NAMIHP | Careers | Nationwide Mobile Integrated Healthcare

The MIH Paramedic supports existing health services and provides integrated health services by working in cooperation with other health professionals such as physicians, referring providers, allied health, and public safety personnel in order to create a system of quality health care for the patient which may include but not limited to primary care, disease management, prevention and wellness, and mental health. The MIH Paramedic responds to the patient’s urgent care needs and provides assessment, treatment, and interface with appropriate clinicians in the patient’s home with the goal of avoiding unnecessary hospitalization.

General qualifications (vary by state):

• Valid driver’s license

• Paramedic Training Coursework

• Some states require a National Paramedic Certificate

• Basic Life Support (BLS) training and certification

• Cardio-Pulmonary Resuscitation (CPR) training and certification

• Pediatric Advanced Life Support (PALS) training and certification

• Advanced Cardiac Life Support (ACLS) training and certification

• Physical examination

• Federal criminal background screening

• Drug screening

• Sensitivity, empathy, and acceptance of cultural, racial, mental health, and socio-economic diversity Possible Duties and Responsibilities:

• Administer patient care consistent with protocols and physician orders.

• Perform technical medical skills.

• Analyze lab values and integrate these values into the patient assessment and integration into clinical decisions.

• Complete initial and ongoing patient assessments associated with health, environment, family support, financial, etc., and develop effective managed care coordination plan.

• Coordinate health and behavioral health services for patients, including other community resources, as required.

• Coordinate appointments and follow-up with physicians, pharmacists, and hospitals.

• Facilitate a plan of care for the patient.

• Provide a caring and comfortable environment for the patient where you can explain medical procedures and outcomes and answer the patient’s questions and concerns concerning diagnosis, treatment, and integration to other providers.

• Conduct patient education including but not limited to diabetes prevention/treatment, hypertension, Congestive Heart Failure (CHF), Chronic Obstructive Pulmonary Disease (COPD), falls assessment, injury evaluation, geriatric frailty visits, and nutrition.

• Educate to assist with a safe living environment for patients without infringing on patients’ rights.

• Consult and provide education to family members and other supports to ensure that care is ongoing and that all client needs are identified and met.

paramedic

Allied Healthcare Professionals are a large cluster of health care related professions and personnel whose functions include assisting, facilitating, or complementing the work of physicians and other specialists in the health care system.

An estimated 60% of all U.S. healthcare jobs are allied health positions. Some allied health professionals are trained for specialized roles in testing and diagnosis such as Medical Assistants, Ultrasound Technicians, Phlebotomists, or EKG Technicians. Others may work in rehabilitative or preventative healthcare such as Speech-language Pathologists, Physical Therapists, Respiratory Therapists, or Pharmacy Technicians.

General Qualifications:

• Because of the wide-range of jobs covered by Allied Healthcare, educational requirements are also wide-range.

• Allied health professionals can range from on-the-job training to graduate degrees; many of these jobs can also be state-regulated and require special licensing.

• Most of these positions require a certificate, associate degree, or a bachelor’s degree.

• Many of the certificate programs required may be offered as part-time studies, evening study, or even online course offerings that make these careers ideal for working students or students with family obligations.

ALLIED HEALTH PROFESSIONAL

Mobile Integrated Healthcare will provide emergency care to patients requiring EMS procedures in accordance with established medical protocols under the direct supervision of the Paramedic. The EMT will make sure that assigned emergency vehicles and equipment are ready at all times. They are also responsible for providing safe and effective transportation of patients to and from predetermined locations.

General qualifications (vary by state):

• High School Diploma or GED required.

• EMT Certification from the state in which they are working

• Basic Life Support (BLS) training and certification

• Valid Driver’s License

• Knowledge of basic life support protocols

• Principles of emergency ambulance operation

• Hospital EMS protocols

EMERGENCY MEDICAL TECHNICIAN
(EMT)

