Nurse Practitioner or Physician Assistant - Transplant Hepatology

Medical University of South Carolina•Charleston, SC

4d•Onsite

About The Position

The successful applicant will be an Advanced Practice Provider providing full-time outpatient care to Transplant Hepatology patients. The APP will join a busy Gastroenterology & Hepatology Division that includes gastroenterologists, hepatologists, fellows, and APPs. The Division’s nationally recognized Digestive Disease Center provides multidisciplinary care through sections focused on liver disease, pancreatic and biliary disease, gastrointestinal cancer, functional and inflammatory bowel disease, and nutrition. The APP assesses and manages gastrointestinal patients in the outpatient setting, develops care plans in collaboration with physicians and the healthcare team, orders and interprets diagnostic studies, and prescribes treatments and medications within authorized privileges and applicable guidelines. The role includes patient monitoring, follow-up of test results, biologic therapy infusion or injection support, patient and family education, and coordination of inpatient and outpatient care. The APP reports directly to the Division Director of Gastroenterology and Hepatology regarding patient and administrative matters and is assigned a primary supervising or collaborating physician. This is a salaried, exempt employee position scheduled for 40 hours per week, Monday through Friday, 8:00 a.m. to 5:00 p.m. The patient population is ages 13 through end of life. Physical requirements include standing, walking, sitting, bending, kneeling, climbing stairs, reaching, repetitive hand and arm movements, respirator qualification, and lifting, carrying, pushing, or pulling objects weighing up to approximately 50 pounds. The role is performed indoors in a latex-safe environment, with occasional work in dusty or confined spaces.

Requirements

Completion of an accredited Physician Assistant program and current or eligible Physician Assistant licensure, or completion of an accredited Nurse Practitioner program and current or eligible APRN licensure.
For APRN applicants, the stated eligibility includes AGPNP/ANP for adult patients ages 13 through end of life, or FNP for patients from birth through end of life, in the described primary care or stable chronic disease management settings.
Current Basic Life Support (BLS) certification before the start date.
DHEC and DEA license applications, if applicable, must be started before the first day.
Maintain licenses, certifications, and required continuing education as required by applicable policies and state law.
Ability to meet the stated physical requirements, including frequent handling of objects weighing approximately 50 pounds and qualification for respirator use.

Nice To Haves

Two years of experience as a Physician Assistant, Family Nurse Practitioner, or Adult Nurse Practitioner.

Responsibilities

Take comprehensive patient histories and perform physical examinations.
Evaluate and treat patients using history, examination, imaging, laboratory, and other diagnostic results within the practice agreement or scope-of-practice guidelines.
Initiate referrals and consult with attending or collaborating physicians as appropriate.
Document and bill for direct patient care, completing documentation thoroughly and on time.
Use current research and evidence-based decision-making in clinical practice.
Participate in quality and performance improvement activities, clinical research, and organizational accreditation, compliance, and regulatory activities.
Assess gastrointestinal patients through history, physical examination, diagnostic testing, and endoscopic procedures in the outpatient setting, as appropriate to licensure and competency.
Help develop short- and long-term patient care goals and treatment plans; order and interpret indicated diagnostic studies and prescribe authorized treatments and medications.
Assist with infusion or injection of biologic therapy.
Coordinate continuity of inpatient and outpatient care, facilitate contact with attending physicians, and provide timely feedback to referring physicians.
Make early post-procedure telephone contacts with discharged patients and triage patient and family phone calls using established protocols.
Plan and manage care collaboratively with physicians, nurses, staff, social services, community providers, and other healthcare providers; evaluate treatment response and document patient progress.
Provide clinical management of assigned patients under protocol and/or attending supervision or collaboration.
Perform patient monitoring activities and selected procedures appropriate to licensure and competencies; maintain a clinical database monitoring laboratory work for patients on immunomodulators and/or biologic therapies.
Report unusual findings to physicians, obtain and document physician orders for plans not covered by protocol, and follow up on laboratory and test results.
Educate patients, families, medical staff, and clinical staff; teach and counsel on health, illness, health maintenance, and disease prevention.
Provide pre- and post-operative and family education as appropriate; communicate services provided and remain available throughout the patient’s episode of illness.
Participate in professional organizations and continuing education, and maintain licenses, certifications, and continuing education requirements.
Potentially precept advanced practice provider students and facilitate the learning of new team members.