Triad Adult and Pediatric Medicine Jobs

Triad Adult and Pediatric Medicine, Inc. (TAPM) is a Federally Qualified Health Center in Guilford County, North Carolina with six (6) locations seeking to fill the position of a Chief Medical Officer. Under the administrative direction of the Chief Executive Officer (CEO), the Chief Medical Officer (CMO) is responsible for clinical compliance with all medical policies, staffing, directives, rules, regulations and clinical performance standards of the State, Federal Government, Local entities and health center bylaws and accrediting bodies. The CMO serves as the organization's point person on medical and clinical issues. The CMO provides professional medical services as appropriate, and other related work, as designated by the Chief Executive Officer including, but not limited to, essential job functions. Ensures all medical providers meet required maintenance of certification, trainings and that mid-level providers comply with the rules and regulations governing their practice standards. The Chief Medical Offer also provides primary care for clients two days per week and ensures that patients have access to inpatient, outpatient, and specialty care services in collaboration with other center providers and referral management team members. POSITION QUALIFICATIONS Core Competencies/Skill Sets: * A minimum of two - four years of leadership experience in an inpatient or outpatient setting is preferred; experience treating and managing care for a culturally diverse population is a plus. * Demonstrate a broad knowledge and/or experience with the Federal regulations related to the operation of a Federally Qualified Health Center (FQHC). * High standards of personal integrity, ability to supervise and manage people, systems, possess with excellent communication skills and the ability to lead; previous experience in a Physician Executive/Leadership role is a plus. * Demonstrated experience in utilization management, quality management and patient safety programs. * Strong independent decision-making, negotiating and analytical skills; as well as personnel development, team building and mentoring skills. Responsibilities: * Directs and oversees all daily aspects of the clinical and quality functions of the organization. * Establish, monitor, and improve the standards of care through performance benchmarks and goals. * Develops and recommends strategies to enhance clinical performance, effectiveness, efficiencies, productivity, and compliance of all clinical functions. * Manages a 25 member plus provider team including but not limited to: MD's, NP's, PA's, LCSW's, etc. * Oversees in conjunction with the CEO other departments that have direct linkage to clinical functions: Behavioral Health, Care Coordination, Nutrition and Nursing. * Provides direct oversight for the clinical quality team and works with the Quality Director to reach quality goals and increase performance measures and outcomes. * Oversees peer-review program. * Oversees provider productivity and coding, providing direction and facilitates annual coding trainings. * Develops, manages, and implements clinical policies and protocols for appropriate patient care. * Ensures clinical compliance with all local, state, and federal government requirements. * Conducts annual performance evaluations for providers. * Coordinates, evaluates, and oversees physician specialty clinics. * Facilitates provider meetings and/or trainings on a monthly basis. * Provides mentorship to new providers. * Provides direct patient care at least two full days per week with 3 days of administrative and supervision time. * Works closely with the area hospitals and agencies to facilitate care coordination and linkage for continuum of care. * Provides a thorough orientation program for new providers and appropriate clinical and quality team members. Professional Experience/Educational Requirements: * Medical Doctor or Doctor of Osteopathy and board certification in chosen primary care specialty of Internal Medicine or Family Medicine. Certification/Licensure: * Have and maintain an active "unrestricted" medical license in the State of North Carolina.

Up to 20K Sign-on Bonus Based on Eligibility RN ICU Full Time Nights Provide, promote and maintain quality patient care during diagnostic and therapeutic imaging procedures through education, standards of practice, professional growth, and collaboration with other multidisciplinary health care providers. RN ICU FULL TIME NIGHTS CANDIDATE WILL POSSESS THE FOLLOWING EDUCATION, LICENSE/CERTIFICATIONS, AND EXPERIENCE. The requirements listed below are representative of the knowledge, skill, and/or ability required. In accordance with The Americans with Disabilities Act (ADA), it is possible that requirements may be modified to reasonably accommodate disabled individuals. However, no accommodations will be made which may pose serious health or safety risks to the employee or others or which impose undue hardships on the organization. Education/Other Minimum Education: Associates degree in Nursing required. Minimum Experience: Each candidate's previous clinical experience is reviewed to determine acceptable experience. One year of telemetry experience preferred. CCRN preferred. Required Certifications/Registrations/Licenses: A valid Permanent Multi-State RN License from the state in which you reside is required. Should you hold a RN license from another Compact state, you are required to apply for and obtain a Multi-State RN License from the state in which you reside within 30 days. American Heart Association BLS CPR required. American Heart Association ACLS is required within orientation period for ICU/CCU, SICU, and CVICU. American Heart Association ACLS is required within 6 months of hire for PCU, CVTELE and Observation. ********** Employment practices will not be influenced or affected by an applicant's or employee's race, color, religion, sex (including pregnancy), national origin, age, disability, genetic information, sexual orientation, gender identity or expression, veteran status or any other legally protected status. Tenet will make reasonable accommodations for qualified individuals with disabilities unless doing so would result in an undue hardship.

Nursing Supv CV Tele Full Time Days The Clinical Supervisor in collaboration with the Director is responsible for the continuous safe operation of the assigned department including all aspects of patient care, staffing, fiscal responsibility and strategic goals of the unit. Is a designated leader responsible for implementation, supervision, and evaluation of safe patient care while promoting a safe environment for employees, families, and visitors. The Clinical Supervisor maintains clinical and professional competency as appropriate to the ages, developmental stages, and special needs of the population. Service Sevice Excellence behavior is promoted at all times. THE NURSING SUPERVISOR CV TELE FULL TIME DAYS CANDIDATE WILL POSSESS THE FOLLOWING EDUCATION, LICENSE/CERTIFICATIONS, AND EXPERIENCE. Competent in all areas assigned. Proven leadership skills to include achievement, management, interpersonal relations, problem solving, critical thinking, positive communications, and personal performance. Minimum Licensure and Certification: A valid Permanent Multi-State RN License from the state in which you reside is required. Should you hold a RN license from another Compact state, you are required to apply for and obtain a Multi-State RN License from the state in which you reside within 30 days. CPR required. Other certifications required are determined by specific unit. BSN preferred or actively in pursuit of degree with designated graduation date. Relevant mandatory certifications for department within orientation period. Minimum Experience/Additional Certification: 2-3 years of Acute Care or comparable experience with demonstrated leadership ability. Certifications as required by designated unit assignment. ********** Employment practices will not be influenced or affected by an applicant's or employee's race, color, religion, sex (including pregnancy), national origin, age, disability, genetic information, sexual orientation, gender identity or expression, veteran status or any other legally protected status. Tenet will make reasonable accommodations for qualified individuals with disabilities unless doing so would result in an undue hardship.

