Position Summary:
Provides direct patient care services by independently and interdependently scheduling and/or conducting complex diagnostic and therapeutic procedures. This position independently participates in the delivery of direct patient care within the scope of individual authority granted by the North Carolina Board of Medical Examiners.

Job Responsibilities:
• Participates in the development of policies and procedures relating to the provision of clinical and related services. Provides supervision to midlevel practitioner staff.
• Performs complete physical exams, obtains medical history; interprets and records findings.
• Orders/obtains appropriate laboratory and diagnostic studies/tests to assist with patient evaluations, as needed.
• Interprets and integrates data to determine preliminary diagnosis and appropriate therapeutic plan.
• Administers medications, immunizations, and injections in compliance with state law and clinic guidelines.
• Performs direct patient care services, which may include instruction, education, counseling, recommendation of medications and treatments, health and illness prevention, and/or community resources to meet specific needs to patient and family.
• Coordinates and schedules laboratory studies and diagnostic procedures. Explains the necessity, preparation, nature and anticipated effects of scheduled diagnostic and therapeutic procedures to patients.
• Reviews, writes, and renews medication prescriptions, which corresponds to the written standing orders, and/or, to the consultation advice of the supervising physician.
• Documents, updates, and maintains patient records.
• Summarizes records and prepares referral letters.
• Performs administrative duties as may be request by the Medical Director
• Communicates/confers with various outside agencies and resources regarding medical advice/information of clinic patients, such as dentist, social services, speech and hearing, etc., as needed.
• Refers patients to specialist, such as ENT, Pediatric Surgeon, Dermatologist, Neurologist, Asthma, etc., as needed.
• Participates in clinical research projects and prepares analyses/consensus report, when requested.
• Confers with other health professionals regarding patient condition, if necessary.
• Attends monthly staff meetings at the respective Practice designated.
• Attends continuing education meetings, as required.
• Promotes team, system, and organizational goals; maintains patient confidentiality and provides superior customer service.
• Disposes all disposable, contaminated, and used items into designated waste containers.
• Abides by all company policies regarding safety/health rules and regulations.
• Adapts to various situations and adjusts to shifting priorities.
• Must abide by TAPM Mission, Vision, and Core Values
• Performs other duties as assigned.

Preparation and Training:
Doctor of Medicine with completion of residency training in a primary care practice. Must have a working knowledge of office equipment including computers, telephones, and such typical office machines. Must maintain effective written and oral communication and English skills. Must maintain current medical license with the North Carolina Board of Medical Examiner. Must be Board certified, eligible, or straight out of residency program eligible. All eligible candidates must be Board certified within 2 years of their contract date. Current DEA registration and CPR certification. Current ACLS or PALS required (depending on Practice of employment). Valid NC driver’s license for travel.

Experience:
Experience with provision of medical care to low income and indigent care patients preferred. An equivalent combination of education and experience considered; it would take approximately 3-5 years to become proficient with the policies, procedures, and protocol utilized by Triad Adult and Pediatric Medicine.

Analytical Ability:
Works on highly technical or complicated projects or problems presenting a variety of new or constantly changing variables or considerations. Duties require outstanding judgment, creativity, initiative, and the ability to deal with complex factors and abstract concepts not easily evaluated; to apply logical or scientific thought processes to a wide range of issues and problems, and to make decisions based on conclusions for which there is little precedent.

Independent Judgment:
Under general direction, works from company policies and general objectives with little functional guidance. Rarely refers specific cases to supervisor unless clarification or interpretation of company policies is involved.

Consequences of Error:
Errors: Incorrect assessments or treatments (including incorrect prescribing/administering prescriptions) during patient care could present possible long-term consequences, permanent disabilities, or even death for the patient. Errors resulting in potential lawsuits/OSHA fines would present excessive costs or losses to TAPM. Duties may involve the effective recommendation of company policies and protocols or the preparation and presentation of data on which top management bases major decisions.

Materials or Products: Errors with the incorrect storage of certain medications could go undetected and could result in some or total loss of medication, which would be costly to TAPM, as well as affect patient goodwill/care (if error is not caught). Misuse of biohazard materials could mean OSHA fines and/or penalties.

Equipment: Limited – makes minor adjustments to equipment, testing, and measuring devices; however, equipment is not “sensitive” and damages are unlikely under normal use and care. Testing/measuring equipment includes: crash cart, oxygen tanks, stethoscope, otoscope, ophthalmoscope, reflex hammer, tympanogram, stadiometer, glucometer, strept test kit, scales, thermometer, pulse oximeter, nebulizer, hemoglobin machine, dinamapp, nebulizer, tape measure, accuchecks, hemmocues, snelling charts, bulb suctions, IV starts, etc.

Interpersonal Contacts:
Outside and/or inside contacts with supervising and other clinic/hospital physicians, employees of TAPM, patients, families of patients, outside community agencies, community nurses, schools, etc. These contacts involve an exercise of influence, tactful judgment, and proper conduct in order to negotiate matters, and carry out policies and programs for the best interests of the company/patient. This position also deals with persons of substantially higher rank on matters requiring explanation, discussion, persuasion, and obtaining approvals, whereby improper handling could have a marked effect on operating results. Considerable tact is required.

Confidential Information:
Works with some confidential data of major importance, such as patient records, and patient/family salary/personal information, which, if disclosed, may be detrimental to the company’s interests.

Working Conditions:
Patient care setting where working conditions can be stressful and fast-paced. Must be able to work and deal effectively with changing situations, varying workloads, interruptions, etc. Frequently exposed to communicable diseases, biohazard substances, medicinal preparations, and other conditions conducive to a clinical environment.

