Position Summary:

Under the direct clinical supervision of the Medical Director or Clinical Services Director, the Family Nurse Practitioner (FNP) delivers top-of-license, culturally responsive primary and preventative healthcare across the entire lifespan. Serving as a primary healthcare provider within a multidisciplinary team, the FNP conducts comprehensive health assessments, manages acute and chronic conditions, orders diagnostic testing, and prescribes appropriate pharmacologic and non-pharmacologic therapies.

Operating within the Delivery (The Gold Standard) framework, this role emphasizes high-touch patient coaching, preventative disease management, and active collaboration with specialized navigators and behavioral health professionals to improve health outcomes in the community.

Key Responsibilities & Core Duties

1. Direct Clinical Care & Panel Management

• Comprehensive Primary Care: Provide ongoing primary care, preventive screenings, urgent/acute care visits, annual physicals, and chronic disease management across pediatric, adolescent, adult, and geriatric populations.
• Diagnostics & Treatment: Order, perform, and interpret diagnostic, laboratory, and therapeutic tests relative to presenting clinical issues and age-specific guidelines.
• Pharmacologic Management: Prescribe appropriate pharmacologic agents and non-pharmacologic interventions within the California APRN scope of practice and organizational guidelines.
• High-Risk Population Oversight: Monitor care plan progress and clinical outcomes for complex, high-risk patients, adjusting care plans as clinically indicated to support optimal patient health.

2. Multidisciplinary Care Coordination & Navigation Integration

• Integrated Care Collaboration: Partner closely with Primary, Specialized, and Intensive Navigators, behavioral health specialists, and community health workers to deliver holistic, team-based care management.
• Referral Tracking: Monitor and follow up on specialty care, radiology, laboratory, and community resource referrals to ensure seamless care continuity.
• Case Conferences: Actively participate in integrated clinical care management conferences, interdisciplinary team reviews, and high-risk case huddles.

3. Patient Education, Health Coaching & Advocacy

• Empowerment & Education: Provide culturally grounded health education, disease self-management coaching, and preventative guidance to patients and families.
• Patient Advocacy: Serve as a trusted patient advocate, helping community members navigate complex health systems and overcome barriers to care.

4. Clinical Quality, EHR & Administration

• Documentation Excellence: Timely, accurately, and thoroughly document all patient encounters, assessments, treatments, and care plans within the Electronic Health Record (EHR) system.
• Practice Standards: Adhere to clinical protocols, quality assurance standards, and state regulatory requirements.
• Departmental Engagement: Attend mandatory clinical, organizational, and quality improvement meetings as required.

Core Competencies

• Culturally Specific Care: Deep understanding of, sensitivity to, and respect for the diverse socioeconomic, cultural, and lived experiences of the East Oakland and regional safety-net community.
• Interprofessional Collaboration: Demonstrated ability to establish effective, respectful working relationships across multidisciplinary clinical teams, non-clinical staff, and external partners.
• Communication & Adaptability: Clear, empathetic, and effective verbal and written communication skills; strong clinical problem-solving under pressure.
• Operational Discipline: Excellent organizational skills, attention to detail, and ability to manage clinical flow efficiently.

Minimum Qualifications

• Experience: Minimum of 3 years of clinical experience in a Family Nurse Practitioner role (community health, FQHC, or safety-net clinic experience preferred).
• Education: Graduate of an accredited School of Nursing and an accredited Nurse Practitioner Program (Master's level or higher).
• Licensure & Certifications:
  • Active, unencumbered California Advanced Practice Registered Nurse (APRN) and Nurse Practitioner (NP) license.
  • Active California Furnishing License and DEA Registration.
  • Board Certification (AANP or ANCC) in Family Practice (or board-eligible with expected certification within 12 months of hire).
  • Current BLS and ACLS Provider Cards (PALS provider card preferred).
• Technical Skills: Proficiency in Electronic Health Records (EHR) and basic administrative software (Microsoft Office Suite / Google Workspace).

Equal Opportunity Employer

Roots Community Health is proud to be an Equal Employment Opportunity/Affirmative Action Employer and values diversity of culture, thought, and lived experiences. We seek talented, qualified individuals regardless of race, color, religion, sex, pregnancy, marital status, age, national origin or ancestry, citizenship, conviction history, uniform service membership/veteran status, physical or mental disability, protected medical conditions, genetic characteristics, sexual orientation, gender identity, gender expression regardless of physical gender, or any other consideration made unlawful by federal, state, or local laws. Roots uses E-Verify to validate the eligibility of our new employees to work legally in the United States.