JOB TITLE: Nurse Practitioner
DEPARTMENT: Medical
FLSA STATUS: Exempt/Salary
REPORT TO: Chief Executive Officer (CEO)
A. GENERAL DUTIES Provides comprehensive primary health care, including emergency treatment,
patient counseling, education, and referral, as necessary to ancillary and support services.
B. SUPERVISION RECEIVED Work is essentially independent. Receives medical consultation and/or
direction from the Health Center Chief Clinical Officer and/or other physician. The Nurse Practitioner is
directly accountable to the DSHC Chief Clinical Officer.
C. SUPERVISION EXERCISED Assists in the supervision of clinical Health Center Lab
Technician/Aid, RN, LPN, and other clinical staff as appropriate.
D. PRINCIPLE DUTIES
1. Provides comprehensive primary care through diagnosis, clinical judgment, and management to
restore, maintain, and improve health status in accordance with practice policies. This includes:
a. Assessment of patient, emotional development status of individual and family.
b. Analysis of health behavior related to personality, life style, and culture.
c. Prescriptive treatment for health problems defined by the Nurse Practice Act.
d. Counseling and client advocacy.
e. Performs assessment of the environmental status of the community and its impact on health.
f. Provides health education to patients, clinical support staff (CSS), and community organizations,
including preventive/corrective counseling for noted unhealthy behaviors.
g. Awareness/acceptance of cultural competency aspect and sensitivity.
2. In coordination with other Health Center staff, develops, and conducts bi-annual review and revisions
of the written clinical protocols governing the healthcare services that the Health Center provides.
3. Works in collaboration and/or coordination with other health care providers within the Health Center
team and/or community agencies to provide comprehensive patient care, in accordance with the
written Health Center policies.
4. Assists in maintaining the quality of care in accordance with the continuous quality improvement
(CQI) plan.
5. Participates in program and service delivery planning, implementation, and evaluation, relating to
health care services and Health Center functions.
6. Participates in professional and related community organizational meetings and activities.
7. Participates in continuing education program designed by the Nurse Practitioner.
8. Participates in staff meetings, conferences and in-service training, continuing education for Health
Center staff members.
9. Assures adequate patient health records are maintained and transferred as required when patients are
referred.
10. Responsible for learning and using the DSHC electronic health records (EHR) system following heath
center policies.
11. Responsible for following and supporting HIPAA, OSHA, and corporate compliance policies and
regulations.
12. Familiarity/adoption of Meaningful Use (MU) criteria, completing accurate charting, data collection,
orders/tracking/flowsheet/template documentation, and adoption of the PCMH model of care,
including standard elements and factors.
13. Participates as required in on-call coverage of after-hours health care services.
14. Follows and implements fiscal year health care plan objectives.
15. Knowledge/oversight of Health Center operations, including crash cart, pharmaceuticals, lab and x-ray
16. Participates in clinical nursing research and application of research to nursing practice.
17. Maintains strict confidence on information gained in the clinical practice of the position.
18. Works closely with the EMTs in emergencies, using ACLS guidelines, when cases are presented to the
Health Center by the EMTs or instances when EMTs have been called by the Nurse Practitioner.
19. Participates in the prescription drug control policies and prescribes according to state rules and
regulations.
20. Merit increases will be based on random monthly or quarterly outcome reviews to evaluate
productivity, and patient satisfaction. Ability to meet PCMH standards/MU criteria and outstanding
performance over and above the job description.
21. Performs all other duties as assigned. Ability and transportation to rotate between three (3) health
center locations as scheduled.
Desert Sage Way Values
Element I: Respect for People
--- Employee demonstrates respect for patients, team members, and leaders by highlighting issues that
impact people and services:
Observable actions: active participation in the Daily Management/Huddle boards through identifying
issues with safety, methods/processes, equipment, supplies, and staffing (SMESS); when issues are
brought to huddle, the employee takes responsibility for generating potential solutions and followup
actions.
--- Employee has a relentless focus on customer service, whether dealing with internal or external
customers.
Observable actions: courteous and professional phone conversations, timely follow-up on requests
for information or assistance ("closing the loop"), keeping commitments made to others, avoidance
of gossip, and acceptance of tasks that are outside the job description but add value to patients or
coworkers.
--- Employee shows respect for self and co-workers by taking responsibility for their own professional
development.
Observable actions: regularly asking supervisors for feedback and recommendations on how they
can improve, reading books or watching skill-building videos outside of work, taking optional
MedTrainer courses, etc.
Element II: Continuous Improvement
--- Employee actively participates in improvement work
Observable actions: development/improvement of standard work, identification of and
recommendations to reduce waste, readily adopting new processes, generating process-improvement
recommendations, respectfully coaching fellow employees, etc.
--- Employee demonstrates a positive attitude regarding improvement work
Observable actions: employee's involvement, support, feedback, sharing of ideas, and participation
in process improvement work; also includes a willingness to try or test new ways of working
--- Employee follows standard work and/or documented workflows relevant to their role.
Observable actions: Adheres to standard work, helps others learn and follow standard work, and
makes recommendations for updating standard work where needed. Employee identifies where
standard work is needed but does not exist and takes initiative to draft new standard work with
guidance from supervisor and peers.
E. QUALIFICATIONS
MSN degree from accredited Nurse Practitioner Program.
Completion of a formal family nurse practitioner program or documented evidence of course works to
provide care to clients of all age groups.
License to practice professional nursing plus qualifications to receive nurse practitioner certification in the
state of Idaho.
Willingness to work within the framework of a Public Health Service health center project, including goals
and objective defined in the grant application.
Sensitivity to the local customs related to health practices and medical care.
Sensitivity to the needs of the farm worker families and other rural individuals.