Clinician (Advanced Practice Nurse or Certified Nurse Midwife)

The Clinician is committed to helping people make healthy responsible decisions and reach their full potential while helping community members gain access to the health care and information, they need in order to live healthy, productive lives. The Clinician functions in an expanded role in the area of ambulatory reproductive health care. The Clinician provides primary reproductive health care for women, limited reproductive services for men, and limited primary care for men and women of all ages.

• Meet or exceed goals for four quadrants of the balanced scorecard including: clinical quality, patient satisfaction, work culture, and health center sustainability.
• Secure a complete health history, including obstetric, gynecologic, contraceptive, medical, surgical, sexual, family health, and psychosocial, and record findings accurately and succinctly.
• Perform physical examinations with special emphasis on the reproductive system, including breast examination, pelvic examination, cancer screening tests, diagnosis of sexually transmitted infections (STIs), and other types of more specialized procedures such as endometrial biopsies and colposcopies, as may be indicated by medical protocols and clinical privileging.
• Perform, order, and interpret diagnostic studies as indicated and permitted by PPSAT medical protocols.
• Provide education and relevant health instruction for women and men in need of reproductive related services, including fertility control, infertility, sexually transmitted infections, family planning, nutrition, sexuality, and principles of health promotion and maintenance.
• Maintain current knowledge of medical practice in the reproductive health field.
• Prescribe, dispense, and administer appropriate contraceptives to clients in accordance with PPSAT policies and procedures.
• Apply current CPT and ICD-10 coding principles to all medical visits rendered, including selecting appropriate E&M code when indicated.
• Participate in PPSAT Quality & Risk Management Program. Conduct quality control tests, clinical proficiency tests, QM audits and activities according to annual PPSAT RQM Plan and balanced scorecard.
• Collaborate within PPSAT’s medical services department, with health center teams, workgroups and other community agencies and resources, through joint planning and coordination of activities, in providing comprehensive care.
• Provide general health supervision, health maintenance, education, and counseling to patients.
• Provide general healthcare to transgendered or gender non-conforming patients, including gender transition treatments as indicated by medical protocols and clinical privileging.
• Recognize gynecological deviations from normal, formulate a diagnosis in collaboration with a physician, and provide education and management, or referrals when appropriate.
• Ensure that all abnormal medical complications are followed according to PPSAT Referral & Follow Up protocol.
• Function in compliance with all applicable state practice laws with respect to state of licensure, location of patient and scope of practice. Practice under the supervision of appropriately licensed personnel when managing patients across state lines.
• Assume responsibilities of other medical staff as needed and when appropriate, as directed by Health Center Manager. Assume leadership role in event of medical emergency.
• In centers providing abortion, provide client and physician support, including but not limited to lab testing, sonography, informed consent, POC evaluation, medication administration, recovery oversight and discharge for clients, post abortion follow up communications and office visits.
• Participate in the instruction and training of medical professionals and students with whom PPSAT has organizational agreements.

Work Authorization & Sponsorship