Nurse Practitioner (NP) Jobs in Jacksonville, Florida

NP OB/GYN Outpatient Full-time
UF Health

Advanced Practice Provider II-OBGYN-Full-Time

UF Health Jacksonville, FL
Overview Description : Provides specialty medical services to patients within the scope of the supervising physician's medical specialty, and under the direction of the department director or division administrator. Assists with specific medical specialty and clinical operations, and counsels' patients regarding their health. May perform minor procedures within the scope of the supervising p hysician specialty practice licensed to practice medicine in the State of Florida/Georgia. Clinical Area: The APP II position provides moderate to complex specialty care primarily in an outpatient setting. May perform diagnostic and therapeutic procedures in accordance with the particular specialty practice, which may occur in an outpatient setting, or procedural area during normal business hours. Responsibilities Job Requirement: Obtains patient histories, performs physical examinations and/or diagnostic and therapeutic procedures, for which they are qualified to perform by training, and which fall within the normal scope of the specialty practice of the supervising physician May provide education and instruction. Provides complex medical decision making in the treatment of patients consistent with their specialty practice to include providing consult service as appropriate Interprets and evaluates diagnostic tests, records the data in the patient's record/progress notes. Reviews, prescribes and/or recommends medications and treatments to patients Assess patient health status including state of wellness, compliance with care plan and determines appropriate diagnostic and any therapeutic procedure required by their specialty. Provides follow up for established patients where continuity of care is required along with timely and appropriate referrals to physician and pharmacist for patients in need of further medical care and services. Enters pertinent clinical information in the patient's medical record in a timely and accurate manner and in accordance with established compliance billing guidelines. Documents and closes open encounters, MyChart messages, and other EMR communications in accordance with Institutional requirements. Participates in meetings, functions, events, and committees, as well as in a team of interdisciplinary health care providers. Contributes to the development, implementation, and expansion of programs and initiatives, including participation in research activities, as applicable. Instruct, educate and counsel patients/families regarding their healthcare to include illness or injury, therapeutic and diagnostic procedures and treatment regimens as well as routine health maintenance. Qualifications Qualification : Experience Requirements: 2 years Outpatient setting preferred Education: Masters Nursing required or Masters Physician Assistant program required Certification / Licensure: Advanced Practice Nurse Practitioner License required or at time of hire Physician Assistant License required at time of hire Basic Life Support (BLS) required at time of hire- American Red Cross or America Heart Association Advanced Cardiovascular Life Support (ACLS) preferred PALS Certified preferred Additional Details: May be required to take call coverage Travel Up to 50% Additional Duties Additional duties as assigned may vary UFJPI is an Equal Opportunity Employer and Drugfree Workplace
NP Temporary
UF Health

Advanced Practice Provider IV-Free Standing ED'S-PRN-Hours/Days Varies

UF Health Jacksonville, FL
Overview Description : An Advanced Practice Provider IV (APP IV) is a direct patient care provider licensed in the State of Florida and/or Georgia and provides medical services to patients as defined by their scope of practice and under the supervision of a physician licensed to practice medicine in the State of Florida/Georgia. Clinical Area: Provides care primarily in the inpatient, Critical care, Clinics, OR, Labor & Delivery and/or Emergency department settings/Hospital-based settings. Responsibilities Job Requirement: Performs or assist with procedures of higher complexity in office, inpatient unit, operating room, or emergency department. May perform first assist functions in the operating room setting. Call coverage may be required specific to departmental needs May provide education and instruction. Monitoring or management of medical/ invasive devices and placement of devices within scope of practice. May manage care of Pre-/ post- operative and pre-/ post- procedure patients. Conducts high level evaluation and triage specific to the specialty/ subspecialty including patient histories, performs physical examinations and/or diagnostic and therapeutic procedures, differential diagnoses, ordering of ancillary studies, medical decision making, treatment and stabilization. Formulates comprehensive health management plans for patients in collaboration with physicians, pharmacists, and other medical professionals to include progress notes, narrative discharge summaries, consults, etc. Facilitates patient participation in making health care decisions. Contributes to the development, implementation, and expansion of programs and initiatives, including participation in research activities, quality improvement projects, etc., as appropriate. Participates in professional development opportunities and introduces innovation in practice where applicable. Enters pertinent clinical information in the patient's medical record in a timely and accurate manner and in accordance with established compliance billing guidelines. Documents and closes open encounters, My Chart messages, and other EMR communications in accordance with institutional requirements. Educates and counsels patients/families regarding their health care, including routine health maintenance. Calls and responds to consults, handles discharge planning, and schedules procedures routinely. Actively participates in meetings, functions, events, and committees, as well as in a team of interdisciplinary health care providers Qualifications Qualification: Certification/Licensure: Advanced Practice Nurse Practitioner License required or at time of hire Physician Assistant License required at time of hire Basic Cardiac Life Support (BCLS) required at time of hire Advanced Cardiovascular Life Support (ACLS) preferred at time of hire PALS Certified preferred at time of hire New Grads in Orthopedics need to acquire their DEA within 90 days of hire Education: Masters Physician Assistant training program required or Masters Nurse Practitioner required Travel : Up to 25% Additional Details: May be required to take call coverage Experience : 2 years critical care, Labor & delivery/ED/OR care settings - preferred Additional duties: Additional duties as assigned may vary. UFJPI is an Equal Opportunity Employer and Drugfree Workplace
NP Pediatric Full-time
UF Health

