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King County Washington Physician Assistant in WA, Washington

Summary

Summary

Under the direction and supervision of the Disease Control Officer, this position is designed to work as a member of a multidisciplinary team in providing direct care to patients seen in the TB Clinic for diagnostic services as well as treatment for latent TB infection. This position will also provide care management services to patients with latent TB infection.

Job Functions:

  • Practice under the guidance of Disease Control Officer (DCO).
  • Perform history-taking, physical exams and clinical assessments.
  • Maintain knowledge of Center for Disease Control technical instructions on immigration health screening and perform required clinical documentation, including civil surgeon reports and completion of I-693 form.
  • Order or perform appropriate diagnostic and screening tests related to Latent TB Infection (LTBI) management. Consult with DCO when considering sputum collection to rule out possible infectious TB.
  • Gather and integrate appropriate epidemiologic and clinical data (e.g. host, environment and agent factors) through team communication, data review and documentation. Conduct comprehensive assessment of patients being evaluated for LTBI (e.g. likelihood of TB infection, risk of progression to TB disease). Consult with DCO for guidance as needed.
  • Follow-up on abnormal labs for LTBI patients.
  • Review x-ray reports and consult with DCO on chest x-rays that are abnormal.
  • Make referrals as appropriate to primary care providers; consult with DCO for a referral to specialty care providers.
  • Review LTBI patient charts for prescriptions, symptom review or dismissal.
  • Conduct ongoing comprehensive assessments of LTBI patients on treatment (e.g. likelihood of TB infection, risk of progression to TB disease, benefits and risks of LTBI treatment including window period prophylaxis). Consult with DCO for guidance as needed.
  • Face-to-face visits with patients including monitoring progression to TB disease, and medication side effects, as well as addressing issues of adherence and motivating the LTBI patients on treatment.
  • Prescribe and dispense medication, ensuring that patients understand treatment plan through verbal communication.
  • Manage directly observed preventative therapy (DOPT) for patients on the 12-dose regimen.
  • Conduct monthly evaluation visits for LTBI patients in collaboration with MA's.
  • Actively collaborate with the case management team for the purpose of TB control in the community.
  • Consult with staff on clinical matters.
  • Triage potential medication complications or TB symptoms.
  • Communicate with the community-based, primary care provider who evaluates and/or treats close contacts or high-priority clients identified by our program, for the purpose of assurance of continuity of care.
  • Communicate care through chart documentation and verbal interactions with TB healthcare team, using established medical record forms and documentation practices, to ensure quality patient care.

Examples of Duties:

  • Obtain health history through client/family interview and chart review. Assess presenting illness and risk factors, family health history, review of systems, psychosocial/developmental histories, and cultural information.
  • Perform appropriate physical examination and assessment.
  • Order or perform appropriate diagnostic and screening tests and collect additional data for evaluation of illness/wellness.
  • Develop differential diagnosis and risk identification through assessment and interpretation of data.
  • Provide client care by developing and implementing individual treatment plan: prescribe/dispense medication; provide appropriate referrals and ensure education, counseling and case management follow-up with other professional and community agencies.
  • Completes documentation for health records per program standards.
  • Ensure quality of professional practice by practicing within professional, legal and ethical standards and by participating in and providing continuing education, peer review, chart review, development of practice guidelines, and community work.
  • Provide clinical leadership and collaboration within an interprofessional health care team to ensure quality patient care.
  • Provide patient care consultation to interprofessional clinical team on a 24-hour basis when on call.
  • Provide training, orientation and education to staff, clients and students.
  • Participate in quality assurance activities to demonstrate compliance with standards, laws, regulations, policies and procedures.
  • Act as consultant to health care team, other staff and the community including advocating for patients.
  • Perform other duties as assigned.

