APP Oncology

Yale New Haven Health•New Haven, CT

About The Position

The Physician Assistant (PA) or Nurse Practitioner (NP) is a licensed professional provider who works in collaboration with an attending physician in a variety of YNHHS practice settings. As part of a multidisciplinary team, the provider delivers diagnostic and therapeutic patient care and helps create a patient-centered environment that addresses patients’ physical, psychosocial, spiritual, and functional needs, as well as the needs of their families and significant others. The provider serves as a focal professional for continuity of care, working within applicable scope-of-practice and specialty standards to address and resolve care issues. The PA/NP assesses, triages, and manages therapeutic needs throughout the disease process in inpatient, ambulatory, or outpatient settings. In collaboration with supervising or collaborating physicians and in accordance with state law, hospital regulations, policies, protocols, and clinical pathways, the provider may also deliver autonomous team-based care. Duties include obtaining medical histories, performing physical examinations, reviewing and ordering diagnostic and therapeutic tests and radiologic results, and formulating and managing treatment plans. Depending on scope, competency, and institutional and state guidelines, the provider may perform procedures, prescribe treatments and medications, assist in operative cases, and respond to emergencies. The role includes educating patients and families about care, resources, treatment plans, potential treatment or medication side effects, and discharge plans, as well as providing psychosocial support. The provider documents care in accordance with hospital and regulatory requirements and protects confidential information. They maintain professional competency, support clinical education and orientation, report safety events and near misses, and may participate in research, quality improvement, protocol development, mentoring, and precepting. Candidates must graduate from an accredited Nurse Practitioner or Physician Assistant program and hold the applicable Connecticut license and certifications for their professional pathway and position profile. Clinical experience in the relevant specialty or service line is preferred. APRNs, PAs, CRNAs, and CNMs must be appointed to the affiliated medical staff of a YNHHS hospital and credentialed through the Medical Staff process.

Requirements

Graduate from an accredited Nurse Practitioner or Physician Assistant program.
For the PA pathway: active PA certification from the National Commission on Certification of Physician Assistants (NCCPA) and a Connecticut State Physician Assistant License.
For the NP pathway: Connecticut State Registered Nurse License, Connecticut State Nurse Practitioner License, and board specialty certification as appropriate for the position profile.
ACLS/BLS certification when indicated for the position profile.
DEA license when indicated for the position profile.
PALS when indicated for a pediatric position profile.
NRP certification when indicated for neonatal care.
APRNs, PAs, CRNAs, and CNMs must be appointed to the affiliated medical staff of a YNHHS hospital and credentialed through the Medical Staff process.
Evidence of current competence to practice as an APRN, PA, CRNA, or CNM must be obtainable through appropriate reference letters from physicians and other practitioners during the Medical Staff appointment process.
Additional licensure, certifications, or continuing education credits may be required during employment based on the position and specialty area.

Nice To Haves

Clinical working experience as an NP or PA within the relevant specialty or service line is preferred.

Responsibilities

Assess, triage, and therapeutically manage patient and family needs throughout the disease process as part of an interdisciplinary team.
Provide patient care in inpatient, ambulatory, or outpatient settings, including diagnostic and prognostic care.
Collaborate with attending or supervising physicians in accordance with state law, hospital regulations, policies, protocols, and clinical pathways; provide autonomous team-based care where applicable.
Obtain medical histories, perform physical examinations, review and order diagnostic and therapeutic tests and radiologic results, and formulate and manage treatment plans.
Perform procedures and prescribe treatments and medications when permitted by institutional and state guidelines and within professional competency and scope of practice.
Assist in operative cases as a first or second assistant when within the position scope and educational prerequisites.
Respond to emergency situations within YNHHS parameters when required.
Educate patients and families about care, available resources, admitting instructions, treatment plans, potential side effects, and discharge plans.
Provide psychosocial support to patients, family members, and significant others in a caring, ethical, and professional manner.
Document care in accordance with hospital and regulatory requirements and protect information from unauthorized access, modification, destruction, or disclosure.
Meet patient-related healthcare regulatory requirements, standards, and recommendations while demonstrating professionalism, compassion, and ethical conduct.
Maintain and advance professional competency, meet hospital employee requirements, and report safety events and near misses.
Serve as a clinical resource for new house staff and provide service-specific orientation where applicable.
May precept NP/PA students and other healthcare professionals, mentor pre-PA/NP candidates, collaborate on research and quality assurance or performance improvement projects, and assist with clinical protocol development.