NP Outpatient Full-time
Tuba City Regional Healthcare

Nurse Practitioner, Family Medicine. Echo Cliffs - $25K Sign On Bonus

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 Echo Cliffs Clinic, Bodaway, 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 Acute Care Nursing (RN) experience.

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

  1. Participates in planning, instituting, evaluating, and revising program plans, assists in determining conditions, resources, and policies essential to delivery of health care services.
  2. Participates in performance improvement initiatives which may involve chart reviews.
  3. Keeps abreast of the latest medical knowledge via CME as required by respective licensing agency.
  4. Participates in hospital committees as assigned by supervisor.
  5. Participates in a teaching capacity in the development of other health care workers.
  6. Is responsible for electronic health records data entry pertinent to patient care.
  7. 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.
  8. 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.
  9. Complete all donning and doffing tasks in a safe acceptable method and discard of used PPE accordingly. (see CDC website for most current updates)
  10. 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.
  11. Completes all patient care documentation in the electronic health record entries accurately and in real-time.
  12. Participates in departmental workflow and or testing teams as related to electronic health record or other project initiatives
  13. Performs other duties as assigned.

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Responsibilities include conducting thorough patient assessments, developing and implementing individualized treatment plans, prescribing medications, coordinating care across specialties, and educating patients to support long-term wellness and self management. The APP will work closely with physicians, nursing staff, and interdisciplinary team members to ensure seamless continuity of care and outstanding patient experiences -fully aligned with the Cleveland Clinic's mission of putting patients first. This position offers an excellent work-life balance with a predictable outpatient schedule and no weekend or holiday requirements. Option to work 4-10hr shifts or 5-8hr shifts. Practice Location: Akron General Family Medicine, Doylestown 5225 Wooster Rd West Norton , Ohio 42203 West Norton, Ohio is a quiet, residential community in Summit County known for its convenient access to Akron and surrounding areas. The area offers a suburban feel with nearby parks, local amenities, and easy connectivity to major roadways, making it an ideal location for professionals seeking a balance between work and a relaxed lifestyle Nationally certified Advanced Practice Provider who provides primary and/or specialty care in a variety of healthcare settings. Functions in collaboration with the health care team in accordance with certification and licensure. Practice emphasizes health promotion, disease prevention and the diagnosis and treatment of acute and chronic health problems. Responsible for dissemination of knowledge through instructing, leading and developing educational programs. Responsibilities: Conducts thorough medical histories, performs complete physical examinations (where indicated), initiates appropriate lab, radiology tests or other special tests required for evaluation of illness, and scrutinizes lab data to establish a record of the patient's current health status and to develop a working diagnosis and treatment plan. Works in collaboration with the health care team. Performs and interprets common laboratory, radiologic, cardiographic and other routine diagnostic procedures used to identify pathophysiologic processes as credentialed and privileged by the Medical Executive Committee and the Governing Body of the applicable hospitals. Performs routine and specialized procedures as credentialed and privileged by the Medical Executive Committee and the Governing Body of the applicable hospitals. May prescribe and monitor medications as allowed by license through applicable state board and Cleveland Clinic policies. Educates patients and answers questions regarding their disease, treatments, related drug and treatment side effects and hazards. Participates in medical team rounds; collaborates with nursing, medical and other healthcare team members regularly to ensure quality patient care. Refers patients to specialists as appropriate for consultation or for specialized health resources and treatment. Ensures continuity of care by serving as a liaison between patient and other members of the multi-disciplinary care team or with other specialty areas as necessary. Participates in quality monitoring thru the review of records and treatment plans for patient outcomes on a periodic basis to assure quality care. Facilitates appropriate length of stay, discharge planning and compliance with regulatory standards for inpatient management. Supports professional development of the health care team. Promotes translation of evidence-based practices, guidelines, and research. May conduct research studies. May assists in data collection and analysis. May serve as clinical preceptor for students. May onboard new caregivers. Other duties as assigned. Languages: Oral and written communication in English Education: APRN Effective 05/01/2014: MSN required upon hire or within 3 years of hire for external hires and internal hires moving from a non-APRN licensed role to an APRN licensed role. Graduate of an accredited APRN program. If in neonatal