Mental Attention or Visual Demand:
Continuous mental and visual attention and manual dexterity when attending to patient care and medical record keeping; usually repetitive work or diversified operations requiring close application of thought processes for sustained periods of time and constant alertness. May involve problems of correlation or application of reports, statistics, or other data. Must have acute visual perception for patient care and record keeping requirements and be able to distinguish colors. Must be able to communicate via telephone and other automation vehicles. Normal or corrected vision is needed in order to visualize computer screens, medical record forms, and equipment screens. Normal or corrected hearing is required for hearing blood pressures and other diagnostic equipment, monitor alarms, and building alarms, etc.

Physical Demand:
Position requires frequent standing/walking for extended periods of time. Must able to touch/ feel, and grip/grasp equipment/tools, and testing devices. Position also requires stooping, bending, stretching, reaching, and twisting. Must lift/carry young children weighing approximately 25-40 pounds, four or more times per hour, and occasionally push/pull occupied wheelchairs weighing approximately 15-60 pounds.

Hazards:
If precautionary measures are not adhered to, this position could be susceptible to contact with infectious/communicable diseases, biohazard waste materials, needle pricks, etc.

Safety:
Triad Adult & Pediatric require that all employee work in a safe manner with regards to themselves and their co-workers. Any unsafe acts or condition are to be reported immediately.

Quality Improvement
Must understand and help enforce the meaning of quality improvement:” The combined and unceasing efforts of everyone-healthcare professionals, patients, and their families, researchers, payers, planners and educators-to make the change that will lead to better patient outcomes, better system performance and better professional development.”(Batalden, 2007). Committed to promoting TAPM as a medical home and incorporating the core components of a Patient Centered Medical Home into your position on a daily basis.
1. Patient Centered
2. Comprehensive care
3. Team-based
4. Coordinated
5. Accessible
6. Focusing on Quality and Safety

Position Summary:
Is a key member of the Triad Adult and Pediatric Medicine, Inc. (TAPM) Clinic Management Team (CMT). This position works with the Nursing Director, Practice Administrator and Lead Provider to provide administrative leadership to the site/office clinical team. Under administrative review, provides preliminary leadership in the overall administrative direction and coordination for policies, procedures, and programs at the clinical site. Jointly accountable with other members of the clinic management team for the management of clinical and financial resources in order to achieve patient outcome, as well as to promote professional development and coordination of the TAPM clinical staff.
Provides first-line leadership, supervision, and coordination for nursing and clinical services at a specific TAPM site; serves as an administrative and clinical resource to clinical staff; assists with effective management practice of all staff and material resources in order to achieve the highest quality patient care; provides direct nursing services in the clinical setting and in specialty clinics as assigned. The Lead Nurse will cover the clinical portion based on the needs of the site such as covering provider clinic, triage, and/or clinical responsibilities listed below.
This position is 80% clinical and 20% administration. (Could vary based on needs of the clinic.)
Job Responsibilities:
• Provides leadership for office/site nursing staff. Evaluates/provides utilization of personnel, supplies equipment, and physical facilities
• Manages the Team Directed Care and Chronic Clinic, as required
• Participates in multi-disciplinary teams with member hospitals and county agencies for continuity of care
• Develops and modifies the nursing schedule, coordinating with provider schedule and clinic needs
• Assigns daily duties to site specific nursing staff
• Serves as a member of the clinic management team (CMT)
• Works in direct clinic care the MAJORITY of the time
• Will have assigned administrative time
• Ensures the orientation and training of new staff
• Supervises site nursing staff
• Conducts competency and performance evaluations
• Monitors on a regular basis the competency of new nursing staff
• Ensures nursing protocols are fully implemented in daily practice. Works with the Nursing Director and clinical management team to ensure protocols are updated based on standard of care and best practices
• Ensures nursing duties in preventative and disease management protocols are fully implemented
• Float to other clinic sites upon request to meet staffing and coverage needs.
• Onboarding and training of new clinical staff
• Triage Role – Performs all Triage Nurse Functions

Minimum Qualifications:
• Registered nurse (BSN preferred) with a minimum of three (3) years’ experience in a similar capacity
• Must have a working knowledge of electronic health records, computers, telephones, fax and copier. Must maintain effective written and oral communication skills
• Must maintain valid and active North Carolina RN License, current CPR certification, a valid driver’s license for occasional travel
• It would take approximately 1-3 years to become proficient with the policies, procedures, and protocol utilized by Triad Adult and Pediatric Medicine.
• Must have knowledge of disease processes, normal growth and development of all age groups
• Must possess community health knowledge and theory
• Must operate with culturally sensitivity with respect to working with persons and groups of diverse racial, ethnic, economic and social backgrounds
• Other duties as assigned

WE ARE AN EQUAL OPPORTUNITY EMPLOYER. Triad Adult & Pediatric Medicine does not discriminate based on age, ancestry, color, creed, gender identity or expression, genetic information, marital status, mental or physical disability, national origin, race, religious affiliation, belief or opinion, sex, or sexual orientation or any other characteristic protected by federal, state or local laws.
Job Type: Full-time

Position Summary:
Is a key member of the Triad Adult and Pediatric Medicine, Inc. (TAPM) Clinic Management Team (CMT). This position works with the Nursing Director, Practice Administrator and Lead Provider to provide administrative leadership to the site/office clinical team. Under administrative review, provides preliminary leadership in the overall administrative direction and coordination for policies, procedures, and programs at the clinical site. Jointly accountable with other members of the clinic management team for the management of clinical and financial resources in order to achieve patient outcome, as well as to promote professional development and coordination of the TAPM clinical staff.

