Summary

The HHH Advanced Practice Provider performs a variety of duties to provide quality patient care to patients requiring medical and primary care services, including but not limited to preventive care acute and chronic disease care and urgent care needs that may arise.  The scope of services includes new patient evaluations and follow-up appointments for people who are homeless or vulnerably housed men, women, and children. Responsibilities include providing a full spectrum of clinical services including community oriented primary care, and practice in a patient centered medical home setting.  This position reports directly to the Healthcare for the Homeless - Houston (HHH) Chief Medical Officer and as delegated to Associate Medical Director (CMO/AMD), with associated oversight by other multidisciplinary departmental leadership of HHH as indicated.

The Advanced Practice Provider provides patient care to men, women, and children who are homeless or vulnerably housed at HHH primary care clinics and may provide medical outreach services to homeless individuals living on the streets, in encampments, and in shelters/missions as part of an interdisciplinary outreach team.  Daily work hours may vary with minimal evening or weekend hours.

Job Purpose

Provides advanced nursing care to patients in a clinical setting in an area of specialization under the direction of a physician.

Job Duties

• Performs pertinent history and physical exams of patients
• Follows established protocols to manage specific patient problems/illnesses/care in collaboration with supervising physician(s)
• Administers appropriate patient treatment and care management accordingly
• Performs and evaluates diagnostic procedures and laboratory tests within the scope of practice. Provides acute, preventive, and chronic medical care in continuity or same day setting
• Collaborates within a multidisciplinary setting serving the homeless population to update the patient's treatment plan
• Performs and evaluates diagnostic procedures and laboratory tests within the Advanced Practice Provider scope of practice
• Provides constructive input on improving the delivery of services to medical director and clinic manager
• Maintains medical record using an electronic medical record, writes accurate, timely notes and orders which are co-signed by supervising physician when appropriate
• Maintains sensitivity in working with people who are homeless/medically underserved population
• Practices self-directed leadership and oversight, practices good organizational skills
• Meets or exceeds the levels established by department/organizational benchmarks
• Meets or exceeds all quality indicators as developed and assigned by quality improvement leadership
• Adheres to agency policies and procedures
• Participates in the medication assisted treatment program for substance use disorder
• Performs other tasks or special assignments as necessary to maintain proper operation and patient care
• May supervise the work of a medical assistant, nursing students, medical students and family medicine residents where appropriate
• May work longer shifts and some weekends if necessary
• Will be expected to provide on-call coverage within shared clinician group cycle for calendar year, as set by CMO/associate medical director

Minimum Qualifications

• For Nurse Practitioner: Master's degree in in Nursing.
• For Physician Assistant: Master's degree in Physician Assistant Studies. NOTE: Bachelor's degree in Physician Assistant Studies accepted based on terminal degree requirements at time of graduation.

Certification/Licenses/Registration:

• For Nurse Practitioner: Current license as a Registered Nurse (RN) by the State of Texas Board of Nursing. Current Texas Licensure as an Advanced Practice Nurse (APRN-NP), and specialty certification as required by department.
• For Physician Assistant: Current license as a Physician Assistant by the State of Texas Physician Assistant Board. Specialty certification as required by department.
  • Basic Life Support (BLS) Certification.

Preferred Qualifications

Two years clinical experience, preferably with a medically underserved population.