Nurse Practitioner

Clinical Lead Nurse

Sign on Bonus Available!

Position Summary:

Is a key member of the Triad Adult and Pediatric Medicine, Inc. (TAPM) Clinic Management Team (CMT). This position works with the Nursing Director, Practice Administrator and Lead Provider to provide administrative leadership to the site/office clinical team. Under administrative review, provides preliminary leadership in the overall administrative direction and coordination for policies, procedures, and programs at the clinical site. Jointly accountable with other members of the clinic management team for the management of clinical and financial resources in order to achieve patient outcome, as well as to promote professional development and coordination of the TAPM clinical staff.

Provides first-line leadership, supervision, and coordination for nursing and clinical services at a specific TAPM site; serves as an administrative and clinical resource to clinical staff; assists with effective management practice of all staff and material resources in order to achieve the highest quality patient care; provides direct nursing services in the clinical setting and in specialty clinics as assigned.

Front Line Supervisory Responsibilities

• Provides leadership and supervision for nursing staff, including scheduling, training, competency monitoring, and performance evaluations.
• Oversees daily nursing operations, Team Directed Care, and Chronic Clinic functions.
• Coordinates patient care with providers, hospitals, and community agencies to ensure continuity of care.
• Ensures compliance with nursing protocols, safety standards, OSHA regulations, and best practices.
• Assists with staffing coverage, triage functions, and direct patient care as needed.
• Participates in clinic management, quality improvement, and policy development activities.

Administrative/Financial Responsibilities

• Assists with supply inventory, ordering, budgeting, and monitoring clinic resources.
• Ensures safety training and regulatory compliance for clinical staff.
• Supports implementation of operational improvement plans and variance analysis.

Human Resources Responsibilities

• Participates in hiring, onboarding, orientation, and staff development activities.
• Monitors attendance and performance concerns and collaborates with leadership on employee issues.
• Supports ongoing education, training, and quality assurance initiatives.

Clinical Responsibilities

• Performs nursing procedures and patient care duties in accordance with clinic policies and state regulations.
• Assists providers during examinations, treatments, and minor procedures.
• Triages patients and coordinates follow-up care, referrals, testing, and documentation.
• Maintains exam room readiness, supplies, patient records, and infection control standards.
• Promotes patient confidentiality, teamwork, safety, and high-quality customer service.

Sign on Bonus Available!

Position Summary:

Provides direct patient care services by independently and interdependently scheduling and/or conducting complex diagnostic and therapeutic procedures. This position independently participates in the delivery of direct patient care within the scope of individual authority granted by the North Carolina Board of Medical Examiners.

Job Responsibilities:

· Participates in the development of policies and procedures relating to the provision of clinical and related services. Provides supervision to midlevel practitioner staff.

· Performs complete physical exams, obtains medical history; interprets and records findings.

· Orders/obtains appropriate laboratory and diagnostic studies/tests to assist with patient evaluations, as needed.

· Interprets and integrates data to determine preliminary diagnosis and appropriate therapeutic plan.

· Administers medications, immunizations, and injections in compliance with state law and clinic guidelines.

· Performs direct patient care services, which may include instruction, education, counseling, recommendation of medications and treatments, health and illness prevention, and/or community resources to meet specific needs to patient and family.

· Coordinates and schedules laboratory studies and diagnostic procedures. Explains the necessity, preparation, nature and anticipated effects of scheduled diagnostic and therapeutic procedures to patients.

· Reviews, writes, and renews medication prescriptions, which corresponds to the written standing orders, and/or, to the consultation advice of the supervising physician.

· Documents, updates, and maintains patient records.

· Summarizes records and prepares referral letters.

· Performs administrative duties as may be request by the Medical Director

· Communicates/confers with various outside agencies and resources regarding medical advice/information of clinic patients, such as dentist, social services, speech and hearing, etc., as needed.

· Refers patients to specialist, such as ENT, Pediatric Surgeon, Dermatologist, Neurologist, Asthma, etc., as needed.

· Participates in clinical research projects and prepares analyses/consensus report, when requested.

· Confers with other health professionals regarding patient condition, if necessary.

· Attends monthly staff meetings at the respective Practice designated.

