*FAMILY HEALTH NETWORK OF CNY, INC.*
*Physician’s Assistant/Nurse Practitioner*
*Title:* Physician’s Assistant/Nurse Practitioner
*Reports To*: Chief Medical Officer
*Supervision Exercised: *None
*Schedule:* Follows school schedule including summers off & all school holidays; Working Mon, Tues, Thurs, Fri (7:45am-3:15pm); Opportunity to work in health centers throughout the summer for additional pay!
*Qualifications*: Graduate from AMA or Nurse Practitioner certifying organization approved Physician’s Assistant or accredited Nurse Practitioner program. Maintain current registration (licensure) with State Education Department of New York State. Maintain appropriate AAPA/ANA certification. Must work effectively and efficiently with: patients, families, center staff, hospital personnel, EMS, police, fire department, sheriff’s department, community schools and other community groups and organizations.
*Primary Function: *The Physician’s Assistant (P.A.) / Nurse Practitioner (N.P.) provide primary diagnostic and therapeutic care to patients in multiple settings.
*General Summary of Duties:*
* Provide efficient and effective primary care to patients in accordance with Bylaws, Rules, Regulations and policies and procedures of the health centers: all applicable state and federal laws, rules, regulations, codes, directive and memoranda; conditions of participation in Medicare, Medicaid and other financial reimbursement or grant providers; the directions of the administrator, senior physician or staff physicians. Shall provide such care in accordance with the current ethical and professional standards of the AMA, AAPA, AAFP and AAP. Outcome oriented quality assurance and resource use studies as well as observation by physicians shall be used (but not limited to these) to assess performance.
* Provide patient care at the patient’s home, at the centers, at the hospital or elsewhere as approved by the administrator.
* Continuously exhibit knowledge, skills and performance relating to (but not limited to) the specific qualifications / knowledge and skill requirements indicated in the attached addendum.
* Evaluate the health of the individual including:
- Carry out a thorough history and physical examination.
- Request and/or perform certain diagnostic tests and interprets results.
- Distinguish normal form abnormal in medical history, physical examination and diagnostic tests sufficiently to make a general health assessment, taking into consideration psychosocial and family aspects of the situation.
- Diagnose
- Maintain contact and rapport with the family.
- Plan and maintain the health of children and adults.
- Manage common acute and chronic illnesses.
* Refer complex and high priority cases to the physician or other health specialists.
* Promote and work as a member of the health care team in professional collaboration with the physician.
* Plan health care maintenance with the team.
* Participate in assigning tasks to other members of the health team in line with their roles.
* Plan community health care with the team and with members of the community.
* Encourage change in the team activities as the health picture or the individual and the family changes.
* Efficiently, effectively and timely manage the patient’s course of treatment including:
- Order appropriate laboratory, radiology and other diagnostic services and assisting in the patient hospital admission and discharge process.
- Facilitate patient scheduling and “flow” in the center or with other health care providers.
· Attend local health related meetings to promote various center services, and/or to represent the center to receive suggestions or concerns. Suggestions or concerns outside the responsibility or authority of the PA/NP to respond should be immediately forwarded to the administrator.
· Attend educational programs and is responsible for satisfying personal continuing education requirements. Attendance during normally scheduled work hours must be approved in advance by the administrator.
· Assist the senior physician and administrator in identifying changing community health patterns by:
- Maintaining documented contact and rapport with the community leaders and organizers.
- Support the evaluation of the health status of the population by outside agencies with the approval of the administrator.
- Maintain communications with other medical and health providers within the community.
* Maintain CPR certification.
· Provide employee examinations as approved by the administrator (except in emergencies). Provide examination and/or treatment of employees, visitors and patients injured on center property.
· Continuously maintain current knowledge and skill levels to:
- Perform complete newborn, infant, pediatric, adolescent, and geriatric history and physical examinations.
· Make diagnostic and therapeutic clinical management decisions relating to:
- Behavioral/Psychiatric crisis intervention
- URI’s
- Pneumonia
- UTI’s
- GI diseases
- Vision Screening
- Cornial abrasions/trauma
- Hypertension
- COPD
- Diabetes
- Peptic disease
- Pelvic exam
- Pap smears
- Birth control education: Oral contraceptives, IUD’s diaphragms, Norplant and Depo-Provera
- Prenatal education/care
- Emergency deliveries
- Perform basic lab tests: Urinalysis, hematocrit, gram stains, wet drop preparation
- SED rates and cultures
- Arthritis
- “Senility”
- Depression
- Parkinsonism
- Other geriatric medical concerns
- Counseling-Dietary, behavioral and family planning
- Prescribing non-controlled substances
- Minor surgical procedures: Incision and drainage, small cyst excision, electric cauterization, joint effusion, laceration or puncture ascertering.
- Burns
- Shock Management
- CVA’s
- Multiple trauma
- Acute asthmatic attacks
- Seizures
- Perform and provide initial EKG interpretations
- Allergy injections
- Tympanogram and other functions as may be requested by Physicians.
* PA/NP may be asked to participate in quality improvement activities which include but are not limited to performing PDSA, administering Patient Satisfactions Surveys and following up on high risk patients based on population reports for patients with poor clinical outcomes or with lapses in care.
* PA/NP is part of the patient care team. The care team is comprised of the patient, care coordinator, nurse, and provider. As part of the patient care team, the PA/NP will engage patients in their own health care. This will include supporting patients and their families in self-management and positive behavior change. This will require good communication which is both open and supportive.
· This position requires compliance with Health Center’s written standards, including its Standards of Conduct and policies and procedures pertaining to all operational aspects, furthermore this position is required to report any suspected instances of noncompliance.
· This position will function as a contributing member of the emergency preparedness team under the incident command system.
* Maintain strictest confidentiality at all times.
* All other duties as assigned.
Job Type: Part-time
Pay: $65,000.00 - $75,000.00 per year
Expected hours: 28 per week
Benefits:
* 401(k)
* Dental insurance
* Health insurance
* Paid time off
* Vision insurance
License/Certification:
* Certified Nurse Practitioner (Preferred)
Ability to Relocate:
* Marathon, NY: Relocate before starting work (Required)
Work Location: In person
