Nurse Practitioner - Family Medicine/Medical Mobile (DH4716)

Navajo Preference Employment Act

In accordance with Navajo Nation and federal law, TCRHCC has implemented an Affirmative Action Plan pursuant to the Navajo Preference in Employment Act.  Pursuant to this Plan and corresponding TCRHCC Policy, applicants who meet the necessary qualifications for this position and (1) are enrolled members of the Navajo Nation, Hopi Tribe, or San Juan Southern Paiute Tribe will be given preference in hiring and employment for this position, (2) are legally married to enrolled members of the Navajo Nation, Hopi Tribe, or San Juan Southern Paiute Tribe and meet residency requirements will be given secondary preference, and (3) are enrolled members of other federally-recognized American Indian Tribes will be given tertiary preference.
Overview

POSITION SUMMARY

This position serves as a Family Nurse Practitioner that performs comprehensive diagnostic, primary health care services, physical examinations (i.e. sports physicals, employment physicals, school physicals for entrance, uranium screenings) to patients by providing a full range assessment of needs. Maintains collaboration with Director of Outpatient department, manages medical needs of patients and provides care according to treatment plan. Responsibilities also include providing continuity of care between visits according to treatment plans for patients. Provider may be assigned to work in clinics in different locations than their main assignment based on the needs of the organization i.e. Tuba City, Sacred Peaks, LeChee, Mobile Van, Bodaway Gap etc. This position is a grant funded position.

Qualifications

NECESSARY QUALIFICATIONS

Education:

Master of Science in Nursing or Doctor of Nursing Practice

Licensure/Certification:

• Must possess a valid, current, full and unrestricted license to practice as a nurse practitioner in any state within the United States, District of Columbia, or the Commonwealth of Puerto Rico
• Must possess a certificate from the American Association of Nurse Practitioners

Experience:

• Two (2) years of experience as a Nurse Practitioner evaluating and treating patients
• Basic computer skills used in performance of duties are essential

Credentialing:

       Must be credentialed and privileged to serve on the TCRHCC Medical Staff

Other Skills and Abilities:

A record of satisfactory performance in all prior and current employment as evidenced by positive employment references from previous and current employers.  All employment references must address and indicate success in each one of the following areas:

• Positive working relationships with others
• Possession of high ethical standards and no history of complaints
• Reliable and dependable; reports to work as scheduled without excessive absences
• Ability to work under conditions of frequent interruptions and willingness to work flexible schedule
• Flexibility to travel daily for long duration trips to mobile clinical locations
• Possess excellent communication and interpersonal skills to optimize the care of patients
• Excellent clinical skills and judgment
• Successful and positive working relationships, a team player, and trustworthy
• A mentor to colleagues and other organizational staff
• Respond effectively to sensitive inquiries or complaints
• Completion of and, above-satisfactory scores on all job interviews, demonstrating to the satisfaction of the interviewees and TCRHCC that the applicant can perform the essential functions of the job
• Successful completion of and positive results from all background and reference checks, including positive employment references from authorized representatives of past and current employers demonstrating to the satisfaction of TCRHCC a record of satisfactory performance and that the applicant can perform the essential functions of the job
• Successful completion of fingerprint clearance requirements, physical examinations, and other screenings indicating that the applicant is qualified to be employed by TCRHCC and demonstrating to the satisfaction of TCRHCC that the applicant can perform the essential functions of the job
• Submission of all required employment-related documents, applications, resumes, references, and other required information free of false, misleading, or incomplete information, as determined by TCRHCC

MENTAL AND PHYSICAL EFFORT

The physical and mental 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.

Physical:

The incumbent must be able to walk several hundred yards quickly, write well, hear well (for cardiac examinations) and see well for complete diagnostic skills. Work requires prolong periods of regular and recurring standing and walking. This position requires the frequent ability to sit, drive, bend, climb, kneel, crouch, twist, maintain balance and reach. The incumbent will know how to use appropriate body mechanics and proper lifting techniques as needed to assist in set up and take down of equipment and clinic from the  mobile medical unit daily. The incumbent must be able to lift, push and pull up to 24 lbs. prolonged and up to 50 lbs. frequently and occasionally over 100 lbs. Work requires extensive driving between communities, ability to  sit for long periods of time on RV Mobile Medical unit. Must have ability of prolonged seeing fine details, hearing normal speech and telephone use. The Incumbent must be ability to frequently use near vision, far vision, color vision, depth perception, and hear overhead pages on a loudspeaker. Must have ability of bilateral hand manipulation-frequent use of simple and firm grasping, fine manipulation; and, prolonged use of a keyboard.

       Mental:

The interaction with emotionally disturbed patients is common. Also, must be able to work evenings on a regular basis and handle the stresses of rural medicine. Nurse Practitioner must be able to cope and manage stressful situations such as chronic or terminal illnesses, child or elderly abuse, and social issues or concerns among patients and families. Must be able to continuously concentrate, work alone, work in areas that are close and crowded, frequently cope with high levels of stress, make decisions under high pressure, manage altercation, handle multiple priorities in stressful situation, demonstrate high degree of patience, adapt to shift work, and occasionally cope with anger/fear/hostility of others in a calm way and handle high degree of flexibility. Must accept a flexible schedule to meet unit needs.

Environmental:

Work is performed in a clinic where exposure to infectious disease is common. May also frequently be exposed to chemical agents, dust, fumes, gases, extremes in temperature or humidity, hazardous or moving equipment, exposure to unprotected heights and loud noises.

Responsibilities

ESSENTIAL FUNCTIONS

Provides comprehensive diagnostic, preventative, and therapeutic health care services to patients either on the Mobile Van, or the Outpatient Clinic.

Direct Patient Care Services

1. Interviews, assesses, and evaluates patients to determine their physical condition and type of medical services needed, and orders initial diagnostic studies appropriate for the patient’s medical condition.
2. Performs a basic physical assessment using techniques of observation, inspection, auscultation, percussion, palpation and use of diagnostic instruments.
3. Discriminates between normal and abnormal findings to recognize early stages of serious physical, emotional, and mental problems.
4. Consults and collaborates with other health care professionals at Tuba City to establish health care plans and to review patient progress and response to therapy, including the use of written referrals to Community Health Nurses, specialty clinics, etc.
5. Adheres to medical regimens to stabilize chronically ill persons and adjusts regimens as clinically appropriate.
6. Documents visits in the Electronic Medical Record of patients including updating problem lists, medications, etc.
7. Makes decisions concerning medical care needs of patients consulting with physicians as appropriate.
8. Works collaboratively with physicians in the management of complex medical problems as appropriate.
9. Provides health care and preventive services to healthy individuals including immunizations, guidance in nutrition, common illnesses, accidents, substance abuse, exercise, and depression screening.
10. Educates patients and family members in ways to maintain or improve their health status.
11. Carries out treatments and procedures as required. Observes and documents changes in patient’s condition, reactions to medications and treatments.
12. Responsible for prescribing medications including computation of doses.
13. Performs other duties as assigned.

Administrative Tasks

14. Participates in planning, instituting, evaluating, and revising program plans, assists in determining conditions, resources, and policies essential to delivery of health care services.
15. Participates in performance improvement initiatives which may involve chart reviews.
16. Keeps abreast of the latest medical knowledge via CME as required by respective licensing agency.
17. Participates in hospital committees as assigned by supervisor.
18. Participates in a teaching capacity in the development of other health care workers.
19. Is responsible for electronic health records data entry pertinent to patient care.
20. Ensure proper PPE is always worn while on duty including but not limited to, face mask, gloves, gown, isolation gown, NIOSH-approved N95 filtering facepiece respirator or higher, if available), and eye or face shield.
21. Complete all donning and doffing tasks in a safe acceptable method and discard of used PPE accordingly. (see CDC website for most current updates)
22. Complete task training for all routine cleaning and decontamination processes for all surfaces contaminated by a communicable disease to ensure a high level of patient, visitor, employee, and external customer satisfaction.
23. Completes all patient care documentation in the electronic health record entries accurately and in real-time.
24. Participates in departmental workflow and or testing teams as related to electronic health record or other project initiatives
25. Performs other duties as assigned.