· Attends continuing education meetings, as required.

· Promotes team, system, and organizational goals; maintains patient confidentiality and provides superior customer service.

· Disposes all disposable, contaminated, and used items into designated waste containers.

· Abides by all company policies regarding safety/health rules and regulations.

· Adapts to various situations and adjusts to shifting priorities.

· Must abide by TAPM Mission, Vision, and Core Values

· Performs other duties as assigned.\

Preparation and Training:

Doctor of Medicine with completion of residency training in a primary care practice. Must have a working knowledge of office equipment including computers, telephones, and such typical office machines. Must maintain effective written and oral communication and English skills. Must maintain current medical license with the North Carolina Board of Medical Examiner. Must be Board certified, eligible, or straight out of residency program eligible. All eligible candidates must be Board certified within 2 years of their contract date. Current DEA registration and CPR certification. Current ACLS or PALS required (depending on Practice of employment). Valid NC driver’s license for travel.

Sign on Bonus Available!

Position Summary:

Provides direct patient care services by independently and interdependently scheduling, supervising, and/or conducting complex diagnostic and therapeutic procedures. This position independently participates in the delivery of direct patient care within the scope of individual authority granted by the North Carolina State Boards of Medical Examiners and Nursing.

Job Responsibilities:

• Performs complete physical exams, obtains medical history; interprets and records findings.

• Orders/obtains appropriate laboratory and diagnostic studies/tests to assist with patient evaluations, as needed.

• Interprets and integrates data to determine preliminary diagnosis and appropriate therapeutic plan.

• Administers medications, immunizations, and injections in compliance with state law and clinic guidelines.

• Performs direct patient care services, which may include instruction, education, counseling, recommendation of medications and treatments, health and illness prevention, and/or community resources to meet specific needs to patient and family.

• Coordinates and schedules laboratory studies and diagnostic procedures. Explains the necessity, preparation, nature and anticipated effects of scheduled diagnostic and therapeutic procedures to patients.

• Reviews, writes, and renews medication prescriptions, which corresponds to the written standing orders, and/or, to the consultation advice of the supervising physician.

• Documents, updates, and maintains patient records.

• Carries out patient care services under indirect physician supervision, such as suture removal, catheterization, burn and wound debridement, simple head injuries, dressing changes, pelvic exams, removal of foreign bodies from orifice or tissue, etc.

• Collaborates with physician in the management of acute or long-term patient needs: monitors/maintains a record of patient progression, and consults with supervising physician when patient progress does not meet anticipated and/or predetermined criteria.

• Collaborates with the designated Triage Nurse to address phone calls from patient seeking advice, answers to health questions, determination of being seen in the clinic, etc., home health nurses, teachers, inpatient medical team, PT ’s, OT’s, and physicians.

• Collaborates with Community Liaisons and Wraparound staff to coordinate patient complex caie, follow-ups, and continuity of care

• Reviews school reports, psychological evaluations, DEC evaluations, IEP’s, Early Intervention Reports, etc. with regards to patient care plan.

• Summarizes records and prepares referral letters.

• Communicates/confers with various outside agencies and resources regarding medical advice/information of clinic patients, such as dentist, social services, speech and hearing, etc., as needed.

• Refers patients to specialist, such as ENT, Pediatric Surgeon, Dermatologist, Neurologist, Asthma, etc., as needed.

• Participates in clinical research projects and prepares analyses/consensus report, when requested.

• Confers with other health professionals regarding patient condition, if necessary.

• Attends staff meeting once monthly.

• Attends Ground Rounds and continuing education meetings, as required.

• Promotes team, system, and organizational goals; maintains patient confidentiality and provides superior customer service.

• Disposes all disposable, contaminated, and used items into designated waste containers.

• Abides by all company policies regarding safety/health rules and regulations.

• Adapts to various situations and adjusts to shifting priorities.

• Performs other duties as assigned.

Preparation and Training:

Job duties require a broad knowledge of advanced nursing skills and comparable studies not available in undergraduate schools. Requires completion of a master’s degree Nurse Practitioner program and certification as an FNP or PNP. Must have a working knowledge of data processing equipment, computers, telephones, and such typical office machines and equipment. Must maintain effective written and oral communication and English skills. Must maintain current North Carolina RN and NP License, with a letter of approval from the NC Medical Board. CPR certification, and a NC driver’s license are also necessary.