NURSE PRACTITIONERS AND PHYSICIAN ASSISTANTS ARE INCREDIBLE RESOURCES FOR COORDINATING DISCHARGE PLANNING, REFERRING FOR CHRONIC DISEASE MANAGEMENT, INITIATING POST-DISCHARGE COMMUNITY FOLLOW-UP, AND CONDUCTING CONTINUING PREVENTIVE CARE. NPS AND PAS CAN ENHANCE CARE SERVICES. ADDITIONALLY, THE KNOWLEDGE AND EXPERIENCE THEY BRING TO THE TABLE CAN ALSO ENHANCE THE MIH/CP PROGRAM IN THE AREAS OF NEEDS, TRAINING, AND EDUCATION OF OTHER WORKERS AS WELL AS PATIENT EDUCATION. A NURSE PRACTITIONER OR PHYSICIAN ASSISTANT ON AN MIH TEAM WILL WORK CLOSELY WITH THE MEDICAL DIRECTOR, RNS AND/OR PARAMEDICS, SOCIAL WORKERS, BEHAVIORAL HEALTH SPECIALISTS, SOCIAL WORKERS, OR OTHERS ON THE TEAM TO PROVIDE COMPASSIONATE, HUMAN-CENTRIC, HIGH-VALUE CARE TO PATIENTS. BECAUSE OF THEIR TRAINING AND EDUCATION, MANY TIMES IN HEALTHCARE SITUATIONS, PHYSICIAN ASSISTANTS ATTEND TO THE DIRECT AND IMMEDIATE TREATMENT OF PATIENTS, WHEREAS NURSE PRACTITIONERS SHIFT THEIR FOCUS ON PREVENTION, WELLNESS, AND EDUCATION. IN MANY STATES, NURSE PRACTITIONERS ARE LICENSED TO WORK INDEPENDENTLY WITHOUT PHYSICIAN SUPERVISION.

POSSIBLE DUTIES AND RESPONSIBILITIES:

• PERFORM THOROUGH INITIAL VISITS WITH PATIENTS AT THEIR PLACE OF RESIDENCE, DIVING DEEP INTO MEDICAL, SOCIAL, AND BEHAVIORAL CONTEXTS.

• WORK DIRECTLY WITH THE PATIENT AND THROUGH THE MULTIDISCIPLINARY CARE TEAM TO IMPACT ONGOING CARE WITH PARTICULAR EMPHASIS ON PREVENTABLE HOSPITALIZATIONS AND ENSURING CARE ALIGNED WITH PATIENT GOALS.

• DIAGNOSE HEALTH PROBLEMS.

• ADMINISTER MEDICATION.
• COLLABORATE AND COORDINATE WITH THE PATIENT’S PRIMARY CARE TEAM AND SPECIALISTS.
• REVIEW CARE PLANS AND ASSESS PATIENT GOALS OF CARE AND CARE PLANS WITH OTHER MEMBERS OF AN MIH TEAM.

GENERAL QUALIFICATIONS:

• MOST ENTRY-LEVEL POSITIONS REQUIRE A SPECIFIC MASTER’S DEGREE.

• ALL PA’S MUST EARN LICENSURE TO PRACTICE, WHICH HAPPENS AFTER YOU PASS THE PHYSICIAN ASSISTANT NATIONAL CERTIFYING EXAMINATION (PANCE).

• NURSE PRACTITIONERS SHOULD EARN A NATIONAL NP CERTIFICATION.

np/pa

Registered Nurses assess and care for patients, administer medication and educate both patients and their families on various health topics. However, they cannot diagnose patients or prescribe medication unlike NPs or PAs.

RNs also have job duties that aren’t directly related to patients. RN’s are also responsible for maintaining accurate patient records and collaborating with doctors to determine the best course of action for each patient’s care.

General Qualifications:

• Bachelor’s Science in Nursing (BSN) degree

• The National Council Licensure Examination NCLEX-RN

rn/bsn

Primary care physicians, emergency physicians, and specialty physicians are also called upon to provide medical direction within MIH-CP Teams.

The role of the physician/medical director is to ensure quality patient care. The medical director has authority over patient care, and develops and implements medical protocols, policies and procedures. Since MIH-CP programs focus on coordinating patient care over an extended period of time, the MD/DO must collaborate with primary care or other healthcare providers outside of their MIH-CP Team to ensure quality patient care. The MD/DO on an MIH Team may also be responsible for the development and approval of care plans, phone consultations and telemedicine consultation.

Understanding the difference between an M.D. and D.O.:

While both MDs and DOs are licensed physicians, their training differs slightly, and each has a unique perspective on care.

