About The Position

VCU Health is seeking a Nurse Practitioner or Physician Assistant to join the Orthopedic Ambulatory – Access to Care team at the Ambulatory Outpatient Pavilion. The role provides general orthopedic care and supports patient access to services, including a Saturday clinic once per quarter. The Advanced Practice Provider delivers high-quality medical and/or surgical care for patients with acute and chronic complaints in collaboration with an attending physician and within a defined departmental and state-approved scope of practice. The provider may obtain histories and perform physical examinations; order and interpret tests; diagnose and treat injuries and illnesses; assist with surgical procedures; counsel patients; prescribe medication; and perform invasive procedures permitted by the Virginia Board of Medicine. The provider works with the medical team to deliver organized, timely, cost-effective, quality care. The position includes assessing patients, developing and prioritizing treatment plans, coordinating care across services, documenting in medical records, consulting with multidisciplinary colleagues, educating patients and caregivers, supporting clinical research and standards of care, participating in professional development and teaching as needed, and maintaining required certifications and privileges. The role may also involve supervising or coordinating patient-care and support staff within the assigned area.

Requirements

  • Graduation from an accredited Nurse Practitioner, Nurse Midwife, or Physician Assistant program.
  • Current Virginia licensure from the appropriate Board as a Nurse Practitioner, Nurse Midwife, or Physician Assistant.
  • Current national certification appropriate to the role.
  • Credentialing in accordance with medical staff bylaws for the specific job title.
  • Current CPR and Basic Life Support (BLS) certifications.
  • Previous clinical experience with the population served.
  • Cultural responsiveness.
  • Ability to meet the physical, sensory, and environmental demands described in the posting, including lifting and carrying, pushing and pulling, patient maneuvering, manual dexterity, and exposure to listed workplace hazards.

Nice To Haves

  • Service-specific education.
  • Service-specific certification.
  • Three years of previous clinical experience with the population served.
  • Previous experience in an academic healthcare system.

Responsibilities

  • Assess patients using health histories and physical examinations, initiate screening, and order or perform diagnostic tests.
  • Provide direct patient care, therapeutic interventions, medication prescriptions, patient counseling, and assistance with surgical procedures.
  • Interpret clinical information, make diagnoses, and develop and prioritize short- and long-term treatment plans.
  • Initiate emergency procedures as needed and follow safety, environmental, and infection-control practices.
  • Make rounds with attending physicians as necessary.
  • Supervise or coordinate patient-care and support staff activities within the assigned area.
  • Document pertinent information and data in patient medical records.
  • Coordinate care across the continuum, including between primary and specialty services, and communicate effectively with the healthcare team.
  • Consider patients’ physical, spiritual, cultural, and psychosocial needs and establish priorities to address the health needs of individuals, families, or communities.
  • Explore strategies to reduce length of stay and resource consumption within the specialty area.
  • Consult with multidisciplinary healthcare professionals regarding routine and unusual therapeutic interventions.
  • Serve as a liaison, translator, and negotiator for staff, patients, and families.
  • Collaborate on the development, implementation, communication, and monitoring of multidisciplinary care plans for complex patients.
  • Support patient and caregiver education and, as needed, provide training to residents, fellows, and other healthcare staff.
  • Participate in assessing and revising specialty-area practices and procedures, and promote teamwork through communication and feedback.
  • Use current research to develop, implement, and evaluate critical paths and standards of care; contribute to research, publications, consultation, or educational activities.
  • Apply clinical judgment and ethical principles, support interdisciplinary resolution of ethical dilemmas, and recognize patient rights and values in treatment decisions.
  • Pursue professional growth, participate in educational and teaching activities as needed, and maintain competencies, recertification requirements, and VCU Health privileges.
  • Perform other duties or special projects and provide assistance to team members as assigned.
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