Advanced Practice Provider IV-Peds Neonatal-Full-Time-Hours Varies

UF Health Jacksonville, FL
Overview Description An Advanced Practice Provider IV (APP IV) is a direct patient care provider licensed in the State of Florida and/or Georgia and provides medical services to patients as defined by their scope of practice and under the supervision of a physician licensed to practice medicine in the State of Florida/Georgia. Clinical Area: Provides care primarily in the inpatient and/or critical care, Labor & Delivery and/or emergency department settings /hospital-based setting Responsibilities Job Requirement: Performs or assist with procedures of higher complexity in office, inpatient unit, operating room, or emergency department. May perform first assist functions in the operating room setting. Call coverage may be required specific to departmental needs May provide education and instruction. Monitoring or management of medical/ invasive devices and placement of devices within scope of practice. May manage care of Pre-/ post- operative and pre-/ post- procedure patients. Conducts high level evaluation and triage specific to the specialty/ subspecialty including patient histories, performs physical examinations and/or diagnostic and therapeutic procedures, differential diagnoses, ordering of ancillary studies, medical decision making, treatment and stabilization. Formulates comprehensive health management plans for patients in collaboration with physicians, pharmacists, and other medical professionals to include progress notes, narrative discharge summaries, consults, etc. Facilitates patient participation in making health care decisions. Contributes to the development, implementation, and expansion of programs and initiatives, including participation in research activities, quality improvement projects, etc., as appropriate. Participates in professional development opportunities and introduces innovation in practice where applicable. Enters pertinent clinical information in the patient's medical record in a timely and accurate manner and in accordance with established compliance billing guidelines. Documents and closes open encounters, My Chart messages, and other EMR communications in accordance with institutional requirements. Educates and counsels patients/families regarding their health care, including routine health maintenance. Calls and responds to consults, handles discharge planning, and schedules procedures routinely. Actively participates in meetings, functions, events, and committees, as well as in a team of interdisciplinary health care providers Qualifications Qualification: Certification/Licensure: Advanced Practice Nurse Practitioner License required or at time of hire Physician Assistant License required at time of hire Basic Cardiac Life Support (BCLS) required at time of hire Advanced Cardiovascular Life Support (ACLS) preferred at time of hire PALS Certified preferred at time of hire New Grads in Orthopedics need to acquire their DEA within 90 days of hire Education : Masters Physician Assistant training program required or Masters Nurse Practitioner required Travel Up to 25% Additional Details May be required to take call coverage Experience: 2 years critical care, Labor & delivery/ED/OR care settings - preferred Additional duties: Additional duties as assigned may vary. UFJPI is an Equal Opportunity Employer and Drugfree Workplace
NP Outpatient Full-time
UF Health

Advanced Practice Provider III - ENT | Surgery | Full-Time| Days

UF Health Jacksonville, FL
Overview An Advanced Practice Provider III (APP III) is a direct patient care provider licensed in the State of Florida and/or Georgia and provides medical services to patients as defined by their scope of practice and under the supervision of a physician licensed to practice medicine in the State of Florida/Georgia. Provides patient care with advanced knowledge of subspecialty service. Clinical Area: Subspecialty Outpatient and/or Inpatient Setting may perform procedures/consults, less than 50% time spent in OR, and/or works in the NICU. Responsibilities Provides timely and appropriate referrals to patients in need of further medical care and services. Responds to consults, schedules procedures and handles discharge planning, as appropriate. Educates and counsels patients/families regarding their health care, including routine health maintenance, as applicable. May provide education and instruction to residents and students. Performs or assists with procedures of higher complexity in clinic or inpatient unit. Monitors and manages invasive and/or medical devices and placement of devices within scope of practice. May manage care of pre/post-operative and pre/post-procedural patients. Formulates comprehensive health management plans for high acuity, more complex patients in collaboration with physicians, pharmacists, and other medical professionals to include progress notes, narrative discharge summaries, consults, etc. Facilitates patient participation in making health care decisions. Enters pertinent clinical information in the patient's medical record in a timely and accurate manner and in accordance with established compliance billing guidelines. Documents and closes open encounters, MyChart messages, and other EMR communications in accordance with institutional requirements. Call coverage may be required specific to departmental needs. Obtains patient histories, performs physical examinations and/or diagnostic and therapeutic procedures, as well as orders, interprets, and evaluates diagnostic tests for patients with high level of complexity. Reviews, prescribes and/or recommends medications and treatments to patients May provide education and instruction. All other duties as assigned Qualifications Experience Requirements: 2 years-Outpatient/inpatient setting Education: Masters Nurse Practitioner required or Masters Physician Assistant Program required : : Travel: Up to 25% UFJPI is an Equal Opportunity Employer and Drugfree Workplace
NP OB/GYN Outpatient Full-time
UF Health

Advanced Practice Provider II-OBGYN-Full-Time

UF Health Jacksonville, FL
Overview Description : Provides specialty medical services to patients within the scope of the supervising physician's medical specialty, and under the direction of the department director or division administrator. Assists with specific medical specialty and clinical operations, and counsels' patients regarding their health. May perform minor procedures within the scope of the supervising physician specialty practice licensed to practice medicine in the State of Florida/Georgia.Clinical Area: The APP II position provides moderate to complex specialty care primarily in an outpatient setting. May perform diagnostic and therapeutic procedures in accordance with the particular specialty practice, which may occur in an outpatient setting, or procedural area during normal business hours. Responsibilities Job Requirement: Obtains patient histories, performs physical examinations and/or diagnostic and therapeutic procedures, for which they are qualified to perform by training, and which fall within the normal scope of the specialty practice of the supervising physician. May provide education and instruction. Provides complex medical decision making in the treatment of patients consistent with their specialty practice to include providing consult service as appropriate Interprets and evaluates diagnostic tests, records the data in the patient's record/progress notes. Reviews, prescribes and/or recommends medications and treatments to patients Assess patient health status including state of wellness, compliance with care plan and determines appropriate diagnostic and any therapeutic procedure required by their specialty. Provides follow up for established patients where continuity of care is required along with timely and appropriate referrals to physician and pharmacist for patients in need of further medical care and services. Instruct, educate and counsel patients/families regarding their healthcare to include illness or injury, therapeutic and diagnostic procedures and treatment regimens as well as routine health maintenance Enters pertinent clinical information in the patient's medical record in a timely and accurate manner and in accordance with established compliance billing guidelines. Documents and closes open encounters, MyChart messages, and other EMR communications in accordance with Institutional requirements. Participates in meetings, functions, events, and committees, as well as in a team of interdisciplinary health care providers. Contributes to the development, implementation, and expansion of programs and initiatives, including participation in research activities, as applicable. Qualifications Qualification: Experience Requirements: Masters Nursing required or Masters Physician Assistant program required Certification / Licensure: Advanced Practice Nurse Practitioner License required or at time of hire Physician Assistant License required at time of hire Basic Life Support (BLS) required at time of hire Advanced Cardiovascular Life Support (ACLS) preferred PALS Certified preferred Travel: Up to 50% Additional Duties: Additional duties as assigned may vary. Additional Details: May be required to take call coverage. Provides services to all UF Health hospitals, clinics and affiliated facilities as required UFJPI is an Equal Opportunity Employer and Drugfree Workplace
NP Outpatient Full-time
UF Health

