Nurse Practitioner (NP)/ Physician Assistant (PA)

JOB SUMMARY
An exempt position responsible for providing primary care services, including assessing, diagnosing, prescribing, treating and educating patients. Works closely with physicians, advanced practitioners, clinical and administrative support staff in a team-based approach to patient care
KEY ACCOUNTABILITIES
 Working collaboratively with the lead physician to provide patient assessments, diagnosis, formulate treatment plans, prescribe medications, order laboratory tests, interpret test results, provide patient education, and refer for further care in accordance with the standards of care.
 Assessing patient status by obtaining health history through patient and/or family interviews and chart reviews, evaluating presenting illness, risk factors, family history, psychosocial, economic and cultural factors and performing appropriate physical examination. Seeking other information as needed, including consultation with primary care physicians and other clinicians, for evaluation of illness. Integrating data to determine diagnosis and therapeutic plan, including identification of any health risks
 Providing culturally and linguistically (with provided assistance) appropriate education and counseling to patients and their families/caregivers
 Ordering and performing appropriate diagnostic laboratory and other screening tests
 Developing and implementing a treatment plan, including prescribing and/or dispensing medications and injections in compliance with best medical practice and applicable state and federal regulations
 Preparing documentation for the Electronic Health Record (EHR), including progress notes, diagnostic laboratory and radiology results, medications, diagnoses and treatment plan(s)
 Collaborating with other members of the care team to manage the acute and long-term health needs of the patient
 Facilitating and participating in shared decision making with patients, providing health education and promotion and recommending or referring patients to appropriate community resources to address social determinants of health
 Participating in the peer review process and other quality assurance and improvement activities as directed by the Chief Medical Officer and Clinical Director
 Promoting continuity of care between visits according to the patient’s treatment plan, including triaging patient calls
 Depending on the organizational structure, supervising clinical support staff, including nurses and medical assistants

Knowledge, Skills and Abilities:
 Knowledge of advanced practice, including anatomy and physiology, pathophysiology, pharmacology and therapeutics, nutrition, behavioral and psychosocial factors, diagnostic testing, interpretation of results and clinical decision making and alternative treatment modalities
 Knowledge of medical equipment and instruments used in the administration of patient care
 Knowledge of occupational health and safety standards and health care regulations
 Knowledge of health promotion, risk identification and best practices in patient education
 Knowledge of professional, community and educational resources
 Exercises a high degree of initiative, judgment, discretion and decision-making
 Ability to work effectively with a diverse staff and demonstrate equity in working with other clinicians, clinical support and administrative support staff
 Ability to analyze complex data and draw conclusions
 Ability to communicate effectively, orally and in writing, including interviewing patients, presentations, consultations, facilitation and documentation (e.g. progress notes, referrals, orders, patient education materials)
 Ability to interpret, adapt and apply policies and procedures
 Effective management of multiple duties and responsibilities in a clinical setting
 Demonstrates respect, dignity and empathy with patients
 Flexibility in a rapidly growing and changing work environment
 Demonstrates cultural competency with many different patient populations.
EDUCATION/EXPERIENCE
REQUIRED
 Degree from an accredited graduate education program for Nurse Practitioner or Physician Assistant
 Satisfactory completion of graduate education program clinical rotations
 Current, unrestricted North Carolina license to practice as a Physician Assistant or Nurse Practitioner
 Current Controlled Substance Registration Certificate from the Drug Enforcement Administration
 All clinicians are expected to maintain current Basic Life Support (BLS) certifications during employment with AMCHC.
PREFERRED
 Three years’ experience related to the above duties
 Experience working with racially and ethnically diverse populations, low-income populations and people experiencing homelessness
 At least one year of experience in a primary care setting functioning at the full extent of training and licensure with Practice Management systems or EHR
 Prior work in performance or quality improvement
 Proficiency in Spanish
 Able to drive a large medical van
 Have or be willing to become X-waiver certified for prescription of buprenorphine/buprenorphine-naloxone.

PHYSICAL REQUIREMENTS:
 Full range of motion, including manual and finger dexterity and eye-hand coordination,
and near vision
 Standing and walking frequently and occasionally lifting and carrying items weighing up to 50 pounds
 Frequent exposure to communicable diseases, biohazards, toxic substances, ionizing radiation, medicinal preparations and other conditions common to a clinical setting
 Possible occasional travel within western North Carolina
WORK ENVIRONMENT
 Fast paced work environment.
 The noise level in the work environment is usually moderate.
 This position requires some local travel within the Asheville area, as well as travel to other sites within Western North Carolina.
DISCLAIMER The above duties and responsibilities are essential job functions, subject to reasonable accommodations. All job requirements listed indicate the minimum level of knowledge, skills and/or abilities deemed necessary to perform the job proficiently. This job description is not intended to be construed as an exhaustive statement of duties, responsibilities, or requirements. Employees may be required to perform any other job-related instructions, as requested by their supervisor, subject to reasonable accommodation.