Provides first-line leadership, supervision, and coordination for nursing and clinical services at a specific TAPM site; serves as an administrative and clinical resource to clinical staff; assists with effective management practice of all staff and material resources in order to achieve the highest quality patient care; provides direct nursing services in the clinical setting and in specialty clinics as assigned.

This position is 80% clinical and 20% administration. The Lead Nurse will cover the clinical portion based on the needs of the site. Example: Cover provider clinic, triage, and/or clinical responsibilities listed below.

Job Responsibilities:

Front Line Supervisory Responsibilities:
 Provides leadership for office/site nursing staff. Evaluates/provides utilization of personnel, supplies equipment, and physical facilities.
 Manages the Team Directed Care and Chronic Clinic, as required.
 Participates in multi-disciplinary teams with member hospitals and county agencies for continuity of care.
 Develops and modifies the nursing schedule, coordinating with provider schedule and clinic needs.
 Assigns daily duties to site specific nursing staff.
 Serves as a member of the clinic management team (CMT).
 Works in direct clinic care the majority of the time. Will have assigned administrative time.
 Ensures the orientation and training of new staff.
 Supervises site nursing staff
 Conducts competency and performance evaluations
 Monitors on a regular basis the competency of new nursing staff.
 Ensures nursing protocols are fully implemented in daily practice. Works with the Nursing Director and clinical management team to ensure protocols are updated based on standard of care and best practices.
 Ensures nursing duties in preventative and disease management protocols are fully implemented.
 Float to other clinic sites upon request to meet staffing and coverage needs.
 Triage Role – Performs all Triage Nurse Functions

Administrative/Financial/Budgetary Responsibilities:
 Assists in management of salaried expendables at or below budgeted expenses.
 Assesses/requisitions needed supplies and equipment.
 Participates in formulating/implementing variance analysis and corporate action plans.
 Manages inventory of clinical supplies and monitors daily par levels.
 Oversees ordering of supplies for clinic, including immunizations and medications.
 Ensures OSHA, Bloodborne Pathogen and other regulations are adhered to and that accidents are reported to Human Resources for follow-up.
 Responsible jointly with members of the clinical management team to ensure annual trainings are conducted to maintain staff awareness of safety issues in conjunction with Human Resources.

Human Resources Responsibilities:
 Participates in the interview, selection, and orientation process for new personnel.
 Identifies and refers all employee counseling issues to appropriate resources.
 Monitors/reports absenteeism, tardiness, etc.; refers to Practice Administrator.
 Identifies, assists, and participates with on-going employee training needs.
Participates/promotes in weekly ongoing Quality Improvement monitoring, educational updates, in-services, staff, and other meetings pertaining to position.
 Assists with the formulation, evaluation, and revision of nursing policies, procedures, and routines.
 Participates in Quality Assurance development/maintenance for related clinics.

Clinical Responsibilities:
 Performs nursing intervention skills according to nursing policies and procedures including but not limited to: venipuncture, wound care, debridement, sterile and non-sterile dressings, ear irrigations, administration of medications and immunizations, catherizations, specimen collections, etc.: completes all necessary documentation, as required.
 Administers medications and injections in compliance with state law and clinic guidelines.
 Triages patient calls and patient “walk-ins” to office: assesses priority of low-to-high risk patients on a “must see” basis of whether to be seen immediately, make a future appointment, or send home with care management advice to patient/parent.
 Assists medical staff during examinations, treatments, and minor surgery.
 Participates in the case management and multidisciplinary plan of care of Team Directed Clinic patients.
 Reviews records; documents no shows or cancelled appointments: performs follow-ups per protocol, and determines appropriate follow-up care.
 Instructs/informs patient/parent for preparation of ordered tests/treatments; makes certain all consent forms for procedures/tests are signed
 Obtains, reviews, records, and maintains patient laboratory and x-ray data.
 Retrieves patient charts for lab and diagnostic tests, and obtains required patient signature on appropriate consent forms, as requested by medical staff.
 Ensures patient chart completion prior to their assigned visits: charts major complaints, vital signs, measurements, and reasons for visit: prepares patient for examination per TAPM protocol.
 Ensures referral requests and other paperwork initiated by medical staff is complete and accurate.
 Oversees the requisition, organization, and maintenance of inventory for examination rooms and nurse’s station, as needed.
 Disposes of all disposable, contaminated, and used items into designated waste containers.
 Oversees the cleaning and stocking of examination rooms, labs, and stations, as needed.
 Completes patient charge form and ensures charges are recorded and returned to front office, and ensures patient follow-up appointments.
 Ensures referral requests and other paperwork initiated by medical staff is complete and accurate.
 Disposes of all disposable, contaminated, and used items into designated waste containers.
 Promotes team, system, and organizational goals; maintains patient confidentiality.
 Abides by all company policies, procedures, and protocols regarding safety/health rules and regulations.
 Adapts to various situations and adjusts to shifting priorities.
 Performs other duties as assigned.
 Floats to other clinic sites upon request to meet staffing and coverage needs.