Experience:

With the above skills, education, at least three years of previous clinical experience (preferably in ambulatory pediatric care), and with an additional two years of experience as a Nurse Practitioner, it would take approximately 3-5 years to become proficient with the policies, procedures, and protocol utilized by Triad Adult and Pediatric Medicine.

Sign on Bonus Available!

Position Summary:

Provides direct patient care services by independently and interdependently scheduling and/or conducting complex diagnostic and therapeutic procedures. This position independently participates in the delivery of direct patient care within the scope of individual authority granted by the North Carolina Board of Medical Examiners.

Job Responsibilities:

· Participates in the development of policies and procedures relating to the provision of clinical and related services. Provides supervision to midlevel practitioner staff.

· Performs complete physical exams, obtains medical history; interprets and records findings.

· Orders/obtains appropriate laboratory and diagnostic studies/tests to assist with patient evaluations, as needed.

· Interprets and integrates data to determine preliminary diagnosis and appropriate therapeutic plan.

· Administers medications, immunizations, and injections in compliance with state law and clinic guidelines.

· Performs direct patient care services, which may include instruction, education, counseling, recommendation of medications and treatments, health and illness prevention, and/or community resources to meet specific needs to patient and family.

· Coordinates and schedules laboratory studies and diagnostic procedures. Explains the necessity, preparation, nature and anticipated effects of scheduled diagnostic and therapeutic procedures to patients.

· Reviews, writes, and renews medication prescriptions, which corresponds to the written standing orders, and/or, to the consultation advice of the supervising physician.

· Documents, updates, and maintains patient records.

· Summarizes records and prepares referral letters.

· Performs administrative duties as may be request by the Medical Director

· Communicates/confers with various outside agencies and resources regarding medical advice/information of clinic patients, such as dentist, social services, speech and hearing, etc., as needed.

· Refers patients to specialist, such as ENT, Pediatric Surgeon, Dermatologist, Neurologist, Asthma, etc., as needed.

· Participates in clinical research projects and prepares analyses/consensus report, when requested.

· Confers with other health professionals regarding patient condition, if necessary.

· Attends monthly staff meetings at the respective Practice designated.

· Attends continuing education meetings, as required.

· Promotes team, system, and organizational goals; maintains patient confidentiality and provides superior customer service.

· Disposes all disposable, contaminated, and used items into designated waste containers.

· Abides by all company policies regarding safety/health rules and regulations.

· Adapts to various situations and adjusts to shifting priorities.

· Must abide by TAPM Mission, Vision, and Core Values

· Performs other duties as assigned.\

Preparation and Training:

Doctor of Medicine with completion of residency training in a primary care practice. Must have a working knowledge of office equipment including computers, telephones, and such typical office machines. Must maintain effective written and oral communication and English skills. Must maintain current medical license with the North Carolina Board of Medical Examiner. Must be Board certified, eligible, or straight out of residency program eligible. All eligible candidates must be Board certified within 2 years of their contract date. Current DEA registration and CPR certification. Current ACLS or PALS required (depending on Practice of employment). Valid NC driver’s license for travel.

Sign on Bonus Available!

Position Summary:

Provides direct patient care services by independently and interdependently scheduling, supervising, and/or conducting complex diagnostic and therapeutic procedures. This position independently participates in the delivery of direct patient care within the scope of individual authority granted by the North Carolina State Boards of Medical Examiners and Nursing.

• Conducts physical exams, obtains medical histories, and documents findings.
• Orders/interprets lab and diagnostic tests to support patient care plans.
• Provides direct patient care, education, counseling, medications, and treatment recommendations.
• Coordinates diagnostic procedures and explains treatment plans to patients and families.
• Reviews, writes, and renews prescriptions per standing orders and physician guidance.
• Maintains accurate patient records and monitors patient progress.
• Performs clinical procedures under indirect physician supervision, including wound care, dressing changes, pelvic exams, catheterizations, and suture removal.
• Collaborates with physicians, triage nurses, care teams, community partners, and outside agencies to ensure continuity of care.
• Reviews evaluations, reports, and referrals to support patient treatment plans.
• Assists with quality initiatives, clinic meetings, and interdisciplinary communication.
• Promotes organizational goals, maintains patient confidentiality, and provides excellent customer service.
• Follows all safety, infection control, and company policies.
• Adapts to changing priorities and performs additional duties as assigned.

