Nurse Practitioner - Adult

Description

ABOUT RITTER CENTER:

For over 40 years, Ritter Center has been dedicated to preventing and resolving homelessness and improving the health, dignity, and well-being of people living in poverty in Marin.

When you join Ritter Center, you join a highly trained staff that combines national clinical best practices with a whole-person care approach to solving each person’s medical and mental health, housing, and food needs.

We are growing to meet the needs of our community. We are looking for staff who are ready for a career with a mission-driven organization, want to be valued, have diverse experience, and have compassion. If this sounds like you, we would love to have you join us!

_____________________

CURRENT OPENING:

Harm Reduction Outreach Worker

Full Time (40 hours weekly), Non-Exempt

Hourly Pay $30.00 + possible 6% Bilingual Differential once you pass Ritter Centers Bilingual Testing.

All positions at Ritter Center require a background check and Livescan fingerprinting.

Please visit our jobs page on our website for a complete list of our employee benefits.

Ritter Center is currently recruiting a Harm Reduction Outreach Worker for our Harm Reduction Team. This full-time, non-exempt position reports to the Clinic Manager based in San Rafael, CA, and operates out of our main Campus.

Please find the full job description below.

Position Description:

Under the direct supervision of the Harm Reduction Manager, the Harm Reduction Outreach worker will be accountable for assisting and supporting with the provision of harm reduction services. The harm reduction outreach worker will deliver high-quality, harm-reduction-focused prevention and screening services to populations at risk for HIV, STDs, and Hepatitis C. The position also assists with the creation and distribution of harm reduction supplies and other relevant resources as well as providing information and appropriate supports to clients accessing the harm reduction program.

Job Duties and Responsibilities:

• Help to create and distribute harm reduction supplies (such as safer injection and inhalation supplies, naloxone kits, and condoms and lubes) to clients and encourage safer disposal of drug use equipment.
• Tracks and records supplies distributed and collected.
• Assists with stocking, organizing harm reduction inventory, risk reduction, and other relevant program supplies.
• Facilitate HIV/STI/Hepatitis prevention education, risk assessment, HIV/STI/VHP screening, linkage to care, and treatment.
• Provides clients with support, information, and referrals to harm reduction, overdose prevention, health, community, and drug treatment services (as appropriate) within and outside Ritter Center.
• Attend meetings, conferences, and trainings to expand knowledge of HIV/STI/Hep C, harm reduction, and other co-morbid conditions and related issues, and be current on new developments as required by supervisors.
• Establish rapport with unhoused and substance-using populations, creating an environment in which they can communicate their needs in a safe way.
• Maintain strong boundaries and the confidentiality of all client-identifying information.
• Perform other related work duties as needed or as required by supervisor or designee.

Qualifications:

• Per OSHA requirements, employment at Ritter Center requires compliance with being able to produce a negative TB test prior to the start of employment, as well as being vaccinated against COVID-19 (unless applying for an exemption) per the August 5th, 2021, State Public Order for Healthcare Facilities, providers, and employees.
• High school degree or equivalent.
• Working knowledge of addiction and harm reduction principles.
• Knowledge of HCV/HIV/pathogens and infectious diseases.
• Work experience with a harm reduction and/or relevant community-based front-line program; values aligned with a harm reduction approach to service delivery.
• Excellent interpersonal skills with the ability to effectively listen and offer solutions without passing judgment.
• Ability to work from a sex positive, trauma-informed, anti-discrimination, and anti-oppressive approach.
• Ability to maintain confidentiality and confidence in asserting and maintaining strong boundaries.
• Ability to listen actively and accurately, open to feedback and demonstrate a display of sensitivity to others.
• Ability to work independently and as part of a multidisciplinary team.
• Effective written and verbal communication skills.
• Lived experience with drug use, homelessness or street-involvement is a considerable asset.
• Languages other than English are an asset.

Responsibilities of all Ritter Center Employees:

1. Demonstrates a clear understanding of the mission, purpose and philosophy of Ritter Center.
2. Places needs of the patient first at all times. Care management and service delivery are developed with the goals of the patient’s healing and support in mind.
3. Adheres to ethical business practices by striving to perform in a manner that conforms to the highest standards of ethical behavior, integrity and honesty.
4. Takes initiative and responsibility for decisions as an individual. Communicates information effectively both verbally and in writing.
5. Maintains confidentiality of all agency and patient related information. Protects patient rights as defined in the patient Bill of Rights.

Employment Practices:

Ritter Center is an Equal Opportunity institution and does not discriminate against any person in employment or in admission, treatment, or participation in its programs and benefits on the basis of race, religion, color, gender, age, national origin, physical or mental disability, genetic information, veteran’s status, marital status, gender identity and expression, sexual orientation, or any other status protected by applicable law.