Behavioral Competencies:
 Direct supervision of a site specific department staff involving responsibility for results in terms of costs, methods, and personnel, but supervision of others is limited to less than ten persons.
 Possess self-confidence, self-control and character to deal with situations well and positively.
 Desires to help others and focuses on meeting the needs of the patient and family. Ensures quality is delivered always.
 Has a personal pledge to high standards of efficiency, correctness, dependability, and to delivering outstanding customer service. Committed to advancing to higher levels of skill by continuing education, applied standards, and performance benchmarks.
 Connects well with others. Actively listens to the questions and concerns of others, understands others on an interpersonal level; responds to others in a timely and appropriate manner.
 Embraces the need for change; adapts to changing circumstances, sets change in motion when necessary.
 Shows respect to others and works well with a wide range of people. Sincerely intends to work cooperatively with others; wants to be part of a team. Strives to work together, as opposed to working separately or competitively. Strives to work well with others and deals with differences positively, even when personalities may clash or when team members are different from one another.
 Sees beyond the immediate situation and thinks critically about the larger scope. Identifies patterns or connections between situations for systems solutions.

Preparation and training:
Job duties require registered nurse (BSN preferred) with a minimum of three (3) years’ experience in a similar capacity. Must have a working knowledge of data processing equipment, computers, telephones, and such typical office machines and equipment. Must maintain effective written and oral communication and English skills. Must maintain current North Carolina RN License, CPR certification, Venipuncture certification, IV Certification, and a NC driver’s license for occasional travel.

Experience:
With the above skills, education, and at least one year of previous clinical experience, it would take approximately 1-3 years to become proficient with the policies, procedures, and protocol utilized by Triad Adult and Pediatric Medicine.

Analytical Ability:
Diversified duties involving an intensive knowledge of a technical or specialized field within the organization, requiring the use of a wide range of procedures. Must apply nursing principles of rational systems to solve practical problems.

Independent Judgment:
Under general supervision, whereby standard practice enables the employee to proceed alone on regular duties, referring questionable cases to supervisor or others.

Responsibility of Equipment or Process:
Limited – makes minor adjustments to equipment; testing and measuring devices; however, equipment is not “sensitive” and damages are unlikely under normal use and care. Testing/measuring equipment includes: crash cart, oxygen tanks, glucometer, strep test kit, scales, thermometer, pulse oximeter, nebulizer, hemoglobin machine, dinamapp, tape measure, Accuchecks, Hemmocues, Snellen charts, IV starts, and other equipment and devices as assigned.

Material or Product:
Errors with the incorrect storage of certain medications could go undetected and could result in some or total loss of medication, which would be costly to TAPM, as well as affect patient goodwill/care (if error is not caught). Misuse of biohazard materials could mean OSHA fines and/or penalties.

Safety of Others:
Safety of others depends entirely on the correct action of employee on job being rated. Errors, such as incorrectly administered medications, injections, and/or other treatments, should they occur, could result in serious or fatal repercussions for the patient.

Working Conditions:
Patient care setting where working conditions can be stressful and fast-paced. Must be able to work and deal effectively with changing situations, varying workloads, interruptions, etc. Frequently exposed to communicable diseases, biohazard substances, medicinal preparations, and other conditions conducive to a clinical environment.

Mental Attention or Visual Demand:
Continuous mental and visual attention and manual dexterity when attending to patient care and medical record keeping; usually repetitive work or diversified operations requiring constant alertness or activity. Must have acute visual perception for patient care and record keeping requirements and be able to distinguish colors. Must be able to communicate via telephone and other automation vehicles. Normal or corrected vision is needed in order to visualize computer screens, medical record forms, and equipment screens. Normal or corrected hearing is required for hearing blood pressures, monitor alarms, and building alarms, etc.

Physical Demand:
Position requires frequent standing/walking for extended periods of time. Must able to touch/ feel, and grip/grasp equipment/tools, and testing devices. Position also requires stooping, bending, stretching, reaching, and twisting. Must lift/carry young children weighing approximately 25-40 pounds, four or more times per hour, and occasionally push/pull occupied wheelchairs weighing approximately 15-60 pounds.

Scope of Supervision:
Supervises clinical support staff, which usually consists of site RNs, LPNs, CMAs, RMA’s, CPTs (Certified Phlebotomist Technician), under the direction of the Nursing Director with collaboration of the Medical Director.

Hazards:
If precautionary measures are not adhered to, this position could be susceptible to contact with infectious/communicable diseases, biohazard waste materials, needle pricks, etc.

Safety:
Triad Adult & Pediatric require that all employee work in a safe manner with regards to themselves and their co-workers. Any unsafe acts or condition are to be reported immediately.

Quality Improvement
Must understand and help enforce the meaning of quality improvement:” The combined and unceasing efforts of everyone-healthcare professionals, patients, and their families, researchers, payers, planners and educators-to make the change that will lead to better patient outcomes, better system performance and better professional development.”(Batalden, 2007). Committed to promoting TAPM as a medical home and incorporating the core components of a Patient Centered Medical Home into your position on a daily basis.
1. Patient Centered
2. Comprehensive care
3. Team-based
4. Coordinated
5. Accessible
6. Focusing on Quality and Safety

Reports to: CMO

Ocracoke Health Center, Inc is a 501c3 organization committed to always providing excellent care to our community. We believe that medicine is an art as well as a science and are committed to delivering quality healthcare to the whole person. We partner with our patients and their families to provide a medical home that is respectful, compassionate, accessible, and comprehensive. We offer services including behavioral health, primary care, in-house pharmacies, pediatric care, migrant & seasonal farm workers, telemedicine, dental health, and MVP programs. The organization consists of three health centers in Ocracoke, Manteo, and Engelhard, NC.

Job Summary:

The Clinical Director is responsible for designing, implementing, and maintaining a strategic plan for providing quality clinical outcomes to patients in collaboration with the leadership team and other employees. Responsible for planning, organizing, and directing all clinical operations at each health center. With the assistance of the Quality Manager and other members of leadership, the Clinical Director will lead quality improvement initiatives impacting core clinical measures, as identified by the Health Resources and Services administration Data Set (HRSA/UDS). The Clinical Director reports to the Chief Medical Officer. This position requires frequent travel between all three sites; Ocracoke, Manteo, and Engelhard, NC.

