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About the Role

The Nurse Practitioner assists with leading the care team and provides guidance to all team members. The Nurse Practitioner is expected to help lead the care team with a commitment to ensuring each team works to the top of his or her license and consistently adheres with all protocols. The Nurse Practitioner is responsible to provide excellent customer service at all times. Under the supervision of the Medical Director and in accordance with established policies and procedures, the Nurse Practitioner delivers high quality comprehensive primary care, with expertise in HIV, immigrant and homeless care.

Responsibilities

Provide excellent customer service at all times, apologizing for any throughput delays, engaging patients with a warm and friendly greeting.
Provide direct patient care, including prevention, screening, diagnosis, and treatment of illness, within their licenses scope of practice and specialty training.
Provides Primary Care, routine and acute care, for scheduled, same day and walk in appointments for face to face encounters as well as telehealth encounters.
Conduct visits per protocol for all patients with chronic conditions under the direction of the physician and addresses urgent and complex issues.
Initiate treatment and management of chronic illnesses including, but not limited to, HIV infection, Hepatitis C, substance abuse, asthma, bronchitis, diabetes, lipid disorders, and hypertension.
Identify and delegate visits that can be handled by RN under the supervision of the physician and having notified the patient in advance.
Maintain a professional demeanor at all times, including demonstration of sound moral and ethical character, compassion, adherence to all agency standards for dress and decorum; reports for duty and signs in and out per agency protocol.
Demonstrate proficiency of electronic medical record; including documentation, e-prescribing and coding.
Comply with productivity expectations under the direction of the Medical Director.
Deliver cost effective care, according to evidence based guidelines.
Generate appropriate referrals to ancillary and specialty services including medical, mental health and social based services.
Maintain documentation and e-prescribing practices according to standards of the agency and regulatory agencies including but not limited to history and physical, social history and literacy level as well as care management.
Complete and lock progress notes within 48 hours of client encounter.
Ensure timely prescribing, orders, addressing labs, interpreting of test results, addressing telephone encounters, ordering and reviewing of specialty referrals and consultation reports.
Ensure individualized care plan contains care recommendations, recommend frequency of visits, schedule for tests/screenings and red flags/plan of action.
Perform routine diagnostic and therapeutic procedures according to accepted practice standards.
Assist with assigned PCP’s panel in managing lab results, reviewing consult reports, and reviewing consultation reports as determined by the PCP.
Administer medications according to the same procedure and protocols applied to the nursing staff.
Assist in communicating the management of transitions of members with complex care needs.
Discuss and refer complicated patients outside of clinical expertise to appropriate physician.
Provide health education and counseling during visits.
Provide on-call telephone coverage on a rotating schedule.
Assist with direction of care team with commitment to all team members practicing to the top of their license.
Follow all protocols for daily huddle.
Participate in CQI activities.
Attend patient care related meetings as necessary, including but not limited to morning report, case conferences.
Manage coordination of care for individual clients by working with the available resources both internal and external to agency.
Other duties as assigned by the Medical Director.
Assist with oversight of care team and be a leader.
Participate in Meetings including Quality of Care, Clinical Training, Business, Peer Review and Journal Club meetings.
Attend conferences and community based activities, including advocacy efforts to eliminate homelessness, HIV and disparities in care as designated by the Medical Director.

Requirements

Graduate of an Accredited Nurse Practitioner Program.
Licensed and Registered in New York State.
Certified by either the American Academy Nurse Practitioners or American Nurses Credentialing Center (ANCC).
BLS Certified.
Achieve and maintain HIV specialist status.
Possess or obtain within first 90 days of employment a DATA Waiver for Buprenorphine Prescribing authority.
Accumulate a minimum of 15 HIV specific CME credits throughout the year and a minimum of 25 Credits per year to maintain certification requirements.
Bilingual preferred (English/Spanish or English/French).
Experience in treating hard to reach populations, including the homeless, immigrants, HIV infected, substance users, and mentally ill.
Desire and ability to work as part of an interdisciplinary team dedicated to the delivery of high quality care.
Leadership abilities with trouble shooting and problem solving skills.
Proficient in use of electronic medical record systems and other technology required for use in the delivery of care.
Track record of positive interpersonal skills with staff, clients, and others.
Willingness to work off hours on special projects as reasonably dictated by Medical Director.
The spirit and desire to practice in a community based interdisciplinary, mission driven system of care.
The employee must be able to lift and/or move more than 50 pounds.
Requires full range of body motion including handling and lifting patients, manual and finger dexterity and eye/hand coordination.
Requires sitting, standing and walking for extensive periods.
The employee frequently is required to reach with hands and arms.
Specific vision abilities required by this job include close vision, distance vision, color vision, peripheral vision, depth perception, and the ability to adjust focus.
Ability to work with a moderate noise level in the work environment is required.
If the essential functions of this position cannot be performed in a satisfactory manner by the employee, reasonable accommodations may be made.

Skills

HIV expertise
Immigrant care
Homeless care
Electronic medical record proficiency
E-prescribing
Coding
Cost-effective care delivery
Evidence-based guidelines
Referral generation
Care plan development
Diagnostic procedures
Therapeutic procedures
Medication administration
Health education
Counseling
On-call telephone coverage
CQI participation
Coordination of care
Trouble shooting
Problem solving
Interpersonal skills

Location

Harlem

Work Type

Full-time
Onsite
Telehealth

Experience Level

Mid-level

Education Level

Graduate of an Accredited Nurse Practitioner Program
Licensed and Registered in New York State
Certified by either the American Academy Nurse Practitioners or American Nurses Credentialing Center (ANCC)
BLS Certified
HIV specialist status
DATA Waiver for Buprenorphine Prescribing authority

About the Company

Harlem United is the parent company for Upper Room AIDS Ministry (URAM).
URAM provides the healthcare services from the Federally Qualified Health Center located in the heart of Harlem.
We provide Primary Care, Specialty Care, Dental Care and Wellness Care to those seeking diagnosis and treatment.