Primary Care Provider NP/PA - LMHS

Job Overview

The mission of Lyon-Martin Health Services is to provide high quality, compassionate and trauma-informed medical, gynecological, and mental health care services to trans, non-binary, gender non-conforming, and intersex communities and cis-gender women with specific sensitivity to sexual orientation, gender identity, disability, race, ethnicity, and language regardless of immigration status or ability to pay. We aim to address and eliminate health equities for our communities by rooting our clinical practice in core foundational frameworks of intersectionality, self-determination, harm reduction, and reproductive and disability justice. As a community clinic, we believe our communities are best served by and for us; that’s why community outreach, engagement, and leadership development is central to our mission of community care and mutual aid. Lastly, we commit to increasing access to culturally responsive care beyond our walls through provider training and education, and policy advocacy.

Key Responsibilities

It is the responsibility of the Primary Care Provider (PCP) to act as a clinical leader by providing quality primary care services to LMHS/WCC patients, helping to grow the overall practice, and promoting team functioning.  The PCP acts collaboratively with a supervising physician according to California state law.  They are also responsible to uphold and imbue in others a commitment to addressing racism, ableism, and gender and sexual discrimination within the organization and our clinical practice.
Under the supervision of the Medical Director, the Primary Care Provider (PCP) is responsible for taking medical histories, performing physical examinations, ordering and interpreting laboratory tests, and diagnosing and treating common illnesses, injuries.  Provides consultation and education to patients; including but not limited to chronic disease management, pain management, caring for the medical needs of patients presenting with co-occurring disorders and barriers to care within the Patient Centered Health Home delivery model. Is an active member of the integrated healthcare team. May be required to work evenings and weekends.

