Medical - Nurse Practitioner (Sign-on-bonus)

The Family Nurse Practitioner (FNP) provides comprehensive, patient-centered primary care services across the lifespan at the San Diego Community Health Center. The FNP, under appropriate direction and supervision by the Medical Director, practices in accordance with SDCHC policies, evidence-based guidelines, HRSA requirements, and all applicable California State and Federal laws. The FNP functions within the scope of practice as authorized for the RN pursuant to Business and Professions Code, Division 2, Chapter 6. The FNP functions within the scope of practice as specified in the Nursing Practice Act and as it applies to all Registered Nurses.

Must be able to demonstrate knowledge and skills necessary to perform all job-related activities as outlined below.

Essential Duties and Responsibilities:

Clinical Care & Patient Management:

1. Provide comprehensive primary care services across the lifespan (pediatrics, adults, geriatrics).
2. Perform patient histories, physical exams, and assessments.
3. Diagnose and manage acute and chronic medical conditions.
4. Order, interpret, and act on diagnostic tests (labs, imaging, procedures).
5. Prescribe medications, treatments, and durable medical equipment in accordance with CA law.

Clinical Care & Patient Management: (continue)

1. Provide preventive care services (well-child visits, adult wellness exams, immunizations).
2. Manage chronic disease care (including but not limited to diabetes, hypertension, asthma, COPD).
3. Provide reproductive and sexual health services, including contraception counseling.
4. Perform in-scope procedures as credentialed and/or trained as applicable, with formal clearance for procedures documented in HR file and overseen by SDCHC Medical Director as required (e.g., wound care, I&D, PAP smears, skin biopsies, joint injections, IUD insertion/removal, contraceptive implant insertion/removal, etc).
5. Provide and/or oversee provisions of behavioral health screening and brief interventions (including but not limited to PHQ-2, 9, GAD-7, SBIRT).
6. Coordinate care with interdisciplinary team members and specialists, external agencies to assure the provision of coordination of health care delivery to individuals and families.

Care Coordination & Population Health

1. Participate in team-based, PCMH care model
2. Support coordination of referrals and follow-up care with specialists, hospitals, and community resources by clinical support staff (including but not limited to: Referral Coordinators, Medical Assistants, RNs, Data Manager, EHR Manager, Senior Manager of Compliance)
3. Address social determinants of health and refer to grant programs, community resources, internal resources, case management or community health workers
4. Support care transitions and post-hospital and ER follow-up care
5. Participate in quality improvement initiatives and population health clinical pathways

Compliance, Documentation, & Quality

1. Meet productivity, access, and panel management expectations, including documenting all patient encounters accurately and timely in the EHR.
2. Comply with HRSA, UDS, Title 22, and SDCHC documentation and reporting requirements and participate in ongoing improvements in clinic workflows to improve associated tasks
3. Adhere to evidence-based clinical guidelines and organizational policies
4. Participate in peer review, chart audits, and quality assurance activities
5. Support & follow infection control, patient safety, and risk management initiatives & policies

Collaboration & Professional Practice

1. Collaborate with other NPs, physicians, behavioral health, nursing, and support staff.
2. Provide clinical guidance to nursing and MA staff within scope.
3. Participate in staff meetings, trainings, and professional development

Qualifications:

Minimum Qualifications:

1. Current CA Nurse Practitioner licensure.
2. Graduate of a CCNE accredited Nurse Practitioner program.
3. National Board certification as a Nurse Practitioner (Family Nurse Practitioner (FNP))

Preferred Qualifications:

1. 1+ Year recent experience providing primary care or urgent care in a clinic setting.
2. Experience serving a multinational, multicultural population.
3. FQHC and/or IHS experience
4. ECW EHR.
5. Experience in a medical staff leadership role, such as medical staff department or committee chairperson, preferred.

Special Conditions of Employment:

1. CPR/ BLS certification: Maintain a current Basic Life Support (BLS) certification issued by the American Heart Association (AHA), the American Red Cross, or an equivalent organization. Certification must include an in-person, hands-on skills assessment. Online-only certifications are not accepted.
2. Annual background checks: Consent to annual background checks as a condition of continued employment, to ensure compliance with organizational standards and eligibility requirements.
3. For-Cause Drug Screening: Comply with drug screening requirements when initiated by the organization for cause, to support a safe, compliant, and drug-free workplace.
4. Ongoing Compliance Requirements: Maintain up-to-date compliance with all required annual renewals, including professional licenses, certifications, physical examinations, TB testing, and mandatory regulatory trainings as assigned by the San Diego American Indian Health Center (SDAIHC).  .

Additional Knowledge, Skills, and Abilities:

1. Excellent oral and written communication skills.
2. Excellent time management skills
3. Excellent organizational skills and attention to detail.
4. Ability to maintain confidentiality and meticulous records.
5. Effective interpersonal skills and strong team work skills
6. Able to deal effectively with a diversity of individuals.
7. Ability to establish and maintain cooperative working relationships with all during the course of work.
8. Able to perform basic mathematical calculations necessary to perform the job function.
9. Must be reliable and extremely trustworthy. 
10. Demonstrated proficiency in Microsoft Suite or related programs.

Physical and Mental Requirements:

The physical demands described here are representative of those that must be met by an employee to successfully perform the essential functions of this job with or without accommodation.

1. Able to lift/move up to 10 pounds, move from place to place.
2. Able to sit at a desk and work on a computer for prolonged periods.
3. Able to stand, bend and reach for prolonged periods.
4. Ability to do math, organize and prioritize workload, work effectively and efficiently under stress.
5. Ability to supervise, multitask, understand, and follow instructions.
6. Ability to proficiently read, write, speak, and understand English.

Customer Service:

1. Actively supports, promotes, and works to fulfill the Mission, Vision, and core values of SDAIHC.
2. Provides excellent internal and external customer service.
3. Demonstrates SDAIHC’s Standards of Customer Service Behavior: Compassion, Attitude, Communication, Appearance, Sense of Ownership, and Teamwork.
4. Participates in on-going customer service training.
5. In every action, seeks to promote SDAIHC as a top service organization.

Quality Management:

1. Contribute to the success of the organization by participating in quality improvement activities.
2. Complies with all SDAIHC policies and procedures and proactively participates in the implementation of new initiatives.
3. Participate and ensures continuous quality improvement process as directed by clinic leadership.  

Safety:

1. Ensures regulatory compliance and adherence with policies and procedures related to safe work practices.
2. Participate in infection prevention through appropriate use of infection control measures during patient treatment and patient interactions.
3. Ensure compliance with regulatory requirements for maintaining physical spaces, equipment, and supplies.  
4. Uses all appropriate equipment and/or tools to ensure workplace safety. 
5. Immediately reports unsafe working conditions.  

Preference is given to qualified American Indian/Alaskan Natives in accordance with the American Indian Preference Act (Title 25, U.S. Code Section 472, 473 and 473a). In other than the above, the San Diego American Indian Health Center, is an equal opportunity employer.

San Diego American Indian Health Center is an Equal Opportunity Employer. We encourage applications from all individuals regardless of race, religion, color, sex, pregnancy, national origin, sexual orientation, gender identity, gender expression, ancestry, age, marital status, physical or mental disability or any other protected class, political affiliation, or belief.