Join us at Multnomah County Health Department, where we are seeking individuals who embody leadership, achievement, and action in a dynamic and ever-evolving environment. Our mission is at the heart of everything we do: to collaborate with communities, advance health equity, safeguard the most vulnerable, and foster health and wellness for all. Guided by our core values of Compassion and Care, Empowerment, Racial Equity, Creativity, and Integrity, we strive to create a workplace culture characterized by respect, trust, and understanding for the incredibly diverse populations we serve in our communities.

This Spanish language preferred position is located at the Reynolds Student Health Center.  This position is staffed 10 months of the year.  Student Health Centers (SHC) is a unit within Integrated Clinical Services (ICS). The mission of SHC is to facilitate access to comprehensive preventive primary health care and integrated behavioral health services for Multnomah County school-age youth to keep them healthy and ready to learn. The program operates 9 centers in coordination with five school districts: Centennial, David Douglas, Parkrose, Reynolds and Portland Public Schools, and the School Based Mental Health Program of the Multnomah County Behavioral Health Division. The Advanced Practice Clinician provides professional, comprehensive specialized nursing services, assessment and evaluation with an emphasis on prevention of disease and promotion of health. Establishes a therapeutic relationship with a diversity of patients, including refugees and low-income population groups. The Advanced Practice Clinician also contributes to creating a work culture of respect, trust and understanding for the highly diverse populations the Health Department serves in the office and in the community. Every employee shares the responsibility for promptly bringing to the County's attention conduct that interferes with providing a work environment free of illegal discrimination and harassment.

As the Advanced Practice Clinician, other duties include:

Clinical Care

• Provides low barrier healthcare

• Perform comprehensive health assessments and clinical procedures by completing a physical and psychosocial history

• Identify actual and potential health needs based on medical, behavioral, financial, and social factors. 

• Diagnoses and treats acute and chronic medical conditions according to scope of practice to include conducting a medical history, conducting physical exams, ordering and interpreting diagnostic tests, devising a course of treatment, discussing alternative treatment, risk and benefits of treatment, prescribing and monitoring medications, appropriate counseling of patient and as needed, family members, and reassessment of the patient at appropriate interval. 

• Utilizes team to prioritize and direct care around annual comprehensive health screenings, preventive health practices, chronic disease management, community resources and mental health needs of clients. 

• Deliver care to remote clinics using telemedicine technology and workflows.

• Outreach to school partners 

Documentation

• Completes patient documentation and manages electronic in-basket according to established policies and procedures. 

• Documents actions taken per client, staff assignment of duties, etc. 

• Review and provide feedback to leadership on internal and external policies and procedures that affect client healthcare delivery and services for improvement and/or correction within policies or procedures. 

• Manages confidential health information as part of chart notes and documentation to set care plan for other providers and staff to provide team approach healthcare delivery. 

• Completes patient documentation and manages electronic in-basket according to established policies and procedures. 

Referrals

• Assesses and counsels patients regarding preventive care needs; establishes need for specialty and rehabilitative services; delivers services or makes appropriate referrals.

•  Assesses and counsels patients regarding preventive care needs; delivers services or makes appropriate referrals. 

• Determines need/schedule for high risk referrals. 

• Notes referrals and outcomes in documentation for care plan and charges/reimbursement of services.

Consultation/Coordination

• Seeks clinical consultation as needed. 

• Provide consultation to support staff for client care plans and services to be delivered. 

• Be an active member of an integrated clinical team

• Coordinates with Behavioral Health providers to effectively integrate care and provides consultation to primary care providers, nursing staff, medical assistants and other behavioral health team members regarding patient behavioral health concerns. 

• Provide basic care management and linkage services including specialty health referrals for clients for whom providing treatment and care. 

• Provides coverage for clinical colleagues in their absence. 

• Serve on internal or external committees or community events, when appropriate, to represent the Student Health Program and the Health Department with school districts, community or parent groups, etc.

We will consider any combination of relevant work experience, volunteering, education, and transferable skills as qualifying unless an item or section is labeled required. Please be clear and specific about how your background is relevant. For details about how we typically screen applications, review our overview of the selection process page.

Required Minimum Qualifications/ Transferable Skills*:

• Nurse Practitioner License, Registered Nurse License or Physician Assistant

• National Board Certification through AANP, ANCC, or NCCPA

• DEA Certification

• BLS / CPR Certification

• Successful completion of Background check

Education and Training:

• Training and experience for this position is Board Certification and State licensure as a Nurse Practitioner or Physician Assistant and one (1) to four (4) years of experience that demonstrates the ability to perform the duties of the position.

• Spanish KSA

 *Transferable skills: Your transferable skills are any skills you have gained through education, work experience (including the military) or life experiences that are relevant for this position. Be sure to describe any transferable skills on your application and clearly explain how they apply to this position.

Other: 

• This position requires a background investigation, which may include being fingerprinted. 

Preferred Qualifications/ Transferable Skills*: You do not need to have the following preferred qualifications/ transferable skills to qualify. However, keep in mind we may consider some or all of the following when identifying the most qualified candidates. Please clearly explain on your application how you meet any of the following preferred qualifications/transferable skills.

• Demonstrate experience in  a multicultural and diverse workforce.

• Apply an equity, intersectional and anti-racist lens. 

• Negotiate and facilitate through cultural differences, conflicts, tensions and misunderstandings. 

• maintain a culture of accountability. 

• Respect and have appreciation for ethnic and cultural diversity.

• Demonstrate advanced knowledge of cultures, customs and social experiences of communities experiencing marginalization and barriers to services and opportunities.

• Have a high degree of resilience and can thrive in an environment of rapid change while effectively managing pressure in an effective and professional manner.

• Identify and deconstruct unnecessary administrative and clinical barriers that impact communities of color and marginalized groups.

• Promote a culture of respect, inclusiveness, and appreciation of diverse perspectives, backgrounds, and values.

• Maintain a safe and healthful workplace.

• Spanish KSA