The Clinician provides comprehensive reproductive healthcare services to patients at Planned Parenthood of Greater Texas (PPGT). Works as part of the medical team in collaboration with the Chief Medical Officer (CMO), Vice President of Health Services, Chief Operating Officer, Nurse Practitioners, VP of Medical Compliance, Regional Health Center Managers/Directors, Health Center Assistants, Follow up Coordinators and other team members to assess the clinical needs of clients as outlined in affiliate protocols. Orders, interprets, and records results of clinical tests and reports results to physicians as needed. Prescribes medications and makes recommendations for other forms of treatment, including birth control. The Clinician acts as part of the medical services team providing comprehensive reproductive healthcare including family planning and as outlined in affiliate protocols.
Provides direct patient care including: history review, health education, physical exam, counseling, diagnosis and treatment according to protocols and meeting productivity goals. Participates in accomplishing customer-focused goals and provides referrals and participates in follow-up. Consults with CMO to ensure compliance with guidelines and participates in Risk and Quality Management program, clinician meetings and other agency and center meetings as required.
The Clinician works in partnership with management, health services and CMO to provide the highest quality of patient care and excellent customer service. Follows affiliate protocols, policies and procedures and any center-specific policies and procedures. Abides by the organization’s mission in performing job duties. Participates as a member of a team providing confidential, quality patient services, allowing patients to maintain a sense of dignity, trust and safety. There is a dual reporting structure for clinicians. Clinicians report directly to the HCM and clinical supervision is provided by the Lead Clinician. Performs duties to ensure productivity expectations, customer service and compliance standards are maintained.
Areas of Responsibility:
- Obtains, records, reviews, and interprets the medical and social history of patients.
- Performs male and female physical examinations with special emphasis on the reproductive system including breast examinations, pelvic examinations, cancer screening tests, diagnosis of sexually transmitted infections (STIs), and other types of more specialized procedures as may be indicated by medical policy or protocols.
- Performs, orders, and interprets diagnostic studies as indicated and permitted by medical protocols. Performs lab testing per Clinical
- Laboratory Improvement Amendments (CLIA) regulations and according to PPGT’s lab manual or manufacturer’s directions.
- Complies with all PPGT policies and Medical Standards and Guidelines.
- Consults with organization CMO or designee when deviates from PPGT Medical Standards and Guidelines.
- Provides relevant health instruction and education to include family planning, nutrition, sexual counseling, and principles of health promotion and maintenance.
- Performs all medical management within the guidelines of medical protocol and/or the specific direction of a supervising physician.
- Documents exam findings and other clinical aspects of direct patient care into the medical record accurately
- Codes billable services accurately based on medical record documentation using accepted practices, i.e. Evaluation and Management (E&M), Current Procedural Terminology (CPT) and diagnosis codes (ICD-10)
- Ensures conformity with the policies and procedures of the affiliate, Texas Medical Practice Act, Physician Assistant Licensing Act, Texas Nurse Practice Act, and rules promulgated under those acts.
- Provides patient management to ensure that patients are provided responsible and efficient care.
- Collaborates with the healthcare team and other community agencies and resources (physicians, local health departments, social services, Child Protective Services, etc.) through joint planning and coordination of activities, in providing comprehensive care.
- Participates in any research or clinical trials that may involve medical services that occur within the agency.
- Recognizes ethical, legal, and professional issues inherent in providing care to health center clients throughout the life cycle.
- Initiates and monitors appropriate follow-up on all abnormal test results and referrals. Ensures all follow-up is completed according to PPGT’s medical protocols.
- Refers patients with abnormal findings or medical problems that are outside the scope of PPGT’s medical protocol to appropriate providers.
- Provides on-call and health center coverage as scheduled. Be flexible and willing to travel to other locations when needed to provide clinician coverage to centers.
- Remains well informed about current contraceptive technology and women’s healthcare issues.
- Ensures compliance with state and certification agency continuing education requirements for licensure and certification maintenance.
- Actively participates in training and development in building support staff skill levels.
- May assist with the orientation and training of new clinicians.
- May perform colposcopy and cryotherapy.
- Develops and maintains a collaborative working relationship with Center Manager resulting in a team effort in meeting the goals of the health center.
- Develops a level of time management that is conducive to seeing 4-6 patients per hour meeting productivity goals and expectations.
- Follows all “Customer Service Rules” and promotes a spirit of teamwork with co-workers.
- Takes an active role in managing patient satisfaction by practicing patient centered care and providing exemplary customer service to patients
- Creates and maintains an environment of dignity and safety for patient sensitivity and privacy.
- Responds to medical emergencies as provided in the medical protocols and is responsible for organization and maintenance of emergency crash carts.
- Relates well to clients, staff, physicians, management, other clinicians and community providers.
- Contributes to the understanding and acceptance by colleagues, other professionals, consumers, and the community at large, of the role of the Clinician.
- May collaborate with area health team and other community agencies and resources (e.g. physicians, local health department, social services, nutritionists, dentists, and parent education groups), through joint planning and coordination of activities, in providing comprehensive care.
- Supervises and participates in the orientation and proctoring of new clinicians.
- May coordinate and provide, directly or by delegation, the precepting and mentoring of nurse practitioner students and maintains links with learning institutions.
- Ensures overall quality provision of medical services at the health center by conducting thorough monitoring and assessment of systems, medical equipment and supplies.
- Assists with ongoing evaluation and monitoring of program and services related to center and patient services.
- At the direction of the CMO, maintains and revises the formulary as needed.
- Attends and participates in staff meetings as required.
- Completes all employee training requirements including handling of situations involving conduct that endangers the welfare of minors and mandatory reporting requirements.
- May assist in interviewing of clinician staff.