Supervisory Responsibilities:

Direct reports include Clinical Managers from each site
Interviews, hires, and trains new clinical staff.
Oversees the daily workflow of the clinical department.
Provides constructive and timely performance evaluations.
Handles discipline and termination of employees in accordance with company policy.
Duties/Responsibilities:

Work cross-functionally with other members of leadership to ensure the organizational goals are achieved.
Act as HIPPA Officer
Provides ongoing leadership to identify and select clinical quality, patient safety, and patient satisfaction indicators for targeted improvement.
Updates Quality Improvement Plan annually.
Promotes and oversees performance improvement activities to improve operations that support achieving quality benchmarks.
Promotes the use of technology and clinical decision tools to achieve quality outcomes.
Works with Quality Manager to produces and shares reports on QI to support decision-making and oversight of key management staff and the governing board regarding the provision of patient care at the health centers.
Investigates any gaps in quality reports and develops clinical plan to improve upon or build on those gaps.
Assists in complying and reporting quality requirements, regulations, guidelines and measures to HRSA, HEDIS compliance, CMS, Bureau of Primary Health Care (BPHC), Joint Commission, federal, state, and MCO’s.
Stays current with clinical initiatives coming from HRSA and develops goals to support these initiatives as appropriate.
Required Skills/Abilities:

Federally Qualified Health Center (FQHC) operations
Quality improvement and general quality concepts
HRSA regulations and expectations including compliance requirements, Federal Tort Claims Act (FTCA) and 304b pharmaceutical program.
Knowledge of HEDIS , CMS, and VHC compliance
Nursing assessment, diagnosis, planning, intervention, and evaluation process
Collaborates with outside organizations
Lead and adapt to change
Looks for ways to improve and promote quality measures
Education and Experience:

Required

Bachelor of Science in Nursing, NC RN license required
Experience utilizing an EMR
10+ years’ experience in a clinical setting
Three-five years of leadership and/or 5-7 years in quality related experience in healthcare
Preferred

Graduate degree in business or healthcare degree
Strong data/analytics background
Experience with EMR Athena
Physical Requirements:

Frequent travel between health centers
Prolonged periods of sitting at a desk and working on a computer.
Sitting, standing, walking, climbing, bending 40-60%
Must be able to lift up to 15 pounds at times.
Job Type: Full-time

Salary: $75,000.00 – $90,000.00 per year

Benefits:

Employee assistance program
Healthcare setting:

Clinic
Community health center
Medical specialties:

Primary Care
Schedule:

8 hour shift
Day shift
Monday to Friday
No nights
No weekends
Ability to commute/relocate:

Manteo, NC: Reliably commute or planning to relocate before starting work (Required)
Willingness to travel:

75% (Required)
Work Location: In person

Ocracoke Health Center, Inc DBA Manteo Community Health Center is a 501c3 organization committed to always providing excellent care to our beautiful coastal community of Manteo, NC on Roanoke Island, one of the oldest towns in North Carolina full of rich history. Sailboats docked at the waterfront, sailing and kayak tours leaving the docks, tourists dining on a patio or sipping a latte as they peruse the many shops, the waterfront park, quaint inns, restored historic homes with beautiful gardens, crabbers tending to their daily catch – all this and more is seen in Manteo daily — with our Community Health Center just steps away from the action. Student Loan Repayment (tax-free) or Bonus Incentive available.

100% employer paid premium for medical, dental, vision, std/ltd, and life.
Center is open Monday – Friday 8 to 5, closed for lunch 12-1
2 providers on site
MD/DO 12-13 patients per day
NP/PA 10-11 patients per day
Athena EMR
PCMH
15 minute drive to the beautiful sandy beaches of the Outer Banks
Relocation Assistance – up to $12K
11 paid vacation days, 14 accrued PTO, 5 wellness days
403b matching up to 2% with increase to 3% starting 2024.
Preceptorship with stipend opportunities

We believe that medicine is an art as well as a science and are committed to delivering quality healthcare to the whole person. We partner with our patients and their families to provide a medical home that is respectful, compassionate, accessible, and comprehensive. We offer services including behavioral health, primary care, in-house pharmacies, pediatric care, migrant & seasonal farm workers, telemedicine, dental health, and MVP program.

The MD/DO or experienced NP will provide high quality primary medical care, diagnostic and therapeutic care and service, referring consultations for specialty care, and education and preventive care advice to all patients served. The MD/DO performance will be tracked and comparatively reported using metrics related to the strategic direction and operational needs of the organization. Works closely with physicians and other clinicians in a team approach to patient care. May specialize in a specific type of clinical care, e.g., family medicine, pediatrics, geriatrics.

