Yosemite Medical Clinic Staff

We're Hiring!

Staff Nurse (Outpatient Clinic), O-3 to O-4 Billet (Non-Supervisory)

Introduction

The National Park Service (NPS) is recruiting a Commissioned Corps officer to fill the position of Staff Nurse at the Yosemite Medical Clinic (YMC) with a duty station in Yosemite National Park, CA. Organizationally, this position is within Yosemite National Park’s Visitor and Resource Protection Division and reports to the Nurse Manager. Well-qualified officers with the ranks of O-3 and O-4 are encouraged to apply.

Duty Station

Occupying a historic building that once served as an acute care hospital, YMC is located in the iconic Yosemite Valley, within sight of Half Dome and easy walking distance of the spectacular Yosemite Falls, the tallest waterfall in North America. YMC staff have ample opportunities nearby to enjoy abundant and diverse outdoor recreational activities such as hiking, fishing, swimming, rafting, skiing and rock climbing.

The incumbent will be required to live in government rental quarters provided by Yosemite National Park. Yosemite National Park is designated by the USPHS as an Isolated/Hardship Site. USPHS CC officers who serve the requisite time at YMC can expect to be awarded the USPHS’s “Isolated Hardship Award”. For more information about Yosemite National Park, YMC and Office of Public Health, please visit: https://www.nps.gov/orgs/1735/.

Program Description

YMC provides ambulatory care services to park visitors and residents. The provider staff consists of the Physician/Medical Director and up to two Advanced Practice Providers, all USPHS Commissioned Corps officers. During the peak summer season, the provider staff may be augmented by PGY 2 or 3 medical residents from cooperating graduate medical education programs. Clinical support staff include one permanent USPHS Registered Nurse and two seasonal nurses. YMC operates a small dispensary, has x-ray and CLIA-waived laboratory capabilities, and records approximately 5,000 patient visits per year.

The clinic is open 40 hours per week for most of the year, but from mid-May through mid-September Yosemite National Park experiences peak visitation, and YMC may operate up to seven days per week.

YMC is collocated with Yosemite’s Emergency Medical Services (EMS), which responds on-scene to approximately 1,000 calls per year. YMC and EMS teams (Paramedics, Park-medics, and EMTs) closely collaborate in program planning and delivery of patient care and share the same Medical Director. About 20% of patient transports go to the YMC.

Major Duties

This position has both clinical and administrative nursing responsibilities for the day-to-day operations including urgent care, public health and prevention, occupational health, and primary care services. Duties include but are not necessarily limited to:

  • Utilizes the nursing process and critical thinking to provide comprehensive patient care in a diverse ambulatory medical care setting to effectively assess, triage, carry out the provider orders, refer and follow up patients as appropriate. As above, these patient visits may be primary care, urgent care or have emergent medical needs.
  • Provides patient-centered customer service based on clinical outcomes and a care plan as directed by the care team. Care is given appropriately for a population with diverse health, economic, and cultural backgrounds across all age groups.
  • Demonstrates competency including:
    • review and carry out standing and individual orders
    • administering medications, immunizations, therapeutic and diagnostic injections (IM/SQ/ID/IV)
    • performs venipuncture, infusion therapy, urinary catheterizations, NG tube placement, enema, nebulizer treatments, spirometry, and EKGs
    • with appropriate training and when certified per YMC policy, performs diagnostic imaging (X-ray) services, as prescribed, as well as spirometry and audiometry services
  • Implements infection control policies and other safety practices to ensure occupational safety for staff and visitors in the facility (includes disinfection of environment and equipment between patients, cleaning and sterilization of instruments with steam autoclave, and safe handling of linen and bio-hazardous waste).
  • Provides annual and individual occupational health services such as Commercial Driver License physical exams and Workers Compensation-related medical care and filing.
  • Documents and securely maintains medical records (paper and electronic) according to scope of practice, NPS and YMC policies and procedures, and billing standards.
  • Facilitates and tracks consults/transfers/referrals when patient health problems presented are outside the scope of YMC practice or if warranted by a patient’s clinical condition or under the direction of the provider.
  • Develops nursing care plan according to providers’ diagnosis and orders including generating consultant reports, initiating any follow-up and/or referral according to the plan of care with evidence-based practice.
  • Manages inventory for clinical and medical supplies and equipment to ensure an adequate stockpile including tracking of use and ordering through in house purchase card holder.
  • Performs administrative functions as assigned (~ 25-50% according to seasons and patient load), including development of standard operating procedures.
  • Provides care coordination, public health and population-based care and outreach and disease prevention activities such as vaccine clinics, community health screening and community outreach.
  • Provides patient-appropriate teaching plans and education for individuals and groups related to health promotion & disease prevention and provides direct patient education.
  • May support front desk operation including patient registration, benefits/eligibility verification and fee collection
  • Assists in the development of educational programs and instruction for pre-hospital park staff.
  • Actively participates in the quality assurance program and care team.
  • Duties as assigned may include professionally representing YMC in various forums and meetings and serve as an appointed member of various committees and work groups.

