CAREERS

Job Summary: The Promise Director of Clinical Services oversees, directs and coordinates the health centers clinical staff and programs.  The Director of Clinical Services works with the senior leadership team in developing, managing, and implementing policies and protocols for clinical services.

Duties and Responsibilities:

1. Directs the nursing and support staff members of the health care team to ensure that all Promise patients receive quality health care services.
2. Maintains expertise in the electronic health record system and serves as a resource to the members of the health care team, ensuring patient data is entered accurately and completely to meet current standards of care.
3. Facilitates continuity of care for Promise patients/families by working with patients/families, area medical and hospital staff, communities and agencies.
4. Provides clinical nurse duties in the clinical setting when indicated/needed, including, but not limited to, assisting Providers, administering vaccines, administering prescribed lab tests and other procedures. Performs data tracking, reports and analysis related to Promise program goals and objectives and grant projects.
5. Responsible for training and scheduling clinical support staff to effectively and efficiently support Clinical Care Teams. Evaluates clinical performance of clinical staff who she/he supervises.  Serves as a liaison between Providers and clinical staff.
6. Is a liaison on the Quality Improvement committee to ensure that UDS measures are in place, and that benchmarks for quality improvement activities are kept. Conveys QI findings to the clinical staff and works with the team on developing QI change processes.
7. In collaboration with senior leadership, develops, implements and maintains clinical policies, procedures, and related standards.
8. Oversees and maintains all clinical supplies. Oversees order management for supplies and maintenance of clinical space and equipment.
9. Authors, implements, and oversees clinical-related grant programs. Completes necessary reports and evaluations of grant outcomes for those programs.
10. Develops, coordinates, and leads Patient Education programs.
11. Schedules clinical observations and rotations for students working with clinical staff and Providers.
12. Attends staff meetings, assists with and attends in-service trainings, and workshops to maintain professional practice knowledge and skills. Participates in committee and community meetings and Promise events regularly.
13. Performs other such duties and functions as are necessary and incidental to the proper performance of this position.

Performance Standards/Performance Metrics:

1. Consistently perform job duties as outlined in the job description.
2. Seeks (with clinical team) the progress toward performance goals consistent with the Promise budget, UDS, Meaningful Use and PCMH measures.
3. Active member of Quality Improvement Committee and works with QI Chair to develop solutions to and monitor improvement of clinical measures.
4. Completes performance review of clinical staff under manager’s supervision; reports and addresses any performance issues to Executive Director on an ongoing basis.
5. Contributes to the marketing and public relations needs of Promise through active support of Promise mission and willingness to participate in Events and community-wide awareness activities.
6. Demonstrates and supports service excellence standards for self and for Promise.

Qualifications, Education and Experience:

1. Evidence of graduation from an accredited nursing or health services program with a minimum of two years of clinical experience required (community-based practice desirable). A Bachelor’s degree in nursing is required.  Two years of nursing care management preferred.
2. Must hold a license to practice nursing in the state of Iowa.
3. Must have the ability to work as a team member, establishing effective relationships with patients and staff. Must be able to work well with low-income populations in a respectful manner.
4. Bilingual (Spanish speaking) preferred.
5. Must possess a valid Driver’s License and proof of automotive liability insurance.

Physical Demands:

1. The work environment characteristics are representative of those that must be met by an employee to successfully perform the essential functions of this job. Reasonable accommodations may be made to persons with disabilities to perform the essential functions.
2. While performing the duties of this job the employee may be required to sit for long periods of time, is required to use routine office equipment to talk, hear, write, read small print, reach the top of a five-drawer filing cabinet and to lift boxes of no more than 30 pounds.

Work Environment:

Possible exposure to airborne and blood borne pathogens & hazardous materials.  All Promise facilities are tobacco free environments.

Employment Practices:

Promise is an Equal Opportunity Institution and does not discriminate against any person in employment, admission, treatment, or participation in its programs and benefits on the basis of race, color, national origin, creed, ability to speak English, disability, sex, age, or marital status.  Persons alleging unequal treatment should contact the Executive Director.

Job Summary: The Behavioral Health Therapist will oversee the integrated, team-based behavioral health care services at Promise CHC.  The Behavioral Health Therapist will counsel individuals and/or groups to assist them in dealing with mental health disorders, substance abuse, opioid abuse, physical illness, poverty, unemployment, and trauma. The Behavioral Health Therapist will meet with patients regularly to provide counseling and treatment plans as necessary.

