Advanced Practice, Associate Director

I.Position Function Summary

II.Essential Responsibilities

• Provides patient care by examining and diagnosing patients, and carrying out or supervising medical treatment, therapy, and follow-up; referring patients for specialty consultation and treatment; educating patients in primary medical care; documenting patient-doctor transactions for proper record keeping and billing.
• Assists and receives direction in the provision of patient care by consulting with LFH physicians on the following situations, as needed:
  • When required by protocol.
  • When incumbent is medically uncertain in a particular clinical situation.
  • When the clinical situation is beyond the scope of practice of the incumbent.
• Conducts physical exams for all age groups to include health histories, labs, and other tests as appropriate with a focus on prevention.
• Diagnoses and treats injuries and illnesses, both chronic and severe.
• Prescribes medications, orders refills and maintains all required pharmacy logs.
• Orders laboratory tests, interprets results and communicates results to patients.
• Consults with physicians and other medical specialists and refers patients to an appropriate provider.
• Performs specialized procedures to include suturing, biopsies, and nail removals as privileged by the Board of directors and CMO
• Performs specialized exams to include women’s health exams.
• Charts and documents all patient interactions appropriately in the electronic medical record, responds to messages and request from nursing staff and patients, conduct chart audits for clinic, completes charting in required timeframe and conforms to meaningful use and other guidelines as required.
• Participates in immunization clinics, well child clinics, diabetes screenings, and health promotion.
• Participates in education and training of nurses and medical assistants to improve their clinical skills.
• Provides support in the overall LFH operation by acknowledging, adhering to, and implementing overall organizational and medical policies and operating procedures of LFH.
• Provides counseling to parents and/or children, focusing on preventive healthcare; educates patients by disseminating of patient information and literature relating to health education including but not limited to family planning, pre-natal care, and health promotion/disease prevention for all age categories.
• Maintains compliance of clinic with state licensure by enforcing Quality Assurance protocols in the clinical, pharmacy, laboratory, medical supply, and nursing/patient care areas of LFH for quality patient care.
• Maintains and updates professional knowledge and skills, and maintains clinical proficiency by attending continuing education or seminars related to job responsibilities, including Age Specific training (care giving, treatment, and assessments specific to the age of populations served).
• Coordinates with CMO to request their advice and assistance as required, to confer on problems; to provide advice, assistance and information on the provision of patient care, quality improvement initiatives, and other areas under this area of responsibility.
• Coordinates with other providers, as a member of the primary care team, to improve their clinic practice and patient care skills.
• Coordinates with other employees, providing leadership as a key member of the primary care team; maintains harmonious, courteous, and understanding relationships, while fostering a collaborative teamwork environment. Exchanges information and job experiences that would be mutually beneficial to each functional area within LFH.
• Coordinates with Christus St. Vincent (CSV) Regional Medical Center, Public Agencies, Community Leaders an Organizations, Other Health Care Providers and Organizations including, private physicians, local hospitals, EMS providers, public health department, and other community health centers, professional groups and associations, etc., and Legal and Regulatory Agencies to build and maintain positive relationship with, and to promote the mission and purpose of LFH.
• Coordinate with Members, Service Area/General Public to provide helpful, courteous assistance and service to LFH members and other customers/constituents, and presents a friendly, courteous image for LFH.
• Follows Customer Service standards to ensure quality of service.
• Performs other duties as stated in physician union collective bargaining agreement (CBA).

• Develops APPs including recruitment, structured onboarding, mentoring, competency development including procedural, education, and career progression.
• Assists with onboarding for MDs and DO’s as well with regard to clinic work flows and expectations.
• At the request of or in the absence of the Chief Medical Officer and the Associate Medical Director may lead provider meetings and attend Board Meetings to provider clinical perspective and insight.

• Evaluates and improves APP clinical practice and clinic practice for all providers including meaningful peer review (feedback and follow-up), assist with quality metrics including individual follow up to improve compliance, clinical standards, ensuring appropriate scope of practice, and establishing standardized or structured escalation/consultation pathways for all providers.
• Improves clinical operations including EMR optimization, provider workflows, scheduling, access, panel management, and multidisciplinary program development.

• Conducts them self with integrity and professionalism consistent with Workplace Laws, and LFMC policy. Coordinates with other departments, works effectively with peers, and contributes to organization objectives.
• Abides by policies and procedure, and laws and regulations.
• Maintains professional and technical knowledge by participating and completing LFH training and external educational opportunities. Stays informed of policy, compliance and legal expectations affecting department.

III.Competencies and Accountabilities

• Compassion
• Respect
• Integrity
• Quality
• Accountability
• Teamwork

Because position has access to personal and professional data regarding individual employees and their families, personal data regarding individual patients and families, and/or sensitive company financial data, an essential function is the maintenance of a high level of confidentiality of the information processed. Position is required to adhere to Health Insurance Portability and Accountability Act of 1996 (HIPAA) and HITECH Act standards. Violation of this confidence may result in disciplinary action, including involuntary termination of employment.

This position has substantial responsibility and substantial authority to make independent decisions over an assigned unit or function; a person in this position regularly takes responsibility for a key operation or function due to their level of skill and/or level of functional supervision.

This position has no accountability for budgetary or financial decisions and assets on a limited basis to complete the work. Position responsible for care and maintenance of medical equipment assigned and used in performance of essential functions.

Position is responsible for own work and has no line supervisory authority or responsibility.

Position has functional authority over other LFH providers staff for specific areas or responsibility including but not limited to Joint Commission and Occupational Safety and Health Administration (OSHA) compliance, and other regular or ad hoc special projects assigned by the CCO, CMO or CEO.

Documentation of education, experience and licensure is required and must be maintained. Certified Nurse Practitioner must be insurable under the policies and requirements of LFH

I.Physical Characteristics/Working Conditions

• Within normal limits of position. Must have necessary manual dexterity to perform all required procedures in accordance with applicable standards and regulations.

• Must have necessary visual acuity, hearing and speaking skills to perform all required procedures.
• Position will be scheduled based on operational need. Work is mostly indoors, and normal office worker safety precautions and practices are required.
• This position performs tasks that involve exposure to blood, body fluids, or tissues, as well as will be exposed to patients' conditions and some-unpleasant sights, smells and contagious diseases including virus, disease and infection from patients and specimens in working environment; normal medical safety precautions and practices are required. Employees are required to take a Tuberculin skin test upon hire, and provide immunization records to include, proof of MMR. All employees are offered the opportunity to receive the Hepatitis B vaccination series, Influenza and Tdap immunization.

• Position may require travel to other clinic sites. In order to operate motor vehicles on LFMC business, must have a valid New Mexico driver’s license, and must maintain an insurable driving record.