Family Nurse Practitioner

Lincoln County Health and Human Services is looking for a Family Nurse Practitioner to provide primary medical care services including assessment, diagnosis, and treatment to patients of the Health Center. This role is also responsible for providing holistic primary medical care for families and clients across the lifespan, emphasizing health promotion and disease prevention, and managing acute and chronic diseases in accordance with accepted medical standards and within the scope of practice.

$ - $ annually

Lincoln County follows Oregon Pay Equity laws in reviewing education and experience for wage offer.

• Medical, Dental, & Vision Coverage
• 11% County contribution to 401(k)
• County funded Health Savings Account (HSA)
• $40,000 County Paid Life Insurance
• Employee Assistance Programs (EAP)

Within the specialty of the Nurse Practitioner (NP), they are responsible for managing health problems encountered by the client and is accountable for health outcomes. The NP will follow the six standards of practice:

• Assessment – Collect comprehensive data related to the health of the individual served. Synthesis and analysis of data and application of nursing principles and therapeutic modalities.
• Diagnosis – Prescribing, dispensing, and administration of therapeutic devices and measures, including legend drugs and controlled substances as provided in Division 56 of the Oregon Nurse Practice Act, consistent with the definition of the family nurse practitioner’s scope of practice.
• Outcome identification – Based on the diagnosis the NP will identify outcomes that are culturally relevant, health literate, based in evidence and promotes the maintenance of health. Document expected outcomes and measurable objectives.
• Planning – Develop a plan that is client-centered and reflects best practices by identifying strategies that are achievable.
• Implementation – Oversee the implementation of the plan through treatment, case management, referrals to community partners, collaboration with care team, other health care providers and community resources, health promotion and education. Document activities and status of care coordination.
• Evaluation – Apply on‑going assessment and analysis of data, revise plan as needed, assures that interventions and activities are appropriate for ultimate health outcomes for the client. Document changes to enhance effectiveness of interventions.

• Order lab work and other diagnostic tests as indicated as part of the diagnostic evaluation or ongoing management of the client. Follow-up on all abnormal findings, tests and/or lab values.
• Consult and coordinate with physicians, Health Center Medical Director, and Primary Care Program Manager as indicated.
• Assure the care team is functioning efficiently.
• Document in Electronic Health Record to systematically collect, record and analyze data.
• Provide preventive and maintenance care to patients and families consistent with accepted primary care practice and standard guidelines.

• Aid in various program areas through educating and providing consultation to staff. Help keep staff informed of the program’s overall activities and goals.
• Serve as a consultant, accepting referrals from other health care providers in matters outside their expertise.
• Communicate regularly with staff to review team relationships, specific problem areas and actions necessary for improvement.
• Recognize team members' contributions and celebrate accomplishments.

• Collaborate with Program Manager and Health Center Medical Director to:
  • Annually review and revise health care plans, standards of care and standing orders
  • Conduct periodic review of patient records
  • Participate in peer reviews to assure a high level of skills among other nurse practitioners
• Participate in educational meetings as available and appropriate.
• Audit records upon…