Nurse Practitioner

Overview:

In addition to base hourly pay starting at $55 an hour depdending on experience, this position will also be eligible for location differential hourly pay of $9.62 for all hours worked.

The official job title for this position at PPGT is "Clinician".

The Clinician provides comprehensive reproductive healthcare services to patients at Planned Parenthood of Greater Texas (PPGT). Works as part of the Health Services team in collaboration with Health Services and other team members to meet the clinical needs of patients as outlined in affiliate protocols. Orders, interprets, and records results of clinical tests and consults with supervising physicians as needed. Prescribes medications and makes recommendations for other forms of treatment, including contraception. The Clinician is part of the medical services team providing sexual and reproductive healthcare as outlined in affiliate protocols.

Provides services by telehealth and/or in-person visits including: history review, health education, physical exam, counseling, diagnosis, and treatment according to protocols. The Clinician works in partnership with management, Health Services and Chief Operating and Medical Services Officer (COMSO) to provide the highest quality of patient care and excellent patient experience. Participates as a member of a team providing confidential, quality healthcare services, allowing patients to maintain a sense of dignity, trust and safety. There is a dual reporting structure for clinicians. Clinicians report directly to the Health Services Regional Director and clinical supervision is provided by the Director of Clinical Services. Performs duties to ensure productivity expectations, patient satisfaction, customer service, and compliance standards are maintained. Supports the organization's strategic plan and workplace inclusion initiatives. Abides by the organization's mission in performing job duties. Demonstrates an understanding and commitment to PPGT's culture of quality, safety and risk awareness.

Responsibilities:

• Performs physical examinations with special emphasis on the reproductive system including breast examinations, pelvic/genital, cancer screening tests, diagnosis of sexually transmitted infections (STIs), and other types of more specialized services or procedures as may be indicated by medical policy or protocols (e.g. gender affirming hormone therapy-GAHT).
• Orders, and interprets diagnostic studies as indicated and permitted by medical protocols. Performs lab testing per Clinical Laboratory Improvement Amendments (CLIA) regulations and according to PPGT's lab manual or manufacturer's directions.
• Provides patient care according to all Medical Standards and Guidelines and/or the specific direction of a supervising physician. Consults with organization COMSO or designee when deviates from PPGT Medical Standards and Guidelines (MS&Gs).
• Provides relevant health instruction and education to include family planning, sexual counseling, and principles of health promotion
• and maintenance.
• Documents exam findings and other clinical aspects of direct patient care into the medical record accurately.
• Codes billable services accurately based on medical record documentation using accepted practices, i.e. Evaluation and Management (E&M), Current Procedural Terminology (CPT) and diagnosis codes (ICD-10).
• Ensures conformity with the policies and procedures of the affiliate, Texas Medical Practice Act, Physician Assistant Licensing Act, Texas Nurse Practice Act, and rules promulgated under those acts.
• Recognizes ethical, legal, and professional issues inherent in providing care to health center patients throughout the life cycle.
• Initiates and monitors appropriate follow-up according to PPGT Medical Standards and Guidelines on all abnormal test results and referrals.
• Remains well informed about current contraceptive technology and reproductive and sexual healthcare issues.
• Develops and maintains a collaborative working relationship with the Health Center Manager and support staff resulting in a team effort in meeting center goals.
• Develops a level of time management that is conducive to seeing 3-4 clinician visits per hour meeting productivity goals and expectations.
• Takes an active role in managing patient satisfaction by practicing patient centered care and providing exemplary customer service to patients.
• Responds to medical emergencies as provided in the medical protocols and is responsible for maintenance of emergency box
• May assist in supervising and participating in the orientation and proctoring of new clinicians.
• Administers, supplies, or prescribes medications/devices, including injections, per delegated orders of the Pharmacist-in-charge and the Chief Medical Officer as outlined in The Manual of Medical Standards and Guidelines and Pharmacy Manual and as per Title 22, Part 11, Chapter 22 of the Texas Administrative Code.
• Maintains an active Prescriptive Authority Agreement which is reviewed with authorizing physician annually. Holds Quality Assurance and Improvement meetings and chart reviews as required by the PAA between the authorizing physician and the clinician.
• Has unrestricted access to patient protected health information (PHI) on paper and electronic forms health records for purposes of treatment,