Family Nurse Practitioner (FNP)

Position Summary

As a member of the health care team, serves as a Family Nurse Practitioner providing primary health care services at FRTH clinics in accordance with approved standards of practice. Performs diagnostic services which include securing medical histories, conducting physical examinations, interpreting laboratory and x-ray results in order to define health problems, identify, and provide therapy required. Performs other duties as assigned.

Essential Functions

1. Provide primary health care under established standardized protocols in accordance with the Nursing Practice Act, Business and Professions Code, Section 2725.

2. Furnish pharmaceuticals and/or medical devices to patients in accordance with standardized procedures.

3. Diagnose and manage common health problems; collaborate and consult closely with physicians in the management of more complex cases.

4. Screen for problems that need to be referred to staff physicians or other resources, as appropriate.

5. Perform physical examinations.

6. Perform health maintenance procedures (i. e., rectal and pelvic examinations, intraocular pressure determinations, etc.)

7. Administer/order injections and immunizations.

8. Regulate selected medications and/or treatments.

9. Coordinate all phases of the patient’s health care and collaborate with other members of the health care team.

10. Provide individual, family and community health education as needed.

11. Initiate and maintain Problem Oriented Medical Records (“S.O.A.P.” format) using dictated patient summaries, provider templates, and/or electronic health records.

12. Serve on various clinic committees as agreed upon with the Medical Director.

13. Meet regularly with other clinic providers to review patient care and participate in Quality and Performance Improvement activities.

14. Use prudent judgment when emergencies require action beyond established protocols; notify physician and/or Medical Director immediately.

15. Review laboratory findings, notify patient of results or delegate to staff, initial and return for prompt filing.

16. Demonstrate dependability by being punctual; maintain consistent attendance.

17. Possession of a valid California driver’s license and current car insurance sufficient to be insurable.

18. Maintain good working relations among all staff through appropriate communication.

19. At the time of hire, each employee will meet with their supervisor to set measurable goals and objectives that are a requirement for the position. These measurables will be monitored by the supervisor and reviewed during the introductory period. They will also be utilized in the annual performance evaluation. The measurables may change from year to year. The supervisor is responsible to notify the employee of any new measurables at the time of the performance review.

Additional Responsibilities

1. With specialized training, and written approval, may perform additional and specialized tasks and procedures pertinent to assigned area.

2. Participate in continuing education in order to provide the highest quality of care to the patient population and to maintain a current and active license.

3. Attend all trainings, meetings and conferences as required.

4. Work with the organization in development and provision of health education for staff and patients.

5. Participate in special agency programs and university programs to act as preceptor for physician extender staff, interns, etc., as required.

6. Learn and implement electronic health records functions as they continue to evolve.

7. Perform other duties as assigned.

Knowledge, Skills and Abilities

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:

1. Demonstrate a combination of maturity, judgment, experience, and confidence conducive to practice independently in a challenging work environment.

2. Demonstrate awareness, sensitivity and appreciation of Native American culture, traditions, customs and socioeconomic needs.

3. Knowledge of all confidentiality requirements as outlined in the Corporate Compliance Plan.

4. Ability to work productively with individuals and with professional and other groups within the community to gain satisfaction through growth and development of others; to efficiently plan and executive work; to seek and use supervision and consultation; to exercise good judgment; and to communicate effectively with individuals and groups both orally and in writing.

5. Ability to maintain a professional attitude and appearance at all times.

6. Ability to meet deadlines and assigned projects in a timely, efficient manner.

7. Ability to be prompt and efficient with minimal absences.

Education and Experience

1. Graduation from an accredited school of nursing and licensed in the State of California to practice as a Registered Nurse (R.N.).

2. Completion of education and training in the field of family medicine/nurse practitioner and certified to practice as a Family Nurse Practitioner in the State of California.

3. Possession of a current Furnishing Number in accordance with the Nursing Practice Act.

4. Current BLS certification.

5. Current CPR certification.

6. Possession of a valid California driver’s license and current car insurance sufficient to be insurable, if a designated requirement.

Physical Requirements

The physical demands described here are representative of those that must be met by an employee to successfully perform the essential functions of this job. Reasonable accommodations may be made to enable individuals with disability to perform the essential functions.

While performing the duties of this job, the employee is regularly required to use hands to finger, handle or feel; reach with hands and arms, stoop, kneel or crouch; and talk and hear within normal range. The employee is frequently required to stand, walk, sit, climb, or balance and use taste and smell senses.

The employee must regularly be able to lift and/or move up to 25 pounds. Specific vision abilities required by this job include close vision, distance vision, color vision, peripheral vision, depth perception, and ability to adjust focus. This position is physically and emotionally challenging.

There is a high degree of stress. Ability to deal with time constraints and emotional stress and exposure to body fluids and viruses are also essential functions of this job.

Work Environment

The work environment characteristics described here are representative of those an employee encounters while performing the essential functions of this job. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.

While performing the duties of this job, the employee is regularly exposed to odors and airborne particles. The noise level in the work environment is usually moderate.

Feather River Tribal Health, Inc. is a drug and alcohol-free workplace. As a federally funded Tribal Health Program, FRTH must comply with Executive Order No. 12564 (Sept. 15, 1986)(51 F.R. 32889 (requiring a Drug Free Workplace) and the Drug Free Workplace Act of 1988 (U.S.C. 8101-8106).

As such, FRTH does require drug testing at the time of hire and upon reasonable suspicion after hire. All FRTH employees are required to comply with FRTH’s drug free workplace policies and applicable federal laws as a condition of employment.

Reasonable accommodations will be given to qualified disabled applicants pursuant to Section 501 of the Rehabilitation Act of 1973, 29 U. S. Code 791, Title 29, and the Americans with Disabilities Act (ADA).

Compensation & Benefits

Hourly Rate: $76.42-79.51, depending on experience

Health Insurance: Employer-paid medical coverage starting the month after hire for all tiers — Self, Self + One, and Self + Family

Dental & Vision: 100% employer-paid for employee-only coverage; additional family coverage available at a competitive rate

• 401(k) Plan: Available immediately upon hire with a 3.5% employer match
• Life Insurance: $20,000 employer-paid policy for full-time employees, with options to purchase additional coverage
• Paid Time Off: Vacation begins accruing on your first day — up to 120 hours annually
• Loan Repayment Assistance Available