Advanced Practitioner

Nurse Practitioner Or Physician's Assistant

Nurse Practitioner or Physician's Assistant to provide acute care for Chronic Kidney Disease, Acute Kidney Injury and ESRD patients in an inpatient hospital setting. Patient population is highly diverse, and resource challenged. Practice includes but is not limited to: physical assessment; ordering, performing, supervising, and interpreting diagnostic and laboratory tests; making diagnoses; initiating and managing treatment plans including, hemodialysis, plasmapheresis, management of pre- and post- renal biopsy orders and interventions, CRRT, peritoneal dialysis, vascular access, prescribing medications and non-pharmacologic treatments in collaboration with MD Nephrologist. Management in partnership with individuals, families, communities to coordinate care, provide counseling and educate. Provide expertise and support to nursing and licensed medical staff caring for patients utilizing best practices and evidence-based care to achieve best possible patient outcomes.

This position is designated as an on-site, patient-facing role. In-office presence is an essential function due to the need for real-time collaboration with providers, direct interaction with patients and caregivers, and secure handling of health data in compliance with HIPAA.

Qualification Requirements

Minimum Qualifications

Nurse Practitioner: Successful completion of graduate education at the master's, post-master's or doctoral level from nationally accredited program, successful national board certification. Master of Science in Advance Practice Nursing (MSN) or Clinical Doctorate in Nursing Practice with preference for FNP, ANP, AGNP or ACNP certification, National Board-Certification Nurse Practitioner (ANCC or AANP) with a valid, unrestricted NC RN license, Initial Nurse Practitioner Approval to Practice and in good standing with the North Carolina Board of Nursing.

Physician Assistant: Successful completion of an educational program for Physician Assistants accredited by the Committee on Allied Health Education and Accreditation, or by its successor agency, and pass the Physician Assistant National Certifying Examination administered by the National Commission on Certification of Physician Assistants.

Hospital experience preferred, but not required

Basic Cardiac Life Support (BCLS) and ACLS are required and must be maintained.

Clear criminal history

Maintenance and engagement in continuing education to remain ahead of technological, methodological and other developments in the field.

Completion of requirements to maintain a clear and unrestricted license to practice, prior to expiration.

Valid driver license and reliable transportation to allow individual to provide support to multiple office, hospital and dialysis unit locations as necessary.

Working knowledge of Microsoft Office Applications, and familiarization with Electronic Health Records.

Knowledge, Skills and Abilities

Maintenance of patient confidentiality and medical records in accordance with HIPAA.

Ability to practice autonomously and in coordination with healthcare professionals and other individuals.

Ability to provide a wide range of health care services: diagnosis and management of acute, chronic and complex health problems.

Comfort with health promotion, disease prevention, health education and counseling.

General knowledge of health care research methodology and interdisciplinary consultation.

Strong patient advocacy skills desired.

Detailed oriented with the ability to speak and write effectively, including the preparation of clear and concise documentation of patient interactions, excellent records maintenance skills.

Proactive individual with the ability to manage required workload, with strong independent decision-making skills and attention to detail.

Recognize social determinants which affect health, access to care, and engagement in the healthcare contract between provider and patient.

Strong interpersonal and communication skills and the ability to work effectively with a wide range of constituencies in a diverse resource challenged community.

Ability to function well while involved in multiple task assignments. Ability to concentrate on details and deal with constant interruption. Skill in organizing resources and establishing priorities.

Attendance and completion of in-service training as required.

Flexibility in scheduling and assignments to meet the needs of the organization.

Must be proficient in MS Word, Excel, and PowerPoint software programs.

Supervisory Responsibilities

None However each APP is accountable to patients, their professional organization, state boards and are expected to practice consistently with an ethical code of conduct, evidence-based principles and current practice standards.

Essential Functions

• Provide Clinical assessment, and case management including constructing and interpreting medical history, performing physical assessment, evaluating patient behavior, performing, and interpreting selected laboratory tests, identifying problems and developing and implementing treatment plans for acute, chronic kidney disease or end-stage renal disease patients. 70%
• Order and schedule laboratory studies, diagnostic procedures, and services such as changes in immunosuppression, renal biopsies, inpatient and outpatient dialysis, and home health care; explain necessity, preparation, nature and anticipated effects of scheduled diagnostic and therapeutic procedures to the patients. 10%
• Seek Expert Opinion or advice of collaborating physician when case falls outside of protocol of agency; refer patients to outside physician for consultation and/or specialized health resources for treatment or clinical management. 5%
• Documentation of Patient Encounters 10%
• Other duties as assigned 5%

Physical Demands

Potential for travel for trainings, professional meetings and education.

Hearing, visual acuity, talking.

Reaching, grabbing, holding fine motor skills.

Extended periods in a stationary or standing position.

Repetitive motion such as entering data into computer-based programs.

Applicants should be in good physical health and would be able to traverse across multiple locations within the ECU Health Medical Center campus that may include ramps, uneven sidewalks, elevators, stairs, etc.

Work Environment

Work is normally performed in a typical interior office, hospital, and dialysis medical environment. The noise level is usually moderate. High risk of exposure to blood borne pathogens and OPIM.

The above statements are intended to describe the general nature and level of work being performed by individuals assigned to this job. They are not intended to be an exhaustive list of all responsibilities, duties and skills required for the position. All employees may have other duties assigned at any time.