Advanced Practice Provider III-Anesthesiology-Full-Time-

UF Health Jacksonville, FL
Overview Description : An Advanced Practice Provider III (APP III) is a direct patient care provider licensed in the State of Florida and/or Georgia and provides medical services to patients as defined by their scope of practice and under the supervision of a physician licensed to practice medicine in the State of Florida/Georgia. Provides patient care with advanced knowledge of subspecialty service. Clinical Area: Subspecialty Outpatient and/or Inpatient Setting, may perform procedures/consults, less than 50% time spent in OR, and/or works in the NICU Responsibilities Job Requirement: Provides timely and appropriate referrals to patients in need of further medical care and services. Responds to consults, schedules procedures and handles discharge planning, as appropriate. Educates and counsels patients/families regarding their health care, including routine health maintenance, as applicable. May provide education and instruction to residents and students. Performs or assists with procedures of higher complexity in clinic or inpatient unit. Monitors and manages invasive and/or medical devices and placement of devices within scope of practice. May manage care of pre/post-operative and pre/post-procedural patients. Formulates comprehensive health management plans for high acuity, more complex patients in collaboration with physicians, pharmacists, and other medical professionals to include progress notes, narrative discharge summaries, consultations, etc. Facilitates patient participation in making health care decisions. Enters pertinent clinical information in the patient's medical record in a timely and accurate manner and in accordance with established compliance billing guidelines. Documents and closes open encounters, MyChart messages, and other EMR communications in accordance with institutional requirements. Call coverage may be required specific to departmental needs. Obtains patient histories, performs physical examinations and/or diagnostic and therapeutic procedures, as well as orders, interprets, and evaluates diagnostic tests for patients with high level of complexity. Reviews, prescribes and/or recommends medications and treatments to patients. May provide education and instruction. All other duties as assigned Qualifications Qualification : Experience Requirements: 2 years-Outpatient/Inpatient setting Education : Masters Nurse Practitioner – Required -or- Masters Physician Assistant Program – Required Travel : Up to 25% Certifications/ Licensure Requirements: Advanced Practice Nurse Practitioner License – Required At Time of Hire Physician Assistant License – Required At Time of Hire Basic Life Support (BLS) – Required At Time of Hire- American Red Cross or American Heart Association Advanced Cardiovascular Life Support (ACLS) – Preferred At Time of Hire PALS Certified – Preferred At Time of Hire Additional Details: Certification in Specialty/Subspecialty as required by Specialty Department Provides services to all UF Health hospitals, clinics and affiliated facilities as required. UFJPI is an Equal Opportunity Employer and Drugfree Workplace
NP Outpatient Full-time
UF Health

Advanced Practice Provider II | Medicine Endo - North/Deerwood | Days | Full Time

UF Health Jacksonville, FL
Overview Job Duties Provides specialty medical services to patients within the scope of the supervising physician's medical specialty, and under the direction of the department director or division administrator. Assists with specific medical specialty and clinical operations, and counsels’ patients regarding their health. May perform minor procedures within the scope of the supervising physician specialty practice licensed to practice medicine in the State of Florida/Georgia. Clinical Area: The APP II position provides moderate to complex specialty care primarily in an outpatient setting. May perform diagnostic and therapeutic procedures in accordance with the particular specialty practice, which may occur in an outpatient setting, or procedural area during normal business hours. Responsibilities Essential Functions • Obtains patient histories, performs physical examinations and/or diagnostic and therapeutic procedures, for which they are qualified to perform by training, and which fall within the normal scope of the specialty practice of the supervising physician • Provides complex medical decision making in the treatment of patients consistent with their specialty practice to include providing consult service as appropriate •Interprets and evaluates diagnostic tests, records the data in the patient’s record/progress notes. Reviews, prescribes and/or recommends medications and treatments to patients • Assess patient health status including state of wellness, compliance with care plan and determines appropriate diagnostic and any therapeutic procedure required by their specialty. •Provides follow up for established patients where continuity of care is required along with timely and appropriate referrals to physician and pharmacist for patients in need of further medical care and services. • Instruct, educate and counsel patients/families regarding their healthcare to include illness or injury, therapeutic and diagnostic procedures and treatment regimens as well as routine health maintenance •Enters pertinent clinical information in the patient’s medical record in a timely and accurate manner and in accordance with established compliance billing guidelines. Documents and closes open encounters, MyChart messages, and other EMR communications in accordance with Institutional requirements. • Participates in meetings, functions, events, and committees, as well as in a team of interdisciplinary health care providers. • Contributes to the development, implementation, and expansion of programs and initiatives, including participation in research activities, as applicable. • May provide education and instruction. • Additional duties as assigned Qualifications Experience Requirements 2 years Outpatient setting preferred Education Requirements High School Diploma or GED required Masters Nursing required or Masters Physician Assistant program required Certification/Licensure Advanced Practice Registered Nurse(APRN) Licensure required (at time of hire) Physician Assistant (PA) Licensure required (at time of hire) Basic Life Support (BLS) required (at time of hire) Advanced Cardiovascular Life Support (ACLS) preferred PALS Certified preferred May be required to take call coverage Travel up to 50% UFJPI is an Equal Opportunity Employer and Drug Free Workplace
NP Outpatient Full-time
UF Health

