Nurse Practitioner or Physician Assistant

Nurse Practitioner / Physician Assistant

Positive Impact Health Centers (PIHC) is a community leader in providing HIV prevention, care and treatment services. The PIHC model of care ensures that persons with HIV have access to medical, pharmacy, dental, behavioral health, and social services, providing the best opportunity for patients to achieve high‑quality health outcomes.

The Nurse Practitioner (NP) or Physician Assistant (PA) will provide specialty assessment, diagnosis, and treatment for sexually transmitted infections (STI) including syphilis, gonorrhea, and chlamydia. The NP/PA will also administer HIV pre‑exposure prophylaxis (PrEP) to persons at risk for HIV infection and deliver primary care and HIV specialty care for patients living with HIV infection/AIDS. Services are delivered directly to patients with the support of registered nurses, medical assistants, phlebotomists, health educators, and case managers.

The Assistant Director of Clinical Care Department administratively supervises the NP/PA position. All clinical staff provide care per Standard Operating Procedures and protocols set by the Medical Director. The NP/PA works collaboratively across PIHC Clinical Care and Prevention Departments.

• Perform specialized assessment, diagnosis, and treatment services for persons presenting for STI screening and treatment utilizing appropriate protocols and guidelines established by the Centers for Disease Control and Prevention and the Georgia State Department of Public Health.
• Elicit health histories related to sexual activity and presenting symptoms (e.g., previous STI’s, HIV status, potential exposure to STI through sexual contact, pregnancy, contraceptive history, allergies, contraindications to treatment).
• Use laboratory test results and clinical assessment to determine type and stage of STI and to administer or oversee administration of appropriate treatment.
• Order appropriate immunizations; specifically counsel and order hepatitis A and B vaccines to eligible clients based on laboratory screening results.
• Perform one‑on‑one education specific to HIV/STI and other communicable diseases for persons at high risk of infection.
• Provide information regarding patients’ infection and instructions regarding medication treatment and test‑for‑cure.
• Meet with persons at risk for HIV infection to assess the appropriateness of starting/continuing PrEP; prescribe PrEP for eligible persons; meet with those on PrEP to review labs and update prescription.

• Conduct initial medical evaluations of patients with HIV infection for entry into HIV care.
• Takes an HIV history.
• Conducts a medical history.
• Orders initial laboratory testing for HIV‑infected patients.
• Counsels client on antiretroviral therapy (ART).
• Initiates ART for eligible patients.
• Conducts follow‑up visits to assess medication adherence and side effects, other medical needs, and to review lab results.
• Educates patients and/or families about preventive care, medical issues, and use of prescribed medical treatments and/or medications.
• Offers prophylaxis and treatment for opportunistic infections and other illnesses.
• Performs comprehensive physical exams of HIV‑infected patients.
• Orders appropriate follow‑up visits and laboratory testing after the comprehensive exam.
• Makes appropriate specialty care referrals as needed.

• Attend monthly staff and team meetings.
• Attend case discussion with Medical Director and other providers weekly as scheduled.
• Maintain accurate and confidential medical records, documenting all evaluations, diagnoses, procedures, treatments, outcomes, education, referrals, and consultations consistent with PIHC policies and procedures.
• Maintain continuing education requirements for licensure and national certification.
• Analyze new knowledge gained from conferences, workshops, professional literature, or hands‑on training and assimilate this knowledge into clinical practice.
• May travel to other PIHC locations including Decatur, Marietta, and Covington if coverage is needed.

• A self‑starter with the ability to multi‑task.
• Electronic Medical Record system…