Advanced Practice Provider - Otolaryngology - Head and Neck Surgery - Ambulatory

Yale School of Medicine Physician Assistant or Nurse Practitioner

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Overview Yale School of Medicine is one of the world's leading institutions for biomedical research, advanced clinical care, and medical education. With a longstanding tradition of innovation, scientific discovery, and interdisciplinary collaboration, Yale brings together exceptional clinicians, researchers, and educators dedicated to advancing medicine and improving patient outcomes.

The Division of Otolaryngology - Head & Neck Surgery (OHNS) is committed to delivering exceptional care for patients with conditions affecting the ears, nose, throat, head, and neck. Our nationally recognized specialists provide comprehensive care across a broad range of clinical services, including head and neck oncology, speech and swallowing disorders, hearing and balance conditions, and allergy and sinus diseases. Through multidisciplinary programs and ongoing research, our team continues to advance treatment approaches and improve quality of life for patients with complex medical and surgical needs.

This position follows a four-day work week consisting of 10-hour shifts (410 schedule), with standard hours of 7:00 AM to 5:00 PM. Clinical responsibilities will be carried out across multiple practice sites, including but not limited to New Haven, Old Saybrook, and Milford.

Applications are welcomed from both experienced practitioners and new graduate Physician Assistants and Advanced Practice Registered Nurses. While prior clinical experience in OtolaryngologyHead and Neck Surgery or an ambulatory care setting is preferred, it is not a mandatory requirement for consideration.

Responsibilities

1. Clinical Care The Physician Assistant (PA) or the Nurse Practitioner (NP) provides assessment, triage, and therapeutic management of patient/family needs throughout the disease process as an integral part of an interdisciplinary team. The NP/PA, whether the practice setting is the inpatient, ambulatory, or outpatient settings, provides optimal patient care, from diagnostic to prognostic matters. This individual works in collaboration with the attending supervising/collaborating physician(s) in accordance with state law and hospital regulations, hospital policy, protocols and clinical pathways and may provide autonomous team based care. Obtains medical histories, performs physical examinations, reviews/orders diagnostic/therapeutic tests and radiologic results, formulates and manages patient treatment plans. The NP/PA may perform procedures, prescribe treatment and medications in accordance with institutional and state guidelines, as well as, when necessary for scope within specialty or professional competency standards. In some clinical specialties, the NP/PA may have autonomous practice managing certain patient populations. The NP/PA may also function as first or second assistant on operative cases (as long as within position scope and job educational prerequisites are in place), using fine motor skills and manual dexterity. Other clinical job duties may be applied in accordance with departmental and operational goals, training related to profession and practice necessitated guidelines and responsibilities, inclusive but not limited to responding to emergency situations within the YNHHS parameters.

2. Patient Education & Psychosocial Support The NP/PA will educate patients/families on care and recommended or available resources. In collaboration with the supervising/collaborating MD, this may be inclusive of admitting instructions, treatment plan, actual and potential side effects of treatments/medications, and discharge plan. The NP/PA, as part of a multidisciplinary team, provides psychosocial support to patients, their family members, and significant others in a caring, ethical, and professional manner.

3. Information Management The NP/PA ensures appropriate documentation within the accordance of hospital and regulatory requirements and protects information of all forms, whether computer-based, paper, film, voice, or other media from unauthorized access modification, destruction, or intentional or accidental disclosure.

4. Quality Management The NP/PA is expected to demonstrate a high standard of moral and ethical behavior, professionalism, compassion, and commitment to patient care. Ensures compliance with patient related healthcare regulatory requirements, standards and recommendations.

5. Professional Development The NP/PA continuously engages in projects that maintain and advance professional competency. The NP/PA serves as a clinical resource for new house staff and may provide service specific orientation pertinent to clinical education Consistently demonstrates high reliability organizational behaviors through reporting safety events as well as near misses. The NP/PA continuously engages in projects that maintain and advance professional competency. Maintains all employee requirements determined by hospital policy. The NP/PA may serve as a clinical preceptor for NP/PA students and other health care professionals and may serve as a mentor to pre-PA/NP candidates. The NP/PA may collaborate on research, quality assurance and performance improvement projects, and assist with the formation of protocols that will be applied to clinical practice or further their educational and clinical expertise.

Required Skills and Abilities CT APRN license (or eligible) with ANA certification OR CT PA license (or eligible). Prescriptive privileges (or eligible) in the State of Connecticut, federal DEA license, and CT DCP license for prescribing controlled substances. Strong oral and written communication skills, with the ability to interact professionally with patients, families, and clinical team members. A pleasant, helpful attitude with the ability to remain calm under pressure. Well-developed assessment, interviewing, counseling, problem-resolution, and crisis intervention skills. Competence in maintaining accurate medical records and documentation. Ability to work collaboratively and professionally within a clinical team, demonstrating excellent attendance, punctuality, and reliability. Computer proficiency, including experience with electronic medical records (EMR) and current CPR certification.

Preferred Skills and Abilities Prefer clinical working experience as a NP/PA within the given specialty/service line recommended, but none required. APRNs, PAs, CRNAs and CNMs are required to be appointed to the Affiliated Medical Staff of a YNHHS Hospital and credentialed through the Medical Staff process. Evidence of current competence to practice as {an APRN, PA, CRNA, CNM} via appropriate reference letters from physicians and other practitioners must be able to be obtained during the Medical Staff appointment process in order to be eligible.

Licensure Active PA Certification by the National Commission of Certification of Physician Assistants (NCCPA), Connecticut State Physician Assistant License, ACLS/BLS Certified, when indicated for position profile DEA License, when indicated for pediatric position profile PALS, when indicated for neonatal care NRP Certification. Additional licensure, certifications and/or continuing education credits may be required during employment based on position and area of specialty. OR Connecticut State Registered Nurse License, Connecticut State Nurse Practitioner License, Board specialty certification, as appropriate for position profile ACLS/BLS Certified, when indicated for position profile DEA License, when indicated for pediatric position profile PALS, when indicated for neonatal care NRP Certification. Additional licensure, certifications and/or continuing education credits may be required during employment based on position and area of specialty.

Principal Responsibilities Examines patients to collect information about their physical condition and establishes a clinical diagnosis. Conducts physicals, provides treatment, formulates a health care plan and counsels patients on various health practices. Encourages compliance with treatments plan through education, assessment of patient understanding and regular patient monitoring. Provides reasonable and prudent medical care, practices appropriate management, and uses sound clinical judgment based on best practice standards and evidenced based medicine. Obtains, compiles, and records patient medical data, including health history, progress notes and results of physical examination. Provides preventive health practices to patients to maintain and improve health and prevent illness. Coordinates patient care including ordering of laboratory tests and radiographic studies. Interprets diagnostic test results for deviations from normal. Prescribes therapy or medication as necessary. May perform other duties as assigned.

Required Education and Experience Master's Degree from an accredited Advanced Nurse Practitioner program or graduation from a Physician Assistant (PA) Training Program accredited by the American Medical Association Council on Medical Education.

Required License(s) or Certification(s) CT APRN license (or eligible) with ANA certification OR CT PA license (or eligible). Prescriptive privileges (or eligible) in the State of Connecticut, federal DEA license and CT DCP license for prescription of controlled substances.

Physical Requirements While performing the duties of this job, the work involves sitting, standing, walking, bending, and occasional slight lifting. The employee occasionally lifts and/or moves up to 50 pounds when transferring a patient from chair or wheelchair to exam table and turning patients for examination. Proper body mechanics must be used when maneuvering patients.