App Nocturnist Hospitalist

The University of Kansas Health System•Kansas City, KS

About The Position

The Advanced Practice Provider (APP) in the Nocturnist Hospitalist role manages health problems and coordinates health care in intensive care or acute care inpatient settings, with expanded coverage during night-shift hours. APPs deliver patient care and medical services to individuals, families, and groups in accordance with applicable standards of care and state and federal regulations. In collaboration with a sponsoring physician under a Collaborative Practice Agreement, they assess health status, diagnose medical conditions, develop plans of care, implement treatments, and evaluate patient responses. All worked hours, including supplemental or as-needed shifts, must occur during standard 12-hour night-shift hours, such as 6 p.m. to 6 a.m. or 7 p.m. to 7 a.m. Staff or other required meetings may occur outside those hours. The role requires the professional, clinical, and technical competencies of the assigned unit or setting.

Requirements

Master’s degree in Physician Assistant studies, or a master’s degree or Doctor of Nursing Practice from an accredited Advanced Practice Nursing program for APRNs.
Current advanced practice license for the State of Kansas and/or Missouri, depending on practice location, as a Physician Assistant or Advanced Practice Registered Nurse.
Advanced practice certification is required. APRNs may obtain it within one year of hire; specific certification may be required depending on specialty.
Adult-Gerontology Acute Care Nurse Practitioner certification (AGACNP-BC) from ANCC is required for ICU positions.
For ICU positions, a non-certified AG-ACNP may be considered with extensive ICU experience as an RN if willing to sign an agreement to complete a post-master’s AG-ACNP certificate program within two years of hire.
Advanced Cardiac Life Support (ACLS) from the American Heart Association is required if working in the ICU.
Basic Life Support Heartsaver (BLS HS) (Non-Clinical) from the American Heart Association.

Nice To Haves

Previous APRN or PA experience.

Responsibilities

Evaluate patients’ medical problems in the assigned specialty setting and request consultation from other specialties when indicated.
Educate patients and families about preventive care, medical issues, and prescribed treatments or medications.
Create diagnostically appropriate treatment plans.
Document evaluations, diagnoses, procedures, treatments, outcomes, education, referrals, and consultations in accordance with applicable quality, regulatory, and evidence-based standards.
Maintain documentation compliance for coding and billing.
Participate in record evaluation by physicians, peers, and quality standards; receive and implement constructive directives.
Refer complex or high-priority cases to the collaborating physician when appropriate, including complicated diagnostic or therapeutic problems, serious illness, and reevaluation of chronic conditions.
Provide medical and emergency interventions appropriate to patients’ needs; prescribe and monitor medications and order and monitor appropriate emergency interventions.
Maintain collegial relationships with members of the interdisciplinary team.
Use the appropriate chain of command, communicate clinical issues to the specialty practice Program Director, APP Director, and Medical Director, and contribute to quality or process improvement as needed.
Attend staff or other required meetings, which may occur outside standard night-shift hours.