Bargaining Unit:

EAP Rate of Pay:

$84.91/hour + DOE (Base pay of $80.87 includes 5% temporary rate) Demonstrates clinical competence to provide adult or family primary care through telehealth modalities, with or without sub-specialty expertise, within the APP's scope of practice, clinical privileges, and applicable laws and regulations. Provides primary care medical services for assigned patients through telehealth, including preventive care, evaluation and treatment of acute illnesses and injuries when clinically appropriate for virtual management, chronic disease management, health maintenance, and referrals to appropriate in-person services, specialties, or facilities. Conducts comprehensive and focused patient assessments through video and other approved telehealth modalities, including obtaining an appropriate medical history and performing an appropriate virtual examination. Recognizes the clinical limitations of telehealth and appropriately determines when an in-person physical examination, diagnostic testing, laboratory services, imaging, urgent care, emergency care, or other in-person evaluation is necessary to safely assess and manage the patient. Verifies patient identity and location and follows applicable telehealth consent, privacy, security, documentation, and regulatory requirements. Orders, performs, and interprets diagnostic tests as appropriate, recognizing when testing or diagnostic evaluation requires coordination with an in-person healthcare location. Prescribes medications, therapy, and other specialized medical care consistent with the standard of care, scope of practice, clinical privileges, organizational policies, and applicable laws and regulations. Performs appropriate medical procedures within scope of practice as defined by licensing requirements and the health system's credentialing and privileging processes and appropriately identifies procedures or interventions that cannot be safely performed through telehealth. Considers a thorough range of treatment and preventive options and arrives at a recommended course of action that is age appropriate, culturally appropriate, realistic, attainable, and appropriate to the patient's ability to access necessary in-person services. Appropriately manages patient care and health status following initiation of a treatment or preventive plan through virtual follow-up, monitoring, and reassessment, and adjusts the plan of care as warranted. Communicates effectively with patients and families in a virtual environment so that they understand their diagnosis, treatment plan, medications, follow-up requirements, and circumstances that require escalation to in-person or emergency care. Educates and encourages patients to become active participants in their healthcare and provides appropriate patient education materials, digital resources, and self-management tools. Documents telehealth encounters accurately and in a timely manner within the electronic medical record to facilitate continuity, coordination, and quality of care. Demonstrates the ability to distinguish between normal and abnormal findings based on available patient history, virtual examination, diagnostic information, and other clinical data, and recognizes when the limitations of virtual assessment require additional in-person evaluation. Makes appropriate referrals to physicians, specialists, community agencies, and in-person healthcare services based on the patient's clinical needs. Collaborates with and consults supervising physician(s) and other members of the healthcare team when appropriate and required by policy. Completes chart review as required by health system policies and escalates care appropriately when a patient's condition exceeds the APP's training, expertise, scope of practice, or the capabilities of telehealth. Coordinates patient care across primary care clinics, specialty services, laboratory, imaging, emergency services, urgent care, and other healthcare resources to ensure appropriate follow-up and continuity of care. Assists with EHR inbox coverage and patient triage, including evaluation of telephone calls, electronic messages, test results, medication requests, and other patient communications within scope of practice. Provides additional virtual clinical support for patients whose primary provider is out of the office, including appropriate assessment, treatment, follow-up, and coordination of care. Provides same-day and urgent telehealth visits when clinically appropriate and directs patients to appropriate in-person urgent care or emergency services when the patient's condition cannot be safely managed virtually. Responds to telephone calls, electronic messages, and other patient communications in a timely manner and determines when a communication requires conversion to a telehealth visit or in person evaluation. Utilizes telehealth technology, the electronic medical record, and other approved digital health tools effectively to provide safe, efficient, and patient-centered care. Troubleshoots routine technology issues and appropriately transitions the encounter to another modality or in-person care when technology limitations affect safe patient care. Maintains a professional, patient-centered virtual environment and establishes effective therapeutic relationships with patients through video and other approved telehealth modalities. Adheres to all relevant policies, procedures, practice guidelines, telehealth requirements, professional standards, and applicable federal and state laws and regulations. Supports appropriate billing for professional services through timely, accurate documentation and maintains adequate knowledge of the health system's telehealth, coding, billing, and documentation requirements. Reviews and follows up on complaints, concerns, and patient feedback related to medical care and the telehealth experience. Regularly attends and actively participates in clinic staff meetings, physician/NP/PA meetings, Primary Care Committee meetings, and other meetings as requested. Participates in community education and other professional activities to promote access to care, practice growth, health education, and community wellness as requested. Maintains positive, caring, and supportive relationships with patients, families, care team members, and clinic staff while working effectively within a virtual care environment. Demonstrates System Values in performance and behavior. Complies with System policies and procedures. Performs other duties as assigned. Current Advance Practice RN (APRN) licensure to practice in California (and/or NV, depending upon the position being sought) Current ANCC (American Nurses Credentialing Center) or AANP (American Academy of Nurse Practitioners) certification required. Current PNCB (Pediatric Nursing Certification Board) or current ANCC is required if requesting to work in pediatrics. Current BLS (Basic Life Support) and must maintain certification at all times. Must have a Collaborative Service Agreement (CA) or evidence of Supervising Physician Agreement (NV State Medical Board), as applicable, with a designated supervising physician member of the Hospital's medical staff (upon hiring, manager will initiate). Current, unrestricted DEA certificate in CA and/or NV, as applicable (Schedules II-V). Nevada Pharmacy Board certificate, if applying to work in NV. Ability to participate in a federally funded program (Medicare and Medicaid) Current CA and/or NV State license in good standing Current NCCPA (National Commission on Certification of Physician Assistants) certified Current BLS (Basic Life Support) and must maintain certification at all times Must have a Collaborative Agreement (CA) or evidence of Supervising Physician Agreement (NV State Medical Board), as applicable, with a designated supervising physician member of the Hospital's medical staff (upon hiring, manager will initiate). Current, unrestricted DEA certificate in CA and/or NV, as applicable (Schedules II-V). Nevada Pharmacy Board certificate, if applying to work in NV Ability to participate in a federally funded program (Medicare and Medicaid) Physician Assistants must complete an educational course in controlled substances that meets the standards of practice by TFHD and the State of California Equal Opportunity Employer This employer is required to notify all applicants of their rights pursuant to federal employment laws. For further information, please review the Know Your Rights notice from the Department of Labor.