Nurse Practitioner or Physician Assistant II - Nephrology

Mayo Clinic•Jacksonville, FL

12d•Hybrid

About The Position

This position will be in the Nephrology & Hypertension division, functioning as a NP/PA independent outpatient provider as well as hospital rounding on nephrology patients. The Nephrology & Hypertension NP/PA will work on a consulting service to provide 24/7 coverage managing chronic kidney disease (CKD), end stage renal disease (ESRD), acute kidney injury (AKI), hypertension, and acid base & electrolyte disturbances for patients throughout the hospital. In outpatient clinic the NP/PA will participate in an APP CKD clinic, outpatient dialysis rounds and collaborative specialty nephrology clinics. The Nephrology & Hypertension NP/PA will work collaboratively with the multidisciplinary team, including nephrologists, fellows, nurses, and others. The role requires timely assessments, interventions, interpretation of diagnostic tests, and management of acute and chronic medical conditions. Includes both Hospital Coverage (days, evenings, nights, weekends) and Ambulatory care. A minimum of 25% and up to 50% of coverage expected as in-house hospital coverage. Outpatient clinic visits, including rounding in ESRD outpatient dialysis unit. 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. Coordinates daily rounds with the attending physician teams; presenting patient report to develop, collaborate and implement individualized plan of care. Follows assigned patient population throughout inpatient shift. 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 patients. Coordinates care of ESRD patients with outpatient dialysis centers from admission to discharge. 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 Patient. Make appropriate referrals as needed. Examine plan of care for cost-effectiveness and achievement of expected outcomes. 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 novice NP/PAs. 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

Nurse Practitioner: 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.
Physician Assistant: 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 (overnight hospital shifts) 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

Perform and documents in the medical record detailed patient history and physical examinations
Coordinates daily rounds with the attending physician teams; presenting patient report to develop, collaborate and implement individualized plan of care.
Follows assigned patient population throughout inpatient shift.
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 patients.
Coordinates care of ESRD patients with outpatient dialysis centers from admission to discharge.
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 Patient.
Make appropriate referrals as needed.
Examine plan of care for cost-effectiveness and achievement of expected outcomes.
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 novice NP/PAs.