Duties include, but are not limited to:
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Develops unique ways to deliver health care in a compassionate, expedited, and patient-centered manner in an outpatient setting.
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Assesses patient health by interviewing patients, performing examinations, obtaining, updating, and studying medical histories.
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Generates differential diagnoses for acute, chronic and/or undifferentiated illnesses and formulates management plan that address these illnesses.
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Acts as consultant to the care team regarding coordination of care.
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Identifies opportunities to promote and maintain wellness in patients utilizing screening and prevention guidelines and understands barriers in achieving wellness in people experiencing homelessness and work to address those barriers.
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Utilizes critical thinking and decision making when independently developing treatment plans for patients experiencing homelessness.
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Documents patient care and clinical decision making accurately and efficiently in the agencys Electronic Medical Record and meets agency requirements regarding timeliness of chart completion and productivity expectations.
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Coordinates patient-centered care of individuals experiencing homelessness using a multidisciplinary team and community resources. Is able to navigate the complex care requirements necessary for effectively caring for those experiencing homelessness.
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Applies evidence-based care principles in treatment of patients experiencing homelessness, integrating patient preferences in care plans.
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Appropriately utilizes healthcare resources in the management of patients experiencing homelessness (specialist referrals, ED referrals, lab utilization and medication management) with a goal of decreased fragmentation of healthcare.
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Maintains positive therapeutic relationships with patients, using language and nonverbal behavior to demonstrate respect and establish rapport.
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Collaborates and effectively seeks consultation with physicians and other care providers as needed in the provision of care and the formulation of treatment plans.
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Provides continuity of care by developing and implementing patient management plans and care transitions.
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Assesses patient health learning levels to provide medical information and health education in culturally and linguistically appropriate communication techniques.
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Assists patients in identifying barriers to care and social determinants of health and appropriately refers patients to community resources as needed.
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Maintains an updated list of community resources, continues and expands community partnerships to benefit patients services.
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Contributes to the integrated care teams activities around process improvement, workflow design and training.
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Participates in organizational Quality Assurance/Quality Improvement and Risk Management programs, including Peer Review.
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Uses data systems to monitor gaps in care.
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Maintains an exceptional level of customer service; addresses and resolves complaints; serves as an example by providing excellent service to internal and external customers, employees and patients.
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Maintains continuing medical education, licensure, credentialing, and privileging requirements at all times.
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Maintains safe and clean working environments by complying with procedures, rules, and regulations.
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Complies with federal, state, and local legal professional requirements by studying existing and new legislation; enforces adherence to requirements; advises management on needed actions.
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Embraces and promotes a professional working environment based on understanding and respect for diversity and multi-culturalism in all of its forms; demonstrates sensitivity, acknowledges varied beliefs, attitudes, behaviors, and customs, and encourages communication and appreciation of all forms of diversity.