Up to $20,000 Sign-on Bonus Based on Eligibility NO CALL REQUIRED! *Every other weekend also an option * RN Operating Room Full Time Nights The Registered Nurse under the direction of the Department Director and/or Charge Nurse, provides direct and/or indirect, safe and effective professional nursing care. RN assumes responsibility for assessing, planning, implementing, and evaluating health care needs of all patients assigned. Provides nursing care to a patient population ranging from infant to geriatric, unless otherwise indicated. Works collaboratively with the health care team, is customer focused and strives to meet unit and hospital goals. Provides quality nursing care according to established practice standards and guidelines for the area(s) assigned. Must be willing/able to float to other (comparable) nursing units, as requested/needed. THE RN OPERATING ROOM FULL TIME NIGHTS CANDIDATE WILL POSSESS THE FOLLOWING EDUCATION, LICENSE/CERTIFICATIONS, AND EXPERIENCE: To perform this job successfully, an individual must be able to perform each essential duty satisfactorily. The requirements listed below are representative of the knowledge, skill, and/or ability required. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions. Education 1. Current unrestricted RN license in the State of South Carolina 2. Attends IV Therapy training and/or demonstrates competency in intravenous therapy within one year 3. Maintains competency and/or certification specific to departmental requirements 4. Must have current BCLS and ACLS certifications 5. Advanced certification in specialty field and/or participation in professional organization(s) encouraged Other Qualifications 1. Previous hospital experience preferred 2. Must have management and teaching ability 3. Must be able to assume the role of a Charge Nurse as needed/requested ********** Employment practices will not be influenced or affected by an applicant's or employee's race, color, religion, sex (including pregnancy), national origin, age, disability, genetic information, sexual orientation, gender identity or expression, veteran status or any other legally protected status. Tenet will make reasonable accommodations for qualified individuals with disabilities unless doing so would result in an undue hardship.

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. Operational Excellence Ensure the delivery of all dental treatment and care is consistent with all regulatory, accreditation, and professional standards, including clinic policies and quality initiatives. Participate in peer review and TAPM Quality Assurance/Improvement surveys and actions.

The primary purpose of this position is to perform billing, payment posting and denial management for physician and dental providers. Job Responsibilities: Maintain daily medical and dental charge entry functions for designated site(s) Audit patient accounts for demographic & insurance accuracy. Files claims to secondary insurance (i.e. Medicaid, Carolina Access, PHP Plans, Tailored, Commercial Payers or Medicare) for payments. Respond to all inquiries and correspondences from patients and insurance companies. Maintain the A/R work queues for designated site(s) Back up front office duties which may include answering incoming calls, appointment scheduling and outbound appointment reminder calls. Obtain and correct missing or incorrect information to patient accounts from insurance companies, as needed. Develop and maintain strong working relationships within the billing team and finance department. Maintain patient confidentiality and provides customer service. Abide by all company policies regarding safety/health rules and regulations. Adapts to various situations and adjusts to shifting priorities. Perform other tasks as assigned. Job duties require a high school education with additional specialized courses in medical/dental terminology. Must have a working knowledge of medical/dental billing, working knowledge of commercial billing, strong computer skills, strong written communication skills, denial management, phone etiquette and be a team player. Must maintain current NC driver's license for occasional outside travel. Minimum Qualifications Include Three (3) years of billing experience within the healthcare industry, to include knowledge of third-party physician billing and collections, customer service, cash application, payment analysis and denial management. Dental coding and billing Commercial and Medicaid Billing experience Denial Management experience

***$20,000 SIGN ON BONUS*** RN Clinical Obs Full Time Nights Provide, promote and maintain quality patient care during diagnostic and therapeutic imaging procedures through education, standards of practice, professional growth, and collaboration with other multidisciplinary health care providers. THE RN CLINICAL OBS FULL TIME NIGHTS CANDIDATE WILL POSSESS THE FOLLOWING EDUCATION, LICENSE/CERTIFICATIONS, AND EXPERIENCE. The requirements listed below are representative of the knowledge, skill, and/or ability required. In accordance with The Americans with Disabilities Act (ADA), it is possible that requirements may be modified to reasonably accommodate disabled individuals. However, no accommodations will be made which may pose serious health or safety risks to the employee or others or which impose undue hardships on the organization. Minimum Education: Associates degree in Nursing required. Minimum Experience: Each candidate's previous clinical experience is reviewed to determine acceptable experience. One year of telemetry experience preferred. Required Certifications/Registrations/Licenses: A valid Permanent Multi-State RN License from the state in which you reside is required. Should you hold a RN license from another Compact state, you are required to apply for and obtain a Multi-State RN License from the state in which you reside within 30 days. American Heart Association BLS CPR required. American Heart Association ACLS is required within 6 months of hire for PCU #LI-CG2 ********** Employment practices will not be influenced or affected by an applicant's or employee's race, color, religion, sex (including pregnancy), national origin, age, disability, genetic information, sexual orientation, gender identity or expression, veteran status or any other legally protected status. Tenet will make reasonable accommodations for qualified individuals with disabilities unless doing so would result in an undue hardship.

