Physician Assistant or Nurse Practitioner

apartment Oregon Health & Science University location_onKlamath Falls, OR, US

Department Overview

Cascades East is located in Klamath Falls, Oregon, providing an incredible rural medicine experience. Residents enjoy numerous outdoor opportunities and the scenery of the Cascade mountain range. The clinic is a certified Patient Centered Primary Care Medical Home, with an emphasis on team-based care and innovation. Sky Lakes Medical Center, the hospital at which the Cascades East Family Medicine Center is based, is the only hospital for the Klamath Basin, which serves over 100,000 people. The combination of a strong medical community and populations with significant health care needs makes Klamath Falls a unique setting to practice primary care. Providers work within a collaborative interprofessional team to practice the full scope of family medicine, often caring for entire families from newborns all the way to grandparents.

The appointee shall provide services as assigned by the supervisor in furtherance of the university's missions and goals of teaching, research, patient care, outreach and public service.

Compensation for the position will be commensurate with experience and other rural practice sites.

Function/Duties of Position

The provider will be involved in eight half days with direct patient care, and the supervision of students and other university learners at the Cascades East Family Medicine Center. A half of a work day is provided for administration and a half of a work day is provided for scholarly activities. The expected work week for this position will be flexible with rotating Saturdays and some of the weekday hours would be in the evening.

The faculty member will be expected to have a strong commitment to developing the practice into a vibrant clinical and academic operation, which is successful from both a professional and business point of view.

The faculty member will be expected to participate in continuing education, professional and faculty development and scholarship.

The Duties Include

Work collaboratively with full and part time faculty to maintain an active practice
The Appointee will directly see patients in their clinic eight half days per week and have two half day’s available for administrative duties.
Expectations for number of patients seen per half day will be commensurate with that of other faculty and with minimum target numbers of 8-10 visits per half day depending on complexity of the patient population.
The Appointee will be expected to document using the electronic health record and maintain complete and timely patient care documentation consistent with OHSU and Cascade East Family Medicine Center and Sky Lakes Medical Center policies and procedures.
Be available for teaching activities.

Required Qualifications

Current Nurse Practitioner license for the state of Oregon, State of Oregon Nurse Practitioner Prescriptive Privileges, and DEA certification.
Current Physician Assistant license for the state of Oregon, Prescriptive privileges, and DEA certification.

Additional Details

This position also comes with great benefits! Some highlights include:

Comprehensive health care plans. Covered 100% for full-time employees and 88% for dependents for .9 FTE and higher.
$25K of term life insurance provided at no cost to the employee
Two separate above market pension plans to choose from
Paid time off- 208 hours per year (full-time)
Extended illness bank- 64 hours per year
9 paid holidays per year
Three weeks of paid parental leave
Adoption assistance program (up to 5k)
Substantial Tri-met and C-Tran discounts
Tuition Reimbursement
Innovative Employee Assistance Program (EAP)

All are welcome

Oregon Health & Science University values a diverse and culturally competent workforce. We are proud of our commitment to being an equal opportunity, affirmative action organization that does not discriminate against applicants on the basis of any protected class status, including disability status and protected veteran status. Individuals with diverse backgrounds and those who promote diversity and a culture of inclusion are encouraged to apply. To request reasonable accommodation contact the Affirmative Action and Equal Opportunity Department at 503-494-5148 or aaeo@ohsu.edu.