Minimum Qualifications

A BSN degree from a nursing school in the United States or Canada approved by a recognized accrediting body is required, as is licensure as a Registered Nurse in any State including the District of Columbia and the Commonwealth of Puerto Rico, or a territory of the United States. A minimum of three years of clinical nursing experience with at least one year of emergency care or urgent care service are preferred, and one year of healthcare management or case management experience is preferred, but not required. Other relevant experiences, specialties and licenses will be considered.

Additional requirements: BLS (health care provider) and ACLS certifications are required (ATLS and PALS certification are recommended). Applicants must meet OFRD Readiness Standards. Applicants must be willing and able to undergo training and become authorized to obtain basic radiographs, perform spirometry and audiometry, and become

certified as a Drug Free Workplace urinalysis collector within 6 months of employment. The applicant may be required to work on holidays, evenings/nights, weekends; and lift to 45 pounds.

Applicant must meet Commissioned Corps Force Readiness Standards. Occasional travel is required.

This recruitment is open until filled. Following a permanent change of station, a start date in spring-summer 2022 is anticipated. If interested, please send a cover letter; current curriculum vitae; copies of applicable licenses, diplomas, and certifications; and three most recent Commissioned Officer Effectiveness Reports t to CDR Pattama Ulrich at Pattama_ulrich@nps.gov and Ms. Sonya Coakley at hhs_liaison@nps.gov.

Candidates selected for interview will be asked to provide the names, titles, phone numbers, and e-mail addresses of three (3) professional references (at least two [2] of whom should be current or former supervisors who are familiar with your work as a clinician).

Questions about this position are welcome. For additional information, please contact:

Position Information

CDR Pattama Ulrich

Health System Administrator

Phone: 209-347-7933 Phone:Email: pattama_ulrich@nps.gov

USPHS Information

Ms. Sonya Coakley

Commissioned Corps Liaison

202-513-7215

Email: hhs_liaison@nps.gov

 

* NPS mission:

“The National Park Service preserves unimpaired the natural and cultural resources and values of the National Park System for the enjoyment, education, and inspiration of this and future generations. The Park Service cooperates with partners to extend the benefits of natural and cultural resource conservation and outdoor recreation throughout this country and the world.”

Nurse Manager, O-5 Billet (Supervisory)

Introduction

The Department of the Interior (DOI)/National Park Service (NPS) is recruiting USPHS Commissioned Corps Nurse Officer to fill the position of Yosemite Medical Clinic’s (YMC) Nurse Manager, with a duty station in Yosemite National Park, CA. Organizationally, this position is within Yosemite National Park’s Visitor and Resource Protection Division and reports to the YMC Health System Administrator. This is a supervisory position and the most senior nursing position within YMC.

The ideal candidate will be not only be a senior nurse with superior clinical skills, specialty service in emergency service, mental health, and case management, but also, a leader with a passion for serving the public and a proven track record of improving quality, safety, teamwork and efficiency in the workplace. This position will be split into clinical practice and administration according to officer’s credentials, expertise, and seasonal needs.

Applications are welcome from O-5 and exceptionally well-qualified O-4 officers, and advanced practice providers (NPs) are encouraged to apply.