Under direct supervision, provides assistance to the provider and clinical staff of Triad Adult and Pediatric Medicine (TAPM) in order to provide direct, quality patient care to adult and/or pediatric patients. Job Responsibilities: Assists provider staff during examinations, treatments, and testing. Refers to and follows provider staff orders in accordance with agency protocols, policies and procedures when performing patient care and clinical skills including but not limited to: venipuncture, immunization injections, ear irrigation, administration of medications, dental varnishings, catherizations, specimen collections, etc., and completes necessary documentation. Retrieves information from patient charts for lab and diagnostic tests, and obtains required patient signature on appropriate consent forms, as requested by provider staff. Performs patient intake and prepares patients for office visit per policy and procedure. In collaboration with provider staff, supports entry and recording of visit charges per protocol and advises patients of follow up appointments as directed by provider staff. When requested, ensures referral forms and other paperwork initiated by provider staff is complete and accurate. Requisitions, organizes, and stocks inventory for examination rooms and nurse's station, as needed. Disposes of all disposables, contaminated, and used items into designated waste containers. Cleans and stocks examination rooms and stations as needed. Participates in ongoing quality improvement monitoring, educational updates, in-services, and other meetings pertaining to position. Promotes team, system, and organizational goals; maintains patient confidentiality and provides customer service. Abides by all company policies, procedures and protocols regarding safety/health rules and regulations. Adapts to various situations and adjusts to shifting priorities. Performs other duties as assigned. Floats to other clinic sites upon request to meet staffing and coverage needs. Preparation and Training: Job duties require a high school education with additional broad technical training in a nationally recognized Medical Assistant Program. Must either be a currently Certified or Registered Medical 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/English skills. Must maintain current CMA/RMA designation, CPR certification, and a NC driver's license for occasional outside travel. Experience: With the above skills, education, and at least one year of previous clinical experience (preferably in ambulatory care), it would take approximately 3-12 months to become proficient with the policies, procedures, and protocol utilized by Triad Adult and Pediatric Medicine. Analytical Ability: Repetitive routine, or semi-routine duties, involving the use of numerous established clerical, statistical, and/or other general procedures. Involves average detail and variation, and where the employee is responsible for recognition of previously described sets of circumstances and can refer to an appropriate licensed nurse or provider within limits of clearly prescribed standard practices and procedures. Tasks are: performed frequently in the daily care of patients in the office setting, performed according to an established sequence of steps, may be performed with a predictable outcome; and do NOT involve ongoing assessment, interpretation or decision making that cannot be logically separated from the tasks themselves. Independent Judgement: Under general supervision, whereby standard practice enables the employee to proceed alone on regular duties, referring questionable cases to supervisor or others. Responsibility of Equipment or Process: Limited - makes minor adjustments to equipment; testing and measuring devices; however, equipment is not “sensitive” and damages are unlikely under normal use and care. Testing/measuring equipment includes: crash cart, oxygen tanks, glucometer, strept test kit, scales, thermometer, pulse oximeter, nebulizer, hemoglobin machine, dinamapp, tape measure, Accuchecks, Hemmocues, Snellen charts, IV starts, and other equipment and devices as assigned. Material or Product: Errors with the incorrect storage of certain medications could go undetected and could result in some or total loss of medication, which would prove costly to TAPM, as well as affect patient goodwill/care (if error is not caught). Misuse of biohazard materials could mean OSHA fines and/or penalties. Safety of Others: Safety of others depends entirely on the correct action of employee on job being rated. Errors, such as incorrectly administered medications, injections, and/or other treatments, should they occur, could result in serious or fatal repercussions for the patient. Responsibility for Work of Others: Responsible for own work only. Working Conditions: Working conditions can be stressful and fast-paced. Must be able to work and deal effectively with changing situations, varying workloads, interruptions, etc. Frequently exposed to communicable diseases, biohazardous substances, medicinal preparations, and other conditions conducive to a clinical environment. Mental Attention or Visual Demand: Continuous mental and visual attention and manual dexterity when attending to patient care and medical record keeping; usually repetitive work or diversified operations requiring constant alertness or activity. Must have acute visual perception for patient care and record keeping requirements and be able to distinguish colors. Must be able to communicate via telephone and other automation vehicles. Normal or corrected vision is required in order to visualize computer screens, medical record forms, and equipment screens. Normal or corrected hearing is required for hearing blood pressures, monitor alarms, and building alarms, etc. Physical Demand: Position requires frequent standing/walking for extended periods of time. Must be able to touch/feel, and grip/grasp equipment/tools, and testing devices. Also requires stooping, bending, stretching, reaching, and twisting. Must lift/carry patients or equipment weighing approximately 25-40 pounds four or more times per hour, including but not limited to car seats and diaper bags, and occasionally push/pull occupied wheelchairs, strollers, etc. weighing approximately 15-60 pounds. Hazards: If precautionary measures are not adhered to, this position could come in direct contact with infectious/communicable diseases, biohazard waste materials, needle pricks, etc. Safety: Triad Adult & Pediatric require that all employee work in a safe manner with regards to themselves and their co-workers. Any unsafe acts or condition are to be reported immediately. Quality Improvement Must understand and help enforce the meaning of quality improvement:” The combined and unceasing efforts of everyone-healthcare professionals, patients, and their families, researchers, payers, planners and educators-to make the change that will lead to better patient outcomes, better system performance and better professional development.”(Batalden, 2007). Committed to promoting TAPM as a medical home and incorporating the core components of a Patient Centered Medical Home into your position on a daily basis. Patient Centered Comprehensive care Team-based Coordinated Accessible Focusing on Quality and Safety ----- Loan Repayment Opportunities As a Federally Qualified Health Center (FQHC), Triad Adult and Pediatric Medicine, Inc. has access to resources to assist with the repayment of federal loans if the recipient practices within one of the following disciplines: Family Medicine Physician (MD or DO) Family Nurse Practitioner (FNP) Pediatric Nurse Practitioner (PNP) Physician Assistant (PA) Pediatrician (MD or DO) LCSWs Nurses National Health Service Corp program at ***********************************

The Clinical Psychiatrist will evaluate, diagnose and treat patients with mental disorders. This role is integrated within the primary care clinic to function as a member of multi-disciplinary and administration teams in the provision of mental health and substance use screening protocols for adult & pediatric patients. This role may prescribe medication or suggest therapy according to their patents' needs. Job Responsibilities: Helps patients by evaluating medical and psychosocial conditions. Develops and implements treatment plans, including prescription of psychotropic medications. Monitors and evaluates treatment results. Evaluates patients by interviewing patient, family, and other persons; conducting physical examinations; observing behaviors; reviewing medical history and related documents; selecting, administering, and interpreting psychological tests; and ordering laboratory tests and evaluating results. Develops treatment plans by determining nature and extent of cognitive, emotional, developmental, social, and behavioral disorders and establishing treatment goals and methodologies. Treats patients by utilizing psychotherapeutic methods and medications; discussing progress toward goals with patients; providing instructions; monitoring effect of medications; and supervising staff provision of services. Maintains interdisciplinary treatment by reviewing treatment plans and progress, and consulting and collaborating with primary care physicians, mental health therapists, nurses, and other health care providers. Assures quality and safe service for patients and staff by enforcing policies, procedures, standards, rules, Joint Commission for Accreditation of Health Care Organizations requirements, and legal regulations; participating in utilization reviews; and remaining available for emergency consultations. Improves staff competence by providing training and discussions regarding the interrelationship between psychosocial and physiological problems, psychotropic medications, crisis intervention, and related issues. Maintains historical records by documenting symptoms, medications, and treatment events and writing summaries. Updates job knowledge by participating in continuing medical educational opportunities, reading professional publications, maintaining personal networks, and participating in professional organizations. Enhances department and organization reputation by accepting ownership for accomplishing new and different requests and exploring opportunities to add value to job accomplishments. Qualifications: Strong interpersonal and communication skills Strong documentation and monitoring skills Proven ability to analyze information and to think critically Excellent decision-making and listening skills Excellent patient service, care and bedside manner Preparation and Training: Completion of a psychiatric residency or a family medicine/psychiatry residency in an ACGME approved residency program Current BC/BE in Psychiatry (American Board of Psychiatry and Neurology in psychiatry) Valid state medical license as MD or DO Valid DEA certificate 2 years' experience working full-time as a psychiatrist in child/adult psychiatry Independent Judgment: Under general direction, works from organizational policies and objectives with little functional guidance. Rarely refers specific cases to supervisor unless clarification or interpretation of policies is required. Working Conditions: Flexible work hours are necessary at times for this position. Work requires contact with clients, family members and other professional disciplines and service agencies. Contacts may also include volunteers, court officials, interns and residents. These contacts involve an exercise of influence, tactful judgement, and proper conduct in order to negotiate matters and carry out policies and programs for the best interests of the company/patient. Applicant must be medically able to work and manage effectively with changing situations, varying workloads, interruptions, etc. in a fast-paced environment. Employees may be exposed to communicable diseases, biohazard substances, and other conditions found in a clinical environment. Travel will be required to outside agencies at times. Mental Attention or Visual Demand: Job requires continuous mental and visual attention, and manual dexterity when attending to patient care and medical record keeping. Repetitive work functions and diversified operations require constant alertness or activity. May involve problems of correlation or application of reports, statistics, or other data. Must have acute visual perception for patient care and record keeping requirements. Must be able to communicate via telephone and other communication systems. Normal or corrected vision is required in order to view computer screens, medical record forms, and equipment screens. Normal or corrected hearing is required for hearing alarms and for other safety considerations. Character of Supervision: Immediate supervision over a unit, section or department where most of the time is spent assigning, reviewing, checking work, eliminating difficulties and whereby procedures are standardized. Physical Demands: Position may require frequent standing/walking for extended periods of time. Safety: Triad Adult & Pediatric require that all employee work in a safe manner with regards to employees and patients. Any unsafe acts or conditions are to be reported immediately. Quality Improvement Must understand and help enforce the meaning of quality improvement:” The combined and unceasing efforts of everyone-healthcare professionals, patients, and their families, researchers, payers, planners and educators-to make the change that will lead to better patient outcomes, better system performance and better professional development.”(Batalden, 2007). Committed to promoting TAPM as a medical home and incorporating the core components of a Patient Centered Medical Home into your position on a daily basis. Patient Centered Comprehensive care Team-based Coordinated Accessible Focusing on Quality and Safety -------- Loan Repayment Opportunities As a Federally Qualified Health Center (FQHC), Triad Adult and Pediatric Medicine, Inc. has access to resources to assist with the repayment of federal loans if the recipient practices within one of the following disciplines: Family Medicine Physician (MD or DO) Family Nurse Practitioner (FNP) Pediatric Nurse Practitioner (PNP) Physician Assistant (PA) Pediatrician (MD or DO) LCSWs Nurses National Health Service Corp program at ***********************************

