Oct 18, 2019
Nurse Practitioner (NP)/Physician Assistant (PA) shall provide diagnostic, preventive, and therapeutic health services to eligible patients and family members in the walk-in outpatient clinics or field clinic.
• Shall be expected to see and treat a sufficient number of daily patients as determined by the walk-in clinic mean and within a statistical standard deviation of that mean.
• In cases, you must travel to a field clinic, authorization will be granted to operate a Government Owned Vehicle while in performance of the duties. You shall possess a valid driver's license in order to operate a Government vehicle.
• Secure a health and development history from the patient or parent.
• Record findings; make critical evaluations.
• Perform or request special screening and developmental tests.
• Order laboratory tests and interpret the results.
• Discriminate between normal and abnormal findings.
• Make decisions with physicians concerning medical care needs of patients.
• Provide direct medical care in the presence of illness or disability in order to maintain life, provide comfort, reduce distress and enhance coping ability.
• Provide surveillance over medical practices applied to stabilize chronically ill persons.
• Adjust treatment within established standing orders recognizing when to refer the patient to a physician or other health team members.
• Work collaboratively with physicians in management of selected complex medical problems.
• When clinically engaged with a medically complex patient present the case to the physician clinic consultant for the day for proper treatment and disposition.
• Consult the clinic physician consultant or on-call hospitalist for patients assessed and deemed to require admission to the hospital.
• Participate with other health professionals and agencies involved in providing health care and services required to include immunization and disease control, environmental health and health education.
• Provide emergency or crisis intervention in order to stabilize a patient for transport to a higher level facility.
• Provide medical care and preventive services to healthy individuals.
• Evaluate total health care needs of patients and develops plans to meet these needs.
• Maintain records and reports on patients, personal activities and other required information for use in program operation.
• Participate in certain medical staff committee meetings as required.
• Comply with all facility infection control and safety procedures, practices and standards.
• Meet all applicable Joint Commission on Accreditation of Healthcare Organization (JCAHO) and Centers for Medicare/Medicaid Services (CMS) standards during the performance of the contract, and must be in compliance with the Service Unit's Medical Staff Bylaws.
• Be eligible for enrollment in the service unit's Medicare part B reassignment program.
• Respect the basic rights of patients, to include but not be limited to personal dignity.
• Skill and knowledge of established concepts, principles, and practices related to health care assignments requiring training equivalent to an educational program leading to a Bachelors Degree and additional training or experience in assessing the conditions of patients, in providing medical care and in advising on health care needs, all with full consideration of mental, emotional, and physical factors. Extensive knowledge of disease entities.
• Knowledge of diagnostic, preventive and therapeutic procedures related to a variety of medical and health care fields to include OB/GYN, ENT, pediatric, orthopedics, internal medicine, mental health, dental, emergency medicine, surgery (minor), and nutrition.
• Ability to collect, organize, record and communicate, in a meaningful way, data relevant to primary health assessments including detailed family and medical history, physical examinations and selective laboratory tests.
• Skill in making diagnoses and in choosing, initiating, and modifying selected therapies, and ability to provide emergency treatments. Skill in simple laceration repair, casting/ splinting, and in other ER or urgent care- related procedures. Skill in the management of simple fractures.
• Ability to assess the physical-psychosocial health status of patients and family based upon the knowledge of growth and development patterns and health conditions that require medical management. Knowledge of interpreting radio graphs for preliminary clinical decision making.
• Knowledge of pharmaceuticals in order to recognize the desired effects, side effects and complications of their use.
• Knowledge of human behavior during stressful situations in order to exercise emotional control, tact, patience and reliability in providing emergency/ urgent patient care.
• Ability to provide individual and family counseling, guidance, and health instruction to help patients to understand how to prevent disease and maintain good physical and mental health.
• Must hold an active, current, and unrestricted (unflagged) state Nurse Practitioner (NP), or Physician Assistant (PA) license from any of the Fifty-(50) United States or the Commonwealth of Puerto Rico.
• Cannot be under any exclusions or sanctions from the Medicare/ Medicaid programs.
• Must have received and will maintain national certification in Family Practice or Adult Medicine.
Entourage Consulting LLC
Pine Ridge, SD