Family Practice Nurse Practitioner

Opportunity Type: Job

FIGHT Program: John Bell Health Center

Reports to: Medical Director, Jay Kostman

Philadelphia FIGHT Community Health Centers provide culturally competent comprehensive primary care, and state of the art HIV primary care to low income members of the community, along with research, consumer education, advocacy, social services and outreach to people living with HIV and those who are at high risk, including family members, communities with high rates of HIV, formerly incarcerated persons, and young people at risk; and access to the most advanced clinical research in HIV treatment and prevention.

It will be the responsibility of the Nurse Practitioner to perform the following duties for eligible patients under the direction of his/her/their Supervising Physician and the Practice Administrator. This should be done in accordance with Philadelphia FIGHT’s Community Health Centers mission to provide culturally competent comprehensive primary care, and, as appropriate, state of the art HIV primary care to low income members of the community, along with research, consumer education, advocacy, social services and outreach to people regardless of social situations. This includes formerly incarcerated persons and young people at risk, homeless and temporarily housed persons, those with a history of substance use and abuse and family members of those mentioned previously.

Hours

M-F 9:00 to 5:00 with up to two evenings for clinic per week

Tasks and Responsibilities

Essential Job Responsibilities

This role is primarily a clinical role, with the expectation that the Nurse Practitioner will spend the majority of the time in a clinical primary care medicine role in direct patient care.

Specifically, the Nurse Practitioner should:

  1. Provide comprehensive primary care services at the John Bell Health Center and Broad Street Ministries. This includes taking medical histories, performing physical examinations, diagnosing medical conditions, implementing treatment plans, advancing preventative care plans, and prescribing appropriate medications. The nurse practitioner/physician assistant will also order and interpret laboratory results. These

tasks will be performed while recognizing and evaluating situations which require a physician’s attention.

  1. Be proficient in acute care, preventative and primary care medicine, STD care, and basic gynecological care.
  1. Screen patients for sexually transmitted diseases and other anogenital conditions such as vaginal infections, cervical disease, and penile/scrotal conditions.
  2. Interact closely with the other clinicians in the practice, the Acting Medical Director, the Practice Coordinator, Practice Administrator, pharmacy technician and the ICJ Program Director, by participating in regular meetings for purposes of addressing management issues and quality assurance.
  3. Determine, in conjunction with their physician supervisor and with staff at Broad Street Ministries, when a patient seen at Broad Street Ministries should be transported to the John Bell Health Center or to a local Emergency Department for a more acute or different level of care. These decisions will be coordinated with the Community Health Worker who will facilitate the transfer of care in less acute situations or through contact with the Emergency Transport System of the City of Philadelphia.
  4. Communicate with staff at Broad Street Ministries to facilitate medical care for their clients within the framework of the philosophy of BSM.
  5. Communicate effectively and respectfully with people from different racial, ethnic, sexual orientation, gender identity, and cultural backgrounds and lifestyles, demonstrating a knowledge of and sensitivity to their needs.
  6. Communicate with staff at Broad Street Ministries to facilitate medical care for their clients within the framework of the philosophy of BSM.
  7. Communicate effectively and respectfully with people from different racial, ethnic, sexual orientation, gender identity, and cultural backgrounds and lifestyles, demonstrating a knowledge of and sensitivity to their needs.

Training

100 credit hours of Continuing Medical Education required every two years.

Recertification of license in accordance with license requirements including keeping license and DEA certificate in good standing.

 

Record Keeping

Appropriate and timely record-keeping is crucial to current medical practice. Acknowledging this, the Nurse Practitioner is expected to:

  1. Maintain an electronic medical chart on each patient seen in the clinic.
  2. Write progress notes after each visit and as required by clinic policy and regulations and route them to the appropriate supervising physician when necessary.
  3. Issue prescriptions and record in patient charts as required by clinic policy and regulations.
  4. Coordinate referrals to labs or other specialists and record in patient charts.

Qualifications

Skills, Knowledge and Ability

The following qualifications and experience are expected for this position:

  1. Master’s degree in Nursing if FNP or PNP.
  2. Certification by the American Nurses’ Association if FNP and Certification by the ANA, AANP, ANCC or PNCB

3.Minimum four (3) years working in primary care medicine, with experiencetreating disenfranchised, high risk populationspreferred.

  1. Interpersonal skills that allow effective interaction with clients and multiple providers in communities and medical settings while maintaining a spirit of hope and empathy.
  2. Proficiency in Electronic Health Records.
  3. Familiarity with regulations governing practice scope of a Nurse Practitioner.

The following skills and experience are expected for this position:

  1. Dedication to providing clinical care as a full time job to a challenging patient population.
  2. Interpersonal skills that allow effective and courteous interaction with clients and multiple providers in communities and medical settings while maintaining a spirit of hope and empathy.
  3. Ability to work independently in professional manner.
  4. Ability to work in a team environment.
  5. Proficiency in Electronic Health Records.
  6. Familiarity with regulations governing practice scope of a Nurse Practitioner.
  7. Excellent organizational, verbal and written communication and customer service skills.
  8. Ability to work under pressure in a fast-paced environment.

Work Environment:

  • Generally works in a clinical office environment but at least 50% of time will be spent working at an offsite clinic that is embedded with a church.

Hours of Work:

The Nurse Practitioner will be expected to complete 8 clinical sessions (half-day sessions) and 2 administrative sessions during a 40-hour work week. These clinic sessions will be at two difference sites that are in walking proximity to each other. This provider is expected to take “at- home, after hours calls for the clinic’s 24-hour emergency line on a rotating basis – approximately 4 times annually (or every 3 months).This is an exempt position.

Accountability

The Nurse Practitioner is responsible to his/her Supervising Physician. He or she is responsible for contacting the Supervising Physician with any questions or concerns that arise outside of the NP’s daily scope of practice, and for help in coordinating complicated management plans as needed. He or she is also responsible for meeting with the Supervising Physician periodically to review charts, ensure practice guidelines are followed, and to discuss complicated patients. For the initial three months of employment, all notes should routinely be routed to the Supervising Physician. Attendance at one or more weekly clinical conferences is strongly encouraged to remain up to date in clinical care practices and discuss complicated patients with colleagues.

Physical Demands

  • Ability to continuously stand or walk.
  • Ability to bend, climb stairs and lift frequently.
  • Ability to lift up to 10 pounds frequently.
  • Ability to squat occasionally.

Other

Initial probationary period is three months. Performance of other tasks may be assigned on an as-needed basis.

FIGHT is an EEO, Affirmative Action, LGBTQ, and people living with HIV/AIDS and protected veterans institution

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