Nurse Practitioner PER DIEM, Family Medicine

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

Serves as nurse practitioner at the Tuba City Regional Health Care Corporation, Tuba City, Arizona, which involves performance of medical care services for patients in the Family Medicine outpatient clinic.

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
• Certification by the American Association of Nurse Practitioners

Experience:

• Must have a minimum of 2 years of clinical experience as a Nurse Practitioner.

Credentialing:

• Must meet additional requirements for credentialing and privileging for membership to the 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
• Ability to work effectively in a culturally diverse environment
• Possession of high ethical standards and no history of complaints
• Reliable and dependable; reports to work as scheduled without excessive absences
• Must possess excellent communication and interpersonal skills to optimize the care of patients
• Excellent clinical skills and judgment
• Is seen as a staff member who is trustworthy
• Is a mentor to colleagues and other organizational staff
• Responds effectively to sensitive inquiries or complaints
• 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:

Must be able to frequently walk several hundred yards quickly, sit, stand, and reach, occasionally bend and kneel. Must also be able to write well, hear well (for cardiac examinations) and see well for complete diagnostic skills. Sensory requirements are near vision, hearing normal speech, telephone use, frequent depth perception, hearing overhead pages and occasional far vision, color vision and seeing fine details.

Mental:

Interaction with emotionally disturbed patients is common.  Must be able to work evenings on a regular basis and handle the stresses of rural medicine. Must be able to continuously cope with high level of stress, make decisions under high pressure, concentrate, handle high degree of flexibility, demonstrate high degree of patience, adapt to shift work, frequently cope with anger, fear, hostility of others in a calm way, handle multiple priorities in stressful situation and occasionally work alone and work in areas that are close and crowded.

Environmental:

Work is performed in a clinic setting where exposure to infectious disease is common May have frequent exposure to chemical agents, occasional exposure to dust, fumes, gases, extremes in temperature or humidity, and loud noises.

Responsibilities

ESSENTIAL FUNCTIONS

Provides comprehensive diagnostic, preventative, and therapeutic health care services to adult patients.

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. 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.
21. 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.
22. Complete all donning and doffing tasks in a safe acceptable method and discard of used PPE accordingly. (see CDC website for most current updates)
23. 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.
24. Completes all patient care documentation in the electronic health record entries accurately and in real-time.
25. Participates in departmental workflow and or testing teams as related to electronic health record or other project initiatives
26. Performs other duties as assigned.