JOB CODE INFORMATION

• Job Title: Advanced Practice Clinician, Retail Health
• Job Code: 8914
• Job Stream Description:
• FLSA Status: Exempt
• Direct Reports: No

REPORTS TO: Advanced Practice Clinician, Division Manager

JOB SUMMARY

The Advanced Practice Clinician (NP/PA) is responsible for providing excellent patient care to the clinics' scope of practice listed above. This role will independently, while being supported by the medical management team. Most of the work will be done at one location to facilitate community engagement. This role will also be partnered with a medical assistant as to allow APC ability to focus on patient care.

KEY RESPONSIBILITIES

1. Assessment of Health Status
   1. Performs and documents in the medical record a complete history and physical examination for patients visiting the clinic
   2. Orders and collects data using appropriate assessment techniques, relevant supporting diagnostic information and diagnostic procedures where indicated
2. Diagnosis
   1. Collaborates with health care team in making diagnoses of acute and complex chronic conditions
   2. Manages diagnostic tests through ordering, interpretation, performance, and supervision
   3. Formulates differential diagnoses by priority
   4. Diagnosis's complications and orders appropriate interventions
3. Formulates Plan of Care
   1. Identified expected outcomes from diagnosis, and formulates and documents a plan of care to address complex acute and chronic health care needs
   2. Utilizes evidenced based practice guidelines or protocols in an individualized, dynamic plan of care that can be applied across the continuum.
4. Implements and modifies plan of care
   1. Prescribes diagnostic strategies and therapeutic interventions both pharmacologic, non-pharmacologic, and surgical, needed to achieve expected outcomes
   2. Manages further diagnostic tests through ordering, interpretation, performance, and supervision
5. Communication and Collaboration
   1. Maintains ongoing communication and collaboration with interdisciplinary health care team, including outpatient primary care physicians

6. Documentation
   1. Documents/dictates key components of patients' visit
   2. Documentation is timely and captures medical decision-making
7. Professional Practice
   1. Demonstrates professional practice behaviors including preceptor/mentoring, education and instruction of students, nursing staff, nurses, graduate, and novice practitioners
   2. Seeks opportunities for active engagement in protocol development and quality assurance
   3. Actively participates in educational opportunities
   4. Maintains CEUs, and membership in a professional organization

KNOWLEDGE, SKILLS AND ABILITIES

KNOWLEDGE:

• Knowledge of advanced practice of nursing including medical terminology, anatomy and physiology, pathophysiology, pharmacology and therapeutics, basic nutrition, behavioral factors, psychosocial/family systems, diagnostic testing, interpretation of results and clinical decision making, alternative treatment modalities.
• Knowledge of professional nursing theory, practices and regulations related to evaluating and providing patient care, and professional ethics related to the delivery of nursing care.
• Knowledge of medical equipment and instruments used to administer patient care.
• Knowledge of common safety hazards and precautions to establish/maintain a safe work environment.
• Knowledge of health promotion, health risk identification, and patient education principles and techniques.
• Knowledge of community, professional, and educational resources.
• Knowledge of practice management systems including electronic health record systems (EHRs).

SKILLS:

• Skill in oral and written communication; interviewing to gather medical histories; providing presentations, consultations, facilitation, and documentation, e.g., writing medical orders, patient education materials, and medical record updates.
• Skill in case management, time management, problem solving, crisis intervention, multitasking, and other organizational matters.
• Skill in modifying methods and techniques of professional nursing to provide appropriate nursing care and in initiating appropriate emergency response and investigatory procedures.

ABILITIES:

• Ability to analyze complex data and draw conclusions.
• Ability to interpret, adapt, and apply guidelines and procedures.
• Ability to establish/maintain effective working relationships with patients, clinical staff, and the public.
• Ability to competently use Microsoft Office, including Word, PowerPoint, Excel, and appropriate practice management software.

OTHER QUALIFICATIONS:

Accepts personal responsibility for the promotion of teamwork, professional conduct, communication, organizational commitment, work habits, job knowledge, attendance, and appearance. Possesses the ability to handle conflict and adapt to change. Knowledge of general health and related diagnostic and treatment modalities.

CORE ACCOUNTABILITIES

• Organizational Impact: Performs tasks that are typically routine that may impact team's performance with occasional guidance.
• Problem Solving/ Complexity of work: Utilizes some discretion and research to solve routine problems.
• Breadth of Knowledge: Applies knowledge of standards, established processes and procedure that apply to your own job.
• Team Interaction: Provides guidance to entry level co-workers.

CORE COMPETENCIES

SUPPORTING COLLEAGUES:

• Develops Self and Others: Continuously improves own skills by identifying development opportunities.
• Builds and Maintains Relationships: Seeks to understand colleagues' priorities, working styles and develops relationships across areas.
• Communicates Effectively: Openly shares information with others and communicates in a clear and courteous manner.

DELIVERING EXCELLENT SERVICES:

• Serves Others with Compassion: Invests time to understand the problems, needs of others and how to provide excellent service.
• Solves Complex Problems: Seeks to understand issues, solves routine problems, and raises proper concerns to supervisors in a timely manner.
• Offers Meaningful Advice and Support: Listens carefully to understand the issues and provides accurate information and support.