  • Provide comprehensive care, within the scope of credentialed privileges, to LMHS/WCC clients, documenting care promptly and following charting protocols and applicable CA state licensing requirements; ensure appropriate follow-up for all aspects of ordered care (e.g., specialty referrals, laboratory results, radiology reports, etc.).
  • Analyze and interpret patients' histories, symptoms, physical findings, or diagnostic information to develop appropriate diagnoses.
  • Maintain complete and detailed records of patients' health care plans and prognosis, documenting care within 72 business hours per policy and following charting protocols and applicable CA state licensing requirements
  • Medical examination will include the interpretation of all routine laboratory tests.
  • Ensure appropriate follow-up for all aspects of ordered care (e.g., specialty referrals, laboratory results, radiology reports, etc.).
  • Diagnosis and treatment of illness and injury.  Consulting with the Medical director and/or supervising physician for treatment referral options as needed.
  • Maintain familiarity with the standardized procedures as agreed to by the supervising physician and utilize them to guide care.
  • Develop a continuity panel of clients.
  • Complete patient sessions in a timely manner.
  • Provide on-call after-hours coverage on a rotating basis.
  • Provide clinical leadership to support staff, including medical assistants, patient care coordinators, front office staff and receptionists.
  • Work collaboratively with mental health staff to facilitate integration between primary care and mental health to improve patient outcomes.
  • Meet benchmarks for quality indicators as noted in the annual quality improvement plan.
  • Along with colleagues, assist in continuous quality improvement through on-going needs assessment and problem solving.
  • Maintain availability for various administrative/clinical duties.  Such duties may include case presentations; in-service training to staff; supervision of students, interns, residents, nurses, and medical assistants; leadership/consultation to agency committees; attendance/speaking at fundraising events, etc.
  • Attend continuing professional education programs, at the request or with the approval of supervisor, demonstrating participation required professional education to maintain certification/licensing.
  • Represent LMHS/WCC at and/or attend professional conferences, in-service trainings, and meetings.
  • Obtain and maintain licensure, DEA registration and BCLS/CPR certification.
  • Complete all mandatory trainings on an annual basis.
  • Comply with all aspects of LMHS/WCC Policies and Procedures applicable to Medical Staff members as well as all agreements with insurers and other entities that contain provisions applicable to or affecting the duties and responsibilities of Medical Staff; and all applicable statutes, regulations, governmental agency guidelines, and non-governmental oversight body requirements that place requirements on LMHS/WCC.
  • Perform other duties as assigned by supervisor to maintain a high level of patient-centered care.
  • Provide comprehensive care, within the scope of credentialed privileges.
  • Maintain current productivity standards as assigned by supervisor through appropriate scheduling and monitoring of no-show rate.
  • May be required to work evenings and weekends.
  • Mission-driven: demonstrates commitment to mission of the organization, queer and trans health, and community-driven primary care.
  • Teamwork: reaches out to peers and cooperates with supervisors to establish an overall collaborative working relationship; treats everyone with dignity regardless of their level or background. Accountable to team; participates effectively in group- and team-work; collaborates positively with other team members; giving and accepting constructive criticism.
  • Communication, Written: Delivers written communications that have clarity and impact including emails.
  • Communication, Verbal: Effective listener; clearly and thoughtfully communicates with others in person and on the phone.
  • Reliability: Accountable; maintains focus; punctual; good attendance record; meets deadlines.
  • Time Management: Organizes and establishes priorities; gets the job done in a timely manner.
  • Customer Service: Persists in efforts to solve issues even when faced with internal barriers; takes personal responsibility for customer service outcomes; responds quickly and effectively to requests for assistance and support whether internal or external.
  • Computer Literacy: Skilled computer-based work tasks; uses technology to enhance job performance. MS Office, Excel, Word and/or Powerpoint.
  • Tolerance for Stress, Ambiguity, and Change: Maintains composure even while under great pressure; handles complex problems and change with minimal supervision; demonstrates flexibility and versatility in achieving key goals and priorities.
  • Attention to Detail: Strives to eliminate errors; makes accurate work a priority; seeks opportunities to improve performance.
  • Decision Making: Collects, organizes, and analyzes information before making decisions. Takes a thoughtful approach when considering options; may seek supervision and/or input from others.
  • Integrity and Ethics: Actively models the highest ethical standards; is honest and accountable; maintains confidentiality and appropriate boundaries at all times; handles sensitive information and issues with discretion and tact.
  • Relationship Orientation: Establishes rapport easily with others; listens attentively to others' perspectives; uses good judgment when sharing information and maintaining confidentiality; appropriately expresses empathy.
  • Presentation Skills: Adapts presentation techniques to fit audience level and technical needs; develops and delivers communications that have clarity and impact; conveys confidence, presence, and professionalism; uses appropriate visual aids to illustrate key points and enhance learning.
  • Interpersonal Skills: Uses active listening and discussion skills to identify issues, ensure understanding, and facilitate problem solving; works cooperatively with diverse groups; deals with others in a pleasant and professional manner; accurately assesses verbal and non-verbal cues.
  • Accountability: Makes and meets commitments; accepts responsibility for behavior and outcomes.
  • Follow Through: Monitors status of projects and tasks; thoroughly deals with project details; delivers clear, accurate depiction of status.
  • Cultural Humility and Sensitivity: Ability to work with a diverse population while withholding judgment. Willingly open to learn and understand different perspectives. Intelligence: learns quickly; demonstrates ability to proficiently understand and absorb new information.
  • Ability to coach: develops people in their current roles to improve performance, and prepare them for future roles.
  • Creativity/innovation: generates new and innovative approaches to problems.
  • Enthusiasm: exhibits passion and excitement over work; has a can-do attitude.
  • Work ethic: possesses a strong willingness to work hard and sometimes long hours to get the job done; has a track record of working hard.
  • High standards: expects personal performance and team performance to be nothing short of the best.
  • Listening skills: lets others speak and seeks to understand their viewpoints.


Education and Knowledge, Skills and Abilities

Education/Certification/Licensure Required:

  • Graduation from an accredited program for Nurse Practitioners or Physician Assistants.
  • Possession of a valid California license as an ANP or FNP with Furnishing license OR Possession of a current, valid California License to practice as a Physician Assistant issued by the California Board of Medical Quality Assurance.
  • Possession of DEA Controlled Substances Registration Certificate.
  • Possession of NPI.
  • Current BLS/ACLS certificate.


  • Bilingual in English and Spanish. 

Background Clearance Required:

  • Must not be on active parole or probation. 


  • Experience working with lesbian, bisexual, transgender, gender non-conforming, non-binary, and intersex clients.
  • Experience working with populations with varying lifestyles, disabilities, racial, ethnic and cultural backgrounds and economic statuses.
  • Experience working with clients who do sex work, those experiencing homelessness, people who have challenges with mentally illness and/or using substances, those of with a history of incarceration, people of varying ages.

Transgender, LGBQ Women, BIPOC, and people living with chronic illnesses and disabilities encouraged to apply.


Compensation: $110,000.00-$130,000.00
Type: Salary/ Exempt
Benefits: HealthRIGHT 360 offers a competative benefits package.
City: San Francisco, CA
Hours/wk: 8-40

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