APP Manager - Physician Assistant - Obstetrics
NYU Langone Hospitals
Position Summary We have an exciting opportunity to join our team as an APP Manager – PA or Certified Midwife. Job Responsibilities Perform all relevant clinical functions based on evidence‑based approaches to clinical care, using established guidelines. Perform complete health history, physical examination and psychosocial assessment within the designated practice. Work collaboratively with the practice team, attending physicians, house staff, consulting physicians, and other disciplines to identify, develop, implement, and modify plans of care that consider potential outcomes and goals of care, maximize patient/family satisfaction, and enhance quality, access, and cost outcomes. Order laboratory, radiological, and diagnostic studies as indicated, differentiate between normal and abnormal findings, and follow protocols for abnormal findings, adjusting the plan of care or discussing with attendings and house staff as required. Prescribe medications to patients according to NYS law, including controlled substances with DEA authorization. Prescribe medical equipment, devices, physical and occupational therapy, and home health services per practice protocol. Evaluate patient responses to treatment and modify per clinical standards and practice protocols. Coordinate discharge planning with interdisciplinary team, patient, and family to assure timely and safe discharge. Practice as a member of the allied health staff according to the rules and regulations, bylaws of the Medical Staff, and within scope of practice and approved delineation of privileges. Act as a professional role model to all levels of staff by incorporating expertise and related experience into patient care. Consider needs and behaviors of specific patient age and cultural groups in all patient care activities. Evaluate advanced practice activities that contribute to achievement of patient outcomes and add value to clinical care. Utilize practice‑based evidence to evaluate care and identify the need for changes in structure or processes to improve care. Participate in the development and monitoring of patient outcomes per established practice protocols for quality and performance improvement. Use evidence‑based health‑care literature and specific department clinical and escalation algorithms to advise and support appropriate practice changes within the designated service. Participate in Service Line Quality and Performance Improvement meetings. Participate in Advance Practice meetings and committees. Assist and participate in the preparation, implementation, and evaluation of research protocols when applicable. Monitor and trend the cost‑effectiveness of the position, especially as it relates to efficiency and performance indicators established for the service. Collaborate with the Sr. Director of Advanced Practice Providers and/or Director of Advanced Practice Providers and the division chief of the clinical department in the recruitment, retention, and human‑resource management of the nurse practitioners, midwives, and physician assistants assigned to the respective service. Guide and monitor performance and delivery of care on a daily basis, including time scheduling, assignments, and coordination of services to patients. Facilitate onboarding and orientation as well as ongoing professional development of nurse practitioners, midwives, and physician assistants. Coordinate clinical activities to accomplish established safety and quality measures. Provide leadership and develop effective team building. Develop and maintain policies, standards and processes pertaining to all aspects of patient care. Set departmental goals in collaboration with division chief and other key personnel. Participate in relevant hospital‑wide committees. Act as liaison between inpatient and outpatient areas to assure continuity of care. Participate in performance appraisals of nurse practitioners, midwives, and physician assistants on the assigned service. Participate in evaluations of fellows, residents, and interns as needed. Contribute to the development of clinical knowledge through writing, research, and presentations. Educate patients and families to facilitate and promote healthy adjustment to new or changed expected outcomes. Serve as a preceptor to graduate students and mentor to staff. Facilitate the preceptorship of nurse practitioner, midwife and physician assistant students on applicable clinical services. Participate in the development and revision of interdisciplinary and nursing standards, patient and family education materials relevant to the area of practice and expertise. Interact with other departments to ensure seamless transitions of care through collaborative communication. Provide consultation about patients’ medical issues and plans of care to nursing staff responsible for patient care. Facilitate continuity of care across the continuum of services, including home care, discharge to other facilities, and appointments with MDs. Ensure timely and safe discharge of patients to the next level of care. Act as a respectful member of the health‑care team. Promote professional growth and development in clinical and managerial roles. Maintain current expertise in area of practice. Participate in hospital, NY State, and TJC mandated education programs. Serve as a clinical expert and resource for the education of peers and other health professionals. Collaborate with division chief and appropriate clinical/operational administrators to ensure that systems supportive of clinical care function smoothly. Facilitate self‑governance of nurse practitioner, midwife and physician assistant groups in collaboration with the Sr. Director of Advanced Practice Providers as needed. Document all assessments, findings, progress, and care prescribed in the hospital medical records according to established standards. Support the mission, philosophy, standards, goals, and objectives of the institution, departments, and service line. Plan and organize care to meet individual patient needs and ensure appropriate clinical resource utilization per protocol, pathways, and other means. Work collaboratively with the interdisciplinary team to develop and implement therapeutic plans of care for patient groups and ensure communication with patient and family members. Work collaboratively with nursing leadership to ensure timely communication with nursing staff. Minimum Qualifications Current license as a certified midwife in NY State. Master's or Doctorate Degree in midwifery from an accredited midwifery program. American Midwifery Board Certification (AMCB). Membership in related professional organizations. Credentialed as allied health professional through the Credentialing Committee of the Medical Board. At least 5 years of clinical experience (preferred). Electronic fetal monitoring credentialing (applicable). NRP certification (applicable). Basic Life Support certification; ACLS; participation in department drills/skills. Infection Control Certification every 4 years. Demonstrated ability to interface effectively with other disciplines to achieve goals of care, improve patient outcomes, decrease length of stay, and utilize resources efficiently. Demonstrated ability to facilitate group processes and work cohesively in an interdisciplinary team. Excellent interpersonal and communication skills, creative problem‑solving, critical thinking, and leadership skills. Demonstrated ability to manage change and influence others to work effectively in a changing environment. Required Licenses Midwifery Certification – NYS Qualified candidates must be able to effectively communicate with all levels of the organization. NYU Langone Health is an equal opportunity employer and is committed to inclusion in all aspects of recruiting and employment. All qualified individuals are encouraged to apply and will receive consideration. #J-18808-Ljbffr NYU Langone Hospitals
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