Physician Extender (PA/NP) PORTSMOUTH

STS Federal - Portsmouth, Virginia

PHYSICIAN ASSISTANT/NURSE PRACTITIONER - EXTENDER

 

SITE OF SERVICE:

  • Naval Medical Center Portsmouth, VA (NMCP) and its associated Branch Health/Medical Clinics (BHC) and Tricare Prime Clinics (TPC).
  • HCWs shall receive notification 48 hours prior to reassignment with a forty (40) mile commuting radius of their assignment MTF. The site of services are listed under 1.5.7. Hours of Performance.

COVID VACCINATION:

  • Must be FULLY vaccinated for COVID-19.

 

POSITION QUALIFICATION/REQUIREMENTS:

  • Degree/Education:
  • Physician Assistant: Possess a Baccalaureate degree from a Physician Assistant Program accredited by the Accreditation Review Committee for the Physician Assistant (ARC-PA) of the Commission on Accreditation of Allied Health Education Program (CAAHEP).
  • Nurse Practitioner: Possess a Master’s, Post-Master’s or Doctorate degree from an advanced practice nursing program accredited by the Accreditation Commission for Education in Nursing (ACEN), formerly known as the National League for Nursing Accrediting Commission (NLNAC), or the Commission on Collegiate Nursing Education (CCNE).
  • Experience: One year of full-time experience within the last two years as a nurse practitioner or physician assistant in a primary care or family practice setting.
  • Certifications:
  • Physician Assistant: Certified by the National Commission on Certification of Physician’s Assistants (NCCPA).
  • Nurse Practitioner: Possess current certification as a Nurse Practitioner by the American Nurses Credentialing Center (ANCC) or American Academy of Nurse Practitioners (AANP
  • Possess current Basic Life Saver (BLS) hands on certification through the AHA.
  • Obtain Advanced Cardiac Life Support (ACLS) certification prior to contract start and maintain according to ACLS guidelines.
  • Licensure: Possess current unrestricted license to practice as a Physician Assistant, Registered Nurse, or Advanced Practice Nurse in one of the fifty states, the District of Columbia, the Commonwealth of Puerto Rico, Guam, or the U.S. Virgin Islands.
  • U.S. Citizenship:HCWs performing under this contract shall be U.S. citizens.
  • English Language Requirement: The Contractor shall ensure that all HCWs providing services under this contract are able to read, write, and speak English well enough to effectively communicate.
  • HCW Physical Capability: HCWs shall be physically capable of standing and/or sitting for extended periods of time and physically capable of performing all services required under the contract and TO.
  • Training Requirements: Attend the Annual Navy Pain Symposium/NCPMP meeting. Date TBD

 

SPECIFIC DUTIES:

Physician Extender:

  • The HCW shall provide services within the scope of the clinical privileges granted by the commanding officer, the applicable duties provided in the basic contract, and the following:
  • Become familiar with the Military/Medical Treatment Facilities formulary. Providers authorized to prescribe pharmaceuticals shall do so according to the availability of drugs listed therein.

Successfully complete the MTF provided in-services in IV placement.

Physician Extender (PDHRA):

  • The HCW shall provide services within the scope of the clinical privileges granted by the commanding officer, the applicable duties provided in the basic contract, under 5.5.3.2.2. and the following:
  • When assigned to the Directorate of Primary Care and Branch Clinics, the HCW may be utilized for walk-in or other scheduled appointments in support of other MTF clinics only when all other PDHRA and deployment health commitments have been fulfilled.
  • Ensure that all service members that require follow-on appointments or referrals will have them before leaving the clinic.
  • Become proficient with the use of the Navy and Marine Corps Public Health Center electronic methods of completing the Department of Defense (DD) Forms - An electronic or web-enabled DD Form 2900 (or Standard Form 600 if electronic or web-enabled access is not available) shall be utilized for post deployment health reassessments, an electronic or web-enabled DD Form 2795 shall be utilized for pre-deployment assessments, and an electronic or web-enabled DD Form 2796 shall be utilized for post deployment screenings. The HCW shall use the Standard Form (SF) 600 which is the primary form of documentation for medical encounters, and the (SF) 513, which is the primary consultation form.

Physician Assistant Duties/Nurse Practitioner Duties:

