Advanced Practice Provider, Nocturnist

Eskenazi Medical Group•Indianapolis, IN

About The Position

The Hospitalist APRN Nurse Practitioner manages clinical problems of acutely ill hospitalized patients admitted to Eskenazi Hospital and supports surgical and specialty services through consultative general internal medicine practice. Reporting to the Hospitalist Medical Director, the APRN plans, directs, and evaluates patient health care; provides diagnostic and therapeutic interventions; orders or performs selected laboratory testing; makes referrals to physicians as needed; writes prescriptions; and performs office procedures within the scope of expertise, protocols, and available equipment. The APRN works with physicians in patient care and treatment. The role includes assessing patients, determining diagnoses, managing care, coordinating consultations, planning treatment, issuing therapeutic orders, assessing risk, and determining whether patients should be discharged or transferred. The APRN collaborates with physicians, advanced practice providers, trainees, and other healthcare personnel; conducts bedside rounds; documents care; educates patients and families; contributes to quality improvement; and serves as an educational resource for staff. Employees are expected to model Eskenazi Medical Group’s PRIDE values—Professionalism, Respect, Innovation, Development, and Excellence—and support its mission to Advocate, Care, Teach, and Serve. The position requires maintaining appropriate licensure, certifications, continuing education, and competence; following organizational policies and compliance requirements; protecting patient confidentiality and health information; and contributing to a respectful, collaborative, patient-centered environment. Other job-related duties may be assigned.

Requirements

Graduation from an accredited school of nursing with a Master of Science degree.
Current Indiana license as a Registered Advanced Practice Nurse, or current registration with another state Board of Nursing followed by immediate registration with the Indiana Board of Nurse Examiners for license endorsement.
Current board certification as an APRN Nurse Practitioner.
Collaborative agreement with an affiliated physician group.
Prescriptive authority in accordance with Indiana statute and institutional guidelines.
Current Indiana controlled substance registration and Drug Enforcement Administration registration.
Acute care and/or critical care experience.
Excellent interpersonal skills and ability to work effectively with a diversity of personalities.
Approachability, respect for others, and effective communication and presentation skills.
Ability to develop flexible, transferable models for pathways of care.
Leadership, mature prioritization, practical experience, and ability to design and implement systems within technical boundaries.
Ability to work as a strong team player, build consensus, and promote collaboration.
High degree of mental effort, concentration, and accuracy.
Critical-thinking ability.
Flexibility in response to changing work schedules and demands.
Sound judgment and decision-making to assess problems and determine appropriate action.
Ability to see the big picture and implement changes in patient care.
Ability to maintain appropriate and up-to-date licensing, certifications, continuing education, and APRN competence.

Responsibilities

Provide assessment, diagnostic determination, ongoing clinical management, consultation referrals, care planning, therapeutic orders, transfer authorization, risk assessment, and discharge or transfer determinations for patients, directly or through supervision of trainees.
Collaborate, communicate, and coordinate with physicians, advanced practice providers, and other healthcare personnel caring for hospitalized patients.
Perform bedside rounds on assigned patients, with team members or independently, and provide attending notes.
Participate periodically in quality improvement reviews, including reviewing records and treatment plans, disseminating findings, and implementing improvement plans.
Educate patients and family members verbally and in writing about diagnoses and treatment plans.
Serve as an educational resource for EMG staff.
Identify opportunities for clinical collaboration with department physicians and specialty consultants.
Work to improve patient care, outcomes, and cost effectiveness through clinician, consultant, educator, researcher, and leadership roles.
Maintain a flexible schedule to meet the needs of patients, staff, and the health system.
Complete patient discharge summaries within expected timeframes.
Complete medical record documentation and billing submissions within one business day of service.
Communicate with patients’ family members, friends, advocates, and relevant others about patient status and care plans, supporting patient-centered and family-friendly care.
Maintain confidentiality, trustworthiness, and protected health information in accordance with HIPAA requirements.
Maintain licensing, certifications, continuing education, and competence in the APRN role.
Follow organizational policies, procedures, bylaws, and compliance requirements.
Use resources efficiently and cost-consciously; take responsibility for the quality of work.
Attend and participate in staff meetings, support organizational goals, and foster a team environment.
May provide feedback to individuals and management about clinic staff performance and clinical competencies.
Collaborate with staff at affiliated institutional facilities to provide appropriate patient care.
Perform other job-related duties as assigned.