Advanced Practice Provider- Float
Overview
We offer comprehensive primary medical care, dental care and mental health care to homeless people, people living in public housing, and other under-served people living in and around our urban Southern California city. We also partner with multiple organizations to serve mentally ill patients in transitional housing at multiple clinical service sites throughout our community. We offer holistic and spiritual care, addressing mind, body, soul and spirit.
Mission & Passions
Our Mission
We are called to follow Christ by loving and serving our neighbors through comprehensive, quality healthcare.
Our Vision
Our vision is the healing and restoration of homeless and underserved communities.
Our Values
Christ-likeness- We love with a Christ-like compassion, by walking with those who are suffering toward healing and transformation
Accessibility- We break down barriers, providing patient-centered healthcare when and where it is needed most
Justice- We seek an end to health disparities through advocacy and whole person care
Excellence- We deliver top-quality services through hard work, evidence-based practices, integrity and a continuous focus on improvement
Kindness- We demonstrate warmth, grace, support, and encouragement, to every patient and every staff member
Unity- We work together as teammates, communicating and cooperating with one another to live out our shared mission.
Job Info
Job Title — Advanced Practice Provider- Float
Job Description
Need a full time Advanced Practice Provider to join our provider team. This provider will serve as a float provider, gaining invaluable experience serving at our various sites. The main 2 full-time sites include: our state-of-the-art downtown clinic site, which serves predominately persons experiencing homelessness and provides robust full spectrum primary care to adults in a faith-based setting, including MAT, HIV, and Hep C treatment, and has strong integration with dental, mental health, nursing, and optometry care, as well as social work care coordination and housing navigation; and our public housing clinic site, which serves multigenerational families and children in a location next to a large public housing facility. Other sites include co-located smaller clinics in partnership with housing or mental health agencies, in which we provide primary care and other agencies provide case management, mental health services, or housing services. This position provides invaluable training for many aspects of primary medical care, and allows for flexibility, independence, spiritual care, and team-based care with other advanced practice providers, physicians, and other staff.
SUMMARY:
Renders comprehensive health care within the limitations of professional licensing to patients of the clinic. Assesses needs and prescribes treatment. Actively supports the mission of the clinic: to follow Christ by loving and serving our neighbors through comprehensive, quality health care.
ESSENTIAL DUTIES, RESPONSIBILITIES, AND PRIVILEGES include:
• Under supervision of staff physician, perform evaluation and treatment of patients in the outpatient setting at clinic sites. Assess medical needs and compile care plan, addressing acute needs, chronic conditions, and preventive health maintenance. Assessing needs may include assessment of spiritual, emotional, mental and social needs. Furnish/transmit appropriate medications and treatments. Perform in-office procedures such as incision and drainage, arthrocentesis, nail removal, skin biopsy, and cryotherapy.
• Work within clinical privileges that are clearly delineated either through a practice agreement (Physician Assistant) or Scope of Practice agreement (Nurse Practitioner).
• Keep accurate, concise, and thorough documentation of all medical history, exam findings, assessment, treatment/interventions, and education.
• Arrive to work punctually at the start time. Punctual arrival of licensed providers is essential for the processing and preparation of patients.
• Complete documentation and lock progress notes in a timely manner. The clinic requirement is to lock all progress notes within 7 calendar days.
• Review and electronically sign off on all laboratory results, diagnostic results, and outside consult notes in a timely manner, ensuring patient is contacted for follow up if clinically appropriate.
• Initiate and follow through on specialist referrals and e-consults (electronic consults), communicating with specialist providers as necessary, in the provision of whole- person care.
• In a “float” capacity, serve patients empaneled to other providers as Primary Care Providers. Work with the care team and other staff at the clinic to serve as a patient-centered medical home for our patients.
• During and after covering shifts for primary care providers, communicate with the primary care providers about follow up needed for particular patients, to ensure ongoing care by the primary care provider and their clinical care team.
• If maintaining their own patient panel at a given site, serve as the primary care provider for a panel of patients. As a provider, work with a care team and other staff at the clinic to serve as a patient- centered medical home for our patients.
• Conjointly supervise medical assistants along with the Medical Assistant supervisor.
• Participate in the clinic meetings including morning “team huddles”, Provider Meetings, and All-Staff Meetings.
• Actively participate in spiritual care for patients and staff which may include prayer, and referral to community resources.
• Provide compassionate care for patients who, depending on the clinic site, are predominately homeless, may suffer from mental illness, and often lack resources to care well for themselves.
• Actively participate in Continuous Quality Improvement activities at the clinic, including teaching other providers on selected topics, implementing team-based care, participating in peer reviews, evaluating clinical performance measures, and implementing improvements using a Plan-Do-Study-Act method of stepwise changes.
• Meet productivity standards for outpatient primary care at the clinic, including an expectation of 17 patients seen per usual 8 hour day; actual productivity may vary per site, and depending on type of visit (in person vs. virtual (Telehealth, telephonic or audio-video).
• Periodically serve “on call” for the clinic, answering urgent phone calls from patients or other agencies and responding to critical lab results in the off-hours for one week approximately every 10-15 weeks.
• Network with other healthcare agencies and county facilities.
• Assist in provision of health screenings (including TB, diabetes, hypertension) at outreach events.
• Maintain active enrollment in Medicare, Medicaid, Managed Care, and other payor programs as needed for clinical operations, completing credentialing paperwork in a timely manner to remain actively enrolled in these programs.
• Other duties may be assigned.
Job Qualifications Education, Skills, and Experience
The ideal candidate is a missional provider who prefers a setting with a range of learning and medical care opportunities, and who has a heart for working with unstably housed and unsheltered neighbors. We desire a provider who values team based care, with nurses, mental health professionals, care coordinators, partner agencies, and with other providers. Should be willing and able to work in and amidst the challenges and beauty of our urban community, with many unhoused people, as well as in neighborhood settings with multigenerational families and children. There is a mix of urgent care and chronic care. Ideally, the provider will have some post-graduate clinical experience, but we are open to new graduates.