- Works in conjunction with Health Center Managers, CMO and quality/risk management team to streamline procedures and policies to improve Health Center efficiency and client care within the Health Center.
- As able, provides consultation to other clinicians and health center staff regarding protocol and medical management of clients, collaborating with the CMO as needed.
- In conjunction with the VP of Health Services, VP of Medical Compliance, COO, CMO and Lead Clinician, ensures that all Planned Parenthood Federation of America (PPFA), affiliate, state regulatory, and grantee medical practices and protocols are interpreted, implemented, and managed by all client services staff.
- Participates in agency accreditation and performance reviews by PPFA, Department of State Health Services (DSHS), and others as indicated.
- Orders/recommends vaccinations and screening for evaluation of immune status related to pathogens encountered in the workplace according to Centers for Disease Control and Prevention (CDC) and the Advisory Committee on Immunization Practices (ACIP) recommendations.
- Complies with all mandatory reporting requirements.
- Administers, supplies, or prescribes medications/devices, including injections, per delegated orders of the Pharmacist-in-charge and the Chief Medical Officer as outlined in The Manual of Medical Standards and Guidelines and Pharmacy Manual and as per Title 22, Part 11, Chapter 22 of the Texas Administrative Code.
- Has unrestricted access to client protected health information (PHI) on paper and electronic forms for purposes of treatment, payment, and/or healthcare operations. The use of a client’s protected health information should be limited to information needed for the specific task that is being performed or requested by the individual client. Disclosure of any client information must be for purposes of treatment, payment or healthcare operation OR must be accompanied by a valid authorization.
- Ensures achievement of agency goals, vision and mission.
- Other related duties as assigned.
Duties and responsibilities may be added, deleted or changed at any time at the discretion of management, formally or informally, either verbally or in writing.
Educational Background:
Master’s degree (or equivalent) and certification in specialty as a Family Nurse Practitioner (FNP), Women’s Health Nurse Practitioner(WHNP), Certified Nurse Midwife (CNM), Primary Care Nurse Practitioner, or Physician Assistant (PA).
Skills/Experience:
Minimum Experience:
- Experience as a Nurse Practitioner, Nurse Midwife, or Physician Assistant in reproductive healthcare or women’s health strongly preferred. In the absence of advance practice experience, candidates must have direct patient care experience (in addition to clinical rotation/externship/internship hours) such as a RN, LVN, Medical Assistant, laboratory technician in a supervised clinical setting such as: hospital, ambulatory surgery center, clinic, nursing home or other related medical setting (excluding home care).
Required Licenses or Certifications:
- License to practice as an Advanced Practice Nurse with prescriptive authority in the State of Texas or License to practice as a Physician Assistant by the Texas Medical Board. Must be able to obtain and maintain appropriate licenses listed above and appropriate national certification (NCC, AMCB, AANP, or ANCC) and CPR BLS certification.
Agency Standards:
- Must have excellent computer skills with knowledge of Microsoft Word, Excel, PowerPoint, Outlook, and Internet. Must have the willingness and ability to adapt to change including advances or new technology. Must have excellent customer service skills and be committed to providing the highest level of customer satisfaction.
Required Knowledge, Skills and Abilities:
- Must be able to work flexible hours including evenings and weekends.
- Must be able to travel within and outside organization region as job dictates.
- Bilingual in Spanish/English desired.
- Demonstrates continued competency in meeting educational and professional standards.
- Ability to adhere to the medical protocols of the organization and PPFA.
- Ability to think strategically and achieve organization’s goals relating to position.
- Ability to adhere to the compliance and regulatory requirements pertaining to position.
- Possess effective analytical skills.
- Strong organizational skills and ability to multi-task.
- Ability to manage details and complexity, to handle a variety of tasks simultaneously and to work under pressure.
- Ability to exercise initiative, sound judgment, and problem-solving techniques in the decision-making process.
- Ability to effectively use organization’s computer systems.
- Skilled in verbal and written communications.
- Requires an understanding of and commitment to quality healthcare and excellent customer service.
- Be discrete and safe guard confidential information.
- Possess integrity and compliance – can be relied upon to act ethically.
- Demonstrates cultural and linguistic competence.
- Ability to work effectively as a team member.
- Ability to lead, manage, direct, and motivate diverse groups of people and possess the skills to delegate and supervise subordinates.
Essential Physical Requirements/Working Conditions:
- Must be able to balance, bend, stoop, kneel, crouch, reach, and grasp. Must be able to stand, particularly for sustained periods of time. Must be able to move about on foot to accomplish tasks, such as moving from one work site to another. Must be able to push/pull. Must be able to work primarily with fingers such as picking, pinching, or typing.
- Must be able to perceive attributes of objects such as size, shape, temperature or texture by touching with skin, particularly that of fingertips. Must be able to talk such as convey detailed or important spoken instructions to other workers accurately. Must be able to hear such as the ability to receive detailed communication orally. Must be able to communicate effectively. Will have substantial movements of the wrists, hands, and/or fingers.
- Must be able to lift and/or exert up to 50 pounds of force occasionally, and/or up to 30 pounds of force frequently, and/or up to 10 pounds of force constantly. Subject to hazards including a variety of physical conditions such as proximity to moving mechanical parts, moving vehicles, electrical current, or exposure to infectious diseases.
- Must be able to have close visual acuity to perform an activity such as: preparing and analyzing data and figures; transcribing; viewing a computer terminal; extensive reading; visual inspection involving small defects, small parts, and/or operation of machines (including inspection); using measurement devices; and/or assembly or fabrication parts at distances close to the eyes. Health Center and office environment.
Job Function:
Organization Info
Listing Stats
Post Date:
Nov 30 2017
Active Until:
Dec 30 2017
Hiring Organization:
Planned Parenthood Federation of America
industry:
Nonprofit