Advanced Practitioner

Summary

Nurse Practitioner or Physician Assistant to provide acute care for Chronic Kidney Disease, Acute Kidney Injury, and ESRD patients in an inpatient hospital setting. Patient population is highly diverse and resource-challenged. Practice includes, but is not limited to: physical assessment; ordering, performing, supervising, and interpreting diagnostic and laboratory tests; making diagnoses; initiating and managing treatment plans including hemodialysis, plasmapheresis, management of pre- and post-renal biopsy orders and interventions, CRRT, peritoneal dialysis, vascular access, prescribing medications and non-pharmacologic treatments in collaboration with MD Nephrologist. Management in partnership with individuals, families, and communities to coordinate care, provide counseling, and educate. Provide expertise and support to nursing and licensed medical staff caring for patients utilizing best practices and evidence-based care to achieve the best possible patient outcomes. This position is designated as an on-site, patient-facing role. In-office presence is an essential function due to the need for real-time collaboration with providers, direct interaction with patients and caregivers, and secure handling of health data in compliance with HIPAA.

Minimum Qualifications

• Nurse Practitioner: Successful completion of graduate education at the master's, post-master's, or doctoral level from a nationally accredited program; successful national board certification. Master of Science in Advanced Practice Nursing (MSN) or Clinical Doctorate in Nursing Practice, with preference for FNP, ANP, AGNP, or ACNP certification; National Board Certification as a Nurse Practitioner (ANCC or AANP) with a valid, unrestricted NC RN license; Initial Nurse Practitioner Approval to Practice and in good standing with the North Carolina Board of Nursing.
• Physician Assistant: Successful completion of an educational program for Physician Assistants accredited by the Committee on Allied Health Education and Accreditation, or by its successor agency, and pass the Physician Assistant National Certifying Examination administered by the National Commission on Certification of Physician Assistants.
• Hospital experience preferred, but not required.
• Basic Cardiac Life Support (BCLS) and ACLS are required and must be maintained.
• Clear criminal history.
• Maintenance and engagement in continuing education to remain ahead of technological, methodological, and other developments in the field.
• Completion of requirements to maintain a clear and unrestricted license to practice, prior to expiration.
• Valid driver license and reliable transportation to allow the individual to provide support to multiple office, hospital, and dialysis unit locations as necessary.
• Working knowledge of Microsoft Office Applications, and familiarization with Electronic Health Records.

Knowledge, Skills and Abilities

• Maintenance of patient confidentiality and medical records in accordance with HIPAA.
• Ability to practice autonomously and in coordination with healthcare professionals and other individuals.
• Ability to provide a wide range of health care services: diagnosis and management of acute, chronic, and complex health problems.
• Comfort with health promotion, disease prevention, health education, and counseling.
• General knowledge of health care research methodology and interdisciplinary consultation.
• Strong patient advocacy skills desired.
• Detail-oriented with the ability to speak and write effectively, including the preparation of clear and concise documentation of patient interactions; excellent records maintenance skills.
• Proactive individual with the ability to manage required workload, with strong independent decision-making skills and attention to detail.
• Recognize social determinants which affect health, access to care, and engagement in the healthcare contract between provider and patient.
• Strong interpersonal and communication skills and the ability to work effectively with a wide range of constituencies in a diverse, resource-challenged community.
• Ability to function well while involved in multiple task assignments. Ability to concentrate on details and deal with constant interruption. Skill in organizing resources and establishing priorities.
• Attendance and completion of in-service training as required.
• Flexibility in scheduling and assignments to meet the needs of the organization.
• Must be proficient in MS Word, Excel, and PowerPoint software programs.

Supervisory Responsibilities

None. However, each APP is accountable to patients, their professional organization, and state boards, and is expected to practice consistently with an ethical code of conduct, evidence-based principles, and current practice standards.

Essential Functions

• Provide clinical assessment and case management including constructing and interpreting medical history, performing physical assessment, evaluating patient behavior, performing and interpreting selected laboratory tests, identifying problems, and developing and implementing treatment plans for acute, chronic kidney disease, or end-stage renal disease patients. 70%
• Order and schedule laboratory studies, diagnostic procedures, and services such as changes in immunosuppression, renal biopsies, inpatient and outpatient dialysis, and home health care; explain necessity, preparation, nature, and anticipated effects of scheduled diagnostic and therapeutic procedures to the patients. 10%
• Seek expert opinion or advice of collaborating physician when case falls outside of protocol of agency; refer patients to outside physician for consultation and/or specialized health resources for treatment or clinical management. 5%
• Documentation of patient encounters. 10%
• Other duties as assigned. 5%

Physical Demands

• Potential for travel for trainings, professional meetings, and education.
• Hearing, visual acuity, talking.
• Reaching, grabbing, holding – fine motor skills.
• Extended periods in a stationary or standing position.
• Repetitive motion such as entering data into computer-based programs.
• Applicants should be in good physical health and able to traverse across multiple locations within the ECU Health Medical Center campus that may include ramps, uneven sidewalks, elevators, stairs, etc.

Work Environment

Work is normally performed in a typical interior office, hospital, and dialysis medical environment. The noise level is usually moderate. High risk of exposure to blood borne pathogens and OPIM.

This position is designated as an on-site, patient-facing role. In-office presence is an essential function due to the need for real-time collaboration with providers, direct interaction with patients and caregivers, and secure handling of health data in compliance with HIPAA.

This response is AI-generated, for reference only.