Duties and Responsibilities:

1. Counsels patients in individual or group sessions to assist them in dealing with personal issues, substance abuse, opioid dependency, mental or physical illness, poverty, unemployment, or physical abuse.
2. Conducts assessments, trains other professionals at Promise CHC to equip them with tools to effectively screen and assess for co-occurring mental health and substance abuse disorders.
3. Collaborates with counselors, physicians, nurse practitioners, nurses and all members of the health care team to plan and coordinate treatment, drawing on social work experience and patient’s needs.
4. Refers patients or families to community resources for housing or treatment to assist in recovery from mental or physical illness, and addiction disorders.
5. Educate(s) patients or community members about mental or physical illness, abuse, medication, or available community resources- specific to opioid dependency, abuse and treatment.
6. Establishes contracts or MOU’s (memorandums of understanding) with area treatment facilities in the event that referral or treatment/care is needed for the management of patients with complex or acute behavioral health or substance abuse disorders.
7. Engages experts in opioid dependency and abuse training for Promise Providers and staff to be able to monitor patients with chronic pain, to effectively prescribe and screen for dependency.
8. Plan and conduct community programs to prevent substance abuse, combat social problems related to the opioid epidemic.
9. Document care and services in the patient’s electronic health record so as to reflect service delivery and outcome of service coordination and care to patients receiving integrated behavioral health and substance abuse services.

Performance Standards/Performance Metrics:

1. Able to develop goals and plans for the behavioral health and substance abuse services at Promise CHC; able to organize and prioritize duties to accomplish work.
2. Communicates effectively with persons outside of the organization, represents the program to the community and to other community based mental health & substance abuse providers.
3. Continually increasing knowledge base of field of social work, behavioral health and substance abuse treatment by attending seminars and trainings, membership in professional organization (s), and researching current social issues.
4. Serves on Quality Improvement Committee if/when input of services of behavioral program is needed.
5. Completes performance review of staff under therapist’s supervision; reports and addresses any performance issues to Executive Director on an ongoing basis.
6. Contributes to the outreach of Promise through active support of Promise mission and willingness to participate in Events and community-wide awareness activities.
7. Demonstrates and supports service excellence standards for self and for Promise.

Qualifications, Education and Experience:

1. Must have a Master’s Degree in Social Work and be an LMSW (LISW preferred)
2. Preferred Certified Drug and Alcohol Counselor
3. Must have the ability to work as a team member, establishing effective relationships with patients and staff. Must be able to work well with low-income populations in a respectful manner.
4. Bilingual (Spanish speaking) preferred.
5. Must possess a valid Driver’s License and proof of automotive liability insurance.

Physical Demands:

1. The work environment characteristics are representative of those that must be met by an employee to successfully perform the essential functions of this job. Reasonable accommodations may be made to persons with disabilities to perform the essential functions.
2. While performing the duties of this job the employee may be required to sit for long periods of time, is required to use routine office equipment to talk, hear, write, read small print, reach the top of a five-drawer filing cabinet and to lift boxes of no more than 30 pounds.

Work Environment:

Possible exposure to airborne and blood borne pathogens & hazardous materials.  All Promise facilities are tobacco free environments.

Job Summary: The Promise Clinic Nurse provides care to patients and families in accordance with the health care plan, policies, procedures and protocols established by Promise.

Duties and Responsibilities:

1. Assesses plans, advocates for and provides health care for patients and community in accordance with Promise standards and policies, with an emphasis on prevention.
2. Greets and escorts patients and families to exam rooms for provider visits. Performs data collection and documents subjective and objective data in patient records. Reviews health history with a focus on environment, self-care and home/community needs.
3. Provides care management by serving in the role of patient advocate, serves as a resource by listening, attending to, and recording relevant patient information.
4. Administers meds when needed and performs provider-ordered tests. Seeks opportunities to promote health and wellness with patient education and screening tools. (i.e. Ages and Stages, Depression screening)
5. Remains calm and performs effectively during peak periods and during stressful times.
6. Schedules and tracks referrals. Effectively utilizes community resources, informing and referring patients and families as needed.
7. Anticipates and prepares exam room for provider(s) when needed, capturing teachable moments wherever and whenever possible.
8. Utilizes universal precautionaries in obtaining specimens and in delivering care.
9. Functions as a member of the health care team. Assists with orientation and education of new employees, ensuring their understanding of health center standards and performance measures, etc.
10. Articulates the mission of Promise and seeks opportunities to promote the center through outreach. Strives to advance PCMH (Patient Centered Medical Home model with patients and families).
11. Regularly attends Promise staff meetings, in-services and trainings. Understands FQHC UDS Performance measures and importance of Promise meeting these measures.
12. Conscientiously documents all nursing care; communicates professionally, and honors patient confidentiality 100% of the time.
13. Volunteers for service/participation in Promise events regularly.
14. Meets FQHC productivity and performance standards.
15. Demonstrates and supports service excellence standards.
16. Completes required in-services and certifications 100% of the time.
17. Demonstrates commitment to Electronic medical record implementation.

