Advanced Practice Provider - Ambulatory Care Center - Complex Clinic

About the role

The ACC Complex Care Clinic is seeking an Advanced Practice Provider (APP) to deliver primary care for patients with five or more chronic conditions, including individuals with a history of frequent emergency department visits or hospital admissions. This role supports patients with complex medical and health-related social needs through a collaborative, team-based approach, working closely with social workers, community health workers, pharmacists, and RN case managers to provide comprehensive, coordinated care.

Responsibilities

• Provide high-quality medical and/or surgical patient care to individuals with acute and chronic complaints in collaboration with an Attending Physician.
• Perform histories and physicals; order and interpret tests; make diagnoses; treat injuries and illnesses; assist with surgical procedures; counsel patients; and prescribe medication as defined by the Virginia Board of Medicine.
• Coordinate patient care across the continuum of services through the patient’s trajectory of illness.
• Assess health status through health histories, physical examinations, screening, diagnostic tests, direct patient care, therapeutic interventions, and medication prescribing.
• Initiate emergency procedures as needed; practice safety, environmental, and infection control methods.
• Make rounds with attending physicians; supervise and/or coordinate activities of patient care and support staff within assigned area.
• Document all pertinent information in the patient’s medical record; interpret data from history and physical to develop treatment plans.
• Formulate and prioritize short-term and long-term therapeutic plans, incorporating physical, spiritual, cultural, and psychosocial aspects of patients and families.
• Explore strategies to decrease length of stay and resource consumption; establish priorities to meet health needs of individuals, families, or communities.
• Maintain effective communication about patient care with all members of the healthcare team to ensure coordinated care.
• Assist with coordination of care between primary and specialty health care services as needed.
• Serve as a consultant to other healthcare professionals regarding routine and unusual therapeutic interventions.
• Act as a liaison and negotiator for staff, patients, and families; collaborate in the development, implementation, monitoring, and revision of multidisciplinary plans of care for complex patients.
• Share responsibility for patient education, including training residents, fellows, and other healthcare staff in the area of specialty.
• Promote teamwork through effective communication and feedback; recognize the team as integral to individual effectiveness and quality patient outcomes.
• Utilize current research to develop, implement, and evaluate critical paths and standards of care for the identified patient population.
• Contribute to the profession through participation in research, publications, consultation, and/or educational activities; demonstrate knowledge and support for clinical trials within the specialty area.
• Incorporate clinical judgment in ethical decision-making; practice the principles of ethics in patient care decisions.
• Promote interdisciplinary collaboration to resolve ethical dilemmas; demonstrate negotiation, mediation, collaboration, compromise, and accommodation skills.
• Seek professional growth through organizational affiliations; function in collaborative relationships with physicians, allied health professionals, and administration.
• Assess learning needs and develop a plan for professional growth; enhance development through educational programs, literature, in-service, and workshops.
• Participate in teaching programs and continuing education to maintain competencies and meet re-certification requirements.
• Perform other duties as assigned or participate in special projects to support the mission of VCU Health.

Requirements

• Graduation from an accredited Nurse Practitioner, Nurse Midwife, or Physician Assistant Program.
• Current Virginia licensure as a Nurse Practitioner, Nurse Midwife, or Physician Assistant.
• Current national certification appropriate for the role.
• Credentialing in accordance with medical staff by-laws for the specific job title.
• Current CPR and Basic Life Support (BLS) certifications; additional certifications such as ACLS or PALS may be required based on departmental needs.

Qualifications

• Previous clinical experience with the population served.
• Cultural responsiveness.

Preferred Qualifications

• Three (3) years of previous clinical experience with the population served.
• Previous experience in an academic healthcare system.

Work Environment

• Physical demands: Lifting/carrying (0–50 lbs.), (50–100 lbs.), (100+ lbs.); push/pull (0–50 lbs.), (50–100 lbs.); stooping, kneeling, squatting, crawling, climbing, balance, bending.
• Work position: Sitting, walking, standing.
• Additional physical requirements: Manual dexterity, shift work, maneuvering weight of patients, hearing alarms/telephone, reaching above shoulder, repetitive arm/hand movements, finger dexterity, color vision, near and far acuity.
• Hazards: Depth perception, latex glove use, exposure to toxic/caustic chemicals/detergents, moving mechanical parts, dust/fumes, potential electrical shock, x-ray/electromagnetic energy, high-pitched noises, gaseous risk exposure.
• Mental/sensory: Strong recall, reasoning, problem-solving, hearing, clear speech, legible writing, reading, logical thinking.
• Emotional: Fast-paced environment, steady pace, ability to handle multiple priorities, frequent and intense customer interactions, noisy environment, adaptability to frequent change.

Pay

• APP – Ambulatory: $127,595.60 – $154,073.84
• APP – Critical Care: $137,327.32 – $165,786.33
• APP – Hospital: $130,408.90 – $155,200.02
• APP – C/T Surgery: $141,620.36 – $176,276.81

Actual salary offers will be based on relevant work experience, credentials, and qualifications.