Nurse Practitioner or Physician Assistant II - Nephrology & Hypertension: Nocturnist

Mayo Clinic•Jacksonville, FL

23h•Onsite

About The Position

This position will be in the Nephrology & Hypertension division, functioning as a NP/PA hospital nocturnist. The Nephrology & Hypertension NP/PA Hospitalists work on a consulting service to provide 24/7 coverage managing chronic kidney disease (CKD), end stage kidney disease (ESKD), acute kidney injury (AKI), hypertension, and acid base & electrolyte disturbances for patients throughout the hospital. The Nephrology & Hypertension NP/PA Hospitalists work collaboratively with the multidisciplinary team, including nephrologists, fellows, nurses, and others. The inpatient role requires timely assessments, interventions, interpretation of diagnostic tests, and management of acute and chronic medical conditions. Patient and family education about recovery and disease process is also a crucial part of the health promotion for the patients. Primarily focused on Hospital Coverage (days, evenings, nights, weekends). A minimum of 75% of coverage expected as in-house overnight hospital coverage. Work independently to the full scope of practice in compliance with state licensure. Perform and documents in the medical record detailed patient history and physical examinations. Presents patient report to on-call consultant to develop, collaborate and implement individualized plan of care. Follows assigned patient population throughout shifts. Delivers patient education regarding kidney diseases, electrolyte derangements, CKD care and renal replacement therapies, including dialysis modality options. Consults with surgical teams to promote optimal dialysis access placements for hospitalized patients. Prescribes appropriate pharmacological treatments and therapeutic procedures, including dialysis and continuous renal replacement therapies, as per accepted evidence-based guidelines and expected institutional protocols. Monitor effectiveness of therapeutic interventions. Participate in the delivery of Tele-Health for Advanced Care at Home Patients Make appropriate referrals as needed. Assist with ongoing departmental process improvement and policy development. Actively attends and participates in educational lectures as part of the MD and APP fellowship program, grand rounds, quality improvement and faculty meetings. Precepts, mentors and instructs students, graduates, and NP/PA colleagues. During the selection process you may participate in an OnDemand (pre-recorded) interview that you can complete at your convenience. During the OnDemand interview, a question will appear on your screen, and you will have time to consider each question before responding. You will have the opportunity to re-record your answer to each question – Mayo Clinic will only see the final recording. The complete interview will be reviewed by a Mayo Clinic staff member and you will be notified of next steps.

Requirements

Masters-prepared graduate of an accredited school of nursing and Nurse Practitioner program.
Current FL RN and APRN license and certification as an FNP, ANP or ACNP.
Graduate of accredited Physician Assistant program with current PA certification by NCCPA and registration as a PA by the FL State Board of Medical Practice.
Active BLS certification from American Heart Association or American Red Cross at start date required
>1 year experience; However, new graduates may apply.
Strong computer skills in an Electronic Medical Record.
Excellent verbal and written communication skills.
Experience with Microsoft 365 and Teams
Flexibility to adjust work assignments (outpatient dialysis unit and ambulatory clinic) as needs of the practice evolve.
Strong teamwork ethic with emphasis on collective ownership.
Solution-oriented, identifies innovative solutions for quality improvement.
Embraces work environment led by continued growth and change

Nice To Haves

Inpatient/Hospitalist acute care advanced practice experience preferred.
Prior training and education in nephrology, hemodialysis, peritoneal dialysis, and kidney transplant.
Prior experience providing continuous renal replacement therapy (as a nurse or as an advanced practitioner) in the ICU setting.
Experience providing care in patient’s homes or via telehealth/remote monitoring.

Responsibilities

Work independently to the full scope of practice in compliance with state licensure.
Perform and documents in the medical record detailed patient history and physical examinations.
Presents patient report to on-call consultant to develop, collaborate and implement individualized plan of care.
Follows assigned patient population throughout shifts.
Delivers patient education regarding kidney diseases, electrolyte derangements, CKD care and renal replacement therapies, including dialysis modality options.
Consults with surgical teams to promote optimal dialysis access placements for hospitalized patients.
Prescribes appropriate pharmacological treatments and therapeutic procedures, including dialysis and continuous renal replacement therapies, as per accepted evidence-based guidelines and expected institutional protocols.
Monitor effectiveness of therapeutic interventions.
Participate in the delivery of Tele-Health for Advanced Care at Home Patients
Make appropriate referrals as needed.
Assist with ongoing departmental process improvement and policy development.
Actively attends and participates in educational lectures as part of the MD and APP fellowship program, grand rounds, quality improvement and faculty meetings.
Precepts, mentors and instructs students, graduates, and NP/PA colleagues.