Summary of Position: Barton Health’s Population Health and Improvement team delivers innovative patient-centered initiatives and services impacting the overall health and wellness of individuals and the entire populations to which they belong. The Population Health RN delivers consistently exceptional population health services to the community, patients, customers, employers, and providers. The Population Health RN works collaboratively with all members of the patient’s care team, including patients and their families, to manage and improve health outcomes, reduce costs, and enhance the experience of care. This position will partner with physician leadership and various management teams in the development, implementation, and delivery of clinical quality initiatives and related activities to support population health. The RN also serves as a liaison with customers, employers, physicians, and community agencies. Qualifications Education: ● Completion of an accredited Nursing program. ● Bachelor’s degree preferred in Nursing (BSN), Business, Healthcare Administration or related field. Experience: ● Five years of experience in hospital setting, primary care, or health plan, setting. ● Care Coordination, Disease Management or Population Health experience preferred. ● Patient Centered Medical Home (PCMH) accreditation experience preferred. Knowledge/Skills/Abilities: ● Expert knowledge of Word, Excel, PowerPoint, Google Suite and supporting computer programs. ● Excellent interpersonal and communication skills. ● Presentation skills necessary for population health and quality subject matter. Certifications/Licensure: ● RN license in the state of California required. ● RN license in the state of Nevada preferred. ● Health Coach Certification preferred. ● Patient Centered Medical Home Content Expert Certification (CEC) preferred. Physical Demands The physical demands described here are representative of those that must be met by an employee to successfully perform the essential functions of this job. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions. ● While performing the duties of this job, the employee is frequently required to walk, stand, sit, and talk or hear. ● The employee is occasionally required to use hands to finger, handle, feel or operate objects, tools, or controls; and reach with hands and arms. ● The employee is occasionally required to climb or balance; stoop, kneel, crouch, or crawl. ● Specific vision abilities required by this job include close vision, color vision, and the ability to adjust focus. ● The employee must occasionally lift and/or move up to 25 pounds. Working Conditions The work environment characteristics described here are representative of those an employee encounters while performing the essential functions of this job. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions. ● Routine Hospital/Healthcare & Office/Administrative conditions. ● Contact with patients and guests under a wide variety of circumstances. ● Subject to varying and unpredictable situations, including the handling of emergency or crisis situations. ● Subject to pressure due to irregular hours, frequent interruptions and stressful situations due to multiple demands. ● Occasional travel to various health system locations. Essential Functions 1. Provides consistently exceptional care at all times. 2. Provides a coordinated , strategic approach to detect early and manage effectively the chronically ill patient population 3. Coordinates care between providers and other organizations to ensure that patient needs and preferences are met over time for health services and information. 4. Proactively acts as a patient advocate, responding with empathy and respect to resolve patient/family concerns. 5. Utilizes tools and documents that support a guided care process, collaborating with patient/family toward an effective plan of care. 6. Assesses patient and family’s unmet health and social needs 7. Provides effective communications to improve health literacy. 8. Develops a care plan based on mutual goals with the patient, family, and provider’s emergency plan, medical summary, and ongoing action plan, as appropriate. Monitors patient adherence to plan of care and progress toward goals in a timely fashion, and facilitate changes as needed. 9. Cultivates and supports primary care and subspecialty co-management with timely communication, inquiry, follow-up, and integration of information into the care plan regarding transitions-in-care and referrals. 10. Coaches patients/families toward successful self-management of their chronic disease. 11. Facilitates patient access to appropriate medical and specialty providers as well as other care coordination team support specialists (e.g., Diabetes Educator). 12. Ensures effective tracking of test results, medication management, and adherence to follow-up appointments. 13. Creates ongoing processes for patients/families/caregivers to determine and request the level of care coordination support they desire over time. 14. Acknowledges patients’ rights on confidentiality issues, maintains patient confidentiality at all times, and adheres to HIPAA guidelines and regulations. 15. Coordinates the implementation of population health management tools in the practice (such as screening, self-management, and other tools and resources). 16. Uses evidence-based guidelines and best practice care standards to direct care management and coordination of care. 17. Uses disease management registries and other population health reports or tools. 