About The Position

The Advanced Practice Professional (APP) has coordination and clinical skills required for the comprehensive management of nephrology patients, (including biological, social and psychological assessments). The APP coordinates involvement of medical specialty teams necessary to develop a comprehensive plan for the patient, and reviews the plan of care with the other members of the clinical team, participates in directing that care, performs diagnostic/therapeutic procedures and coordinates discharge planning (as applicable). The APP participates in the education of residents and medical/nursing students. Provide healthcare services consistent with state law and the requirements of the professional licensing or certification authority and/or hospital privileges, where applicable. Such service may include, but are not limited to.

Requirements

  • Graduate of a CCNE accredited nursing program with Master’s Degree in Nursing (for Nurse Practitioner)
  • National Certification by one of the recognized APRN Certification Centers (for Nurse Practitioner)
  • Licensure, or eligibility for licensure, as a professional Registered Nurse and Advanced Practice Registered Nurse in West Virginia (for Nurse Practitioner)
  • BLS Certification required (for Nurse Practitioner)
  • Advanced Cardiac Life Support (ACLS) at the discretion of the department (for Nurse Practitioner)
  • Eligible new graduates will be considered (for Nurse Practitioner)
  • Bachelor’s Degree as a Medical/Surgical (as applicable) Physician Assistant required (for Physician Assistant)
  • Graduate of an ARC-PA approved Physician Assistant (PA) training program required (for Physician Assistant)
  • Certification by the National Commission for Certification of Physician Assistants required (for Physician Assistant)
  • Must be licensed or eligible for licensure by the WV Board of Medicine (for Physician Assistant)
  • BLS Certification required (for Physician Assistant)
  • Advanced Cardiac Life Support (ACLS) at the discretion of the department (for Physician Assistant)
  • Eligible new graduates will be considered (for Physician Assistant)
  • Proficiency with computers.
  • Strong communication skills.

Nice To Haves

  • ACNPs preferred, but will consider FNPs (for Nurse Practitioner)
  • Acute care and/or nephrology experience preferred (for Nurse Practitioner)
  • Masters level education as Medical/Surgical (as applicable) Physician Assistant preferred (for Physician Assistant)
  • Acute care and/or nephrology experience preferred (for Physician Assistant)

Responsibilities

  • Manages comprehensive and individualized care for nephrology patients and their families in the Outpatient phase of hospitalization, immediately post discharge and in the ambulatory setting.
  • Completes daily rounds; consults and/or pre-procedure/evaluations.
  • Completes integrated assessments.
  • With the collaboration of nephrology faculty or by following established clinical Guidelines and Protocols, orders additional tests or consults as deemed appropriate.
  • Performs and communicates results of diagnostic tests following established clinical guidelines and scope of practice.
  • Consults and communicates with clinic and hospital staff regarding abnormal findings in the evaluations of patients.
  • Performs succinct comprehensive clinical evaluations and documents findings in medical record.
  • Facilitates patient discharge by coordinating appropriate services and tests prior to discharge necessary for outpatient follow-up appointments in the clinic (as applicable).
  • Develops a comprehensive individualized plan of care for nephrology patients, which includes teaching, discharge planning and necessary referral to other members of the health care team as necessary.
  • Demonstrates expertise in caring for patients across the age continuum of their educational experience and certification.
  • Identifies unstable or complex nephrology patient care situations and facilitates appropriate intervention in the clinic and/or hospital setting.
  • Recognizes emergency situations and initiates effective emergency care.
  • Evaluates nephrology patients and serves as a coordinator for follow up procedures and tests in the ambulatory setting (as applicable).
  • Assists in the collection of outcome measures (as applicable).
  • Demonstrates critical thinking and diagnostic reasoning skills in clinical decision making by the identification, evaluation and management of the individual needs of patients/families.
  • Demonstrates the ability to utilize equipment in a safe manner.
  • Bases decisions made/actions taken on the relevant scientific principles, established standards of care and/or research findings.
  • Utilizes teaching/learning theory and appropriate teaching strategies in the provision of education to nursing staff, hospital staff, students, patients, families and the community.
  • Promotes an environment that facilitates learning by responding to appropriate patient/family preferences, priorities and readiness to learn.
  • Updates own knowledge base throughout the year.
  • Completes all identified clinical competencies.
  • Serves as a resource person for staff caring for the nephrology patient.
  • Provides educational programs to professional and paraprofessional personnel in area of expertise.
  • Participates in community programs, distribution of literature, as appropriate in area of expertise.
  • Documents the plan of care, interventions and evaluations in a clear and concise manner for every patient visit in the patient’s medical record following approved hospital/UHA policies and compliance standards for documentation.
  • Collaborates with other leaders and staff to effectively achieve patient outcome based improvements in care.
  • Provides leadership in the development and implantation of changes in the nephrology practice that positively impact patient outcomes.
  • Works collaboratively with medical and nursing staff to facilitate creative problem solving and provide professional support.
  • Participates and initiates inter-disciplinary approaches to patient care, program development and education. Serves as a professional role model.
  • Promotes and practices innovation of the expanded role in the delivery of care to nephrology patients and families throughout the Outpatient hospitalization, and the ambulatory setting.
  • Participates and provides leadership for committees and task forces.
  • Documents hours and submits billing reports, as appropriate.
  • Reviews and interprets nephrology data from sources such as patient registries, clinical and financial reports, length of stay, access to care, and cost per case reports and recommends/implements changes as necessary.
  • Participates in clinical trials and research studies with the Principal Investigator.
  • Assists nephrology Faculty, Administrators and Directors in the collection of outcome measures.

