Inpatient/Outpatient Advanced Practice Provider

Under general supervision of the Chief Medical Officer, serves as Advanced Practice Provider, providing medical and health care for inpatient, ambulatory patients, emergency cases, and individuals and families at the Dilkon Medical Center and outpatient facilities. Advanced practice provider is expected to function autonomously in a variety of inpatient/outpatient settings. Uphold the principles of WIHCC’s Vision, Mission, and Value Statements. Maintains confidentiality of all privileged information at all times.

This list of duties and responsibilities is illustrative only of the tasks performed by this position and is not all-inclusive.

Essential Duties & Responsibilities:

• Provides diagnostic, preventative, and therapeutic health services to patients and family members in the hospital and primary care facilities, with the ability to function as an independent practitioner. 
• Secures a medical and developmental history from the patient or parent and performs a detailed physical exam, records findings and makes critical evaluations. 
• Orders diagnostic tests and procedure and interprets the results. 
• Discriminates between normal and abnormal findings to recognize early stages of physical, physiological, emotional, or mental problems.
• Makes decisions concerning medical care needs of patients which may involve various treatment modalities, medication prescription, and consultant / referral services when appropriate. 
• Provides direct and independent medical care in the presence of illness or injury in order to maintain life, provide comfort, reduce distress and enhance coping ability. 
• Works collaboratively with physicians in management of selected complex medical problems. 
• Provides guidance to personnel in emergent situations regarding triage and disposition of patients. 
• Serves as consultant for other WIHCC staff, including clinic nursing, community health nursing, and other disciplines regarding clinical issues and policies.
• Documents medical care appropriately in the IHS electronic health record, and in keeping with national standards as mandated by CMS and AAAHC. Documentation for completed patient encounters shall be sufficient to support appropriate billing for services by WIHCC.  
• Participates regularly in medical staff meetings and activities, including peer review, quality assurance, and performance improvement activities.
• Maintains regular attendance and punctuality.
• Maintains dependability and accountability in attendance and job performance.
• Upholds all principles of confidentiality and patient care to the fullest extent.
• Adheres to all professional and ethical behavior standards of the healthcare industry.
• Interacts in an honest, trustworthy and dependable manner with patients, employees and vendors.
• Possesses cultural awareness and sensitivity.
• Performs other duties as assigned.

Minimum Qualifications:

Requires completion of an accredited nursing program, and an accredited Master’s degree program as a family nurse practitioner. Requires certification as an advanced practice nurse by the ANCC or AANP; as well as a valid, unrestricted Registered Nurse license, and a license as a Nurse Practitioner, along with prescribing privileges. Candidate must have demonstrated experience with electronic medical record systems. Advanced experience as an FNP is required: minimum of two years demonstrated clinical experience as a licensed FNP in a family practice or hospital setting, preferably with at least 18 months in one location highly encouraged.  Bilingual skills in English and Navajo language preferred.  Must maintain a valid unrestricted and insurable driver’s license.  Must successfully pass a background investigation and maintain suitable requirements for a Child Care position. This position is considered as a Child Care position, which requires a satisfactory background check investigation and is subject to the requirements of the Indian Child Protection and Family Violence Prevention Act, as amended (henceforth referred as the ICPFVP Act).

Knowledge, Skills, Ability:

• Knowledge and experience in internal medicine or family medicine. 
• Knowledge of legal and ethical standards for the delivery of medical care.
• Knowledge of applicable federal, state, county, and local laws, regulations, and requirements.
• Knowledge of, and sensitivity to, cultural and language differences.
• Knowledge of strong work ethics in the workplace.
• Knowledge of basic application of confidentiality.
• Knowledge of basic computer skills, e.g. Outlook, Word, Excel, PowerPoint.
• Must have excellent interpersonal skills in handling interaction with clinical staff, other agencies, groups, and patients and families.
• Ability to be dependable in attendance and job performance.
• Ability to meet attendance, overtime (if necessary), and other reliability requirements of the job.
• Ability to accept and learn from feedback.
• Ability to communicate effectively both verbally and in writing.
• Ability to provide exemplary customer service at all times.
• Ability to interact positively with others and possess great interpersonal skills.
• Ability to multitask and perform well under pressure.
• Ability to have self-confidence.
• Ability to be a great team player.
• Ability to accept and learn from supervisor/peer critique.
• Ability to be flexible and adaptable to the changing needs of the organization.
• Ability to work as a team member and develop productive and cooperative working relationships with health care providers within the facility as well as healthcare providers in hospitals and nursing homes, private practitioners and law enforcement agencies throughout the community.

Physical Demands:

While performing the duties of this job, the employee regularly is required to walk; sit; use hands to finger, handle, or feel; reach with hands and arms; and talk or hear.  The employee frequently is required to stand; climb or balance; and stoop, kneel, crouch, or crawl.  The employee frequently is required to taste or smell.  The employee must occasionally lift and/or move up to 50 pounds.

Work Environment:

Work is performed in a clinical and office setting with a moderate noise and distraction level and exposure to various dusts and mists; and occasionally an outdoor setting with exposure to natural weather conditions. Work environment may involve exposure to physical risks, such as blood-borne pathogens and patients with infectious disease, and may involve operating potentially dangerous equipment or working with chemicals.  Evening and/or weekend work may be required.  Extended hours and irregular shifts may be required.

As required by P.L. 93-638, absolute preference will be given to qualified Navajo applicants.  If there is no qualified Navajo applicant, preference will be given to qualified American Indian applicants.