18. Reviews and analyzes population data for Barton Health such as gaps in care and metrics to inform improved health outcomes for these patients. 19. Fosters innovation and problem solving with population health services staff and ensures collaboration and coordination between population health services staff, related project teams, and other functional areas of Barton Health. 20. Collects data, conducts data analysis, and prepares reports for programs within areas of responsibility including condition management, and care coordination. 21. Understands definitions of quality measures including applicable codes from data sources, attribution and compliance. 22. Participates in and completes patient safety initiatives appropriate to the position, and conducts all job responsibilities according to the mission and values of Barton Health. 23. Responds to the needs of the department by performing other duties, as necessary.
Summary of Position: The Nurse Practitioner (NP) – Primary Care provides direct patient care within state and scope of practice guidelines at assigned Barton HealthCare System outpatient clinic facilities. The NP works independently as well as collaboratively with other providers to provide patient assessment and diagnosis, formulate treatment plans, prescribe medications, order tests, interpret test results, provide patient education, prepare medical records and refer patients in accordance with statutes, regulations and protocols regulating the profession. The NP utilizes appropriate authorization protocols when performing medical functions. The NP demonstrates the knowledge and skill necessary to identify and meet the individualized needs of the population served. Qualifications Education: ● Completion of an accredited Nurse Practitioner training program ● Masters of Science in Nursing (MSN) or Doctor of Nurse Practice (DNP). Experience: ● Minimum two years of recent outpatient clinic experience as a NP preferred. ● Patient Centered Medical Home experience preferred for primary care. ● Experience working in a Rural Health Clinic (RHC) or Federally Qualified RHC preferred for primary care and pediatrics. ● Adult-gerontology Primary Care Nurse Practitioner or Family Nurse Practitioner experience preferred.. Knowledge/Skills/Abilities: ● Computer literacy in common office applications ● Knowledge of electronic medical record (EMR) database or equivalent required; Epic experience preferred ● Excellent communication and customer service skills, flexible, and strong sense of teamwork. ● Ability to effectively communicate in English, in compliance with patient safety standards. Bilingual abilities preferred. Certifications/Licensure: ● Current National Certification as a Nurse Practitioner through the National Certification Corporation (NCC), American Nurses Credentialing Center (ANCC), or American Academy of Nurse Practitioners (AANPCB) ● Currently licensed as a Nurse Practitioner in applicable home location (California or Nevada), or ability to obtain prior to start date as required. ● Must be licensed as an RN in applicable state prior to start date as required. ● Current CPR/BLS certification by the American Heart Association (BLS for the Healthcare Provider) ● Must have any additional licenses and certifications as required per Med Staff bylaws and applicable state laws (CA and/or NV). Physical Demands The physical demands described here are representative of those that must be met by an employee to successfully perform the essential functions of this job. Reasonable accommodation may be made to enable individuals with disabilities to perform the essential functions. ● While performing the duties of this job, the employee is frequently required to walk, stand, sit, and talk or hear. ● The employee is occasionally required to use hands to finger, handle, feel or operate objects, tools, or controls; and reach with hands and arms. ● The employee is occasionally required to climb or balance; stoop, kneel, crouch, or crawl. ● Specific vision abilities required by this job include close vision, color vision, and the ability to adjust focus. ● Lifts, positions, pushes and/or transfer patients. ● The employee must occasionally lift and/or move up to 50 pounds. Working Conditions The work environment characteristics described here are representative of those an employee encounters while performing the essential functions of this job. Reasonable accommodation may be made to enable individuals with disabilities to perform the essential functions. ● Contact with patients and guests under a wide variety of circumstances. ● Regularly exposed to the risk of bloodborne diseases. ● Exposure to infections and contagious diseases. ● Exposed to hazardous anesthetic agents, body fluids and waste. ● Subject to hazards of flammable and explosive gases. ● Subject to varying and unpredictable situations, including the handling of emergency or crisis situations. ● Subject to pressure due to irregular hours, frequent interruptions and stressful situations due to multiple demands. ● Occasional travel to various health system locations. Essential Functions 1. Provides consistently exceptional care at all times. 