Advanced Practice Provider (NP/PA): Nephrology I

About the Role

This is an inpatient role. The APRN/PA will assess, evaluate, treat, and manage pre and post kidney transplant patients.

Responsibilities

• Act as a liaison between inpatient and outpatient providers within CCF and other facilities (e.g., rehabilitation facilities, access centers) and hemodialysis center staff.
• Facilitate communication between patients, family members/caregivers, hemodialysis facilities, Cleveland Clinic Florida (CCF) nephrologists, and other CCF departments.
• Participate in research studies.
• Conduct thorough medical histories, perform complete physical examinations (where indicated), initiate appropriate lab, radiology tests or other special tests required for evaluation of illness, and scrutinize lab data to establish a record of the patient's current health status and to develop a working diagnosis and treatment plan.
• Work in collaboration with the health care team.
• Perform and interpret common laboratory, radiologic, cardiographic and other routine diagnostic procedures used to identify pathophysiologic processes as credentialed and privileged by the Medical Executive Committee and the Governing Body of the applicable hospitals.
• Perform routine and specialized procedures as credentialed and privileged by the Medical Executive Committee and the Governing Body of the applicable hospitals.
• May prescribe and monitor medications as allowed by license through applicable state board and Cleveland Clinic policies.
• Educate patients and answer questions regarding their disease, treatments, related drug and treatment side effects and hazards.
• Participate in medical team rounds; collaborate with nursing, medical and other healthcare team members regularly to ensure quality patient care.
• Refer patients to specialists as appropriate for consultation or for specialized health resources and treatment.
• Ensure continuity of care by serving as a liaison between patient and other members of the multi-disciplinary care team or with other specialty areas as necessary.
• Participate in quality monitoring through the review of records and treatment plans for patient outcomes on a periodic basis to assure quality care.
• Facilitate appropriate length of stay, discharge planning and compliance with regulatory standards for inpatient management.
• Support professional development of the health care team.
• Promote translation of evidence-based practices, guidelines, and research.
• May conduct research studies. May assist in data collection and analysis.
• May serve as clinical preceptor for students. May onboard new caregivers.
• Other duties as assigned.

Qualifications

Advanced Practice Provider - Certified Nurse Practitioner or Certified Physician's Assistant. Must be able to function independently to the full scope of licensure. Must possess excellent organizational, interpersonal, and communication skills. Ability to work in a fast-paced environment and meet deadlines. Must be flexible with schedule. Demonstrated independence in critical thinking.

Education

• APRN: Effective 05/01/2014: MSN required upon hire or within 3 years of hire for external hires and internal hires moving from a non-APRN licensed role to an APRN licensed role. Graduate of an accredited APRN program. If in neonatal care service area Master's Degree is required upon hire.
• PA: Graduate of an A.R.C. approved Physician Assistant Program. Master's degree in Physician Assistant Studies and/or higher degree obtained from a program recognized by their practicing states Licensing Board.

Certifications

• NP: Currently licensed as a Nurse Practitioner in applicable state(s). Must be licensed as an RN in applicable state(s). National certification as a Nurse Practitioner by nationally accredited organization recognized by state Board of Nursing. Basic Life Support (BLS) through the American Heart Association (AHA) required. Advanced Cardiac Life Support (ACLS) or Pediatric Advanced Life Support (PALS) through the American Heart Association (AHA); or Neonatal Resuscitation Program (NRP) through the American Academy of Pediatrics (AAP) may be required based upon work setting. Must have arrangements with at least one physician in accordance with requirements set forth by the State Board of Nursing in applicable states. Must be credentialed and privileged by the Medical Executive Committee and the Governing Body of the applicable hospitals.
• PA: Certification as a Physician Assistant through the NCCPA or successor organization recognized by their practicing states Licensing Board. License to practice and prescribe issued by their practicing states Licensing Board. Current DEA License or DEA designee as required by NCQA. Basic Life Support (BLS) through the American Heart Association (AHA) required. Advanced Cardiac Life Support (ACLS) or Pediatric Advanced Life Support (PALS) through the American Heart Association (AHA); or Neonatal Resuscitation Program (NRP) through the American Academy of Pediatrics (AAP); or Advanced Trauma Life Support (ATLS) American Heart Association may be required based upon work setting. If a candidate has held a license to prescribe within another jurisdiction and needs to obtain a master's degree in order to apply for prescribing privileges the candidate will be subject for review for eligibility for hiring within our system. Must have a Physician Supervision Agreement and signed addendum to Physician Supervision Agreement. Must be credentialed and privileged by the Medical Executive Committee and the Governing Body of the applicable hospitals.

Skills & Experience

• Nephrology and hemodialysis experience preferred.
• Kidney transplant experience beneficial.
• Related clinical experience preferred.

Physical Requirements

Typical physical demands include the ability to walk and stand for long periods of time. Manual and finger dexterity and eye/hand coordination to perform physical examinations. Requires corrected vision and hearing to a normal range. Occasionally lifts and carries items weighing up to 50 pounds. May require exposure to communicable diseases and/or body fluids. Follows standard precautions using personal protective equipment as required.