ABOUT RITTER CENTER:

For over 40 years, Ritter Center has been dedicated to preventing and resolving homelessness and improving the health, dignity, and well-being of people living in poverty in Marin.

When you join Ritter Center, you join a highly trained staff that combines national clinical best practices with a whole-person care approach to solving each person’s medical and mental health, housing, and food needs.

We are growing to meet the needs of our community. We are looking for staff who are ready for a career with a mission-driven organization, want to be valued, have diverse experience, and have compassion. If this sounds like you, we would love to have you join us!

_____________________

CURRENT OPENING:

Family Nurse Practitioner/Physician Assistant

Full Time(40 hours weekly), Exempt position.

Annual Compensation: $145,000 per year

This position may qualify for: Up to $50,000 bonus over a five-year period

All positions at Ritter Center require a background check and Livescan fingerprinting.

Please visit our jobs page on our website for a complete list of our employee benefits.

Ritter Center is currently recruiting a Family Nurse Practitioner/Physician Assistant

for our Medical Team. This full-time, exempt position reports to the Director of Clinical Compliance and is based in San Rafael, CA; the role operates out of our main Campus.

Please find the full job description below.

Under the supervision of the Director of Clinical Compliance and the Chief Medical Officer, the Family Nurse Practitioner/Physician Assistant will perform evaluations and treatments of patients in outpatient or street settings. Assess medical needs and compile care plans; address acute needs, chronic conditions, and preventive health maintenance. Patient assessments may include emotional, mental, and social needs. Furnish/transmit appropriate medications and treatments.

Essential Functions and Responsibilities

• Serve as the primary care provider for a panel of patients.

• May perform in-office procedures such as incision and drainage, arthrocentesis, nail removal, skin biopsy, pap-smears, and cryotherapy.

• Productivity requirement of a minimum of 10 patients per in-clinic day.

• Able to perform On-Call duties on a monthly rotation, including weekends, after hours, and holidays (3-5 calls/week). Schedule to be determined by Clinic Manager.

• Experience with women’s health i.e. conducting pap-smears, inserting IUDs, etc.

• Awareness or knowledge of MAT (Medicated Assisted Therapy) Program and willing to participate as needed.

• Provide whole-person care for patients, practicing harm reduction approaches, considering creative and flexible solutions, and partnering with the clients to take steps forward with their health.

• Work within clinical privileges that are clearly delineated through Scope of Practice agreement (Nurse Practitioner).

• Keep accurate, concise, and thorough documentation of all patient medical history, exam and assessment findings, treatment/interventions, and education provided; complete documentation and lock progress notes in a timely manner.

• Review and electronically sign off on all laboratory results, diagnostic results, and outside consult notes in a timely manner, ensuring patient is contacted for follow-up if clinically appropriate.

• Initiate and follow through on specialist referrals and e-consults (electronic consults), communicating with specialist providers as necessary in the provision of whole-person care.

• Participate in org-wide Ritter Center, Provider-specific, and All-Staff meetings and trainings as requested.

• Provide compassionate and trauma informed care for patients who are experiencing homelessness, may suffer from mental illness, and/or lack resources to appropriately care for themselves.

• Actively participate in Quality Improvement activities at Ritter Center, including participating in peer reviews, evaluating clinical performance measures, and implementing improvements using a Plan-Do-Study-Act method.

• Assist in provision of health screenings (including TB, diabetes, and hypertension) at outreach events.

• Maintain active enrollment in Medicare, Medicaid, Managed Care, and other payor programs as needed for clinical operations, completing credentialing paperwork in a timely manner to remain actively enrolled in these programs.

• Other duties as assigned.

Qualifications

• Per our Federally Qualified Healthcare Center (FQHC) requirements employment at Ritter Center requires compliance with being able to produce a negative TB test prior to the start of employment, as well as being vaccinated against COVID-19 (unless applying for an exemption) per the August 5th State Public Order for Healthcare Facilities, providers and employees.

• Per the Marin County Department of Health and Human Services, Ritter Center requires all employees to receive the Influenza vaccine (unless applying for a qualified medical or religious exemption)

• License to practice in the state of California

• Experience working in a Federal Qualified Health Center

• Experience working with vulnerable populations including women and LGBTQ community

• Valid DEA Certificate

• Demonstrated experience with Electronic Medical Records

• Provider BLS Certification (includes CPR certification) required

• Medical Spanish preferred, conversational Spanish a plus

• Good skills in organization and ability to multi-task and remain calm under stress

• Demonstrated experience working in social service setting; ability to be empathetic and compassionate with clients within a framework of appropriate boundaries

• Strong people management and communication skills

Employment Practices:

Ritter Center is an Equal Opportunity institution and does not discriminate against any person in employment or in admission, treatment, or participation in its programs and benefits on the basis of race, religion, color, gender, age, national origin, physical or mental disability, genetic information, veteran’s status, marital status, gender identity and expression, sexual orientation, or any other status protected by applicable law.

