Advanced Practice Provider

Description

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Summary:
An Advanced Practice Provider (APP) 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.

Work Schedule:

* Rotating 12- and 24-hour in-house shifts, including night and weekend assignments.

* An average of 40 hours/week duty time will be maintained over any given scheduling period.

* Working schedule may be changed as clinical needs dictate.

Responsibilities:
1. 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.
2. 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, house staff, 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.
3. Leadership- Provides instruction to physicians, house staff, 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.
4. Professionalism- 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 one‘s work. Shares responsibility for overall workload with team members.
5. 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.

Major Responsibilities:

• Evaluates, plans, manages, and implements direct medical patient care. Acquires patient history and performs physical examination. Supports breastfeeding and early nutrition. When needed, establishes differential diagnosis and institutes diagnostic workup to confirm diagnosis. Implements current, evidence-based practice for newborn care. In addition, this care includes strong communication and partnership with parents and family members with information regarding the infant‘s physiologic/developmental status and needs and psychological support. Collaborates with clinicians, staff, and students to promote continuity and family centered care.
• Attends deliveries when requested or expected. Is the team leader for newborn resuscitations including standard newborn care but also resuscitations when needed. In some situations, acute critical care resuscitations of infants may be required including invasive procedures such as bag valve mask ventilation, initiating continuous positive airway pressure, intubation, and insertion of venous or arterial catheters. This is currently a Level 1 nursery so invasive procedures will generally be performed for the purpose of stabilizing an infant to prepare for transport to a higher level NICU.
• Appropriately carries out the documentation, care logistics, and billing to optimize revenue for the service. This includes newborn history and physical examination performed and documented on the day of birth, clear and effective documentation in the electronic medical records, writes orders for tests, procedures, and implementation and management of therapies in accordance with standards. Work to optimize coding based on the care provided and documented.
• Education of nursing and other medical staff, nurse practitioner students, and other providers in the planning for and performance of continuing education and research on the unit. Includes self-directed continuing re-education. Assists the Medical Director, Head Nurses, Nurse Educator (s), and Discharge Coordinators in the development and evaluation of standards of care, unit objectives, patient care programs, and continuing education programs.
• Assumes other duties and responsibilities that are appropriate to the position and area.
• Exemplifies professional relations and demonstrates leadership within the Center. The above responsibilities are a general description of the level and nature of the work assigned to this classification and are not to be considered all-inclusive.

Other Information

Other information:
Education Requirements:

• Completion of an accredited graduate-level Advanced Practice Provider (APRN or PA) program.
• Management prefers APP candidates to have their MSN in Nursing from an accredited School of Nursing and NCC board certification as a Neonatal Nurse Practitioner. Successful completion of a Master‘s and/or Doctorate degree Neonatal Nurse Practitioner university-based program whose curriculum has been approved by the North Carolina Medical Board.

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.
• If applicant is hired into a Neonatal Nurse Practitioner role, candidate must have a Neonatal Resuscitation (NRP) certification.

Professional Experience Requirements:

• No prior experience required.
• Management prefers APP candidates to have 3 years of experience as a Neonatal Nurse Practitioner.

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.
• Management prefers APP candidates to have expert neonatal clinical skills.
• Management prefers APP candidates to be able to remain calm and functional and to demonstrate leadership skills in stressful and critical life-threatening emergency situations.

Legal Employer: STATE

Entity: UNC Faculty Physicians

Organization Unit: UNCFP Peds Wilmington PR

Work Type: Full Time

Standard Hours Per Week: 40.00

Work Assignment Type: Onsite

Work Schedule: Variable

Location of Job: US:NC:Bolivia

Exempt From Overtime: Exempt: Yes

This is a State position employed by UNC Health Care System with UNC Health benefits. If, however, you are presently an employee of another North Carolina agency and currently participate in TSERS or the ORP, you will be eligible to continue participating in those plans at UNC Health.

Qualified applicants will be considered without regard to their race, color, religion, sex, sexual orientation, gender identity, national origin, disability, or status as a protected veteran.

UNC Health makes reasonable accommodations for applicants‘ and employees‘ religious practices and beliefs, as well as applicants and employees with disabilities. All interested applicants are invited to apply for career opportunities. Please email if you need a reasonable accommodation to search and/or to apply for a career opportunity.