Advanced Practice Provider, Cardiology

RHSC in St. Paul, MN is looking for exceptional, patient focused Physician Assistant or Nurse Practitioner to join our Cardiology APP team and make a difference for our patients and our community.

The Cardiology Advanced Practice Provider (APP) is responsible for providing both inpatient and outpatient services. In the inpatient setting, the APP works as a team with the attending cardiologist to perform and staff initial consults, subsequent follow up visits and to coordinate patient care. In the outpatient setting, the APP will see patients independently in the cardiology clinic. Outreach clinic may also be expected. Performs other duties as assigned.

Work Schedule: Monday-Friday, 8 hr shifts or 10hr shifts for total of 40 hr per week. Occasional weekends.

Required Qualifications:

• Completion of an accredited Physician Assistant or Nurse Practitioner program
• If a Physician Assistant:
  • Current registration to practice as a Physician Assistant in Minnesota plus current national certification by the National Commission on Certification of Physician Assistant & Approved by Minnesota Board of Medical Practice for prescription writing privileges (verified during credentialing process)
• If a Nurse Practitioner:
  • Currently licensed as a APRN by the Minnesota Board of Nursing
  • Currently licensed as a RN by the Minnesota Board of Nursing
  • AANP certification
• Current BLS, ACLS, and DEA certification (verified during credentialing process

Preferred Qualifications:

• Experience as an independently practicing App
• 1-2 years previous Cardiology experience

Job Title: Advanced Practice Provider- Cardiology

Advanced Practice Prov-Card-NE (800707)

Reports to: Supv APP Cardiology

Approved by: Supv APP Cardiology

Department: Cardiology

Approval Date: March 2020

MINIMUM QUALIFICATIONS:

Education:

Completion of an accredited Physician Assistant or Nurse Practitioner program

Experience:

Licensure/ Registration/ Certification:

Current BLS certification

Current ACLS certification

Current DEA certification (verified during credentialing process)

If a Physician Assistant:

• Licensed as a PA with the Minnesota Board of Medical Practice

• NCCPA certification

• Approved by Minnesota Board of Medical Practice for prescription writing privileges (verified during credentialing process)

If a Nurse Practitioner:

• Currently licensed as a APRN by the Minnesota Board of Nursing

• Currently licensed as a RN by the Minnesota Board of Nursing

• AANP certification

Knowledge, Skills and Abilities:

• Ability to perform as part of a team

• Ability to communicate effectively both orally and in writing, with peers, students and other health care personnel

• Ability to work dependently and independently

• Ability to manage multiple simultaneous tasks and prioritizes appropriately

• Ability to navigate an electronic medical record to obtain information and document care

PREFERRED QUALIFICATIONS:

Education:

None

Experience:

Experience as an independently practicing APP

1-2 years previous Cardiology experience

Licensure/ Registration/ Certification:

None

Knowledge, Skills and Abilities:

None

POSITION SUMMARY STATEMENT:

The Cardiology Advanced Practice Provider (APP) is responsible for providing both inpatient and outpatient services. In the inpatient setting, the APP works as a team with the attending cardiologist to perform and staff initial consults, subsequent follow up visits and to coordinate patient care. In the outpatient setting, the APP will see patients independently in the cardiology clinic. Outreach clinic may also be expected. Performs other duties as assigned.

MAJOR JOB DUTIES AND TASKS:

Percentage

Of Time:

1.

Coordinates flow of Inpatient Service

10 %

1. Reviews daily patient lists.
2. Prioritizes consultations and rounding schedule according to established parameters.
3. Develops and reviews work plan for the day with rounding physician partner.
4. Communicates regularly with partner Inpatient APP to coordinate consult services and to balance workloads.
5. Assists in the assignment of residents and students as necessary.

2.

Discusses and develops diagnosis and treatment plan with staff cardiologists.

20%

1. Assesses and completes H&P on new consults as selected/assigned.

1. Orders diagnostic testing as indicated.

1. Evaluates treatment for assigned patients and communicates information to physician partner.

1. Designs follow-up plan for patients to be seen in the clinic when discharged from the

Hospital.

