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Physician Assistant/Nurse Practitioner (#PJ3 )
We are currently accepting applications for this position. To apply, please close this pop-up window and then click on the link for Employment Opportunities. $86.61-$97.45 hourly / $15,012.11-$16,891.01 monthly / $180,148.80-$202,696.00 yearly


Definition

Under direction, to provide professional level primary health care to patients with complex chronic and acute health conditions in a variety of outpatient clinics and detention facilities; to perform physical examinations and to diagnose and treat patients; and to do other work as required.

Distinguishing Characteristics

This broad class specification combines the professions of Physicians Assistant and Nurse Practitioner. Positions in this class are responsible for providing, under a Physician's supervision, primary outpatient diagnosis, treatment, rehabilitation and support services for a wide variety of high risk patients with complex chronic and acute health and psycho- social conditions. Positions in this class receive medical direction from a Physician and administrative supervision from a program manager. This class is distinguished from the class of Public Health Nurse and Clinic Nurse in that this class is licensed to perform diagnostic and therapeutic procedures which are not within the scope of the Registered Nurse license or the Public Health Nurse certificate. Physician's Assistants must complete a Primary Care Physician's Assistance Training Program and are required to work under the medical supervision of a licensed physician who is approved by the Board of Medical Quality Assurance. Nurse Practitioners must possess a Registered Nurse license, complete training for Nurse Practitioner certificate(s), function within the scope of their license and certification, and perform under standardized procedures.

Typical Tasks

  • Assesses patients’ physical and psycho-social health by obtaining detailed histories and performing physical examinations;
  • Orders and/or performs screening and diagnostic procedures (e.g., EKGs, X-rays, scans) and identifies abnormalities;
  • Evaluates clinical findings and laboratory results to develop diagnoses;
  • Records and, when necessary, presents pertinent findings to a supervising/collaborating physician;
  • Develops treatment plans, provides treatment, and coordinates follow-up care;
  • Refers patients for further diagnosis or specialized treatment as appropriate;
  • Performs routine therapeutic and minor surgical procedures, including administering injections, incision and drainage of infections, wound care, removal of foreign bodies and lesions, and administration of local anesthesia;
  • Performs routine clinical and laboratory procedures such as venipuncture, specimen collection, interpreting lab results, pulmonary function tests, tonometry, audiometry, pelvic exams, and Pap smears;
  • Provides family planning counseling and prescribes contraceptives;
  • Provides prenatal care, assessing maternal and fetal well-being;
  • Diagnoses and treats communicable diseases, including sexually transmitted diseases and tuberculosis;
  • Provides counseling, testing, and follow-up for individuals with or at risk for AIDS;
  • Assesses and manages patients with temporary or permanent disabilities;
  • Identifies patients requiring immediate physician attention and administers emergency medical care when needed;
  • Counsels patients on health-related topics such as diet, lifestyle, family planning, growth and development, aging, and long-term disease management;
  • Participates as a member of multidisciplinary teams managing high-risk and crisis cases, including abuse situations;
  • Coordinates care with interdisciplinary psychological and social service networks;
  • Provides clinical direction to nursing and other treatment staff regarding patient care;
  • Coordinates referrals to County agencies and community resources;
  • Maintains patient records, prepares reports, and documents care;
  • May input, access, and analyze data using computer systems;
  • Attends meetings, participates in in-service training, prepares schedules, and assists in updating clinic protocols and standardized procedures.

Employment Standards

Knowledge:

  • Working knowledge of the principles, practices and procedures used to detect, diagnose and treat common health problems;
  • Working knowledge of medication and drugs commonly prescribed, including medications therapeutic effect, side effects, reactions and contraindications;
  • Working knowledge of the scope of responsibilities, diagnosis and treatment techniques and procedures applicable within specific licensure and assignments (note: licensure and certification requirements may vary depending on assignments);
  • Working knowledge of the control and care of chronic and communicable disease, illness and handicapping conditions;
  • Working knowledge of the normal and abnormal values of laboratory tests and their clinical significance;
  • Working knowledge of medical laws and regulations and the ethics of patient care;
  • Working knowledge of basic interviewing and counseling techniques;
  • Some knowledge of community resources and referral systems;
  • Some knowledge of the services provided by local health agencies.

Ability to:

  • Assess health status of patient;
  • Take complete medical history, perform physical examinations, evaluate results and identify abnormal health conditions;
  • Identify and manage health problems;
  • Develop and implement treatment plans for patients according to standardized procedures and protocols;
  • Analyze and interpret health information and data including laboratory test results;
  • Order laboratory procedures and appropriate prescriptions under standardized procedures and policies;
  • Use specialized equipment such as doptone and microscope;
  • Establish and maintain effective working relationships with others;
  • Write clear and concise medical reports;
  • Instruct and counsel patients on matters pertaining to health;
  • Recognize and evaluate situations which call for the immediate attention of a physician;
  • Work effectively under pressure in stressful and emergency situations;
  • Deal effectively with manipulative, hostile and sociopathic behavior;
  • Learn to access, input and analyze data using a computer terminal.

Training and Experience: Any combination of training and experience which would provide the required knowledge and abilities is qualifying. A typical way to obtain these knowledge and abilities would be:

Possess one of the following certificates or licenses:

  • Pursuant to Section 3503 of the Business and Professions Code, possess a California license to practice as a Physicians Assistant.

    OR

  • Pursuant to Section 2835 of the Business and Professions Code, possess a California certificate to practice as a Nurse Practitioner.

    OR

  • Pursuant to Article 2.5 of the Business and Professions Code, possess a certificate to practice as a Nurse-Midwife.

SPECIAL QUALIFICATIONS

In addition to the core requirements for this class, incumbents may be required to possess credentials demonstrating specialties in any one of the following areas for certain positions.

Nurse Practitioners:

  • Family Practice NP
  • OB-GYN NP
  • Family Planning NP
  • Pediatric NP
  • Geriatric NP
  • Certified Nurse Midwife

Physicians Assistants:

  • Women's Health Care Specialist
EST:4/88
REV:Analyst: JAD

Miscellaneous

Analyst: JAD

CLASS: PJ3;