2. Conducts thorough medical histories, performs complete physical examinations (where indicated), initiates appropriate lab, radiology tests or other special tests required for evaluation of illness, and interprets results to establish a record of the patient's current health status and to develop a working diagnosis and treatment plan when indicated. Works in collaboration with the health care team. 3. Performs routine and specialized procedures as credentialed and privileged by the Medical Executive Committee and Medical Staff. 4. Prescribes and monitors medications as required by California and Nevada laws, as allowed by DEA licensure and Barton Health policies. 5. Provides patient education regarding care and treatment plan. 6. Participates and collaborates with nursing, medical and other healthcare team members regularly to ensure quality patient care. 7. Refers patients as appropriate for consultation or for specialized health resources and treatment. 8. Ensures continuity of care by serving as a liaison between patient and other members of the multi-disciplinary care team or with other specialty areas as necessary. 9. Participates in quality monitoring through the review of records and treatment plans for patient outcomes to assure quality care. 10. Promotes translation of evidence-based practices, guidelines, and research. 11. May serve as clinical preceptor for students or other Advanced Practice Providers. 12. Administers treatment plans in accordance with standardized procedures. 13. Provides direct patient care, evaluates outcomes, consults with physicians as required and adjusts care processes as indicated to ensure optimal patient care. 14. Maintains timely and accurate charting of clinical encounters in Barton Health’s Electronic Health Record (EHR) platform. Ensures that all aspects of patient care and observations are documented. Documentation is complete, accurate and timely. Signs off medical record within 48 hours of seeing patient. 15. Accurately code clinical encounters with CPT and ICD-10 codes. 16. Demonstrates knowledge and skills necessary to provide care appropriate to the age of the patients served. Demonstrates knowledge of the principles of growth and development over the life span of the patient and possesses the ability to identify each patient’s age- specific needs. 17. Participates in quality improvement activities; assists in maintaining compliance with The Joint Commission, State Agencies and other internal and external regulatory standards. 18. Supports and upholds established organizational policies, procedures, and objectives related to quality improvement, safety, environmental and infection control. 19. Responds to the needs of the department by performing other duties, as necessary.
***2 positions, one is Monday-Friday and the second is Tuesday-Saturday*** ***Actual offered hourly wage will depend on experience of the applicant*** Summary of Position: The Medical Assistant (MA) works with all members of the care team by performing a variety of clinical and administrative patient-related duties as established in the roles and responsibilities defined below. The MA works to fulfill a variety of patient needs and ensures smooth patient flow within the department. The MA provides comfortable, safe, professional care for clinic patients, and provides all assistance required to successfully schedule and complete patient appointments. The MA demonstrates the ability to meet the needs and provide services to all age-groups from infancy to geriatrics and is competent in providing services to a culturally diverse population. Qualifications Education: ● High school diploma or GED preferred. ● College level coursework in the delivery of care in a medical clinic preferred. ● Medical Assistant certification as recognized by The Medical Board of California or a nationally recognized certification agency. ● OR completion of a Medical Assistant program including a clinical externship ● OR one year of recent Medical Assistant experience. ● Ability to obtain certification as recognized by the Medical Board of California or a nationally recognized certification agency within 18 months of hire. Minimum Experience: ● One to three years’ recent experience as a Medical Assistant preferred ● Float MA positions require at least two years of recent MA experience ● Ambulatory care/physician office experience preferred. ● Patient Centered Medical Home or Patient Centered Specialty Practice experience preferred. Knowledge/Skills/Abilities: ● Proficiency in clinical skills and office procedures. ● Computer and keyboard experience, including charting in electronic medical records. ● Excellent communication and customer service skills, flexible, and strong sense of teamwork. ● Ability to effectively communicate in English, in compliance with patient safety standards. Bilingual abilities preferred. ● Working knowledge of quality improvement measures and the Patient-Centered Medical Home. Certifications/Licensure: ● Current Basic Life Support for Healthcare Providers certification from the American Heart Association, or ability to obtain prior to start date. Physical Demands The physical demands described here are representative of those that must be met by an employee to successfully perform the essential functions of this job. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions. ● While performing the duties of this job, the employee is frequently required to walk, stand, sit, and talk or hear. ● The employee is occasionally required to use hands to finger, handle, feel or operate objects, tools, or controls; and reach with hands and arms. ● The employee is occasionally required to climb or balance; stoop, kneel, or crouch for extended periods of time. ● Specific vision abilities required by this job include close vision, adequate near and distant vision, color vision, and the ability to adjust focus. ● Lifts, positions, pushes and/or transfer patients. ● The employee must occasionally lift and/or move up to 50 pounds. Working Conditions The work environment characteristics described here are representative of those an employee encounters while performing the essential functions of this job. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions. ● Routine Hospital/Healthcare & Office/Administrative conditions. ● Contact with patients and guests under a wide variety of circumstances. ● Regularly exposed to the risk of bloodborne diseases. ● Exposure to infections and contagious disease. ● Exposed to hazardous anesthetic agents, body fluids and waste. ● Subject to hazards of flammable and explosive gases. ● Subject to varying and unpredictable situations, including the handling of urgent, emergent or crisis situations. ● Subject to pressure due to irregular hours, (Urgent Care: weekend hours, holiday hours) frequent interruptions and stressful situations due to multiple demands. ● Occasional travel to various health system locations. Essential Functions 1. Provides consistently exceptional care at all times. 2. Support the quality programs and processes of the Barton Patient Centered Medical Home (PCMH) or Patient Centered Specialty Practice teams 3. Assists the care team by collecting patient care data and reports findings to licensed staff. Escorts patients to exam rooms, takes weight and vital signs and obtains chief complaint/ reason for visit. Obtains social, family, personal and surgical history, reviews current medications with dosage, documents pharmacy preference, allergies and adverse drug reactions, conducts all appropriate health screenings and documents fall risk, performs point of care testing. 4. Assists licensed staff with minor diagnostic procedures and treatments, including sterilizing and setting up instruments, preparing examination rooms and instruments, assisting provider with procedure and stocking supplies. 5. At the direction of licensed staff, provides understandable explanations, and educates patients and families regarding treatments and interventions. 6. Schedules patients for testing procedures. Obtains tests results and ensures that lab reports, x-rays, outside progress notes/medical records, and other information is in the medical record prior to the appointment. 7. Labels and maintains proper storage for specimens and tests. 8. Processes requests for prescription medication refills according to protocol. 9. Administers medications within scope of practice and training. 10. Cleans and disinfects room counters, exam tables and instruments after each use. 11. Recognizes signs and symptoms of acute medical or physiological conditions and immediately reports such circumstances to a registered nurse, mid-level provider or physician. 12. Documents all aspects of patient care in the electronic medical record system. Assists with charge capture entry as needed. 13. Cross trains to cover other departments and flexibility to cover as needed. 14. Actively participates in team huddles and care team meetings. 15. Responds to the needs of the department by performing other duties, as necessary.
***2 positions, one is Monday-Friday and the other is Tuesdays- Saturday*** ***Actual offered hourly wage will depend on experience of the applicant*** Summary of Position: The Registered Nurse (RN) works with all members of the Patient-Centered Medical Home (PCMH) Care Team by performing a variety of clinical and administrative patient-related duties as established in the roles and responsibilities defined below. The RN Actively participates in team huddles and care team meetings. The RN provides professional nursing care, that is safe and effective, utilizing established policies and procedures. The RN assesses, plans, implements and evaluates care in collaboration with physicians and practitioners. The RN provides leadership and supervision to all clinical staff. The RN coordinates department activities, ensuring safety of patients and staff and ensures that adequate medical supplies, medication and vaccinations are ordered and are on the premises. Services are provided based on the ages of the population served, newborn through geriatric (65 years or older), in collaboration with the care team. Qualifications Education: ● Must be a graduate from an accredited school of nursing with a current Registered Nurse license specific to the State of employment ● Bachelor’s degree in Nursing (BSN) preferred. Experience: ● At least two years of nursing work experience. ● Ambulatory care/physician office experience preferred. ● Prior experience with chronic disease management and PCMH preferred. ● If applying for UC/Occupation Health Services o Emergency room, or Urgent Care experience is preferred Knowledge/Skills/Abilities: ● Duties require intensive knowledge of a highly specialized field or broad knowledge of major hospital and PCMH functions or activities. ● Extensive knowledge of epidemiological principles, infectious / communicable diseases, health assessment, health management, and adult immunizations. ● Highly effective written and verbal communications skills. ● Excellent interpersonal skills. ● Proficient computer skills as required to document, communicate and enter information into the electronic medical records system. ● In compliance with patient