Responsibilities

Provides direct primary care medical services to patients.
Provides outpatient primary care medical services within scope of practice as determined by delineation of privileges.
Reach an informed diagnosis based on scientific knowledge and the patient’s medical history
Prescribe and interpret lab tests
Assigned to one primary site for delivery of care, with cross coverage at other sites when necessary.
Participates in active problem identification and problem solving to improve the overall clinical program and patient care at the physician’s primary site. This includes active participation in quality assurance activities as assigned by the Chief Medical Officer.
Serves as team leader for staff at primary site for purposes of problem solving and self-management.
Collaborate with other physicians, physician assistants and nurses to form a high performing medical team
Fosters a climate of trust and compassion for patients
Skills

Ability to maintain effective working relationships with all employees and department needs.
Must be a self-initiating and adaptable with ability to communicate to a variety of staff members.
Must be highly organized, and possess good oral and written communication skills.
Compassionate and responsive to the needs of the patients.
Ability to maintain effective working relationships with all employees and department needs.
Must maintain a high level of confidentiality.
Basic office procedures relevant to duties contracted for according to primary care.
Effective communication and patient education skills.
Must be able to work and problem solve independently.
EMR and Basic office procedures relevant to duties contracted for according to primary care.
Bilingual English/Spanish highly desirable.
Education and Experience:

Graduate from an accredited School of Medicine or Osteopathy
Proven experience as a physician
Licensed by NC Board of Medical Examiners to practice medicine
Board Certification in a primary care specialty preferred.
DEA Certification

Job Type: Full-time

Salary: $165,000.00 – $190,000.00 per year

Primary care specialties:

Primary Care
Schedule:

8 hour shift
Monday to Friday
COVID-19 considerations:

All patients are required to wear mask, ability to do tele-visits from outside, curbside pick-up available. All surfaces are sanitized daily.

Ability to commute/relocate:

Manteo, NC 27954: Reliably commute or planning to relocate before starting work (Preferred)
Education:

Bachelor’s (Required)
Language:

Spanish (Preferred)
License/Certification:

BC/BE (Required)
Medical License (Required)
Work Location: In person

Front Line Supervisory Responsibilities:
 Provides leadership for office/site nursing staff. Evaluates/provides utilization of personnel, supplies equipment, and physical facilities.
 Manages the Team Directed Care and Chronic Clinic, as required.
 Participates in multi-disciplinary teams with member hospitals and county agencies for continuity of care.
 Develops and modifies the nursing schedule, coordinating with provider schedule and clinic needs.
 Assigns daily duties to site specific nursing staff.
 Serves as a member of the clinic management team (CMT).
 Works in direct clinic care the majority of the time. Will have assigned administrative time.
 Ensures the orientation and training of new staff.
 Supervises site nursing staff
 Conducts competency and performance evaluations
 Monitors on a regular basis the competency of new nursing staff.
 Ensures nursing protocols are fully implemented in daily practice. Works with the Nursing Director and clinical management team to ensure protocols are updated based on standard of care and best practices.
 Ensures nursing duties in preventative and disease management protocols are fully implemented.
 Float to other clinic sites upon request to meet staffing and coverage needs.
 Triage Role – Performs all Triage Nurse Functions

Administrative/Financial/Budgetary Responsibilities:
 Assists in management of salaried expendables at or below budgeted expenses.
 Assesses/requisitions needed supplies and equipment.
 Participates in formulating/implementing variance analysis and corporate action plans.
 Manages inventory of clinical supplies and monitors daily par levels.
 Oversees ordering of supplies for clinic, including immunizations and medications.
 Ensures OSHA, Bloodborne Pathogen and other regulations are adhered to and that accidents are reported to Human Resources for follow-up.
 Responsible jointly with members of the clinical management team to ensure annual trainings are conducted to maintain staff awareness of safety issues in conjunction with Human Resources.

Human Resources Responsibilities:
 Participates in the interview, selection, and orientation process for new personnel.
 Identifies and refers all employee counseling issues to appropriate resources.
 Monitors/reports absenteeism, tardiness, etc.; refers to Practice Administrator.
 Identifies, assists, and participates with on-going employee training needs.
Participates/promotes in weekly ongoing Quality Improvement monitoring, educational updates, in-services, staff, and other meetings pertaining to position.
 Assists with the formulation, evaluation, and revision of nursing policies, procedures, and routines.
 Participates in Quality Assurance development/maintenance for related clinics.

Clinical Responsibilities:
 Performs nursing intervention skills according to nursing policies and procedures including but not limited to: venipuncture, wound care, debridement, sterile and non-sterile dressings, ear irrigations, administration of medications and immunizations, catherizations, specimen collections, etc.: completes all necessary documentation, as required.
 Administers medications and injections in compliance with state law and clinic guidelines.
 Triages patient calls and patient “walk-ins” to office: assesses priority of low-to-high risk patients on a “must see” basis of whether to be seen immediately, make a future appointment, or send home with care management advice to patient/parent.
 Assists medical staff during examinations, treatments, and minor surgery.
 Participates in the case management and multidisciplinary plan of care of Team Directed Clinic patients.
 Reviews records; documents no shows or cancelled appointments: performs follow-ups per protocol, and determines appropriate follow-up care.
 Instructs/informs patient/parent for preparation of ordered tests/treatments; makes certain all consent forms for procedures/tests are signed
 Obtains, reviews, records, and maintains patient laboratory and x-ray data.
 Retrieves patient charts for lab and diagnostic tests, and obtains required patient signature on appropriate consent forms, as requested by medical staff.
 Ensures patient chart completion prior to their assigned visits: charts major complaints, vital signs, measurements, and reasons for visit: prepares patient for examination per TAPM protocol.
 Ensures referral requests and other paperwork initiated by medical staff is complete and accurate.
 Oversees the requisition, organization, and maintenance of inventory for examination rooms and nurse’s station, as needed.
 Disposes of all disposable, contaminated, and used items into designated waste containers.
 Oversees the cleaning and stocking of examination rooms, labs, and stations, as needed.
 Completes patient charge form and ensures charges are recorded and returned to front office, and ensures patient follow-up appointments.
 Ensures referral requests and other paperwork initiated by medical staff is complete and accurate.
 Disposes of all disposable, contaminated, and used items into designated waste containers.
 Promotes team, system, and organizational goals; maintains patient confidentiality.
 Abides by all company policies, procedures, and protocols regarding safety/health rules and regulations.
 Adapts to various situations and adjusts to shifting priorities.
 Performs other duties as assigned.
 Floats to other clinic sites upon request to meet staffing and coverage needs.

