REPORTS TO POSITION: Clinical Division Director of Medical Specialties
DEPARTMENT: Anticoagulation Clinic
DATE LAST REVIEWED: September 19, 2021
OUR VISION: Creating America's healthiest community, together
OUR MISSION: In the spirit of love and compassion, better health, better care, better value
OUR VALUES: Accountability, Caring and Teamwork
DEPARTMENTAL SUMMARY: St. Charles Anticoagulation clinic is the largest provider of anticoagulation services in Central Oregon. We serve patients living in Central and Eastern Oregon. Our staff of RN's and LPN's monitor INRs in clinic via point of care testing and manage dosing according to clinic protocol and under the direction of APP. We have a growing population of patients who home monitor their INRs and dosing is managed over the phone.
POSITION OVERVIEW: Responsible for performing clinical assessments and treatment plans for patients within the Anticoagulation clinic. Working under the direction of the Anticoagulation medical director and within the current Anticoagulation protocol, the APP will complete new patient intakes for anticoagulation therapy while working with ordering providers to recommend the best therapy options for patients needing anticoagulation. Provide patient education for new patients in the anticoagulation clinic and patients having changes in treatment. Responsible to evaluate, recommend and order perioperative anticoagulation plan following current perioperative guidelines. Will be responsible to work with the nurses in the anticoagulation clinic to direct care for patient with INR outside of range. Responsible for review and cosign of all anticoagulation encounters conducted in the Anticoagulation Clinic and over the phone. Will work in conjunction with the Anticoagulation Medical Director and the Supervisor of Clinic Operations to develop additional services, education within the clinical team and community awareness of service offered within the anticoagulation clinic.
Work schedule: The Anticoagulation Advance Practice Provider will work a minimum of 40 hours per week
Call Schedule: APP will participate in clinic call from satellite clinics during normal working hours. No after-hours call required.
APP Practice Location: APP will render the Professional Services at such SCHS Facilities as may be directed by SCMG, and at such other facilities and locations as may be established by SCHS or SCMG from time to time. It is anticipated that the primary work locations will be as follows:
St. Charles Anticoagulation Clinic [2275 NE Doctors Dr, Suite 6, Bend, Oregon]
St. Charles Anticoagulation Clinic [ 244 Kingwood, Redmond, Oregon]
St Charles Anticoagulation Clinic [384 SE Combs Flat Rd, Prineville, Oregon]
ESSENTIAL FUNCTIONS AND DUTIES:
Performs patient examinations, obtains, and records pertinent medical history, subjective and objective findings. Orders and interprets appropriate laboratory, imaging, and other diagnostic procedures. Interprets and integrates data to determine diagnosis and therapeutic plan.
Administers and prescribes medications in compliance with state law and practice guidelines.
Orders and performs appropriate medical and surgical procedures in accordance with State law and practice guidelines.
Instructs patient and family regarding medications and treatments. Educates patients regarding health and illness prevention. Recommends community resources to meet patient and family needs.
Collaborates with physicians and other caregivers to manage the acute and long-term health needs of patients.
Provides monitoring and supports continuity of care between clinic visits.
Maintains and reviews patient records, charts, and other pertinent information, documenting clearly and concisely.
Charts tests, examination results, and other appropriate clinical data.
Triages patient telephone calls, providing consultation as needed.
Communicates effectively with colleagues, patients, physicians, and administration.
Maintains quality of clinical practice by selecting appropriate avenues for professional growth.
Medical performance issues will be directed to the medical director of the service. All other performance issues will be directed to the practice or department director.
May perform additional duties of similar complexity within the organization, as required or assigned.
Acts as a leader and supports departmental goals and the vision, mission, and values of the St. Charles Health System in all respects.
Provides customer service in a manner that promotes goodwill, is timely, efficient, and accurate.
Creates a healing environment that supports all aspects of care, respects the wholeness of the individual, and demonstrates therapeutic presence through attitudes and behaviors that enhance the safety and care experience for patients, caregivers, and guests.
Supports Value Improvement Practice (VIP- Lean) principles of continuous improvement with energy and enthusiasm, functioning as a champion of change; Contribute as necessary to assist in policy formation for the organization.