Advanced Practice Provider I | New Berlin - Family | Days |Full Time

UF Health Jacksonville, FL
Overview Job Duties An Advanced Practice Provider I (APP I) is a direct patient care provider licensed in the State of Florida and/or Georgia and provides medical services to patients as defined by their scope of practice and under the supervision of a physician licensed to practice medicine in the State of Florida/Georgia. Clinical Area: Primary Outpatient Care in Community Health & Family Medicine and General Pediatrics. May perform minor Primary care procedures. Responsibilities Essential Functions • Obtains patient histories, performs physical examinations and/or diagnostic and therapeutic procedures, as well as orders, interprets, and evaluates diagnostic tests. • Formulates comprehensive health management plans for patients in collaboration with physicians, pharmacists, and other medical professionals to include progress notes, narrative discharge summaries, consults, etc. Facilitates patient participation in making health care decisions. • Reviews, prescribes and/or recommends medications and treatments to patients • Provides timely and appropriate referrals to patients in need of further medical care and services • Educates and counsels patients/families regarding their health care, including routine health maintenance • Enters pertinent clinical information in the patient’s medical record in a timely and accurate manner and in accordance with established compliance billing guidelines. Documents and closes open encounters, MyChart messages, and other EMR communications in accordance with institutional requirements. • May provide education and instruction. • Call coverage may be required specific to departmental needs. Qualifications Experience Requirements 2 years Outpatient setting preferred Education Requirements High School Diploma or GED required Masters Nursing required Masters Physician Assistant program required Certification/Licensure Advanced Practice Nurse Practitioner License required at time of hire Physician Assistant License required at time of hire Basic Life Support (BLS) required at time of hire Advanced Cardiovascular Life Support (ACLS) preferred PALS Certified preferred UFJPI is an Equal Opportunity Employer and Drug Free Workplace
NP Full-time
UF Health

PA/NP - Advanced Practice Provider IV | Cardio Downtown | Days | Full Time

UF Health Jacksonville, FL
Overview Job Duties An Advanced Practice Provider IV (APP IV) is a direct patient care provider licensed in the State of Florida and/or Georgia and provides medical services to patients as defined by their scope of practice and under the supervision of a physician licensed to practice medicine in the State of Florida/Georgia. Clinical Area: Provides care primarily in the inpatient and/or critical care, Labor & Delivery and/or emergency department settings; > 50% inpatient hospital-based setting. Responsibilities Essential Functions • Performs or assist with procedures of higher complexity in office, inpatient unit, operating room, or emergency department. May perform first assist functions in the operating room setting. Call coverage may be required specific to departmental needs • May provide education and instruction. •Monitoring or management of medical/ invasive devices and placement of devices within scope of practice. May manage care of Pre-/ post- operative and pre-/ post- procedure patients. • Conducts high level evaluation and triage specific to the specialty/ subspecialty including patient histories, performs physical examinations and/or diagnostic and therapeutic procedures, differential diagnoses, ordering of ancillary studies, medical decision making, treatment and stabilization. • Formulates comprehensive health management plans for patients in collaboration with physicians, pharmacists, and other medical professionals to include progress notes, narrative discharge summaries, consults, etc. Facilitates patient participation in making health care decisions. • Contributes to the development, implementation, and expansion of programs and initiatives, including participation in research activities, quality improvement projects, etc., as appropriate. Participates in professional development opportunities and introduces innovation in practice where applicable. • Enters pertinent clinical information in the patient’s medical record in a timely and accurate manner and in accordance with established compliance billing guidelines. Documents and closes open encounters, My Chart messages, and other EMR communications in accordance with institutional requirements. • Educates and counsels patients/families regarding their health care, including routine health maintenance. • Calls and responds to consults, handles discharge planning, and schedules procedures routinely. • Actively participates in meetings, functions, events, and committees, as well as in a team of interdisciplinary health care providers • May be required to take call coverage • Additional duties as assigned Qualifications Experience Requirements 2 years Critical Care, Labor & Delivery /ED/OR care settings preferred Education Requirements High School Diploma or GED required Masters Nursing Practitioner required or Masters Physician Assistant program required Certification/Licensure Advanced Practice Registered Nurse(APRN) Licensure required at time of hire or Physician Assistant (PA) Licensure in State of Florida/Georgia required at time of hire Basic Cardiac Life Support (BCLS) required at time of hire Advanced Cardiac Life Support (ACLS) preferred Pediatric Advanced Life Support (PALS) preferred at time of hire New Grads in Orthopedics must acquire DEA within 90 days of hire Travel up to 25% UFJPI is an Equal Opportunity Employer and Drug Free Workplace
NP Outpatient Full-time
UF Health

Advanced Practice Provider II | Endo - North/Deerwood | Days | Full Time

UF Health Jacksonville, FL
Overview Job Duties Provides specialty medical services to patients within the scope of the supervising physician's medical specialty, and under the direction of the department director or division administrator. Assists with specific medical specialty and clinical operations, and counsels’ patients regarding their health. May perform minor procedures within the scope of the supervising physician specialty practice licensed to practice medicine in the State of Florida/Georgia. Clinical Area: The APP II position provides moderate to complex specialty care primarily in an outpatient setting. May perform diagnostic and therapeutic procedures in accordance with the particular specialty practice, which may occur in an outpatient setting, or procedural area during normal business hours. Responsibilities Essential Functions • Obtains patient histories, performs physical examinations and/or diagnostic and therapeutic procedures, for which they are qualified to perform by training, and which fall within the normal scope of the specialty practice of the supervising physician • Provides complex medical decision making in the treatment of patients consistent with their specialty practice to include providing consult service as appropriate •Interprets and evaluates diagnostic tests, records the data in the patient’s record/progress notes. Reviews, prescribes and/or recommends medications and treatments to patients • Assess patient health status including state of wellness, compliance with care plan and determines appropriate diagnostic and any therapeutic procedure required by their specialty. •Provides follow up for established patients where continuity of care is required along with timely and appropriate referrals to physician and pharmacist for patients in need of further medical care and services. • Instruct, educate and counsel patients/families regarding their healthcare to include illness or injury, therapeutic and diagnostic procedures and treatment regimens as well as routine health maintenance •Enters pertinent clinical information in the patient’s medical record in a timely and accurate manner and in accordance with established compliance billing guidelines. Documents and closes open encounters, MyChart messages, and other EMR communications in accordance with Institutional requirements. • Participates in meetings, functions, events, and committees, as well as in a team of interdisciplinary health care providers. • Contributes to the development, implementation, and expansion of programs and initiatives, including participation in research activities, as applicable. • May provide education and instruction. • Additional duties as assigned Qualifications Experience Requirements 2 years Outpatient setting preferred Education Requirements High School Diploma or GED required Masters Nursing required or Masters Physician Assistant program required Certification/Licensure Advanced Practice Registered Nurse(APRN) Licensure required (at time of hire) Physician Assistant (PA) Licensure required (at time of hire) Basic Life Support (BLS) required (at time of hire) Advanced Cardiovascular Life Support (ACLS) preferred PALS Certified preferred May be required to take call coverage Travel up to 50% UFJPI is an Equal Opportunity Employer and Drug Free Workplace
NP Outpatient Full-time
UF Health

