Advanced Practice Clinician- (On-Call) Mobile Clinic Van

Current employees: Please apply through the employee portal to be considered for this opportunity.

Pay Range:

$61.73 - $78.95 Hourly

Department:

Health Department

Job Type:

On-Call

Exemption Status:

United States of America (Non-Exempt)

Closing Date (Open Until Filled if No Date Specified):

The Opportunity:

THIS WORK MATTERS!

Integrated Clinical Services provides quality health services for people who experience barriers to accessing care. Our vision is to provide services that are integrated and connected to promote optimal health and well being through interdisciplinary team based care. The Primary Care Division assesses need and develops services that strive to deliver timely access and promote racial equity through culturally appropriate care, health screening, and treatment of chronic illness. A primary focus of our services is on prevention, education, and shared decision making to promote well-being. Clients are seen in geographically dispersed sites throughout Multnomah County. Advanced Practice Clinicians (APC) - deliver clinical care, create shared care plans, provide education and resources within the Health Department and external programs that best meet the client's needs and health goals. APC determines diagnosis and treats acute and chronic conditions, leveraging the resources and skills of an interdisciplinary health care team to improve or maintain health status for a diverse, multicultural client population within a busy, primary care setting. 

As an APC you will provide professional, comprehensive specialized nursing services with an emphasis on prevention of disease and promotion of health. The APC establishes a therapeutic relationship with a diversity of patients, including refugees and low-income populations.

The APC provides professional, comprehensive specialized nursing services with an emphasis on prevention of disease and promotion of health. They establish a therapeutic relationship with a diversity of patients, including refugees and low-income population groups and create a work culture of respect, trust and understanding for the highly diverse populations the Health Department serves in the office and in the community.

As the Advanced Practice Clinician, other duties will include:

Direct Clinical Care:

• Within a mobile care environment, diagnoses and treats acute and chronic medical conditions and diseases according to scope of practice across the lifespan to include conducting a medical history.
• Conducting physical exams, performing treatments such as suturing simple lacerations and wound care, etc.
• Ordering and interpreting diagnostic tests, devising a course of treatment, discussing alternative treatment, risk and benefits of treatment, prescribing and monitoring medications, appropriate counseling of patients and reassessment of the patient at appropriate intervals. 
• Provide patient education on disease treatment options, nutrition, exercise, and health maintenance behavior. 
• Maintains high quality notes and recommendations for treatment and next steps in the care plan as part of a team-based approach.

Indirect Clinical Care: 

• Seeks clinical consultation from other clinicians as needed as part of practice management. 
• Provide consultation to other providers, nurses and support staff. Prioritize and direct activities of the care team. 
• Coordinates, externally with providers and community based organizations, and internally, with behavioral health, pharmacy, and dental providers to effectively integrate and coordinate care. 
• As needed provides coverage for clinical colleagues in their absence. 
• Completes patient documentation and manages electronic in-basket according to established policies and procedures. 
• Utilizes panel based information technology tools to prioritize and direct proactive care for patients assigned to provider or team panel including preventive health screening and chronic disease care management. 
• Follow-ups on utilization issues (ED, hospital admissions) including specialty referrals and consultations. 
• Works closely with Mobile Clinic care team members including Dental, medical assessment, case manager and others. 
• Participates in Team, Professional, and Health Center-wide meetings. 
• Participates in continuing education to maintain licensure, and current, evidence based practice.

Clinic Leadership 

• Provides clinic and quality oversight of the lab and immunization work within the mobile clinic program. 
• Act as the Immunization Lead for the program following the Oregon Immunization management guidelines and annual training. 
• Maintains competency in immunization forecasting, administration, contraindications, and documentation. 
• Maintains Clinical Laboratory Improvement Amendments (CLIA) lab waive testing and phlebotomy competencies. 
• Adheres to medication management policies and procedures, at the Health Department, state and based on practice licensure levels, to maintain the safe storage and dispensing of medications.

Diversity and Inclusion:At Multnomah County, we don't just accept difference; we value it and support it to create a culture of dignity and respect for our employees. We are proud to be an Equal Opportunity Employer. As a Health Department employee you will create a work culture of respect, trust and understanding for the highly diverse populations the Health Department serves in the office and in the community. Every employee shares the responsibility for promptly bringing to the County's attention conduct that interferes with providing a work environment free of illegal discrimination and harassment.

TO QUALIFY:

We will consider any combination of relevant work experience, volunteering, education, and transferable skills as qualifying unless an item or section is labeled required. Please be clear and specific about how your background is relevant. For details about how we typically screen applications, review our overview of the selection process page.

