Nurse Practitioner

San Francisco, California
Feb 09, 2017
Mar 11, 2017
Job Function
Health / Medical
Focus Areas
Position Type
Full Time
Degree Level

Position Description

The Nurse Practitioner (NP) is a key clinical position for the Wellness Clinic at the Asian Pacific Islander Wellness Center (APIWC). APIWC seeks to provide quality care for the LGBT community, people of color, and other underserved communities in San Francisco and beyond. The NP is an independent, licensed, advanced practice nurse who provides medical evaluation and care to patients at the clinic. This activity is performed in collaboration with other members of the interdisciplinary health care team. In addition to patient care, the incumbent may occasionally be responsible for the supervision of NP students and Clinical Nurse Leader (CNL) students from the University of San Francisco placed at the clinic. In addition, the incumbent will be asked to lead quality initiatives such as clinical protocol development.

Major Responsibilities:

 Clinical Practice

  • Practices within the Nurse Practice Act of the State of California
  • The NP must be certified by the American Nurse Credentialing Center (ANCC) or the American Association of Nurse Practitioners (AANP)
  • Independently assesses acute and chronic clinical problems common within the primary care setting, as well as specialty primary care areas including but not limited to cardiovascular disease, HIV, hepatitis, sexual health, reproductive health / family planning, and urgent care issues that arise
  • Performs and documents physical assessments and patient histories, analyzes trends in patient conditions, and develops, documents and implements a patient management plan in response to the data obtained. This also includes assisting in the development of the nursing plan of care and providing appropriate counseling and education to patients, their family and significant other
  • Plans patient care based on in-depth knowledge of the specific patient population and/or protocol, anticipating and identifying medical and/or psychological problems commonly encountered including the consideration of the patient’s cultural background, level of understanding, personality and support systems
  • The NP practice includes ordering and interpreting data obtained from diagnostic tests and laboratory studies, ordering the appropriate medications and treatments, and providing patient and staff education
  • Serves as patient advocate
  • Participates in weekly call schedule with other providers
  • Patient management includes the following: 1) conducting thorough history and physical, 2) ordering and interpreting appropriate laboratory and diagnostic studies: 3) ordering of appropriate medication and treatments; 4) referring patients for consultation when indicated i.e. emergency room, dermatology, neurology, ophthalmology, endocrine, surgery, intensive care, infectious disease, hematology, mental health services, social service, and dietary; 5) proactively manages and monitors patient diagnostics and health outcomes with appropriate action; and 6) documentation through progress notes and problem lists
  • Evaluates and interprets findings
  • Participates in patient care rounds and conferences. Communicates patient management strategies to members of the patient care team.  Collaborates with members of the inter-professional team to ensure that patient management strategies are successful in meeting patient care needs
  • Supervises nursing and NP students to meet objectives of clinical placements
  • In coordination with the medical director, creates protocols and standing orders for clinical practice

Administrative Duties

  • Works collaboratively with APIWC administrative and clinic team to bring the clinic to the standards of a Patient Centered Medical Home (PCMH) and Federally Qualified Health Center
  • Participates in the maintenance and development of an effective electronic health record system
  • Participates in continuous quality improvement measures included evaluation of clinical treatment and medical record evaluations
  • Contributes to the financial sustenance of the clinic by way of, but not limited to, billing, patient census growth, grant writing, community partnership building, and developing public insurance participation and coverage
  • Works collaboratively in the submission of accurate billing information
  • Works collaboratively across the agency to develop strategies to grow patient census at the clinic
  • Develops strategies to build integrated care at the clinic
  • Develops, implements, monitors, and reports on quality management activities in accordance with regulatory guidelines and agency policies
  • Manages new and ongoing clinical research projects


  • Master's Degree required. The NP must be a graduate of an accredited NP program. Doctoral degree preferred but not a requirement
  • Must be certified by the American Nurse Credentialing Center (ANCC) or the American Association of Nurse Practitioners (AANP)
  • Ability to lead, manage, self-direct and build programs
  • In possession of advanced communication skills to problem solve complex situations and to improve processes and services to patients and colleagues
  • Experience working in a community health center and knowledge of federal and state policies governing the administration of a community health center preferred
  • Experience and knowledge of working with underserved and marginalized populations preferred
  • Experience with supervising nursing students preferred
  • Strong writing abilities preferred

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