ABOUT RITTER CENTER:

For over 40 years, Ritter Center has been dedicated to preventing and resolving homelessness and improving the health, dignity, and well-being of people living in poverty in Marin.

When you join Ritter Center, you join a highly trained staff that combines national clinical best practices with a whole-person care approach to solving each person’s medical and mental health, housing, and food needs.

We are growing to meet the needs of our community. We are looking for staff who are ready for a career with a mission-driven organization, want to be valued, have diverse experience, and have compassion. If this sounds like you, we would love to have you join us!

_____________________

CURRENT OPENING:

Bilingual Medical Assistant

Full Time (40 hours weekly), Non-Exempt

Hourly Pay $25.00 + 6% Bilingual Differential once you pass Ritter Centers Bilingual Testing. Passing Bilingual testing is a requirement of this position.

All positions at Ritter Center require a background check and Livescan fingerprinting.

Please visit our jobs page on our website for a complete list of our employee benefits.

Ritter Center is currently recruiting a Bilingual Medical Assistant for our Clinic Team. This full-time, non-exempt position reports to the Clinic Manager based in San Rafael, CA; the role operates out of our main Campus.

Please find the full job description below.

Position Description:

The Bilingual Medical Assistant will perform a wide range of duties in the Medical and Behavioral Health Departments of Ritter Center’s Federally Qualified Health Center (FQHC) and is the first point of contact when working on Ritter Center’s Medical Mobile Van. Tasks primarily (although not limited to) involve assisting in the examination and treatment of patients under the direction of a Physician, and/or Family Nurse Practitioner. The Bilingual Medical Assistant has direct contact with patients and works closely with the front office staff. This position is responsible for patient registration, checking insurance eligibility, and basic patient care duties. When not in the field, this person will provide backup in our on-site clinic in the back office and perform regular MA duties. The person in this role should be culturally competent and create a welcoming atmosphere for patients with co-occurring conditions. The role primarily functions to welcome, assess, educate and recommend patient medical treatment, with occasional need to administer medical point-of-care tests, venipuncture, and support our Street Medicine Nurse Practitioner. This position may require working nights or weekends. The Bilingual Medical Assistant reports to the Clinic Manager.

Job Duties and Responsibilities:

• Escort patients to the exam room, interviews patients, measure vital signs, such as pulse rate, temperature, blood pressure, weight and height, and records information on patients’ charts
• Prepare treatment rooms for examination of patients. Drape patients with covering and positions instruments and equipment
• Hand instruments and materials to practitioners as directed
• Maintain inventory and order medical supplies and materials
• Operate electrocardiograph (EKG), and other equipment to administer routine diagnostic test or calls medical facility or department to schedule patients for tests
• Give injections or treatments and perform routine laboratory tests.
• Key data into computer to maintain office and patient records
• Clean, sterilize and disinfect medical equipment and instruments in accordance with clinical policies and OSHA guidelines
• Follow policy and procedures including universal precautions as defined by OSHA’s guidelines on Bloodborne Pathogens and Hazardous Materials standards.
• Practice good people skills to maintain good public relations with patients and with fellow co-workers
• Maintain patient confidentiality in accordance to Ritter’s policy and HIPAA guidelines.
• Attend and participate in required meetings, training and educational programs
• Perform administrative responsibilities, including checking eligibility, verifying demographics, assisting patients with filling out necessary paperwork, and making up follow-up appointments
• Provide field-based services and case management triage to individuals experiencing homelessness in encampments, on the streets, and in other locations to meet their immediate needs and engage them in care by the multidisciplinary team
• Provide health education and training, including COVID-19 risk mitigation, overdose prevention, and harm reduction strategies
• Provide respectful engagement to adults experiencing homelessness, many of whom have complex physical and mental health conditions, and a significant lack of trust in conventional systems of care
• Provide basic patient care duties such as taking vital signs, assisting patients with ambulation, wound care, venipuncture, and other basic POC testing as directed by the Medical Provider
• Document patient encounters using Ritter Center's Electronic Health Record system
• Crosstrain with the Behavioral Health Department to support our Psychiatric Nurse Practitioners
• Perform other related work as assigned

Qualifications:

