Family Nurse Practitioner
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Presque Isle, ME 04769
TITLE: Family Nurse Practitioner
SUMMARY OF POSITION: The Family Nurse Practitioner/Primary Care Provider, hereinafter Family Nurse Practitioner, is responsible for the general administration and management of the operation of the Micmac Family Clinic. Supervising clinical support staff, contractors, and community health. The Family Nurse Practitioner will administer a “Direct Care Clinic” to the Micmac Community. The Family Nurse Practitioner is responsible for ensuring the quality of services provided to the patients, ensuring the coordination of the day-to-day operations of the Clinic, and recommend and implement changes that will improve the delivery of services.
EDUCATION AND PERTINENT EXPERIENCE: Licensed Primary Care Provider (advanced nurse practitioner) with a minimum of 5 years of supervisory experience.
LICENSES OR CERTIFICATIONS: Certified Registered Nurse Practitioner or Licensed Primary Care Physician with Board Certification. Possess a valid driver’s license, and access to a private vehicle for day-to-day job performance.
Five (5) years of experience in health administration and management preferred. Must be able to strategically plan and implement long range planning functions, scheduling resource use, and evaluate program progress. Excellent communication (both written and oral), organizational skills and computer skills. Familiarity with the cultural factors relative to the care of Native Americans.
Assesses, plans and is involved in meeting the health needs of community and group health needs, taking into consideration socio-economic, epidemiological and cultural influences. Develops and conducts health education classes and/or specialty clinics such as immunization, well-baby, nutrition, pre-natal care, parenting, women’s health, men’s health, adolescent health or employee health. Adapts educational material/methods to meet the audience/patient level of understanding. Teaches and counsels patient and family on disease prevention and health maintenance techniques. Promotes responsible behavior and implements plans to further enhance patient/family understanding of medical problems.
Contributes with other health professionals to develop treatment protocols, standards of practice and policies. Participates in ongoing quality improvement activities, infection control and risk management including audits, chart review, development of review criteria, development of plans for improving performance and evaluation of effectiveness of actions in improving performance. Participates in problem identification, literature review, data collection and interpretation of results for studies and research, which will influence the improvement and/or change in patient care. Reviews and critiques current research, giving recommendations to medical staff for adapting current research results to current medical practices.
Service as a consultant and provides technical assistance to other health care providers and staff. Develops and conducts in-service programs for clinic and health department staff. Consults with other health providers regarding health care issues and complex medical problems. Serves as a preceptor for nurse practitioner students scheduled to perform clinical rotations in the clinic or community setting. Collaborates with community leaders to foster and promote a good relationship between the health care facility and the community.
Maintains and improves professional knowledge and skills by participating in seminars, accredited home study, in-service education and/or individual preceptor. Maintains current clinical competence through self-study, review of professional journals and tapes, etc.
WORKING CONDITIONS: Work is performed in an ambulatory health care or community setting where exposure to infections and communicable diseases is common. Requires the wearing of specialized protective equipment to prevent exposure to blood and body fluids. Exposure to all kinds of weather and/or outside climate is necessary to perform clinical assignments away from the duty station. The work may include a certain amount of exposure to hostile and emotionally disturbed patients, families and visitors. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.
The work involves walking, sitting, standing, reaching and bending in the assessment and treatment of patients. Lifting may involve moving patients or equipment that may weigh over 50 pounds (up to 250 pounds with assistance of another person). There is considerable walking and driving/riding which maybe on rough, poorly repaired roads in visiting homes, schools, and communities. The incumbent may be required to work more than 8 hours per day.
1. Conducts a health and developmental history from the patient and/or family member and performs a physical examination using palpation, percussion, auscultation, observation skills, using appropriate diagnostic instruments.
2. Orders and/or performs screening and diagnostic tests and procedures (lab studies, x-rays, electrocardiograms, spirometry, etc.) Interprets test results and analyzes all collected data, discriminates between normal and abnormal findings to identify all stages of physical, emotional or mental problems, and prioritizes health care needs; i.e. formulates a problem list. Documents data, patient assessment and care plan in acceptable form in the electronic medical record.
3. Makes diagnosis and decisions concerning medical and nursing care needs of the patient, formulates and implements a plan of care, which may involve various treatment modalities, prescribes medications, and consults with other health care providers. Provides surveillance of medical regimens for stabilized chronically ill persons, recognizing when to refer the patient to a physician or other health care team member.
