Advanced Practice Professional - Pulmonary/ICU - Nocturnist

University Health Associates•Charleston, SC

About The Position

The Advanced Practice Professional (APP) provides coordinated, comprehensive clinical management for pulmonary patients, including biological, social, nutritional, and psychological assessments. The APP coordinates involvement of medical specialty teams, develops and reviews care plans with the clinical team, participates in directing care, performs diagnostic and therapeutic procedures, and coordinates discharge planning and outpatient management as applicable. The position also contributes to the education of residents and medical and nursing students. Services must be consistent with state law and applicable professional licensing, certification, and hospital privilege requirements. The APP manages individualized pulmonary care during inpatient hospitalization, immediately after discharge when applicable, and in ambulatory settings. Duties include rounds, consultations and evaluations, clinical assessments, ordering tests and consultations in collaboration with pulmonary faculty or under established guidelines, performing and communicating diagnostic test results, documenting care, coordinating discharge and follow-up, recognizing emergencies, and facilitating appropriate interventions. The role also supports patient and staff education, clinical practice improvement, research, outcome measurement, and interdisciplinary collaboration. Candidates may qualify as nurse practitioners or physician assistants. Pulmonary or acute care experience is preferred, but eligible new graduates will be considered. The position is scheduled for 40 hours per week. The work involves close collaboration with others, irregular or extended hours, potential exposure to biohazards and infectious diseases, and physical work that may include lifting or moving items weighing 40 pounds or more.

Requirements

For nurse practitioner candidates: graduate from a CCNE-accredited nursing program with a Master’s Degree in Nursing.
For nurse practitioner candidates: national certification from a recognized APRN certification center.
For nurse practitioner candidates: licensure or eligibility for licensure as a Registered Nurse and Advanced Practice Registered Nurse in West Virginia.
For nurse practitioner candidates: BLS certification; additional Advanced Life Support training may be required at the department’s discretion.
For physician assistant candidates: a Bachelor’s Degree as a Medical/Surgical (as applicable) Physician Assistant.
For physician assistant candidates: graduation from an ARC-PA-approved Physician Assistant training program.
For physician assistant candidates: certification by the National Commission for Certification of Physician Assistants.
For physician assistant candidates: licensure or eligibility for licensure by the West Virginia Board of Medicine.
For physician assistant candidates: BLS certification; additional Advanced Life Support training may be required at the department’s discretion.
Proficiency with computers.
Strong communication skills.
Ability to meet the physical demands of heavy/hard work, including lifting, moving, stooping, reaching, positioning patients, standing, walking, and carrying patients, materials, or equipment weighing 40 pounds or more.

Nice To Haves

Pulmonary or acute care experience is preferred; eligible new graduates will be considered.
Nurse practitioner candidates may be ACNPs or FNPs.
For physician assistant candidates, a Bachelor’s Degree or Master’s Degree as a Physician Assistant is listed as preferred.

Responsibilities

Manage comprehensive, individualized care for pulmonary patients and their families during hospitalization, immediately after discharge as applicable, and in ambulatory settings.
Complete daily rounds, consultations, and pre-procedure evaluations.
Complete integrated assessments and document clinical findings in the medical record.
Order additional tests or consultations in collaboration with pulmonary faculty or according to established clinical guidelines and protocols.
Perform diagnostic tests and communicate results in accordance with established guidelines and scope of practice.
Communicate with clinic and hospital staff about abnormal evaluation findings.
Coordinate discharge services and tests needed for outpatient follow-up, as applicable.
Develop individualized plans of care that include education, discharge planning, ambulatory follow-up, and referrals to other healthcare team members as needed.
Identify unstable or complex pulmonary cases and facilitate appropriate intervention; recognize emergencies and initiate effective emergency care.
Evaluate pulmonary patients and coordinate follow-up procedures and tests in ambulatory settings, as applicable.
Assist with collecting patient outcome measures and review pulmonary data, including registry, clinical, financial, length-of-stay, access-to-care, and cost-per-case information; recommend or implement changes as needed.
Use critical thinking and diagnostic reasoning to identify, evaluate, and manage patient and family needs, using relevant scientific principles, standards of care, and research findings.
Use equipment safely and complete identified clinical competencies.
Educate nursing staff, hospital staff, students, patients, families, and the community using appropriate teaching strategies; serve as a resource for staff caring for pulmonary patients.
Maintain and update professional knowledge throughout the year and provide educational programs to professional and paraprofessional personnel in the area of expertise.
Collaborate with leaders and staff on patient-outcome-based improvements, pulmonary practice changes, creative problem solving, and professional support.
Participate in interdisciplinary patient care, program development, and education; serve as a professional role model and promote innovation in pulmonary care delivery.
Participate in and provide leadership for committees and task forces.
Document care plans, interventions, and evaluations in accordance with hospital and UHA policies and documentation standards; document hours and submit billing reports as appropriate.
Participate in clinical trials and research studies with the Principal Investigator.
Assist pulmonary faculty, administrators, and directors with collection of outcome measures.
Perform other duties and projects as assigned.