Share this job

Related Jobs

Full-time

Advanced Practice Provider

apartment Oregon Health & Science University location_onPortland, OR

Department Overview The Division of Trauma, Critical Care and Acute Care Surgery is one of the largest divisions within the Department of Surgery, comprised of a team of dedicated faculty in support of OHSU as a Level 1 trauma center. Our trauma surgeons provide expert care to the most seriously injured patients in the state, instruct future generations of trauma surgeons, and conduct research into improving and advancing the treatment of trauma patients. Its surgical critical care fellowship program sponsors four fellows each year. The trauma, critical care and acute care surgery advanced practice provider (APP) is a faculty member in the Division of Trauma, Critical Care & Acute Care Surgery. In this role, the selected candidate will work as part of a high-performing Trauma team in the Level I Trauma program at Oregon Health & Science University. The hospital is a tertiary referral center with a robust group of consultants and specialists. The selected candidate will fulfill a critical role on the Trauma team, providing patient care across the continuum. The appointee works in partnership with faculty physicians, fellows and residents to provide excellent clinical care and customer service to patients; works in conjunction with physician faculty and OHSU leadership to provide services to further the University’s missions and goals of teaching, research, patient care, and public service as well as the department’s and OHSU’s goal of providing effective and efficient care. This position will work cooperatively with nursing staff to provide education, continuity, and quality improvement initiatives. Function/Duties of Position Clinical Responsibilities Provide medical and advanced practice management independently and/or in conjunction with attending physicians. Works in conjunction with attending physicians to provide continued clinical care in the inpatient and outpatient settings. Communicate with attending physicians, patients and families regarding patients’ conditions, treatment plans, and urgent medical needs. Assure appropriate setting of care (inpatient, critical care, acute care) Document subjective and objective findings, assessment and plan clearly and accurately in daily progress notes. Identify discharge needs early and communicate plan to patients, families, nurse case manager, and other healthcare team members. Work with nurses, social workers, nutrition services, pharmacy and others as needed to assure optimum patient care. Make appropriate referrals to specialty care service within OHSU and outside of OHSU. Consult with specialty care providers when appropriate. Maintain communication with external providers and other individuals and agencies (e.g. skilled nursing facilities) as appropriate. Perform clinical procedures as indicated (e.g. central venous access, chest drains, intubation) Adheres to best practice protocols and policies Respond to and manage adverse infusion reactions and other emergencies, and Review patient labs and physical conditions in order to override treatment parameters as appropriate. Ordering as needed (PRN) medications. Review urgent EKG’s, imaging, laboratory studies and other ancillary tests prior to start of treatment. Review investigational study EKG’s, imaging, labs and other ancillary tests prior to start of treatment. Provide consultation to OTU nurses. Consult with pharmacists on treatment changes and PRN medications. Education Support OHSU’s academic missions by participating in the design, development and assessment of program curricula for professional specialty area; including course objectives, instructional methods, learning outcomes, projects and assessment measures. Assist in meeting the educational needs of staff, residents, fellows, students, patients, family members, and others as appropriate. Collaborate with OHSU team members to establish or revise clinical pathways and patient education materials. Attends and participates in Grand Rounds, trauma conferences, fellow lectures, national conferences and other learning opportunities as available. Quality And Research Work with clinic and hospital staff to optimize order sets, patient instructions, and other infrastructure that supports patient care. Identify and engage in opportunities to improve the quality and efficiency of care provided to trauma patients. Promote use of appropriate research findings in practice to exceed the standards of care. Work with the physician leadership, nurse managers, nursing staff and social workers to prevent and/or respond to patient complaints. Effectively manage resources. Participate as coinvestigator in clinical research studies. PA Qualifications Required Qualifications Completion of an accredited Physician Assistant training program. Current registration with the Oregon Board of Medical Examiners as a licensed Physician Assistant. Current ACLS certification. DEA certification. Interest in learning advanced clinical skills required to practice in the ICU environment. NP Qualifications Master Degree in Nursing or Master of Science in Nursing in the speciality of Acute Care Nurse Practitioner (ACNP) from an accredited program. Current RN and NP licensure with the Oregon State Board of Nursing. Current ANCC Board Certification. Current ACLS certification. DEA certification Interest in learning advanced clinical skills required to practice in the ICU environment. Preferred Qualifications 3-5 years of RN or NP experience in critical care; preference for trauma or surgical critical care experience. Additional Details The shift length is set at an average of 13 hours 3 times per week that includes weekends and holidays. All are welcome Oregon Health & Science University values a diverse and culturally competent workforce. We are proud of our commitment to being an equal opportunity, affirmative action organization that does not discriminate against applicants on the basis of any protected class status, including disability status and protected veteran status. Individuals with diverse backgrounds and those who promote diversity and a culture of inclusion are encouraged to apply. To request reasonable accommodation contact the Affirmative Action and Equal Opportunity Department at 503-494-5148 or aaeo@ohsu.edu.

