APP Electrophysiology RHI

Advanced Practice Provider

The Advanced Practice Provider is an advanced practice nurse who is an expert in the diagnosis and treatment of illness, and the delivery of evidence-based nursing interventions for patients of the NCH Medical Group. The APP works in collaboration with the APPs, management team, peers, and staff to advance nursing and promote the development of an evidence-based professional practice environment. Further, the APP works under the approved and agreed protocols signed by the supervising NCH Medical Group physician. The APP works to continually improve clinical outcomes, facilitate throughput, and provide clinical expertise to effect system-wide changes to improve programs of care.

The APP is expected to develop an active communication strategy with the medical and other staff, to keep them informed about requirements regarding the conduct of their work. In so doing, the APP will work under the approved and agreed protocol signed by their supervising NCH Medical Group physician who will oversee all aspects of patient care delivered by the APP.

The APP is responsible for defining, focusing, and resolving problems in collaboration with the APP's assigned physician as well as other members of the clinical and administrative staff.

The APP, in conjunction with the Senior Leadership of the NCH Medical Group is responsible for participating in the development of their practice's strategic plan, including long and short-term goals and objectives. The strategic plan will be evaluated annually, and the results reported to the NCH Medical Group's Board of Directors through the Chief Medical Officer.

The APP is responsible for following the performance evaluation program created by the Quality of Care Committee.

The APP is responsible for facilitating the recruitment of high-quality APPs and other professional personnel for the NCH Medical Group.

The APP is responsible for delivering medical care in a manner that is consistent with the terms of managed care and insurance contracts into which NCH Medical Group enters.

The APP is responsible for assisting the NCH Medical Group administrative team prepare for and respond to all litigation in which it is involved.

The APP is responsible for providing leadership for all the NCH Medical Group's patient care activities. These responsibilities include the following specific elements.

The APP is responsible for exemplifying in personal and professional conduct, the clinical and administrative tone that emanates for the philosophy of care and thus sets the tone for all the professional and administrative staff.

The APP is responsible for assuring that the NCH Medical Group's Medical Services are run in such a manner that the integrity and quality of the clinical programs are protected, fostered and improved. She/he shall participate fully in NCHHG programs of performance improvement with the goal being to strive for clinical excellence and improved patient outcomes. This work entails ensuring that NCH Medical Group's Medical Services meet all standards required for necessary accreditation and appropriate regulatory reviews, and document assessments, reviews, and other operations and activities necessary to assure the highest quality of clinical operations.

Fostering high quality and efficient clinical operations within NCH Medical Group.

Participates in the supervision of medical support staff (e.g. LPN and Medical Assistant) who works in support of the APP's practice.

Participates in the design, development and implementation of clinical programs fashioned to provide clinical care and activities related to medical treatment of patients in an efficient, effective, economic, and feasible manner.

Participates in the oversight of medical services and clinical procedures to ensure their appropriateness, quality and integration as a part of the NCH Medical Group's clinical program.

Participates in activities and programs designed to ensure effective, sufficient, and efficient clinical staffing.

Participates in committee or work group activities as reasonably requested by supervising physician Chief Medical Officer.

Works to ensure the effective protection and implementation of the patients' bill of rights.

Provides direct patient care in those instances where it is necessary for the patient's well-being.

Serves as liaison to the medical staff to ensure matters of medical importance are conveyed to the Board of Directors.

Independently manage electrophysiology and cardiology patients across inpatient, emergency department, and high-volume outpatient setting. Provide outpatient clinic assistance to EP Physicians, up to 60 patients/day and outpatient procedure management 10 patients/day. This allows our EP Physicians to focus on procedural volume and clinical efficiency.

Coordinate EP and Cath lab cases, including scheduling and comprehensive pre- and post-operative management, admissions, and discharges.

Act as primary clinical associate to the chair of Electrophysiology department, driving significant growth in procedural volume, clinical efficiency and revenue through optimized patient care and procedural coordination.

Collaborate with Attending physicians, hospitalists, and multidisciplinary teams to deliver comprehensive cardiac care.

Supervise and mentor Cardiology Fellows.

Provide senior APP coverage including weekends, Holidays, and night call.

Work closely with research coordinators to support clinical operations, including management and execution of patient orders.

Interpret and troubleshoot device checks on loop recorders, pacemakers, and Internal Cardiac Defibrillators (ICDs).

Make changes in Device programming/reprogramming as clinically indicated, in conjunction with EP doctors

The APP is responsible for resolving immediate clinical problems which arise affecting patient care.

Participates in the development of policies, procedures, and programs to identify the needs of the clinical and administrative staff to a) correct knowledge or skill deficits, b) to accomplish the continued professional development of the clinical and administrative staff.

Represent NCH Medical Group in the community through interviews, lectures, organized consultation, and other appropriate activities.

It is the APP's responsibility to be actively involved in developing long-range strategies to ensure the NCH Medical Group's future clinical and economic success. This involves both short-term and long-term planning. The responsibility is both an active one in generating ideas that will ensure NCH Medical Group's future viability as well as a protective one in identifying problematic issues that may arise from other proposals.

The APP should be actively involved in the development and implementation of an on-going marketing plan. The APP should provide advice guidance regarding the appropriateness and effectiveness of this plan and be willing to play an active role in this plan through community lectures, TV or radio appearances and such other public presentations that appropriately support this work.

The APP is responsible for helping to develop and implement a program of clinical marketing providing for the NCH Medical Group NCH Medical Group's participation in a variety of public health efforts geared toward educating the community regarding the nature of the medical services removing destructive barriers to care, assisting in the primary prevention of mental illness, and facilitating the appropriate referral of affected individuals to the most appropriate level of care and type of service.

Enhance administrative and medical staff awareness, knowledge, and skill to operate collaboratively within a managed care environment.

Participate as needed in managed care negotiations.

Participate and assist NCH Medical Group in responding to appeals, denials, and other key communications with third party payers.

Remain personally educated and knowledgeable regarding relevant development in the contemporary management of care.

It is the APP's responsibility to carry out all other duties and responsibilities in order to meet the clinical and administrative needs necessary to achieve NCH Medical Group's goals and objectives.

Minimum of Master's Degree in Nursing or related field from an accredited school of nursing and have completed advanced practice or nurse practitioner program.

Minimum of experience in clinical with outstanding teaching skills and the ability to facilitate organizational change.

Must have Board Certification in area of specialty, board eligible candidates will be considered with commitment to obtain certification within 6 months of hire.

Licensed as an Advanced Practice Provider in the State of Florida.

Basic Life Support (BLS) certification required from the American Red Cross or American Heart Association within 3 months of hire.

Completes all NCH yearly competencies within the allotted timeframe.

Maintains professional licensing requirements.

Completion of all continuing education requirements needed to practice as an Advanced Practice Provider.

Intermediate computer knowledge: Uses Microsoft Word, Excel, Outlook, and Windows