ST. CHARLES HEALTH SYSTEM

JOB DESCRIPTION

TITLE: Advanced Practice Provider (Nurse Practitioner and/or Physician's Assistant) - Urgent Care

REPORTS TO POSITION: SCMG Urgent Care Clinic Division Director

DEPARTMENT: SCMG Urgent Care

DATE LAST REVIEWED: March 2021

OUR VISION: Creating America's healthiest community, together

OUR MISSION: In the spirit of love and compassion, better health, better care, better value

OUR VALUES: Accountability, Caring and Teamwork

DEPARTMENTAL SUMMARY: The Urgent Care Centers provide acute care services to all presenting patients with Emergency Severity Index (ESI) of 4 and 5 with some ESI 3's as may be deemed appropriate. Patients who present requiring a higher level of care will be assisted in arriving at the appropriate higher level of service. The Urgent Care Center interact collaboratively with primary care, emergency care and specialty providers from within St. Charles as well as other non-associated entities.

POSITION OVERVIEW: The St. Charles Urgent Care Centers are staffed by Physicians and Advanced Practice Providers (APPs) who are skilled in providing urgent and acute care. Requirements include the ability to work in a collaborative environment with Physicians to provide rapid and efficient care for minor emergencies and illnesses. Other duties may include performing basic physical exams such as sports physicals and occupational exams. The ability to work efficiently and refer appropriately is crucial. The ability to stabilize patients who present needing a higher level of service while awaiting transport is required. The URGENT CARE's function as a unified department and shifts will be rotated among the locations. Lab and X-ray are integrated into the department. APPs should have emergency department, urgent care, or primary care with substantial acute care experience.

Work schedule: APPs to follow a shift-based model with a base reconciliation of 1 FTE scheduled at 153 shifts per calendar year. Shifts to be 12 hours in length. Shift counts will be adjusted accordingly by the providers FTE.

Call expectation: APPs are not expected to have call expectations in the Urgent Care However, it is the expectation that 95% of shifts will be covered due to call outs, unexpected absences, or any unfilled shift to ensure that clinics have proper staffing at all times.

APP Practice Location: APP will render the Professional Services at such SCHS Facilities as may be directed by SCMG, and at such other facilities and locations as may be established by SCHS or SCMG from time to time. It is anticipated that the primary work locations will be as follows:

Practice Locations:

• St. Charles Urgent Care [ 61250 SE Coombs Place, Bend, OR]
• St. Charles Urgent Care [ 51781 Huntington Road, La Pine, OR]
• St. Charles Urgent Care [384 SE Combs Road, Prineville, OR]

ESSENTIAL FUNCTIONS AND DUTIES: (May perform additional duties of similar complexity within SCHS as required or assigned)

Clinical Expectations:

• Practice and role model excellence in the Urgent Care domains of diagnosis, aligning treatment goals to patient values, definitive treatment, supportive care treatment, follow-up care, promote good health and prevent illness.
• Practice medicine within the scope of license, training and credentialing. Cooperate with other SCHS providers and caregivers to insure optimal patient care.
• Assess, plan, implement and evaluate individual patient care while demonstrating expert knowledge of evidence-based, Urgent Care.
• Document all patient care in the proper form and in a timely manner in compliance with hospital policies and regulatory agencies.
• Delivers first-rate customer service and/or patient care in a manner that promotes goodwill, and is timely, efficient, accurate, and courteous.
• Calculates dosages and orders medications accurately in accordance with SCHS policies and procedures for best practices for of medication administration.
• Diagnoses and manages minor illness and injury including children; stabilization and appropriate transfer of patients requiring higher level of care; performs emergency patient codes per ACLS and PALS guidelines.
• Repairs lacerations; incisions and drainage of abscesses and treatment of skin infections; diagnosis and initial management of fractures and dislocations; foreign body removal; ingrown toenail removal; diagnosis and treatment of eye infections and foreign bodies (including use of slit lamp).
• Initial interpretation of x-ray; EKG interpretation; review of returning lab and x-ray reports and assigning appropriate dispositions and follow-up.
• Willingness to provide short term medication refills (non-narcotic or scheduled) for patients in provider transition; review of appropriate prescription monitoring data bases and conforming to our policy of limited narcotic prescribing.
• Provides therapeutic presence in service to others by purposefully responding to the needs of patients/customers in a caring way. This includes introducing oneself and stating your purpose, asking the patient their preferred name, spending time with the patient to determine their care goals, active listening, and using skillful communications
• May perform additional duties of similar complexity within the organization, as required or assigned.

Administrative Expectations:

• Document all patient care within the Electronic Medical Record (EMR) and complete all necessary tasks in compliance with health system policies and regulatory agencies to ensure timely and accurate billing.
• Be cognizant of SCHS and SCMG organizational structures.
• Participates in SCMG provider meetings and assists in policy formation for SCMG and providers practice.
• Maintains current clinical knowledge and skills through regular CME activity. Must attest to having adequate (CME) to meet maintenance of board certification and compliance with MSO rules and continuing privileges without restriction.
• Maintains current, unrestricted licensure and appropriate certifications to maintain privileges at a St. Charles Health System hospital sufficient to permit performance of job duties.
• Maintain active privileges at a St. Charles Health System hospital sufficient to permit performance of job duties.
• Participate in an annual provider 360 performance review.