• Per OSHA requirements, employment at Ritter Center requires compliance with being able to produce a negative TB test prior to the start of employment, as well as being vaccinated against COVID-19 (unless applying for an exemption) per the August 5, 2019 State Public Order for Healthcare Facilities, providers, and employees.
• Per the Marin County Department of Health and Human Services, Ritter Center requires all employees to receive the Influenza vaccine (unless applying for a qualified medical or religious exemption)
• Bilingual Verbal English/Spanish required.
• Must have a valid Medical Assistant certificate from an accredited Medical Assistant Educational program
• High School Diploma or GED completion required
• Must have current CPR certification
• Minimum of 6-12 months of work experience preferred but will consider new graduates from an accredited Medical Assistant program too
• Prior experience working in community health-care clinic environment a plus
• Ability to follow instructions and meet deadlines
• Ability to work independently and as part of a team
• Must possess strong interpersonal skills
• Must have ability to multitask in fast paced health-care clinic environment
• Must be able to communicate effectively in English, verbally and written
• Must be able to work flexible hours as needed, evenings, with the possibility of weekends if necessary

Employment Practices:

Ritter Center is an Equal Opportunity institution and does not discriminate against any person in employment or in admission, treatment, or participation in its programs and benefits on the basis of race, religion, color, gender, age, national origin, physical or mental disability, genetic information, veteran’s status, marital status, gender identity and expression, sexual orientation, or any other status protected by applicable law.

Title: Associate Counselor/Associate Social Worker

Classification: Full Time

Reports to: Clinical Director

Supervises: None

Date of JD Creation or Revision: 8/2/23

Compensation: Registered or Certified: $62,000/year, Pre-Licensed: $85,000/year

• All positions require Background and LiveScan fingerprinting
• This position is eligible for a 6% differential for bilingual candidates (English/Spanish), pending passing of a test before employment.

Position Description:

The Associate Counselor/Associate Social Worker is an integral aspect of the Safety Net program and larger Behavioral Health Department. This person works with clients to develop and implement appropriate treatment plans. The Associate Counselor/Associate Social Worker provides critical alcohol and other drug assessment and referral services to clients referred to the Safety Net Program in a manner that reflects Ritter Center’s mission and values. Through individual and group counseling, the Associate Counselor/Assistant Social Worker assists clients in mobilizing their resources so they can participate in the exploration of a problem and its ramifications. This individual will consider clients’ attitudes and feelings and develop solutions to support informed decision-making. This individual must possess strong interpersonal communication and engagement skills, administrative capacities, as well as a thorough understanding of alcohol and drug treatment options.

Job Duties and Responsibilities:

• Develop problem lists, progress notes, group notes, ASAM assessments, and discharge plans for all clients.
• Facilitates 2-3 groups (1-2 evenings required) per week, including process groups, didactic groups, and specialty focus groups.
• Have a basic understanding and utilization of Motivational Interviewing, Cognitive Behavioral Therapy, Relapse Prevention Therapy, or other evidence-based practices for substance use disorders.
• Have a basic understanding and willingness to work in a trauma-informed manner of care.
• Carry a caseload of 20-25 clients in Intensive Outpatient, Outpatient, and Recovery Services levels of care.
• Works with referral sources to communicate client progress.
• Must be able to prepare and present alcohol and drug awareness psychoeducation lectures.
• Conducts client intake assessments and Comprehensive Substance Abuse Evaluations.
• Observe and monitor client’s behavior and intervene based on schedule, individual client’s treatment plan, and program needs.
• Facilitates assigned groups/meetings/activities on time as per program schedule.
• Maintain client records, including daily documentation of all client appointments in the client clinical chart to meet CalAIM documentation standards.
• Orientation of new clients to the program.
• Maintain confidentiality of all client identifying information.
• Attend program staff meetings according to schedule and present cases to treatment team for feedback on best practice interventions.
• Be prepared to provide services on schedule and in accordance with therapeutic expectations in accordance with industry standards.
• Maintain appropriate boundaries with residents and refrain from unnecessary self-disclosure.

Qualifications:

• Per OSHA requirements, employment at Ritter Center requires compliance with being able to produce a negative TB test prior to the start of employment, as well as being vaccinated against COVID-19 (unless applying for an exemption) per the August 5th, 2021, State Public Order for Healthcare Facilities, providers, and employees.
• Degree in Psychology or related field preferred but not required
• Minimum of 2 years’ experience in drug and alcohol counseling (1 year of experience required for master’s level clinicians)
• Preferred: Possess a pre-licensed status through the California Board of Behavioral Sciences (AMFT, ASW, APCC) or be fully licensed (LMFT, LCSW, LPCC). For pre-licensed individuals, clinical supervision will be provided.
• Must be registered or certified by the California Association for Alcohol and Drug Educators (CAADE), California Association of Drinking Driver Treatment Programs (CADTP), or California Consortium of Addiction Programs and Professionals (CCAPP).
• Must have strong group, individual, documentation, and administrative skills

Ritter Center is an Equal Opportunity institution and does not discriminate against any person in employment or in admission, treatment, or participation in its programs and benefits on the basis of race, religion, color, gender, age, national origin, physical or mental disability, genetic information, veteran’s status, marital status, gender identity and expression, sexual orientation, or any other status protected by applicable law.