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 care in intensive care or acute care inpatient settings, with expanded coverage during night shift hours. The APP provides patient care and medical services to individuals, families, and groups in accordance with standards of care and applicable state and federal regulations. In collaboration with a collaborative or sponsoring physician under a Collaborative Practice Agreement, the APP assesses health status, diagnoses medical conditions, develops and implements plans of care, and evaluates patient responses. All worked hours, including supplemental or as-needed shifts, must occur during the practice setting’s standard 12-hour night shift hours, such as 6 p.m. to 6 a.m. or 7 p.m. to 7 a.m. The APP may also be expected to attend staff meetings or other required meetings outside these hours.

Requirements

Master’s degree in Physician Assistant studies, or a master’s degree in Advanced Practice Nursing, or a Doctor of Nursing Practice from an accredited Advanced Practice Nursing program.
Current advanced practice license as a Physician Assistant or Advanced Practice Registered Nurse in Kansas and/or Missouri, depending on practice location.
Advanced practice certification is required. APRNs may obtain certification within one year of hire; specific certification may be required depending on specialty.
Basic Life Support Heartsaver (BLS HS) certification from the American Heart Association for non-clinical roles.
For ICU positions, Adult-Gerontology Acute Care Nurse Practitioner certification (AGACNP-BC) from the American Nurses Credentialing Center is required, or the stated alternative pathway for eligible non-certified candidates.

Nice To Haves

Previous APRN or PA experience.
For ICU positions, a non-certified AG-ACNP may be considered with extensive ICU experience as a registered nurse and willingness to sign an agreement to complete a post-master’s AG-ACNP certificate program within two years of hire.

Responsibilities

Perform the professional, clinical, and technical competencies required for the assigned unit, department, or setting.
Evaluate patients’ medical problems within the assigned specialty practice setting and request consultation from other specialties when indicated.
Educate patients and/or families about preventive care, medical issues, and prescribed treatments or medications pertinent to the patient’s condition.
Create diagnostically appropriate treatment plans.
Document medical evaluations, diagnoses, procedures, treatments, outcomes, education, referrals, and consultations in accordance with applicable quality, regulatory, and evidence-based standards.
Maintain documentation compliance for appropriate coding and billing.
Facilitate physician and peer evaluation of records and quality standards according to protocols, and 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, or re-evaluation of chronic conditions.
Provide appropriate medical and emergency interventions; prescribe and monitor medications appropriate to the diagnosis; and order and monitor emergency interventions.
Maintain collegial relationships with all 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 required staff or other meetings, which may occur outside the standard night-shift hours.