Advanced Practice Provider (PA/NP) - NC Surgery ACS

Advanced Practice Provider

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An Advanced Practice Provider functions as part of the interdisciplinary healthcare team in accordance with privileges approved by the credentialing committee to provide high quality, cost effective care to patients within the APPs scope of practice in collaboration with a supervising physician. The APP reflects the mission, vision, and values of the organization, and complies with all relevant policies, procedures, guidelines and other regulatory and accreditation standards.

We are currently searching for two Advanced Practice Providers, preferably with experience, to join our Acute Care Surgery Team at Rex UNC Health for evening and nighttime shifts. The role is primarily for consults and inpatient care, but will include some 1st assisting in the operating room; no outpatient clinic or call outside of the hospital. The ideal applicant will be able to multitask and manage a large census of inpatients with a vast array of acute (and some chronic) general surgery issues. Consult-heavy. The applicant should be comfortable working and communicating effectively with multiple providers, hospital staff, and consulting departments. This position is shift-work, hours as below (can be somewhat flexible with the evening APP). This is a service in our hospital that operates on a 24/7 basis with at least one (if not two APPs) and one MD during the day, and one MD at night. The goal is to increase APP coverage during the peak hours of evening weeknights and weekend nights. Weekend and overnight shift differentials do apply.

The evening APP hours will be 5pm to 3am, with some room for flexibility if the candidate is the right fit. This would be 4 x 10 hour shifts, Monday through Thursday. There is no call outside of the hospital.

The nighttime APP hours will be 7pm to 7am, Friday/Saturday/Sunday. This role will also include phone call coverage for other established services within NC Surgery. There is no call outside of the hospital.

Responsibilities:

• Clinical- Obtains relevant health and medical history, performs thorough physical assessment, reviews and interprets pertinent diagnostic tests/results. Develops appropriate differential diagnoses. Develops and implements treatment plans including prescribing/ordering of appropriate evidence-based pharmacological agents consistent with departmental guidelines and privileging, and schedules appropriate follow-up management. Actively incorporates evidence-based hospital initiatives to improve patient care. Conducts preventive health screening based on age, history and patient needs. Maintains clear comprehensive yet concise records of all aspects of patient care. Maintains essential knowledge of general disease and pathologic processes. Maintains extensive knowledge of their specialty literature including awareness of developing areas. Consistently derives correct diagnoses through synthesis of clinical data and proper selection and interpretation of diagnostic studies. Develops comprehensive differential diagnoses for patients. Revises the plan of care to meet the changing needs of the patient. Prioritizes work and assists staff to provide prompt and efficient client flow. Consistently maintains high productivity according to identified standards. Leads/participates in projects to improve productivity. Appropriately performs medical procedures consistent with departmental guidelines, privileging, and clinical roles/responsibilities.
• Education- Appropriately and professionally educates clients and/or families regarding medical condition, treatment, and follow-up. Collaborates with clinicians, staff, and students to promote continuity and patient/family centered care. Develops educational materials based on learning needs of clinicians, staff, and students. Provide education/instruction to physicians, housestaff, nursing, ancillaries and/or students. Actively recognizes and participates in identification and achievement of self-learning needs. Attends education programs based on identified learning needs.
• Leadership- Provides instruction to physicians, housestaff, nursing, ancillaries and/or students including but not limited to precepting, shadowing, lectures, training classes, CE, rounds, morning report, and or staff meetings. Participates in community/network outreach programs. Develops/leads community/network outreach programs. Demonstrates both an understanding of the contexts and system in which healthcare is provided and the ability to apply this knowledge to improve and optimize health care delivery. Leads/participates in systems improvements.
• Professional- Interacts with patients and families in a respectful, courteous and timely fashion using appropriate communication for the patient and situation. Interacts collaboratively with coworkers, other team members and staff in a respectful, courteous, and timely fashion appropriate to patient care needs and situations. Responds quickly to meet customer needs and resolve problems. Accepts responsibility for outcomes of ones work. Shares responsibility for overall workload with team members.
• Quality/Research- Engages in daily continuous quality improvement by identifying and implementing processes for improvement. Consults with management in assessment, problem-solving, decision-making, and evaluating clinical/system issues and models of care. Leads interdisciplinary teams to provide integrated delivery of patient care services. Initiates and revises protocol(s) or guideline(s) to reflect evidence-based changes in care management Works to influence policy-making bodies to improve patient care. Develops new clinical programs or services within the department/unit/clinic to improve patient care.

Education Requirements: Completion of an accredited graduate-level Advanced Practice Provider (APRN or PA) program. Licensure/Certification Requirements: Licensed as an Advanced Practice Provider (i.e., Nurse Practitioner, Physician Assistant, Clinical Pharmacist Practitioner, Certified Nurse Midwife, Certified Registered Nurse Anesthetist) in the state of North Carolina. Board certification if required by the Department. DEA. Professional Experience Requirements: No prior experience required. Knowledge/Skills/and Abilities Requirements: Demonstrated clinical competency. Effective leadership skills. Strong interpersonal skills. Ability to work independently and collaboratively. Demonstrated written and verbal communication and strong analytical skills. Effective interaction to ensure the successful care of patients in the clinical setting. Documentation in the medical record to substantiate accurate billing.