A D.O.(Doctors of Osteopathic Medicine) regards the body as an integrated whole rather than treating for specific symptoms only. D.O. programs require 300 hours of osteopathic manipulation medicine (OMM) training, which focuses on the musculoskeletal system. D.O.s also often address conditions from both a medical and lifestyle perspective.

An M.D. (Medical Doctor) is the more commonly known kind of physician. Like D.O.s, they are trained through several years of both coursework and clinical practice. Many M.D.s pursue primary care, but they are frequently found in more specialized fields.

M.D./D.O.

Behavioral Health Specialist can include psychologists, psychiatrists, mental health counselors, behavioral therapists, or licensed social workers. In MIH, Behavioral Health Specialists will work with the rest of the provider team to provide counseling and direction to people dealing with challenges like addiction, physical limitations and mental illness. They observe, assess and recommend or provide treatment aimed at improving the overall health and well-being of the patient by helping to change behaviors that have led to the problem at hand.

General Qualifications:

•Bachelor’s Degree in Psychology

•Some states may require completion of a Master’s Program in Learning and Behavioral Analysis, Psychology, Social Work, or a similar field

Additional certifications may include:

•National Certified Counselor (NCC)

•Certified Clinical Mental Health Counselor (CCMHC)

•Master Addictions Counselor (MAC)

BEHAVIOR HEALTH SPECIALIST

On an MIH team, a pharmacist will complete medication reconciliation, identify medication side effects or med errors, manage drug interactions, and more especially for patients with uncontrolled disease – like heart failure, hypertension, or diabetes mellitus. Pharmacists are also crucial in the outpatient management of chronic disease (chronic care management, remote patient monitoring) and in helping patients who take more than 5 medications. Often in MIH, patients can suffer from medication side effects such as falls, hypoglycemia, arrhythmia, or bleeding and pharmacists will play an important role in making recommendations for safe and effective medication changes to prevent 911 calls.

General qualifications:

• Many pharmacy schools are dual degree programs, meaning you’ll earn your bachelor’s degree alongside your PharmD over a period of six to seven years.

• Other PharmD programs are for doctoral-level training only. These programs accept students who have earned bachelor’s degrees in subjects such as biology or chemistry and generally take 3–4 years. Having previous experience as a pharmacy assistant or technician can also be beneficial for admission.

• 2 licensing exams after successfully completing a PharmD program.

•North American Pharmacist Licensure Exam (NAPLEX)

• either the Multistate Pharmacy Jurisprudence Exam (MPJE) or a jurisprudence exam specific to your state. Your state’s licensing board will let you know which exam you need to take.

• Apply for a license once education and exams are complete.

Other possible requirements:

• Passing a background check

• Submitting internship proof to your state’s board

• Completing additional postgraduate experience hours

• Taking additional training or tests for certification in areas such as vaccination

PHARMACIST

Respiratory therapists help people who suffer from chronic respiratory diseases like asthma, bronchitis and emphysema. People who have had heart attacks or who have sleep disorders and infants who are born prematurely might also need respiratory therapy to help them breathe more easily. It is easy to see how a Respiratory Therapist can be an asset for chronically ill patients of an MIH team.

The respiratory therapist is responsible for performing chest exams and creating a treatment plan to resolve problems and illnesses within the lungs, as well as managing breathing equipment and evaluating blood oxygen levels.

General Requirements:

• Bachelor’s Degree in Respiratory Care

• Complete clinical hours to acquire practical experience

• Become a Certified Respiratory Therapist: The National Board for Respiratory Care (NBRC)

• Every state in the U.S. except for Alaska requires licensure for respiratory care practitioners

RESPIRATORY THERAPIST

STANLY COUNTY EMS IS CURRENTLY HIRING FOR FULL TIME PARAMEDICS AND PART TIME PARAMEDICS AND EMTS. CLICK THE LINK BELOW TO APPLY OR CONTACT MIKE CAMPBELL AT 704-787-5283 TO LEARN MORE.

• 24/72 shifts

• Work 8 days a month full time

• Flexible part time requirements

• Free health insurance for you and affordable options for your family with full time employment

• Special teams including tactical paramedics, community paramedics, and SPEAR Team Progressive protocols that allow you use your skills

• Be involved in PEER reviewed research studies and projects Opportunities for advancement

JOB POSTINGS