Behavioral Expectations:

• Participates in creating a healing environment that supports all aspects of the care environment and the wholeness of each individual, patient and caregiver.
• Provides and maintains a safe environment for caregivers, patients, and guests. Conducts all activities with the highest standards of professionalism and confidentiality.
• Delivers first-rate customer service and/or patient care in a manner that promotes goodwill, and is timely, efficient, accurate, and courteous.
• Educates, counsels, and assists patients and families regarding current health problems, health maintenance activities and preventive behaviors.
• Provides a therapeutic presence in service to others by purposefully responding to the needs of patients/customers in a caring way.
• This includes introducing oneself and stating your purpose, asking the patient their preferred name, spending time with the patient to determine their care goals, active listening, and using skillful communications (appropriate touch, eye contact, etc.).
• Complies with all applicable laws, regulations, policies and procedures, supporting the health system's corporate integrity efforts by acting in an ethical and appropriate manner, reporting known or suspected violations of applicable rules, and cooperating fully with all health system's investigations and proceedings.
• Acts as a leader and supports departmental goals and the vision, mission and values of the St. Charles Health System in all respects.
• Supports Value Improvement Practice (VIP- Lean) principles of continuous improvement with energy and enthusiasm, functioning as a champion of change; Contribute as necessary to assist in policy formation for the organization.
• Maintains compliance of hospital's Medical Staff Bylaws, Rules and Regulations, as required by SCHS Board of Directors.

EDUCATION

Required:

• Graduation from an accredited Physician Assistant or Nurse Practitioner program.
• Physician Assistant requires NCCPA certification. Nurse Practitioner requires AANC certification. If Physician Assistant, ability to establish and maintain a Practice Agreement with a Supervising Physician.
• Complete annual fire/safety, etc. education in-services as required.
• Attend mandatory educational offerings as described in SCHS policies/procedures and/or as required by other regulatory bodies.
• Complete annual CME as required to maintain license and appropriate Board certification.
• Complete by assigned due date Computer Based Learning modules.

Preferred:

• n/a

LICENSURE/CERTIFICATION/REGISTRATION

Required:

• Unrestricted Physician Assistant and/or Nurse Practitioner licensure.
• Physician Assistant requires NCCPA certification. Nurse Practitioner requires AANC, NCC or AANP, AMCB certification. If Physician Assistant, ability to establish and maintain a Practice Agreement with a Supervising Physician through OMB.
• Unrestricted Federal DEA number.
• Unrestricted ability to participate in Medicare / Medicaid, or other federal or state governmental health care programs.
• Valid driver's license and the ability to meet SCHS driving requirements.
• Current BLS certification required.
• Current ACLS and PALS certification required.
• Additional certifications may be required based on privileges granted to provider by Medical Staff Services at SCHS Inpatient locations.

Preferred:

EXPERIENCE

Required:

• Experience using EMR (Electronic Medical Records) software.
• Advanced written and verbal communication skills to effectively interact with a diverse population and professionally represent St. Charles Health System.
• Experience working in a team environment and proven ability to collaborate, manage facilitation and consensus building among health care professionals and agencies to achieve expected results.

Preferred:

• 2 years of medical practice in emergency medicine, urgent care, or primary care with substantial acute care component
• Epic EMR software experience.

PERSONAL PROTECTIVE EQUIPMENT

• Must be able to wear appropriate Personal Protective Equipment (PPE) required to perform the job safely.

GENERAL

• Must have excellent communication skills and ability to interact with a diverse population and professionally represent SCHS.
• Strong team working and collaborative skills.
• Ability to multi-task and work independently.
• Attention to detail.
• Excellent organizational skills, written and oral communication and customer service skills, particularly in dealing with stressful personal interactions.
• Intermediate to advanced proficiency with Electronic Medical Record systems.
• Intermediate in Microsoft applications (Word, Excel).

PHYSICAL REQUIREMENTS:

• Continually (75% or more): Use of clear and audible speaking voice and the ability to hear normal speech level.
• Frequently (50%): Sitting, standing, walking, lifting 1-10 pounds, keyboard operation.
• Occasionally (25%): Bending, climbing stairs, reaching overhead, carrying/pushing or pulling 1-10 pounds, grasping/squeezing.
• Rarely (10%): Stooping/kneeling/crouching, lifting, carrying, pushing or pulling 11-15 pounds, operation of a motor vehicle.
• Never (0%): Climbing ladder/step-stool, lifting/carrying/pushing or pulling 25-50 pounds, ability to hear whispered speech level.
• Exposure to Elemental Factors
• Never (0%): Heat, cold, wet/slippery area, noise, dust, vibration, chemical solution, uneven surface.
• Blood-Borne Pathogen (BBP) Exposure Category
• No Risk for Exposure to BBP

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