Family Practice Provider (NP/PA)

POSITION SUMMARY:

This position provides direct patient care in accordance with established clinic protocols. Care is provided in the clinic and hospital setting in some circumstances.

CORE JOB RESPONSIBILITIES:

Direct Patient Care (20%)

• Provides direct patient care within the scope of primary care medicine in an outpatient, and in certain circumstances inpatient settings.
• Examines, diagnoses, and treats acute and chronic medical conditions.
• Develops treatment plans and manages patient health issues in accordance with established clinic protocols.
• Advocates for patients in coordinating the use of the entire health care system to benefit the patient, referring to specialty providers when indicated.
• Provides team POD (“provider of the day”), and after-hours call coverage as required by clinic policies
• Works with clinical team to optimize patient care access.
• Deliver patient care within HRSA services scope and approved locations, encompassing patient homes, community-based sites, and providing home-based care when necessary and in adherence to defined services and safety protocols. Local travel required.

Standards of Practice (45%) (Formerly chart review)

• Uses current evidence-based guidelines in creating diagnostic and treatment plans; utilizing tools such as “Up to Date” or “Choosing Wisely.”
• Provides care which reflects health care cost consciousness and addresses social determinants of health.
• Effectively utilizes team-based care model, leveraging expertise of all members of multi-disciplinary team.
• Proactively addresses preventative health issues.
• Acts as patient educator, leveraging tools (e.g. EHR, on-line resources, written materials, MY Chart messages, etc.) to effectively communicate information with patients regarding diagnoses, treatment options, disease prevention, safe health behaviors, self-care skills, and health promotion.

Documentation/Indirect patient care (15%)

• Maintains accurate electronic health records of patients and completes documentation in timely manner.
• Reflects critical thinking in documentation
• Reviews incoming results/reports (e.g. lab, x-ray, EKG), paperwork, refills, etc., and addresses them in a timely manner.
• Responds to patient telephone calls and MyChart messages in a timely manner.
• Accurately codes patient charts to ensure correct billing.
• Utilizes EHR tools (e.g. “fyi”, problem-based charting, etc.) to enable other clinical team members to effectively care for patients.

SUPPORTING JOB RESPONSIBILITIES:

• Serves as indirect leader, providing consultation to clinical team members and demonstrating professionalism and compassion.
• Adheres to highest standards of medical practice, ethics, and professionalism at all times.
• Complies with all policies, procedures, guidelines, and workflows.
• Performs safe work practices to protect the health and safety of employees and patients per OSHA regulation.
• Protects individually identifiable health information per HIPAA regulation.
• Completes all required compliance training within the established timeline.
• Utilizes the incident reporting system as needed.
• Utilizes annual CME benefit
• Attends meetings, team huddles and assigned trainings; is responsible for reviewing information from missed huddles/meetings/trainings.
• Addresses in a timely manner, correspondence which includes but is not limited to Outlook, EHR encounters, in-basket, etc.
• Participates in peer review, quality assurance, quality improvement activities, provider meetings and other clinical duties as assigned.
• Utilizes resources to remain informed of organizational communication (i.e. Mosaic Share, MS Outlook email, organization newsletter, etc.)

COMPETENCIES:

Accountability:  Takes ownership for delivering on commitments; owns mistakes and uses them as opportunities for learning and development; openly discusses his/her actions and their consequences both good and bad; has an ability to identify strengths and developmental opportunities and leverages insight to make adjustments to improve their effectiveness; courage to have the difficult conversation.

Championing Patient Needs:  Provides timely and professional care to patients; acts as patient advocate both within Mosaic system and within community as a whole; is responsive to patient needs and requests; has patient-centered approach, considering the specific needs of the patient when making care decisions.

Communicating Effectively:  Shares information.  Listens and involves others. Clearly conveys ideas in a manner that engages others and helps them understand and retain the message.

Decision Making/Judgment:   Approaches problems and decisions methodically and objectively; involves others as needed; uses sound judgment in making decisions and understanding the impact to themselves, customers, their team, and the organization; conducts the appropriate analysis to identify the symptoms and root cause of issues; makes timely decisions.

Showing Caring and Understanding:  Shows empathy toward challenges, concerns and problems faced by others; takes a tolerant and patient approach with people who are struggling with difficult challenges; helps to put people at ease and make them feel more comfortable.

Solving Complex Problems:  Effective at thinking through complex problems and information, using traditional and innovative approaches, to identify effective solutions. Seeks to accept and build off the ideas of others for solutions others may not have considered.

Supporting Mosaic Mission:  Actively supports Mosaic’s mission and values; uses individual skills to add value to the mission; aligns actions around organizational goals; gives priority to organizational mission and value when making decisions.

Teamwork:  Meets all team deadlines and responsibilities, listens to others and values opinions, helps team leader to meet goals, welcomes newcomers and promotes a team atmosphere.

QUALIFICATIONS:

Work Experience:  Two years of relevant work experience preferred. Family Practice and team-based care experience preferred.

Education, certification and licensure:   Graduate of an accredited medical school, Physician Associate or Nurse Practitioner program.  Licensed or eligible for licensure by the Oregon Medical Board or Oregon State Board of Nursing. Must be professionally insurable. Possession of or eligibility for DEA certificate. Unrestricted Oregon Driver’s License and comprehensive automobile insurance. CPR certification required. Eligible to participate in Medicaid and Medicare programs.

Skills & Knowledge:   Experience working with low-income populations preferred.  Experience working on computers including typing/keyboarding skills required. Knowledge of health insurance plans preferred. Ability to train and teach staff required.  Knowledge of standard office policies and procedures preferred. Knowledge of regulatory requirements including CLIA and OSHA standards preferred. Ability to work with practice management software required. Hospital privileges may be required.