Behavioral Competencies:
 Direct supervision of a site specific department staff involving responsibility for results in terms of costs, methods, and personnel, but supervision of others is limited to less than ten persons.
 Possess self-confidence, self-control and character to deal with situations well and positively.
 Desires to help others and focuses on meeting the needs of the patient and family. Ensures quality is delivered always.
 Has a personal pledge to high standards of efficiency, correctness, dependability, and to delivering outstanding customer service. Committed to advancing to higher levels of skill by continuing education, applied standards, and performance benchmarks.
 Connects well with others. Actively listens to the questions and concerns of others, understands others on an interpersonal level; responds to others in a timely and appropriate manner.
 Embraces the need for change; adapts to changing circumstances, sets change in motion when necessary.
 Shows respect to others and works well with a wide range of people. Sincerely intends to work cooperatively with others; wants to be part of a team. Strives to work together, as opposed to working separately or competitively. Strives to work well with others and deals with differences positively, even when personalities may clash or when team members are different from one another.
 Sees beyond the immediate situation and thinks critically about the larger scope. Identifies patterns or connections between situations for systems solutions.

Front Line Supervisory Responsibilities:
 Provides leadership for office/site nursing staff. Evaluates/provides utilization of personnel, supplies equipment, and physical facilities.
 Manages the Team Directed Care and Chronic Clinic, as required.
 Participates in multi-disciplinary teams with member hospitals and county agencies for continuity of care.
 Develops and modifies the nursing schedule, coordinating with provider schedule and clinic needs.
 Assigns daily duties to site specific nursing staff.
 Serves as a member of the clinic management team (CMT).
 Works in direct clinic care the majority of the time. Will have assigned administrative time.
 Ensures the orientation and training of new staff.
 Supervises site nursing staff
 Conducts competency and performance evaluations
 Monitors on a regular basis the competency of new nursing staff.
 Ensures nursing protocols are fully implemented in daily practice. Works with the Nursing Director and clinical management team to ensure protocols are updated based on standard of care and best practices.
 Ensures nursing duties in preventative and disease management protocols are fully implemented.
 Float to other clinic sites upon request to meet staffing and coverage needs.
 Triage Role – Performs all Triage Nurse Functions

Administrative/Financial/Budgetary Responsibilities:
 Assists in management of salaried expendables at or below budgeted expenses.
 Assesses/requisitions needed supplies and equipment.
 Participates in formulating/implementing variance analysis and corporate action plans.
 Manages inventory of clinical supplies and monitors daily par levels.
 Oversees ordering of supplies for clinic, including immunizations and medications.
 Ensures OSHA, Bloodborne Pathogen and other regulations are adhered to and that accidents are reported to Human Resources for follow-up.
 Responsible jointly with members of the clinical management team to ensure annual trainings are conducted to maintain staff awareness of safety issues in conjunction with Human Resources.

Human Resources Responsibilities:
 Participates in the interview, selection, and orientation process for new personnel.
 Identifies and refers all employee counseling issues to appropriate resources.
 Monitors/reports absenteeism, tardiness, etc.; refers to Practice Administrator.
 Identifies, assists, and participates with on-going employee training needs.
Participates/promotes in weekly ongoing Quality Improvement monitoring, educational updates, in-services, staff, and other meetings pertaining to position.
 Assists with the formulation, evaluation, and revision of nursing policies, procedures, and routines.
 Participates in Quality Assurance development/maintenance for related clinics.

Clinical Responsibilities:
 Performs nursing intervention skills according to nursing policies and procedures including but not limited to: venipuncture, wound care, debridement, sterile and non-sterile dressings, ear irrigations, administration of medications and immunizations, catherizations, specimen collections, etc.: completes all necessary documentation, as required.
 Administers medications and injections in compliance with state law and clinic guidelines.
 Triages patient calls and patient “walk-ins” to office: assesses priority of low-to-high risk patients on a “must see” basis of whether to be seen immediately, make a future appointment, or send home with care management advice to patient/parent.
 Assists medical staff during examinations, treatments, and minor surgery.
 Participates in the case management and multidisciplinary plan of care of Team Directed Clinic patients.
 Reviews records; documents no shows or cancelled appointments: performs follow-ups per protocol, and determines appropriate follow-up care.
 Instructs/informs patient/parent for preparation of ordered tests/treatments; makes certain all consent forms for procedures/tests are signed
 Obtains, reviews, records, and maintains patient laboratory and x-ray data.
 Retrieves patient charts for lab and diagnostic tests, and obtains required patient signature on appropriate consent forms, as requested by medical staff.
 Ensures patient chart completion prior to their assigned visits: charts major complaints, vital signs, measurements, and reasons for visit: prepares patient for examination per TAPM protocol.
 Ensures referral requests and other paperwork initiated by medical staff is complete and accurate.
 Oversees the requisition, organization, and maintenance of inventory for examination rooms and nurse’s station, as needed.
 Disposes of all disposable, contaminated, and used items into designated waste containers.
 Oversees the cleaning and stocking of examination rooms, labs, and stations, as needed.
 Completes patient charge form and ensures charges are recorded and returned to front office, and ensures patient follow-up appointments.
 Ensures referral requests and other paperwork initiated by medical staff is complete and accurate.
 Disposes of all disposable, contaminated, and used items into designated waste containers.
 Promotes team, system, and organizational goals; maintains patient confidentiality.
 Abides by all company policies, procedures, and protocols regarding safety/health rules and regulations.
 Adapts to various situations and adjusts to shifting priorities.
 Performs other duties as assigned.
 Floats to other clinic sites upon request to meet staffing and coverage needs.

