Advanced Practice Registered Nurse - Orthopaedics, Joint Surgery

University of Miami•Miami, FL

18d

About The Position

The Advanced Practice Registered Nurse delivers medical care to a wide variety of patients. The incumbent examines and treats patients independently and in autonomous collaboration with other health care professionals. Furthermore, the incumbent ensures proper illness and injury care and disease prevention, diagnosis, treatment, and recovery. The Advanced Practice Registered Nurse prescribes medications and orders diagnostic tests and advises patients about continuing care. The Outpatient Orthopedic Joint Replacement Nurse Practitioner (APRN) functions as an advanced practice provider within a multidisciplinary academic orthopedic team specializing in adult joint reconstruction. This role provides comprehensive outpatient care to patients undergoing total hip and knee replacement procedures. The NP collaborates closely with orthopedic surgeons, fellows, residents, nurses, physical therapists, and ancillary staff to deliver evidence-based, patient-centered care across the continuum of care, including conservative management, preoperative optimization, postoperative follow-up, and long-term outcomes management. The position supports the academic mission through participation in education, quality improvement, and clinical research initiatives.

Requirements

Master’s degree in relevant field
Valid State of Florida APRN License
No previous experience required
Ability to exercise sound judgment in making critical decisions.
Skill in completing assignments accurately and with attention to detail.
Ability to analyze, organize and prioritize work under pressure while meeting deadlines.
Ability to work independently and/or in a collaborative environment.
Ability to communicate effectively in both oral and written form.
Master’s or Doctoral degree in Nursing (MSN or DNP) from an accredited program
Current Nurse Practitioner licensure in Florida
National NP certification (e.g., ANCC or AANP)
Eligibility for credentialing and privileging at an academic medical center
Basic Life Support (BLS) certification
Advanced Cardiac Life Support (ACLS) preferred

Nice To Haves

Acute Care Certification is preferred but not required.
Orthopedic NP certification preferred but not required
Prior experience in orthopedic surgery, adult reconstruction, or musculoskeletal care
Experience in outpatient surgical or procedural settings
Familiarity with academic medical center workflows and teaching environments
Demonstrated interest in clinical research, quality improvement, or education

Responsibilities

Performs and documents complete physical examinations and comprehensive health histories.
Functions independently to perform age-appropriate history and physical for patients.
Orders and interprets diagnostic and therapeutic tests relative to patient’s age-specific needs.
Prescribes appropriate pharmacologic and non-pharmacologic treatment modalities.
Implements interventions to support the patient to regain or maintain physiologic stability.
Assists with the provision of care in accordance with facility, state, and federal regulations.
Monitors the effectiveness of interventions.
Facilitates the patient’s transition within and between health care settings, e.g., admitting, transferring, and discharging patients.
Collaborates with multidisciplinary team members by making appropriate referrals.
Facilitates staff, patient and family decision making by providing educational tools.
Adheres to University and unit-level policies and procedures and safeguards University assets.
Conduct comprehensive outpatient evaluations for patients with degenerative joint disease and other conditions requiring joint replacement
Participates as a member of a multi-disciplinary patient management team.
Act as a liaison representing Ortho between the inpatient staff, outside providers, insurance companies, social workers, rehab services, home health agencies/DME companies, and patients to provide complete patient care.
Assist with prepping faculty clinics prior to their scheduled dates.
Assist with facilitating the faculty clinics to ensure efficiency and effective patient care.
Assist with new and follow-up patient histories and physical exams.
Facilitate the correct ordering of studies and procedures while in faculty clinics.
Function as the first clinical point of contact for your patients to provide clinical support through the entire continuum of care.
Manage patients' clinical requests to include medication refills, ordering of DME/services, and completion of necessary paperwork/letters.
Provide patient education and participate in patient/family interventions.
Follow post-operative patients and monitor for any postoperative complications and patients have the resources necessary for recovery.
Ensures the appropriate applications of critical pathways.
Consult with patients and prospective patients/families by phone.
Evaluate/triage need for care and advise regarding appropriate interventions including need for emergency treatment.
Consult with other professionals regarding decision-making for patient care as needed.
Participate in decision-making with patients by providing information regarding pathophysiology and benefits/risks of treatment options.
Assist with clinical and administrative staff development.
Perform outpatient procedures such as joint aspirations and injections
Assist with minor procedures and clinical interventions in the ambulatory setting
Other duties as assigned.
Participate in the education of medical students, residents, fellows, and other advanced practice providers
Contribute to clinical guidelines, care pathways, and evidence-based practice initiatives
Engage in quality improvement, patient safety, and outcomes research projects
Support data collection and registry participation related to joint replacement outcomes
Document care accurately and efficiently within the electronic health record
Participate in departmental meetings, case conferences, and multidisciplinary care planning
Maintain compliance with institutional policies, accreditation standards, and regulatory requirements
Demonstrate commitment to diversity, equity, and inclusion in patient care and academic activities