Provides direct patient care services by independently and interdependently scheduling, supervising, and/or conducting complex diagnostic and therapeutic procedures. This position independently participates 1n 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. Revlews school reports, psychological evaluations, DEC evaluations, IEP's, Early Intervention Reports, etc. with regaids 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. Analytical Ability: Works on highly technical or complicated projects or problems presenting a variety of new or constantly changing variables or considerations. Duties require outstanding judgment, creativity, initiative, and the ability to deal with complex factors and abstract concepts not easily evaluated; to apply logical or scientific thought processes to a wide range of issues and problems, and to make decisions based on conclusions for which there is little precedent. Independent Judgment: Under general direction, works from company policies and general objectives with little functional guidance. Rarely refers specific cases to supervisor unless clarification or interpretation of company policies is involved. Consequences of Error: Incorrect assessments or treatments (including incorrect prescribing/administering prescriptions) during patient care could present possible long-term consequences, permanent disabilities, or even death for the patient. Errors resulting in potential lawsuits/OSHA fines would present excessive costs or losses to TAPM. Duties may involve the effective recommendation of company policies and protocols or the preparation and presentation of data on which top management bases major decisions. Materials or Products: Errors with the incorrect storage of certain medications could go undetected and could result in some or total loss of medication, which would be costly to TAPM, as well as affect patient goodwill/care (if err or is not caught). Misuse of biohazard materials could mean OSHA fines and/or penalties. Equipment: Limited - makes minor adjustments to equipment, testing, and measuring devices; however, equipment is not “sensitive” and damages are unlikely under normal use and care. Testing/measuring equipment includes crash cart, oxygen tanks, stethoscope, otoscope, ophthalmoscope, reflex hammer, tympanogram, stadiometer, glucometer, strep test kit, scales, thermometer, pulse oximeter, nebulizer, hemoglobin machine, dinocap, nebulizer, tape measure, accuchecks, hemmocues, snelling charts, bulb suctions, IV starts, etc. Interpersonal Contacts: Outside and/or inside contacts with supervising and other clinic/hospital physicians, employees of TAPM, patients, families of patients, outside community agencies, community nurses, schools, etc. These contacts involve an exercise of influence, tactful judgment, and proper conduct in order to negotiate matters, and carry out policies and programs for the best interests of the company/patient. This position also deals with persons of substantially higher rank on matters requiring explanation, discussion, persuasion, and obtaining approvals, whereby improper handling could have a marked effect on operating results. Considerable tact is required. Confidential Information: Works with some confidential data of major importance, such as patient records, and patient/family salary/personal information, which, if disclosed, may be detrimental to the company's interests. Working Conditions: Patient care setting where working conditions can be stressful and fast-paced. Must be able to work and deal effectively with changing situations, varying workloads, interuptions, etc. Frequently exposed to communicable diseases, biohazard substances, medicinal preparations, and other conditions conducive to a clinical environment. Mental Attention or Visual Demand: Continuous mental and visual attention and manual dexterity when attending to patient care and medical record keeping; usually repetitive work or diversified operations requiring close application of thought processes for sustained periods of time and constant alertness. May involve problems of correlation or application of reports, statistics, or other data. Must have acute visual perception for patient care and record keeping requirements and be able to distinguish colors. Must be able to communicate via telephone and other automation vehicles. Normal or corrected vision is needed in order to visualize computer screens, medical record forms, and equipment screens. Normal or corrected hearing is required for hearing blood pressures and other diagnostic equipment, monitor alarms, and building alarms, etc. Physical Demand: Position requires frequent standing/walking for extended periods of time. Must be able to touch/ feel, and grip/grasp equipment/tools, and testing devices. Position also requires stooping, bending, stretching, reaching, and twisting. Must lift/carry young children weighing approximately 25-40 pounds, four or more times per hour, and occasionally push/pull occupied wheelchairs weighing approximately 15-60 pounds. Hazards: If precautionary measures are not adhered to, this position could be susceptible to contact with infectious/communicable diseases, biohazard waste materials, needle pricks, etc. Safety: Triad Adult & Pediatric require that all employee work in a safe manner with regards to themselves and their co-workers. Any unsafe acts or conditions are to be reported immediately. Quality Improvement Must understand and help enforce the meaning of quality improvement:” The combined and unceasing efforts of everyone-healthcare professionals, patients, and their families, researchers, payers, planners and educators- to make the change that will lead to better patient outcomes, better system performance and better professional development.” (Batalden, 2007). Committed to promoting TAPM as a medical home and incorporating the core components of a Patient Centered Medical Home into your position on a daily basis. Patient Centered Comprehensive care Team-based Coordinated Accessible Focusing on Quality and Safety ------ Loan Repayment Opportunities As a Federally Qualified Health Center (FQHC), Triad Adult and Pediatric Medicine, Inc. has access to resources to assist with the repayment of federal loans if the recipient practices within one of the following disciplines: Family Medicine Physician (MD or DO) Family Nurse Practitioner (FNP) Pediatric Nurse Practitioner (PNP) Physician Assistant (PA) Pediatrician (MD or DO) LCSWs Nurses National Health Service Corp program at ***********************************

