Nephrology - NP/PA - Full-Time

Status: Full time, benefits eligible. Hours per week: 40. Schedule: Monday-Friday 8:00 AM–5:00 PM.

Pay

Pay range: $47.50 – $71.25 per hour.

Responsibilities

• Patient Assessments
  • Provides diagnosis and treatment for common acute illnesses, prevention and maintenance care to patients with stable chronic illnesses, and performs interim physical exams for healthy patients within nurse protocol.
  • Separates patients with suspected infectious diseases (e.g., tuberculosis, varicella-zoster) from well patients by immediately placing them in an exam room, using personal protective equipment, and confidentially communicating the condition to other clinical staff.
  • Elicits appropriate present and past medical history and review of symptoms.
  • Performs appropriate physical examination and orders appropriate diagnostic studies.
  • Discriminates between normal and abnormal findings in history and physical.
  • Establishes the appropriate differential diagnosis.
  • Assesses the stability of chronic illness and compliance with present therapy; monitors complications of disease or therapy.
  • Establishes appropriate treatment plan and assesses need for hospitalization or physician intervention.
  • Determines timing for follow-up and orders appropriate referrals.
  • Counsels regarding health promotion, disease prevention, and provides anticipatory guidance as appropriate.
• Provides Health Education to Patients
  • Educates patients on ways to improve, promote, and maintain health status, including providing educational information on disease, self-care practices, and positive lifestyle choices.
  • Assesses learning readiness and capabilities of individuals; tailors education to meet age, developmental, and educational needs.
  • Prioritizes learning needs and documents them accordingly.
  • Ensures that time frame and subject matter are appropriate for the target audience/individual.
  • Utilizes appropriate teaching materials (handouts, demonstrations, audiovisuals) and documents use; documents patient learning outcomes.
  • Initiates, designs, and completes educational programs for patients, target audiences, and families.
• Documentation
  • Maintains accurate records, medication lists, and documentation of care follow-up for administrative purposes and reimbursement of services.
  • Adheres to policy and procedure for documentation of records.
  • Maintains appropriate level of documentation to promote/support level of complexity when compared against service fee charges.
  • Reviews and updates problem list at least on annual visit/episodic visit by patient and initiates problem and medication list on new patients.
  • Documents phone calls with patients and specialists.
  • Documents visits in a concise, clear, logical, and legible manner.
  • Accepts after-hour calls and handles after-hours problems (on a rotating schedule).
• Maintains Competence in Clinical Practice
  • Identifies knowledge and skills needed through self-assessment and peer review.
  • Participates in a variety of education activities to maintain and increase competency.
  • Utilizes continuing education as a basis for expanding medical knowledge and improving clinical skills, incorporating these into daily practice.
  • Participates in and completes annual educational requirements for Floyd Medical Center and/or the Primary Care Network.
  • Approved to order and administer flu vaccines for off-site locations.
• Management Responsibilities
  • Supervises and intervenes with clinical issues and supports/directs triage by clinical staff when necessary.
  • Implements clinical education and training of clinical staff as needed.
  • Provides constructive feedback related to performance, patient flow, and patient issues.
  • Provides in-services and clinical education for staff members on an as-needed basis.
  • Available for feedback on callback and triage issues as needed.
  • Identifies barriers to patient care flow/delivery and assists with implementing corrective action.
  • Serves as a role model for patient interaction.
  • Works collaboratively with healthcare team members to ensure continuity of care and complete delivery of prescribed care.
• Drug Protocols
  • Adheres to drug protocols reviewed annually, developed by the supervising physician in collaboration with the NP.
  • Prescribes within the practice agreement agreed on by the delegating physician 100% of the time.
  • Ensures updated and accurate practice agreement each year as set forth in state statutes for prescribing authority.
• Quality Care
  • Demonstrates regard for the dignity and respect of all patients, families, guests, coworkers, volunteers, and medical staff in support of the practice/organization mission.
  • Codes radiologic procedures accurately.
  • Maintains patient and practice confidentiality.
  • Represents the practice positively and consistently displays a caring attitude.
  • Conducts all activities with respect for patient/customer rights and expectations.
• Safety/Security
  • Follows established safety precautions and procedures in performing duties to ensure a safe environment.
  • Regularly performs tasks in accordance with policy and procedure, including safe use of equipment and machines and appropriate use/wear of personal protective equipment and other safety equipment.
  • Completes all required safety in-service updates.
• Quality and Performance Improvement
  • Completes duties timely and promotes financial viability through the provision of services at a reasonable cost and efficient utilization of products, supplies, equipment, and time.
  • Actively participates in continuing education, professional memberships, and other scholarly and community outreach and marketing activities to enhance the NP role and image of nursing in all aspects of patient, community, and professional relations.
• Continuing Education
  • Completes competency checklists and unit-specific recommendations.
  • Completes unit and departmental annual skills checklists.
  • Completes annual training on generating, preparing, and/or submitting accurate requests for reimbursement from Federal Health Care programs for professional services.
  • Utilizes continuing education to expand medical knowledge and improve clinical skills, incorporating these into daily practice.

Requirements

• Licensure, Registration, and/or Certification
  • Certification in related specialty.
  • Membership in related organization.
• Education
  • Master’s from an accredited school of Nursing.
• Experience
  • Nursing experience in a clinical setting.
• Physical Requirements and Working Conditions
  • Full range of body motion including handling and lifting patients, manual and finger dexterity, and eye-hand coordination.
  • Standing and walking for extensive periods of time.
  • Occasionally lifts and carries weight up to 50 pounds.
  • Ability to distinguish letters, numbers, and symbols with vision and hearing within normal range to respond to Code alerts and equipment alarms.
  • Work-related stress due to volume and time constraints with irregular working hours.

Benefits

• Paid Time Off programs.
• Health and welfare benefits including medical, dental, vision, life, and short- and long-term disability.
• Flexible Spending Accounts for eligible health care and dependent care expenses.
• Family benefits such as adoption assistance and paid parental leave.
• Defined contribution retirement plans with employer match and other financial wellness programs.
• Educational Assistance Program.

About the Organization

Advocate Health is the third-largest nonprofit, integrated health system in the United States, created from the combination of Advocate Aurora Health and Atrium Health. Providing care under the names Advocate Health Care in Illinois; Atrium Health in the Carolinas, Georgia, and Alabama; and Aurora Health Care in Wisconsin, Advocate Health is a national leader in clinical innovation, health outcomes, consumer experience, and value-based care. Headquartered in Charlotte, North Carolina, Advocate Health serves nearly 6 million patients and is engaged in hundreds of clinical trials and research studies, with Wake Forest University School of Medicine serving as the academic core of the enterprise. It is nationally recognized for its expertise in cardiology, neurosciences, oncology, pediatrics, and rehabilitation, as well as organ transplants, burn treatments, and specialized musculoskeletal programs. Advocate Health employs 155,000 teammates across 69 hospitals and over 1,000 care locations and offers one of the nation’s largest graduate medical education programs with over 2,000 residents and fellows across more than 200 programs. Committed to providing equitable care for all, Advocate Health provides more than $6 billion in annual community benefits.