Full-time

Physician Assistant or Nurse Practitioner

apartment Oregon Health & Science University location_onKlamath Falls, OR

Department Overview Cascades East is located in Klamath Falls, Oregon, providing an incredible rural medicine experience. Residents enjoy numerous outdoor opportunities and the scenery of the Cascade mountain range. The clinic is a certified Patient Centered Primary Care Medical Home, with an emphasis on team-based care and innovation. Sky Lakes Medical Center, the hospital at which the Cascades East Family Medicine Center is based, is the only hospital for the Klamath Basin, which serves over 100,000 people. The combination of a strong medical community and populations with significant health care needs makes Klamath Falls a unique setting to practice primary care. Providers work within a collaborative interprofessional team to practice the full scope of family medicine, often caring for entire families from newborns all the way to grandparents. The appointee shall provide services as assigned by the supervisor in furtherance of the university's missions and goals of teaching, research, patient care, outreach and public service. Compensation for the position will be commensurate with experience and other rural practice sites. Function/Duties of Position The provider will be involved in eight half days with direct patient care, and the supervision of students and other university learners at the Cascades East Family Medicine Center. A half of a work day is provided for administration and a half of a work day is provided for scholarly activities. The expected work week for this position will be flexible with rotating Saturdays and some of the weekday hours would be in the evening. The faculty member will be expected to have a strong commitment to developing the practice into a vibrant clinical and academic operation, which is successful from both a professional and business point of view. The faculty member will be expected to participate in continuing education, professional and faculty development and scholarship. The Duties Include Work collaboratively with full and part time faculty to maintain an active practice The Appointee will directly see patients in their clinic eight half days per week and have two half day’s available for administrative duties. Expectations for number of patients seen per half day will be commensurate with that of other faculty and with minimum target numbers of 8-10 visits per half day depending on complexity of the patient population. The Appointee will be expected to document using the electronic health record and maintain complete and timely patient care documentation consistent with OHSU and Cascade East Family Medicine Center and Sky Lakes Medical Center policies and procedures. Be available for teaching activities. Required Qualifications Current Nurse Practitioner license for the state of Oregon, State of Oregon Nurse Practitioner Prescriptive Privileges, and DEA certification. Current Physician Assistant license for the state of Oregon, Prescriptive privileges, and DEA certification. Additional Details This position also comes with great benefits! Some highlights include: Comprehensive health care plans. Covered 100% for full-time employees and 88% for dependents for .9 FTE and higher. $25K of term life insurance provided at no cost to the employee Two separate above market pension plans to choose from Paid time off- 208 hours per year (full-time) Extended illness bank- 64 hours per year 9 paid holidays per year Three weeks of paid parental leave Adoption assistance program (up to 5k) Substantial Tri-met and C-Tran discounts Tuition Reimbursement Innovative Employee Assistance Program (EAP) All are welcome Oregon Health & Science University values a diverse and culturally competent workforce. We are proud of our commitment to being an equal opportunity, affirmative action organization that does not discriminate against applicants on the basis of any protected class status, including disability status and protected veteran status. Individuals with diverse backgrounds and those who promote diversity and a culture of inclusion are encouraged to apply. To request reasonable accommodation contact the Affirmative Action and Equal Opportunity Department at 503-494-5148 or aaeo@ohsu.edu.

