Description

The Clinical Programs Nurse Practitioner (NP) for the Cut Hypertension Program provides advanced clinical care, including independent diagnosis, treatment, and medication management for adults with hypertension in community-based barbershop and salon settings. As a primary clinical lead on-site, the NP utilizes advanced clinical judgment to implement hypertension protocols, manage complex patient needs, and provide culturally grounded, patient-centered care. 

Roots Community Health is recruiting a Nurse Practitioner to support the Cut Hypertension Program in Sacramento. This long-standing initiative, launched in 2010, is grounded in evidence that African American barbershops and salons serve as trusted settings for health prevention, community engagement, and outreach. The program addresses long-standing disparities in cardiovascular disease among the African American community by offering accessible and culturally grounded hypertension screening, treatment, and care coordination in partnership with barbers, cosmetologists, community leaders, and clinical teams. The Nurse Practitioner will play a central role in delivering high-quality clinical care in a community environment and strengthening continuity between barbershop/salon-based services and primary care.

Position Summary:

NP provides advanced clinical care, including independent diagnosis, treatment, and medication management for adults with hypertension in community-based barbershop and salon settings. As a primary clinical lead on-site, the NP utilizes advanced clinical judgment to manage complex patient needs and provide culturally grounded, patient-centered care. The NP collaborates with pharmacists, community health workers, and the broader Roots Community Health team to ensure consistent service delivery.

Duties and responsibilities:

• Provide complete subjective and objective assessments during barbershop/salon visits, including evaluation of symptoms, medication use, lifestyle factors, and home blood pressure data.
• Perform accurate blood pressure measurement using automated office and manual blood pressure techniques.
• Independently diagnose and manage hypertension and related comorbidities within the program scope.
• Utilize personal DEA and Furnishing numbers to e-prescribe medications and manage pharmacologic therapy.
• Order laboratory tests required for medication management and review results to identify electrolyte abnormalities or changes in kidney function.
• Determine blood pressure control relative to target goals and establish individualized treatment plans and follow-up schedules.
• Identify and provide initial management or prompt escalation for clinical findings such as hypertensive urgency or symptomatic hypotension. Provide clear and culturally responsive education on lifestyle interventions including nutrition, sodium intake, physical activity, and tobacco cessation.
• Serve as the supervising provider for community health worker services and offer real-time clinical guidance and workflow support to barbers and program staff.
• Use the electronic medical record and mobile platform to document all assessments, care decisions, medication adjustments, and laboratory orders.
• Coordinate with primary care providers to support continuity of care between barbershop-based services and clinic-based services.
• Maintain professional boundaries and uphold privacy and safety while delivering care in informal community environments.
• Participate in program improvement efforts focused on strengthening care processes and service quality.

Clinical Authority and Scope of Practice:

The Nurse Practitioner functions in accordance with the California Board of Registered Nursing standards for advanced practice. While the NP will initially maintain familiarity with program-specific medical management and standardized procedures, the position is designed to transition into Full Practice Authority (per California’s AB 890). In this capacity, the NP has the authority to independently diagnose medical conditions related to hypertension and associated comorbidities, as well as initiate, titrate, and e-prescribe medications. Furthermore, while providing clinical guidance during program activities, the NP may serve as the formal supervising provider for community health worker services in the future as the program evolves.

Requirements

• Current and unrestricted Nurse Practitioner license in the State of California.
• Valid Nurse Practitioner Furnishing Number and DEA registration.
• Clinical experience in primary care, chronic disease management, community health, or related settings.
• Ability to work effectively and maintain professionalism in non-traditional, community-based clinical settings.
• Experience collaborating with barbers, faith leaders, or community partners is helpful.
• Ability to attend weekly virtual team meetings and in-person meetings as applicable.
• This position is primarily located in participating barbershops and salons in Sacramento, with the possibility of providing remote support to additional Bay Area sites or chapters. The work setting is community based and can be fast paced, requiring adaptability and strong interpersonal skills. Responsibilities include standing for extended periods, managing portable clinical equipment, and traveling between sites as needed.

Documentation and Compliance

The nurse documents all care activities in the Roots electronic medical record system and the program’s mobile platform. Documentation must comply with HIPAA requirements, organizational charting standards, and the standardized hypertension procedure. The nurse is responsible for timely and complete charting, reporting abnormal findings to the supervising provider, and ensuring appropriate follow up for patients.