Nurse Practitioner or Physician Assistant - Transplant Hepatology

Medical University of South Carolina•Charleston, SC
•Onsite

About The Position

The Advanced Practice Provider will work full-time in the outpatient care of Transplant Hepatology patients and join the Gastroenterology & Hepatology Division. The Division includes gastroenterologists, hepatologists, fellows, and APPs, and works within a multidisciplinary Digestive Disease Center providing comprehensive care for digestive diseases and disorders. The patient population ranges from age 13 through end of life. The role assesses and manages gastrointestinal patients through history-taking, physical examinations, diagnostic testing, and appropriate endoscopic procedures. The APP develops care goals and treatment plans, orders and interprets diagnostic studies, prescribes treatments and medications within authorized privileges and applicable guidelines, monitors patients, and coordinates continuity of inpatient and outpatient care. The position also supports patient and family education, quality improvement, clinical research, accreditation and compliance activities, and the learning of students and new team members. The APP is assigned a primary supervising or collaborating MUSC physician and reports directly to that physician. The APP also reports to the Division Director of Gastroenterology and Hepatology regarding patient and administrative matters. 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.

Requirements

  • Completion of an accredited Physician Assistant program and current or eligible licensure as a Physician Assistant, or completion of an accredited Nurse Practitioner program and current or eligible licensure as an APRN.
  • For adult-gerontology primary care or adult NPs: preparation for care of adults ages 13 through end of life, including stable chronic disease management or primary care. For family NPs: preparation for stable chronic disease management and primary care across the lifespan.
  • Current Basic Life Support (BLS) certification before the start date.
  • If applicable, DHEC and DEA license applications must be started before the first day.
  • Maintain licenses, certifications, and continuing education requirements as required by applicable policies and state law.
  • Ability to meet the listed physical requirements, including standing, walking, sitting, bending, kneeling, climbing stairs, reaching, use of hands and legs, and lifting, carrying, pushing, or pulling objects weighing up to 50 pounds.

Nice To Haves

  • Two years of experience as a PA, FNP, or ANP.

Responsibilities

  • Take comprehensive patient histories and perform physical examinations.
  • Evaluate and treat patients using history, examination, radiological, laboratory, and other diagnostic test 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 care, and complete required clinical documentation thoroughly and in a timely manner.
  • 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.
  • Maintain professional practice through participation in professional organizations and continuing education.
  • Potentially precept MUSC advanced practice provider students and facilitate learning for new team members.
  • Assess gastrointestinal patients in the outpatient setting through history, examination, diagnostic testing, and endoscopic procedures.
  • Assist in developing short- and long-term patient care goals and treatment plans; order and interpret appropriate diagnostic studies; and prescribe appropriate treatments and medications within authorized privileges and established guidelines or physician collaboration.
  • 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 calls using established protocols.
  • Plan and manage patient care collaboratively with physicians, nurses, staff, social services, and community providers; evaluate treatment response and document patient progress.
  • Perform patient monitoring and selected procedures appropriate to licensure and competencies; monitor laboratory work for patients on immunomodulators or biologic therapies and 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 and clinical staff, and other health care providers about health, illness, health maintenance, and disease prevention.
  • Provide pre- and post-operative and family education as appropriate, communicate services provided, remain available during the patient's episode of illness, and help solve care-related problems.
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