Advanced Practice Same Day Access Practitioner Job Summary: The Advanced Practice Clinician will provide comprehensive medical care to patients served at Choptank Community Health System (CCHS), in accordance with the policies and procedures and philosophy of CCHS. All duties and responsibilities are performed across life cycle (infants, children, adolescents, adults, and geriatric), as applicable. This is an exempt, full-time position in pay grade 9 with the pay range of $94,056.00 - $141,083.00. The Advanced Practice Clinician reports directly to the Chief Clinical Officer. This position supports CCHS’s same-day access model, with a primary focus on acute illness and other time-sensitive care needs. This may include high urgency hospital or ER follow up visits and high-priority quality measures such as uncontrolled hypertension or diabetes – this is when the PCP is unable to address the patient need in the necessary timeframe. Based on availability and need, the clinician may also assist with performing Annual Medicare Wellness visits to complement the care of the PCP. The clinician serves as a bridge, addressing the clinical need, collaborating with the PCP when needed, and ensuring the patient gets connected back to the PCP. The clinician uses available capacity to improve timely access while advancing quality and continuity with the patient’s primary care team. Clinical and Operational Accountability The Chief Clinical Officer remains the direct supervisor, with responsibility for clinical oversight and performance. Operations Directors and Practice Managers oversee paid leave approval, timecard review and approval, work schedules, appointment templates, and daily operations in accordance with CCHS policies. The clinician works with both clinical and operational leaders to coordinate coverage and patient access. Concerns affecting both clinical care and operations are addressed jointly by the appropriate leaders.
Required Skills/Abilities:
- Bilingual and bicultural skills valued.
- Ensure that standards of quality evidenced based and best practice medical care are met.
- Serve as a resource and consultant to other advanced practice clinicians.
Education and Experience:
- Graduate of Accredited APRN or PA Program (or equivalent)
- Board Certified
- Primary Care specialist (Family).
- Must have current APRN or PA license to practice in Maryland.
- Maintain ongoing professional education as mandated by state regulation.
- Maryland CDS and DEA license and Basic Life Support.
Working Conditions and Physical Requirements:
- General clinical office environment
- Provides patient care
- Occasional travel
- Frequent exposure to workplace conditions includes bending, climbing stairs, walking, kneeling, and reaching.
- Includes fine and gross motor skills, lifting less than 20 pounds, and vision.
- Occasional exposure to workplace conditions includes air borne pathogens, blood borne pathogens and cleaning agents.
Standards of Behavior:
- Commitment To Service
- Respect
- Quality
- Teamwork
- Patient Focus
- Integrity
- Accountability
- Caring & Compassion
- Professionalism
- Listening & Responding
- Safety
- AIDET
Job Related Competencies:
- Empathetic Outlook- The ability to perceive and understand the feelings and attitudes of others; the ability to place oneself “in the shoes” of another and to view a situation from their perspective.
- Attention to Detail- The ability to process detailed information effectively and consistently.
- Problem Solving- Identifies and analyzes problems weighing the relevance and accuracy of available information. Generates and evaluates alternative solutions and makes effective and timely decisions.
- Communicates Effectively- Developing and delivering multi-mode communication that conveys a clear understanding of the unique needs of different audiences.
- Values And Ethics- Serving with integrity and respect in personal and organizational practices. Ensuring decisions and transactions are transparent and fair.
- Time Management- The ability to effectively manage one’s time and resources to ensure that work is completed efficiently.
Commitment to Community:
Choptank Community Health System (CCHS) is committed to creating a safe and open healthcare environment that improves health outcomes and values and respects the unique experiences and perspectives of both patients and staff by:
- Prioritizing access for all individuals;
- Offering ongoing training for staff to promote health awareness, preventive measures
and early detection for the varied patient population on the Eastern Shore;
- Actively engaging with patients, families and staff;
- Fostering a workplace culture in which everyone is treated with dignity.
Duties/Responsibilities:
- Assess and manage patients including conducting history, performing physical examinations, and developing treatment plans for acute and chronic health problems and address preventive health needs appropriate to that clinician's training, experience, and specialty, taking into consideration the ambulatory nature of the health center.
- Order and review lab and x-ray tests in accordance with evidence based and best practice recommendations.
- Support services provided in Health Centers, community/school-based health center programs, and Mobile Health Unit, as applicable.
