Walk In Clinic Provider at Ketchikan… · Ketchikan

Job Summary

The Walk-In Clinic Provider is a licensed and credentialed healthcare professional who provides comprehensive acute, episodic, and chronic healthcare services to patients across the lifespan in a fast-paced outpatient walk-in clinic setting. Performs advanced health assessments, evaluates, diagnoses and manages acute illnesses, injuries, chronic conditions, and disease exacerbations;

orders and interprets diagnostic and laboratory testing, prescribes medications and treatments; performs approved minor procedures, and coordinates referrals to specialty services and higher levels of care when appropriate.

As an independent licensed provider, the Provider utilizes evidence-based practice to promote safe, high-quality patient outcomes while delivering culturally responsive, trauma-informed, and patient centered care. The Provider collaborates closely with physicians, nursing staff, behavioral health providers, pharmacists, community partners, and other interdisciplinary team members to ensure accessible, effective, and coordinated healthcare services for Tribal Members and the broader community. The Provider is committed to supporting organizational goals related to quality improvement, patient safety, population health, and equitable access to care.

Job Duties & Responsibilities

• Evaluate, diagnose, and treat acute, chronic, and episodic illnesses and injuries for patients across the lifespan.
• Conduct comprehensive and focused health assessments, including obtaining medical histories, performing physical examinations, and evaluating patient symptoms.
• Order, perform, and interpret laboratory, radiology, diagnostic, and screening, point-of-care, and other tests to guide clinical decision-making.
• Develop, implement, and evaluate individualized evidence-based treatment plans and prescribe medications, therapies, durable medical equipment, and other treatments.
• Evaluate patients and issue work and school excuse notes, return-to-work/school clearances, and activity restrictions as clinically indicated.
• Assess, document and coordinate care with employers, case managers, and other healthcare providers as appropriate to manage Workers' Compensation injuries and illnesses.
• Prescribe medications, therapies, durable medical equipment, and other treatments in accordance with applicable federal, state, Tribal, and organizational regulations.
• Provide same-day access care for acute illnesses, minor injuries, chronic disease exacerbation, and urgent healthcare concerns.
• Perform approved minor office procedures within licensure, organizational privileges, and demonstrated competency, including simple laceration closure, incision and drainage of minor abscesses, foreign body removal, splinting of simple fractures, therapeutic joint injections, trigger point injections, management of infected or ingrown nails and other approved procedures.
• Assess, stabilize, and initiate treatment for emergent conditions while coordinating transfer to a higher level of care when appropriate.
• Recognize, initiate treatment, and stabilize time-sensitive adult and pediatric medical emergencies; activate Emergency Medical Services (EMS) and coordinate transfer to a higher level of care when appropriate.
• Independently interpret 12-lead electrocardiograms (ECGs/EKGs), point-of-care testing, and other diagnostic findings relevant to the clinical presentation.
• Perform and document clinical triage when evaluating patient needs and determining the appropriate level of care.
• Provide patient and family education regarding diagnoses, treatment plans, medications, disease prevention, and health promotion.
• Coordinate referrals and consultations with specialty providers and community resources, such as physical therapy or orthopedics.
• Ensure complete, accurate, and timely documentation within the electronic health record (EHR).
• Participate in quality improvement, risk management, patient safety, peer review, infection prevention, and performance improvement initiatives.
• Collaborate with primary care providers PCPs, nurses, medical assistants, pharmacists, behavioral health providers, and other healthcare professionals to support continuity of care.
• Participate in development and maintenance of clinical protocols and evidence-based practice guidelines as appropriate to the Walk-In Clinic setting.
• Maintain compliance with applicable licensing, credentialing, privileging, accreditation, Tribal, federal, and organizational requirements.
• Participate in department meetings, provider meetings, and required organizational activities.
• Perform other related duties as assigned.

Necessary Knowledge, Skills, and Abilities

• Knowledge of advanced health assessment, diagnosis, treatment planning, and disease management across the lifespan.
• Knowledge of evidence-based practice standards applicable to urgent care settings.
• Knowledge of common acute illnesses, chronic disease exacerbations, and emergent medical conditions.
• Knowledge of pharmacology, medication management, prescribing practices, drug interactions, and adverse reactions.
• Knowledge of laboratory, imaging, and diagnostic interpretation.
• Knowledge of infection prevention and control principles.
• Knowledge of healthcare quality improvement, patient safety, and risk management principles.
• Strong understanding and sensitivity to American Indian/Alaska Native (AI/AN) culture and the ability to work effectively with AI/AN populations.
• Strong understanding of antibiotic stewardship principles in choosing treatments for acute illnesses.
• Strong understanding of opioid stewardship in choosing effective acute pain management pharmacotherapy options when treating injuries.
• Knowledge of HIPAA, HITECH, and applicable Tribal, state, and federal privacy requirements.
• Skill in comprehensive patient assessment and diagnostic reasoning.
• Skill in managing acute and chronic medical conditions using evidence-based approaches.
• Skill in performing minor office-based procedures safely and effectively.
• Skill in interpreting diagnostic and laboratory findings.
• Skill in collaborating with interdisciplinary healthcare teams.
• Skill in oral and written communication, including patient education and clinical documentation.
• Skill in utilizing electronic health records and healthcare technology.
• Skill in prioritizing competing demands in a fast-paced clinical environment.
• Ability to independently evaluate, diagnose, and manage patient conditions within APRN scope of practice.
• Ability to recognize medical emergencies and initiate appropriate interventions.
• Ability to exercise sound clinical judgment and critical thinking in complex situations.
• Ability to establish and maintain therapeutic relationships with patients and families.
• Ability to work effectively with multidisciplinary teams and community partners.
• Ability to manage multiple patients and priorities while maintaining quality of care.
• Ability to educate patients and families regarding treatment plans and preventive health practices.
• Ability to maintain strict confidentiality and handle sensitive information appropriately.
• Ability to learn and implement organizational policies, procedures, and clinical protocols.

