This clinical training program is a paid internship which aims to bridge the skill gaps of new NP/PA graduates to enable smooth transition to a NP/PA role. This program will help build proficiency and efficiency demanded in employment settings and provide an opportunity for new grads to understand our work culture, patient population. 

　　This is a full-time benefited position working 40 hours per week, typically Monday through Friday with periodic Saturday hours.

　　Tiburcio Vasquez Health Center is a non-profit community health center that is dedicated to promoting the health and well-being of our community by providing accessible, high quality care by integrating primary care, dental care, WIC support, mental health counseling, community health education and more. 

　　Compensation: $95,000 during program, and $127,000 upon completion.

　　Duration of the program ranges, depending on the provided, up to 6 months which is divided into 3 Tiers:

　　First Tier:

　　Administration of medications and immunizations to patients

　　Health instruction/ Education to patients

　　Medication reconciliation 

　　Referrals to community health resources

　　Triage patients, comprehensive history taking, examination and documentation

　　Supervise clinic workflow and assist providers and MA when needed. 

　　Organize orientation, training, growth and development of LVN and MA staff

　　Maintain inventory of medical supplies and reorder as necessary 

　　Assist providers with tasks delegated

　　Attend general and medical staff meetings and participates in quality improvement projects.

　　Assist the Chief Medical Officer and COO on matters relating to nursing practices and participates in development of policies and protocols for patient care.  

　　Licensed and credentialed to practice as a NP provider.

　　Second Tier: 

　　Inbox coverage

　　Managing low acuity patients; UTI, Immunizations, Depo Shots, Medication refills, Sore throat, Gastroenteritis, high BP, asthma exacerbation, vaginitis, joint pains, annual physicals

　　Patient education on DM, tobacco cessation, obesity

　　Anxiety and depression management and linking to BH

　　Seeing new patients to TVHC

　　Placing referrals for acute ER visits (ortho / ophthalmology)

　　Shadow/ Precept and scribe to grasp EPIC workflow. ½ day per week with Preceptor

　　Panel building starts

　　Third Tier:  

　　Continue nursing duties and previous quarter expectations

　　Manage chronic conditions like COPD, CHF, CKD, DM, Thyroid disorders

　　To be able to manage a complex patient with multiple conditions

　　To be able to manage time with increasing panel size, goal of 18 patients at the end of this tier

　　Able to use cost effective and evidence-based diagnostics and referrals.

　　Timely documentation in EPIC of patient visits, management of inbox and paperwork completion

　　Referrals to specialist as needed for complex and high priority patient cases. 

　　Adheres to ethics of the organization and provides compassionate care to patients.

　　Develop strong knowledge base.

　　The above statements are intended to describe the general nature and level of work being performed.

　　Requirements

　　Must be in possession of a current medical license to practice in the State of California.

　　Current CPR certification.

　　Must obtain DEA license prior to starting or within the first 2 months of the program.

　　Board Certified in designated specialty field of practice is required.

　　Previous experience providing medical care within a community health center environment preferred.

　　Qualifications:

　　Have a thorough knowledge of the principles and practices of medicine and allied services commensurate with his/her training.

　　Demonstrated ability to build the trust and respect of patients, staff, colleagues, external contacts, and other organizational members.

　　Willingness and ability to work periodic evenings and/or weekends.

　　Bilingual, especially Spanish, is preferred but not required.

　　Excellent problem-solving skills required, including creativity, resourcefulness, timeliness, and technical knowledge related to analyzing and resolving medical problems.

　　Sensitivity to needs of culturally and linguistically diverse patient and employee population.

　　Demonstrated ability to utilize computer technology and to willingness to develop and adapt to the evolving technological requirements of modern medical health center practices required.

　　Ability to travel to TVHC locations or designated locations as assigned by supervisor.

　　Benefits

　　We offer excellent benefits including: 100% paid medical (co-payments, prescriptions, premiums covered), dental, vision (including dependent and domestic partner coverage), generous paid leave benefits including holidays, CME, Flexible Spending Accounts, retirement plan with an Employer match, tuition reimbursement, monthly treats, pet insurance and more.