Summary:
The Advanced Practice Provider delivers primary, urgent, preventive, and emergent health services throughout the Chugach Region, including responding on an on-call basis for after-hour emergencies in accordance with Chugachmiut’s mission, vision, core values, key strategies, policies, and procedures. Care provided will be consistent with the highest recognized standards of clinical medicine.
Essential Duties and Responsibilities:
- Performs routine general medical and specialized duties for Alaska Natives and other patient populations served by Chugachmiut at a designated clinic site.
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Provides primary, urgent, preventive, and emergent healthcare services, including evaluation, treatment, and follow-up according to technical and educational expertise and respective scope of practice, and under the direction of the medical director.
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Consults a supervising or designated physician when any unfamiliar, uncommon, or unstable conditions arise.
- Remains current in improvements in the field of medicine and strives to incorporate those improvements into the program when appropriate, maintaining licensure and other credentials as required.
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Participates as an integral member of the health division in the provision of medical services by collaborating with other health professionals to provide Chugach Region community member’s complete and comprehensive care.
- Provides patient education, screening, and follow-up for health-related conditions.
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Monitors chronically ill patients, making home visits as necessary.
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Continually strives to improve patients' experience and quality of care by focusing on key leverage points of optimal patient access, continuity, team-based care, clinical information systems, patient self-management, and community engagement.
- Assists in the education of other providers as directed, including field follow-ups, post-session learning needs, and daily consulting as needed.
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Travels on a regular basis to regional clinical sites. Provide service support during clinic hours and after-hours on-call health services at village clinic locations. May have occasion to serve as a medical escort. It is required to provide on-call, emergency care while at the village clinic locations.
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Develops and maintains collaborative working relationships with health service teams in all disciplines and throughout all tribal organizations, working in positive ways in an integrated, multi-disciplinary approach to clinical quality care to ensure continuity of patient care and service integration. Collaborates with the health service team around compliance, risk, quality, safety, and improvement initiatives.
- Reviews and stays current with changes in Community Health Aide program services, technologies, and policies.
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Provides consultation to Community Health Aide/Practitioners (CHA/P), in person or by telephone, for the delivery of health care within the CHA/P’s scope of practice and in accordance with the Community Health Aide Manual.
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Provides clinical training and staff development, including but not limited to: primary care, prenatal care, emergency care, pharmacology, health promotion, clinical procedures, and clinic management skills.
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Ensures the maintenance of accurate patient records to reflect each patient’s health status, risk factors, plan of care, and safeguards the confidentiality of patient records.
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Complies and adheres to established compliance, privacy, integrity, and Chugachmiut’s policies and practices, applicable ethical standards, laws, regulations, rules, code of conduct, procedures, and professional standards.
- Participates in all Chugachmiut quality assurance programs and provider work groups.
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Monitors the quality of care delivered and provides and receives feedback on the quality of care being delivered to ensure regulatory standards and policy are met as they apply to Chugachmiut’s health clinics.
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Complies with statutes and regulations from the State of Alaska, Division of Occupational Licensing and State Medical Board.
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Maintains credentials in good standing and appropriate to the level of practice.
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Follows established protocol for patient referrals within and outside the Alaska Tribal System.
- Works with the Purchased and Referred Care Program (PRC) to prioritize the medical needs of patients and to ensure financial stability.
- Develops and provides health education opportunities for pediatric and adult populations in conjunction with other Chugachmiut staff. Activities include providing health education and screening services at schools, health fairs, and other community health promotion events, as requested, in addition to providing direct health care services.
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Participates as necessary in Health Services meetings in person or via video.
- Represents Chugachmiut in a positive and respectful manner, assisting in the promotion and maintenance of good public relations among staff, community groups, and professional organizations.
- Conforms to safety policies and general housekeeping practices.
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Demonstrates sound work ethics, flexibility, and shows dedication to the position.
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Demonstrates a positive attitude, is respectful, and possesses cultural awareness and sensitivity toward communities, patients, and co-workers.
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Keeps customer service and the mission of the organization in mind when interacting with all community members, patients, co-workers, and others.
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Prepared to start shift on time, meet attendance standards, and work the hours necessary to perform the essential functions of the job.