Working Conditions

The physical demands described here are representative of those that an employee must meet to successfully perform the essential functions of this job. Reasonable accommodations may be made to enable individuals with disabilities to perform these functions.

While performing the duties of this Job, the employee is regularly required to use hands to finger, handle, or feel; reach with hands and arms; and talk or hear. The employee is frequently required to stand and/or sit. The employee is occasionally required to walk, sit, climb, or balance. The employee must frequently lift and/or move up to 10 pounds and occasionally lift and/or move up to 25 pounds. Specific vision abilities required by this job include close vision, peripheral vision, and depth perception. The noise level in the work environment is usually average.

KIC Competencies

Cultural Competency: To be respectful and responsive to the health beliefs, practices, and cultural and linguistic needs of KIC Tribal Members. Developing cultural competence is an evolving, dynamic process that takes time and occurs along a continuum.

Uphold Values: To make decisions and behave in a manner consistent with KIC Workplace Values of Trust, Teamwork, Respect, and Accountability, as well as Southeast Traditional Tribal Values “Our Way of Life”.

Commitment: To serve Tribal Members and set a high standard for yourself in your performance; strive for results and success; convey a sense of urgency and bring issues to closure; and stay persistent despite obstacles and opposition.

Customer Service: Meet/exceed the expectations and requirements of internal and external customers; identify, understand, and monitor the needs of both internal and external customers; always talk and act with customers in mind; and recognize working colleagues as customers.

Effective Communication: Ensure important information is passed to those who need to know; convey necessary information with respect, clearly and effectively orally or in writing

Responsiveness and Accountability: Demonstrate a high level of conscientiousness; hold oneself personally responsible for one's own work; and do the required fair share of work.

Per Diem applicants welcome

Walk-In Provider I Minimum Qualifications (Education & Experience)

• Master’s Degree in Nursing from an Accredited Nursing Program or Accredited Physician Assistant/Associate program.
• Current national certification as a Family Nurse Practitioner (FNP) or eligible to practice medicine in the State of Alaska or current certification through the National Commission on Certification of Physician Assistants (NCCPA).
• Current, unrestricted Registered Nurse (RN) License in the State of Alaska or Current unrestricted Alaska Physician Assistant license or ability to obtain prior to hire.
• If a Physician Assistant/Associate – must apply for exemption as allowed by AS08.64.107(d)
• Minimum of two (2) years of post-training clinical experience as an FNP or PA in urgent care, walk-in care, emergency medicine, primary care, rural health, Tribal health, community health, or a related clinical setting.
• Current Drug Enforcement Administration (DEA) registration.
• Current Basic Life Support (BLS) certification.
• Current Advanced Cardiovascular Life Support (ACLS) certification.
• Current Pediatric Advanced Life Support (PALS) certification.
• Ability to obtain and maintain KICTHC credentialing and privileging requirements.
• All minimum education, experience, licensure, certification, credentialing, and privileging requirements apply equally to regular full-time and per diem clinicians.

Walk-In Provider I Preferred Qualifications (Education & Experience)

• Two (2) or more years of experience in a Tribal Health Clinic or similar integrated care environment.
• Experience serving American Indian/Alaska Native populations.
• Experience practicing in a remote or rural healthcare environment.

Walk-In Provider II Minimum Qualifications (Education & Experience)

• Master’s Degree in Nursing from an Accredited Nursing Program or Accredited Physician Assistant/Associate program.
• Current national certification as a Family Nurse Practitioner (FNP) or eligible to practice medicine in the State of Alaska or current certification through the National Commission on Certification of Physician Assistants (NCCPA).
• Current, unrestricted Registered Nurse (RN) License in the State of Alaska or Current unrestricted Alaska Physician Assistant license or ability to obtain prior to hire.
• If a Physician Assistant/Associate – must apply for exemption as allowed by AS08.64.107(d)
• Minimum of five (5) years of post-training clinical experience as an FNP or PA in urgent care, walk-in care, emergency medicine, primary care, rural health, Tribal health, community health, or a related clinical setting.
• Current Drug Enforcement Administration (DEA) registration.
• Current Basic Life Support (BLS) certification.
• Current Advanced Cardiovascular Life Support (ACLS) certification.
• Current Pediatric Advanced Life Support (PALS) certification.
• Ability to obtain and maintain KICTHC credentialing and privileging requirements.
• APC level is determined by qualifications and relevant clinical experience and is independent of regular full-time or per diem employment status.

Walk-In Provider II Preferred Qualifications (Education & Experience)

• Two (2) or more years of experience in a Tribal Health Clinic or similar integrated care environment.
• Experience serving American Indian/Alaska Native populations.
• Experience practicing in a remote or rural healthcare environment.

Conditions of Hire

• May be required to possess and maintain a valid driver's license or capable of obtaining one, as well as be insurable by KIC’s company insurance.
• KIC is a Drug-Free Workplace. All employees must adhere to KIC drug and alcohol policies and procedures to ensure a safe workplace. Employees must pass a pre-employment and subsequent random and/or for cause drug and alcohol screening to be eligible for and maintain employment.
• KIC has several positions that must comply with the P.L. 101-630 Indian Child Protection and Family Violence Protection Act (ICPA); all employment offers in the "covered" classification are conditional until KIC has received a federal criminal background check verifying eligibility to work in these programs.