REPORTS TO POSITION: Clinical Division Director Surgery, SCMG
DEPARTMENT: SCMG Gastroenterology
DATE LAST REVIEWED: July 5,2023
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
DEPARTMENT SUMMARY: St. Charles Urology Services will employ Advanced Practice Providers with varying levels of experience as well as 2-3 surgeons board certified in Gastroenterology. There are community general surgeons and occasionally locum surgeons doing contracted work with the team as well.
POSITION OVERVIEW: Advanced Practice Providers (APPs) under the general supervision of the Clinical Division Director and direct supervision of a designated physician, provides medical and appropriate outpatient care to patients of all ages. Such care includes evaluation, diagnosis, treatment, and documentation of each care encounter. Coordinates medical, ancillary, nursing, and other services. Monitor patients' on-going care plan and refer them to other departments based on their assessment of patients' progress and condition.
Work schedule:APP will work minimum of 40 hours per week with a minimum of 36 hours patient contact time. Scheduled days may vary depending on clinic operating days and hours.
Call expectation:APP will be expected to participate in the clinic call rotation shared equally by all providers in the designated call group to include evenings, weekends, and holidays. This is scheduled in coordination with other providers in the call group.
ESSENTIAL FUNCTIONS AND DUTIES:
Clinical Expectations:
The Urology APP will work primarily in an outpatient setting with both adult and pediatric patients.
Obtains pertinent medical history and appropriate physical evaluations.
Performs the following in office procedures: bladder instillations (BCG, DMSO, ETC), Urodynamics, PTNS, ultrasound, voiding trials, testosterone injections, Preps for all procedures, penile injections and training, Lupron administration, Catheterization.
Performs and documents preoperative and preadmission histories and physicals as well as discharge summaries.
Counsels' patients on the pre- and post-operative care.
Facilitates referrals to community health facilities, agencies, and resources.
Recognizes medical emergencies and initiates evaluative and treatment procedures necessary in life-threatening situations, and immediately reports to supervising physician.
Interpret and report on diagnostic tests in a timely manner in compliance with SCMG defined Standards. This should not exceed 72 hours for Urgent and 7 days for Routine diagnostics.
Support the delivery, measurement and improvement of quality health measures as identified by SCMG.
Consults with the physicians, nursing staff, and technicians in order to evaluate standards of patient care provided and makes recommendations for improvement.
Completes clinical records in a timely manner fostering good communication between the health care providers and providing for continuity of care and coordination of services.
Prescribes medications within the scope of their practice and Oregon law.
Performs surgical procedures within the scope of their practice and the law, under the direction of the supervising physician.
Performs other duties as assigned.
Delivers customer service and/or patient care in a manner that promotes goodwill, is timely, efficient and accurate.
AdministrativeExpectations:
Document all patient care within the Electronic Medical Record (EMR) and complete all necessary tasks in compliance with health system policies and regulatory agencies to ensure timely and accurate billing.
Be familiar with the SCHS organization structure.
Participate in SCMG physicians' meetings and assist in policy and clinical practice guidelines formation for SCMG and Physician's practice.
Keep medical knowledge and skills current through regular CME activity. Must attest to having adequate (CME) to meet maintenance of board certification and compliance with MSO rules and continuing privileges without restriction.
Keep all licenses and appropriate certifications current and unrestricted.
Maintain active privileges at a St. Charles Health System hospital sufficient to permit performance of job duties.
Behavioral Expectations:
Participates in creating a healing environment that supports all aspects of the care environment and the wholeness of each individual, patient and caregiver.
Provides and maintains a safe environment for caregivers, patients, and guests. Conducts all activities with the highest standards of professionalism and confidentiality.
Delivers first-rate customer service and/or patient care in a manner that promotes goodwill, and is timely, efficient and accurate, and courteous.
Educates, counsels, and assists patients and families regarding current health problems, health maintenance activities and preventive behaviors.
Provide a therapeutic presence in service to others by purposefully responding to the needs of patients/customers in a caring way.
This includes introducing oneself and stating your purpose, asking the patient their preferred name, spending time with the patient to determine their care goals, active listening, and using skillful communications (appropriate touch, eye contact, etc.).
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.
EDUCATION
Required:
Successful completion of an approved Physician Assistant or 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.
LICENSURE/CERTIFICATION/REGISTRATION
Required:
Unrestricted Physician Assistant and/or Nurse Practitioner licensure in the state of Oregon.
Physician Assistant requires NCCPA certification. 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 registered in Oregon.
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.
ATLS Certification
Preferred:
Clinical experience in Urology and or inpatient robotics.
EXPERIENCE
Required:
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.
Preferred:
Prior experience with trauma and acute care surgery and/or critical care.
Epic EMR software experience
PERSONAL PROTECTIVE EQUIPMENT
Must be able to wear appropriate Personal Protective Equipment (PPE) required to perform the job safely.
GENERAL
Must have excellent communication skills and ability to interact with a diverse population and professionally represent SCHS
Strong team working and collaborative skills. Ability to multi-task and work independently. Attention to detail.
Excellent organizational skills, written and oral communication and customer service skills, particularly in dealing with stressful personal interactions.
Intermediate to advanced proficiency with Electronic Medical Record systems. Intermediate in Microsoft applications (Word, Excel).
ADDITIONAL POSITION INFORMATION
PHYSICAL REQUIREMENTS
Continually (75% or more)
Standing & Walking
Keyboard Operation
Using a Clear and Audible Speaking Voice
Hearing at Normal Speech Levels.
Frequently (50%)
Sitting
Lifting, Carrying & Pushing / Pulling up to 25 lbs.
**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 maintaining appropriate medical staff membership and clinical privileges.