Duty Station

Occupying a historic building that once served as an acute care hospital, YMC is located in the iconic Yosemite Valley, within sight of Half Dome and easy walking distance of the spectacular Yosemite Falls, the tallest waterfall in North America. YMC staff have ample opportunities nearby to enjoy abundant and diverse outdoor recreational activities such as hiking, fishing, swimming, rafting, skiing and rock climbing.

The incumbent will be required to live in government rental quarters provided by Yosemite National Park. Yosemite National Park is designated by the USPHS as an Isolated/Hardship Site. USPHS CC officers who serve the requisite time at YMC can expect to be awarded the USPHS’s “Isolated Hardship Award”. For more information about Yosemite National Park, YMC and Office of Public Health, please visit: https://www.nps.gov/orgs/1735/.

Program Description

YMC provides ambulatory care services to park visitors and residents. The provider staff consists of the Physician/Medical Director and up to two Advanced Practice Providers, all USPHS Commissioned Corps officers. During the peak summer season, the provider staff may be augmented by PGY 2 or 3 medical residents from cooperating graduate medical education programs. Clinical support staff include one permanent USPHS Registered Nurse and two seasonal nurses. YMC operates a small dispensary, has x-ray and CLIA-waived laboratory capabilities, and records approximately 5,000 patient visits per year.

The clinic is open 40 hours per week for most of the year, but from mid-May through mid-September Yosemite National Park experiences peak visitation, and YMC may operate up to seven days per week.

YMC is collocated with Yosemite’s Emergency Medical Services (EMS), which responds on-scene to approximately 1,000 calls per year. YMC and EMS teams (Paramedics, Park-medics, and EMTs) closely collaborate in program planning and delivery of patient care and share the same Medical Director. About 20% of patient transports go to the YMC.

Major Duties

The Nurse Manager is responsible for the day-to-day operations including urgent care, public health and prevention, occupational health, and primary care services. Duties include but are not necessarily limited to:

  • Oversee assignments and scheduling for nursing and support staff with and without direct clinical supervision (i.e., Administrative Clerks, Volunteer, Medical Assistants, EMT, Registered Nurses and Advanced Practice Providers, etc.).
  • Manage clinical rotation program to assure clinical competency that meets the Medical Director’s clinical direction, and optimize practice experience
  • Manage in-and out-process of staff, visiting clinicians, volunteers and clinical rotators, including credential verification, HIPAA compliance, orientation, competencies and skills checklists.
  • Set work schedules for clinic staff. Participate in administering and/or conducting formal employee performance reviews.
  • Manage and prioritize the daily patient appointment schedule and flow, including daily review of all visits and completion of electronic medical records
  • Oversees front desk operation including patient registration, benefits/eligibility verification and fee collection.
  • Support the Health System Administrator (HSA) with strategic, operation, management and administrative actions including staffing plan and revenue cycle management
  • Ensure provision of comprehensive ambulatory medical care to all age groups and occupational health services such as Commercial Driver License physical exams and Workers Compensation- related medical care.

 

In addition to leadership, management, administrative and supervisory responsibilities, the Nurse Manager also:

