Summary:
The Advanced Practice Provider delivers primary, urgent, preventive, and emergent health services throughout the Chugach Region, including responding on an on-call basis for after-hour emergencies in accordance with Chugachmiut's mission, vision, core values, key strategies, policies, and procedures. Care provided will be consistent with the highest recognized standards of clinical medicine.
The CHAP Clinical Supervising Instructor will provide direct supervision of the CHAP Director and shared supervision, clinical oversight, and instruction to Community Health Aides and Practitioners (CHA/Ps) living and working within the Chugach Region. Along with the CHAP Director, the CHAP Clinical Supervising Instructor will develop, contribute, and inspire a vision and desired future for retaining and recruiting Community Health Aides within the Chugach Region.
Major Responsibilities:
Advanced Practice Provider
- Performs routine general medical and specialized duties for Alaska Natives and other patient populations served by Chugachmiut at a designated clinic site.
- Provides primary, urgent, preventive, and emergent healthcare services, including evaluation, treatment, and follow-up according to the technical and educational expertise and respective scope of practice, and under the direction of the medical director.
- Consults a supervising or designated physician when any unfamiliar, uncommon, or unstable conditions arise.
- Remains current in improvements in the field of medicine and strives to incorporate those improvements into the program when appropriate, maintaining licensure and other credentials as required.
- Participates as an integral member of the health division in the provision of medical services by collaborating with other health professionals to provide Chugach Region community member's complete and comprehensive care.
- Provides clear, concise verbal and written patient education with the ability to ensure instructions are understood. Listens for feedback to modify communication as needed for the individual.
- Provides wellness and other primary and secondary prevention programs, including women's and men's health services, family practice, prenatal and well-child exams.
- Monitors chronically ill patients, making home visits as necessary.
- Continually strives to improve patients' experience and quality of care by focusing on key leverage points of access, continuity, team-based care, clinical information systems, self-management, and community engagement.
- Assists in the education of other providers as directed, including field follow-ups, post-session learning needs, and daily consulting as needed.
- Provides consultation to Community Health Aide/Practitioners (CHA/P), in person or by telephone, for the delivery of health care within the CHA/P's scope of practice and in accordance with the Community Health Aide Manual.
- Travels on a regular basis to regional clinical sites. Provide service support during clinic hours and after-hours on-call health services at village clinic locations. May have occasion to serve as a medical escort. Is required to provide on-call, emergency care while in village clinic locations.
- Develops and maintains collaborative working relationships with physicians and specialty clinics at the Alaska Tribal Health System (ATHS) in Anchorage as needed for the performance of job responsibilities.
- Provides clinical training and staff development including but not limited to: primary care, prenatal care, emergency care, pharmacology, health promotion, clinical procedures and clinic management skills.
- Maintains cooperative working relationships with community-based health care providers and health care agencies as appropriate for service integration.
- Ensures the maintenance of accurate patient records to reflect each patient's health status and risk factors.
- Ensures timely documentation and maintenance of complete and accurate patient records for every encounter. Uses the computer system to obtain patient information, order labs and tests, and check messages.
- Completes medical record documentation timely within 3 business days from the date of the patient encounter.
- Follows established protocols for patient referrals within and outside the Alaska Tribal Health System.
- Complies with statutes and regulations from the State of Alaska, Division of Occupational Licensing, for Physician Assistant or Nurse Practitioner.
- Compliance with regulations of the State Medical Board & Board of Nursing, as appropriate is also expected. In addition, Physician Assistants must have a collaborative agreement in place.
- Complies with Chugachmiut personnel and Health Services Division policies.
- Maintains credentials in good standing and appropriate to the level of practice.
- Work with Purchased/Referred Care (PRC) Program to prioritize medical needs of patients and coordinate follow-up; works within the PRC budget to ensure financial stability.
- Develops and provides health education opportunities for communities in conjunction with other Chugachmiut staff. Activities include providing health education and screening services at schools, health fairs, and other community health promotion events, as requested, in addition to providing direct health care services.
- Participates in Chugachmiut Health Services Division staff meetings and, on occasion, in Anchorage and in other parts of the region or state.
- Creates, develops, and nurtures culturally-appropriate interactions and connections with each other, patients, and the community.
- Represents Chugachmiut in a positive and respectful manner, assisting in the promotion and maintenance of good public relations among staff, community groups, and professional organizations.
- Conforms to safety policies and general housekeeping practices.
- Demonstrates sound work ethics, flexibility, and shows dedication to the position.
- Demonstrates a positive attitude, is respectful, and possesses cultural awareness and sensitivity toward communities, patients, and co-workers.
- Keeps customer service and the mission of the organization in mind when interacting with all community members, patients, co-workers, and others.
- Expected to be prepared to start shift on time, meet attendance standards, and work the hours necessary to perform the essential functions of the job.
- Employees are expected to embrace, support, and promote the core values of respect, integrity, trust, compassion, and quality, which align with Chugachmiut's Mission and Vision through their actions and interactions with all patients, staff, and others.
- Conforms to Chugachmiut policies, strict employee confidentiality, and patient privacy regulations, including HIPAA and 42 CFR Part 2 regulations.
- Performs other duties as assigned or required.
CHAP Clinical Supervising Instructor
- Provides supervision and support and serves as the clinical point of contact for the CHAP Director and Community Health Aides when the CHAP Director is unavailable to ensure understanding and compliance with Chugachmiut's employee values, CHA/P training and certification requirements, clinical protocols, policies, procedures, documentation, and adherence to state and Federal laws governing health clinics.
