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CareOregon Housecall Providers Nurse Practitioner - Primary Care in Portland, Oregon

Position Title: Nurse Practitioner – Primary Care

Department: HCP - PC

Title of Manager: Medical Director or Associate Medical Director - Primary Care

Supervises: Non-Supervisory position

Employment Status: Regular - Exempt

Requisition: 15465

This position is a 32 hour role serving our North Portland and Inner NE Portland Members

General Statement of Duties

The Nurse Practitioner provides professional, comprehensive primary medical care and treatment services with emphasis on chronic disease management, prevention of disease and promotion of health for patients not best served in a clinic setting.

Essential Position Functions

Clinical Service

  • Provides diagnosis, treatment, consultation, and follow-up care of patients including diagnosis and treatment of critical, prolonged, and long-term healthcare issues.

  • Performs comprehensive health assessment of clients by completing a physical and psychosocial history; identifies actual and potential health needs based on medical, mental/emotional, financial, and social factors. Makes referrals to appropriate social or medical agencies and practitioners. Identifies, evaluates, and addresses the prevention of diseases, maintenance of chronic diseases, and appropriate end-of-life care per the goals of care outlined by the patient and their families. Develops and implements proactive patient centered care plan with the assistance of other disciplines within the care team.

  • Orders testing in diagnostics, orders medications with appropriate follow up and reassessment, and performs some surgical procedures as appropriate under certification.

  • Provides compassionate anticipatory guidance through decline due to chronic disease and provides high quality palliative care focused on the goals of the patient and family.

  • Educates patients and families on goal-based, appropriate preventative care, medical issues, and use of prescribed medications and treatment.

  • Develops and maintains relationships with lay and professional caregivers, including care facilities, to assure patient experience excellent continuity of care and orders are implemented appropriately

  • Educates patients and families on their preventive care, medical issues, and use of prescribed medications and treatment.

  • Delivers quality care while maintaining all company metrics pertaining to productivity

  • Participates in the after hours call schedule.

Administration

  • Communicates effectively with members of the medical staff on issues concerning consultation, collaboration, and referrals.

  • Determines need for specialty and rehabilitative services and makes appropriate referrals.

  • Oversees the care plan/case management activities for assigned patients.

  • Attends and participates in all required staff meetings and other ad hoc committees as assigned.

  • Provides coverage for clinical colleagues in their absence.

  • Participates in quality improvement activities as assigned.

  • Completes and maintains medical records according to agency protocols and in support of quality metrics.

  • Performs other duties as assigned.

Essential Department and Organizational Functions

  • Meet deadlines for completion of daily, weekly and month-end reporting

  • Maintain agreed upon work schedule

  • Demonstrate cooperation and teamwork

  • Provide cross-training on specific job responsibilities

  • Meet identified business goals that contribute to departmental goals

Knowledge, skills and abilities required

  • Knowledge of the principles and practice of medicine especially

  • Proficient in the practice of geriatrics and palliative care

  • Knowledge of principles, practices and procedures of general medicine

  • Knowledge of methods and techniques of diagnosing and treating a variety of diseases and injuries

  • Knowledge of sources of information and current literature applicable to the field of general medicine

  • Skill in utilizing electronic systems appropriately and effectively

  • Ability to perform medical diagnostic and treatment services

  • Ability to establish and maintain effective working relationships with diverse patients, staff, peer groups, and varied agency and institutional representatives

  • Ability to deal professionally and calmly with individuals that may act inappropriately, be verbally abusive, hostile and/or in crisis

  • Ability to work a flexible schedule, including evenings and weekends

  • Ability to communicate clearly, compassionately and concisely, both verbally and in writing

  • Knowledge of the ethical and medico-legal aspects of medical practice

  • Knowledge of the principles and practices of public health, including familiarity with epidemiology, health services delivery and financing systems, and environmental health

  • Knowledge of the population served in adult health, including culture, demographics, patterns of disease, barriers to care and other unique features or special needs

  • Knowledge of the principles and practices of clinical quality improvement

  • Cultural competence and ability to work effectively with people from all walks of life

  • Compassion, commitment and integrity required for success in this position

  • Familiar with the medical charting system

  • Ability to work within a team and take direction from other team members with expertise in the care plan development.

  • Ability to adhere to organizational standards, policies and procedures.

Education and/or Experience

Required:

  • Master’s degree from an accredited advanced nurse practitioner program

  • Licensed nurse practitioner in the state of Oregon (ANCC or AANP certified)

  • Drug Enforcement Administration (DEA) license

  • Valid driver’s license, acceptable driving record, and automobile liability coverage or access to an insured vehicle

  • CPR certification at hire or within 6 months in position

Preferred:

  • Minimum 2 years of related clinical experience

Physical Skills and Abilities Required

Lifting/Carrying up to 20 Pounds

Pushing/Pulling up to 30 Pounds

Pinching/Retrieving Small Objects

Crouching/Crawling

Reaching Above Shoulders

Climbing Stairs

Repetitive Finger/Wrist/Elbow/

Shoulder/Neck Movement

3-6 hours/day

3-6 hours/day

3-6 hours/day

Up to 3 hours/day

Up to 3 hours/day

3-6 hours/day

More than 6 hours/day

Standing

Walking

Sitting

Bending

Seeing

Reading

Hearing

Speaking Clearly

3-6 hours/day

Up to 3 hours/day

More than 6 hours/day

3-6 hours/day

More than 6 hours/day

More than 6 hours/day

More than 6 hours/day

More than 6 hours/day

Ability to operate a motorized vehicle

Cognitive and Other Skills and Abilities Required

Ability to focus on and comprehend information, learn new skills and abilities, assess a situation and seek or determine appropriate resolution, accept managerial and team based direction and feedback, and tolerate and manage stress.

Working Conditions

  • Environment: This position’s primary responsibilities typically take place in the following environment(s) (check all that apply on a regular basis):

☐ Inside/office ☐ Clinics/health facilities ☒ Member homes

  • ☒ Other: Custodial care facilities, shelters, etc.

  • Travel: This position requires frequent travel outside of the workplace, in which the employee’s personal vehicle, local transit, or other means of transportation may be used. Driving may be required in all kinds of weather conditions. Driving infractions will be monitored in accordance with organizational policy.

  • Equipment: General office equipment and/or mobile technology

  • Hazards: OSHA Category I - Assigned tasks may involve exposure to communicable diseases, blood, body fluids or tissue

  • If you receive an offer of employment for this position, it is contingent on the satisfactory completion of a pre-employment background check and drug screen. CareOregon is a federal contractor and must comply with all federal laws.

Candidates of color are strongly encouraged to apply. CareOregon is committed to building a linguistically and culturally diverse and inclusive work environment

Veterans are strongly encouraged to apply.

Equal opportunity employer. This company considers all candidates regardless of race, color, religion, sex, sexual orientation, gender identity, national origin, disability or veteran status.

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