The Advanced Practice Provider (APP) provides primary care to a diverse population of homeless and low-income adults and children, ages 5 and up, in a Federally Qualified Health Center. The APP offers equitable, team-based integrated, and culturally respectful patient-centered care. The APP diagnoses, treats, and manages acute and chronic health conditions, and provides preventive care focused on health risk factor reduction and patient self-management.  The APP works in a care team environment and ensures efficient, effective, and integrated patient care through joint planning and problem solving with internal and external care team members.

Essential Duties

• Provide patient-centered care in a certified medical home model.
• Provide a wide range of health care services including the diagnosis and management of acute, chronic, and complex health problems, health promotion, disease prevention, health education, and counseling to individuals, families, groups and communities.
• Perform history taking, physical examinations, diagnosis and therapeutic treatment planning consistent with evidence based practice guidelines, clinical policy and procedures, and the scope of practice.
• Perform minor procedures, biopsies, and pelvic exams.
• Order and interpret diagnostic lab and radiologic tests assuring that results are communicated to individual patients or a parent/guardian of the patient.
• Share after-hours call with other staff providers.
• Meet all regulatory obligations of the Health Center’s medical practice: FTCA, CLIA, HIPAA, State and Federal regulations and other appropriate regulatory bodies as applicable.
• Fully participate in the clinic and medical staff development through involvement in service evaluations, health care plans, chart reviews, and program development.
• Act as a resource to the care team and communicate appropriate knowledge, skills, and conduct.
• Actively participate in quality improvement initiatives aimed at improving population health outcomes.

• Maintain a record of assessments, plans, treatments and referrals.
• Support the organization as needed.
• For Physician Assistants: Enter into a Collaboration Agreement under the Collaborative Practice Model as outlined in OAR 847-050-0080

Knowledge and Skills

Knowledge

• Knowledge of Integrated Patient-Centered Primary Care Home model.
• Expert-level knowledge of pharmacology and medical/clinical decision-making.
• Expert knowledge of multi-disciplinary approach to physical and mental health and chemical dependency, including Medication Assisted Treatment.
• Knowledge, training, skills and/or experience in providing services in a highly diverse work environment to a highly diverse and vulnerable population.
• Knowledge of patient bill of rights, data privacy, record protection, HIPAA and 42CFR Part 2 regulations, and record retention policies.

• Ability to properly code medical encounters.
• Microsoft Office Suite (Word, Excel, Outlook, Teams)
• Proficient in Electronic Health Records systems (EPIC)

Skills

• Demonstrated excellent skills in written and verbal communication. Ability to display non-judgmental attitude while solving complex problems in the workspace.
• Ability to work independently with willingness to take initiative in addressing concerns and issues for desired outcomes.
• Ability to establish rapport and gain the confidence of the members of the team, patients, and peers.
• Ability to support the team concept, via program design and development.
• Openness to change and willing to lead change within the organization.
• Ability to manage competing priorities; excellent organizational skills and good time management.
• Ability to work with staff and clients of diverse economic, cultural, and linguistic backgrounds.
• Skills, or willingness to acquire skills, to serve transgender patients.

EDUCATION AND EXPERIENCE

• Current Oregon licensure as a Physician Assistant – Certified (PA-C) or Family Nurse Practitioner (FNP) with prescribing authority.
• Current DEA number and National Provider Identifier (NPI) number.
• Current Basic Life Support CPR credential.
• Experience in provision of primary care to marginalized and oppressed populations is highly desirable.
• Required travel between clinical sites.

Working Conditions

This job is located in a standard medical office environment. There is some exposure to outdoor weather while walking to surrounding sites.

Physical Requirements

This job requires standing, sitting, walking for short distances between sites on a regular basis. Some stooping and lifting up to 10 pounds may be required on occasion. Regular use of hands and fingers to type. Talking and hearing is required on a regular basis.