Behavioral Competencies:
 Direct supervision of a site specific department staff involving responsibility for results in terms of costs, methods, and personnel, but supervision of others is limited to less than ten persons.
 Possess self-confidence, self-control and character to deal with situations well and positively.
 Desires to help others and focuses on meeting the needs of the patient and family. Ensures quality is delivered always.
 Has a personal pledge to high standards of efficiency, correctness, dependability, and to delivering outstanding customer service. Committed to advancing to higher levels of skill by continuing education, applied standards, and performance benchmarks.
 Connects well with others. Actively listens to the questions and concerns of others, understands others on an interpersonal level; responds to others in a timely and appropriate manner.
 Embraces the need for change; adapts to changing circumstances, sets change in motion when necessary.
 Shows respect to others and works well with a wide range of people. Sincerely intends to work cooperatively with others; wants to be part of a team. Strives to work together, as opposed to working separately or competitively. Strives to work well with others and deals with differences positively, even when personalities may clash or when team members are different from one another.
 Sees beyond the immediate situation and thinks critically about the larger scope. Identifies patterns or connections between situations for systems solutions.

• Provides leadership for office/site nursing staff. Evaluates/provides utilization of personnel, supplies equipment, and physical facilities
• Manages the Team Directed Care and Chronic Clinic, as required
• Participates in multi-disciplinary teams with member hospitals and county agencies for continuity of care
• Develops and modifies the nursing schedule, coordinating with provider schedule and clinic needs
• Assigns daily duties to site specific nursing staff
• Serves as a member of the clinic management team (CMT)
• Works in direct clinic care the MAJORITY of the time
• Will have assigned administrative time
• Ensures the orientation and training of new staff
• Supervises site nursing staff
• Conducts competency and performance evaluations
• Monitors on a regular basis the competency of new nursing staff
• Ensures nursing protocols are fully implemented in daily practice. Works with the Nursing Director and clinical management team to ensure protocols are updated based on standard of care and best practices
• Ensures nursing duties in preventative and disease management protocols are fully implemented
• Float to other clinic sites upon request to meet staffing and coverage needs.
• Onboarding and training of new clinical staff
• Triage Role – Performs all Triage Nurse Functions

• Provides leadership for office/site nursing staff. Evaluates/provides utilization of personnel, supplies equipment, and physical facilities
• Manages the Team Directed Care and Chronic Clinic, as required
• Participates in multi-disciplinary teams with member hospitals and county agencies for continuity of care
• Develops and modifies the nursing schedule, coordinating with provider schedule and clinic needs
• Assigns daily duties to site specific nursing staff
• Serves as a member of the clinic management team (CMT)
• Works in direct clinic care the MAJORITY of the time
• Will have assigned administrative time
• Ensures the orientation and training of new staff
• Supervises site nursing staff
• Conducts competency and performance evaluations
• Monitors on a regular basis the competency of new nursing staff
• Ensures nursing protocols are fully implemented in daily practice. Works with the Nursing Director and clinical management team to ensure protocols are updated based on standard of care and best practices
• Ensures nursing duties in preventative and disease management protocols are fully implemented
• Float to other clinic sites upon request to meet staffing and coverage needs.
• Onboarding and training of new clinical staff
• Triage Role – Performs all Triage Nurse Functions

• Participates in the development of policies and procedures relating to the provision of clinical and related services. Provides supervision to midlevel practitioner staff.
• Performs complete physical exams, obtains medical history; interprets and records findings.
• Orders/obtains appropriate laboratory and diagnostic studies/tests to assist with patient evaluations, as needed.
• Interprets and integrates data to determine preliminary diagnosis and appropriate therapeutic plan.
• Administers medications, immunizations, and injections in compliance with state law and clinic guidelines.
• Performs direct patient care services, which may include instruction, education, counseling, recommendation of medications and treatments, health and illness prevention, and/or community resources to meet specific needs to patient and family.
• Coordinates and schedules laboratory studies and diagnostic procedures. Explains the necessity, preparation, nature and anticipated effects of scheduled diagnostic and therapeutic procedures to patients.
• Reviews, writes, and renews medication prescriptions, which corresponds to the written standing orders, and/or, to the consultation advice of the supervising physician.
• Documents, updates, and maintains patient records.
• Summarizes records and prepares referral letters.
• Performs administrative duties as may be request by the Medical Director
• Communicates/confers with various outside agencies and resources regarding medical advice/information of clinic patients, such as dentist, social services, speech and hearing, etc., as needed.
• Refers patients to specialist, such as ENT, Pediatric Surgeon, Dermatologist, Neurologist, Asthma, etc., as needed.
• Participates in clinical research projects and prepares analyses/consensus report, when requested.
• Confers with other health professionals regarding patient condition, if necessary.
• Attends monthly staff meetings at the respective Practice designated.
• Attends continuing education meetings, as required.
• Promotes team, system, and organizational goals; maintains patient confidentiality and provides superior customer service.
• Disposes all disposable, contaminated, and used items into designated waste containers.
• Abides by all company policies regarding safety/health rules and regulations.
• Adapts to various situations and adjusts to shifting priorities.
• Must abide by TAPM Mission, Vision, and Core Values
• Performs other duties as assigned.