Outpatient

Full-time

Neurological Surgery Advanced Practice Provider - Primary Outpatient

apartment Oregon Health & Science University location_onPortland, OR

Department Overview As Oregon’s only academic health center, OHSU integrates education, research, patient care, and community service to improve the well-being of Oregonians. The Department of Neurological Surgery delivers comprehensive care for patients with brain, spinal cord, and peripheral nerve conditions at OHSU and Doernbecher Children’s Hospital. Our surgeons combine deep expertise with advanced technology and a patient-centered approach. The department is nationally recognized for pioneering innovations, including North America's first deep brain stimulation surgery and the world’s first neuronal stem cell transplants. We house leading neurosurgical training programs and advanced fellowships and contribute significant research on pain perception and cerebral blood flow. The Department of Neurological Surgery in the OHSU School of Medicine is a safe, respectful and welcoming place for people of all races, cultures, ethnicities, genders, national origins, abilities, ages, colors, religions, and sexual orientations. We are committed to creating a respectful, inclusive, and equitable work environment. Diversity is a core value, and all members participate in ongoing education and initiatives to support equity and inclusion within OHSU and the communities we serve. The Advanced Practice Provider (APP) is a practitioner certified through the Oregon State Board of Nursing (NP) and authorized to practice within the parameters described in Division 50 of the Oregon Nurse Practice Act (Oregon Revised Statute Chapter 678) or is a Physician Assistant licensed to practice by the Oregon Medical Board (PA). The APP is credentialed by the Credentials Committee and approved by the Professional Board of OHSU and other locations as required to practice in the hospital setting and to perform such procedures as authorized by the Credentials Committee and by the Professional Board. The APP is authorized to prescribe medications according to the state and federal guidelines and laws. This faculty position specializes in caring for adult patients with neurological disorders and is primarily responsible for outpatient clinical care as well as other clinical operations within the Department of Neurological Surgery. The role involves independent patient care, procedural work, care coordination and administrative tasks, and educational contributions. The APP collaborates closely with faculty physicians, APP colleagues, and others in the interdisciplinary team to ensure the highest standards of patient care and service. The APP will support OHSU’s missions including teaching, research, patient care, outreach, and public service. Primary location: OHSU Main Campus at Marquam Hill and Center for Health and Healing South Waterfront campuses. Schedule: Four 10-hour days, Monday through Friday, with occasional evening/weekend coverage as needed. Function/Duties of Position Clinical Care Primarily in the outpatient environment, evaluate new and returning patients, including pre-operative assessments and post-operative follow-up. Manage complex medical care, including wound care, chronic follow-up, and unscheduled visits. Develop and coordinate patient care plans with faculty and house staff to ensure continuity and quality of care. Perform neurosurgical procedures according to protocol and competency training. Perform administrative and unscheduled patient care. Respond promptly to patient/family inquiries (phone, MyChart, letters), collaborating with team members such as nurses, APPs and physicians to resolve clinical concerns. Prescribe medications (short- and long-term) and respond to peer-to-peer insurance requests for imaging or prescriptions. Utilize telemedicine and virtual care platforms