NP

Advanced Practice Providers to support the mission of the Indian Health Service (IHS).
Crownpoint Healthcare Facility (CHCF).

Scope:
Shall provide full spectrum outpatient medical services to patients of all ages in the Fast Track of the Emergency Department at Crownpoint Healthcare Facility. Staffing Outpatient Primary Care Clinics: In Crownpoint, this would be adult care only. At our satellite clinics, Thoreau Health Clinic or Pueblo Pintado Health Clinic, this would involve seeing patients of all ages. This would be mainly a Same Day Clinic appointment role. This requires the ability to manage Diabetes/ Hypertension and other adult chronic care needs for refills and referrals. There will always be a physician available in the ED for consultation for both roles.

Place of Performance:
The contracted provider will be assigned to the Emergency Room at Crownpoint Healthcare Facility, the Adult Ambulatory Care Clinic in Crownpoint or to Thoreau Health Station or the Pueblo Pintado Health Clinic.

The Crownpoint Healthcare Facility (CHCF is a small rural hospital with a non-designated trauma-level Emergency Department, Emergency Department Fast Track, inpatient unit, and numerous ambulatory care clinics. The CHCF Emergency Department operates 24 hours a day, 365 Days a year. The Emergency Department includes Fast Track which operates daily, including weekends and holidays, with limited hours. The inpatient unit has an average of 5 patients with a typical maximum of 12 patients. There are no intensive care units, surgical capability, Respiratory Therapy, Anesthesia services or labor and delivery. Ground and air transport is available for patient transfers to facilities providing higher- levels of care (located 1-2 hours away by ground)

Expected Schedule:
Emergency Department shifts can be from 10 -12 hours per day starting from 8:30 or 9 am. The schedule and times will vary depending on the facility's needs, including last-minute changes to cover unexpected call outs. Clinic hours would be negotiable 7:30 am to 6 pm or 8 to 4:30 pm.

Contractor Qualification Requirements:
- Shall maintain a valid, current, full and unrestricted license to practice medicine in any state within the United States, District of Columbia or the Common-Wealth of Puerto Rico, throughout the term of this contract.
- Basic Life Support (BLS), (PALS) and (ACLS)
- Board certification, either AANP or FNCP.
- Proof of an active and unrestricted NP License and DEA license.

ER NP Duties:
- The contractor will be expected to be able to deal with acute/urgent issues such as toenail removals, simple laceration repair, splinting of fractures and incision and drainage. However, at our facility, our fast-track ER handles a large amount of what would be considered primary care, due to the limited availability of Adult Medicine primary care providers at this time. This can include seeing the patient back for follow up if not able to schedule with their Primary care provider.
- The NP will need to address urgent requests for referrals and medication refills. As such, the contractor must be able to enter referrals appropriately into the EHR and per Service unit policy.
- The Contractor is required to be aware of and abide by service unit policy regarding chronic pain medication.
In addition to diagnosing and treating medical conditions, the contractor will complete all billing and encounter forms, including discharge instruction sheets. Charts must be completed within 72 hours of the patient encounter. If the provider does not complete their medical records in this timeframe and/or leaves Crownpoint with outstanding medical record deficiencies their pay can be held. The Clinical Director or Point of Contact will not be able to sign any timesheets unless the Medical Records Department confirms there are no chart deficiencies.
The contractor agrees to attend ER staff huddles at 10 am on normal workdays. (Excluding weekends and holidays).
ER NPs may be assigned to participate in triage by performing brief medical screening exams in the triage room to assist patient flow as determined by the ER charge nurse or if our surge plan is activated.
It is possible that contractor staff may be called on to run Point of Care COVID-19 testing in the ED Hallway or to assist with COVID Vaccine injections. Providers will be trained, and competency completed.

Clinic NP Duties:
The contractor will assist the primary care teams by serving as a Same Day Appointment provider for urgent needs, medication refills, referrals, etc. This requires the ability to diagnose and manage common adult medical conditions such as hypertension and diabetes.

Health Requirements/Immunizations:
- Immunity to Rubella, Mumps, Measles
- Immunity to Hepatitis B series
- History of chicken pox (varicella) disease or positive titer
- Tetanus Diphtheria (Td) and Pertussis within the last 5 years
- Influenza within the last year
- Documentation of receiving a TB Mantoux skin test (PPD) within the past 12 months with documentation of follow-up for a positive test.
- A signed declination of the Hepatitis B vaccination series will be accepted.

Job Types: Locum tenens, Contract, Full-time, Travel nursing

Pay: $85-95 per hour

Benefits:
Malpractice insurance

Medical specialties:
Emergency Medicine
Primary Care
Urgent Care

Standard shift:
Day shift

Work setting:
Acute care
Clinic
In-person
Outpatient
Urgent care center

License/Certification:
Certified Nurse Practitioner (Required)
BLS Certification (Required)
ACLS Certification (Required)
AANP or FNCP (Required)

Work Location: In person