4. Identifies and manages both minor and serious acute and chronic illnesses (e.g.. upper respiratory infections, venereal diseases, hypertension, tuberculosis, heart disease, trauma, etc.) in accordance with established standards of medical care and approved clinical privileges.
Performs minor surgical and invasive procedures i.e., suture of lacerations not involving nerves or tendons, incisions and drainage of abscesses, insertion and/or removal of Norplant capsules, toenail removal and skin biopsy.
5. Provides direct physical and psychological care in emergencies and in the presence of illness or disability in order to maintain life, provide comfort, reduce stress and to enhance the patient’s coping ability. Provides emergency treatment and initiates emergency lifesaving measures as appropriate i.e., cardiac arrest, shock, hemorrhage, overdose, poisoning, seizures, and emergency obstetrical delivery.
6. Identifies components of the nursing regimen that maybe delegated to nursing and allied nursing personnel.
7. Provides health care and preventative services to healthy individuals, including guidance in nutrition, illness, prevention, accident prevention, growth and development.
8. Prescribes medications as delineated in the approved clinical privileges for a variety of symptoms and illnesses and in accordance with the Maine Prescription Monitoring Program. Monitors effectiveness of medications, adjusts medication dosages as appropriate to the patient response.
9. Works collaboratively with a physician in management of selected complex medical problems.
10. Evaluates the nursing and medical aspects of care periodically, recognizing the need for reassessment by a physician or other health professionals.
11. Participates with consulting physician in planning, instituting, evaluating and revising program plan; assists in determining conditions, resources, and policies essential to delivery of health care services.
12. Performs administrative activities relative to patient care such as Quality Assurance (QA), CME coordinator, and direct patient care coordinator, as well as overall administrative, supervisory and management duties in all direct patient care functions of the health department, as assigned.
FAMILY NURSE PRACTITIONER:
1. Supervises the clinic staff including, but not limited to: evaluating the performance of their staff; disciplinary procedures; leave approvals; verifies time sheets and sub-contractor’s pay requests, etc.
2. Directs the management and general administration of all clinical staff, thus maintaining satisfactory levels of preventative and educational services.
3. Assists with ensuring all clinic certifications (ex. CLIA), licenses, and clinic equipment are maintained for currency and/or serviceability.
4. Establishes/implements appropriate clinic policies, programs, services, functions, and activities to ensure comprehensive, primary care services for the Tribe.
5. In consultation with the Health Director, plans and implements the general goals and objectives of the Clinic that is aimed at improving the quality of health care, increasing the scope of services, and maximizing the generation of third-party revenue.
6. Implements the Clinic Operational Budget in conjunction with clinic staff and health director.
7. Retains current knowledge of, and ensures compliance with, laws and regulations that may influence the Clinic programs/policies.
8. Ensures maintenance of, and compliance with regulations and standards necessary to obtain and maintain accreditation with state and nationally recognized bodies (RHC and CLIA).
9. Conducts or coordinates completion of regularly scheduled medical peer reviews on the health care providers. Coordinates reviews for clinical staff under personal supervision as well as for contracted clinical staff.
10. Recommends clinical staff for privileges and assures all clinical staff has complete credential files.
11. Takes an active role in identifying and participating in performance improvement activities.
12. Resolves patient referral problems between providers at MH and outside providers.
13. Works on a day-to-day basis with members of the management team with responsibility for fully participating in top management discussions, decisions, policy making and sharing accountability in management actions.
14. Participates with the Health Director and other staff members in the formulations of policies, programs and procedures related to clinical services. Develops and implements plans for the improvement, expansion and provision of patient services.
15. Serves as a member of the executive committee, performance improvement, and other committee and tasks forces as necessary. Participates in managing compliance with inspections, policies and procedures, credentialing and accreditation.
16. Serves as a recruiting officer for temporary and permanent provider staff. Coordinates recruitment with Health Director requiring incumbent to establish and maintain contacts with various medical and professional groups and organizations, professional societies, medical schools and other medical institutions.
17. Conducts regular clinic meetings.
18. Attends in-service and out-of-area workshops and training sessions pertinent to assigned duties.
19. Ensures that all ABM and IHS reporting requirements relative to assigned duties occur on time.
20. Reviews, signs, and adheres to the Privacy Act of 1974, and Confidentiality Statement.
21. Reports to the Health Director of significant findings in relation to health matters that come to his/her attention during the performance of official duties.
22. Must carry out any additional duties as may be assigned from time to time by the Health Director.