  • Perform Deployment Health screenings, assess the results, treat patients and refer patients for further treatment as appropriate. Web-enabled Periodic Heath Assessment and/or DoD directed health screenings shall also be utilized.
  • Follow MTF specific referral/admission protocols, when seeing patients that requires an admission to the MTF. The HCW will not be privileged for hospital admissions nor will they have after-hour on-call duties. The contract practitioners will not be responsible for obstetrical care of patients.
  • Physician Extender (MED HOME PORT): The HCW shall provide services within the scope of the clinical privileges granted by the commanding officer, the applicable duties provided in the basic contract, under 5.5.3.2.2. and the following:
  • Successfully complete the MTF provided in-services in IV placement, prior to assignment to this task.
  • Perform Deployment Health screenings, assess the results, treat patients, and refer patients for further treatment as appropriate. Web-enabled Periodic Heath Assessment and/or DoD directed health screenings shall also be utilized.
  • Follow MTF specific referral/admission protocols, when seeing patients that requires an admission to the MTF. The HCW will not be privileged for hospital admissions nor will they have after-hour on-call duties. The contract practitioners will not be responsible for obstetrical care of patients.
  • Medical Home Port (MHP) Duties, as assigned, include the following:
  • Provide comprehensive health care for all ages and families in their Medical Home Port Team, but particularly their assigned patients, utilizing evidenced-based clinical practice guidelines and engage patients actively in their health care.
  • Provide health maintenance and preventive services to individual patients as recommended by accepted guidelines. Engage in proactive population based health management, providing regular surveillance to patient’s need for preventive services and management of chronic disease leveraging information technology decision support tools and the members of the medical home port team.
  • Proactively collaborate and integrate with members of the team, other departments and directorates to achieve optimal care for the patient in the HOME PORT model.
  • Actively participate in MHP Team huddles, proactively assist team’s identification of diagnostic procedures required during schedule scrub, and assist with identification of patient education needs and review plan with team members for coordination of educational needs.
  • Engage other MHP Team members to assist in improving documentation of the episode of care using MHP Clinic-approved templates as the initial template (ie. TriService Workflow/COMPASS) – Reason for today’s visit, History of Present Illness, Past Medical and Surgical History, Social History, and Medications with Medication Reconciliation.
  • Document accurately, timely and completely in the patient’s electronic medical record (AHLTA) (and hard copy when required), providing appropriate code level and diagnosis of patient visits using CPT and IDC-9 coding standards
  • Communicate to patients utilizing asynchronous messaging and telephone consults.
  • Participate in training Navy Corpsman in delivering primary care to prepare them for deployment forward in support of overseas contingency operations.
  • Precept students (residents, NP, PA, IDC etc.) and new staff members as directed.
  • Assist in the professional continuing education of development of other staff members as appropriate including, students (residents, NP, PA, IDC, etc), peers, colleagues, paraprofessionals and other health professionals.
  • Train and exercise technical direction over assigned professional staff in MHP Teams.

 

 

 

GENERAL DUTIES:

  • Maintain a level of productivity comparable with that of other individuals performing similar services.
  • Participate in peer review and performance improvement activities.
  • Practice aseptic techniques as necessary. Comply with infection control guidelines to include the proper handling, storage, and disposal of infectious wastes, and the use of universal precautions to prevent the spread of infection.
  • Function with an awareness and application of safety procedures.
  • Perform efficiently in emergency patient situations following established protocols, remaining calm, informing appropriate persons, and documenting events. Anticipate potential problems/emergencies and make appropriate interventions. Notify supervisor, director, or other designated person regarding problems that the HCW is unable to manage.
  • Apply an awareness of legal issues in all aspects of patient care and strive to manage situations in a reduced risk manner.
  • Participate in the implementation of the Family Advocacy Program as directed. Participation shall include, but not be limited to, appropriate medical examination, documentation, and reporting.
  • Exercise awareness and sensitivity to patient/significant others' rights, as identified within the MTF.
  • Maintain an awareness of responsibility and accountability for own professional practice.
  • Participate in continuing education to meet own professional growth.
  • Attend and/or comply with all annual training classes required by the Command, to include but not limited to online annual training provided by the MTF: disaster training, infection control, Sexual Harassment, Bloodborne Pathogens, Fire and Safety, Chemical, Biological, Radiological, Nuclear and Explosives (CBRNE), and all other required training.
  • Actively participate in the command’s Performance Improvement Program. Participate in meetings to review and evaluate the care provided to patients, identify opportunities to improve the care delivered, and recommend corrective action when problems exist.
  • Participate in the provision of in-service training to clinic staff members. Provide training and/or direction as applicable to supporting government employe­es (e.g., hospital corpsmen, students, etc.).
  • Attend and participate in various meetings as directed.
  • Perform timely, accurate, and concise documentation of patient care.
  • Operate and manipulate automated systems such as CHCS, AHLTA, ADS, Essentris, MHS Genesis and Clinical Information System (CIS), participate in clinical staff Performance Improvement (PI) and Risk Management (RM) functions, as prescribed by the Commander. Maintain DOD email account as directed. The HCW shall be responsive to all email and voicemail communications.
  • Exercise appropriate delegation of tasks and duties in the direction and coordination of health care team members, patient care, and clinic activities.
  • Maintain documentation of all treatment provided in accordance with clinic directives, and prepare such records and reports as may be required. All records and reports must be legible. Abbreviations must be only those listed in local instructions.