Knowledge/Skills:

  • Knowledge of advanced practice of medicine (human systems, wellness/illness, growth and development, basic nutrition, behavioral, psycho-social and family systems, anatomy and physiology, pathophysiology, pharmacology and therapeutics and alternative treatment modalities, diagnostic testing and interpretation, diagnostic reasoning, and clinical decision-making)
  • Knowledge of standards, policies and laws that govern professional practice
  • Knowledge of health promotion, risk assessment and education techniques and principles
  • Knowledge of health care system structure and function; community, professional and educational resources
  • Ability in: physical assessment, medical records documentation, writing medical orders, time management, problem solving, crisis intervention, interviewing, analytical and critical thinking, leadership and case management
  • Ability to consult, investigate, facilitate and present effectively
  • Ability in initiating appropriate emergency response
  • Ability in handling a number of tasks simultaneously
  • Ability to communicate effectively, both verbally and in writing
  • Knowledge of infectious disease management, control and safety standards as well as personal safety techniques and principles
  • Ability to function independently while providing client care in the required specialty practice
  • Ability to provide option counseling and referral for terminations
  • Ability to effectively engage in and sustain relationships with people from diverse cultures and socio-economic backgrounds
  • Ability to work independently and as a team member
  • Demonstrated proficiency with business applications, such as Microsoft Office suite

Desired Qualifications:

  • Experience in public health
  • Experience in client centered care and practice in health equity
  • Practiced within multidisciplinary teams
  • Leadership experience

Licensing, Certification and Other Requirements:

  • A valid Physician Assistant license by the Washington Board of Medical Examiners
  • Approval of delegation agreement by the Washington Board of Medical Examiners
  • Certification from the National Commission on Certification of Physician Assistants
  • Federal Drug Enforcement Administration certification and National Provider Identification (NPI) must be obtained within 30 days of employment
  • A valid health care provider basic life support (BSL) certification for Healthcare Providers
  • Washington State Driver's License or the ability to provide transportation to work locations with limited or no public transportation services may be required for some positions
  • The selected candidate must pass a thorough background investigation.
  • Employees are required to protect the privacy and security of protected health information as defined in State and Federal Law
  • Employees are required to adhere to OSHA/WISHA guidelines including but not limited to completing their mandatory trainings on time.
  • Additional licenses, certifications and other requirements determined to be necessary to meet the business needs of the employing unit may be required.

This selection process may include but is not limited to: evaluation of application materials and supplemental questions, testing and interviewing. For more information on our selection process, please refer to http://www.kingcounty.gov/healthservices/health/jobs.aspx

Who may apply: This recruitment is open to all qualified applicants. _Interview will be conducted the week of January 6, 2019._

Public Health – Seattle and King County values diverse perspectives and life experiences. The Department encourages people of all backgrounds to apply, including people of color, immigrants, refugees, women, LGBTQ, people with disabilities, and veterans.

Work Site/Schedule: This position is a 0.6 FTE that will primarily be based at 325 9th Avenue, Seattle, WA 98104 and the work schedule will be negotiated at the time of hire. The position may work outside of the negotiated days/hours to meet operational need. This position is overtime eligible.

Contact: For more information about this position please reach out to Amy M. Curtis, BSN, RN, Healthcare Recruitment Specialist at 206.263.8358 or email amy.curtis@kingcounty.gov

Application Process: This opportunity is open to all competitive applicants. A complete King County application will include a letter of interest describing why you are the most competitive candidate for this opportunity.

Applicants should be committed to working with diverse populations throughout King County to provide excellent customer service to a broad range of cultures, in accordance with King County Equity and Social Justice Ordinance and the King County Strategic Plan. This position supports and advances Community Health Services Division's values for fair and culturally competent service delivery, innovative, effective and efficient application of resources, building a culture of performance and expanding opportunities to seek input, listen and respond to industry and residents.

Supplemental Information:

  • This selection process may include but is not limited to: evaluation of application materials and supplemental questions, testing and interviewing. Click here for more information on our selection process.
  • The selected candidate will be required to pass a thorough background investigation.

Union Representation: This position is not represented.

Salary: $47.86 - $60.67 Hourly

Location: WA, WA

Job Type: Term Limited Temporary,PartTime, Std Wkly Hrs Vary

Department: DPH - Public Health

Job Number: 2019-10883

Division: Prevention

Closing: 12/29/2019 11:59 PM Pacific

Agency: King County

Address: King County Administration Bldg. 500 4th Ave. Rm. 553 Seattle, Washington, 98104

Phone: 206-477-3404

Website: http://www.kingcounty.gov/

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