1. Documents assessment, treatment, evaluation and follow-up plan in the electronic medical record.

3.

Discusses with and instructs patient/family members regarding treatment and follow-up

10%

1. Interacts with patients and family members to involve them in the plan of care.

2. Educates patient/family members regarding diagnosis and treatment and documents this in the electronic medical record.

3. Provides written instructions when indicated.

4. Prescribes medications as indicated.

4.

Evaluates interventions and plan of care regularly to ensure efficacy.

5%

1. Regularly reviews results of ordered diagnostics and communicates these to the partner cardiologist.

1. Reviews patients on the service at the end of the day with physician partner.

1. Modifies plan as indicated.

2. Signs outpatients on service to APP partner when cross-covering.

5.

Interacts with other healthcare professionals.

5%

1. Communicates hospital course and treatment plan to referring primary care physicians upon discharge.

6.

Cardiology Clinic

45%

1. Evaluate and treat patient in the cardiology clinic on a regular basis. Sees revisits independently and staffs new patients with the NIVL cardiologist.

2. Prescribes medications, orders tests and procedures as needed.

3. Documents clinic visits in the electronic medical record.

4. Regularly manages in-basket, following up on the results of testing and procedures ordered for clinic patients.

1. Communicates with other healthcare professionals regarding mutual patients.

7.

Collaborates and coordinates with other health professionals

5%

1. Communicates hospital course and treatment plan to referring primary care physicians upon discharge.

2. Makes and accepts referrals to/from, consults with, cooperates with and refers to all other types of healthcare providers, including primary and specialty care physicians, nurse practitioners and other allied personnel.

3. Discriminates between situation requiring independent management, collaborative management with physician or further referral

4. Collaborates with physician when unusual incidents or changes in patient' condition occur.

5. Coordinates care involving other healthcare providers.

6. Functions as mentor/resource and educator for other healthcare team and staff.

ORGANIZATIONAL EXPECTATIONS:

Values

All team members are expected to demonstrate our values:

Excellence: We strive for the best results and always look for ways to improve.

Compassion: We care and show empathy and respect for each person.

Partnership: We are strongest when we work together and with those we serve.

Integrity: We are open and honest, and we keep our commitments.

We are committed to living our values. That means our patients and families can expect certain things from each of us:

They can expect us to be their partner and treat them with dignity and respect. They can expect us to listen carefully and give good, timely information. They can expect us to do our best to provide affordable, coordinated, high quality care and services that are easy to find and simple to use. They can expect safe, clean spaces. And they can expect that we will do our very best to earn their trust by being open and honest, and keeping our word.

Additional Expectations:

• Complies with safety instructions, observe safe work practices, provides input on safety issues and promotes a safe work environment.

• Maintains regular and timely attendance

• Protects confidentiality

• Demonstrates participation in and support of the organization's Corporate Integrity Program by participating in compliance-related education and training and complying with the organization's policies and procedures.

• Timely completion of all mandatory education and organizational requirements (i.e. licensure/certification, Employee Health and Wellness requirements, annual training, etc.)

POPULATION SPECIFIC COMPETENCIES:

X Yes

No

Does this employee have direct patient contact?

If yes, age-specific competency checklist MUST be attached.

LEADERSHIP RESPONSIBILITIES:

The Cardiology APP has no formal leadership responsibilities.

PHYSICAL REQUIREMENTS:

Work environment includes the inpatient nursing units and the clinic setting. Stands 4-6 hours and walks 2-4 hours daily while performing duties. May view a computer screen for up to 3 hours a day. May lift, push or pull equipment up to 50 lbs. Must be able to transport self throughout the hospital. Must be able to perform tasks requiring fine motor skills and hand/eye coordination.

ENVIRONMENTAL CONDITIONS:

Office Environment: May be exposed to printer/copier cartridges, no extreme conditions.

Inpatient Environment: May be exposed to hazardous substances, harmful physical agents, and infectious agents that exist in the patient care area in the performance of duties.

EQUIPMENT:

Office Environment: Computer, fax, printer, copy machine and other office machines.

Patient Care Unit: Needles, syringes, vital sign monitors and hemodynamic lines.