as appropriate per OHSU policies and payer guidelines. Identify urgent clinical situations and respond autonomously and effectively, including providing situational resuscitation and emergency treatment. Care Coordination & Communication Coordinate with interdisciplinary teams, including outpatient staff and other APPs, to ensure streamlined, patient-centered care. Collaborate with surgeons, physicians, and external providers to optimize patient outcomes. Triage patient calls, messages, and requests and determine the appropriate plan of care for new or returning patients within the practice. Educate house staff and clinic medical teams on care plans and best practices to improve patient outcomes. Patient and Family Education Contribute to patient and family education, including development and presentation of educational materials. Provide condition-specific education and counseling to patients and families. Use available educational materials and resources to promote patient understanding and self-management. Program Development, Teaching & Quality Improvement Engage in continuous process improvement, adhering to OHSU policies, service standards, and regulatory guidelines. Participate in quality improvement initiatives, program development, and staff development activities. Teach neurosurgical principles, procedures, and patient care to medical students, house staff, nurses, and support staff. Contribute to hospital accreditation efforts and maintain knowledge of compliance standards. Required Qualifications Deliver high-quality customer service to patients, families, faculty, staff, referring providers, and other stakeholders. Collaborate with department leaders to uphold service standards, policies, and regulations, ensuring patient care excellence. Exhibit strong interpersonal and communication skills, excelling in a dynamic, team-oriented environment. Demonstrate clinical experience with the ability to perform comprehensive history and physical examinations. Strong multi-tasking, prioritization, and organizational skills. Excellent interpersonal, communication, and customer service skills. Proven ability to function effectively and problem-solve as a team member in a complex healthcare environment. Ability to manage complex patient care, prioritize tasks, and work effectively as part of a multidisciplinary team. Clinical experience as an APP. Education & Licensure For Physician Associate (PA) Candidates: Current Oregon licensure through the Oregon Medical Board. Current active Drug Enforcement Administration (DEA) registration and prescriptive authority. OHSU is a DEA fee-exempt institution. Current National Commission on Certification of Physician Associates (NCCPA) certification. For Nurse Practitioner (NP) Candidates Current Oregon licensure through the Oregon State Board of Nursing. Authorized practice within Division 50 of the Oregon Nurse Practice Act (ORS Chapter 678). Current active Drug Enforcement Administration (DEA) registration and prescriptive authority. OHSU is a DEA fee-exempt institution. Acute Care NP certification may be required. Preferred Qualifications Neurosurgical or surgical specialty experience. Skilled in conducting comprehensive history and physical examinations. Experience in outpatient procedural care. All are welcome Oregon Health & Science University values a diverse and culturally competent workforce. We are proud of our commitment to being an equal opportunity, affirmative action organization that does not discriminate against applicants on the basis of any protected class status, including disability status and protected veteran status. Individuals with diverse backgrounds and those who promote diversity and a culture of inclusion are encouraged to apply. To request reasonable accommodation contact the Affirmative Action and Equal Opportunity Department at 503-494-5148 or aaeo@ohsu.edu.

