Nurse Practitioner / Physician Assistant

Position Overview

PPGT is seeking a Clinician who provides comprehensive reproductive healthcare services to patients. This role is part of the Health Services team and works in collaboration with various team members to meet the clinical needs of patients according to affiliate protocols. The Clinician performs history reviews, physical examinations, counseling, diagnosis, treatment (including contraception recommendations), and lab test ordering/interpreting both via telehealth and in-person visits. With a dual reporting structure, the Clinician reports directly to the Health Services Regional Director while receiving clinical supervision from the Director of Clinical Services. The role is integral to upholding quality, safety, and risk awareness within the organization.

Key Responsibilities

• Performs physical examinations with an emphasis on the reproductive system including breast exams, pelvic/genital exams, cancer screening tests, and STI diagnosis, as well as specialized procedures (e.g., gender affirming hormone therapy).
• Orders and interprets diagnostic studies per medical protocols and performs lab testing in accordance with CLIA regulations.
• Provides patient care following Medical Standards and Guidelines, consulting supervising physicians when deviations occur.
• Delivers health instruction and education on family planning, sexual counseling, and overall health promotion.
• Documents exam findings and clinical details accurately in the medical record.
• Codes billable services accurately using accepted practices such as E&M, CPT, and ICD-10.
• Ensures compliance with affiliate policies, state medical practice acts, and related regulations.
• Recognizes ethical, legal, and professional issues in providing patient care.
• Initiates follow-up on abnormal test results and referrals per PPGT Medical Standards.
• Stays informed about current contraceptive technology and reproductive healthcare issues.
• Collaborates with the Health Center Manager and support staff to meet center goals.
• Manages time efficiently to achieve 3-4 clinician visits per hour and meet productivity targets.
• Practices patient-centered care to ensure high patient satisfaction and exemplary customer service.
• Responds to medical emergencies as defined in the protocols and maintains emergency supplies.
• Assists with the orientation and proctoring of new clinicians, as needed.
• Administers, supplies, or prescribes medications/devices per delegated orders and documented protocols.
• Maintains an active Prescriptive Authority Agreement and participates in Quality Assurance and Improvement meetings.
• Ensures compliance with patient confidentiality rules and the minimum necessary standard when accessing PHI.
• Embraces the organization’s customer service standards and adapts to changing duties as directed by management.

Required Qualifications

• Education: Master’s degree (or equivalent) and certification in a relevant specialty such as Family Nurse Practitioner (FNP), Women’s Health Nurse Practitioner (WHNP), Certified Nurse Midwife (CNM), Primary Care Nurse Practitioner, or Physician Assistant (PA).
• Experience: Experience as a Nurse Practitioner, Nurse Midwife, or Physician Assistant in reproductive or women’s health is strongly preferred; alternatively, direct patient care experience in a supervised clinical setting is required.
• Licenses/Certifications: Must hold a valid license to practice as an Advanced Practice Nurse with prescriptive authority in Texas or as a Physician Assistant from the Texas Medical Board, along with appropriate national certification and current CPR BLS certification.
• Must be available to work all health center hours – including evenings and weekends – and be willing to travel as needed; bilingual (Spanish/English) is desired.
• Proficient in Microsoft Office (Word, Excel, PowerPoint, Outlook, Internet) with excellent computer and customer service skills.
• Demonstrated ability to manage multiple tasks, exercise sound judgment, maintain confidentiality, and adhere to strict compliance and regulatory requirements.
• Capable of performing physical tasks such as bending, stooping, prolonged standing, and lifting: occasionally up to 20 pounds and frequently up to 10 pounds.
• Strong organizational, analytical, and communication skills with the ability to work effectively both independently and as part of a team.
• PPGT is an equal opportunity employer committed to diversity, inclusion, and upholding a culture of quality, safety, and ethical practice.