 

CORE DUTIES:

  • Provide a full range of Physician Assistant services in primary and specialty medical care within the limits of their training and privileges granted by the MTF (e.g., supervise and provide general screening and medical care and examinations of patients for routine, acute and chronic conditions involving any and all organ systems; provide immunizations; diagnose, treat, and counsel patients as indicated).
  • Technically direct and provide care for a variety of diseases and types of injuries (i.e., acute, chronic and minor trauma), and the skills to recognize emergency conditions in order to diagnose, prescribe for and treat diseases, disorders and injuries, and refer the more complex cases and serious conditions to qualified medical personnel and perform designated treatment.
  • Technically direct and teach other staff, provide educational lectures and participate in in-service training to staff members.
  • Promote preventive care and health maintenance including annual physicals, positive health behaviors and self-care through both formal and individual education and counseling.
  • Prescribe in accordance with approved treatment protocols and the Pharmacy and Therapeutics Committee approved medications and immunizations.
  • Identify a medical problem and determine appropriate action to meet the problem, including referral to a physician.
  • Perform specific diagnostic and therapeutic practices and procedures in accordance with scope of practice.
  • Establish collaborative rapport with physician, nursing and others in order to promote and facilitate primary care services.
  • Teach patients and family member's healthy regimen and responsibility for achieving wellness.
  • Attend staff meetings to provide case discussion, continuing education, and continuous quality improvement.

 

HOURS:

  • Physician Extenders (BHC NAVSTA Norfolk) - Services shall be provided Monday through Friday, between the hours of 0600 and 1800 hours. The HCW will be scheduled for a shift within the time range depending on patient volume and clinical scheduling needs. The shift lengths could range from eight (8) to twelve (12) hours. Individual shift hours may occasionally be extended to accommodate travel team requirements or mass screening evolution, however in no instance will the shift exceed twelve (12) hours in length. Shifts will normally be scheduled for an eight and half (8.5) to twelve (12) hour period, to include an uncompensated thirty (30) minute to sixty (60) minute lunch break, respectively. The HCW may be required to occasionally work a Saturday shift to accommodate the deployment training schedule. The requirement for working on a Saturday will not exceed twelve (12) Saturdays per year. In no instance will the HCW be required to provide services in excess of eighty (80) hours per two-week period. The clinic is open on the following Federal Holidays: Martin Luther King Jr's Birthday, President's Day, Columbus Day, and Veteran's Day. Services shall not be required on federal holidays when the clinic is open.
  • Physician Extenders (BHC Dam Neck) - Services shall be provided Monday through Friday between 0700 and 1530 for forty (40) hours per week. Services shall not be required on federal holidays when the clinic is open.
  • Physician Extenders (BHC Boone) - Services shall be provided Monday through Sunday between 0700 and 1900 for one hundred forty-nine and half (149.5) hours per week. The clinic is open on the following Federal Holidays: Martin Luther King Jr's Birthday, President's Day, Columbus Day, and Veteran's. Weekend and holiday services may be required on a rotational basis at NMC Portsmouth. Upon mutual agreement between the HCW and supervisor, compensatory time off will be granted for weekend and holiday services.
  • Physician Extenders (BHC Oceana) - Services shall be provided Monday through Friday between 0700 and 1900 for twenty (20) hours per week. The clinic is closed on all Federal Holidays.
  • Physician Extenders (TPC Chesapeake) – Services shall be provided Monday through Sunday between 0700 and 1900 for one hundred forty-three and half (143.5) hours per week. Requirements for services may vary on holiday weeks. The government provided matrix shall reflect these changes. Clinic is open on all Federal Holidays.
  • Physician Extender (TPC Virginia Beach) – Services shall be provided Monday through Sunday between 0700 and 1900 for one hundred ninety-six (196) hours per week. Requirements for services may vary on holiday weeks. The government provided matrix shall reflect these changes. Clinic is open on all Federal Holidays.
  • Physician Extenders (TPC Suffolk) - Services shall be provided Monday through Sunday between 0700 and 1900 for one hundred twenty (80) hours per week. The clinic is open on all Federal Holidays.

 

ORIENTATION HOURS:

  • Each Physician Extenders shall attend a total of 44 hours of orientation, as follows: eight (8) hours of Command Orientation, twenty-four (24) hours of Work Space Orientation, and twelve (12) hours of CHCS & AHLTA Orientation.

 

SPECIAL REQUIREMENTS/SKILLS

Must be comfortable in a fast-paced, dynamic environment. Must be able and willing to reprioritize on short notice and work on multiple simultaneous projects. Flexible and able to work with various personalities. Team work skills required. Time management skills required. The ability to meet deadlines in a deadline intensive environment is essential. High level of adaptability and willingness to embrace change in a fast-paced, demanding environment.

 

STS Federal, LLC. is an equal opportunity/affirmative action employer. All qualified applicants will receive consideration for employment without regard to sex, gender identity, sexual orientation, race, color, religion, national origin, disability, protected veteran status, age, or any other characteristic protected by law.



Posted On: Wednesday, October 20, 2021



Apply to this job