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The Licensed Clinical Social Worker (LCSW) will provide direct behavioral health services to UHC patients in collaboration with the primary care medical team. This provider position has primary responsibility for coordinating all psychosocial community services under the general direction of UHC’s psychologist/program coordinator.
The Psychologist provides individual and group supervision of licensed counselors and care coordinators as part of UHC’s Behavioral Health program. Additionally, the Psychologist will conduct initial intake assessments, perform psychological testing, perform advanced therapies, and create patient care-coordination plans with multi-disciplinary team members. The Psychologist works closely with and reports to UHC’s Behavioral Health Program’s Psychiatrist.
As part of the health care team, the Staff Psychiatrist will take a lead role in the provision of behavioral health medication management and consultation services. The Staff Psychiatrist works closely with medical providers, psychologist(s), behavioral health counselors (LCSW’s), and care coordinators to meet the clinical and non-clinical health needs of UHC’s patients.
The Staff Psychiatrist will maintain a consultation patient panel, with services including but not limited to initial intake assessments, differential diagnosis, individual/group/family psychotherapies, and creation of patient care-coordination plans with multi-disciplinary team members. The Staff Psychiatrist maintains a unique role as a medical provider, bridging communications between primary care providers, referral sources, and the behavioral health clinicians in an effort to provide and measure behavioral health goals and services as related to the Patient-centered Medical Home (PCMH).
Performs oral patient examination for medical and dental diseases. Includes dental examination Intra/extra-oral soft tissue and diagnosis of pathology. Determines services needed and establishes plan of treatment. Determines appropriate dental services and treatment alternatives and discusses with patients. Supervises and manages of dental department.
The Optometrist will provide comprehensive vision and ocular health care for UHC patients. They will examine UHC patients’ eyes to diagnose ocular disorders and diseases. As part of the comprehensive eye exam for glasses the optometrist will check patient acuities, refractive error, binocular vision, peripheral vision and ocular health. Contact lens exams will include a topographical study, corneal health study and contact lens fitting. An ocular health assessment will include proper testing as is required based on diagnosis. For example, glaucoma patients need full visual field perimetry, pachymetry, gonioscopy, tonometry and optic nerve interpretation. The optometrist is responsible for interpreting results for the different types of exams and providing patient plans. They administer drugs to patients to aid in the diagnosis of vision problems and prescribe drugs to treat some eye diseases. As part of the optometrist job duties they will diagnose conditions caused by systemic diseases such as diabetes and high blood pressure, referring patients to other health care practitioners as needed. This position is an exempt position and reports to the Optometry Director.
Podiatrists for UHC provide podiatric health care to patients that includes preventative care and diagnostic and therapeutic procedures. Podiatrists, also known as doctors of podiatric medicine (DPM's), diagnose and treat disorders, diseases, and injuries of the foot and lower leg.
Treat corns, calluses, ingrown toenails, bunions, heel spurs, and arch problems; ankle and foot injuries, deformities, and infections; and foot complaints associated with diabetes and other diseases. To treat these problems, podiatrists prescribe drugs and physical therapy, set fractures, and perform procedures. They also fit corrective shoe inserts called orthotics, design plaster casts and strapping to correct deformities, and design custom-made shoes. Deals with systemic diseases such as arthritis and manage patients who suffer from foot problems associated with diabetes. They also refer patients to other physicians and specialists if they detect larger medical issues. Podiatrists also prescribe medication, physical therapy and corrective devices to further aid the healing of foot diseases and deformities
To provide primary health care within the United Health Centers of the San Joaquin Valley’s, including education, preventive, diagnostic, and therapeutic procedures. To provide screening and triage of walk-in patients, as deemed necessary. To participate in the planning and management of health services of the United Health Centers, as deemed necessary by the Chief Medical Officer. This is to include participation in review of the quality care being rendered at UHC, the development of health care protocols and procedures, and the participation in the policy making within the medical department. Within the protocols developed Physician Assistant, Family Nurse Practitioners may exercise a wide range of clinical judgment. Specifically, the Family Nurse Practitioners are to provide health maintenance screening for children, pregnant patients, and adults, acute care for walk in patients, care for patients with chronic stable conditions.
Limitations of Authority:
Physician Assistants are not to independently alter the range, or the type of health care services offered by UHC without prior approval of the Chief Medical Officer. Physician Assistants are not to speak on behalf of the UHC without authorization of the Chief Medical Officer, or the Executive Director. Physician Assistants are not to exercise independent medical judgment which is beyond their training, skills, and experience.
Staff Physicians for UHC, provide primary health care that includes health education, preventative care, along with diagnostic, and therapeutic procedures.
To participate in the planning and management of health services of the United Health Centers as deemed by the Associate Medical Director and/or Chief Medical Officer. This is to include participation in review of the quality care being rendered at UHC, the development of health care protocols and procedures, and the participation in the development of policy making with the Medical Department.
Family Nurse Practitioners are to care for patients independently (without consulting a physician) when operating within protocols of the Physician Assistant/Family Nurse Practitioner Supervision Agreement and operating within their training and experience as Family Nurse Practitioners. Family Nurse Practitioners are to consult a Physician whenever they have doubt as to the diagnosis or treatment of the patient. Within the protocols developed, Family Nurse Practitioners are to provide health maintenance screening for children, pregnant patients, and adults, acute care for walk in patients, care for patients with chronic stable conditions.
LIMITATIONS OF AUTHORITY:
Family Nurse Practitioners are limited in exercise of independent clinical judgment by the Nurse Practice Act of the state of California, and the personnel policies of United Health Centers. Family Nurse Practitioners are not to initiate new clinical or administrative protocols or procedures within the Health Center, except as developed in cooperation with the Chief Medical Officer.