Full-time

Advanced Practice Provider

apartment Oregon Health & Science University location_onPortland, OR

Department Overview The Advanced Practice Provider (APP) serving as the Vascular Surgery provider is a faculty member credentialed and privileged to serve as a licensed independent practitioner and is a member of the Oregon Health & Science University (OHSU) Professional Staff practicing in accordance with the respective bylaws. Our specialized vascular surgery team focuses on treating patients with diseases of the arteries, including carotid artery disease, aortic aneurysms, peripheral artery disease, and vein problems. Our population includes patients with atherosclerotic disease, end-stage renal disease, and genetic aortopathies. As part of an academic medical center, our vascular physicians are at the forefront of diagnosing aortic, arterial, venous, and other vascular diseases. This entails a blend of up-to-date medical practices, collaborative decision-making, and rigorous follow-up care. Regardless of the complexity of their condition, every patient can expect a patient-centered and personalized care plan. This dedication to clinical innovation ensures we consistently deliver the highest level of patient care. The Vascular Surgery APP has the primary responsibility of direct patient care within an inpatient setting for patients admitted to the Vascular Surgery Service and other services with vascular surgery consultation needs. The Vascular Surgery APP is responsible for partnering with the patient and family and nurse case manager to impact timely and effective discharges and patient flow; impact patient and family experience through communication and education; mentor residents, clinical nurses, and others; promote an interdisciplinary approach to care; support new processes to improve patient outcomes; participate in quality improvement processes; develop pathways and protocols to standardize care. As the service evolves and expands, there will be opportunities to practice in outpatient vascular surgery and wound care settings. The ideal candidate will be interested in joining a thriving and collaborative academic practice caring for patients requiring highly complex care. We strongly encourage participation in national Vascular conferences and research endeavors. In addition to key job responsibilities, qualifications and other job requirements listed below, the Vascular Surgery APP is expected to comply with scope of practice, other laws, regulations, OHSU policy, and other applicable professional standards of practice. Hours Inpatient service: 12-hour daytime shifts, 3 days a week. 4 hours of administrative time per week. Outpatient service: 10-hour daytime shifts – 4 days a week Function/Duties of Position Clinical Activities (not related to teaching or research): Assure the safe, efficient, high-quality quality and patient-centered management of care to patients with vascular disease, including but not limited to completing a comprehensive assessment of the patient’s status; developing, monitoring, and revising, as appropriate, an evidence-based treatment plan that addresses diagnoses, patterns of disease, risk factors, and treatment alternatives; treat many common acute and chronic health problems; interpret diagnostic tests, prescribe and manage medications and other therapies, provide health teaching with an emphasis on prevention of illness and health maintenance; and, refer patients to other healthcare professionals as necessary. Responsibilities Collaborate with interdisciplinary healthcare teams to diagnose and treat vascular surgery patients primarily in an inpatient environment. Perform comprehensive histories and physical exams, identifying normal and abnormal findings, including physical, cognitive, and psychosocial status. Write accurate and timely progress notes, procedure notes, and admission and transfer orders. Order, perform, and interpret screening and diagnostic procedures and tests, and effectively communicate and document information. Perform procedures beyond core duties as identified by the vascular surgery services, such as wound and drain management. Facilitate communication among patients, families, and staff to promote continuity of care across the healthcare continuum. Evaluate quality outcomes for patients receiving care from this team by participating in the development of quality indicators and outcomes dashboard. Stay informed about current developments and trends in vascular surgery educational programs, in-services, professional associations, and current literature. Develop expertise in coordinating and delivering care to patients on the vascular surgery service. Collaborate with cross-department specialty care teams and primary care providers in providing consultative care for patients with vascular surgery needs. Scholarly Activities (improvement science, research, writing, abstracts, grant supported work, presentations, etc.): Keep abreast of changes in field and applies knowledge to identify and recommend enhancements to clinical quality, patient experience/satisfaction, length of stay and to achieve improvement that demonstrates a higher standard of care. Assesses and recommends initiatives to improve performance indicators related to patient experience, quality, and costs. Professional development meeting the expectations of ongoing certification. Demonstrates success or productivity in the field as evidenced by securing research funding, publication in journals and/or other forms of peer presentations. Teaching/ Clinical Supervision: Support OHSU’s academic missions by participating in the design, development, and assessment of program curricula for professional specialty area; including course objectives, instructional methods, learning outcomes, projects, and assessment measures. Teach program courses as needed according to specified learning outcomes; academic advising and career related counseling for students; monitoring student retention and identifying and assisting at-risk students. May serve as the faculty of record and principle contact for PA/NP students and evaluate the student’s performance. Deliver individual instruction to fellows, residents, and other clinical learners to support their personal program of learning in the applicable specialty area. Provide instruction and review of the practices, policies, and procedures in a variety of functions; including but not limited to development of treatment plans, interpretation of clinical diagnostic data; developing orders; patient and family communication and education; management of medical equipment, electronic medical records; performing procedures, and transitioning patients to the next level of care. Assures adherence to the specialty specific protocols, best practices, quality, and organizational indicators. Provides APP input to the residents’ performance as a provider in the clinical setting. Required Qualifications Master’s Degree as required by specific Advanced Practice Provider role. Registration with the Oregon Board of Medical Examiners as a licensed Physician Assistant, or a Nurse Practitioner license from the Oregon Board of Nursing; Drug Enforcement Association certification required. All are welcome Oregon Health & Science University values a diverse and culturally competent workforce. We are proud of our commitment to being an equal opportunity, affirmative action organization that does not discriminate against applicants on the basis of any protected class status, including disability status and protected veteran status. Individuals with diverse backgrounds and those who promote diversity and a culture of inclusion are encouraged to apply. To request reasonable accommodation contact the Affirmative Action and Equal Opportunity Department at 503-494-5148 or aaeo@ohsu.edu.

