Housecall Providers https://www.housecallproviders.org/ Housecall Providers is a Portland area nonprofit organization and one of the largest providers of medical care exclusively in the home in the Western United States. We are proving every day that in home medical services for homebound and chronically ill patients can improve health outcomes, increase patient comfort, reduce health care costs and increase provider satisfaction. We are a proud part of the CareOregon family of health organizations. Our Mission Improving lives by bringing health care home. Our Vision To sustainably transform home-based medicine so all homebound adults and those living with serious illness have access to care that improves their quality of life. Our Values Compassion and respect, authentic relationships, collaboration, courage, social justice. Diversity Statement We embrace the diversity of our employees, patients, and those who care for them. Through awareness and advocacy, we are working to create health equity by recognizing and reducing barriers that affect non-dominant groups within Housecall Providers and our communities at large. The quadruple aim is real at Housecall Providers In home medical care for homebound patients is proven to increase patient comfort, improve health outcomes, reduce health care costs and increase provider/care team satisfaction. Housecall Providers has saved Medicare millions of dollars, while providing better care to our patients, ensuring greater patient comfort, improved health outcomes and care team satisfaction. With the population aging, more people are suffering from multiple chronic conditions and degenerative diseases. This trend will continue as roughly 10,000 baby boomers a day enter the Medicare system. If you receive an offer of employment for this position, it is contingent on the satisfactory completion of a pre-employment background check, immunization review, and drug screen (including THC/Marijuana). CareOregon is a federal contractor and must comply with all federal laws. Job Title Nurse Practitioner (NP) – Primary Care Exemption Status Exempt Department HCP Providers Manager Title Medical Director Direct Reports n/a Requisition # 24309 Pay and Benefits Estimated hiring range $135,420 - $165,520/year, 5% bonus target, full benefits. Sign-on bonus and relocation assistance offered. www.careoregon.org/about-us/careers/benefits Posting Notes This role will require you to go into the community 3-5 days a week. Job Summary This position provides medical care and treatment services with emphasis on chronic disease management and promotion of health and palliative care for patients not best served in a clinic setting. Care is provided in patient residencies, as well through audio and video sessions. This position may focus on one of the following areas: Regular Care : Provides ongoing care for patients within an assigned caseload and/or territory and includes long-term strategies focused on disease prevention. Relief Care : Provides relief and/or urgent care for patients on a short-term basis, focusing on filling in for providers who are out of the office. Essential Responsibilities Clinical Service + Provides diagnosis, treatment, consultation, and follow-up care as indicated of patients including diagnosis and treatment of critical, prolonged, and long-term healthcare issues. + Performs comprehensive health assessment of clients by completing a physical and psychosocial history; identifies actual and potential health needs based on medical, mental/emotional, financial, and social factors. + Makes referrals to appropriate social or medical agencies and practitioners. + Identifies, evaluates, and addresses the prevention of diseases and/or acute change in condition, maintenance of chronic diseases, and appropriate end-of-life care per the goals of care outlined by the patient and their families. + Develops and implements proactive patient centered care plan with the assistance of other disciplines within the care team. + Orders testing in diagnostics, orders medications with appropriate follow up and reassessment, and performs some surgical procedures as appropriate under certification. + Approves medication refills and home health orders and responds to caregiver requests to provide continuity of care. + Provides compassionate anticipatory guidance through decline due to chronic disease and provides high quality palliative care focused on the goals of the patient and family. + Educates patients and families on goal-based, appropriate preventative care, chronic care, or urgent care needs, as well as the use of prescribed medications and treatment. + Develops and maintains working relationships with lay and professional caregivers, including care facilities, to assure patient experience excellent continuity of care and orders are implemented appropriately. + Delivers quality care while maintaining all company metrics pertaining to productivity. + Practice within the scope of license where applicable, and as required by law and regulation . + Participates in the after-hours call schedule. Administration + Communicates