Triad Adult and Pediatric Medicine, Inc. (TAPM) is a Federally Qualified Health Center in Guilford County, North Carolina with six (6) locations seeking to fill the position of a Chief Medical Officer. Under the administrative direction of the Chief Executive Officer (CEO), the Chief Medical Officer (CMO) is responsible for clinical compliance with all medical policies, staffing, directives, rules, regulations and clinical performance standards of the State, Federal Government, Local entities and health center bylaws and accrediting bodies. The CMO serves as the organization's point person on medical and clinical issues. The CMO provides professional medical services as appropriate, and other related work, as designated by the Chief Executive Officer including, but not limited to, essential job functions. Ensures all medical providers meet required maintenance of certification, trainings and that mid-level providers comply with the rules and regulations governing their practice standards. The Chief Medical Offer also provides primary care for clients two days per week and ensures that patients have access to inpatient, outpatient, and specialty care services in collaboration with other center providers and referral management team members. POSITION QUALIFICATIONS Core Competencies/Skill Sets: A minimum of two - four years of leadership experience in an inpatient or outpatient setting is preferred; experience treating and managing care for a culturally diverse population is a plus. Demonstrate a broad knowledge and/or experience with the Federal regulations related to the operation of a Federally Qualified Health Center (FQHC). High standards of personal integrity, ability to supervise and manage people, systems, possess with excellent communication skills and the ability to lead; previous experience in a Physician Executive/Leadership role is a plus. Demonstrated experience in utilization management, quality management and patient safety programs. Strong independent decision-making, negotiating and analytical skills; as well as personnel development, team building and mentoring skills. Responsibilities: Directs and oversees all daily aspects of the clinical and quality functions of the organization. Establish, monitor, and improve the standards of care through performance benchmarks and goals. Develops and recommends strategies to enhance clinical performance, effectiveness, efficiencies, productivity, and compliance of all clinical functions. Manages a 25 member plus provider team including but not limited to: MD's, NP's, PA's, LCSW's, etc. Oversees in conjunction with the CEO other departments that have direct linkage to clinical functions: Behavioral Health, Care Coordination, Nutrition and Nursing. Provides direct oversight for the clinical quality team and works with the Quality Director to reach quality goals and increase performance measures and outcomes. Oversees peer-review program. Oversees provider productivity and coding, providing direction and facilitates annual coding trainings. Develops, manages, and implements clinical policies and protocols for appropriate patient care. Ensures clinical compliance with all local, state, and federal government requirements. Conducts annual performance evaluations for providers. Coordinates, evaluates, and oversees physician specialty clinics. Facilitates provider meetings and/or trainings on a monthly basis. Provides mentorship to new providers. Provides direct patient care at least two full days per week with 3 days of administrative and supervision time. Works closely with the area hospitals and agencies to facilitate care coordination and linkage for continuum of care. Provides a thorough orientation program for new providers and appropriate clinical and quality team members. Professional Experience/Educational Requirements: Medical Doctor or Doctor of Osteopathy and board certification in chosen primary care specialty of Internal Medicine or Family Medicine. Certification/Licensure: Have and maintain an active “unrestricted” medical license in the State of North Carolina.

Work in this class involves providing comprehensive, complex nutrition and health education services to patients with a variety of medical/nutritional problems. Employees have a thorough knowledge of disease pathophysiology in relation to nutritional theories and practices. Employees deal with acute, chronic, and terminally ill clients/patients who are characterized as medical high risk. Employees participate in developing clinic flow, patient referral criteria, operation standards, and procedures. Employees will serve as a technical resource and provide training to other staff. Work may include other related assignments as determined by the management. Employees report to the Program Management Team. Employees receive complex, critical referrals, requiring independent analysis of clients' medical condition, researching nutritional requirements of the respective medical problems, and creation of a treatment plan in concert with an interdisciplinary team approach. Employees may provide technical consultation and training to clinicians in developing the nutrition component of the care plan. Employees interpret medical and laboratory information and discuss hospital referred treatment plans, interpreting their application to the home environment. Guidelines include standardized assessments, professional reference materials, nutritional program reference manuals, medical reference, and professional standards. Employees must independently apply these guidelines, program goals, and standards or seek advice from either a higher lever nutritionist or the program management team. Essential Duties: · Support medical staff in addressing nutrition and weight issues with all patients · Counsel interested patients/families in healthy food choices and physical activity · Maintain database of patients counseled · Plan patient care independently or in concert with an interdisciplinary team. · Meeting objectives and goals as directed by your supervisors. · Help program management develop resources (handouts, newsletters, demonstrations and other teaching tools) and forms as assigned and directed. · Meet with staff to review program and revise process. · Communicate regularly with providers on all their patients/families enrolled in program · Provide consultative service to school nurses, fitness program staff and other change agents. · Assists with special research projects; gathers comprehensive health education data and statistics; and makes proposals as needed based on these and trends in the health education field. · innovations. · Provides oversight for the Fun Fitness program at the designated location. · Represents the agency at community organizations; serves as a speaker before public groups, private organizations, and the general public as needed. · Performs related duties as required. · Travel as needed. Confidential Information: Works with confidential data: patient medical records, insurance, and billing information. Work Conditions: Job duties are performed in normal medical office working conditions. There will be exposure to patients with communicable diseases and blood borne pathogens; all necessary protective measures will be provided. Mental Attention or Visual Demand: Must be able to communicate via telephone and other automated devices. Mental/visual attention, along with manual coordination is necessary for keyboard operations at least 50% of the time. Normal or corrected hearing is required. Minimum Qualifications: Registered Dietitian Masters Degree with two year's work experience. Proficient in Microsoft Office Current NC Driver's License Safety of Others: Safety of others depends entirely on the correct action of employee on job being rated. Errors, such as incorrectly administered medications, injections, and/or other treatments, should they occur, could result in serious or fatal repercussions for the patient. Quality Improvement Must understand and help enforce the meaning of quality improvement:” The combined and unceasing efforts of everyone-healthcare professionals, patients, and their families, researchers, payers, planners and educators-to make the change that will lead to better patient outcomes, better system performance and better professional development.”(Batalden, 2007). Committed to promoting TAPM as a medical home and incorporating the core components of a Patient Centered Medical Home into your position on a daily basis. 1. Patient Centered 2. Comprehensive care 3. Team-based 4. Coordinated 5. Accessible 6. Focusing on Quality and Safety Triad Adult and Pediatric Medicine is an Equal Opportunity Employer.

