About The Position

University of Pittsburgh Physicians is hiring a full-time Staff or Senior Physician Assistant or Certified Registered Nurse Practitioner to support the Department of Medicine’s Renal-Electrolyte Division at UPMC Oakland. The position is an outpatient nephrology APP fellowship providing advanced specialty training. Fellows participate in evaluating and managing patients with chronic kidney disease, hypertension, glomerular diseases, electrolyte disorders, kidney stone disease, and other nephrology conditions. Training includes continuity and specialty nephrology clinics, structured education, physician and APP mentorship, multidisciplinary care coordination, and progressive development of independent clinical practice skills. The Renal-Electrolyte Division at UPMC and the University of Pittsburgh is a nationally recognized academic nephrology program with expertise in glomerular disease, hypertension, onconephrology, dialysis, transplantation, and chronic kidney disease management. The fellowship offers intensive specialty training, mentorship from nephrology faculty and APP leaders, and experience with complex kidney diseases in a collaborative academic environment. The Staff or Senior APP is a member of the care delivery team and is responsible for the level and quality of care, providing patient care under physician supervision and in collaboration with a physician. The APP manages care for patients and their families, uses independent judgment, communicates and collaborates with the care team, and builds relationships with physicians, other healthcare providers, patients, and families to achieve desired outcomes throughout the continuum of care. The role includes developing leadership, partnership, collaboration, and supervision skills. Placement is based on years and months of experience. The role involves applying professional practice knowledge, formulating patient-centered plans of care, communicating effectively, exercising critical thinking and clinical judgment, and pursuing ongoing clinical learning and professional development. The APP supports patient safety, quality, satisfaction, evidence-based practice, and improvement initiatives; provides basic patient and family education; and contributes to a safe, culturally aware workplace. The position requires the ability to provide appropriate care across the lifespan and respond to patients’ age-specific needs. The successful candidate must meet the applicable CRNP or PA education, licensure, certification, and clearance requirements. Senior-level candidates must also meet the stated experience or postgraduate residency requirement and additional performance, professional contribution, department approval, and certification conditions.

Requirements

  • For CRNP candidates: successful completion of an approved nurse practitioner program.
  • For CRNP candidates: current state RN license and CRNP certification; eligibility for licensure and CRNP certification by the Pennsylvania Board of Nursing.
  • For PA candidates: graduation from a physician assistant program accredited by the Accreditation Review Commission on Education for the Physician Assistant (ARC-PA).
  • For PA candidates: current state PA license and certification by the National Commission on Certification of Physician Assistants (NCCPA).
  • Current CPR certification.
  • Act 34 Clearance.
  • Ability to establish and maintain positive, caring relationships with executives, managers, physicians, non-physician providers, staff, other departments, and patients and families.
  • Ability to work productively and effectively in a complex environment and handle multiple or changing priorities and specialized equipment.
  • Critical-thinking, analytical, and problem-solving abilities related to patient care; good clinical judgment; and the ability to apply and lead others in applying acceptable standards of practice.
  • Mobility, visual manual dexterity, and physical stamina for frequent walking, standing, lifting, and positioning of patients.
  • Demonstrated knowledge of growth and development across the lifespan, and ability to assess and interpret patient-status data to identify age-specific needs.
  • Successful attainment and maintenance of hospital privileges, if applicable to the business unit practice.
  • For Senior Level: at least 3 years of experience or completion of a post-graduate residency.
  • For Senior Level: completion of national certification.
  • For Senior Level: a Solid/Strong/Good or higher annual performance rating for consideration and to maintain status annually.
  • For Senior Level: completion of an OAPP-approved professional contribution within one year of hire or promotion into the position.
  • For Senior Level: department chair approval for promotion.
  • For Senior Level: an applicable certification meeting AHA standards, including didactic and skills demonstration components, within 30 days of hire; outpatient or other non-inpatient APPs may use a relevant, business-unit-approved certification.

Nice To Haves

  • For CRNP candidates: BSN or MSN.
  • For CRNP candidates: professional nursing and/or nurse practitioner experience.
  • For PA candidates: BS or MS degree.
  • For PA candidates: experience as a physician assistant and/or experience in a clinical setting.

Responsibilities

  • Evaluate and manage patients with nephrology conditions, including chronic kidney disease, hypertension, glomerular diseases, electrolyte disorders, and kidney stone disease.
  • Participate in continuity clinics and specialty nephrology clinics, structured educational experiences, mentorship, and multidisciplinary care coordination as part of the fellowship.
  • Provide patient care for a group of patients and their families under physician supervision and in collaboration with a physician and other team members.
  • Formulate plans of care that consider individual patient needs and provide care appropriate to patients’ age-specific needs.
  • Communicate effectively with patients, families, physicians, and other healthcare team members, including through clinical documentation.
  • Apply critical thinking, analytical skills, and clinical judgment in professional practice.
  • Identify patient and family education needs and provide basic education to support the episode of care.
  • Engage in clinical development, seek and use feedback, and pursue continued learning and professional development.
  • Participate in evidence-based practice and identify opportunities to improve clinical care, patient safety, satisfaction, and quality outcomes.
  • Support workplace safety, healthy relationships among colleagues, and clinical or organizational change initiatives.
  • Set priorities and contribute as a member of the healthcare team, including participating in task forces or other initiatives as appropriate.

Benefits

  • Medical, vision, dental, life, and disability benefits.
  • Retirement program.
  • Paid time off (PTO).
  • Wellness programs.
  • Paid parental leave.
  • Competitive pay, including base, merit, and premium pay.
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