Advanced Practice Provider (NP/PA/APP) - Ambulatory Women's Health Provider

Advanced Practice Provider (NP/PA/APP) - Ambulatory Women's Health Provider

The Department of Obstetrics and Gynecology at the University of Virginia, located in beautiful Charlottesville, VA, seeks a Nurse Practitioner or Physician Assistant for a full-time appointment in the Department of Obstetrics and Gynecology. Clinical scope is focused on ambulatory women's care including obstetrics and benign gynecology services. This role is an expansion of our current team of 7 APPs and 8 Certified Nurse Midwives. We are looking for a flexible, energetic, highly motivated professional to help us support the Advanced Practitioner team's top of license scope of services. Principal responsibilities include in-scope ambulatory obstetrical and well-women gynecological healthcare in various outpatient locations in the Charlottesville area as well as outreach sites in the UVA Health footprint. Additional responsibilities will include educating residents and medical students, supporting nurse practitioner student clinical rotations, engagement in developing women's ambulatory service programs; community outreach; and participating in departmental activities, including academic meetings and research.

Applicants with previous experience in supporting women's services, especially in an academic medical center are strongly encouraged to apply, but new graduates and those without experience at an academic medical center will be considered as well. The successful candidate will have the ability to work comfortably and confidently in a fast-paced academic environment; will support the growth of APP practice within the UVA Health System through excellent communication, teamwork, teaching, and patient care skills; and will support patients and their families, facility personnel and the broader mission of the UVA Health System in providing coordinated, efficient, and patient-centered, quality care.

Summary of duties

Primary Clinical:

• Works in conjunction with the medical director, administrative management, nursing and other interprofessional team members to facilitate patient care and management throughout the health care system.
• Performs comprehensive history and physical assessment
• Documents findings noting pertinent normal and abnormal findings
• Orders and interprets the appropriate diagnostic labs and tests
• Forms medical diagnoses based on history, assessment and diagnostic findings
• Develops, implements and evaluates treatment plans
• Prescribes and recommends pharmacological and non-pharmacological interventions
• Initiates appropriate specialty consultations referrals when requisite
• Recognizes acute/emergent situations requiring immediate responsiveness and initiates life-saving interventions, alerting the interdisciplinary team members for assistance
• Recognizes and incorporates age-specific requirements, communicates plan of care with patients and families
• Advocates for patients and family members in educational needs, treatment options, participation in care and ethical issues and patient rights with recognition and consideration of the diverse needs of the individual/family
• Initiates and evaluates clinical pathways and protocols
• Perform in scope obstetrical and gynecological care including but not limited to routine annual visits with preventive health testing and follow up of results (pap, hpv, STD testing,), routine follow-up, non-emergent complaints IUD insertion/removal, colposcopies
• Skills for colposcopy, IUD insertion and removal, vulvar biopsies, and endometrial biopsies will be acquired over time if applicant is not currently certified for services.

Educational:

• Precepts APP students and provides mentoring for other APP's as supported by the Department of OBGYN
• Works with assigned Medical Students to meet training goals as well as providing feedback to Medical Students via EPA mechanism

Leadership:

• Acts as a role model to colleagues, interdisciplinary team members, the institution and to the community
• Demonstrates respect to all within the institution and community
• Demonstrates leadership abilities in the development, mentorship and empowerment of others within the healthcare community

Quality/Stewardship/Outcomes:

• Participates in, supports and leads quality assurance initiatives, performance improvement, benchmarking initiatives to advance patient care delivery
• Utilizes research findings and Evidence-Based practice in the delivery of patient care
• Evaluates the implications of access, quality, safety and cost on the delivery of healthcare
• Participates in the development of instruments to measure patient and practice outcomes
• Identifies needs, variations and interventions to ensure and improve quality care
• Maintains compliance and regulatory documentation for the purposes of administration and reimbursement
• Provides expertise in the measurement, development, evaluation and communication of the status and progression of applicable patient care standards
• Participates and contributes to departmental/divisional/institutional initiatives
• Provides input in the annual review of other staff members
• Assists in the development of clinical pathways and protocols
• Participates in accreditation preparedness
• Coordinates meeting applicable performance improvement standards for all disciplines in collaboration with interdisciplinary team members

Research:

• Participates in Department supported research projects

Clinical:

• Independently and in collaboration with physician(s) and interdisciplinary team members, provides comprehensive clinical and organizational direction and leadership to the healthcare provider team in the care of patients.
• Performs comprehensive history and physical assessment
• Documents findings noting pertinent normal and abnormal findings
• Orders and interprets the appropriate diagnostic labs and tests
• Forms medical diagnoses based on history, assessment and diagnostic findings
• Develops, implements and evaluates treatment plans
• Prescribes and recommends pharmacological and non-pharmacological interventions
• Initiates appropriate specialty consultations referrals when requisite
• Initiates and evaluates clinical pathways and protocols
• Collaborates with Attendings and/or Fellows regarding admissions and community transfers
• Facilitates the timely flow of patients via collaboration with interdisciplinary team members and supports all interdisciplinary relationships
• Recognizes acute/emergent situations requiring immediate responsiveness and initiates life-saving interventions, alerting the interdisciplinary team members for assistance
• Recognizes and incorporates age-specific requirements, communicates plan of care with patients and families
• Advocates for patients and family members in educational needs, treatment options, participation in care and ethical issues and patient rights with recognition and consideration of the diverse needs of the individual/family
• Provides consultation in specialty area
• Maintains confidentiality of patient information
• Coordinates meeting applicable clinical standards for all disciplines in collaboration with interdisciplinary team members
• Explains the necessity, preparation, nature and anticipated effects of procedure(s) to patients, patient families, staff and students
• Performs designated procedures after demonstrated competency

Educational:

• Acts as a clinical resource, utilizing both formal and informal opportunities for the education of other members of the interdisciplinary team.
• Provides education consistent with evidence-based practices and protocols
• Precepts APP students and provides mentoring for other APP's
• Provides outreach and education to the community and within the Advanced Practice arena
• Coordinates meeting applicable educational standards for all disciplines in collaboration with interdisciplinary team members

Leadership:

• Acts as a role model to colleagues, interdisciplinary team members, the institution and to the community
• Demonstrates respect to all within the institution and community
• Demonstrates leadership abilities in the development, mentorship and empowerment of others within the healthcare community
• Assumes leadership role in the development of the Advanced Practice Role to patients, families, other healthcare professionals and to the community
• Coordinates meeting applicable leadership standards for all disciplines in collaboration with physician(s) and team members
• Meets leadership competency standards

Quality/Stewardship/Outcomes:

• Participates in, supports and leads quality assurance initiatives, performance improvement, benchmarking initiatives to advance patient care delivery
• Utilizes research and Evidence-Based practice in the delivery of patient care
• Evaluates the implications of access, quality, safety and cost on the delivery of healthcare
• Participates in the development of instruments to measure patient and practice outcomes
• Identifies needs, variations and interventions to ensure and improve quality care
• Maintains compliance and regulatory documentation for the purposes of administration and reimbursement