A. Assesses patient status by obtaining health history through patient/family interviews and EMR reviews; assessing presenting illness, risk factors, and family history, psychosocial situation, and cultural factors; and performing appropriate physical examination.
B. Orders/performs appropriate laboratory diagnostic and other screening tests. Seeks other information as needed. Integrates data to determine diagnosis and therapeutic plan, including identification of any health risks.
C. Develops and implements treatment plan by prescribing/dispensing medications and/or injections in compliance with medical practice guidelines and N.C. laws. Instructs patient/family regarding medications and treatments. Educates patients regarding health promotion/illness prevention. Recommends appropriate community resources to meet patient/family needs. Communicates appropriate case management information to other professionals and community agencies. Prepares documentation for medical records, including updating EMR chart by posting examination and test results, diagnosis, medications, and treatment in a computerized manner.
D. Participates in peer reviews, chart reviews, staff education, clinical guideline development, and other continuing education and quality assurance activities to demonstrate compliance with standards, regulations, policies, and procedures. Complies with patient confidentiality requirements. Promotes patient advocacy.
E. Collaborates with HSHP Providers and outside physicians in managing acute and long-term medical needs of patients. Provides monitoring and continuity of care between visits according to the treatment plan, including triaging patient calls/e-mails.
F. Completes accurate coding, documentation, and superbills promptly.
G. Completes the D.O. /M.D. continuing education requirements as well as the N.C. Medical Board’s continuing education requirements.
H. Supervise Mid-Level Providers as appropriate.
I. Other duties as assigned.