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Responsibilities

**Job Summary:** This unique role will support a partnership between Fire Department Community Assistance, Referral, and Education Service (CARES) program and Virginia Mason Franciscan Health to proactively visit and treat individuals in the field. The CARES unit is a multidisciplinary team aiming to prevent crises by being proactive in the field. Depending on the fire department, it is staffed by a combination of:

1. a) Firefighter/EMT trained in crisis intervention

2. b) Social worker

3. c) Substance use disorder professional

The APP would attend to patients referred by CARES that have a need for a basic, non-emergency level of medical care that can be provided in their home rather than in a hospital or clinic setting.The APP may also join the CARES team to address patient medical needs in tandem with social services provided by the other CARES team members. The anticipated scope of work for patient treatments may include but is not limited to cold & flu, pneumonia, sprains, headaches, basic substance abuse support, assisting the unhoused, wound care, prescription refills, and other medical needs typically attended to in the urgent care setting. The goal of the APPs efforts is to expand access to care by meeting patients where they are. In collaboration with CARES, they can identify and remove barriers currently impeding community members access to routine and preventive medical care. While initial treatments would take place in the field, the ultimate goal would be to connect patients to the most appropriate level of care offered in the community. The APP may also serve as a temporary bridge in care for patients awaiting appointments with their primary care provider. The APP will provide similar in field services for VMFH patients who frequently utilize emergency department services and for recently discharged patients with a higher risk for readmission.

Essential Duties:

+ Interview and examine patients to determine a diagnosis. Prepare patients for routine procedures (measure blood pressure and temperature, etc.).

+ Order tests to ascertain the nature and extent of illnesses and injuries.

+ Prescribe medications and suggest lifestyle changes to remedy medical problems.

+ Provide therapeutic treatments; disinfect/stitch wounds and set bones.

+ Administer immunizations.

+ Make house calls to treat and follow-up with patients.

+ Cultivate a climate of trust and compassion for patients.

+ Maintain a safe and clean working environment by complying with procedures, rules and regulations; comply strictly with medical care regulations.

+ Protect patients and Fire Department employees by adhering to infection-control policies and protocols.

+ Review and maintain patients’ medical histories and records, record patients’ progress.

+ Educate and counsel patients and their families.

**Work environment:** This position will work in the field alongside fire department personnel and other first responders such as firefighters, EMTs, Social Workers, and/or substance use disorder professionals.. Work will frequently occur in a home or community setting.

Qualifications

License/Certification:

+ Current State ARNP/PA license with prescriptive authority.

+ CPR certification.

+ BCLS required.

Requirement: Must have at least 3-5 years of Primary Care Provider Experience.

Applicable background experience may also include:

- EMS, EMT, paramedicine experience

- Emergency Department and/or Urgent Care experience

- Military medicine background

Overview

Virginia Mason Franciscan Health has a rich history of providing exceptional healthcare, dating back to 1891. Building upon a legacy of compassionate care and innovation, our organization has evolved over the years through strategic partnerships and integrations to expand our reach and services across the Puget Sound area.

Today, as Virginia Mason Franciscan Health, we remain deeply committed to healing the whole person – body, mind, and spirit – in the communities we serve. This commitment is strengthened by the diverse expertise and shared values brought together through our growth.

Our dedicated providers offer a full spectrum of health care services, from routine wellness to complex disease management, all grounded in rigorous research and education. Our comprehensive network of 10 hospitals and nearly 300 care sites strategically located across the greater Puget Sound region reflects our ongoing commitment to accessibility and comprehensive care.

We are proud of our pioneering medical advances and numerous awards and accreditations that reflect our dedication to excellence. When you join Virginia Mason Franciscan Health, you become part of a team that delivers top-quality, professional healthcare in modern, well-equipped facilities, and contributes to a legacy of service built on collaboration and shared purpose.

Pay Range

$57.69 - $75.00 /hour

We are an equal opportunity/affirmative action employer.