Advanced Practice Provider III | Endocrinology East - JTB & Kernan | Days | full time

UF Health Jacksonville, FL
Overview Job Duties An Advanced Practice Provider III (APP III) is a direct patient care provider licensed in the State of Florida and/or Georgia and provides medical services to patients as defined by their scope of practice and under the supervision of a physician licensed to practice medicine in the State of Florida/Georgia. Provides patient care with advanced knowledge of subspecialty service. Clinical Area: Subspecialty Outpatient and/or Inpatient Setting, may perform procedures/consults, less than 50% time spent in OR, and/or works in the NICU. Responsibilities Essential Functions • Provides timely and appropriate referrals to patients in need of further medical care and services. Responds to consults, schedules procedures and handles discharge planning, as appropriate. Educates and counsels patients/families regarding their health care, including routine health maintenance, as applicable. May provide education and instruction to residents and students. • Performs or assists with procedures of higher complexity in clinic or inpatient unit. Monitors and manages invasive and/or medical devices and placement of devices within scope of practice. May manage care of pre/post-operative and pre/post-procedural patients. • Formulates comprehensive health management plans for high acuity, more complex patients in collaboration with physicians, pharmacists, and other medical professionals to include progress notes, narrative discharge summaries, consults, etc. Facilitates patient participation in making health care decisions. • Enters pertinent clinical information in the patient’s medical record in a timely and accurate manner and in accordance with established compliance billing guidelines. Documents and closes open encounters, MyChart messages, and other EMR communications in accordance with institutional requirements. • Call coverage may be required specific to departmental needs. • Obtains patient histories, performs physical examinations and/or diagnostic and therapeutic procedures, as well as orders, interprets, and evaluates diagnostic tests for patients with high level of complexity. Reviews, prescribes and/or recommends medications and treatments to patients • May provide education and instruction. • All other duties as assigned • Travel up to 25% Qualifications Experience Requirements 2 years Outpatient/Inpatient setting preferred Education Requirements High School Diploma or GED required Masters Nurse Practitioner required or Masters Physician Assistant program required Certification/Licensure Advanced Practice Registered Nurse(APRN) Licensure required at time of hire Physician Assistant (PA) Licensure in State of Florida/Georgia required at time of hire Certification in Specialty/Sub Specialty required by Specialty Department Basic Life Support (BLS) required at time of hire Advanced Cardiac Life Support (ACLS) required Pediatric Advanced Life Support (PALS) preferred UFJPI is an Equal Opportunity Employer and Drug Free Workplace
NP Outpatient Full-time
UF Health

Advanced Practice Provider III | Endocrinology - East JTB & Kernan | Days | Full time

UF Health Jacksonville, FL
Overview Job Duties An Advanced Practice Provider III (APP III) is a direct patient care provider licensed in the State of Florida and/or Georgia and provides medical services to patients as defined by their scope of practice and under the supervision of a physician licensed to practice medicine in the State of Florida/Georgia. Provides patient care with advanced knowledge of subspecialty service. Clinical Area: Subspecialty Outpatient and/or Inpatient Setting, may perform procedures/consults, less than 50% time spent in OR, and/or works in the NICU. Responsibilities Essential Functions • Provides timely and appropriate referrals to patients in need of further medical care and services. Responds to consults, schedules procedures and handles discharge planning, as appropriate. Educates and counsels patients/families regarding their health care, including routine health maintenance, as applicable. May provide education and instruction to residents and students. • Performs or assists with procedures of higher complexity in clinic or inpatient unit. Monitors and manages invasive and/or medical devices and placement of devices within scope of practice. May manage care of pre/post-operative and pre/post-procedural patients. • Formulates comprehensive health management plans for high acuity, more complex patients in collaboration with physicians, pharmacists, and other medical professionals to include progress notes, narrative discharge summaries, consults, etc. Facilitates patient participation in making health care decisions. • Enters pertinent clinical information in the patient’s medical record in a timely and accurate manner and in accordance with established compliance billing guidelines. Documents and closes open encounters, MyChart messages, and other EMR communications in accordance with institutional requirements. • Call coverage may be required specific to departmental needs. • Obtains patient histories, performs physical examinations and/or diagnostic and therapeutic procedures, as well as orders, interprets, and evaluates diagnostic tests for patients with high level of complexity. Reviews, prescribes and/or recommends medications and treatments to patients • May provide education and instruction. • All other duties as assigned • Travel up to 25% Qualifications Experience Requirements 2 years Outpatient/Inpatient setting preferred Education Requirements High School Diploma or GED required Masters Nurse Practitioner required or Masters Physician Assistant program required Certification/Licensure Advanced Practice Registered Nurse(APRN) Licensure required at time of hire Physician Assistant (PA) Licensure in State of Florida/Georgia required at time of hire Certification in Specialty/Sub Specialty required by Specialty Department Basic Life Support (BLS) required at time of hire Advanced Cardiac Life Support (ACLS) required Pediatric Advanced Life Support (PALS) preferred UFJPI is an Equal Opportunity Employer and Drug Free Workplace
NP Full-time
UF Health

PA/NP - Advanced Practice Provider V | Cardio Adult CT Downtown | Days | Full Time

