Nurse Practitioner/Physician Assistant - VV Urgent Care (Full Time, Days)

At NorthBay Health the Advance Practice Professional (APP) for Urgent Care is a health care professional with advanced education and training in the care of the pediatric, adolescent, adult and geriatric populations. The APP works under the direction of a licensed physician. The APP is also directed by standardized protocols and procedures and in collaboration with the supervising physician. 

The APP provides routine direct care to primary care and urgent care clinic patients.  This includes but is not limited to recheck and same day appointments.  Performs physical examinations; performs or orders diagnostic tests; performs procedures and treatments; establishes diagnosis; prescribes medications; instructs patients and family members about medical conditions and treatment.  Provides continuity for patients with assigned physician practices.

The Advance Practice Professional (APP) is classified as a Physician Assistant or Nurse Practitioner licensed in the state of California. 

Primary Job Responsibilities

• Performs physical examinations and updates patient history.

• Formulates a diagnosis and treatment plan as appropriate for patient needs.

• Orders ancillary services as appropriate to meet patient needs. 

• Reviews all patient diagnostic test results and follows-up on abnormal test results.  Reviews diagnostic test results with patient. 

• Requests specialty consultation as approved by the supervising physician.

• Provides patient education as appropriate.

• Provides treatments and procedures as appropriate.

• Assists in the clinical management of the patient and works closely with members of the clinic to ensure that patient is receiving appropriate services.

• Counsels and educates patients as needed to support compliance with the outlined treatment plan.

• Notifies and consults supervising physician when a referral or transfer of patient care is required for urgent or emergent care. (e.g.: seeking services for: diagnostic, specialty care or emergent care and is critical for patient care/safety).

• Documents patient care as required and in a timely manner.

• Identifies high risk problems and transfers care to appropriate physician.

• Collaborates and communicates with appropriate physicians on patient care issues.

• Collaborates with other members of the health care team as needed.

• Seeks consultation from physician on any cases that he/she may feel exceeds his/her ability to manage, when the PA is in doubt of the diagnosis, when a patient fails to respond to treatment or when the patient expresses a desire to see the physician.

• As needed, participates in team conferences to review status of patient care.

• When needed, participates in data collection and outcome measurement to ensure quality care is being provided.

• Works collaboratively with team members to ensure appropriate and efficient flow of patients through clinic appointments. 

• Completes and submits coded fee tickets for each patient encounter.

• Promotes excellent customer service.

Education: 

• Graduate of an accredited Physician Assistant program approved by the National Commission of Certification of Physician Assistants (NCCPA). 

• Or Master’s required. Graduate of an accredited nursing program including a Nurse Practitioner Program. 

 Licensure/Credentials: 

• Current Physician Assistant licensure by the State of California Physician Assistant Examining Committee and Board Certified. 

• OR Current California licensure as a Nurse Practitioner and Board Certification by the American Nurse Credentialing Center, American Academy of Nurse Practitioners, American Association of Critical Care Nurses, or Pediatric Nursing Certification Board. 

• Current AHA or equivalent certification in CPR.          

• Maintains a current DEA license for schedule 2 drugs and above. 

• Maintains a current Furnishing Number for medications.

 Experience: 

• Experience as a Physician Assistant practicing in a related field, or completion of internship in primary care at NorthBay.