Family Nurse Practitioner/ Physician Assistant

Salem, MO
October 21, 2025

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Job Description

*Delivers ambulatory care services. Assumes responsibility for delivery of services consistent with community standards. Participates in quality improvement activities. Participates in the development of the health care plan; makes recommendations in regards to health services/programs to be offered, delivery sites, and hours of operation.*

*MINIMUM QUALIFICATIONS:*

· Licensure as a Registered Nurse in the State of Missouri is required.

· Possession of a master’s degree in Nursing from an accredited college or university including educational preparation as a nurse Practitioner with certification through AANP, ANCC, NAACOG, or NAPNAP, STATE OF MISSOURI.

· Demonstrated professional commitment to providing services to medically underserved persons.

· Ability to communicate effectively both orally and in writing.

· Computer literate in electronic mail, word processing, and office management system software.

· Ability to walk, bend, kneel, stoop, and lift 25 pounds to shoulder level without assistance.

· Manual dexterity which allows thorough physical examination of patient through palpation.

· Hearing which allows for adequate auscultation during physical examination of patient.

· Visual acuity which allows for thorough inspection during physical examination of patient.

*JOB RESPONSIBILITIES:*

_*Delivery of Medical Care -*_

· Obtains and documents a relevant health and medical history.

· Performs a physical examination based on age and history.

· Conducts preventative screening procedures based on age and history.

· Identify medical and health risks and needs.

· Formulates the appropriate differential diagnosis based on the history, physical examination, and clinical findings.

· *Identifies needs of the individual, family or community as a result of the evaluation of the collected data.*

· Orders and/or performs pertinent diagnostic tests and analyzes collected data.

· Monitors patient conditions, lab values, and results of diagnostic procedures.

· Identifies and prescribes appropriate pharmacological and non-pharmacological therapies.

· Consults with physician, as indicated.

· Develops a client education plan which includes relevant patient education.

· Makes appropriate referrals to other health professionals and community agencies.

· Determines the effectiveness of the plan of care through documentation of client care outcomes, reassesses and modifies the plan as necessary to achieve medical and health goals.

· Provides appropriate response to life-threatening emergency situations when no physicians are immediately available.

_*Management of Quality of Medical Care –*_

· Participates in the development of a quality improvement system incorporating process and quality outcome indicators.

· Participates in development and maintenance of medical care protocols and procedures.

· Participates in quality improvement studies.

· Contributes to development and maintenance of protocols for the telephone triage system.

· Contributes to the development of a continuing medical education policy.

· Participates in review of patient satisfaction surveys and in resolving patient complaints.

_*Operational Efficiency of Organization –*_

· Participates in utilization management and risk management activities.

· Supports diagnostic and E&M coding accuracy, adherence with the corporate compliance plan, attainment of productivity targets, and claims preparation for third party reimbursement.

_*Administrative Activities -*_

· Participates in quality improvement review activities on a periodic basis, including systematic review of records and treatment plans.

· Develops guidelines for practice with collaboration from physicians.

· Participates in research activities when indicated.

· Provides education to staff and/or health professional students.

· Participates in development of health care plan to support grant applications.

· Participates in recruiting providers.

· Attends Clinical Practice, Providers Workgroup, and Practice Management meetings.

_*Community Outreach -*_

· May participate in community activities that support the mission of Four Rivers Community Health Center

*JOB ACCOUNTABILITIES:*

· Assumes responsibility for quality of medical services rendered to patients

· Provides professional perspective and direction in implementation of the healthcare plan, and strategic plan for the Center.

· Collaborates in ensuring the viability of the organization through adherence of budgetary guidelines, and attainment of productivity targets.

· Contributes insight to assure alliance of organizational mission with needs of medically underserved community.

· Delivers direct patient care services to ambulatory patients.

Job Types: Full-time, Contract

Pay: $100,000.00 – $130,000.00 per year

Benefits:
* 401(k)
* 401(k) matching
* Dental insurance
* Health insurance
* Paid time off
* Vision insurance
Medical Specialty:
* Primary Care

Work Location: In person