Advanced Practice Provider Urgent Care

Urgent Care APPSt. Charles Urgent Care Division provides urgent medical services to patients presenting primarily with Emergency Severity Indices (ESI) of 4 and 5 with some ESI level 3's as may be deemed appropriate. Patients who present requiring a higher level of care will be triaged and redirected as medically appropriate. The Urgent Care interacts collaboratively with primary care, emergency care and specialty providers within St. Charles Health System, as well as other non-associated entities.The St. Charles Urgent Care are staffed by physicians and Advanced Practice Providers (APPs) who are skilled in providing urgent and acute care. Requirements include the ability to work in a collaborative environment with providers to provide rapid and efficient care for minor emergencies and illnesses. Other duties may include performing basic physical exams such as sports physicals and occupational exams. The ability to work efficiently and refer appropriately is crucial. The ability to stabilize patients who present needing a higher level of service while awaiting transport is required. The Urgent Care functions as a unified regional department and shifts will be rotated among current and future locations. Laboratory services and X-ray radiology services are typically integrated into the department. Providers should have emergency department, urgent care, or primary care experience with substantial acute care exposure.Work schedule: Providers to follow a shift-based model with a base reconciliation of 1 FTE scheduled at 153 shifts per calendar year. Shifts are 12 hours in length. Shift counts will be adjusted accordingly by the providers FTE.Call expectation: Providers are not expected to have call expectations in the Urgent Care; however, it is the expectation that 95% of all shifts will be covered due to call outs, unexpected absences, or any unfilled shift to ensure that clinics have proper staffing at all times.Provider Practice Location: Provider will render the Professional Services at such SCHS Facilities as may be directed by SCMG, and at such other facilities and locations as may be established by SCHS or SCMG from time to time. It is anticipated that the primary work locations will be as follows:St. Charles Urgent Care [ 61250 SE Coombs Place, Bend, OR]St. Charles Urgent Care [ 51781 Huntington Road, La Pine, OR]St. Charles Urgent Care [384 SE Combs Road, Prineville, OR]St. Charles Mountain Clinic [13000 SW Century Dr. Bend OR]Job Responsibilities:Practice medicine within the scope of license, training and credentialing. Cooperate with other SCHS providers and caregivers to ensure optimal patient care.Assess, plan, implement and evaluate individual patient care while demonstrating expert knowledge of evidence-based, Urgent Care.Document all patient care in the proper form and in a timely manner in compliance with hospital policies and regulatory agencies.Delivers first-rate customer service and/or patient care in a manner that promotes goodwill, and is timely, efficient, accurate, and courteous.Calculates dosages and orders medications accurately in accordance with SCHS policies and procedures for best practices for medication administration.Diagnoses and manages minor illness and injury including children; stabilization and appropriate transfer of patients requiring higher level of care; performs emergency patient codes per ACLS and PALS guidelinesRepairs lacerations; incisions and drainage of abscesses and treatment of skin infections; diagnosis and initial management of fractures and dislocations; foreign body removal; ingrown toenail removal; diagnosis and treatment of eye infections and foreign bodies (including use of slit lamp).Initial interpretation of x-ray; EKG interpretation; review of returning lab and x-ray reports and assigning appropriate dispositions and follow-up.Willingness to provide short term medication refills (non-narcotic or scheduled) for patients in provider transition; review of appropriate prescription monitoring data bases and conforming to our policy of limited narcotic prescribing.Provides therapeutic presence in service to others by purposefully responding to the needs of patients/customers in a caring way. This includes introducing oneself and stating your purpose, asking the patient their preferred name, spending time with the patient to determine their care goals, active listening, and using skillful communicationsMay perform additional duties of similar complexity within the organization, as required or assigned.Education:Graduation from an accredited Physician Assistant, or Nurse Practitioner program.Physician Assistant requires NCCPA certification, or equivalent. Nurse Practitioner requires AANC certification, or equivalent. If Physician Assistant, ability to establish and maintain a St. Charles Health System Collaboration Agreement.Complete annual fire/safety, etc. education in-services as required.Attend mandatory educational offerings as described in SCHS policies/procedures and/or as required by other regulatory bodies.Complete annual CME as required to maintain license and appropriate Board certification.Complete by assigned due date Computer Based Learning modules.Licensure/Certification/Registration:Unrestricted Physician Assistant and/or Nurse Practitioner licensure.Physician Assistant requires NCCPA certification. Nurse Practitioner requires AANC, NCC or AANP, AMCB certification. If Physician Assistant, ability to establish and maintain a St. Charles Health System Collaboration Agreement.Unrestricted Federal DEA number.Unrestricted ability to participate in Medicare / Medicaid, or other federal or state governmental health care programs.Valid driver's license and the ability to meet SCHS driving requirements.Current BLS certification required.Current ACLS and PALS certification required.Current ATLSAdditional certifications may be required based on privileges granted to provider by Medical Staff Services at SCHS Inpatient locations.Experience:Experience using EMR (Electronic Medical Records) software.Advanced written and verbal communication skills to effectively interact with a diverse population and professionally represent St. Charles Health System.Experience working in a team environment and proven ability to collaborate, manage facilitation and consensus building among health care professionals and agencies to achieve expected results.Personal Protective Equipment:Must be able to wear appropriate Personal Protective Equipment (PPE) required to perform the job safely.General:Must have excellent communication skills and ability to interact with a diverse population and professionally represent SCHS.Strong team working and collaborative skills.Ability to multi-task and work independently.Attention to detail.Excellent organizational skills, written and oral communication and customer service skills, particularly in dealing with stressful personal interactions.Intermediate to advanced proficiency with Electronic Medical Record systems.Intermediate in Microsoft applications (Word, Excel).Physical Requirements:Continually (75% or more): Use of clear and audible speaking voice and the ability to hear normal speech level.Frequently (50%): Sitting, standing, walking, lifting 1-10 pounds, keyboard operation.Occasionally (25%): Bending, climbing stairs, reaching overhead, carrying/pushing or pulling 1-10 pounds, grasping/squeezing.Rarely (10%): Stooping/kneeling/crouching, lifting, carrying, pushing or pulling 11-15 pounds, operation of a motor vehicle.Never (0%): Climbing ladder/step-stool, lifting/carrying/pushing or pulling 25-50 pounds, ability to hear whispered speech level.Exposure to Elemental FactorsNever (0%): Heat, cold, wet/slippery area, noise, dust, vibration, chemical solution, uneven surface.Blood-Borne Pathogen (BBP) Exposure CategoryNo Risk for Exposure to BBPSchedule Weekly Hours:40Caregiver Type:RegularShift:First Shift (United States of America)Is Exempt Position?YesJob Family:NURSE PRACTITIONER or PHYSICIAN ASSISTANTScheduled Days of the Week:Shift Start & End Time: