Family Nurse Practitioner or Physician Assistant (FNP, PA)

Title: Family Nurse Practitioner/ Physician Assistant
Reports To: Director of Primary Care & Quality
Status: Full-time, Exempt
Location: Richmond, CA
Pay: $120,000- $150,000/Year depending on experience level. *Additional $10,000 sign-on bonus for bilingual Spanish/English fluency or $5,000 for non-Spanish speakers.

Our Mission and Vision
The Brighter Beginnings mission is to "support healthy births and successful development of children by partnering with parents and helping to build strong communities". Our mission gains its strength from our core belief that "Every family matters, and every child deserves a happy, healthy future".

Our History
Brighter Beginnings is a 501c3 nonprofit organization and has been responding to the needs of families since 1984.
Brighter Beginnings has grown into a respected and well-connected organization with locations in Oakland, Richmond, Bay Point, and Antioch. We have a multi-cultural, bi-lingual staff of passionate and committed family service professionals; in fact, many of our staff came to this work because of the challenges they faced in their own families.

Position Summary
The Family Nurse Practitioner (FNP) or Physician Assistant (PA) will be responsible for direct patient care and for other administrative duties as designated by the Director of Primary Care & Quality. The Medical Doctor will provide the overall direction for all patient care activities and the Director of Primary Care & Quality will provide you with administrative supervision.

Qualifications
JOB QUALIFICATIONS AND EXPERIENCE

1. A valid license to practice as a Registered Family Nurse Practitioner (FNP) in the State of California, National Licensure for Nurse Practitioner, with ability to sign prescriptions and furnish medications
2. Master's Degree or higher.
3. A certificate of completion from an accredited nurse practitioner program.
4. Board Certification requirement.
5. Current BLS certification.
6. Current DEA Certification
7. Valid California drivers' license.
8. Proof of auto insurance.
9. Must demonstrate knowledge of the rationale of appropriate patient care.
10. Demonstrate the ability to maintain good interpersonal relationships with co-workers and health team members
11. Skilled in Microsoft Office, Microsoft Access, data entry, and use of business email.
12. Passed Physical exam, TB test

Responsibilities
Primary Job Functions

1. Primary Care Provider providing complete patient history, physical examinations, diagnosis, and plan for treatment of primary, secondary, and tertiary care services as outlined in, and in compliance with the standardized protocols for Nurse Practitioners.
2. Primary care delivery includes communicating with patients or guardians of patients regarding care plans, results of diagnostic studies, and answering patient and family questions. Also included is organizing and delivering health education for patients, including preventative health information and disease specific education. The primary care provider coordinates patient referrals for specialized health care to public health care agencies.
3. Reviews patient file/record, including allergies, problems, medications and immunization status.
4. Orders or executes various tests, analyses and diagnostic images to provide information on a patient's condition.
5. Analyzes reports and findings of tests and examination and diagnoses the condition of patients.
6. Administers or prescribes treatments.
7. Determines and prescribes medication, dosage and schedule given the patient's condition and allergies.
8. Prescribes vaccinations to immunize patients from communicable diseases.
9. Provides prenatal care to pregnant women. Provides postnatal care to mothers and infants.
10. Perform the care services listed below (or be willing to learn those services). Services may include:

• Minor surgery (toenail removal, mole and cyst removal, foreign object removal, etc.),
• Suturing,
• General Orthopedic Evaluations/Management,
• Basic rehabilitation for musculoskeletal injuries,
• General internal medicine, family medicine and pediatrics,
• General Dermatology,
• General Eye Problems
• General EKG interpretations
• Emergency management skills
• General GYN Expertise

1. Communicate with the Medical Doctor regarding quality care and treatment issues of patients at BBFHC.
2. Conduct Clinical Pertinence Chart Review studies in order to assess and enhance patient outcomes.
3. Serves as a resource for community agencies.
4. Use technology tools for research, data entry, record keeping, and business communication via email.
5. Meet all clinical obligations of the medical practice: Accrediting Agency compliance, CLIA compliance, drug prescription compliance, HIPAA, State and Federal regulations, Safety Regulations, etc.
6. Follow all internal policies and procedures; be accountable for completion of all operational tasks according to departmental guidelines to ensure appropriate clinical processing/documentation.
7. See patients in a timely and efficient manner, stay reasonably on time for scheduled appointments in family practice throughout the day, unless exceptional circumstances occur.
8. The financial viability of Brighter Beginnings requires that all providers be held accountable for their actions with regard to proper coding and appropriate charging for all services rendered.
9. Charting in the patient's medical record is routinely to be completed within 48 hours of the patient's visit. Establish and maintain a confidential medical record for each patient.
10. Communicate with the Director of Primary Care & Quality, reporting on issues related to the functioning of the BBFHC, and the Director of Primary Care & Quality reports to the CEO and partner agencies of BBFHC

Administrative Job Functions

1. Demonstrate on-going support and respect for administration in all communications, either privately with staff or in a group setting.
2. Address any administrative issues directly and in private with those concerned.
3. Time management: routinely see patients in the time allotted, adjusting to daily patient flow issues to remain on schedule.
4. Work productivity must demonstrate ability to see a minimum caseload of 18-20 patients per day (8 hour shift) and 23-27 patients per day (10 hour shift); effectively work patients into their schedules as caseload demands and respond to a variety of unforeseen daily circumstances, including emergency care of patients.
5. Reporting: FNP's report directly to the Medical Doctor and his/her designees, which include the Chief Executive Officer.
6. Complete patients charts and submit medical bills daily.
7. Must be flexible, adapt to change, and serve as a role model for staff through interactions; should at times think outside the box, providing possible resolutions/solutions to issues/concerns, rather than simply pointing out a problem area;
8. Comply with all HIPAA rules and regulations.
9. This position has no supervisory responsibilities.

Special ADA Requirements
Brighter Beginnings is in full compliance with the Americans with Disabilities Act (ADA) and does not discriminate with regard to applicants or employees with disabilities, and will make reasonable accommodations when necessary.

• Work is normally performed in a typical interior/clinic work environment, with typical office noise and other disruptions.
• Limited physical effort is required.
• Both standing and sitting are required, with most of the job time spent sitting. Approximately three-quarters of the time is spent using a computer keyboard.
• Various types of clinic equipment/supplies are used to accomplish the job requirements and include, but are not limited to, pens, pencils, calculators, computer keyboards, telephones, printers, etc.
• Required to drive to other work sites for meetings, conferences, etc.

Benefits
We are proud to offer competitive wages and benefits to our employees. Please feel free to inquire during the interview process. As a summary, we offer:

• 100% employer-paid health, dental, vision, life and disability insurance!
• $10,000 sign-on bonus for licensed and bilingual (Spanish/English) provider. Payment schedule: $2,000 after 1 month of employment, $4,000 after 6 months and routine performance evaluation, and $4,000 after first year of employment.
• $5,000 sign-on bonus for a licensed provider.
  Payment schedule: $1,000 after 1 month of employment, $2,000 after 6 months and routine performance evaluation, and $2,000 after first year of employment.
• Competitive wages and a friendly environment
• Two weeks of vacation (increase after 1 year of employment)
• 13 paid holidays
• Sick leave accrual
• Optional employee-paid dependent health coverage
• 403b retirement account with matching
• Flexible Spending Account (FSA)
• Employee Assistant Program (EAP)
• HRSA Loan Repayment Program, eligible for $50,000. Brighter Beginnings is a qualified site for federal and state loan repayment programs. Acceptance rates may vary year to year based on funding levels and the number of applicants.

Brighter Beginnings is an Equal Opportunity Employer committed to diversity and inclusion. At Brighter Beginnings, employment decisions are made regardless of sex, gender identity or expression, sexual orientation, race, ethnic origin, color, creed, religion, national origin, citizenship, age, marital status, physical or mental disability, genetic information or ancestry, protected Veteran or military status, or other characteristics protected by law.

If you require alternative methods of application or screening, you must approach the employer directly.

All applicants that are offered a conditional offer of employment will need to complete a background check. For positions with client/patient contact, you must have a TB clearance and a physical assessment by a physician of your ability to complete job duties. Additional requirements are an immunization records (including MMR, Hep B, Varicella, TDAP, Covid-19). All positions require applicants to have a valid California driver's license, be listed under car insurance as a driver, and a clean driving record (as defined by our insurance carrier).