Preparation and Training:

Job duties require a broad knowledge of advanced clinical/Physician Assistant Program skills and comparable studies not available in undergraduate schools. Requires completion of certification as an Physician Assistant. Must have a working knowledge of data processing equipment, computers, telephones, and such typical office machines and equipment. Must maintain effective written and oral communication and English skills. Must maintain current North Carolina PA License, with a letter of approval from the NC Medical Board. CPR certification, and a NC driver’s license are also necessary. (Every 2 years)

Dental Hygienist

Position Summary:

Under the supervision of a licensed Dentist in a clinical setting and using established dental hygiene protocols and procedures, the Dental Hygienist provides professional, high-quality dental care and education to a broad range of patients. Diagnoses and treats diseases, injuries, and malformations of teeth and gums, and related oral structures. Examines patient to determine nature of condition, utilizing x-rays, dental instruments, and other diagnostic procedures. Provides preventive dental services to patients, such as applications of fluoride and sealants to teeth, and education in oral and dental hygiene.

Job Responsibilities:

· Institutes and supervises oral hygiene practices; determines that aseptic techniques of treatment are followed; acquires and supervises maintenance of supplies and equipment necessary to perform all types of dental treatment.

· Coordinates local dental health projects; directs and participates in dental examinations of school age children; promotes dental health programs in public schools.

· Serves as an area consultant in promoting dental health education with local health departments; conducts state-wide program with local agencies and assists in establishing and maintaining an effective program on the local level.

· Examines and determines need for dental treatment of patients entering institution or clinic; participates in dental treatment by performing all procedures required to establish and maintain proper dental health for the patients.

· Serves as a consultant in dental problems to other medical and para-medical services in the institution, clinic, or other health facilities.

· Assists in promoting and maintaining good public relations among community groups and professional health organizations such as the North Carolina Dental Society.

· Determines that patients’ charts and dental records are correctly maintained through accurate recording of all dental procedures performed on patient during period of confinement.

· Performs related duties as required.

· Provides high-quality dental hygiene care within the scope of service consistent with accepted standards of care.

· Evaluates patients and implements treatment regimens under the supervision of the Dentist.

· Provides complete documentation of all findings, treatments and outcomes.

· Initiates oral health education and prevention activities.

· Reviews and interprets patient dental records.

· Works cooperatively with other Dental Program staff.

· Helps out where needed to ensure smooth, efficient running of Dental Program.

· Participates in the ongoing evaluation of Dental Program operations to assure the delivery of high-quality services that support the financial sustainability of the program.

Minimum Training and Experience Requirements:

Graduation from an approved school of dentistry and two years of experience in the general practice of dentistry.

Necessary Special Qualifications:

Licensed to practice dentistry in the State of North Carolina and the ability to be credentialed with insurance carriers including but not limited to Medicaid and be licensed with the appropriate board to issue prescriptions for medications as required by the laws of the State of North Carolina.

Position Summary:

We are seeking a dedicated and detail-oriented Dental Assistant (I and II) to join our team. The ideal candidate will assist the dental team in providing high-quality pediatric patient care and ensure the smooth operation of the dental office.

Key Responsibilities

• Ensure that all operatories are ready for patients prior to clinic hours/end of day
• Proficiency in 4-handed dentistry, prioritizing patient comfort
• Prepare and sterilize instruments and dental equipment.
• Take and process dental X-rays (with proper certification).
• Perform basic lab tasks, such as pouring and trimming dental models.
• Take impressions of patients' teeth for study models or orthodontic appliances.
• Apply fluoride treatments and sealants (if qualified and permitted).
• Perform coronal polishing (if qualified and permitted)
• Accurately record all medical/dental findings, results and outcomes in the EHR (Epic Wisdom) in accordance with HIPAA guidelines
• Sequence and appoint comprehensive treatment plans in Wisdom
• Provide post-operative care instructions to patients.
• Ensure infection control by following OSHA and CDC guidelines.