ENSURING HIGH QUALITY:

• Performs Excellent Work: Checks work quality before delivery and asks relevant questions to meet quality standards.
• Ensures Continuous Improvement: Shows eagerness to learn new knowledge, technologies, tools or systems and displays willingness to go above and beyond.
• Fulfills Safety and Regulatory Requirements: Demonstrates basic knowledge of conditions that affect safety and reports unsafe conditions to the appropriate person or department.

MANAGING RESOURCES EFFECTIVELY:

• Demonstrates Accountability: Takes responsibility for completing assigned activities and thinks beyond standard approaches to provide high-quality work/service.
• Stewards Organizational Resources: Displays understanding of how personal actions will impact departmental resources.
• Makes Data Driven Decisions: Uses accurate information and good decision making to consistently achieve results on time and without error.

FOSTERING INNOVATION:

• Generates New Ideas: Willingly proposes/accepts ideas or initiatives that will impact day-to-day operations by offering suggestions to enhance them.
• Applies Technology: Absorbs new technology quickly; understands when to utilize the appropriate tools and procedures to ensure proper course of action.
• Adapts to Change: Embraces change by keeping an open mind to changing plans and incorporates change instructions into own area of work.

BASIC QUALIFICATIONS

• Current State licensure as either Nurse Practitioner or Physician Assistant
• Current Basic Life Support (BLS) certification
• 12 months experience in an acute care setting
• Must possess strong communication, organization, and leadership skills
• Must have the ability to analyze, plan and coordinate medical care while making appropriate medical decisions

PHYSICAL REQUIREMENTS/STRENGTHS NEEDED & PHYSICAL DEMANDS

PHYSICAL DEMANDS:

The physical demands described here are representative of those that must be met by an associate to successfully perform the essential functions of this job. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential job responsibilities.

While performing the duties of this job, the associate is occasionally required to stand; walk; sit for extended periods of time; use hands to touch, handle, or feel objects, tools or controls; reach with hands and arms; climb stairs; balance; stoop, kneel, bend, crouch or crawl; talk or hear; taste or smell. The associate must occasionally lift and/or move up to 50 pounds. Repetitive motion of upper body required for extended use of computer. Required specific vision abilities include close vision, distance vision, color vision, peripheral vision, depth perception, and the ability to adjust focus.

WORK ENVIRONMENT:

Work environment characteristics described here are representative of those that must be met by an associate to successfully perform the essential functions of this job. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential job responsibilities.

Primarily works in well-lit, ventilated and climate-controlled office environment with routine office equipment; some equipment has moving mechanical parts. May work from clinic locations and may be exposed to contagious viruses. Involves frequent contact with staff, patients and the public. Work may be stressful at times. Contact may involve dealing with angry or upset people.

Noise level in the work environment is usually moderate.

Minimal overnight travel (less than 10%) land and/or air required.

Master's Degree (or equivalent experience) and 1 year relevant experience

Licensure, Certification, and/or Registration (LCR):

• BLS Required
• Physician Assistant (PA) License Required
• Advanced Practice Registered Nurse Required

Additional Qualification Information:

Physical Requirements/Strengths needed & Physical Demands:

• Medium Work category requiring exertion up to 50lbs of force occasionally and/or up to 20 of force frequently and/or up to 10 of force continually to move objects.

Movement

• Occasional: Lifting under 35 lbs: Raising and lowering objects under 35 lbs from one level to another
• Occasional: Carrying under 35 lbs: Transporting an object holding in hands, arms or shoulders, with help of coworkers or assistive device.
• Occasional: Push/Pull: Exerting force to move objects away from or toward.
• Occasional: Bending/Stooping: Trunk bending downward and forward by bending spine at waist requiring full use of lower extremities and back muscles
• Occasional: Climbing: Ascending or descending stairs/ramps using feet and legs and/or hands and arms.
• Occasional: Kneeling:Bending legs at knees to come to rest on knee or knees.
• Occasional: Crouching/Squatting: Bending body downward and forward by bending legs and spine.Reaching above shoulders: Extending arms in any direction above shoulders.
• Occasional: Reaching above shoulders: Extending arms in any direction above shoulders.
• Frequent: Sitting: Remaining in seated position
• Continuous: Standing: Remaining on one's feet without moving.
• Continuous: Walking: Moving about on foot.
• Continuous: Balancing: Maintaining body equilibrium to prevent falling when walking, standing, crouching or maneuvering self, patient and equipment simultaneously while working in large and small spaces
• Continuous: Reaching below shoulders: Extending arms in any direction below shoulders.
• Continuous: Handling: Seizing, holding, grasping, turning or otherwise working with hand or hands.
• Continuous: Fingering: Picking, pinching, gripping, working primarily with fingers requiring fine manipulation.
• Continuous: Bimanual Dexterity: Requiring the use of both hands.

Sensory

Environmental Conditions