safety standards, must be able to effectively communicate in English; Bilingual abilities preferred. Certifications/Licensure: ● Current CPR/BLS certification by the American Heart Association (BLS for the Healthcare Provider) or ability to obtain prior to start date. ● If applying for Urgent Care/Occupational Health Services position a current ACLS card will be required. Must complete course through Barton within 2 weeks from date of hire or complete an approved outside course within 2 weeks from date of hire. ● Current California Nursing License in good standing for California position. ● If applying for Nevada position current California and Nevada Nursing licenses, in good standing will be required. Physical Demands The physical demands described here are representative of those that must be met by an employee to successfully perform the essential functions of this job. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions. ● While performing the duties of this job, the employee is frequently required to walk, stand, sit, and talk or hear. ● The employee is occasionally required to use hands to finger, handle, feel or operate objects, tools, or controls; and reach with hands and arms. The employee is occasionally required to climb or balance; stoop, kneel, crouch, or crawl. ● Specific vision abilities required by this job include close vision, color vision, and the ability to adjust focus. ● Lifts, positions, pushes and/or transfer patients. ● The employee must occasionally lift and/or move up to 50 pounds. Working Conditions The work environment characteristics described here are representative of those an employee encounters while performing the essential functions of this job. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions. ● Routine Hospital/Healthcare & Office/Administrative conditions. ● Contact with patients and guests under a wide variety of circumstances. ● Regularly exposed to the risk of bloodborne diseases. ● Exposure to infections and contagious disease. ● Exposed to hazardous anesthetic agents, body fluids and waste. ● Subject to hazards of flammable and explosive gases. ● Subject to varying and unpredictable situations, including the handling of emergency or crisis situations. ● Subject to frequent interruptions and stressful situations due to multiple demands. ● Occasional travel to various health system locations. Essential Functions 1. Provides consistently exceptional care at all times. 2. Provides and educates patients on abnormal results per physician/provider direction. 3. Under the direction of the medical provider, perform diversified duties both within and in support of the department. Assists physicians/practitioners in providing medical care, performing procedures including participation in codes. 4. Assists physicians with examinations, procedures and other processes related to direct patient care. Keeps patient/family informed. Focuses on customer service needs. 5. Demonstrates knowledge and skills necessary to provide care appropriate to the age of the patients served. The individual demonstrates knowledge of the principles of growth and development over the lifespan and possesses the ability to identify each patient’s age specific needs. 6. Meets with injured/ill patients as required or needed involving: a. Triage of the individual’s injury/illness. b. Facilitate processing and treatment of involving employee working through and in cooperation with all designated treating facilities. c. Work in cooperation with the applicable treating physician. d. Establish plans of care and rehabilitation for the injured/ill patient to return to work. e. Instruct individuals in carrying out physician discharge instructions and the related activities including (for injured patients) the placing of calls to various client companies regarding injured employees pertaining to injury itself; plan of care; estimated lost work time, etc. f. Prepare written reports regarding injured workers and fax/mail/deliver to applicable area client company representative. g. Disease specific management 7. Monitors and ensures accuracy of documentation in patient medical record. All aspects of patient care are accurately and completely documented in appropriate medical record system. 8. Provides supportive and compassionate leadership to clinical staff. a. Responds to staff requests in a timely manner. b. Ensures accurate and timely communication. c. Is supportive of staff when dealing with conflicts involving other disciplines and services. d. Approach is non-judgmental and professional. 9. Coordinates clinical activities of the department, ensuring safety of patients and staff. 10. Models professional communication with other disciplines and departments. Ensures the competency of clinical staff. Oversee training and ensures clinical staff competencies, ensures safe clinical staffing levels. Supervises, trains and evaluates work performance of all clinical personnel. 11. Assesses pain level on all patients upon initial contact and reassesses according to standards. a. Evaluates location, severity, intensity and quality of pain. b. Uses the approved pain scale for measurement c. Reevaluates pain level in response to intervention/ treatment 12. Assesses psychosocial needs of patients, expressing interest in their progress and comfort. 13. Provides telephone advice completing telephone triage and callbacks, assign tasks, related reports and follow through of physician instructions in a timely manner. 