Administrative Responsibilities

• Schedule and confirm patient appointments in Wisdom according to effective scheduling policies.
• Maintain and update patient records.
• Assist with billing, insurance claims, and payment processing.
• Order and manage dental supplies and inventory.
• Greet and check in patients, ensuring a smooth office workflow.
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POSITION REQUIRMENTS

Education

· High school diploma or equivalent.

· Successful completion of a dental assistant licensing or registration program as may be

required by the state.

· Radiation safety certification or successful completion of a radiation safety course.

· Certification in office practice or enrollment in such a program is desired.

Experience

· 3 years chairside pediatric experience preferred

Sign on Bonus Available!

Position Summary:

Under the general supervision of the Clinical Nurse Lead and in collaboration with the Director of Nursing, the Triage Nurse performs care coordination and professional nursing functions to assess the severity of patients’ health concerns. Using TAPM established Adult and Pediatric telephone q protocols, and clinical algorithms. The Triage Nurse determines appropriate patient dispositions including emergency care referrals, clinic provider appointments, or triage nurse clinic services, all within the licensed scope of practice. The RN will also support providers by triaging all walk-in patients, ensuring timely assessment and appropriate care coordination.

Job Responsibilities:

• Triage Nurses manage nurse-directed patient telephone calls and from walk-in patients requesting health care services
• Evaluate and assesses patient’s health care needs based on patient’s signs and symptoms
• Obtain appropriate input and direction from the provider as needed to determine best clinical course of action and recommendations for specific patient health care needs
• Coordinate and schedule same-day and walk-in appointments on the provider schedule
• Maintain a nurse only schedule
• Assist providers with special procedures as needed
• Manage prescription refills per protocol
• Provides clinical support on the floor as needed to ensure adequate coverage and continuity of patient care.
• Serve as a clinical resource and professional role model for other nursing staff.
• Prioritizes work tasks and services to ensure timely and efficient completion.
• Maintains accurate, clear, and concise documentation, including progress notes, problem lists, and medication lists, in accordance with clinical and organizational standards.
• Communicates appropriately and tactfully with staff, consultants, patients, significant others, and community.
• Participates in staff, planning, in-service, and other meetings as needed.
• Administers medications and performs medical and nursing procedures as ordered within the scope of practice.

Administrative Responsibilities:

• Document symptoms/complaints, nursing assessment, advice provided and patient/caller response. Follows policies, procedures, and protocols to ensure consistency and departmental effectiveness as well as improve health care outcomes of patients/callers and their access to appropriate health care.
• Completes all patient-related documentation, including but not limited to prior authorizations, home health forms, and other required medical paperwork in a timely and accurate manner.
• Provide patient education: e.g. chronic disease, preventive and family
• Participate in quality improvement programs
• Assure that pertinent medical information is forwarded to proper departments as needed for continuity of patient care
• Document in electronic health record (EHR), triage assessment, plan, implementation, and evaluation, follow-up
• Must have knowledge of disease processes, normal growth and development of all age groups
• Must possess community health knowledge and theory
• Must operate with culturally sensitivity with respect to working with persons and groups of diverse racial, ethnic, economic and social backgrounds

Clinical Responsibilities:

• Administers certain medications, injections, immunizations and family planning options as ordered by provider
• In conjunction with Clinical Nurse Lead, monitor patient flow in the clinic; ensure that patients receive all recommended services in a timely manner.

Minimum Qualifications

• Must have a current NC RN license
• Currently CPR certified
• At least one year of Triage Nurse Experience
• Associate’s Degree required
• Bachelor’s Degree preferred

Preparation and training:

Job duties require registered nurse (BSN preferred) with a minimum of three (3) years’ experience in a similar capacity. Must have a working knowledge of data processing equipment, computers, telephones, and such typical office machines and equipment. Must maintain effective written and oral communication and English skills. Must maintain current North Carolina RN License, CPR certification, Venipuncture certification, IV Certification, and a NC driver’s license for occasional travel.