Nurse Practitioner, School Based Health Center

Indian Preference Act: Preference in hiring is given to qualified Native Americans in accordance with the Indian Preference Act (Title 25, US Code, Section 472 and 473). Applicants claiming Indian Preference must submit verification of Indian heritage certified by tribe of affiliation.

POSITION SUMMARY
Under the Director of School Based Health or designee's direct supervision, provide high-quality medical care and work as part of a multi-disciplinary team to deliver comprehensive primary, preventive, chronic, and urgent care to NAHC's members.

The Native American Health Center is an accredited institution and adheres to the standards of excellence set forth by the Accreditation Association of Ambulatory Health Care (AAAHC) and the Commission of Dental Accreditation (CODA).

DUTIES AND RESPONSIBILITIES
Clinical Responsibilities
1. Provide primary care to members, including histories, exams, lab tests, prescriptions, and referrals within prescribed up-to-date guidelines and protocols.
2. Perform and complete accurate and timely documentation of histories, subjective findings, physical exam, plans and follow-up, prescriptions, and all provider inbox/queues in the Electronic Health Records System within 72 hours of the visit.
3. Provide members information concerning their evaluation, diagnosis, treatment, and prognosis. Engage members in participation and decision involving their healthcare.
4. Adhere to the medical visit model of NAHC; managing huddles, proactive in teaching MA's, seeing members on time, communicating with supervisors any barriers to this. Actively participate and be engaged in quality improvement for clinic efficiencies and improving member quality of care.
5. Timely coordination of care among internal and external ancillary providers and hospitals to provide high-quality care between departments and facilities.
6. Function within an interdisciplinary team and participate in interdisciplinary activities such as panel management and case conferences.
7. Report births, deaths, and outbreaks of diseases to proper authorities.
8. Participate in the integrative model of providing medicine to ensure seamless integration of services for members. This includes referring members and co-managing members with Nutritionists, LCSWs, Health Educators, Dentist, Care Coordinators etc.
9. School Based Health Centers: If assigned to school based clinics the following duties apply.
a. Serve as medical site lead at 1-2 school-based health center sites .Be an active educator of medical team members and other integrative services team members on-site.
b. Communicate with parents regarding their child's non-confidential health issues and provide instructions for care.
c. Facilitate group interventions around site-driven topic areas in order to build capacity (i.e. obesity interventions, LGBTQ youth, etc.) as needed.
d. Conduct classroom and community presentations on a variety of health topics as part of outreach efforts to expand clinic services.
e. Attend regularly scheduled site meetings with clinic and school staff to coordinate screenings and activities.
f. Develop conference abstracts and proposals and present best practices at local, state and national SBHC conferences as requested.
g. Support Seven Directions Medical Dept. with special projects as assigned.
10. Actively participate in creating solutions to increase access and build sustainability.
11. Quality Improvement: Actively participate in internal quality improvement teams and work to proactively to implement quality improvement initiatives in accordance with the mission and strategic goals of the organization, federal and state laws and regulations, and accreditation standards, when assigned.
12. Must maintain compliance with ergonomic safety standards; be mindful of posture and regularly practice ergonomic stretches.
13. Member Care: Demonstrate understanding and apply working knowledge of safety policies and ensuring safe member practices.
14. Safety: Responsible for ensuring that all duties, responsibilities and operations are performed with the utmost regard for the safety and health of all personnel involved, including themselves.
15. Safety: Take appropriate corrective actions to address matters pertaining to employee health and safety that have been brought to their attention.
16. Works extremely well under pressure, meet multiple and often competing deadlines.
17. At all times demonstrate cooperative behavior with supervisors, subordinates, colleagues, clients and the community.
18. Other duties as assigned by Supervisor.
Scope of Work
1. Be able to see between 16-22 members per day, and complete accurate documentation within 72 hours of visit into the electronic health record (EHR) system.
2. Be able to complete medical refills, member approval queue, inbox, medical records approval and member forms within five (5) working days.
3. To work as medical team assisting other providers in completing their responsibilities as necessary, e.g., seeing members, processing refills, clearing member approval queue, and provider inbox.
4. Effectively manage a member panel up to the goal set by the organization.
5. Display the highest level of professionalism, integrity and a strong work ethic, serving as a model for all clinic staff.
6. Maintain requirements of licensure, DEA certification and board certification if hired as board certified. Fulfill and maintain requirements for credentialing, privileging internally at NAHC and externally with payers and regulatory bodies.
7. Provide comprehensive, high quality medical services to members, regardless of age, sex, gender identification, income, national origin or language.
8. Consider individuals' cultural, psychological, social and environmental factors in creating treatment/care plans.
9. Actively participate in meetings as assigned by direct Supervisor.
10. Participate in trainings of other medical personnel as requested.
11. Participate in Saturday clinics, after-hour clinics and on-call duties, on a rotating basis, as requested by Supervisor.

MINIMUM QUALIFICATIONS
1. Current RN License, FNP certificate and furnishing number.
2. Bilingual in Spanish
3. Current CPR certification.
4. Current DEA license.
5. One (1) to three (3) years of experience working with a community clinic is highly desirable.
6. Excellent communication and written skills.
7. Ability to work independently and as part of a multi-disciplinary team.
8. Ability to analyze and evaluate individual member's needs, reach sound conclusions and make appropriate recommendations.
9. Must be detail-oriented and be able to multi-task effectively.
10. Previous experience with an Electronic Health Records (EHR) system and working in an EHR environment is desired; EPIC/OCHIN EPIC EHR system is strongly desired
11. Commitment to Native American Health Center's values and mission.
12. Must have the ability to relate and communicate effectively with community interest groups, agencies, and medical facilities that serve the American Indian community.
13. Work exceptionally well under pressure, meet multiple and often competing deadlines.
14. Must be able to meet set priorities as directed by Supervisor.

NAHC is a National Health Service Corp (NHSC) approved site where primary care physicians who are eligible for loan repayment funding can fulfill their service obligation.
NAHC is an Indian Health Program site for Indian Health Services (IHS) Loan Repayment Program.

Benefits: Native American Health Center (NAHC) considers our employees to be our most valuable resource and offers an excellent benefit package: competitive salaries, personal time off (PTO) program, and an employer contribution 403(b) retirement plan to full-time regular status employees. We also provide medical, vision, dental and group term life insurance coverage for employees and their dependents—with a percentage of employee contribution.
Note to Applicants: Please be advised a post job offer, pre-employment Physical and TB test are required as a condition of employment. Additionally, you may be asked to get a Department of Justice Fingerprinting clearance as a contingency for an offer of employment. Criminal clearances are obtained to protect the welfare and safety of clients receiving services at NAHC.

EQUAL OPPORTUNITY EMPLOYER: Within the scope of Indian Preference, all candidates will receive equal consideration without regard to race, color, gender, religion, national origin or other non-merit factors.
Age Discrimination in Employment Act (ADEA): Native American Health Center abides by the mandates of the ADEA (protecting individuals 40 years and older) and considers age a non-merit factor in all employment decisions and considerations.
Americans with Disabilities Act (ADA): Native American Health Center abides by the mandates of the ADA and considers disability a non-merit factor in all employment decisions and considerations. Furthermore, NAHC will make any practical, feasible, and reasonable arrangements to accommodate qualified applicants and employees with disabilities.