  • Provides direct patient care in a primary care/urgent care setting, utilizing knowledge and skills in assessing and triaging patients.
  • Participate in strategic long-term planning with the HSA, Medical Director and NPS senior management team
  • Develops and executes case management and care coordination program including routine assessment and review of patient care plan and referral management
  • Oversees clinic systems for arranging consults, patient transfers or specialty referrals when patient health problems presented are outside the clinic’s scope of services.
  • In conjunction with the Medical Director/Provider, coordinate a monthly clinical case review to ensure clinical and non-clinical needs are met or appropriate referred.
  • In conjunction with the HSA, Medical Director and Emergency Services Program Manager, coordinate clinic continuous quality assurance and quality improvement activities including process and outcome evaluations.
  • May serve as YMC’s representative before various leadership and community groups.
  • Develop, maintain, execute, and revise as necessary, clinic standard operating policies and procedures (SOPs), including execution of the clinic’s infection control program.
  • Oversee medical supply and equipment inventory management by clinical and procurement team: Perform inventory accounting, develop requisitions for supplies and equipment, document receipt of goods purchased, ensure safe and efficient storage and distribution of medical supplies and equipment. May be required to apply for and maintain a government charge card for purchases.
  • Manage dispensary operations, including procurement, storage, inventory, distribution and destruction/disposal of medications. This includes management of items of YMC’s in-house formulary which includes certain DEA controlled substances.
  • Manage requirements for compliance of spirometry, radiology, laboratory, and audiometry services.
  • Support provision of comprehensive ambulatory medical care to all age groups and occupational health services such as Commercial Driver License physical exams and Workers Compensation- related medical care.
  • Dispense medications, administer immunizations and therapeutic and diagnostic injections (IM/SQ/ID/IV) and perform venipuncture, infusion therapy, urinary catheterizations, NG tube placement, enema administration, nebulizer treatments, spirometry, and EKGs. With appropriate training and when certified per YMC policy, perform diagnostic imaging (X-ray) services.
  • Promote compliance with regulatory and contract standards and customer service expectations for the practice relating to all aspects of clinical care.
  • Participate in care coordination and facilitate public health and population-based care activities such as vaccine clinics, NPS’s Office of Public Health and Yosemite National Park’s nature benefits, safety and health/wellness initiatives, community health screening and community outreach in conjunction with local health departments and care network stakeholders.
  • Facilitate development of teaching plans for individuals and groups related to health promotion and disease prevention and provide direct patient education, including DOI Office of Public Health, HHS and Surgeon General’s priorities.

Minimum Qualifications

A BSN degree from a nursing school in the United States or Canada approved by a recognized accrediting body is required as is licensure as a Registered Nurse in a State, District of Columbia, the Commonwealth of Puerto Rico, or a territory of the United States. BLS (health care provider) and ACLS certifications are required at time of appointment. ATLS and PALS certifications are preferred. A Master of Science degree in an advanced graduate degree and certification in Emergency Medicine, Mental Health or Public Health Nursing is preferred.

A minimum of five (5) years of nursing experience is required with at least three (3) years of emergency nursing care or urgent care experience or primary care with advanced degree and/or with mid-level provider credential (NP/PA) within the past five (5) years is strongly preferred.

At least two (2) years of supervisory or management experience in an emergency, primary or ambulatory health care setting is preferred.

Applicants must be willing and able to undergo training as necessary and become authorized to: obtain basic radiographs (i.e., prepare and position patient for x-ray, operate x-ray equipment, assess quality of image), perform respirometry and administer audiometric testing within 6 months of employment.

Clinic hours and scheduling vary based on the park needs and peak visitation times. Applicant must be willing to work on holidays, evenings/nights, and/or weekends frequently during summer season and occasionally throughout the rest of the year. Applicant must be able to lift up to 45 pounds.

Applicant must meet Commissioned Corps Force Readiness Standards. Occasional travel is required.

This recruitment is open until filled. Following a permanent change of station, a start date in spring-summer 2022 is anticipated. If interested, please send a cover letter; current curriculum vitae; copies of applicable licenses, diplomas, and certifications; and three most recent Commissioned Officer Effectiveness Reports t to CDR Pattama Ulrich at Pattama_ulrich@nps.gov and Ms. Sonya Coakley at hhs_liaison@nps.gov.

Candidates selected for interview will be asked to provide the names, titles, phone numbers, and e-mail addresses of three (3) professional references (at least two [2] of whom should be current or former supervisors who are familiar with your work as a clinician).

Questions about this position are welcome. For additional information, please contact:

Position Information

CDR Pattama Ulrich

Health System Administrator

Phone: 209-347-7933 Phone:Email: pattama_ulrich@nps.gov

USPHS Information

Ms. Sonya Coakley

Commissioned Corps Liaison

202-513-7215

Email: hhs_liaison@nps.gov

 

* NPS mission:

“The National Park Service preserves unimpaired the natural and cultural resources and values of the National Park System for the enjoyment, education, and inspiration of this and future generations. The Park Service cooperates with partners to extend the benefits of natural and cultural resource conservation and outdoor recreation throughout this country and the world.”

Nurse Manager, O-5 Billet (Supervisory)

Introduction

The National Park Service (NPS) is recruiting a Commissioned Corps officer to fill the position of Advanced Practice Provider at the Yosemite Medical Clinic (YMC) with a duty station in Yosemite National Park, CA. Organizationally, this position is within Yosemite National Park’s Visitor and Resource Protection Division and reports to the Nurse Manager. Well-qualified officers with the ranks of O-3 and O-4 are encouraged to apply.