effectively with members of the medical staff on issues concerning consultation, collaboration, and referrals. + Determines need for specialty and rehabilitative services and makes appropriate referrals. + Oversees the care plan/case management activities for assigned patients. + Attends and participates in all required staff meetings and other ad hoc committees as assigned. + Provides coverage for clinical colleagues in their absence. + Participates in quality improvement activities as assigned. + Completes and maintains medical records according to agency protocols and in support of quality metrics. Organizational Responsibilities + Perform work in alignment with the organization’s mission, vision and values. + Support the organization’s commitment to equity, diversity and inclusion by fostering a culture of open mindedness, cultural awareness, compassion and respect for all individuals. + Strive to meet annual business goals in support of the organization’s strategic goals. + Adhere to the organization’s policies, procedures and other relevant compliance needs. + Perform other duties as needed. Experience and/or Education Required + Master’s degree from an accredited advanced nurse practitioner program + Licensed nurse practitioner in the state of Oregon (ANCC or AANP certified) + Drug Enforcement Administration (DEA) license + Valid driver’s license, acceptable driving record, and automobile liability coverage or access to an insured vehicle + CPR certification at hire or within 6 months in position Preferred + Minimum 2 years of related clinical experience Knowledge, Skills and Abilities Required Knowledge + Knowledge of the principles and practice of medicine including urgent care and triage practices for providers focused on Relief Care + Proficient in the practice of geriatrics and palliative care + Knowledge of principles, practices, and procedures of general medicine + Knowledge of methods and techniques of diagnosing and treating a variety of diseases and injuries + Knowledge of sources of information and current literature applicable to the field of general medicine + Knowledge of the ethical and medico-legal aspects of medical practice + Knowledge of the principles and practices of public health, including familiarity with epidemiology, health services delivery and financing systems, and environmental health + Knowledge of the population served in adult health, including culture, demographics, patterns of disease, barriers to care and other unique features or special needs + Knowledge of the principles and practices of clinical quality improvement + Familiar with the medical charting system Skills and Abilities + Skill in utilizing electronic systems appropriately and effectively, including audio and video supported encounters + Ability to perform medical diagnostic and treatment services + Ability to establish and maintain effective working relationships with diverse patients, staff, peer groups, and varied agency and institutional representatives + Ability to deal professionally and calmly with individuals that may act inappropriately, be verbally abusive, hostile and/or in crisis + Ability to communicate clearly, compassionately, and concisely, both verbally and in writing + Ability to work within a team and take direction from other team members with expertise in the care plan development + Ability to adhere to organizational standards, policies, and procedures + Ability to work effectively with diverse individuals and groups + Ability to learn, focus, understand, and evaluate information and determine appropriate actions + Ability to accept direction and feedback, as well as tolerate and manage stress and grief + Ability to see, read, hear, speak clearly, sit, and perform repetitive finger and wrist movement for at least 6 hours/day + Ability to stand, climb stairs, bend, lift, carry, push, pull and/or pinch small objects for at least 3-6 hours/day + Ability to walk, crouch, crawl and reach for at least 3 hours/day + Ability to operate a motorized vehicle in all kinds of weather conditions Working Conditions Work Environment(s): ☒ Indoor/Office ☒ Community ☐ Facilities/Security ☒ Outdoor Exposure Member/Patient Facing: ☐ No ☒ Telephonic ☒ In Person Hazards: May include, but not limited to, physical, ergonomic, and biological hazards Equipment: General office equipment Travel: This position requires travel outside of the workplace at least weekly; the employee’s personal vehicle may be used. Driving infractions will be monitored in accordance with organizational policy. Schedule: Work a flexible schedule, including evenings and weekends. #Li-Hybrid Candidates of color are strongly encouraged to apply. CareOregon is committed to building a linguistically and culturally diverse and inclusive work environment. Veterans are strongly encouraged to apply. We are an equal opportunity employer. CareOregon considers all candidates regardless of race, color, religion, sex, sexual orientation, gender identity, national origin, age, genetic information, disability, or veteran status. Visa sponsorship is not available at this time.