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Embrace, support, and promote the core values of respect, integrity, trust, compassion, and quality which align with Chugachmiut’s Mission and Vision through their actions and interactions with all patients, staff, and others.
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Serves and protects the company by adhering to professional standards, policies, and procedures, federal, state, and local requirements, and OSHA standards.
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Conforms to Chugachmiut policies, strict employee confidentiality, and HIPAA and 42 C.F.R. Part 2 regulations.
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Performs other duties as assigned or required.
Work Environment:
Chugachmiut employees strive both for excellence in the services they provide and, through our Employee Values Statement, to serve with integrity. This requires working in an environment where transparency and effective communication is essential. Chugachmiut has tools and training to assist employees in sharing problems with a focus on resolving issues and correcting defective processes.
Customer Service:
- Greets both internal and external customers with eye contact and a smile.
- Solicits and responds to client feedback to ensure customer satisfaction.
- Regular and punctual attendance is expected without excessive absences.
- Present professional behavior and appearance while representing Chugachmiut.
- Practice and promote effective collaboration to accomplish the goals and objectives of the team.
- Support the Mission and Value Statements of Chugachmiut by creating solutions that add value to the operations of Chugachmiut.
Physical Environment:
The following demands are representative of those that must be met by an employee to successfully perform the essential functions of this job. The position requires the ability to sit for a long period of time, normal range of hearing and eyesight, eye-hand coordination, and manual dexterity to operate office equipment such as computer keyboard, photocopier, telephone, calculator, and may be required to lift approximately 30 pounds. May be exposed to infectious diseases or hazardous equipment. May be exposed to extreme weather conditions. Travel to remote locations by boat, snowmobile, ATV or small plane is required and employee must be willing and able to travel.
Hours of Work:
Work is performed during current business hours, with the potential to work extended hours during the week and/or weekend. Shifts of 7.5 hours or more per day will include a 1-hour unpaid lunch. Chugachmiut maintains a drug and alcohol and non-smoking work environment.
Advanced Practice Provider time is allocated below:
Direct Patient Care (Clinical) 80%
Administrative 20%
Qualifications:
- PA/NP must have completed an approved Nurse Practitioner or Physician
Assistant Training Program and received and maintained certification
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Active Alaska license in good standing as a Nurse Practitioner or Physician’s Assistant with remote site access collaborative, and prior experience in primary health care required
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Current DEA License
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Basic Life Support (BLS) certification is required
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ACLS and PALS required within 6 months of hire
Knowledge, Abilities, and Skills:
- Knowledge of the Alaska Native Tribal Health System and its resources.
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Knowledge and ability to effectively utilize E.H.R.
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Knowledge of the 1974 Privacy Act.
- Knowledge of applicable federal, state, and local laws, regulations, and requirements.
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Knowledge of legal and ethical standards for the delivery of medical care.
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Knowledge of community medical diagnostic and patient care services in medical expertise.
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Knowledge of current and emerging trends in technologies, techniques, issues, and approaches in expertise.
- Knowledge of relevant drugs and non-pharmaceutical patient care aids and ability to prescribe dosages and instruct patients in correct usage.
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Knowledge of related accreditation and certification requirements.
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Knowledge of clinical operations and procedures.
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Ability to provide strong service philosophy and leadership skills.
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Ability to communicate and work effectively with people.
- Ability to efficiently and effectively manage multiple clinical tasks, projects, and demands independently.
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Ability to educate and coordinate with other health care professionals.
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Ability to perform the job with minimum supervision.
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Ability to maintain quality, safety, and infection control standards.
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Ability to solve complex problems and deal with a variety of issues.
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Skill in excellent communications and relationship development with both internal and external constituents.
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Skill in providing effective and compassionate care, assessing patient situations, and taking effective courses of action.
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Skill in assessing and prioritizing multiple requests by patients, families, and team members.
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Skill in analyzing clinical test and examination results.
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Skill in operating medical equipment.
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Skill in assessing and prioritizing multiple tasks, projects, and demands.
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Skill in operating a personal computer utilizing a variety of software applications.
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Skill in reviewing clinical work of others according to professional standards and practice guidelines.
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Skill in follow-through and organization.