Full-time

Advanced Practice Provider

apartment Oregon Health & Science University location_onPortland, OR

Department Overview The Advanced Practice Provider (APP) is a faculty member credentialed and privileged to serve as a Nurse Practitioner (NP) in a respective Specialty area; i.e., Certified Nurse Anesthetist (CRNA), Certified Nurse Midwife (CNM), Clinical Nurse Specialist (CNS), or a Physician Associate (PA). The APP is a member of the OHSU Professional Staff practicing in accordance with the respective bylaws. The APP delivers preventive, primary and acute healthcare services to individuals of all ages; provide advanced education to students, peers and others; and, contribute to new knowledge and/or technology by conducting or participating in research. Departments have flexibility to hire either a Nurse Practitioner or Physician Assistant. The determination of whether to engage a Nurse Practitioner or Physician Assistant is dependent on a variety of factors, including but not limited to the Department’s need, availability of qualified candidates, and the medical or surgical specialty requirements for the job. Position specialty information follows in Section 3 below. In addition to key job responsibilities, qualifications and other job requirements listed below, the APP is expected to comply with scope of practice, other laws, regulations, OHSU policy, and other applicable professional standards of practice. The APP job search may be managed as a multi-level recruitment, e.g. recruit generically for an APP with their attendant professional credentials. This approach allows the hiring manager to consider Nurse Practitioner and Physician Assistant candidates, assuming the position can be managed by either qualified professional. In addition to basics set forth herein, specific position requirements may vary by department and those should also be included in the job posting. The Pre Operative Medicine Nurse Practitioner (NP) position reports to the Nurse Manager and the Medical Director of the Pre Op Medicine Clinic (PMC). The PMC NP functions under and is held accountable to the Professional Practice Standards for Nurse practitioners. Function/Duties of Position Job Key Responsibilities And Performance Expectations Patient Care: Assure the safe, efficient, high quality and customer oriented management of patient care to identified patient populations, including but not limited to completing a comprehensive assessment of the patient’s status; developing, monitoring and revising, as appropriate, an evidence-based treatment plan that addresses diagnoses, patterns of disease, risk factors, and treatment alternatives; treat many common acute and chronic health problems; interpret diagnostic tests prescribe and manage medications and other therapies, provide health teaching with an emphasis on prevention of illness and health maintenance; and, refer patients to other healthcare professionals as necessary. The PMC NP performs preoperative risk assessment on pre surgical patients by obtaining an H and P and ordering appropriate diagnostic studies and laboratory tests. He/she will collaborate with other members of the team regarding pre-op instructions, medication management, and patient education. The NP is expected to function independently but also work in close collaboration with providers from other departments (cardiology, anesthesiology, internal medicine, etc.) to coordinate medical optimization of the patient prior to surgery. This includes but is not limited to following up on lab tests, cardiac testing, referrals to other specialties and documenting plan of care in EMR. NPs also communicates with the surgical team (surgeons, surgery schedulers) when necessary to share concerns about patient readiness for scheduled surgeries. Timely, focused documentation with the referring surgeon, PCP and anesthesiologist when appropriate to ensure quality patient care. The NP will review the patient’s history, via patient’s verbal report and the review of previous medical records from internal and external sources, and perform a complete physical exam on each patient- including but not limited to auscultation of the heart and lungs. Consistent patient education about good preparation for surgery. Documentation in the EMR of the clinical assessment will be executed according to documentation standards for licensed providers at OHSU. Chart documentation will be accurate and timely. The NPs will perform peer reviews on a yearly basis. This is a requirement of the academic staff . The NP staff will perform peer chart audits according to the chart audit program in PMC. The PMC medical director will review peer chart audits and provide the NPs with feedback about documentation completeness. Charts will be forwarded to coding professionals for billing. All encounters will be closed by the end of the work day and submitted for billing within 24 hours of patient encounter. These nurse practitioners are billing for services rendered. PMC NPs are responsible for reviewing and signing off on the documentation and medication/allergy review of all medical assistant staff. The NP as assigned will be asked to cover for the Nurse Manager during vacations and/or extended illness. Education: Support OHSU’s academic missions by participating in the design, development and assessment of program curricula for professional specialty area; including course objectives, instructional methods, learning outcomes, projects and assessment measures. Teach program courses as needed according to specified learning outcomes; academic advising and career related counseling for students; monitoring student retention and identifying and assisting at-risk students. May serve as the faculty of record and principle contact for extern placements and student’s performance at the assigned site. Clinical Supervision: Deliver individual instruction to support fellows’, residents’ and interns’ (these are all residents with their personal program of learning in the applicable specialty area. Provide instruction and review of the practices, policies and procedures in a variety of functions; including but not limited to development of treatment plans, interpretation