Tele Health Advanced Practice Clinician

**Care. No matter what**:

- PPLM has been a leader in promoting sexual health for more than 90 years. We believe that all people deserve the information and expert services to make informed, personal decisions that affect their health, their lives and their futures. We are the state’s leading provider of sexual and reproductive health services. We educate families and empower youth to make responsible choices that lead to healthier lives. We advocate for policies that improve sexual health.

**Our Commitment to Diversity, Equity and Inclusion**:

- PPLM believes sexual health is essential to every person’s overall health, well-being and happiness. We recognize that geographical and systemic barriers entrenched in discrimination and stigma prevent people in Massachusetts from having equitable opportunity to choose their own path and access to sexual and reproductive health care. In order to address health equity in communities across Massachusetts in an authentic way, we must start with ourselves. We are taking focused steps to make progress in our own organization. We have embarked on a diversity, equity and inclusion journey that will lead us toward becoming an organization that better reflects our patients and embodies cultural humility. We are wholeheartedly committed to this work.

***:

- Works as an advance practice clinician (APC) in family planning and telemedicine abortion services. Provides reproductive health services, including medical abortion and gender affirming hormone therapy, to patients in a high quality and efficient manner. Maintains skills and knowledge necessary to care for the preventive and reproductive health of patients. Provides patient care according to PPLM protocols and policies. Complies with all federal, state, and local regulatory agencies, including OSHA, CLIA, Title X, and the MA Department of Public Health. Acts as a role model and resource for health care assistants and RNs. Works collaboratively with all health center staff and managers to contribute to a positive work environment. Complies with all APC related follow-up and referral procedures as outlined in PPLM’s Follow-up Manual.

**ESSENTIAL RESPONSIBILITIES**:

- Provides comprehensive family planning, gynecological care, and reproductive health care as authorized by PPFA.
- Reviews & interprets the medical, surgical, family, and social history of reproductive health patients.
- Performs appropriate medical screening.
- Interprets laboratory data, orders additional laboratory testing when indicated, and ensures appropriate follow-up per PPFA’s Medical Standards and Guidelines and PPLM’s Follow-up Manual
- Provides medical referrals when indicated and ensures appropriate follow-up per PPFA’s Medical Standards and Guidelines and PPLM’s Follow-up Manual
- Provides preventive care including vaccination, and basic breast and cervical cancer screening/management per PPFA’s Medical Standards and Guidelines. Provides screening and treatment for sexually transmitted infections for all patients.
- Provides medical assessment and management of genito-urinary conditions.
- Prescribes hormonal contraceptive methods (oral, transdermal, intravaginal, and injection), provides/oversees hormonal contraceptive injections. Provides emergency contraception.
- Provides Telehealth medication abortion and manages follow up after completion of training.
- Provides Gender affirming hormone therapy care, prescriptions including controlled substances, and follow up care.
- Provides the following services in clinic after the completion of approved training by the Medical Director: IUC insertions and removals, implant insertions and removals, evaluation and management of early pregnancy complications, medication abortion, and medication and surgical abortion follow-up visits.
- May perform the following services depending on the needs of the health centers and the individual APC’s level of skill after the completion of approved training by the medical director: laminaria placement, ultrasound, colposcopy, LEEP, vulvar biopsy, and endometrial biopsy, colposcopy, and LEEP.
- In partnership with their clinical team, assists patients in accessing virtual visit - including providing limited technical assistance to patients accessing telehealth software
- Provides patient education and counseling, as indicated.
- Knows emergency procedures as indicated in the Policy and Procedures Manual and in the absence of a physician, assumes responsibility for triage in the case of an emergency.
- Documents all medical findings, prescriptions, and treatment completely and legibly in patient’s chart.
- Reads, understands, and uses all relevant PPLM protocols, policies, and procedures. Keeps updated on all changes and incorporates those changes into practice.
- Consults as appropriate with the Medical Director or designee
- Maintains current licensure, including DEA and MA Controlled Substance License as well as advanced practice clinician l