Required Minimum Qualifications/Transferable Skills*:

• Masters degree or equivalent in nursing from an accredited college or university
• Possession of a valid Nurse Practitioner or Physician Associate certificate
• License to practice as a Registered Nurse in the State of Oregon OR License to practice as a Physician Associate
• CPR/BLS certification
• DEA certification
• Driver’s License

Preferred Special Qualifications/Transferable Skills*:

• Demonstrated knowledge of the principles, practices and procedures of general medicine and surgery;
• Demonstrated knowledge of methods and techniques of diagnosing and treating a variety of diseases and injuries;
• Ability to effectively screen and gather required information in a professional, culturally competent and customer service oriented manner;
• Ability to motivate clients through discussion and persuasion;
• Ability to communicate clearly and concisely, both orally and in writing;
• Ability to establish and maintain cooperative working relationships with those contacted in the course of work;
• Ability to be flexible and manage multiple priorities;
• Ability to maintain composure and work objectively with clients who may be hostile or verbally abusive.
• Preferred: Spanish-English language skills

*Transferable skills:Your transferable skills are any skills you have gained through education, work experience (including the military) or life experience that are relevant for this position. Be sure to describe any transferable skills on your application and clearly explain how they apply to this position.

SCREENING & EVALUATION:

REQUIRED: The Application Packet:You must submit all requested items below. Failure to do so will be deemed as an incomplete application.

1. A completed online application.

2. Attach a Resume demonstrating you meeting minimum qualifications; AND

3. Attach a Cover Letter that expands on your resume, addressing why you are interested in this position and demonstrating how your experience and skill set align with the minimum and preferred qualifications listed.

Note:The application, resume and cover letter should clearly demonstrate your work experience/skills and how they relate to the descriptions provided in the ‘Overview’ and ‘To Qualify’ sections of the job announcement. Please be thorough, as these materials will be scored and determine your eligibility to advance in this recruitment process. 

After You Apply:

• Please save a copy of this job posting for your reference, as it will not be available for you to view online after the job posting closes.
• Log in to your Workday account before the job posting closes to see if you have any pending tasks or actions to complete. These can be found under the “My Applications” section.  You must complete these tasks or actions before the job posting closes.
• Check both your email and Workday account for updates regarding this recruitment.

The Selection Process: For details about how we typically screen applications, review our overview ofthe selection processpage. We expect to evaluate candidates for this recruitment as follows:

• Initial review of minimum qualifications
• Resume and Cover Letter Review 
• Phone screen
• Consideration of top candidates
• Language assessment
• Background, reference

Note: Application information may be used throughout the entire selection process. This process is subject to change without notice.

Future Opportunities:Applying for this posting will give you the opportunity to be placed on the eligible list for future positions as they become available. The eligible list created from this recruitment may be used to fill regular, full or part time, temporary, on call and limited duration assignments.

Salary / Equal Pay Law: Please be advised that the pay range listed for this position is intended to provide general guidance on the earning potential for the role. However, actual compensation will be determined in accordance with the Oregon Equal Pay Law and will take into account factors such as the candidate's relevant experience and education. Candidates should expect that initial offers will be made within the listed pay range and may not be at or near the top of the range.

Inclement Weather and Disasters - Serving the Public, Even During Disasters: 

Everyday, Multnomah County staff work together to serve as a safety net for our communities. During a disaster, this safety net becomes even more critical. All County employees have a role in serving the public during inclement weather, natural disaster, or other types of community emergency response. During these emergency responses, while typically there begins with a call for volunteers, county employees may ultimately be reassigned from their current position to a role in the emergency response in order to support the critical needs presented by our communities. For more information, please visit the Disaster Service Worker Information page.

Diversity and Inclusion: At Multnomah County, we don't just accept difference; we value it and support it to create a culture of dignity and respect for our employees.

We are proud to be an Equal Opportunity Employer. We evaluate qualified applicants without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability, veteran or protected veteran status, genetic information and other legally protected characteristics. The EEO Know Your Rights poster is available for your reference. Multnomah County is a VEVRAA Federal Contractor. We request priority protected veteran referrals.

Veterans’ Preference: Under Oregon Law, qualifying veterans may apply for veterans’ preference. Review our veterans’ preference page for details about eligibility and how to apply.

Accommodation under the Americans with Disabilities Act: We gladly provide reasonable accommodation to anyone whose specific disability prevents them from completing an application or participating in this recruitment process. Please contact the recruiter below in advance to request assistance. Individuals with hearing or speech impairments may contact the recruiter through the Telecommunications Relay Service by dialing 711.

Questions?

Recruiter:

Christopher Bogan

Email:

christopher.bogan@multco.us

Phone:

+1 (971) 4389901

Application information may be used throughout the entire selection process. This process is subject to change without notice.

Disclaimer: This announcement is intended as a general descriptive recruitment guide and is subject to change. It does not constitute either an expressed or implied contract.

Job Profile:

6314 - Advanced Practice Clinician