Atrium Health HPB Surgery Cabarrus Fulltime NP/PA

Advocate Health•Concord, NC

7d•$48 - $71

About The Position

The Nurse Practitioner/Physician Assistant (NP/PA) is an integral member of the Hepatobiliary (HPB) Surgery team, providing comprehensive care to patients in inpatient and outpatient settings. Working collaboratively with surgeons and the multidisciplinary care team, the NP/PA evaluates and manages patients with acute and chronic conditions related to hepatobiliary surgery. The role includes patient assessment, diagnosis and treatment, care coordination, postoperative management, inpatient rounding, outpatient follow-up, operating room assistance, and patient and family education. The position includes home call, weekends, and holidays, and may include participation in weekly GI tumor board conferences as available. The NP/PA practices within applicable state law, licensing requirements, Advocate Health policies, and established practice agreements. Active hospital privileges and required departmental credentials must be obtained and maintained. The schedule is generally four 10-hour shifts per week, Monday through Friday, with one weekend every four weeks. Weekend coverage includes a 10-hour shift and night call with the attending on call. The position also includes the equivalent of seven nights of call, including weekend call, on a rotating basis. Schedule and minimum work requirements may change based on practice needs. The role requires walking, standing, sitting, lifting, reaching, bending, stooping, pushing, and pulling. The NP/PA must be able to lift and support 35 pounds when handling patients, medical equipment, and supplies, communicate fluently in English, have intact senses and finger dexterity, and be able to react and perform in stressful situations. The schedule is primarily composed of weekday shifts, with more than 200 but fewer than 400 hours of weekend and/or night coverage. The position offers $2,500 annually for CME and 40 hours of CME annually. Additional compensation may be available for qualifying shifts worked beyond minimum requirements, per Advocate Health policy. The posting also mentions paid time off and performance incentive bonuses. Advocate Health describes a comprehensive Total Rewards package, with program eligibility potentially dependent on FTE or employment status.

Requirements

Graduate of an accredited Adult Gerontology Acute Care Nurse Practitioner or Physician Assistant program.
Master’s degree required; the Nurse Practitioner section also specifies a Master’s degree or Doctorate of Nursing Practice.
Current license to practice as an NP or PA in North Carolina.
For NPs, certification through the American Nurses Credentialing Center or American Association of Critical-Care Nurses is required.
Current prescriptive privileges and DEA license required, or eligibility for a DEA license as stated in the additional qualifications.
BLS for Healthcare Provider certification through the American Heart Association is required; the certification must have an expiration date more than 90 days from the date of beginning practice, as stated in the additional qualifications.
For the Nurse Practitioner section, a license to practice as a Registered Nurse and certification in the area of practice from a nationally recognized certifying body are required.
Demonstrated critical-thinking, assessment, and interpersonal skills, including the ability to prioritize and concentrate and to work effectively in a fast-paced, high-acuity environment.
Ability to meet the stated physical requirements, including lifting and supporting 35 pounds.
Fluent, understandable English communication and intact sight, hearing, smell, touch, and finger dexterity.
Ability to react and perform in stressful situations.

Nice To Haves

Hepatobiliary Surgery and OR assist experience.
At least one year of surgical practice experience.
Completion of an APP surgical fellowship.
For PAs, NCCPA certification is preferred; current or pending CAQ certification is preferred.
ACNP, AGACNP, AGNP, PNP, or PNP-AC board certification is preferred based on the population served.
Doctoral degree preferred.

Responsibilities

Perform inpatient consultations and daily rounding on established patients.
Complete histories and physicals, review diagnostic studies, and develop and manage treatment plans.
Provide postoperative care, including wound and drain management.
Coordinate patient discharges with nursing, case management, physicians, APPs, and other care team members.
Participate in weekday interdisciplinary rounds.
Assist in open, laparoscopic, and robotic surgical cases as needed, including OR first assist.
Provide home call coverage according to the established rotation and respond to inpatient and outpatient clinical concerns.
Evaluate HPB-related transfer requests and coordinate transfers as appropriate.
Respond to significant clinical changes requiring urgent or emergent intervention.
Evaluate new and established outpatients with acute, chronic, and postoperative needs.
Order and interpret appropriate laboratory and imaging studies.
Establish diagnoses and develop treatment plans within the applicable practice agreement.
Prescribe medications and order therapeutic interventions as appropriate.
Provide wound and drain care, including drain removal when appropriate.
Educate patients and families about diagnoses, treatment plans, and follow-up care.
Initiate referrals and coordinate care with referring and participating providers.
Address patient calls and clinical questions in collaboration with clinic staff.
Perform peer-to-peer reviews as needed.
Maintain timely and accurate documentation in the electronic medical record.
Perform procedures that may include wound care, NG/OG tube insertion and removal, Foley insertion and removal, and drain removal.
Provide patient- and family-centered care using evidence-based practices.
Collaborate with physicians, APPs, nursing, and other multidisciplinary team members.
Participate in quality improvement, professional development, education, departmental activities, committees, and workgroups as appropriate.
Maintain professionalism, accountability, confidentiality, and ethical standards of practice.
Support patient education, care coordination, and continuity of care.

Benefits

$2,500 annually for CME and 40 hours of CME annually.
Paid Time Off programs.
Performance incentive bonuses.
Medical, dental, vision, life, and Short- and Long-Term Disability benefits.
Flexible Spending Accounts for eligible health care and dependent care expenses.
Adoption assistance and paid parental leave.
Defined contribution retirement plans with employer match and other financial wellness programs.
Educational Assistance Program.
Premium pay such as shift and on-call pay, based on the teammate’s job.
Incentive pay for select positions.
Opportunity for annual increases based on performance.
Additional compensation for qualifying shifts worked beyond minimum requirements, per Advocate Health policy.