Nurse Practitioner - Primary Care

Nurse Practitioner - Primary Care

This position provides medical care and treatment services with emphasis on chronic disease management and promotion of health and palliative care for patients not best served in a clinic setting. Care is provided in patient residencies, as well through audio and video sessions. This position may focus on one of the following areas:

Regular Care: Provides ongoing care for patients within an assigned caseload and/or territory and includes long-term strategies focused on disease prevention.

Relief Care: Provides relief and/or urgent care for patients on a short-term basis, focusing on filling in for providers who are out of the office.

NOTE: We are accepting applications for future openings. These roles could be 32 hours to 40 hours a week, based on the candidate's needs. Service areas could include the following counties: Multnomah, Washington, Clackamas, Clark, Clatsop, Columbia, and/or Marion. Service area and schedule preferences can be discussed with the Hiring Manager.

Estimated Hiring Range:
$140,940.00 - $172,260.00

Bonus Target:
Bonus - SIP Target, 0% Annual

Current CareOregon Employees: Please use the internal Workday site to submit an application for this job.

Essential Responsibilities

Clinical Service

• Provide diagnosis, treatment, consultation, and follow-up care as indicated of patients including diagnosis and treatment of critical, prolonged, and long-term healthcare issues.
• Perform comprehensive health assessment of clients by completing a physical and psychosocial history; identify actual and potential health needs based on medical, mental/emotional, financial, and social factors.
• Make referrals to appropriate social or medical agencies and practitioners.
• Identify, evaluate, and address the prevention of diseases and/or acute change in condition, maintenance of chronic diseases, and appropriate end-of-life care per the goals of care outlined by the patient and their families.
• Develop and implement proactive patient centered care plan with the assistance of other disciplines within the care team.
• Order testing in diagnostics, orders medications with appropriate follow up and reassessment, and performs some surgical procedures as appropriate under certification.
• Approve medication refills and home health orders and respond to caregiver requests to provide continuity of care.
• Provide compassionate anticipatory guidance through decline due to chronic disease and provide high quality palliative care focused on the goals of the patient and family.
• Educate patients and families on goal-based, appropriate preventative care, chronic care, or urgent care needs, as well as the use of prescribed medications and treatment.
• Develop and maintain working relationships with lay and professional caregivers, including care facilities, to assure patient experience excellent continuity of care and orders are implemented appropriately.
• Deliver quality care while maintaining all company metrics pertaining to productivity.
• Practice within the scope of license where applicable, and as required by law and regulation.
• Participate in the after-hours call schedule.

Administration

• Communicate effectively with members of the medical staff on issues concerning consultation, collaboration, and referrals.
• Determine need for specialty and rehabilitative services and make appropriate referrals.
• Oversee the care plan/case management activities for assigned patients.
• Attend and participate in all required staff meetings and other ad hoc committees as assigned.
• Provide coverage for clinical colleagues in their absence.
• Participate in quality improvement activities as assigned.
• Complete and maintain medical records according to agency protocols and in support of quality metrics.

Experience and/or Education

Required

• Master's degree from an accredited advanced nurse practitioner program
• Licensed nurse practitioner in the state of Oregon (ANCC or AANP certified)
• Drug Enforcement Administration (DEA) license
• Valid driver's license, acceptable driving record, and automobile liability coverage or access to an insured vehicle
• CPR certification at hire or within 6 months in position

Preferred

• Minimum 2 years of related clinical experience

Knowledge, Skills and Abilities Required

Knowledge

• Knowledge of the principles and practice of medicine including urgent care and triage practices for providers focused on Relief Care
• Proficient in the practice of geriatrics and palliative care
• Knowledge of principles, practices, and procedures of general medicine
• Knowledge of methods and techniques of diagnosing and treating a variety of diseases and injuries
• Knowledge of sources of information and current literature applicable to the field of general medicine
• Knowledge of the ethical and medico-legal aspects of medical practice
• Knowledge of the principles and practices of public health, including familiarity with epidemiology, health services delivery and financing systems, and environmental health
• Knowledge of the population served in adult health, including culture, demographics, patterns of disease, barriers to care and other unique features or special needs
• Knowledge of the principles and practices of clinical quality improvement
• Familiar with the medical charting system

Skills and Abilities

• Skill in utilizing electronic systems appropriately and effectively, including audio and video supported encounters
• Ability to perform medical diagnostic and treatment services
• Ability to establish and maintain effective working relationships with diverse patients, staff, peer groups, and varied agency and institutional representatives
• Ability to deal professionally and calmly with individuals that may act inappropriately, be verbally abusive, hostile and/or in crisis
• Ability to communicate clearly, compassionately, and concisely, both verbally and in writing
• Ability to work within a team and take direction from other team members with expertise in the care plan development
• Ability to adhere to organizational standards, policies, and procedures
• Ability to work effectively with diverse individuals and groups
• Ability to learn, focus, understand, and evaluate information and determine appropriate actions
• Ability to accept direction and feedback, as well as tolerate and manage stress and grief
• Ability to see, read, hear, speak clearly, sit, and perform repetitive finger and wrist movement for at least 6 hours/day
• Ability to stand, climb stairs, bend, lift, carry, push, pull and/or pinch small objects for at least 3-6 hours/day
• Ability to walk, crouch, crawl and reach for at least 3 hours/day
• Ability to operate a motorized vehicle in all kinds of weather conditions

Working Conditions

Work Environment(s): ☒ Indoor/Office ☒ Community • Facilities/Security ☒ Outdoor Exposure

Member/Patient Facing: • No ☒ Telephonic ☒ In Person

Hazards: May include, but not limited to, physical, ergonomic, and biological hazards

Equipment: General office equipment

Travel: This position requires travel outside of the workplace at least weekly; the employee's personal vehicle may be used. Driving infractions will be monitored in accordance with organizational policy.

Work Location: Hybrid-Community 2 days/week, member facing

Location: Employees permanently assigned to see members and patients in Marion or Polk counties are required to live within 15 miles of their county assignment.

Schedule: Work a flexible schedule, including evenings and weekends.