Under direct supervision, provides assistance to the provider and clinical staff of Triad Adult and Pediatric Medicine (TAPM) in order to provide direct, quality patient care to adult and/or pediatric patients. Job Responsibilities: Assists provider staff during examinations, treatments, and testing. Refers to and follows provider staff orders in accordance with agency protocols, policies and procedures when performing patient care and clinical skills including but not limited to: venipuncture, immunization injections, ear irrigation, administration of medications, dental varnishings, catherizations, specimen collections, etc., and completes necessary documentation. Retrieves information from patient charts for lab and diagnostic tests, and obtains required patient signature on appropriate consent forms, as requested by provider staff. Performs patient intake and prepares patients for office visit per policy and procedure. In collaboration with provider staff, supports entry and recording of visit charges per protocol and advises patients of follow up appointments as directed by provider staff. When requested, ensures referral forms and other paperwork initiated by provider staff is complete and accurate. Requisitions, organizes, and stocks inventory for examination rooms and nurse's station, as needed. Disposes of all disposables, contaminated, and used items into designated waste containers. Cleans and stocks examination rooms and stations as needed. Participates in ongoing quality improvement monitoring, educational updates, in-services, and other meetings pertaining to position. Promotes team, system, and organizational goals; maintains patient confidentiality and provides customer service. Abides by all company policies, procedures and protocols regarding safety/health rules and regulations. Adapts to various situations and adjusts to shifting priorities. Performs other duties as assigned. Floats to other clinic sites upon request to meet staffing and coverage needs. Preparation and Training: Job duties require a high school education with additional broad technical training in a nationally recognized Medical Assistant Program. Must either be a currently Certified or Registered Medical 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/English skills. Must maintain current CMA/RMA designation, CPR certification, and a NC driver's license for occasional outside travel. Experience: With the above skills, education, and at least one year of previous clinical experience (preferably in ambulatory care), it would take approximately 3-12 months to become proficient with the policies, procedures, and protocol utilized by Triad Adult and Pediatric Medicine. Analytical Ability: Repetitive routine, or semi-routine duties, involving the use of numerous established clerical, statistical, and/or other general procedures. Involves average detail and variation, and where the employee is responsible for recognition of previously described sets of circumstances and can refer to an appropriate licensed nurse or provider within limits of clearly prescribed standard practices and procedures. Tasks are: performed frequently in the daily care of patients in the office setting, performed according to an established sequence of steps, may be performed with a predictable outcome; and do NOT involve ongoing assessment, interpretation or decision making that cannot be logically separated from the tasks themselves. Independent Judgement: Under general supervision, whereby standard practice enables the employee to proceed alone on regular duties, referring questionable cases to supervisor or others. Responsibility of Equipment or Process: Limited - makes minor adjustments to equipment; testing and measuring devices; however, equipment is not “sensitive” and damages are unlikely under normal use and care. Testing/measuring equipment includes: crash cart, oxygen tanks, glucometer, strept test kit, scales, thermometer, pulse oximeter, nebulizer, hemoglobin machine, dinamapp, tape measure, Accuchecks, Hemmocues, Snellen charts, IV starts, and other equipment and devices as assigned. Material or Product: Errors with the incorrect storage of certain medications could go undetected and could result in some or total loss of medication, which would prove costly to TAPM, as well as affect patient goodwill/care (if error is not caught). Misuse of biohazard materials could mean OSHA fines and/or penalties. Safety of Others: Safety of others depends entirely on the correct action of employee on job being rated. Errors, such as incorrectly administered medications, injections, and/or other treatments, should they occur, could result in serious or fatal repercussions for the patient. Responsibility for Work of Others: Responsible for own work only. Working Conditions: Working conditions can be stressful and fast-paced. Must be able to work and deal effectively with changing situations, varying workloads, interruptions, etc. Frequently exposed to communicable diseases, biohazardous substances, medicinal preparations, and other conditions conducive to a clinical environment. Mental Attention or Visual Demand: Continuous mental and visual attention and manual dexterity when attending to patient care and medical record keeping; usually repetitive work or diversified operations requiring constant alertness or activity. Must have acute visual perception for patient care and record keeping requirements and be able to distinguish colors. Must be able to communicate via telephone and other automation vehicles. Normal or corrected vision is required in order to visualize computer screens, medical record forms, and equipment screens. Normal or corrected hearing is required for hearing blood pressures, monitor alarms, and building alarms, etc. Physical Demand: Position requires frequent standing/walking for extended periods of time. Must be able to touch/feel, and grip/grasp equipment/tools, and testing devices. Also requires stooping, bending, stretching, reaching, and twisting. Must lift/carry patients or equipment weighing approximately 25-40 pounds four or more times per hour, including but not limited to car seats and diaper bags, and occasionally push/pull occupied wheelchairs, strollers, etc. weighing approximately 15-60 pounds. Hazards: If precautionary measures are not adhered to, this position could come in direct contact with infectious/communicable diseases, biohazard waste materials, needle pricks, etc. Safety: Triad Adult & Pediatric require that all employee work in a safe manner with regards to themselves and their co-workers. Any unsafe acts or condition are to be reported immediately. Quality Improvement Must understand and help enforce the meaning of quality improvement:” The combined and unceasing efforts of everyone-healthcare professionals, patients, and their families, researchers, payers, planners and educators-to make the change that will lead to better patient outcomes, better system performance and better professional development.”(Batalden, 2007). Committed to promoting TAPM as a medical home and incorporating the core components of a Patient Centered Medical Home into your position on a daily basis. Patient Centered Comprehensive care Team-based Coordinated Accessible Focusing on Quality and Safety ----- Loan Repayment Opportunities As a Federally Qualified Health Center (FQHC), Triad Adult and Pediatric Medicine, Inc. has access to resources to assist with the repayment of federal loans if the recipient practices within one of the following disciplines: Family Medicine Physician (MD or DO) Family Nurse Practitioner (FNP) Pediatric Nurse Practitioner (PNP) Physician Assistant (PA) Pediatrician (MD or DO) LCSWs Nurses National Health Service Corp program at ***********************************