14. Confirms medication administration is safe, accurate and timely. a. Follows all safety precautions related to patient ID, order confirmation, calculations and double-checking dose accuracy if applicable. b. Follows procedure when removing stock meds. c. Signs and ensures all narcotic waste is witnessed. d. Documents all medication intervention to include rationale. e. Reports all Adverse Drug Events (ADE), Adverse Drug Reaction (ADR) and medication errors, according to policy. 15. Ensures vaccination administration is recorded in appropriate state reporting system 1. Recognizes unusual conditions outside of his/her expertise and seeks guidance of coworkers or supervisors. 16. Performs nursing care essential to the assessment, promotion, maintenance and restoration of patient’s health and wellness. 17. Recognizes unusual conditions outside of his/her expertise and seeks guidance of coworkers or supervisors. 18. Ensures daily quality controls such as, but not limited to: Clintek, POC testing, lab controls, hemoglobin equipment, refrigerator temperature, emergency equipment and medications, narcotics and water temperature. 19. When appropriate: Effectively educate patients and families on: a. Medication use and safety b. Nutrition interventions c. Safe use of medical equipment d. Skin and wound care management e. Management of pain f. Rehabilitation techniques g. Use of other resources h. Chronic disease management 20. Operates equipment and performs job related duties in a safe manner. Insures proper functioning of equipment and follows procedure when equipment malfunctions. 21. Develops and updates policies and procedures; able to access documents and adheres to all policy and procedures that guide the delivery of care. 22. Under direction, proposes, develops and presents a variety of health education programs to the local area general public and/or area client companies. 23. Performs diversified duties regarding pre-placement physical examinations. Coordinate all applicable testing with technicians. Make recommendations to applicable individual physicians regarding individual employee pre-placement physical examination results. 24. Reviews employee Disability Evaluations for various client companies involving: a. Review of the patient history, b. Compile all pertinent medical data on the employee’s injury, c. Review functional capacity evaluations, d. Document and submit reports of these evaluations to various client companies with a summary of findings. 25. Networks with client company representatives to provide resources information on all aspects of the OHS program. Interacts with client company injured employees to ensure the employee has been provided the highest quality of service while a client. Assesses the educational needs of company representatives and propose programs to meet those needs. 26. Visits client company on a regular basis to keep current on the specific job tasks the employees are doing, provide periodic feedback beyond the patient reports of trends or just company status. Drives to client companies, or other departments to administer vaccination, perform screenings, and other duties as assigned. 27. Act as resource to all physicians who may interact with the injured employee to ensure appropriate knowledge of the work site and TAW/TWA (temporary alternative work/temporary work assignment) status of the client company. 28. Collaborates with clinical peers to evaluate current practices and ensures that the most efficient avenue is being pursued to accomplish the job. 29. Promotes wellness concept to all clients and to participate in health and wellness fairs. 30. Responds to the needs of the department by performing other duties, as necessary.
Summary of Position: The Nurse Practitioner (NP) – Psychiatry provides direct patient care within state and scope of practice guidelines at assigned Barton HealthCare System outpatient clinic facilities. The NP works independently as well as collaboratively with other providers to provide patient assessment and diagnosis, formulate treatment plans, prescribe medications, order tests, interpret test results, provide patient education, prepare medical records and refer patients in accordance with statutes, regulations and protocols regulating the profession. The NP utilizes appropriate authorization protocols when performing medical functions. The NP demonstrates the knowledge and skill necessary to identify and meet the individualized needs of the population served. Qualifications Education: ● Completion of an accredited Nurse Practitioner training program ● Masters of Science in Nursing (MSN) or Doctor of Nurse Practice (DNP). Experience: ● Minimum two years of recent outpatient clinic experience as a NP preferred. Knowledge/Skills/Abilities: ● Computer literacy in common office applications ● Knowledge of electronic medical record (EMR) database or equivalent required; Epic experience preferred ● Excellent communication and customer service skills, flexible, and strong sense of teamwork. ● Ability to effectively communicate in English, in compliance with patient safety standards. Bilingual abilities preferred. Certifications/Licensure: ● Current National Certification as a Nurse Practitioner through the National Certification Corporation (NCC), American Nurses Credentialing Center (ANCC), or American Academy of Nurse Practitioners (AANPCB) ● Currently licensed as a Nurse Practitioner in applicable home location (California or Nevada), or ability to