care service area Master’s Degree is required upon hire. PA Graduate of an A.R.C. approved Physician Assistant Program. Master’s degree in Physician Assistant Studies and/or higher degree obtained from a program recognized by their practicing states Licensing Board. Certifications: NP Currently licensed as a Nurse Practitioner in applicable state(s). Must be licensed as an RN in applicable state(s). National certification as a Nurse Practitioner by nationally accredited organization recognized by state Board of Nursing. Basic Life Support (BLS) through the American Heart Association (AHA) required. Advanced Cardiac Life Support (ACLS) or Pediatric Advanced Life Support (PALS) through the American Heart Association (AHA); or Neonatal Resuscitation Program (NRP) through the American Academy of Pediatrics (AAP) may be required based upon work setting. Must have arrangements with at least one physician in accordance with requirements set forth by the State Board of Nursing in applicable states. Must be credentialed and privileged by the Medical Executive Committee and the Governing Body of the applicable hospitals. PA Certification as a Physician Assistant through the NCCPA or successor organization recognized by their practicing states Licensing Board. License to practice and prescribe issued by their practicing states Licensing Board. Current DEA License or DEA designee as required by NCQA. Basic Life Support (BLS) through the American Heart Association (AHA) required. Advanced Cardiac Life Support (ACLS) or Pediatric Advanced Life Support (PALS) through the American Heart Association (AHA); or Neonatal Resuscitation Program (NRP) through the American Academy of Pediatrics (AAP); or Advanced Trauma Life Support (ATLS) American Heart Association may be required based upon work setting. If a candidate has held a license to prescribe within another jurisdiction and needs to obtain a master's degree in order to apply for prescribing privileges the candidate will be subject for review for eligibility for hiring within our system. Must have a Physician Supervision Agreement and signed addendum to Physician Supervision Agreement. Must be credentialed and privileged by the Medical Executive Committee and the Governing Body of the applicable hospitals. CNS Currently licensed as a Clinical Nurse Specialist in applicable state(s). Must be licensed as an RN in applicable state(s). National certification as a Clinical Nurse Specialist by nationally accredited organization recognized by state Board of Nursing. Basic Life Support (BLS) through the American Heart Association (AHA) required. Advanced Cardiac Life Support (ACLS) or Pediatric Advanced Life Support (PALS) through the American Heart Association (AHA); or Neonatal Resuscitation Program (NRP) through the American Academy of Pediatrics (AAP) may be required based upon work setting. Must have arrangements with at least one physician in accordance with requirements set forth by the State Board of Nursing in applicable states. Must be credentialed and privileged by the Medical Executive Committee and the Governing Body of the applicable hospitals Complexity of Work: Excellent analytical and decision-making skills are required. Strong written and verbal communication skills. Ability to work as a member of a multi-disciplinary team. Demonstrated competency and the ability to perform advanced assessment and diagnosis. Demonstrated ability to utilize the electronic medical record. Demonstrates a high standard of moral and ethical behavior. Demonstrates compassion and professionalism and a commitment to excellent patient care. Requires critical thinking skills, decisive judgement, and the ability to work independently. Must be able to work in a stressful environment and take appropriate action. Work Experience: Related clinical experience preferred. Physical Requirements: Typical physical demands include the ability to walk and stand for long periods of time. Manual and finger dexterity and eye/hand coordination to perform physical examinations. Requires corrected vision and hearing to a normal range. Occasionally lifts and carries items weighing up to 50 pounds. May require exposure to communicable diseases and/or body fluids. Personal Protective Equipment: Follows standard precautions using personal protective equipment as required. The policy of Cleveland Clinic Health System and its system hospitals (Cleveland Clinic Health System) is to provide equal opportunity to all of our caregivers and applicants for employment in our drug free environment. All offers of employment are followed by testing for controlled substances. Cleveland Clinic Health System administers an influenza prevention program. You will be required to comply with this program, which will include obtaining an influenza vaccination on an annual basis or obtaining an approved exemption. Decisions concerning employment, transfers and promotions are made upon the basis of the best qualified candidate without regard to color, race, religion, national origin, age, sex, sexual orientation, marital status, ancestry, status as a disabled or Vietnam era veteran or any other characteristic protected by law. Information provided on this application may be shared with any Cleveland Clinic Health System facility. If applying for a Florida position, please see the following website for more information on the background screening requirements required by the Agency of Health Care Administration: https://info.flclearinghouse.com/ Please review the Equal Employment Opportunity poster . Cleveland Clinic is pleased to be an equal employment opportunity employer.