UF Health Jacksonville, FL
Overview Job Duties An Advanced Practice Provider V (APP V) is a direct patient care provider licensed in the State of Florida and/or Georgia and provides medical services to patients as defined by their scope of practice and under the supervision of a physician licensed to practice medicine in the State of Florida/Georgia. Clinical Area - 90% of their time is spent with inpatients, 85% of this time is in the OR. Responsibilities Essential Functions • Endoscopic saphenous vein harvesting GSV, open vein harvest, GSV and LSV, radial artery harvest, open and endoscopically, open femoral artery/vein cannulation for bypass. • Invasive monitoring and placement of arterial and central venous lines, insertion and removal of thoracostomy tubes, insertion of central lines, including Swan-Ganz catheters, TLC, insertion and removal of IABP, removal of temporary pacer wires, insertion of arterial lines, NG/OG tube insertion, insertion of foley catheters, 1st assistant techniques. • Assesses patient health status including state of wellness, compliance with care plan and determines appropriate diagnostic and therapeutic procedures. May perform those routine medical treatments and diagnostic procedures for which they are qualified to perform by training and which fall within the normal scope of practice of the supervising physician. • Performance of histories and physical exams, pre and postoperative patient care, critical care, daily progress notes, obtain surgical consent, patient education, and discharge summaries. • Patient care in ICU including advanced knowledge of hemodynamic management, ventilators, and artificial cardiac devices. • First assist in surgery in all cardiac, thoracic and vascular procedures. Recognize serious, life-threatening emergencies, evaluate them appropriately and ensure patient receives prompt care to stabilize. Triages patient calls and evaluates patient problems. • Opening and closing of sternotomies, emergency opening of post op cardiac patient, emergency intubation, perform required would care under the direction of the CT Attending. • Educator and trainer for nurses, residents and fellows. • Participates in quality management and performance improvement activities. • Call coverage may be required specific to departmental needs. Qualifications Experience Requirements 2 years Cardiothoracic surgical experience required Education Requirements Masters Physician Assistant program required or Masters Nursing Practitioner required Certification/Licensure Physician Assistant (PA) Licensure required at time of hire or Advanced Practice Registered Nurse(APRN) Licensure required at time of hire Basic Cardiac Life Support (BCLS) required at time of hire Advanced Cardiac Life Support (ACLS) required at time of hire Pediatric Advanced Life Support (PALS) required at time of hire UFJPI is an Equal Opportunity Employer and Drug Free Workplace
NP Outpatient Full-time
UF Health

PA/NP - Advanced Practice Provider III | Cardio Downtown | Days | Full Time

UF Health Jacksonville, FL
Overview Job Duties An Advanced Practice Provider III (APP III) is a direct patient care provider licensed in the State of Florida and/or Georgia and provides medical services to patients as defined by their scope of practice and under the supervision of a physician licensed to practice medicine in the State of Florida/Georgia. Provides patient care with advanced knowledge of subspecialty service. Clinical Area: Subspecialty Outpatient and/or Inpatient Setting, may perform procedures/consults, less than 50% time spent in OR, and/or works in the NICU. Responsibilities Essential Functions • Provides timely and appropriate referrals to patients in need of further medical care and services. Responds to consults, schedules procedures and handles discharge planning, as appropriate. Educates and counsels patients/families regarding their health care, including routine health maintenance, as applicable. May provide education and instruction to residents and students. • Performs or assists with procedures of higher complexity in clinic or inpatient unit. Monitors and manages invasive and/or medical devices and placement of devices within scope of practice. May manage care of pre/post-operative and pre/post-procedural patients. • Formulates comprehensive health management plans for high acuity, more complex patients in collaboration with physicians, pharmacists, and other medical professionals to include progress notes, narrative discharge summaries, consults, etc. Facilitates patient participation in making health care decisions. • Enters pertinent clinical information in the patient’s medical record in a timely and accurate manner and in accordance with established compliance billing guidelines. Documents and closes open encounters, MyChart messages, and other EMR communications in accordance with institutional requirements. • Call coverage may be required specific to departmental needs. • Obtains patient histories, performs physical examinations and/or diagnostic and therapeutic procedures, as well as orders, interprets, and evaluates diagnostic tests for patients with high level of complexity. Reviews, prescribes and/or recommends medications and treatments to patients • May provide education and instruction. • All other duties as assigned • Travel up to 25% Qualifications Experience Requirements 2 years Outpatient/Inpatient setting preferred Education Requirements High School Diploma or GED required Masters Nurse Practitioner required or Masters Physician Assistant program required Certification/Licensure Advanced Practice Registered Nurse(APRN) Licensure required at time of hire Physician Assistant (PA) Licensure in State of Florida/Georgia required at time of hire Certification in Specialty/Sub Specialty required by Specialty Department Basic Life Support (BLS) required at time of hire Advanced Cardiac Life Support (ACLS) required Pediatric Advanced Life Support (PALS) preferred UFJPI is an Equal Opportunity Employer and Drug Free Workplace
NP Part-time
UF Health

Advanced Practice Provider IV | Neurology Downtown | Days | Part Time

UF Health Jacksonville, FL
Overview Job Duties An Advanced Practice Provider IV (APP IV) is a direct patient care provider licensed in the State of Florida and/or Georgia and provides medical services to patients as defined by their scope of practice and under the supervision of a physician licensed to practice medicine in the State of Florida/Georgia. Clinical Area: Provides care primarily in the inpatient and/or critical care, Labor & Delivery and/or emergency department settings; > 50% inpatient hospital-based setting. Responsibilities Essential Functions • Performs or assist with procedures of higher complexity in office, inpatient unit, operating room, or emergency department. May perform first assist functions in the operating room setting. Call coverage may be required specific to departmental needs • May provide education and instruction. •Monitoring or management of medical/ invasive devices and placement of devices within scope of practice. May manage care of Pre-/ post- operative and pre-/ post- procedure patients. • Conducts high level evaluation and triage specific to the specialty/ subspecialty including patient histories, performs physical examinations and/or diagnostic and therapeutic procedures, differential diagnoses, ordering of ancillary studies, medical decision making, treatment and stabilization. • Formulates comprehensive health management plans for patients in collaboration with physicians, pharmacists, and other medical professionals to include progress notes, narrative discharge summaries, consults, etc. Facilitates patient participation in making health care decisions. • Contributes to the development, implementation, and expansion of programs and initiatives, including participation in research activities, quality improvement projects, etc., as appropriate. Participates in professional development opportunities and introduces innovation in practice where applicable. • Enters pertinent clinical information in the patient’s medical record in a timely and accurate manner and in accordance with established compliance billing guidelines. Documents and closes open encounters, My Chart messages, and other EMR communications in accordance with institutional requirements. • Educates and counsels patients/families regarding their health care, including routine health maintenance. • Calls and responds to consults, handles discharge planning, and schedules procedures routinely. • Actively participates in meetings, functions, events, and committees, as well as in a team of interdisciplinary health care providers • May be required to take call coverage • Additional duties as assigned Qualifications Experience Requirements 2 years Critical Care, Labor & Delivery /ED/OR care settings preferred Education Requirements High School Diploma or GED required Masters Nursing Practitioner required or Masters Physician Assistant program required Certification/Licensure Advanced Practice Registered Nurse(APRN) Licensure required at time of hire or Physician Assistant (PA) Licensure in State of Florida/Georgia required at time of hire Basic Cardiac Life Support (BCLS) required at time of hire Advanced Cardiac Life Support (ACLS) preferred Pediatric Advanced Life Support (PALS) preferred at time of hire New Grads in Orthopedics must acquire DEA within 90 days of hire Travel up to 25% UFJPI is an Equal Opportunity Employer and Drug Free Workplace
NP Full-time
UF Health