Benefits

  • Comprehensive and individualized care for nephrology patients and their families in the Outpatient phase of hospitalization, immediately post discharge and in the ambulatory setting.
  • Daily rounds; consults and/or pre-procedure/evaluations.
  • Integrated assessments.
  • Ordering of additional tests or consults as deemed appropriate.
  • Performance and communication of results of diagnostic tests.
  • Consultation and communication with clinic and hospital staff regarding abnormal findings.
  • Succinct comprehensive clinical evaluations and documentation of findings in medical record.
  • Facilitation of patient discharge by coordinating appropriate services and tests prior to discharge necessary for outpatient follow-up appointments in the clinic.
  • Development of a comprehensive individualized plan of care for nephrology patients, which includes teaching, discharge planning and necessary referral to other members of the health care team as necessary.
  • Expertise in caring for patients across the age continuum of their educational experience and certification.
  • Identification of unstable or complex nephrology patient care situations and facilitation of appropriate intervention.
  • Recognition of emergency situations and initiation of effective emergency care.
  • Evaluation of nephrology patients and serving as a coordinator for follow up procedures and tests in the ambulatory setting.
  • Assistance in the collection of outcome measures.
  • Demonstration of critical thinking and diagnostic reasoning skills in clinical decision making.
  • Ability to utilize equipment in a safe manner.
  • Decisions made/actions taken based on relevant scientific principles, established standards of care and/or research findings.
  • Utilization of teaching/learning theory and appropriate teaching strategies in the provision of education.
  • Promotion of an environment that facilitates learning.
  • Updating own knowledge base throughout the year.
  • Completion of all identified clinical competencies.
  • Serving as a resource person for staff caring for the nephrology patient.
  • Providing educational programs to professional and paraprofessional personnel in area of expertise.
  • Participation in community programs, distribution of literature, as appropriate in area of expertise.
  • Documentation of the plan of care, interventions and evaluations in a clear and concise manner for every patient visit in the patient’s medical record.
  • Collaboration with other leaders and staff to effectively achieve patient outcome based improvements in care.
  • Leadership in the development and implantation of changes in the nephrology practice that positively impact patient outcomes.
  • Working collaboratively with medical and nursing staff to facilitate creative problem solving and provide professional support.
  • Participation and initiation of inter-disciplinary approaches to patient care, program development and education.
  • Promotion and practice of innovation of the expanded role in the delivery of care to nephrology patients and families.
  • Participation and leadership for committees and task forces.
  • Documentation of hours and submission of billing reports, as appropriate.
  • Review and interpretation of nephrology data and recommendation/implementation of changes as necessary.
  • Participation in clinical trials and research studies.
  • Assistance in the collection of outcome measures.
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