain, fumes, temperature and noise extremes, machinery, vibrations, electric currents, traffic hazards, animals/wildlife, toxic/poisonous agents, violence, disease, or pathogenic substances.
REASONABLE ACCOMMODATIONS
Lincoln County is committed to providing reasonable accommodations as required by the Americans with Disabilities Act (ADA). This job description indicates, in general, the nature and levels of work, knowledge, skills, abilities, and essential functions expected of the position. Reasonable accommodations may be made to enable qualified individuals with disabilities to perform essential functions.