Advanced Practice Provider I | Family San Jose | Days | Full Time

UF Health Jacksonville, FL
Overview Job Duties An Advanced Practice Provider I (APP I) is a direct patient care provider licensed in the State of Florida and/or Georgia and provides medical services to patients as defined by their scope of practice and under the supervision of a physician licensed to practice medicine in the State of Florida/Georgia. Clinical Area: Primary Outpatient Care in Community Health & Family Medicine and General Pediatrics. May perform minor Primary care procedures. Responsibilities Essential Functions • Obtains patient histories, performs physical examinations and/or diagnostic and therapeutic procedures, as well as orders, interprets, and evaluates diagnostic tests. • Formulates comprehensive health management plans for patients in collaboration with physicians, pharmacists, and other medical professionals to include progress notes, narrative discharge summaries, consults, etc. Facilitates patient participation in making health care decisions. • Reviews, prescribes and/or recommends medications and treatments to patients • Provides timely and appropriate referrals to patients in need of further medical care and services • Educates and counsels patients/families regarding their health care, including routine health maintenance • Enters pertinent clinical information in the patient’s medical record in a timely and accurate manner and in accordance with established compliance billing guidelines. Documents and closes open encounters, MyChart messages, and other EMR communications in accordance with institutional requirements. • May provide education and instruction. • Call coverage may be required specific to departmental needs. • Other duties as assigned Qualifications Experience Requirements 2 years Outpatient setting preferred Education Requirements High School Diploma or GED required Masters Nursing required Masters Physician Assistant program required Certification/Licensure Advanced Practice Nurse Practitioner License required at time of hire Physician Assistant License required at time of hire Basic Life Support (BLS) required at time of hire Advanced Cardiovascular Life Support (ACLS) preferred PALS Certified preferred UFJPI is an Equal Opportunity Employer and Drug Free Workplace
NP Pediatric Outpatient Temporary
UF Health

Advanced Practice Provider I- UF Health Pediatrics Primary Care Division- PRN- Days Varies

UF Health Jacksonville, FL
Overview Description: An Advanced Practice Provider I (APP I) is a direct patient care provider licensed in the State of Florida and/or Georgia and provides medical services to patients as defined by their scope of practice and under the supervision of a physician licensed to practice medicine in the State of Florida/Georgia. Clinical Area: Primary Outpatient Care in Community Health & Family Medicine and General Pediatrics. May perform minor Primary care procedures. Responsibilities Job Requirement: Obtains patient histories, performs physical examinations and/or diagnostic and therapeutic procedures, as well as orders, interprets, and evaluates diagnostic tests. Formulates comprehensive health management plans for patients in collaboration with physicians, pharmacists, and other medical professionals to include progress notes, narrative discharge summaries, consults, etc. Facilitates patient participation in making health care decisions. Reviews, prescribes and/or recommends medications and treatments to patients Provides timely and appropriate referrals to patients in need of further medical care and services Educates and counsels patients/families regarding their health care, including routine health maintenance Enters pertinent clinical information in the patient's medical record in a timely and accurate manner and in accordance with established compliance billing guidelines. Documents and closes open encounters, MyChart messages, and other EMR communications in accordance with institutional requirements. May provide education and instruction. Call coverage may be required specific to departmental needs. All other duties as assigned Qualifications Qualification : Experience Requirements: 2 years-Outpatient setting Education Experience : Masters Nurse Practitioner required or Masters Physician Assistant program required Certifications/Licensure: Basic Cardiac Life Support (BCLS) – Required at Time of Hire Travel : Travel - Up to 25% UFJPI is an Equal Opportunity Employer and Drugfree Workplace
NP Outpatient Full-time
UF Health

Advanced Practice Provider II-UF Health Women's Spec-Durbin Park-Full-Time

UF Health Jacksonville, FL
Overview Provides specialty medical services to patients within the scope of the supervising physician's medical specialty, and under the direction of the department director or division administrator. Assists with specific medical specialty and clinical operations, and counsels' patients regarding their health. May perform minor procedures within the scope of the supervising physician specialty practice licensed to practice medicine in the State of Florida/Georgia. Clinical Area: The APP II position provides moderate to complex specialty care primarily in an outpatient setting. May perform diagnostic and therapeutic procedures in accordance with the particular specialty practice, which may occur in an outpatient setting, or procedural area during normal business hours. Responsibilities Job Requirement: Obtains patient histories, performs physical examinations and/or diagnostic and therapeutic procedures, for which they are qualified to perform by training, and which fall within the normal scope of the specialty practice of the supervising physician May provide education and instruction. Provides complex medical decision making in the treatment of patients consistent with their specialty practice to include providing consult service as appropriate Interprets and evaluates diagnostic tests, records the data in the patient's record/progress notes. Reviews, prescribes and/or recommends medications and treatments to patients Assess patient health status including state of wellness, compliance with care plan and determines appropriate diagnostic and any therapeutic procedure required by their specialty. Provides follow up for established patients where continuity of care is required along with timely and appropriate referrals to physician and pharmacist for patients in need of further medical care and services. Enters pertinent clinical information in the patient's medical record in a timely and accurate manner and in accordance with established compliance billing guidelines. Documents and closes open encounters, MyChart messages, and other EMR communications in accordance with Institutional requirements. Participates in meetings, functions, events, and committees, as well as in a team of interdisciplinary health care providers. Contributes to the development, implementation, and expansion of programs and initiatives, including participation in research activities, as applicable. Instruct, educate and counsel patients/families regarding their healthcare to include illness or injury, therapeutic and diagnostic procedures and treatment regimens as well as routine health maintenance. Qualifications Qualification : Experience Requirements: 2 years Outpatient setting preferred Education: Masters Nursing required or Masters Physician Assistant program required Certification / Licensure: Advanced Practice Nurse Practitioner License required or at time of hire Physician Assistant License required at time of hire Basic Life Support (BLS) required at time of hire Advanced Cardiovascular Life Support (ACLS) preferred PALS Certified preferred Additional Details: May be required to take call coverage Travel Up to 50% Additional Duties Additional duties as assigned may vary UFJPI is an Equal Opportunity Employer and Drugfree Workplace
NP Outpatient Full-time
UF Health