Performance Standards:

1. Demonstrates ability to consistently perform job duties as outlined in the job description.
2. Demonstrates and supports service excellence standards outlined in the Employee Policies.
3. Demonstrates commitment to professional growth and competence.
4. Completes classes and certifications required for job. Protects patient confidentiality 100% of the time.
5. Improves knowledge and skills to provide superior patient care and additional education as recommended by Promise.

Qualifications, Education and Experience:

1. Current License to practice Nursing in the State of Iowa.
2. Ability to communicate effectively orally and in writing; is computer literate.
3. One to two years of nursing experience preferred. Experience in Community Health and/or Community Health Center preferred.
4. Bilingual (Spanish speaking) preferred.
5. Must have the ability to work as a team member, establishing effective relationships with patients and staff. Must be able to work well with low income populations in a respectful manner.

Physical Demands:

1. The work environment characteristics are representative of those that must be met by an employee to successfully perform the essential functions of this job. Reasonable accommodations may be made to persons with disabilities to perform the essential functions.
2. While performing the duties of this job the employee is required to sit for long periods of time, is required to use routine office equipment to talk, hear, write, read small print, reach the top of a five-drawer filing cabinet and to lift boxes of no more than 30 pounds.

Work Environment:

Possible exposure to airborne and blood borne pathogens & hazardous materials.

All Promise facilities are smoke free environments.

Employment Practices:

Promise is an Equal Opportunity Institution and does not discriminate against any person in employment, admission, treatment, or participation in its programs and benefits on the basis of race, color, national origin, creed, ability to speak English, disability, sex, age, or marital status. Persons alleging unequal treatment should contact the Executive Director.

Promise Dental Hygienist will provide preventive, screening, and diagnostic dental health services to the Promise target population with a goal of reducing barriers and improving the oral health of the patients/families served by Promise.

QUALIFICATIONS

Current licensure as a dental hygienist in the State of Iowa.  Professional dental hygiene experience in public health services preferred.  Must be able to work well with a diverse population of persons, as well as individuals with low income.

The dental assistant provides dental care, dental office support, entry of data and clinical notes into the electronic dental record for the dental/oral health program.  The dental assistant works cooperatively with health center dental director and other members of the dental staff to provide comprehensive oral health care to the patients of Promise Community Health Center.

Duties and Responsibilities: (Clinical)

1. Prepares operatory and dental clinic areas for treatment activities by placing necessary instruments, supplies and equipment for the procedure/dental care to be provided.
2. Cleans, disinfects, sterilizes and maintains dental instruments and equipment.  Performs minor equipment repair; replenishes clinic supplies.  Maintains list of equipment for maintenance and instrument/supply inventory.
3. Assists dental providers at chair side in providing treatment to patients with varying age-related, dental health, psychosocial and cultural needs.
4. Provides patient education within the limits of standard dental procedure to patients with varying age-related, psychosocial and cultural needs.
5. Maintains and completes patient records consistent with clinic policies and procedure.
6. Takes dental x-rays using Promise dental x-ray equipment.
7. Provides laboratory support as needed and as directed by dental director.
8. Performs direct patient care as delegated by the dentist and in accordance with the state practice act, including tooth polishing, vital sign measurement, fluoride application and primary impressions.

Duties and Responsibilities: (Dental Office Support)

1. Receives screens and responds to patient phone calls, interacting with patients with varying age-related, physical, psychosocial and cultural needs.
2. Registers patients in the electronic database.
3. Schedules and confirms appointments for dental providers, including the dentist and dental hygienist.
4. Prepares clinic records, including patient records, dentist and hygienist schedules and registration rosters.  Files and retrieves patient records.
5. Maintains clinic data and recall system, patient waiting list, and performance indicators.
6. Enters patient charges into the data base, provides documentation for third party dental claims and assists in following up on outstanding claims as requested

Duties and Responsibilities: (EDR Coordinator)

1. Maintains expertise in the electronic dental health record system, ensuring that data is entered accurately and completely to meet current standards of care.
2. Attends trainings and workshops as needed to remain current in the field of dental assisting. Shares and disseminates information from trainings and workshops with dental health team.

Job Performance Standards/Performance Metrics:

1. Demonstrates ability to consistently perform job duties as outlined in the job description.
2. Demonstrates and supports service excellence standards outlined in the Employee Handbook.
3. Demonstrates commitment to professional growth and competence.
4. Completes classes and certifications 100% of the time. Patient confidentiality is respected 100% of the time.
5. Attends continuing education programs as required by license and Promise.

Qualifications, Education and Experience:

1. One year of clinical dental assistant experience is preferred. Bilingual in Spanish is preferred.
2. Must have the ability to work as a team member, establishing effective relationships with patients and staff. Must be able to work well with low income populations in a respectful manner.

