Department: Providers

Classification: Full-Time

Schedule: Per assigned clinic provider template, Monday–Friday; wound care visits are scheduled in dedicated blocks

Location: Assigned Clear Choice Dermatology clinic(s), Oregon / Washington

Reports To: Regional Manager (administrative); Medical Director (clinical)

FLSA Status: Exempt

POSITION SUMMARY

At Clear Choice Dermatology, the Nurse Practitioner – Wound Care leads the care of patients with surgical and chronic wounds while also seeing general dermatology patients. The role manages post-Mohs and post-excision wounds, delayed healing, and chronic wounds such as venous, diabetic, and pressure ulcers, and works closely with our Mohs surgeons, dermatologists, and clinical team. By giving wound patients dedicated, consistent follow-up, the Nurse Practitioner – Wound Care helps patients heal faster, prevents complications, and frees surgeon time, while upholding CCD's standards for clinical quality, documentation, and patient experience.

CORE RESPONSIBILITIES

Wound Assessment & Management

• Assess surgical and chronic wounds, including size, depth, tissue type, drainage, and signs of infection, and document wound measurements at each visit
• Manage post-operative wounds after Mohs surgery, excisions, and biopsies, including dressing changes and suture and staple removal
• Identify and treat wound complications such as infection, dehiscence, hematoma, and delayed healing; escalate to the operating surgeon or Medical Director per practice protocol
• Evaluate and treat chronic wounds, including venous, arterial, diabetic, and pressure ulcers and non-healing biopsy sites
• Perform conservative sharp debridement within scope of license and CCD-approved competencies
• Select appropriate dressings, compression, and topical therapies, and order wound cultures, labs, and imaging as indicated
• Refer patients to vascular, podiatry, infectious disease, or other specialists when clinically indicated, and track referral loop closure

General Dermatology

• Conduct comprehensive dermatological assessments, including full-body skin examinations, history, and review of systems
• Diagnose and treat common skin, hair, and nail conditions, including acne, rosacea, eczema, psoriasis, skin infections, and benign and premalignant lesions
• Perform dermatological procedures such as shave and punch biopsies, cryotherapy, ED&C, incision and drainage, and intralesional injections
• Identify suspicious lesions and escalate complex or high-risk cases to a dermatologist or the Medical Director per practice protocol

Patient Education & Follow-Up

• Teach patients and caregivers wound care at home, including dressing changes, signs of infection, and when to call the clinic
• Educate patients on factors that affect healing, such as nutrition, smoking, blood sugar control, and offloading or compression
• Schedule and track wound follow-up visits until healing, and coordinate with home health agencies when needed
• Ensure biopsy, pathology, and culture results are reviewed, communicated to patients, and acted on within practice timelines

Documentation & Compliance

• Document all patient encounters, wound measurements, and photographs accurately and completely in the EHR (EMA / Modernizing Medicine)
• Close charts and select accurate diagnosis and procedure codes, including wound care and debridement codes, in a timely manner to support compliant billing
• Support MIPS/quality reporting measures, including biopsy follow-up and referral loop closure
• Follow HIPAA, OSHA, CLIA, infection control, and CCD clinical policies and protocols at all times

Collaboration & Professional Development

• Work closely with Mohs surgeons, dermatologists, Medical Assistants, and clinic leadership to support efficient patient flow
• Train Medical Assistants and clinical staff on dressing changes, wound photography, and wound care supplies
• Help develop and maintain CCD wound care protocols and supply standards
• Stay current with advancements in wound care and dermatology and incorporate evidence-based best practices into patient care

WHY JOIN CLEAR CHOICE DERMATOLOGY

Join our team dedicated to advancing dermatological health. We offer opportunities for professional growth, ongoing education, and a collaborative work environment focused on excellence in patient care.

POSITION REQUIREMENTS

Education & Licensure

• Master of Science in Nursing (MSN) or Doctor of Nursing Practice (DNP) from an accredited program
• Active, unrestricted Nurse Practitioner license (APRN / ARNP) in the state of practice, with prescriptive authority
• National board certification as a Nurse Practitioner (e.g., AANP or ANCC)
• Wound care certification (e.g., CWCN, CWS, or WCC) preferred; CCD will support training for the right candidate
• Active DEA registration (or ability to obtain prior to start)
• Current BLS certification
• Ability to be credentialed with CCD's contracted insurance plans

Experience

• Experience in wound care, surgical, or dermatology settings preferred
• Nurse Practitioners new to wound care with strong interest may be considered and will complete CCD wound care and procedure training

Skills & Competencies

• Strong wound assessment and clinical decision-making skills
• Proficiency with debridement, dressing selection, and dermatologic procedures, or willingness to complete CCD competency training
• Knowledge of electronic health records (EHR) systems; EMA / Modernizing Medicine preferred
• Excellent communication and patient education abilities, including with older adults and caregivers
• Ability to work effectively both independently and as part of a multidisciplinary team
• Commitment to providing compassionate, patient-centered care

PHYSICAL DEMANDS

• Standing, walking, bending, and reaching for extended periods during the clinic day
• Fine motor skills and manual dexterity sufficient to perform dermatologic procedures
• Visual acuity (correctable) sufficient for close examination of skin and use of a dermatoscope
• Occasional lifting of up to 25 lbs

WORKING CONDITIONS

• Work is performed in an outpatient dermatology clinic setting
• Potential exposure to bloodborne pathogens, infectious materials, and sharps; PPE and OSHA protocols are required
• May be assigned to, or asked to cover, more than one CCD clinic location; occasional travel between clinics may be required

WORK STANDARDS

• Arrive prepared to begin the scheduled clinic template on time
• Complete and sign all documentation, including wound measurements and photos, within practice-established timelines
• Maintain active licensure, certifications, and DEA registration, and notify HR / Credentialing of any change in status
• Complete all required CCD trainings (including HIPAA and OSHA) by assigned due dates
• Represent Clear Choice Dermatology with professionalism, integrity, and a genuine commitment to patient satisfaction