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. Experience: Experience with provision of medical care to low income and indigent care patients preferred. An equivalent combination of education and experience considered; it would take approximately 3-5 years to become proficient with the policies, procedures, and protocol utilized by Triad Adult and Pediatric Medicine. Analytical Ability: Works on highly technical or complicated projects or problems presenting a variety of new or constantly changing variables or considerations. Duties require outstanding judgment, creativity, initiative, and the ability to deal with complex factors and abstract concepts not easily evaluated; to apply logical or scientific thought processes to a wide range of issues and problems, and to make decisions based on conclusions for which there is little precedent. Independent Judgment: Under general direction, works from company policies and general objectives with little functional guidance. Rarely refers specific cases to supervisor unless clarification or interpretation of company policies is involved. Consequences of Error: Errors: Incorrect assessments or treatments (including incorrect prescribing/administering prescriptions) during patient care could present possible long-term consequences, permanent disabilities, or even death for the patient. Errors resulting in potential lawsuits/OSHA fines would present excessive costs or losses to TAPM. Duties may involve the effective recommendation of company policies and protocols or the preparation and presentation of data on which top management bases major decisions. Materials or Products: Errors with the incorrect storage of certain medications could go undetected and could result in some or total loss of medication, which would be costly to TAPM, as well as affect patient goodwill/care (if error is not caught). Misuse of biohazard materials could mean OSHA fines and/or penalties. Equipment: Limited - makes minor adjustments to equipment, testing, and measuring devices; however, equipment is not “sensitive” and damages are unlikely under normal use and care. Testing/measuring equipment includes: crash cart, oxygen tanks, stethoscope, otoscope, ophthalmoscope, reflex hammer, tympanogram, stadiometer, glucometer, strept test kit, scales, thermometer, pulse oximeter, nebulizer, hemoglobin machine, dinamapp, nebulizer, tape measure, accuchecks, hemmocues, snelling charts, bulb suctions, IV starts, etc. Interpersonal Contacts: Outside and/or inside contacts with supervising and other clinic/hospital physicians, employees of TAPM, patients, families of patients, outside community agencies, community nurses, schools, etc. These contacts involve an exercise of influence, tactful judgment, and proper conduct in order to negotiate matters, and carry out policies and programs for the best interests of the company/patient. This position also deals with persons of substantially higher rank on matters requiring explanation, discussion, persuasion, and obtaining approvals, whereby improper handling could have a marked effect on operating results. Considerable tact is required. Confidential Information: Works with some confidential data of major importance, such as patient records, and patient/family salary/personal information, which, if disclosed, may be detrimental to the company's interests. Working Conditions: Patient care setting where working conditions can be stressful and fast-paced. Must be able to work and deal effectively with changing situations, varying workloads, interruptions, etc. Frequently exposed to communicable diseases, biohazard substances, medicinal preparations, and other conditions conducive to a clinical environment. Mental Attention or Visual Demand: Continuous mental and visual attention and manual dexterity when attending to patient care and medical record keeping; usually repetitive work or diversified operations requiring close application of thought processes for sustained periods of time and constant alertness. May involve problems of correlation or application of reports, statistics, or other data. Must have acute visual perception for patient care and record keeping requirements and be able to distinguish colors. Must be able to communicate via telephone and other automation vehicles. Normal or corrected vision is needed in order to visualize computer screens, medical record forms, and equipment screens. Normal or corrected hearing is required for hearing blood pressures and other diagnostic equipment, monitor alarms, and building alarms, etc. Physical Demand: Position requires frequent standing/walking for extended periods of time. Must able to touch/ feel, and grip/grasp equipment/tools, and testing devices. Position also requires stooping, bending, stretching, reaching, and twisting. Must lift/carry young children weighing approximately 25-40 pounds, four or more times per hour, and occasionally push/pull occupied wheelchairs weighing approximately 15-60 pounds. Hazards: If precautionary measures are not adhered to, this position could be susceptible to contact with infectious/communicable diseases, biohazard waste materials, needle pricks, etc. Safety: Triad Adult & Pediatric require that all employee work in a safe manner with regards to themselves and their co-workers. Any unsafe acts or condition are to be reported immediately. Quality Improvement Must understand and help enforce the meaning of quality improvement:” The combined and unceasing efforts of everyone-healthcare professionals, patients, and their families, researchers, payers, planners and educators-to make the change that will lead to better patient outcomes, better system performance and better professional development.”(Batalden, 2007). Committed to promoting TAPM as a medical home and incorporating the core components of a Patient Centered Medical Home into your position on a daily basis. 1. Patient Centered 2. Comprehensive care 3. Team-based 4. Coordinated 5. Accessible 6. Focusing on Quality and Safety ------- Loan Repayment Opportunities As a Federally Qualified Health Center (FQHC), Triad Adult and Pediatric Medicine, Inc. has access to resources to assist with the repayment of federal loans if the recipient practices within one of the following disciplines: Family Medicine Physician (MD or DO) Family Nurse Practitioner (FNP) Pediatric Nurse Practitioner (PNP) Physician Assistant (PA) Pediatrician (MD or DO) LCSWs Nurses National Health Service Corp program at ***********************************

Up to $20,000 Sign-on Bonus Based on Eligibility NO CALL REQUIRED! *Every other weekend also an option * RN Operating Room Full Time Nights The Registered Nurse under the direction of the Department Director and/or Charge Nurse, provides direct and/or indirect, safe and effective professional nursing care. RN assumes responsibility for assessing, planning, implementing, and evaluating health care needs of all patients assigned. Provides nursing care to a patient population ranging from infant to geriatric, unless otherwise indicated. Works collaboratively with the health care team, is customer focused and strives to meet unit and hospital goals. Provides quality nursing care according to established practice standards and guidelines for the area(s) assigned. Must be willing/able to float to other (comparable) nursing units, as requested/needed. THE RN OPERATING ROOM FULL TIME NIGHTS CANDIDATE WILL POSSESS THE FOLLOWING EDUCATION, LICENSE/CERTIFICATIONS, AND EXPERIENCE: To perform this job successfully, an individual must be able to perform each essential duty satisfactorily. The requirements listed below are representative of the knowledge, skill, and/or ability required. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions. Education 1. Current unrestricted RN license in the State of South Carolina 2. Attends IV Therapy training and/or demonstrates competency in intravenous therapy within one year 3. Maintains competency and/or certification specific to departmental requirements 4. Must have current BCLS and ACLS certifications 5. Advanced certification in specialty field and/or participation in professional organization(s) encouraged Other Qualifications 1. Previous hospital experience preferred 2. Must have management and teaching ability 3. Must be able to assume the role of a Charge Nurse as needed/requested ********** Employment practices will not be influenced or affected by an applicant's or employee's race, color, religion, sex (including pregnancy), national origin, age, disability, genetic information, sexual orientation, gender identity or expression, veteran status or any other legally protected status. Tenet will make reasonable accommodations for qualified individuals with disabilities unless doing so would result in an undue hardship.

Up to 20K Sign-on Bonus Based on Eligibility Provides direct patient care to include assessment, planning, implementation and evaluation of assigned patients. Collaborates with other professional disciplines to ensure effective patient care delivery and achievement of desired patient outcomes. Adheres to the Core Values of Piedmont Medical Center Nursing Service. Participates in the Shared Governance Model and adheres to the by laws. Adheres to Piedmont Medical Center Code of Conduct and ANA Standards for the Professional Nurse. Competencies are met as defined by the Nursing department and Department of education. THE RN CV ICU FULL TIME DAYS CANDIDATE WILL POSSESS THE FOLLOWING EDUCATION, LICENSE/CERTIFICATIONS, AND EXPERIENCE. Individuals must possess the ability to: 1. Perform each essential duty satisfactorily 2. Provide care utilizing the nursing process 3. Communicate effectively The requirements listed below are representative of the knowledge, skills, and/or abilities required. In accordance with the Americans with Disabilities Act (ADA), it is possible that requirements may be modified to reasonably accommodate disabled individuals. However, no accommodations will be made which may pose serious health or safety risks to the employee or others or which impose undue hardships on the organization. Minimum Licensure and Certification: A valid Permanent Multi-State RN License from the state in which you reside is required. Should you hold a RN license from another Compact state, you are required to apply for and obtain a Multi-State RN License from the state in which you reside within 30 days. BLS required. ACLS required within orientation period. Minimum Experience/Additional Certification: Each candidate's previous clinical experience is reviewed to determine acceptable experience. One year of telemetry experience preferred. CCRN preferred. ********** Employment practices will not be influenced or affected by an applicant's or employee's race, color, religion, sex (including pregnancy), national origin, age, disability, genetic information, sexual orientation, gender identity or expression, veteran status or any other legally protected status. Tenet will make reasonable accommodations for qualified individuals with disabilities unless doing so would result in an undue hardship.

