Description

Family Nurse Practitioner or Physician Assistant shall provide uninterrupted outpatient services in the delivery of patient care to the Indian Health Service. Specific tasks include the following: Locum long term assignment with top pay and benefits! Apply now! 

Tp provide professional medical services or direct patient care services under the terms of this contract, appropriately and timely medical services in accordance with the standards of care established by recognized medical care organizations and in accordance with CCHCF’s policies and procedures, Medical Staff Bylaws and Rules & Regulations, including attendance at department and medical staff meetings at Chinle Hospital. 

Provide outpatient professional medical services or direct patient care service. 

As follows, the contractor shall: 

Conduct outpatient clinics, make observations appropriate to the outpatients underlying disease and treatment plan, including current symptoms. Review the patient's medications, diet, therapy course, and adherence to management plan and patient observations. Modify regimen as required. Instruct and counsel patient as required. 

Interview and examine patients, review past medical history and request or perform diagnostic tests and examination deemed necessary to obtain all possible information related to each case. Make preliminary diagnosis, directs, prescribe or provide treatment or arrange for specialized care or patient referral as required. Base decision upon information obtained, professional medical knowledge and skills and prescribed policies and procedures. Make note of observations to be incorporated into EHR. Provide emergency care as required, provide definitive management in all medical categories for cases that do not require referral. Give total patient care including prevention, health maintenance, early diagnosis, treatment, and follow-up services to patients under incumbent's care. 

Telemedicine Services: Telemedicine - Contractors shall provide telemedicine services for patients with mild respiratory illness in the CSU Respiratory Clinic. These services will be rendered on the CSU premises but the contractor may not be physically present with the patient. From time to time, based on the patient’s clinical condition, the contractor may do a brief hands-on assessment in person with these patients as indicated. Telephone - Contractors shall provide telephone visits for patients in need of chronic care management for whom it would be high risk to travel to the hospital for care. PWS No. CSU-22-01 FNP/PA UC 26 AUG 2021 Provide a rate, which allows agency to procure a steady supply of candidates on a monthly basis for the Fiscal Year. 

Refer patients to appropriate contracted medical or other government facilities providing full clinical information for care and diagnostics procedures that cannot be adequately provided at Chinle hospital. Coordinate and integrate information obtained into on-going health care program at the hospital and assures the provision of timely follow-up care as provided. 

Advise the medical officers in other services concerning these operations. Is in complete charge of guiding and directing the assisting medical officer and nurse. Provide consultation on difficult cases to practitioners in the same or other specialties. Work closely with allied health professionals (community health nurses, social workers, health educators, etc.) in the provision of board health program services. 

Provide appropriate documentation on rendered patient care utilizing CCHCF’s EHR system. The contractor is responsible for utilizing the CCHCF EHR system to obtain, dictate, electronically enters and assures preparation of appropriate medical records for all patients seen to assure the accumulation and organization of all pertinent clinical data needed to provide comprehensive medical care. Clinical data reports shall be completed in a timely manner and shall be maintained in compliance with Joint Commission standards. It is the responsibility of the contractor to use the training resources provided by the CCHCF to develop competency in utilizing the EHR system. 

PM21

Requirements

 The contractor shall meet the qualifications and credentialing standards and retain the following qualifications and certification throughout the term of this contract. 

6.1 Experience/Training. The contractor shall have completed an accredited Family Nurse Practitioner program or Physician Assistant program experience with a minimum of six months experience in the specialty required by the contract, unless otherwise approved by the CCHCF’s Credentials Committee. There must be no lapse of services of no more than six (6) months prior to beginning tour of duty with CCHCF. 6.2 Certification/License/Registration. The contractor shall be board certified with the American Nurses Credentialing Center or the American Association of Nurse Practitioners or the National Commission on Certification of Physician Assistants that is appropriate to specialty, and shall possess a current, valid, unrestricted appropriate license in any state, the District of Columbia, the Commonwealth of Puerto Rico, or a Territory of the United States, throughout the term of this contract. If the contractor is asked to perform outside the normal training parameters of his/her specialty, then the contractor shall provide certification of hospital privileges in those additional scope of practice(s). 

6.2.1 Drug Enforcement Administration (DEA) License. The contractor shall maintain a valid, current, full and unrestricted DEA license with schedule types II through V and maintain certification throughout the term of the contract. 

6.2.2 The contractor shall maintain a valid and current Cardiopulmonary Resuscitation (CPR), Basic Life Support (BLS), Advanced Cardiac Life Support (ACLS), Pediatric Advanced Life Support (PALS) and Advanced Trauma Life Support (ATLS) certifications and are mandatory for Family Nurse Practitioners and Physician Assistants. 6.2.3 Motor Vehicle Operator’s License. If required by the position, the contractor shall possess a valid state driver’s license throughout the term of this contract. 6.3 Health Requirements/Conditions of Employment: 

6.3.1 Medical Evaluation. The contractor shall provide a fitness for duty certificate issued by a licensed physician to perform the proposed job without significant risk to personal health or the health and safety of others. 

6.3.2 Immunization. The contractor shall provide documentation as evidence of immunization as required by NAIHS immunization policy for the following: Hepatitis A - Two dose series at zero and six months. Hepatitis B - Three dose series at zero, one, and six months or documented immunity. A signed declination of Hepatitis B vaccination series will be accepted. Measles, Mumps, Rubella (MMR) - Two doses or titer documentation. Varicella (chickenpox) – Two doses, titer documentation or history of varicella/shingles. Tetanus, diphtheria, pertussis (Tdap/Td) - one dose of Tdap, then tetanus (Td) booster every 10 years thereafter. Meningococcal - Two vaccines (MenACWY and MenB) recommended for microbiologists routinely exposed to N. meningitidis. Documentation of annual TB test- may include Mantoux TB skin test (PPD). All new employees will require the two step TST. Acceptable lab testing: Quantiferon Gold or T-Spot test. For positive TB test results, please submit a copy of recent chest x-ray results. ? Influenza – Mandatory annual vaccination. Candidates must meet the minimum criteria below: Be board certified. Completed an accredited FNP or PA program. Be comfortable seeing average of 25 – 30 patients per shift. Not had loss of licensure or suspended licensure. Not has a lapse in practice > 6 months leading up to assignment at CCHCF. Be able to commit to a minimum of four weeks or more at a time. A valid unrestricted DEA with schedules II through V. Covid-19 vaccination