Nurse Practitioner Women's Health (Bilingual)

• 3+ years of hands on primary care clinical experience is required (experience excludes clinical rotations/clerkships) will consider candidates who have completed a residency hands-on training program of 12 or more month’s duration.
• Bilingual English/Spanish skills desired.
• Part-Time or Full-Time chedules - 24-40 hrs. per week.
• $135K-$160K/yr. salary range; prorated for part time status; $30K-$50k signing bonus *specific program terms apply

• Provide direct patient care for reproductive and Women’s Health patients.
• Performs mix of both Women’s Health and Primary Care across a woman’s lifespan.
• Appropriately refer patients to MCC Gynecology physicians and/or other outside specialists.
• Collaborate with non-Women’s Health providers in a consultation and educational capacity.
• Communicate with patients’ PCP providers if non-reproductive health concerns are identified.
• Communicate and coordinate with the Behavioral Health Team for patients requiring BH services.
• Communicate with staff RNs in the dissemination and follow up of abnormal patient results and any required reporting to the county.
• Properly input relevant medical history and follow up plans into EHR as it pertains to reproductive health.
• Participate in Quality Improvement projects as it pertains to Women’s Health, such as cervical cancer, breast cancer, STI screening requirements.
• Participate in audits and other required functions as assigned by the Gynecology Lead Physician in regard to Title X grant, Essential Access, CDP and Every Woman Counts programs.
• Participate in the bi-monthly Women’s Health meetings.
• Attend continuing medical education activities within the field to stay abreast of new treatment options, guidelines, and current practice.

• Board Certified/Eligible in Gynecology, Internal Medicine, or Family Practice OR Active Physician’s Assistant or Advanced Practice Nurse certification.
• A valid and unrestricted license issued by the Nursing Board of California or Physician’s Assistant Board of California to practice medicine.
• One year of experience post-licensure is required.
• Willingness and ability to follow clinic policies, objectives and mission established by regulations, grants, management or the Board of Directors.
• Proficiency in medical Spanish preferred.
• A valid and unrestricted license issued by the Medical Board of California to practice medicine OR a current registration issued by the DEA allowing the prescription of drugs.
• Current BLS certification.

• Bilingual English/Spanish is required.
• Proficiency in taking a sexual history.
• Proficiency in contraceptive counseling, considering underlying medical conditions, with a patient-centered approach.
• Proficiency in taking a family history relevant to Women’s Health.
• Evaluation, diagnosis, and management/treatment of the following conditions:

• Vaginitis, urinary tract infection.
• Sexually transmitted infections.
• Abnormal uterine bleeding, PCOS and myomas.
• Pregnancy of unknown location, rule out ectopic pregnancy.
• Urinary complaints such as incontinence, overactive bladder, painful bladder syndrome.
• Chronic pelvic pain and endometriosis.
• Adnexal masses, including rule out ovarian torsion.
• Dyspareunia, sexual dysfunction.
• Menopause, vasomotor symptoms, hormone therapy.
• Infertility and pre-conception counseling.
• Breast problems.
• Pelvic organ prolapse.
• Work collaboratively with the Gynecologic physicians on staff to formulate plans, initiate further work-up, and coordinate referrals of more complex patients.
• Recognize patients outside of clinical scope and refer to MCC Gynecologic physicians for further management.
• Identify non-reproductive health issues during patient encounters and refer them to appropriate providers such as PCP or specialist.
• Identify preventive health and quality care issues for women and provide these services in the scope of women’s primary care.

• Required Skills:

• Pelvic exam including external, bimanual, and speculum exam.
• Clinical breast exam.
• Collection and performance of wet mount, swabs for STI testing.
• Insertion and removal of current FDA approved intrauterine devices.
• Insertion and removal of subdermal contraceptive implants, with appropriate certification.
• Paracervical block.
• Endometrial biopsy.
• Experience with vulvar biopsies preferred.
• Experience with exam and evaluation of pelvic organ prolapse, including straight catheterization for post-void residual preferred.
• Experience in fitting, insertion, and removal of pessaries preferred.
• Experience in vulvar incision and drainage, insertion of Word catheter preferred.
• Experience in treatment of genital warts preferred.
• Preferred Skills:

• Colposcopy and cervical biopsy, endocervical curettage.
• Basic suturing.
• Basic post-operative management skills including removal of sutures, staples, or wound dressing.
• Insertion and removal of indwelling catheters.
• Basic wound care of cesarean section incisions, vulvar wounds.
• Pelvic ultrasound including transabdominal and transvaginal for diagnosis of intrauterine pregnancy, IUD localization.

• Fulfil immunization and fit for duty regulatory requirements.
• Prolonged standing, walking, and prolonged periods sitting at desk and working on a computer.
• Must be able to lift up to 25 pounds at times and move medical equipment.
• Fine motor hand movements typical of performing standard Pediatrician job duties.
• Able to read charts graphs and readings on medical equipment.

Marin Community Clinics