Duty Station

Occupying a historic building that once served as an acute care hospital, YMC is located in the iconic Yosemite Valley, within sight of Half Dome and easy walking distance of the spectacular Yosemite Falls, the tallest waterfall in North America. YMC staff have ample opportunities nearby to enjoy abundant and diverse outdoor recreational activities such as hiking, fishing, swimming, rafting, skiing and rock climbing.

Program Description

YMC provides ambulatory care services to park visitors and residents, as well as primary care services to residents and employees. The medical providers include a Physician/Medical Director and one Advanced Practice Provider (APP) (NP/PA), both CC officers. During the peak summer season, the provider staff may be augmented by Family or Emergency Medicine (PGY 3 or 4) residents from affiliated academic institutions. During the non-peak season, the APP may also be required to precept medical residents and other students (i.e., nursing students, PA, or NP students). Clinical support staff include two USPHS Registered Nurses year-round, as well as seasonal civilian nurses in the peak season.

YMC records approximately 5,000 patient visits per year. This includes primary care, urgent care and occupational health services. The clinic is open 40 hours per week for most of the year, but from mid-May through mid-September Yosemite National Park experiences peak visitation and the clinic may operate up to seven days per week. The officer will be expected to enroll as a provider with various governmental and private third-party payers and attain specific training for the needs and capabilities of YMC, and hold an advanced practice license and DEA license in the state of CaliforniaYMC is collocated with Yosemite’s Emergency Medical Services (EMS), which responds on-scene to approximately 1,000 calls per year. YMC and EMS teams (Paramedics, Park-medics, and EMTs) closely collaborate in program planning and delivery of patient care and share the same Medical Director. About 20% of patient transports go to the YMC.

This position will be required to live in government rental quarters within the park; housing will be assigned based on family size of the officer. For more information about Yosemite National Park, YMC and Office of Public Health, please visit: https://www.nps.gov/orgs/1735/.

Major Duties

This position has both clinical (~80%) and program support responsibilities for patient care and quality of services. Duties include but are not necessarily limited to:

  • Assesses, plans, and provides direct and comprehensive primary, therapeutic and preventive medical care to individual geriatric, adult, adolescent, pediatric and infant patients.
  • Provides occupational health services such as Commercial Driver’s License physical exams and Workers Compensation-related medical care; this may require additional certification.
  • Orders and/or performs screening and diagnostic tests and procedures (lab studies, x-rays, electrocardiograms, audiograms, pulmonary function tests, etc.).
  • Interprets test results and analyzes all collected data, discriminates between normal and abnormal findings to identify all stages of serious physical, emotional or mental problems, and to prioritize health care needs.
  • Makes diagnoses and decisions concerning medical needs of patients, formulates and implements plans of care which may involve various treatment modalities, prescribes medications, consults with other health care providers, and initiates referrals
  • Identifies and manages both minor and serious illnesses/injuries in accordance with established standards of medical care and approved clinical privileges.
  • May be required to provide on-line medical control to EMS personnel, which includes 50% availability by phone or radio to respond to real time field provider medical inquiries.
  • Commensurate with expertise, provides occasional in-service education to other Yosemite National Park health care providers.

Minimum Qualifications

For either FNP or PA applicants must:

  • Have BLS (health care provider) and ACLS certifications, and PALS certifications are preferred and strongly encouraged.
  • Meet RDB Readiness Standards
  • Hold or be able to obtain a DEA registration number allowing ordering of Schedule II drugs
  • Be willing and able to become certified as a federal Department of Transportation medical examiner
  • Undergo training and become authorized to perform basic radiographs within 6 months.
  • Experience equivalent to 2 years of direct patient care in an outpatient or urgent care setting is preferred but not required. Other related specialties and well-rounded experience (mental, physical and occupational) is a plus.

