Immediate care (pa/np)

Department Overview

The appointee shall provide services as assigned by the supervisor in furtherance of the university’s missions and goals of teaching, research, patient care, outreach and public service.

The Faculty APP delivers care aligned with a defined scope of practice in Immediate Care, with work expectations operationalized through departmental workflows, productivity standards, and performance expectations consistent with the collective bargaining agreement (CBA) and institutional policies.

This role is structured to meet contract-defined work expectations of 1792 hours per year in 199.1 9-hour sessions, inclusive of daytime (AM, PM) shift coverage, aligned with the clinical coverage model and patient care needs of the service.

The Faculty APP will participate in departmental scheduling processes, including weekends, holidays and call responsibilities, with scheduling practices aligned to contract provisions, equitable distribution of coverage, and maintenance of safe, consistent clinical operations.

Function/Duties of Position

Clinical Activities

• Direct Billable patient encounters in the ambulatory setting (face to face), virtual visits (if that meets the clinics need), and phone visit or other billable electronic visits.
• Includes documentation of the visit.
• Patient population- All ages and demographics.
• Independent practice with wRVU and visit expectations.
• Minimum visit expectation: 1.8 visits per hour.
• Minimum wRVU expectation: 3.8 wRVU per hour.
• Clinical coverage requirement includes days (AM, PM and EVE), weekends, holidays, and call.
• Department specific activities: include care in the clinical setting and may include care delivered in patients homes or at care facilities or other locations with approved contracts and off campus authorizations.
• Indirect patient care includes activities supporting direct patient care, including but not limited to; Shared pool EPIC in-basket management/coverage, MyChart messages, Reviewing results, Phone calls, Patient care coordination, Court or legal appearances related to work cases (e.g., subpoenas), Care conferences, Work group huddles, Non-RVU generating patient care, Non-billable patient care, Taking calls (examples: triage, back up triage call, clinic support calls, lab and imaging results, leadership calls, etc.), Filling gaps created by lack of staff support (e.g., clinicians on leave, unfilled clinical positions, or lack of MA, RN, PAS, social work, case management, residents, fellows, physicians, etc.).
• Meetings and Huddles.
• Clinic based work (coverage, support, working with clinical team, answering questions, etc).

Faculty Activities (service, scholarship, and research):

Clinical APP faculty have an expectation of advancement and activities consistent with faculty pursuits standard work.

Faculty pursuit opportunities specific to position: Faculty Pursuits are education, research/scholarship, service, advocacy, administrative & leadership activities consistent with the missions of OHSU which are not funded by other salary components (i.e., aFTE, rFTE, or eFTE).

Faculty Pursuit time should be used toward activities that move them along the promotion and tenure track.

Other Activities

All APPs are expected to support the clinical, education, and research mission of OHSU through routine clinical care that includes working with students, trainees, and patients participating in research, consistent with their role, scope of practice, and applicable contract and institutional policies. Activities include supporting and precepting learners and trainees, and participating in activities needed for clinical operations, for example provider meetings, clinical quality meetings and projects, faculty meetings, clinic operations meetings, and other initiatives as directed by the department.

Participate in the activities needed for clinical operations (including but not limited to): clinical quality meetings and projects, faculty meetings, clinical operations meetings, or other initiatives directed by the department.

Required Qualifications

• Successful completion of a Master’s Degree in Nursing or Master of Science in Nursing in a recognized APRN specialty (Certified Nurse Midwife, Certified Registered Nurse Anesthetist, or Nurse Practitioner), OR Successful completion of a Master’s Degree in Physician Assistant/Associate Studies from an accredited program.
• Current RN and APRN licensure with the Oregon Board of Nursing.
• Current national certification in the area of specialization.
• Current BLS, ACLS or PALS Certification as indicated for the position.
• DEA Certification. OR Current PA licensure with the Oregon Medical Board.
• Current NCCPA Certification.
• Current BLS, ACLS or PALS Certification.
• DEA Certification.
• Prefer at least one year of relevant experience in ambulatory care setting such as Family Medicine, Internal Medicine, Emergency Medicine, or Urgent Care setting.
• Able to maintain patient flow in busy clinic environment.
• Manage a broad range of acute and chronic conditions in all ages and stages.
• Able to work on a multidisciplinary team in a collaborative manner.
• Able to maintain professionalism and positive patient rapport.
• Able to interpret various lab tests, EKGs, and radiographic exams.
• Able to recognize, triage, and manage medical emergencies.

Additional Details

This position includes every other weekend coverage, rotating holiday coverage, and rotating evening shifts. Providers are expected to rotate to all four of the Immediate Care sites as needed operationally. This position works in a busy environment with a lot of interruptions, multiple demands, inflexible deadlines, and people interactions (with the general public with may include those with mental illness). Providers should expect to be exposed to ill patients on a regular basis.

Computer space provided during in-person clinical sessions. Must be able to efficiently use computers with appropriate accommodation as needed. Use of multi-line phone and paging system. This position requires frequent intervals of movement significant cumulative distances, standing for long periods of time, and bending. Ability to help support and position patients (using correct learned body mechanics). Ability to use the senses of seeing, hearing, touch and smell to make correct judgements regarding patient conditions and safely administer care.

Why apply to OHSU?

We are Oregon's only public academic health center. In addition to caring for patients, we lead groundbreaking research. We also train the next generation of health care professionals. As Portland's largest employer, we give you opportunities to learn and advance in a system of hospitals and clinics across Oregon and Southwest Washington. All are welcome. OHSU welcomes people of all ages, ethnicities, genders, national origins, religions and sexual orientations. We are striving to build an anti-racist, multicultural institution and encourage people with diverse backgrounds to apply. To request reasonable accommodation, contact askhr@ohsu.edu.