obtain prior to start date as required. ● Must be licensed as an RN in applicable state prior to start date as required. ● Psychiatric Mental Health Nurse Practitioner (PMHNP) certification required ● Current CPR/BLS certification by the American Heart Association (BLS for the Healthcare Provider) ● Must have any additional licenses and certifications as required per Med Staff bylaws and applicable state laws (CA and/or NV). Physical Demands The physical demands described here are representative of those that must be met by an employee to successfully perform the essential functions of this job. Reasonable accommodation may be made to enable individuals with disabilities to perform the essential functions. ● While performing the duties of this job, the employee is frequently required to walk, stand, sit, and talk or hear. ● The employee is occasionally required to use hands to finger, handle, feel or operate objects, tools, or controls; and reach with hands and arms. ● The employee is occasionally required to climb or balance; stoop, kneel, crouch, or crawl. ● Specific vision abilities required by this job include close vision, color vision, and the ability to adjust focus. ● Lifts, positions, pushes and/or transfer patients. ● The employee must occasionally lift and/or move up to 50 pounds. Working Conditions The work environment characteristics described here are representative of those an employee encounters while performing the essential functions of this job. Reasonable accommodation may be made to enable individuals with disabilities to perform the essential functions. ● Contact with patients and guests under a wide variety of circumstances. ● Regularly exposed to the risk of bloodborne diseases. ● Exposure to infections and contagious diseases. ● Exposed to hazardous anesthetic agents, body fluids and waste. ● Subject to hazards of flammable and explosive gases. ● Subject to varying and unpredictable situations, including the handling of emergency or crisis situations. ● Subject to pressure due to irregular hours, frequent interruptions and stressful situations due to multiple demands. ● Occasional travel to various health system locations. Essential Functions 1. Provides consistently exceptional care at all times. 2. Conducts thorough medical histories, performs complete physical examinations (where indicated), initiates appropriate lab, radiology tests or other special tests required for evaluation of illness, and interprets results to establish a record of the patient's current health status and to develop a working diagnosis and treatment plan when indicated. Works in collaboration with the health care team. 3. Performs routine and specialized procedures as credentialed and privileged by the Medical Executive Committee and Medical Staff. 4. Prescribes and monitors medications as required by California law, as allowed by DEA licensure and Barton Health policies. 5. Provides patient education regarding care and treatment plan. 6. Participates and collaborates with nursing, medical and other healthcare team members regularly to ensure quality patient care. 7. Refers patients as appropriate for consultation or for specialized health resources and treatment. 8. Ensures continuity of care by serving as a liaison between patient and other members of the multi-disciplinary care team or with other specialty areas as necessary. 9. Participates in quality monitoring through the review of records and treatment plans for patient outcomes to assure quality care. 10. Promotes translation of evidence-based practices, guidelines, and research. 11. May serve as clinical preceptor for students or other Advanced Practice Providers. 12. Administers treatment plans in accordance with standardized procedures. 13. Provides direct patient care, evaluates outcomes, consults with physicians as required and adjusts care processes as indicated to ensure optimal patient care. 14. Maintains timely and accurate charting of clinical encounters in Barton Health’s Electronic Health Record (EHR) platform. Ensures that all aspects of patient care and observations are documented. Documentation is complete, accurate and timely. Signs off medical record within 48 hours of seeing patient. 15. Accurately code clinical encounters with CPT and ICD-10 codes. 16. Demonstrates knowledge and skills necessary to provide care appropriate to the age of the patients served. Demonstrates knowledge of the principles of growth and development over the life span of the patient and possesses the ability to identify each patient’s age- specific needs. 17. Performs comprehensive psychiatric evaluations that include evaluation of mental status, current psychiatric symptoms and functioning, as well as psychiatric and other relevant health histories. 18. Prescribes psychotropic medications and short-term therapies to treat mental health conditions in accordance with standardized procedures. 19. Provides brief psychotherapeutic interventions in conjunction with evaluation and management services in accordance with standardized procedures. 20. Participates in quality improvement activities; assists in maintaining compliance with The Joint Commission, State Agencies and other internal and external regulatory standards. 21. Supports and upholds established organizational policies, procedures, and objectives related to quality improvement, safety, environmental and infection control. 22. Responds to the needs of the department by performing other duties, as necessary.