Physical Demands:

1. The work environment characteristics are representative of those that must be met by an employee to successfully perform the essential functions of this job. Reasonable accommodations may be made to persons with disabilities to perform the essential functions.
2. While performing the duties of this job the employee is required to sit for long periods of time, is required to use routine office equipment to talk, hear, write, read small print, reach the top of a five drawer filing cabinet and to lift boxes of no more than 30 pounds.

Work Environment:

Possible exposure to airborne and blood borne pathogens & hazardous materials.

All Promise facilities are smoke free environments.

Employment Practices:

Promise is an Equal Opportunity Institution and does not discriminate against any person in employment, admission, treatment, or participation in its programs and benefits on the basis of race, color, national origin, creed, ability to speak English, disability, sex, age, or marital status. Persons alleging unequal treatment should contact the Executive Director.

The purpose of this position is to provide general nursing care to patients of all ages, gender, cultures and backgrounds in the clinical setting.  In addition, laboratory and office duties are performed as needed.

Patient Duties:

1. Greets and escorts patients to exam room for medical provider visit. Obtains and documents subjective (chief complaint, allergies, pain) and objective (vital signs, weight) data accurately and concisely.
2. Communicates to the provider information about patient; any problems, needs or changes in patient status.
3. Provides basic education and applicable handouts to patients appropriate to their age and identified learning considerations and needs; explains lab/diagnostic tests to the patient. Prepares patients for tests when needed.
4. Administers medications or treatments (per scope of practice) to the patient as ordered by the provider or delegated by a registered nurse. Utilizes proper procedure with special consideration for patient safety.
5. Anticipates and prepares exam room with equipment and supplies required for the visit; assists the health care team with exams and procedures.
6. Demonstrates an ability to remain calm, perform effectively and professionally during peak periods of activity and emergency situations.
7. Sterilizes equipment using autoclave.
8. Utilizes universal precautions in obtaining specimens (venipuncture, cultures, etc.) and in delivery of patient care.
9. Performs lab/diagnostic testing as ordered by provider; reports all critical lab values immediately; performs quality controls and maintains all laboratory/diagnostic test logs (as allowed within scope of practice/certification).
10. Schedules and tracks referrals and communicates with pharmacies to order medications and refills as ordered by provider.
11. Attends and participates in staff meetings, in-service trainings and Promise events on a regular basis.

Team Duties:

1. Assists other members of the team to include, but not limited to: answering in-coming phone calls, updating information in the computer, scheduling appointments and procedures, preparing charts, and other office tasks required to keep the clinic operating smoothly.
2. Acts in a professional manner reflecting the mission of the Health Center and demonstrates an ability to remain calm during peak periods of activity.
3. Participates in orientation of new employees and ongoing in-house training.
4. Communicates clearly, concisely and accurately, creating a working climate that provides growth and job satisfaction of personnel.

Administrative Duties:

1. Acts in a professional manner, reflecting the mission of Promise and demonstrates compliance with all policy, procedures and federal/state regulations.
2. Demonstrates ongoing service excellence skills.
3. Maintains economical and efficient nursing care in a clean and safe environment.
4. Participates in performance improvement activities as requested.
5. Demonstrates ongoing understanding of corporate compliance policy.
6. Participates in meetings, conferences, and demonstrates genuine desire to develop strategies for improved Promise operations and a high level of patient care.

Performance Standards:

1. Demonstrates ability to consistently perform job duties as outlined in the job description.
2. Demonstrates and supports service excellence standards outlined in the Employee Handbook.
3. Demonstrates commitment to professional growth and competence.
4. Completes classes and certifications 100% of the time. Respects patient’s confidentiality 100% of the time.
5. Handwriting is legible 100% of the time.
6. Improve knowledge and skills to provide superior patient care and additional education as recommended by Promise.

Qualifications, Education and Experience:

Minimum Qualifications

1. Knowledge of nursing care in accordance with policies and procedures established by Promise.
2. Consistent demonstration of a team approach to care.
3. Ability to consistently meet the department work schedule as designated by supervisor.
4. Willing to become computer literate.

Preferred Qualifications

1. Two years experience in basic patient care.
2. Experience in Community Health Centers.
3. Computer literate.
4. BCLS certified.
5. Bilingual, preferably Spanish speaking.

Physical Demands:

1. The work environment characteristics are representative of those that must be met by an employee to successfully perform the essential functions of this job. Reasonable accommodations may be made to persons with disabilities to perform the essential functions.
2. While performing the duties of this job the employee is required to sit for long periods of time, is required to use routine office equipment to talk, hear, write, read small print, reach the top of a five-drawer filing cabinet and to lift boxes of no more than 30 pounds.