Midwife

Advanced Practice Clinician

Specialty: APP (NP, PA, CNM, or another APC License)

Start Date: ASAP

Schedule:

Mondays: 12-8

Tuesdays: 9-5

Wednesdays: 9-5

Thursdays: Off

Fridays: 9-5

Saturdays: 9-5 (1 per month) Schedule may change due to business needs.

Pay Range: $71-$84.86/hour

Summary

The Advanced Practice Clinician (Nurse Practitioner, Physician Assistant, Certified Nurse Midwife, and other licensed providers) will function as part of a healthcare team to provide care under the medical supervision of the Medical Director and Medical Standards and Guidelines and all relevant federal, state, and local regulations.

Essential Duties and Responsibilities - include the following: Other duties may be assigned.

Health Center

Work in the health center providing comprehensive clinical sexual and reproductive health care services to all patients in accordance with evidence-based practice protocols.

Utilize knowledge of and experience in patient care to:

• Obtain a basic health history and comprehensive gynecological (GYN) history.
• Perform a general physical exam, breast exam, GYN exam, and male genitourinary exam.
• Recognize common breast and GYN deviations from normal and provide management or referral as appropriate.
• Recognize common non-GYN deviations from normal and provide management or referral as appropriate.
• Provide preventive care, including screening for breast and cervical cancers.
• Obtain and interpret laboratory tests and results related to GYN visits.
• Perform and interpret transvaginal and abdominal ultrasounds.
• Screen for contraindications and special conditions to contraceptive methods.
• Provide appropriate contraception to patients, including intrauterine contraceptives (IUCs) and implants.
• Test and treat STI's and other infectious conditions.
• Provide PrEP and nPEP to prevent HIV infection.
• Provide care across the reproductive health lifespan, including basic infertility services and menopause management.
• Provide medication abortion, early pregnancy complication management, and other special services as appropriate by licensure.
• Assess and manage complications from in-clinic abortion, medication abortion, and vasectomy. Depending on location may support in-clinic abortion clinic.
• Provide care for patients of all gender identities, including gender-affirming care.
• Construct an accurate assessment and treatment plan based on history, exam, and lab findings.
• Provide patient with general reproductive health maintenance, education, and counseling.
• Ensure complete and accurate medical documentation in EHR application and bill and code patient visits appropriately.
• Function as a medical resource for health center staff.
• Participate in health center efforts to achieve established goals for productivity, with the minimum goal of 3.0 encounters per hour.
• Participate in research studies conducted in the health center.
• Exercise a commitment diversity, equity, and inclusion in all interactions with patients and staff.

Supervisory Responsibilities of Clinician

This job has no supervisory responsibilities. However, APCs are responsible for the medical oversight and instruction of the Reproductive Health Specialists and other medical support staff.

Qualifications

To perform this job successfully, an individual must be able to perform each essential duty satisfactorily. The requirements listed below are representative of the knowledge, skill, and/or ability required. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.

Education and/or Experience

Successful completion of accredited Advanced Practice Clinician program.

Language Skills

Ability to read, analyze, and interpret periodicals, professional journals, technical procedures, and governmental regulations. Ability to document in electronic health record concisely, accurately. Ability to write reports, business correspondence, and procedure manuals. Ability to effectively present information and respond to questions from groups of managers, patients, customers, and the general public.

Mathematical Skills

Ability to understand and interpret statistics. Ability to apply concepts such as fractions, percentages, ratios, and proportions to practical situations.

Reasoning Ability

Ability to solve practical problems and deal with a variety of concrete variables in situations where only limited standardization exists. Ability to interpret a variety of instructions furnished in written, oral, diagram, or schedule form.

Computer Skills

To perform this job successfully, an individual should have knowledge and experience with EHR & EPM systems. Working knowledge of Microsoft office applications required.

Protected Health Information (PHI) Access Requirement

As required for patient treatment and health care operations.

Certificates, Licenses, Registrations

• Current California NP, PA, CNM, or another APC license.
• Current California BRN Furnishing Number (if NP or CNM).
• National Provider Identifier (NPI) number.
• Current CPR BLS certificate.
• Must possess reliable transportation or automobile transportation with a valid California Driver's License and insurance as determined by the requirements of each position. A reliable automobile is required for Float Clinician positions.

Other Skills, Abilities, Qualifications

• Entry-level to three years of experience in sexual and reproductive health care.
• Direct patient care experience, preferably in women's health/reproductive health care. Experience in reproductive health, OB/GYN, primary care, or community health care preferred. Prenatal experience strongly desired if applying for a prenatal position.
• Must be trained and privileged prior to taking on additional areas of care- i.e.; Telehealth, MRD, After-Hours, Pre-Natal, etc.
• Common sense and a commitment to excellent customer service and quality health care.
• Commitment to working with low-income and culturally diverse patients with an emphasis on health equity and empowerment.
• Good judgment to serve patients promptly, competently, and in a friendly manner. Treat complaints as opportunities to improve service.
• Ability to understand and demonstrate, in all interactions, the importance of high-quality care including accurate documentation and follow-up.
• Ability to follow affiliate-wide protocols, policies, and procedures, center-specific policies and procedures.
• Ability to maintain complete patient confidentiality at all times.
• Ability to work independently as well as consult with supervising physician or other clinicians as dictated by patient need and assessment findings.
• Ability to be flexible and available to extend/change scheduled hours or location as needed to meet needs of the health center and patients. Willingness to work some evenings and a minimum of/at least one Saturday per month based on Health Center operating hours required.
• Willingness to precept students or train new clinicians as appropriate.
• Demonstrate a positive-attitude and willingness to assist team members at all times.
• Provide feedback to colleagues, staff, and managers in a professional, respectful, direct, and timely manner. Receive feedback professionally.
• Maintain professionalism through appropriate dress, manner, and behavior.
• Treat staff and patients with courtesy and respect at all times under all circumstances.
• Ability to work in a busy environment, handling multiple tasks simultaneously without compromising accuracy, attention to detail, and courtesy and respect to patients and staff.
• Ability to communicate effectively, make decisions, solve problems, and function as part of a team.
• Willingness to promote services and mission to patients, friends, and others in the community.

Bilingual English/Spanish preferred. Knowledge of additional languages desirable.