- Coaches, innovates, and provides input into health system design in support of an integrated and strengthened healthcare system providing high-quality care. Participates as an integral member of the health division in the provision of medical services. Assists with evaluating population-based care outcomes and barriers to care.
- Assures best practices are spread throughout the division and communicates regularly with CHAP Director and clinical teams to assess issues and opportunities; communicates regularly with supervisors, managers, and administrators about issues and opportunities to spread best practices; communicates regularly with clinical and senior leadership, fostering broader deployment of best practices throughout the division and healthcare system.
- Functions as the clinical supervising instructor for all clinics within the region, teaching primary health care skills, health education, preventive health techniques, and emergency skills to CHA/Ps, and coordinates and/or provides clinical preceptorships for CHA/Ps as needed.
- Reviews and stays current with changes in Community Health Aide program services, technologies, and policies.
- Provides consultation to Community Health Aide/Practitioners (CHA/P), in person or by telephone, for the delivery of health care within the CHA/P's scope of practice and in accordance with the Community Health Aide Manual.
- Complies with the Community Health Aide Program Certification Board (CHAPCB) Standards for Community Health Aide Training and Supervision and use of the electronic Community Health Aide Manual (eCHAM/iCHAM).
- Maintains knowledge of the current Community Health Aide Program Certification Board Standards and Procedures and ensures that each Community Health Aide and Practitioner is trained to and performs at the highest standards.
- Mentors CHAP Director and CHA/Ps by fostering leadership, clinical, communication, and panel management skills. Empowers staff to achieve their best professionally and guides them through creative problem-solving.
- Directs or delegates clinical chart reviews and works with CHAP Director to provide timely feedback and training in support of CHA/Ps performing at the highest standards of care within the scope of practice.
- Maximizes training opportunities to support the highest level of care for those we serve throughout the Chugach Region, fostering the growth of staff to their greatest potential.
- Ensures CHAP Director is monitoring CHA/P training requirements.
- Coordinates with CHAP Director to provide ongoing direct and virtual education and training to CHA/Ps throughout the region.
- Maintains an active role in the training and education of CHA/Ps, including but not limited to chart reviews, standing orders, pre-session, post-session learning needs, continuing education needs, precepting, and credentialing.
- Assesses the educational and training needs of each individual CHA/P.
- Prepares appropriate materials and information for presentations to the CHA/Ps for maintaining and enhancing skills related to health care in the rural health care setting.
- Presents the material in a manner and setting conducive to learning.
- Evaluates the learner's progress, provides feedback, and makes changes necessary to accomplish the desired effect.
- Ensures the CHAP Director is monitoring and tracking preceptorship needs and that standing orders are kept up to date.
- Ensures CHAP Director is effectively monitoring and maintaining accurate records of all CHA/Ps related to ETT/EMT training, pre-session training, session training, post-session learning needs, certification, credentialing, continuing education needs, and any other training. Ensures the CHAP Director assists each CHA/P in developing a systematic approach to maintaining their personal file of documents required for training and certification.
- Demonstrates a cooperative and collaborative approach with CHAP Management.
- Acts as a professional resource and role model for the CHAP Director and CHA/Ps.
- Works with the CHAP Director and assists with planning, implementing, and evaluating CHA/P orientation and training in the clinical setting.
- Monitors and participates in CHA/P performance improvement planning, monitoring, and interventions, and in policy and procedure development.
- Assists with monitoring performance of assigned clinic staff through: direct observation; video observation; reports of clinical performance, monthly logs, patient encounter documentation; and other submitted reports.
- Provides an evaluation of each CHA/P after completion of field training requirements for each level of session training.
- Collaborates with Medical Director, CHAP Director, and licensed clinicians to guide CHA/P practice and determine the ongoing educational needs of the CHA/Ps.
- Initiates meaningful improvement to services, program and processes and/or organizational effectiveness that creates new value for patients and employees.
- Models behavior consistently that supports the culture of continual improvement.
- Demonstrates knowledge of tools, methodologies, and philosophies of continual quality improvement through work on clinical practice and/or project-focused work. Applies knowledge of clinical quality improvement models and processes.
- Assists with the development of Quality Improvement and Quality Assurance activities with respect to clinical services. Develops, prioritizes, and implements CHA/Ps goals and objectives.
- Assists with and provides guidance on clinical matters regarding the scope of services, facilities, supplies, and staffing within the Community Health Aide Program (CHAP).
- Monitors and shares necessary information to facilitate risk prevention activities with licensed clinicians and management. Participates in peer review sessions and provides CHA/P reviews.
- Assists Health Division Directors to develop, manage, and monitor the CHAP budget and reporting requirements to assure compliance with compact and grant provisions.
- Implements goals in keeping with Chugachmiut's mission, vision, and strategic plan by setting goals with staff for maintaining and improving performance, which include an action plan, time frame, and follow-up action.
- Supervises, hires, transfers, promotes, and assigns, rewards, counsels, disciplines, and discharges appropriate employees according to policies and procedures.
- Manages and resolves human resource, labor relations, employee, and departmental safety and risk management issues.
- Assists with coordination to support the Emergency Medical Services program (EMS) to enhance EMS training efforts and to integrate emergency services provided by CHA/Ps with village-based first responders.
- Travels by small aircraft on a regular basis to provide training and clinical supervision to Community Health Aides and Practitioners.
- Performs other duties as assigned or required.
Education Requirements:
- PA/NP must have completed an approved Nurse Practitioner or Physician
Assistant Training Program and received and maintained certification
- Active Alaska license in good standing as a Nurse Practitioner or Physician's Assistant wi
