Summary:
Applicant must possess a R.N. and N.P. degrees, Current California R.N. license, Current California N.P. Furnishing Number, Current CPR certification. Must have or willing to obtain current CPR Certification from the American Heart Association or Red Cross prior to orientation. The Family Nurse Practitioner provides primary and urgent patient care in the ambulatory clinic setting. He/she sees all age groups, instituting appropriate diagnosis, treatment, follow-up, and referral for consultations when indicated. This position is an integral part of the health care team, which includes other Physicians, Podiatrists, Mid-level Practitioners, Registered Nurses, Licensed Vocational Nurses, Medical Assistants, Medical Receptionists, Pharmacy personnel, and Laboratory personnel, and members of the Dental, Outreach, Community Health Nursing, Behavioral Health Services, and Social Service Departments. Must be able to work with the Indian Community and be sensitive to the Indian culture and its needs.
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Major Duties and Responsibilities:
Duties of this position shall include, but are not limited to the following:
1. Functions independently to perform age-appropriate history and physical assessments for children and adults. Demonstrates competence for all specialized procedures for which privileging is requested. Operates within the scope of practice as delineated in their clinical privileges. Appropriately documents all care and procedures in the medical records.
2. Appropriately interprets patient historical, physical examination, and diagnostic and therapeutic test data to arrive at an accurate diagnosis. Orders laboratory and radiology studies when necessary to confirm diagnosis, or to rule out other differential diagnoses. Appropriately documents all findings in the medical record. Consults with a physician, nurse practitioner, or other appropriate member of the health care team when necessary.
3. Prescribes appropriate pharmacologic and non-pharmacologic treatment modalities to treat the patient’s condition. Utilizes medication formulary for pharmacological options. Orders appropriate follow-up for patient to assess results of treatment. Refers patient when necessary for treatments not available from RSBCIHI. Appropriately documents all plans and orders in the medical record.
4. Monitors the effectiveness of interventions. Collaborates with multidisciplinary team members by making appropriate referrals.
5. Implements the RSBCIHI health care objectives to include primary care, health promotion, and disease prevention through routine care of patients.
6. Adheres to insurance company requirements to ensure appropriate reimbursement for services rendered.
7. Has an awareness and appreciation for the diversity of Native American cultural and spiritual values and recognizes how these values affect our interactions     with Native Americans in the medical setting.
8. Functions as an effective member of the health care team, which includes physicians, nursing, clerical, pharmacy, and laboratory staff. Effectively      communicates and collaborates with all team members to provide both efficient and high-quality care to our patients. Sets the pace for efficient patient flow  through the clinic.
9. Participates in Medical Department staff meetings and clinic site meetings. Implements corrective actions as identified during peer review activities.
10. Delivers patient care in a manner that is thorough and elicits patient compliance within RSBCIHI guidelines:
- 30 minutes for routine care of patients with chronic illnesses and minor acute problems. Reschedules patients for longer visits when appropriate.
- 60 minutes for annual preventive health examinations and new patient visits; 30 minutes for disability exams, procedures, acute, and chronic care appointments.
- Average 12-18 primary care patient visits per 8-hour shift.
- Completes all medication refills and patient care in a timely manner.
- Completes and submits the SOAP note encounter documentation within 24 hours of evaluating a patient.