For Family Nurse Practitioner applicants

Master’s degree from a professional nursing program approved by a legally designated State accrediting agency at the time the program was completed by the applicant. At time of application, applicants must have active, current licensure as a registered nurse in a State, District of Columbia, the Commonwealth of Puerto Rico, or a territory of the United States; be certified or licensed by a state licensing agency as a family nurse practitioner at time of application; and if not already licensed in California, be able to attain licensure as a registered nurse and certification as a family nurse practitioner by the State of California within three months of appointment.

For Physician Assistant applicants

Graduation from a physician assistant educational program, accredited by the Accreditation Review Committee on Education for the Physician Assistant (ARC-PA) or its predecessors, at a college, university, or educational institution that is accredited by an accrediting body or organization recognized by the Secretary, U.S. Department of Education. Successful completion of the National Commission on Certification of Physician Assistants (NCCPA) examination.

Must maintain status as a certified physician assistant, including completion of all requirements for continuing medical education (CME) and re-certification. At time of application, applicants must have active, current licensure as a physician assistant in a State, District of Columbia, the Commonwealth of Puerto Rico, or a territory of the United States at time of application, and, if not already licensed in California, be able to attain licensure as a physician assistant by the State of California within three months of appointment.
 

Applications for this position will be accepted until the position is filled. If interested, please send a cover letter, CV, last 3 COERS and 3 references to:

Position Information

CDR Pattama Ulrich

Health System Administrator

Phone: 209-347-7933 Phone:Email: pattama_ulrich@nps.gov

USPHS Information

Ms. Sonya Coakley

Commissioned Corps Liaison

202-513-7215

Email: hhs_liaison@nps.gov

* NPS mission:

“The National Park Service preserves unimpaired the natural and cultural resources and values of the National Park System for the enjoyment, education, and inspiration of this and future generations. The Park Service cooperates with partners to extend the benefits of natural and cultural resource conservation and outdoor recreation throughout this country and the world.”

 

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Physician and Medical Director

Keren Hilger, MD
Board-certified in emergency medicine
Captain, US Public Health Service

Captain Hilger is a board-certified emergency medicine physician who joined the Yosemite Medical Clinic team in July 2019. She also serves as Yosemite Emergency Medical Services’ medical director, with medical oversight for the park’s 120+ pre-hospital providers.

Captain Hilger completed medical school at the Uniformed Services University of the Health Sciences in Bethesda, MD and her emergency medicine residency program at Naval Medical Center San Diego. Prior to moving to Yosemite National Park, Captain Hilger worked for six years with the Indian Health Service, providing direct patient care in emergency departments in New Mexico and Alaska. She continues to practice in the emergency department in her spare time.

 

Nurse Practitioner

Emily Gaffney, BSN, MSN, RN, FNP-C
Lieutenant Commander, US Public Health Service

Lieutenant Commander Emily Gaffney is a Certified Family Nurse Practitioner who joined the Yosemite Medical Clinic staff in July 2020. She has over 5 years of experience as a nurse and nurse manager, much of that time spent in the Emergency Department. She has three years of experience as a Family Nurse Practitioner, with special interests in preventative medicine, diabetes management and orthopedics. Prior to moving to Yosemite Valley, she served with the Indian Health Service in Eastern Arizona where she worked as a primary care provider, urgent care provider and in the orthopedic clinic.

Lieutenant Commander Gaffney holds a BS in Nursing from Johns Hopkins University and a MS in Nursing from Georgetown University.

 
U.S. Public Health Service

What is the U.S. Public Health Service Commissioned Corps?

The U.S. Public Health Service Commissioned Corps is an elite team of more than 6,500 full-time, well-trained, highly qualified public health professionals dedicated to delivering the Nation's public health promotion and disease prevention programs and advancing public health science. Driven by a passion for public service, these men and women serve on the frontlines in the Nation's fight against disease and poor health conditions.

As one of America's seven uniformed services, the Commissioned Corps fills essential public health leadership and service roles within the Nation's Federal Government agencies and programs.

The mission of the U.S. Public Health Service Commissioned Corps is to protect, promote, and advance the health and safety of our Nation. As America's uniformed service of public health professionals, the Commissioned Corps achieves its mission through:

  • Rapid and effective response to public health needs
  • Leadership and excellence in public health practices
  • Advancement of public health science

Last updated: October 12, 2022

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