of clinical diagnostic data; developing orders; patient and family communication and education; management of medical equipment, electronic medical records; performing procedures, and transitioning patients to the next level of care. Assures adherence to the specialty specific protocols, best practices, quality, and organizational indicators. Provides input to the performance of the resident as a provider in the clinical setting. The PMC NP provides clinical instruction and supervision for CRNA students and residents related to the preoperative assessment and risk stratification. Performance Improvement: Keep abreast of changes in field and applies knowledge to identify and recommend enhancements to clinical quality, patient experience/satisfaction, length of stay and to achieve improvement that demonstrates a higher standard of care. Assesses and recommends initiatives to improve performance indicators related to patient experience, quality, and costs. The NP will attend monthly NP PMC QI meetings. The NP will be required to select a clinical topic and present his/her topic, via a power point presentation, at these monthly meetings. The PMC NP may be asked to participate in special projects as assigned by the medical director and or clinic manager. The focus on these projects may include but will not be limited to improving quality of patient care, clinic work flow and/ or customer service. OHSU Clinic support is provided (conference days/financial support-see PMC NP Continuing Education policy) to enhance professional development of the NP staff. NPs are encouraged to participate in continuing education opportunities such as classes and conferences at least once a year. Research: Fosters advances in healthcare by participating in research activities in specialty area; including but not limited to identifying protocols to improve care delivery; contributing to development of new drugs to effectively treat disease; performing clinical trials using human or animal subjects to determine the effectiveness and effects of pharmaceuticals. Demonstrate success or productivity in the field as evidenced by securing research funding, publication in journals and/or other forms of peer presentations. PMC NP will initiate and participate in formal research projects. Required Qualifications Master’s degree or Doctorate from an accredited graduate school of nursing. Current unencumbered Oregon Nurse Practitioner license with Prescriptive Privileges and DEA license Ability to fulfill responsibilities for the specific role of an Advanced Practice Provider Demonstrated ability to satisfy standards of performance delineated by law and associated professional practice standards, the latter set forth as an addendum to the position description. Ability to manage heavy workload with multiple priorities and inflexible deadlines. Ability to communicate effectively verbally and in writing. Proficient in the use of computing hardware and software, including personal computing equipment, electronic medical record, word processing and spreadsheet software. Regular and consistent attendance at work Strong cardiology knowledge base Current licensure as required by specific Advanced Practice Provider governing board(s). ANCC, AANP Board Certification BLS Certification. OHSU Credentialing completed within 90 days of hire Current prescription privileges and DEA license Recent graduates of a NP program will be considered IF the following requirements are met: a minimum of 5 years RN experience in one of the following areas: ER, ICU, Peri OP (Pre Op and/or PACU) or internal medicine (inpatient or ambulatory) Ability to be an accountable, communicative member of a team made up of a MDs, other NPS, RNs and MAs Credentialing process completed within 90 days of hire. New NP graduates -must obtain national certification within 60 days of hire Demonstrated strong service excellence skills Preferred Qualifications 3 – 5 years clinical experience as an Advanced Practice Provider. Previous experience with Epic and/or Centricity Computer/word processing skills. Experience with the AIDET service excellence process. Credentialed at OHSU-current National certification- current Additional Details Hours vary. Frequent interruptions in an evironment of frequent change and fluctuations. May be exposed to excessive auditory and visual stimulation. May be required to attend out of town conferences according to hospital travel and reimbursement policicies. May be exposed to body fluids, tissue, possible radiation exposure, and infectious processes. Subject to computer work for several hours, as needed. Able to use all appropriate patient care equipment and office equipment within work area. Standing: On concrete, vinyl, or carpeting up to 4 hours per day and intermittently. Sitting: Chair or stool continuous up to 8 hours per day and intermittently. Changing Position: Intermittently, as needed. Walking: Inermittently up to 4 hoursper day on concrete, vinyl, and carpeting. Carrying: Up to 50 pounds (supplies, equipment, books, papers, etc) for intermittent periods and distances. Lifting: Up to 50 pounds (patients, equipment, supplies, books, etc) Intermittent throughout the day. Pushing/Pulling: Up to 100 pounds, intermittent, throughout the day. Bending: From the waist and knees, frequently throughout the day. Reaching/Handling: Fine manipulation, repetitive, gross motor requiring full ROM in upper extremeties, including overhead reaching. Twisting: All ROM required, intermittent periods, throughout the day. Climbing: Staircase, intermittently throughout the day. All are welcome Oregon Health & Science University values a diverse and culturally competent workforce. We are proud of our commitment to being an equal opportunity, affirmative action organization that does not discriminate against applicants on the basis of any protected class status, including disability status and protected veteran status. Individuals with diverse backgrounds and those who promote diversity and a culture of inclusion are encouraged to apply. To request reasonable accommodation contact the Affirmative Action and Equal Opportunity Department at 503-494-5148 or aaeo@ohsu.edu.