APRN/PA (Extended Hours)

As a member of the Extended Hours Clinic, this team can perform advance self-scheduling options for 90 days.  Examples teams may consider:

APRN -ESSENTIAL DUTIES AND RESPONSIBILITIES:

Institute a plan of care for patients, including ordering diagnostic tests, medications and medical/nursing treatments.  Physician consultation may or may not be utilized. Decision-making process is guided by:

• The boundaries of the nurse practitioner’s education, clinical experience, and applicable laws.
• The medical history, and signs and symptoms of the individual patient.
• Standard protocol and medical/nursing texts.
• Treatment/protocol preferences of patients and individual collaborating physicians.

Order diagnostic testing, when applicable, to support patient care.  Common diagnostic tests may be ordered without prior physician consultation, including but not limited to:

• Lab tests such as chemistry, thyroid, hematology, serology, urine, and microbiology studies.
• Non-invasive x-rays.
• Pulmonary function tests and pulse oximetry.
• Immunizations and other PPD testing.
• Reports positive results of contagious diseases and other items to governmental authorities as required.

Order medical/nursing procedures commonly done at Grace Community Health Center, and refer patients as necessary to subspecialty evaluation, home health care and other allied health services (e.g. social services).

Makes house and emergency calls within the scope of service to attend to patients unable to visit the center or to whom doing so would be a hardship.

Obtain physician consultation in complex patient situations, when the patient is not responding to the standard therapy or whenever there is any doubt as to the optimal evaluation and treatment for a particular patient.

Provides emergency medical treatment as presented up to level of license, training, facilities, and resources available.

Seek out ongoing physician supervision for delegated medical acts, peer review and continuing medical/nursing education.

Comply withal Grace Health policies and procedures.

Represent the organization during outreach and other events.

Strives to meet the spiritual, mental and emotional needs of patients as appropriate and available.

PA ESSENTIAL DUTIES AND RESPONSIBILITIES:

• Provides medical services, but only as delegated by a supervising physician.
  • Maintains medical expertise and competency (to include age specific competency) as well as demonstrates thorough knowledge of procedures to deliver quality primary medical care.
  • Provides medical sessions, as scheduled, in direct patient care at clinic site, including extended hours clinics.
  • Examines, diagnoses, treats and/or refers patients assigned to PA’s panel, on an in-patient and out-patient basis (as per individual employment agreements); prescribes pharmaceuticals, other medications, and treatment regimens as appropriate to assessed medical conditions.
  • Refers clients for appropriate specialty care services, lab and x-ray and any other ancillary services that are appropriate for patient’s management and care. Reviews all lab and x-ray reports for patients under his/her care on a timely basis and makes medical management decisions appropriately.  Follows appropriate standards of care for each patient.
  • Reports positive results of contagious diseases and other outcomes to governmental authorities as required.
  • Provides continuity of care to center patients on his or her patient panel and other patients as assigned, including routine in-patient, nursing home care, home visits and emergency calls to center patients.
  • Maintains a comprehensive health record for each patient seen in accordance with the Center’s established Information Management policies and procedures. 
  • Leads the health care team in identifying, evaluating, and prioritizing patient and family needs to develop a plan of care.
  • Ensures that patient and family/significant others are educated about diagnosis and the plan of care. Acts as a resource for facilitating communication when necessary.
  • Participates in specified health promotion, education and/or prevention programs as needed; attends and participates in clinic meetings/departmental meetings and other clinic functions as required by the Center.
  • Strives to meet spiritual, mental and emotional needs of patients as appropriate and available.
  • Complies with all Grace Health policies and procedures.
  • Represents the organization during outreach and other events.
  • Provides emergency medical treatment as presented up to level of license, training, facilities and resources available.
  • Provides clinical oversight under the supervision of the Medical Director.
  • Assumes responsibility/accountability for delegating, directing, and supervising patient care activities. Trains, mentors and supervises students and support staff engaged in activities and procedures, as appropriate.
  • Participates in the CQI Program for continuous quality improvement and risk management purposes.
  • Participates in the review and development of patient care policies, including health maintenance schedules and continuity of care.
  • Participates in the review and development of protocols and standing orders.
  • Implements the plans, procedures and protocols for the medical team.
  • Serves as a resource and positive, proactive leader for the clinic.
  • Accepts responsibility for remaining current with health care trends and information that impact the medical practice.
  • Participates in the evaluation of products, procedures, and patient care standards.
  • Maintains professional courtesy at all times.
  • Performs all other related duties as assigned.

BENEFITS:

• Safe harbor 401(k) with match potential
• Paid time off
• Family friendly work environment
• Health insurance
  • Wellness program
  • Health savings account
  • Pharmacy benefit
  • Employee visits for medical services
• Dental insurance
• Vision insurance
• Life Insurance
• STD/LTD
• EAP & Work life services
• Voluntary benefits
• Hospital indemnity​​​​​​​

Grace Health provides equal employment opportunities to all employees and applicants for employment and prohibits discrimination and harassment of any type without regard to race, color, religion, age, sex, national origin, disability status, genetics, protected veteran status, sexual orientation, gender identity or expression, or any other characteristic protected by federal, state or local laws.