- At all times interact with patients and staff in accordance with CCHS Standards of Behavior and Code of Ethics
- Complete Inbox Management and Patient Note documentation and closure in a timely manner as stated in the CCHS Medical Records Documentation Procedure, this includes all patient encounters being signed within 72hours of the date of service. Ensure accurate diagnosis coding and charge completion, and respond to coding or billing clarification requests.
- Make appropriate referrals to specialists, subspecialties, hospital emergency rooms, hospital clinics, etc., when good medical judgment dictates such referrals. Partner with care coordination staff to track referral completion and address outstanding follow-up needs.
- Provide first-aid to patients but may refer serious injuries or severely acute conditions requiring hospital care to local hospital emergency rooms or in-patient facilities, as appropriate, after stabilizing the patient as clinically necessary at the health center.
- Participate in medical chart audits, performance improvement, risk management, and peer review activities, and participate in appropriate CCHS committees, when necessary. Contribute to team review of same-day capacity utilization, demand met, patient flow, no-shows, care-gap completion, documentation, and charges, and help address identified workflow barriers.
- Provide in-service training sessions for other CCHS staff, as necessary.
- Attend CCHS staff meetings unless direct patient duties prevent such attendance.
- Serve as a resource and consultant to other advanced practice clinicians and colleagues, and review problem cases with team as needed.
- Take night calls and weekend calls in accordance with CCHS policies and procedures.
- Must obtain and maintain appropriate licensing, credentialing, and privileges according to CCHS policies and procedures. Complete required CME yearly relevant to Board Certification and practice- supported with an annual CME stipend.
- Participate in educational programs and classes for patients and staff.
- Coordinated Care/Patient Centered Medical Care Management: Works with all members of the Health Care Team towards achieving coordinated patient centered care. Communicate significant findings, treatment changes, and follow-up needs to the primary care provider and care team. Establish clear handoffs for pending results and unresolved needs.
- Demonstrates knowledge of the goals and objectives of CCHS’s patient care management plan. Effectively able to perform and communicate individual tasks within role in the process.
- Participate in CCHS medical activities at any or all sites operated by CCHS including SBHC and MHU, appropriate for specialty, in accordance with CCHS policies and procedures and needs.
- Participate in CCHS outreach activities in accordance with CCHS policies and procedures.
- Maintain client confidentiality at all levels of interaction in strict compliance with State and federal laws and regulations.
- Perform other job-related duties deemed necessary by the Supervising Director and Chief Clinical Officer.
- Regular, reliable attendance is a requirement of this job. This includes being available at the assigned location during scheduled patient care hours.
Same Day Access Workflow
- Work with the Access Team, practice manager, and clinical staff to use approved same-day scheduling templates and protected capacity.
- Participate in daily huddles or established team communication to review demand, available appointments, and barriers to patient flow. Partner with medical assistants and nurses on focused chart preparation, efficient rooming, and readiness for newly scheduled visits.
- Use same-day encounters to identify relevant care gaps and address them when clinically appropriate. Work with the team to use available capacity for preventive care, annual wellness visits, chronic condition follow-up, new patient visits, or transitions of care, as appropriate. Arrange additional visits when needs cannot be addressed during the acute encounter.
Restrictions:
- May not have any private practice or provide medical services outside of CCHS without the written approval of the CCHS CEO.
- Any other medical practice may not interfere with duties and responsibilities to CCHS and its patients.
Benefits:
- National Health Service Corp Loan Repayment (potential)
- Tuition and education assistance
- Certification scholarships available
- Paid holidays (9)
- Flexible paid time off and vacation scheduling
- 403(b)
- 403(b) matching
- Employee assistance program
- Flexible spending account
- Health insurance
- Dental insurance
- Vision coverage
- Life insurance
- Referral program
- Employee wellness program
- Discretionary Bonuses
Choptank Community Health is an Equal Opportunity Employer that does not discriminate based on actual or perceived race, creed, color, religion, alienage or national origin, ancestry, citizenship status, age, disability or handicap, sex, marital or family status, veteran status, sexual orientation, gender identity or expression, genetic information, political affiliation, arrest record, or any other characteristic protected by applicable federal, state, or local laws. Our management team is dedicated to this policy with respect to recruitment, hiring, placement, promotion, transfer, training, compensation, benefits, employee activities and general treatment during employment.
