ARNP who works independently and in collaboration with other physicians in the clinic in a family practice environment and Home visits with an emphasis on chronic disease management and Geriatrics.

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. Manages a panel of patients with acute and chronic health conditions with an emphasis on health promotion and disease prevention using evidence-based practice wither independently or in collaboration with PCP for patient.
2. Develops and implements an individualized plan to achieve optimal population health and disease management.
3. Orders and interprets labs, tests, and diagnostic studies.
4. Prescribes pharmacologic and non-pharmacologic interventions.
5. Initiates referrals and consults to specialty services.
6. Provides education to patients, their families and caregivers.
7. Assesses and adjusts the plan of care as needed to achieve optimal patient outcomes.
8. Collaborates with our Elder’s program, makes home visits to patients and works as an interdisciplinary team.
9. Able to effectively communicate and collaborate with many disciplines to meet the needs of patients.

10. Participates in ongoing safety and quality assurance oversight within the clinic setting. Assists in the compilation of data and offers input to ensure safe working environment and provides input for standards of care.
11. Attends regular staff meetings and prepares agenda items as appropriate. Supports ongoing staff and medical education process and offers clinical education to staff.
12. Provides technical supervision to medical assistants as it relates to patient care.
13. Maintains current licensure and certifications pertinent to position. Practices within scope of licensure and seeks consultation with medical provider when appropriate.
14. Maintain the privacy and confidentiality of all protected health information in accordance with the Division’s Policies and Procedures, and in compliance with state and federal regulations.
15. 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 accredited program for either a Master of Science in Nursing (MSN) or a Doctor of Nursing Practice(DNP)
• Washington state license as an Advanced Registered Nurse Practitioner (family nurse practitioner), Certification as FNP by ANCC, AANP or equivalent.
• Three to five (3-5) years’ experience in primary care or family medicine and at least 1-2 years of geriatric experience required.
• Current CPR and BLS certifications
• Valid Washington State driver’s license.

Preferred:

• Previous experience in a tribal health care environment preferred.

Skills:

• Clinical skills for hands-on evaluation and treatment.
• Patient assessment skills, including the ability to observe and collect subjective data, make proper assessments, and develop treatment plans.
• Patient teaching skills using appropriate adult/child-learning models.
• Effective verbal and written communication with patients and staff.
• Time management and organizational skills for task prioritization and delegation.
• Problem-solving and decision-making, encompassing fact-finding, research, prioritization, plan development, and evaluation of effectiveness.
• Resourcefulness and the ability to enlist support when needed.
• Strong written communication and documentation skills, including legibility, accuracy, and thoroughness in charting, note-taking, and requisitions.
• Teamwork skills, demonstrated ability to work collaboratively with other providers, medical support staff, and front office staff in a professional manner.

Ability:

• Ability to evaluate and treat patients with various diagnoses and medications.
• Demonstrated expertise in treating childhood illnesses in pediatrics, including asthma, URI, otitis, etc.
• Conducting comprehensive well child exams, well women’s exams, and Medicare wellness exams.
• Patient teaching skills, including instructing patients using appropriate adult/child-learning models.
• Strong time management and organizational skills, with the ability to prioritize multiple tasks concurrently and delegate as needed.
• Problem-solving and decision-making, including fact-finding, research, prioritization, plan development, and effectiveness evaluation.
• Resourcefulness and the ability to enlist support when required.
• Competency in using electronic health record systems efficiently.
• Clinical skills for hands-on evaluation and treatment of symptoms and disease processes in a family practice environment.
• Effective verbal and written communication with patients, staff, and the ability to adhere to HIPAA and other health information regulations.

Knowledge:

• Knowledge of chronic diseases, including diabetes, hypertension (HTN), cardiovascular disease (CVD), and asthma.
• Understanding of vaccines, immunizations, and physical requirements.
• Familiarity with HIPAA and other laws/regulations related to protected health information.
• Competence in all areas of medical practice, with a strong assessment ability to observe and obtain subjective data, make proper assessments, and develop treatment plans.

Work is performed mostly in a clinic setting. Continuously uses vision and listens. Frequently sits, stands, and/or talks. Requires manual dexterity for computer work and routine paperwork. Occasionally walks, climbs stairs, bends at the waist, drives, and/or reaches with hands and arms. Occasionally lifts and/or carries up to 50 lbs. Occasionally pushes or pulls up to 250 lbs. May occasionally be exposed to moving mechanical parts and/or biohazardous waste materials.