Provides direct patient care services by independently and interdependently scheduling, supervising, and/or conducting complex diagnostic and therapeutic procedures. This position independently participates 1n 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. Revlews school reports, psychological evaluations, DEC evaluations, IEP's, Early Intervention Reports, etc. with regaids 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. Analytical Ability: Works on highly technical or complicated projects or problems presenting a variety of new or constantly changing variables or considerations. Duties require outstanding judgment, creativity, initiative, and the ability to deal with complex factors and abstract concepts not easily evaluated; to apply logical or scientific thought processes to a wide range of issues and problems, and to make decisions based on conclusions for which there is little precedent. Independent Judgment: Under general direction, works from company policies and general objectives with little functional guidance. Rarely refers specific cases to supervisor unless clarification or interpretation of company policies is involved. Consequences of Error: Incorrect assessments or treatments (including incorrect prescribing/administering prescriptions) during patient care could present possible long-term consequences, permanent disabilities, or even death for the patient. Errors resulting in potential lawsuits/OSHA fines would present excessive costs or losses to TAPM. Duties may involve the effective recommendation of company policies and protocols or the preparation and presentation of data on which top management bases major decisions. Materials or Products: Errors with the incorrect storage of certain medications could go undetected and could result in some or total loss of medication, which would be costly to TAPM, as well as affect patient goodwill/care (if err or is not caught). Misuse of biohazard materials could mean OSHA fines and/or penalties. Equipment: Limited - makes minor adjustments to equipment, testing, and measuring devices; however, equipment is not “sensitive” and damages are unlikely under normal use and care. Testing/measuring equipment includes crash cart, oxygen tanks, stethoscope, otoscope, ophthalmoscope, reflex hammer, tympanogram, stadiometer, glucometer, strep test kit, scales, thermometer, pulse oximeter, nebulizer, hemoglobin machine, dinocap, nebulizer, tape measure, accuchecks, hemmocues, snelling charts, bulb suctions, IV starts, etc. Interpersonal Contacts: Outside and/or inside contacts with supervising and other clinic/hospital physicians, employees of TAPM, patients, families of patients, outside community agencies, community nurses, schools, etc. These contacts involve an exercise of influence, tactful judgment, and proper conduct in order to negotiate matters, and carry out policies and programs for the best interests of the company/patient. This position also deals with persons of substantially higher rank on matters requiring explanation, discussion, persuasion, and obtaining approvals, whereby improper handling could have a marked effect on operating results. Considerable tact is required. Confidential Information: Works with some confidential data of major importance, such as patient records, and patient/family salary/personal information, which, if disclosed, may be detrimental to the company's interests. Working Conditions: Patient care setting where working conditions can be stressful and fast-paced. Must be able to work and deal effectively with changing situations, varying workloads, interuptions, etc. Frequently exposed to communicable diseases, biohazard substances, medicinal preparations, and other conditions conducive to a clinical environment. Mental Attention or Visual Demand: Continuous mental and visual attention and manual dexterity when attending to patient care and medical record keeping; usually repetitive work or diversified operations requiring close application of thought processes for sustained periods of time and constant alertness. May involve problems of correlation or application of reports, statistics, or other data. Must have acute visual perception for patient care and record keeping requirements and be able to distinguish colors. Must be able to communicate via telephone and other automation vehicles. Normal or corrected vision is needed in order to visualize computer screens, medical record forms, and equipment screens. Normal or corrected hearing is required for hearing blood pressures and other diagnostic equipment, monitor alarms, and building alarms, etc. Physical Demand: Position requires frequent standing/walking for extended periods of time. Must be able to touch/ feel, and grip/grasp equipment/tools, and testing devices. Position also requires stooping, bending, stretching, reaching, and twisting. Must lift/carry young children weighing approximately 25-40 pounds, four or more times per hour, and occasionally push/pull occupied wheelchairs weighing approximately 15-60 pounds. Hazards: If precautionary measures are not adhered to, this position could be susceptible to contact with infectious/communicable diseases, biohazard waste materials, needle pricks, etc. Safety: Triad Adult & Pediatric require that all employee work in a safe manner with regards to themselves and their co-workers. Any unsafe acts or conditions are to be reported immediately. Quality Improvement Must understand and help enforce the meaning of quality improvement:” The combined and unceasing efforts of everyone-healthcare professionals, patients, and their families, researchers, payers, planners and educators- to make the change that will lead to better patient outcomes, better system performance and better professional development.” (Batalden, 2007). Committed to promoting TAPM as a medical home and incorporating the core components of a Patient Centered Medical Home into your position on a daily basis. Patient Centered Comprehensive care Team-based Coordinated Accessible Focusing on Quality and Safety ------ Loan Repayment Opportunities As a Federally Qualified Health Center (FQHC), Triad Adult and Pediatric Medicine, Inc. has access to resources to assist with the repayment of federal loans if the recipient practices within one of the following disciplines: Family Medicine Physician (MD or DO) Family Nurse Practitioner (FNP) Pediatric Nurse Practitioner (PNP) Physician Assistant (PA) Pediatrician (MD or DO) LCSWs Nurses National Health Service Corp program at ***********************************

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 -------- Loan Repayment Opportunities As a Federally Qualified Health Center (FQHC), Triad Adult and Pediatric Medicine, Inc. has access to resources to assist with the repayment of federal loans if the recipient practices within one of the following disciplines: Family Medicine Physician (MD or DO) Family Nurse Practitioner (FNP) Pediatric Nurse Practitioner (PNP) Physician Assistant (PA) Pediatrician (MD or DO) LCSWs Nurses National Health Service Corp program at ***********************************

RN Admin Supervisor Full Time Nights Serves as the on-site administrative representative for the hospital on assigned shift: Manage, administrate and coordinate activities of Patient Care Services during assigned shift to ensure activities are consistent with Nursing and Organizational objectives, policies and procedures. Functions as a clinical and management resource. Serves as throughput coordinator: Assesses bed availability. Assigns rooms. Communicates with multidisciplinary departments internally and externally. Gathers and enters appropriate data into computer and PreAdmit Tracking for presenting admissions, observations, transfers and discharges. THE RN ADMIN SUPERVISOR FULL TIME NIGHTS CANDIDATE WILL POSSESS THE FOLLOWING EDUCATION, LICENSE/CERTIFICATIONS, AND EXPERIENCE. The requirements listed below are representative of the knowledge, skill, and/or ability required. In accordance with The Americans with Disabilities Act (ADA), it is possible that requirements may be modified to reasonably accommodate disabled individuals. However, no accommodations will be made which may pose serious health or safety risks to the employee or others or which impose undue hardships on the organization. Minimum Education: Associate degree or diploma in nursing, Bachelors degree in Nursing is preferred. Minimum Experience: Three years professional nursing, two years in a supervisory capacity preferred in an acute care environment. Administrative supervisory experience preferred. Required Certifications/Registrations/Licenses: A valid Permanent Multi-State RN License from the state in which you reside is required. Should you hold a RN license from another Compact state, you are required to apply for and obtain a Multi-State RN License from the state in which you reside within 30 days. American Heart Association BLS CPR required. American Heart Association ACLS required within orientation period. Notary within 90 days of employment preferred. ********** Employment practices will not be influenced or affected by an applicant's or employee's race, color, religion, sex (including pregnancy), national origin, age, disability, genetic information, sexual orientation, gender identity or expression, veteran status or any other legally protected status. Tenet will make reasonable accommodations for qualified individuals with disabilities unless doing so would result in an undue hardship.