Req No.
Rural Health Clinic
Regular Full-Time
Hillman Medical Office (Tulare, CA)


Be a part of TEAM HCCA at Tulare's Hospital!      


HealthCare Conglomerate Associates (HCCA) is a performance driven organization dedicated to providing the highest level of service to our patients, our physicians, our teammates, and our community. HCCA's vision is to develop a high quality, affordable integrated delivery system focused on improving the wellness and health of the community. Our goal is to be recognized as the best integrated delivery system in the country by being the BEST place to work, practice and receive care.  


Tulare's hospital's commitment to providing greater access to medical care is demonstrated through its Medical Offices located in Tulare and also the nearby community of Earlimart. Its first-class Evolutions Fitness & Wellness Center epitomizes Tulare hospital's fresh approach to health and wellness. 



To develop a best-in-class, performance-driven, integrated delivery systems focused on wellness and improving the health status of the community.



Provide high quality, lower cost integrated delivery system focused on wellness and improving the health status of the community.  To be recognized as one of the best integrated delivery systems in the county. 


* Best place to work.


* Best place to practice.


* Best place to receive care. 



* Honesty and integrity.

* Innovation and creativity.

* High quality, lower cost care.

* Service excellence.

* Results-oriented.

* Team-work and mutual accountability.

* Forward-thinking.

* Culturally competent team and organization. 


We offer a competitive compensation package, benefits package and a pleasant work environment. Our current benefit package includes: health insurance (medical EPO or PPO; dental and vision), 401k, Life Insurance, Long Term Disability, Flexible Spending Account, (medical and daycare), vacation, sick and holiday programs. Benefits package offered to full time and part time employees. 


HCCA is an equal opportunity employer.


Position Summary

The Clinic Family Nurse Practitioner works collaboratively with the Clinical Physician to provide a wide range of primary care services; which encompasses health promotion, injury and illness prevention, diagnosis, treatment and monitoring of commonly encountered health problems and injuries, monitoring of stable chronic health problems, coordinates referral and follow-up care.  Work is performed under the general direction of the Clinical Director/Physician.


Essential Functions

  • Performs testing, writes prescriptions, and performs office procedures within the scope of expertise, protocols and available equipment.
  • Determines and assesses the health status of patients by reviewing records, taking comprehensive medical histories, performing physical examinations, and recording findings.
  • Initiates, performs and directs medical assistants to perform screening and diagnostic tests that are appropriate for patient's condition.
  • Plans and oversees on-going treatment and clinical management of patients in stable phases of chronic illness, and general health maintenance of non-chronic, non-acute patients.
  • Informs, counsels and instructs individuals and families on their specific health problems, test results, and general health-related matters such as nutrition, birth control, social behavior, growth and development, aging and substance abuse.
  • Consults with physicians regarding patient's conditions, diagnosis, treatment plan, medication orders and need for specialty care; keeps physician advised of patient status as necessary.
  • Prescribes medications according to proper clinical care and standards of practice.
  • Recognizes situations requiring physician care, such as acute conditions requiring immediate attention, changes in chronic conditions, indications of early stages of chronic conditions, mental and emotional disturbances, and communicable disease cases; consults with and makes appointments with physicians for patients.
  • Prepares and maintains complete and accurate charts, case files, records and other documents; reviews material prepared by other staff for completeness and accuracy.
  • Establishes a collaborative relationship with other medical providers. 
  • Maintains professional and technical knowledge by attending educational workshops; reviewing professional publications; establishing personal networks; participating in professional societies.
  • Participates in Performance Improvement
  • Maintains productivity that is satisfactory and consistent with the HCCA goals.
  • This positionrequires consistent sound judgment and the ability to work independently with minimum direct supervision.
  • Responsible for other related job duties as assigned by the Medical Director and/or the Administrator
  • Performs other duties as assigned.
  • Follows HCCA rules, policies, procedures, applicable laws, and standards.
  • Carries out the mission, vision, and values of HCCA


Experience, Education & Competency Requirements:

  • Bachelor’s degree in Registered Nursing (BSN).
  • Master’s degree as Nurse Practitioner, preferred
  • Possession of a current certificate of completion from an accredited Nurse Practitioner Program, preferred.
  • Current and valid CA Nurse Practitioner License.
  • Current CA Furnishing License
  • Current DEA License
  • Current CPR card.
  • Current ACLS card.
  •  2-years’s NP experience, preferred.
  • 3-years acute care clinical experience, preferred.
  • 1-year experience advance practice, preferred.
  • Bilingual preferred.
  • Knowledge of medical guidelines and procedures regarding examination, therapy and recover
  • Able to work under pressure and relate to patients, family, hospital staff, and visitors in a professional manner.      
  • Excellent verbal and written communication skills.
  • Able to make decisions using discretion and independent judgment.
  • Able to prioritize, multi-task and manage time to meet deadlines and time constraints.
  • Must work well with all levels of persons and personalities. 


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