Participates in creating intentional relationships and put a high level of focus on attitudes and behaviors that enhance the care experience.
Is familiar with the organization structure, communications systems and billing process, completing billing and coding documentation within time assigned.
Conducts all activities with the highest standards of professionalism and confidentiality. Complies with all applicable laws, regulations, policies, and procedures, supporting the health system's corporate integrity efforts by acting in an ethical and appropriate manner, reporting known or suspected violations of applicable rules, and cooperating fully with all health system's investigations and proceedings.
Keep all licenses and appropriate certifications current and unrestricted to maintain privileges at a St. Charles Health System hospital sufficient to permit performance of job duties.
Increases understanding and collaboration throughout the medical community.
Maintain compliance of hospital's Medical Staff Bylaws, Rules and Regulations, as required by SCHS Board of Directors.
Successful completion of an approved Nurse Practitioner course of study and certification as appropriate to the incumbent's license.
Complete annual fire/safety, etc. education in-services as required.
Attend mandatory educational offerings as described in SCHS policies/procedures and/or as required by other regulatory bodies.
Complete annual CME as required to maintain license and appropriate Board certification.
Complete in a timely manner assigned Computer Based Learning modules.
Unrestricted Nurse Practitioner licensure.
Nurse Practitioner requires AANC, NCC or AANP, AMCB certification. If Physician Assistant, ability to establish and maintain a Practice Agreement with a Supervising Physician through OMB.
Unrestricted Federal DEA number
Unrestricted ability to participate in Medicare / Medicaid, or other federal or state governmental health care programs.
Valid driver's license and the ability to meet SCHS driving requirements.
Current BLS certification required.
If provider will practice sedation, moderate or deep, ACLS certification is also required.
Additional certifications may be required based on privileges granted to provider by Medical Staff Services at SCHS Inpatient locations.
Oregon MSN licensure preferred.
Federal DEA number registered in Oregon.
0-2 years' experience as an Advanced Practice Provider.
Experience using EMR (Electronic Medical Records) software
Advanced written and verbal communication skills to effectively interact with a diverse population and professionally represent St. Charles Health System
Experience working in a team environment and proven ability to collaborate, manage facilitation and consensus building among health care professionals and agencies to achieve expected results
2+ years' experience as an Advanced Practice Provider.
Epic EMR software experience.
PERSONAL PROTECTIVE EQUIPMENT
Must be able to wear appropriate Personal Protective Equipment (PPE) required to perform the job safely.
ADDITIONAL POSITION INFORMATION
Continually (75% or more): Standing and walking, keyboard operation, use of clear and audible speaking voice and the ability to hear normal speech level.
Frequently (50%): Sitting, lifting/carrying/pushing or pulling 1-25 pounds. The use and operation of a motor vehicle for Home Health and Wound Caregivers.
Occasionally (25%): Bending, stooping/kneeling/crouching, climbing ladder/step-stool (varies by area), reaching overhead, lifting/carrying/pushing or pulling 25-50 pounds, grasping/squeezing, ability to hear whispered speech level.
Rarely (10%): Climbing stairs.
Never (0%): Climbing ladder/step-stool (varies by area), operation of a motor vehicle.
Exposure to Elemental Factors
Rarely (10%): Wet/slippery area, chemical solution.
Never (0%): Heat, cold, noise, dust, vibration, uneven surface.
Blood-Borne Pathogen (BBP) Exposure Category
Risk for Exposure to BBP
**Nothing in this job description is intended, nor shall be interpreted, as a grant or approval of medical staff membership or clinical privileges. By law and applicable accreditation standards, medical staff membership and clinical privileges can be granted or approved only by a hospital's medical staff and governing body. Employment processes and requirements, which are governed primarily by the human resources policies of St. Charles, are separate and distinct from medical staff membership and clinical privileging processes and requirements, which are governed primarily by the bylaws and policies of the hospital medical staff. Accordingly, employed physicians and providers of St. Charles are required at all relevant times not only to satisfy the requirements and perform the duties set forth in this job description, but, also, to satisfy the requirements and perform the duties for obtaining and maintain appropriate medical staff membership and clinical privileges.