Certified Registered Nurse Practitioner/Physician's Assistant (CRNP/PA)

Description

   Position open to either a CRNP or a PA - PA job description may slightly vary

• Work with school nurses to provide care to children and adolescents in the school-based health center
• Understanding and adaptability with diverse vaccine history
• Ability to review and project catch-up vaccine schedules utilizing CDC guidelines
• Provides care to community-based population of all ages at the Together in Health clinic serving students, their families, and the community
• Coordination of care between primary care providers and school-based health center
• Ensure students meet PA Department of Health requirements
• Performs and documents comprehensive medical and psychosocial health histories and examinations on patients 
• Establish panel of patients for which TWC SBHC is the primary care provider
• Position requires in-depth understanding of EPSDT schedule and guidelines
• Gathers, interprets and integrates data to determine appropriate treatment plan as needed
• Orders and interprets diagnostic studies, if appropriate related to the patient’s plan of care and response to treatment
• Interviews and advises patients and/or parents regarding health and illness prevention. Recommends resources to meet patient and family needs
• Instructs families regarding medications and treatment instructions
• Identifies treatment-related toxicities and initiates medical interventions
• Evaluates patient intervention outcomes and demonstrates expertise in symptom-management 
• Monitors and adjusts patient medications and treatments according to protocols
• Manages telephone calls related to emergency situations, symptom management and psychosocial and family concerns 
• Provides continuity of care across settings (home, primary settings, school etc)
• Provides psychosocial counseling and support to patients and families and makes community referrals as necessary
• Documents medical records with all patient encounters in the office and on the telephone while staying compliant and up-to-date with the EMR process
• Understands and adheres to “incident-to” and “non-incident-to” service and billing guidelines using proper procedures based on service conditions at the time
• Exercises HIPAA confidentiality and security measures at all times during office hours and outside of the office
• Leads quality improvement projects/reviews and activities in the clinical setting
• Position will lead outreach initiatives in coordination with school district including summer vaccine clinics
• Serves as a clinical resource for staff, clients and families 
• This position includes various administrative tasks including coordination with school nurses, maintaining up to date consents for students, thorough review of immunization records, etc. 
• Participate in quality improvement reviews and activities in the clinical setting
• Serve as a clinical resource for staff, clients and families which includes answering triages, help streamline patient flow in office 
• Practice as an outpatient provider with thirty-six (36) hours of patient care per week (with availability for 3 patient slots per hour, 108 patient slots per week) and four (4) hours of administrative time per week, and must be present on-site at least forty (40) hours per week, which includes administrative time. Administrative time must be coordinated and planned to occur outside of patient care hours and when there is otherwise an adequate number of providers to cover overall patient care responsibilities. The particular days scheduled will be worked out with the Medical Director and Practice Manager
• Must have zero charts overdue > 10 days no more than 100 at end of month
• Monitor lab and document box of other providers as assigned and direct any questions or concerns to the Medical Director
• Work some late nights, on average one to two nights per week
• Participate in the outpatient call schedule, which typically includes one weekend per month and the occasional weekday as needed, with physician as backup.
• Participate in weekend rotation including up to two Sundays per month, or two Saturdays per month, or any combination of one Saturday and one Sunday per month, at any of Corporation’s practice locations; however, additional weekend rotation days could be scheduled from time to time based on operational and clinical needs of the Corporation as determined by Corporation in its sole discretion
• Participate in holiday rotation, working 1-2 holidays per year. 
• Work additional hours/days, as needed, to cover colleague time off and staffing emergencies
• Participate in nursing home on call coverage as needed
• Work in an independent and interdependent relationship with members of the medical staff, which allows f