Nurse Practitioner or Physician Assistant II

Why Mayo Clinic Mayo Clinic is top-ranked in more specialties than any other care provider according to U.S. News & World Report. As we work together to put the needs of the patient first, we are also dedicated to our employees, investing in competitive compensation and comprehensive benefit plans - to take care of you and your family, now and in the future. And with continuing education and advancement opportunities at every turn, you can build a long, successful career with Mayo Clinic. You'll thrive in an environment that supports innovation, is committed to ending racism and supporting diversity, equity and inclusion, and provides the resources you need to succeed. Responsibilities This position will be in the Nephrology & Hypertension division providing a combination of patient care in the clinic, hospital, and outpatient dialysis settings. Outpatient responsibilities include a NP/PA led chronic kidney disease clinic and collaborative subspecialty clinics, including outpatient dialysis rounds. The NP/PA inpatient responsibilities entail providing 24/7 consult coverage, managing chronic kidney disease (CKD), end stage renal disease (ESRD), acute kidney injury (AKI), hypertension, and acid base & electrolyte disturbances for patients throughout the hospital. The Nephrology & Hypertension NP/PA will work collaboratively with the multidisciplinary team, including nephrologists, fellows, nurses, and others. The role requires timely assessments, interventions, interpretation of diagnostic tests, and management of acute and chronic medical conditions. Patient and family education about recovery and disease process is also a crucial part of the health promotion for the patients. The NP or PA has advanced health assessment and decision-making skills, prepared through a formal educational program that meets criteria established by the profession. This individual works in collaboration with physicians and other health care professionals to provide health care across the continuum of care for assigned patients. The provision of care includes, but is not limited to: obtaining patient history, comprehensive assessment, ordering (including ordering dialysis), conducting, and interpreting diagnostic tests, prescribing pharmacological agents and treatments, and non-pharmacological therapies. Monitors the effectiveness of the therapeutic interventions. The ability to assess data reflective of the patient's status and appropriately interpret information relative to the patient's cultural and social economic status is required. The candidate demonstrates leadership through involvement on committees and team projects, education, and research and actively seeks to improve the practice through performance improvement initiatives. Must have excellent verbal and written communication skills and possess strong computer skills. Must be able to work collaboratively on a multi-disciplinary team. Must be flexible and willing to handle change. Position description: * Rotating shifts in hospital coverage and outpatient clinic visits. * Opportunities for specialization based on interests and practice needs, such as rounding in the outpatient dialysis unit, stone clinics, polycystic kidney disease clinics, etc. * Back up coverage for in-house overnight hospital coverage, as needed. * Work independently to the full scope of practice in compliance with state licensure. * Perform and documents in the medical record detailed patient history and physical examinations. * Coordinating daily rounds with the attending physician teams; presenting patient report to develop, collaborate and implement individualized plan of care. * Follows assigned patient population throughout the shift. * Deliver patient education on the spectrum of CKD care and renal replacement therapies, including dialysis modality options. * Consult with surgical teams to promote optimal dialysis access placements. * Coordinate care of ESRD patients with outpatient dialysis centers from admission to discharge. * Prescribe appropriate pharmacological treatments and therapeutic procedures, including dialysis and continuous renal replacement therapies, as per accepted evidence-based guidelines and expected institutional protocols. * Monitor effectiveness of therapeutic interventions. * Participate in the delivery of Tele-Health. * Make appropriate referrals as needed. * Examine plan of care for cost-effectiveness and achievement of expected outcomes. * Hospital coverage includes: * Assist with ongoing departmental process improvement and policy development. * Actively participates in grand rounds, quality improvement, and faculty meetings. * Precept, mentor and instruct students, graduates, and novice NP/PAs. During the selection process you may participate in an OnDemand (pre-recorded) interview that you can complete at your convenience. During the OnDemand interview, a question will appear on your screen, and you will have time to consider each question before responding. You will have the opportunity to re-record your answer to each question - Mayo Clinic will only see the final recording. The complete interview will be reviewed by a Mayo Clinic staff member and you will be notified of next steps. Qualifications Nurse Practitioner: Masters-prepared graduate of an accredited school of nursing and Nurse Practitioner program. Current FL RN and APRN license and certification as a FNP, ANP, ACNP. Physician Assistant: Graduate of accredited Physician Assistant program with current PA certification by NCCPA and registration as a PA by the FL State Board of Medical Practice. Preferred Qualifications: * >1 year experience, new graduates may apply. * Prior training and education in nephrology, hemodialysis, peritoneal dialysis, and kidney transplant. * Experience providing care in patient's homes or via telehealth/remote monitoring. Additional Qualifications: BLS, ACLS certification from American Heart Association or American Red Cross and DEA registration required. * Flexibility to adjust schedule to meet patient and staff needs. * Excellent verbal and written communication skills. * Experience with Microsoft 365 and Teams * Strong computer skills in an Electronic Medical Record. Exemption Status Exempt Compensation Detail Education, experience and tenure may be considered along with internal equity when job offers are extended. Benefits Eligible Yes Schedule Full Time Hours/Pay Period 80 Schedule Details Monday - Friday 8 AM - 5 PM Weekend Schedule Potential Overnight and Weekend Call International Assignment No Site Description Just as our reputation has spread beyond our Minnesota roots, so have our locations. Today, our employees are located at our three major campuses in Phoenix/Scottsdale, Arizona, Jacksonville, Florida, Rochester, Minnesota, and at Mayo Clinic Health System campuses throughout Midwestern communities, and at our international locations. Each Mayo Clinic location is a special place where our employees thrive in both their work and personal lives. Learn more about what each unique Mayo Clinic campus has to offer, and where your best fit is. Affirmative Action and Equal Opportunity Employer As an Affirmative Action and Equal Opportunity Employer Mayo Clinic is committed to creating an inclusive environment that values the diversity of its employees and does not discriminate against any employee or candidate. Women, minorities, veterans, people from the LGBTQ communities and people with disabilities are strongly encouraged to apply to join our teams. Reasonable accommodations to access job openings or to apply for a job are available. Recruiter LaTasha Perkins