Appalachian Mountain Community Health Centers
Sylva, North Carolina • All Counties
May 09, 2022
March 30, 2022
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
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.
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.
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.
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
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.
NCCHCA’s weekly Focal Point newsletter includes key updates and resources for Community Health Centers. Subscribe now to ensure you don’t miss important announcements.