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 at Eskenazi Hospital and supports surgical and specialty services through consultative general internal medicine practice. The APRN plans, directs, and evaluates patient care, providing diagnostic and therapeutic interventions, including pharmacologic interventions. Within the scope of expertise, protocols, and available equipment, the APRN performs or orders selected laboratory testing, refers patients to physicians as needed, writes prescriptions, performs office procedures, and works with physicians in patient care and treatment. The role includes assessing and managing hospitalized patients, coordinating care with physicians and other healthcare personnel, conducting bedside rounds, documenting care, supporting patient and family communication and education, participating in quality improvement, and serving as an educational resource. The position requires maintaining professional standards, continued clinical competence, current credentials, and a flexible schedule to meet patient, staff, and system needs. 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.

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, communication, and presentation skills, including the ability to work effectively with diverse personalities and present data effectively.
  • Ability to develop flexible, transferable models for pathways of care.
  • Leadership ability, mature prioritization, and practical experience designing and implementing systems within technical boundaries.
  • Ability to work as a team player, build consensus, and promote collaboration.
  • High degree of mental effort, concentration, and accuracy.
  • Critical-thinking skills.
  • Flexibility to adapt to changing work schedules and demands.
  • Sound judgment and decision-making to assess problems and determine appropriate courses of action.
  • Ability to understand the broader context and implement changes in patient care.

Responsibilities

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