Under general administrative direction, provides primary and preventive medical care to eligible patients at the Muckleshoot HWC.

This list is intended only to illustrate the various types of work that may be performed.  The omission of specific statements does not exclude them from the position if the work is similar, related or logical assignment to the position.

1. Attendance
   1. Must have excellent attendance and reporting on time.

2. Assessment Skills
   1. Collect data pertaining to patient assessment in a complete and systematic manner.
   2. Develop differential diagnosis and risk identification through assessment and interpretation of data.
   3. Observe and obtain subjective patient data and evaluate, based on clinical information and symptomatology.

3. Clinical Skills
   1. Evaluate and treat symptoms and disease processes presented in family practice environment.
   2. Identify and treat chronic diseases, to include: diabetes, CVD, asthma, etc.
   3. Skilled in Pediatrics, with demonstrated ability in treating childhood diseases, performing well-child exams, and vaccinations.
   4. Evaluate and treat women’s health issues.
   5. Consult with other medical providers in coordinating health care services for MIT patients.
   6. Competent in geriatric medicine and managing patients on multiple medications.
   7. Knowledge of human systems, growth and development, basic nutrition, behavioral, psycho-social, and family systems.
   8. Competent in pharmacology and therapeutics.
   9. Respond, intervene, and direct emergency situations in a calm and professional manner.
   10. Provide leadership and collaboration with health care team to ensure quality patient care.
       1. Provide training and orientation to staff and patients.
   11. Evaluate patient subjective data, objective findings, laboratory data, and historical information to develop appropriate plan of care.

4. Safety
   1. Demonstrated knowledge of CDC, Department of Health, and OSHA/WISHA standards as they apply to the health care environment.
   2. Adhere to Standard/Universal precautions as appropriate.
   3. Assist with infection control and QA process.
   4. Practice within the parameters of licensure and demonstrate accountability for own professional conduct.

5. Communication
   1. Represent the MIT Health Program in a positive and professional manner when interacting with patients and the community.
   2. Demonstrate positive interpersonal relations skills in dealing with fellow providers, supervisors, directors, and staff.
   3. Provide accurate and thorough documentation of patient data on the PCC and appropriate evaluation forms.
      1. Review information provided by support staff to include:
         1. Health risk factors
         2. Chief complaint
         3. Historical data
      2. Written communication must be legible, complete and timely.
   4. Coordinate referrals to outside providers when appropriate. Build professional relationships with other practitioners and medical facilities to provide continuity of care.
   5. Provide patient education to patients, as well as family members, in a sensitive and culturally appropriate manner. Offer choices, opportunity for patient input for healthcare and honors decisions.
   6. Attend regular staff meetings, clinical meetings, and prepare agenda items as appropriate.
      1. Support ongoing staff education process and offer clinical education to staff as needed.
   7. Apply clinical expertise to the ongoing development of standards of care, policies, and procedure development and quality assurance.
      1. Participate in the implementation, evaluation, and periodic review of the clinic procedures.
   8. Participate in creating and implementing standing orders.
   9. Demonstrate understanding of insurance and billing procedures, to include, coding documentation.
   10. Maintain strict confidentiality when dealing with all PHI. Follow HIPAA policies and procedures at all times.
   11. Stay current with all CME requirements for licensure and Board certification.
   12. Because of the Tribe’s commitment to community service and the well-being of its members, each employee may be expected to perform a wide range of office and field duties from time to time. Such duties may or may not be related to their regular responsibilities.

Required:

• Graduation from an accredited university or college with a Doctor of Medicine (MD) or Doctor of Osteopathy degree.

• Successful completion of ACGME accredited Family Medicine Residency Program.

OR

• Successful completion of approved Combined Internal Medicine/Pediatrics Residency Program.
• Minimum of three (3) years of successful clinical experience, principally in an ambulatory clinic involving acute and chronic patient management.
• Current and active Washington State Physician License.
• DEA Certification.
• CPR certification.

Knowledge of:

• Primary medical and patient assessment practices.
• Regulations and laws relating to medical practice.
• Diagnostic, treatment and prescriptive authority of medical doctor.
• Principles of legal documentation and medical records release of information.
• ICD 10 and CPT coding
• Patient care services.
• Fundamentals of Public Health practice.
• Quality assurance and quality control standards.
• Policy and procedure development.

Skilled in:

• Communicating effectively in the English language (in person, by phone, and in writing).
• Problem solving.
• Interpretation, analysis and research.
• Data collection.
• Diagnosis and physical assessment.
• Teaching, presentation and facilitation.
• Organization.
• Working with diverse populations and cultures.
• Handling a number of tasks simultaneously.
• Maintaining effective working relationship with the community and other social service agencies.

Ability to:

• Be physically active up to 80% of the time, including: standing, lifting, walking, bending, pushing, pulling and reaching.

The working conditions described here are representative of those that must be met by an employee to successfully perform the essential duties of this class.

Work is performed mostly in a clinic setting. While performing the duties of this job, the employee is continuously required to talk, see and hear. The employee is occasionally required to sit, walk, bend, balance, crouch, kneel, reach and twist; and frequently use both hands to finger, handle, or feel objects and reach with hands and arms.

The employee must occasionally lift, move, push/pull and/or carry up to 40 pounds. Specific vision abilities required by this job include close and far acuity and the ability to adjust focus. Hand-eye coordination is necessary to operate computers and various pieces of office equipment.  The noise level in the work environment is usually moderately quiet.