Advanced Practice Provider I | Commonwealth | Days | Full Time

UF Health Northwest, FL
Overview Job Duties An Advanced Practice Provider I (APP I) is a direct patient care provider licensed in the State of Florida and/or Georgia and provides medical services to patients as defined by their scope of practice and under the supervision of a physician licensed to practice medicine in the State of Florida/Georgia. Clinical Area: Primary Outpatient Care in Community Health & Family Medicine and General Pediatrics. May perform minor Primary care procedures. Responsibilities Essential Functions • Obtains patient histories, performs physical examinations and/or diagnostic and therapeutic procedures, as well as orders, interprets, and evaluates diagnostic tests. • Formulates comprehensive health management plans for patients in collaboration with physicians, pharmacists, and other medical professionals to include progress notes, narrative discharge summaries, consults, etc. Facilitates patient participation in making health care decisions. • Reviews, prescribes and/or recommends medications and treatments to patients • Provides timely and appropriate referrals to patients in need of further medical care and services • Educates and counsels patients/families regarding their health care, including routine health maintenance • Enters pertinent clinical information in the patient’s medical record in a timely and accurate manner and in accordance with established compliance billing guidelines. Documents and closes open encounters, MyChart messages, and other EMR communications in accordance with institutional requirements. • May provide education and instruction. • Call coverage may be required specific to departmental needs. • Other duties as assigned Qualifications Experience Requirements 2 years Outpatient setting preferred Education Requirements High School Diploma or GED required Masters Nursing required Masters Physician Assistant program required Certification/Licensure Advanced Practice Nurse Practitioner License required at time of hire Physician Assistant License required at time of hire Basic Life Support (BLS) required at time of hire Advanced Cardiovascular Life Support (ACLS) preferred PALS Certified preferred UFJPI is an Equal Opportunity Employer and Drug Free Workplace
NP Outpatient Full-time
UF Health

Advanced Practice Provider

UF Health Jacksonville, FL
Overview An Advanced Practice Provider is a direct patient care provider licensed in the State of Florida and/or Georgia and provides medical services to patients as defined by their scope of practice and under the supervision of a physician licensed to practice medicine in the State of Florida/Georgia. Provides patient care with advanced knowledge of subspecialty service. Clinical Area: Subspecialty Outpatient and/or Inpatient Setting, may perform procedures/consults, less than 50% time spent in OR, and/or works in the NICU. Responsibilities • Provides timely and appropriate referrals to patients in need of further medical care and services. Responds to consults, schedules procedures and handles discharge planning, as appropriate. Educates and counsels patients/families regarding their health care, including routine health maintenance, as applicable. May provide education and instruction to residents and students. • Performs or assists with procedures of higher complexity in clinic or inpatient unit. Monitors and manages invasive and/or medical devices and placement of devices within scope of practice. May manage care of pre/post-operative and pre/post-procedural patients. • Formulates comprehensive health management plans for high acuity, more complex patients in collaboration with physicians, pharmacists, and other medical professionals to include progress notes, narrative discharge summaries, consults, etc. Facilitates patient participation in making health care decisions. • Enters pertinent clinical information in the patient’s medical record in a timely and accurate manner and in accordance with established compliance billing guidelines. Documents and closes open encounters, MyChart messages, and other EMR communications in accordance with institutional requirements. • Call coverage may be required specific to departmental needs. • Obtains patient histories, performs physical examinations and/or diagnostic and therapeutic procedures, as well as orders, interprets, and evaluates diagnostic tests for patients with high level of complexity. Reviews, prescribes and/or recommends medications and treatments to patients • May provide education and instruction. • All other duties as assigned • Travel up to 25% Qualifications Experience Requirements 2 years - Outpatient setting - preferred Education Requirements High School Diploma or GED - required Masters - Nursing - required Masters - Physician Assistant program - required Certification/Licensure Advanced Practice Registered Nurse(APRN) Licensure - required (at time of hire) Physician Assistant (PA) Licensure in State of Florida/Georgia - required (at time of hire) BLS - required (at time of hire) Advanced Cardiac Life Support (ACLS) - preferred Pediatric Advanced Life Support (PALS) - preferred UFJPI IS AN EQUAL OPPORTUNITY EMPLOYER AND DRUG FREE WORKPLACE
NP Med-Surg Full-time
UF Health

Nurse RN | 5NP Med/Surg | FT Nights

UF Health Jacksonville, FL
Overview The Registered Nurse (RN) provides nursing care to patients utilizing the nursing process and standards of practice for a professional nurse. The RN is expected to perform all staff nurse activities and function as charge nurse when assigned. The RN maintains overall accountability/responsibility for assigned patients, even though some activities/tasks may be delegated to Technical Nurses, Patient Care Associates, and/or Sitters. Assignments are performed appropriately to age and developmental level of patients being served. Qualifications Age of Patients Served: All Age Groups. Required Education: Associate's Degree Specific course work: Graduate of an accredited school of nursing. New hires effective June 14, 2017, must have a BSN degree from an accredited school of nursing within three (3) years of hire or transfer into the position. New hires or transfers into in the position between August 1, 2013 and June 13, 2017 must abide with the conditions in his or her offer letter and the verbiage in the job description signed upon hire or transfer into the position. Current employees who were hired or transferred into the position prior to August 1, 2013 will be grandfathered. Preferred Education: BSN Necessary Skills: 1. Demonstrates teamwork and communicates in a professional manner with all members of the healthcare team. 2. Demonstrates the ability to learn and apply computer technologies and procedures that affect patient care delivery. Required Licensure/Certifications: Licensed to practice nursing in the state of Florida or confirmation letter establishing eligibility for issuance upon receipt of SSN. BLS from the American Heart Association or American Red Cross on the first day of employment is required for all areas. ACLS from the American Heart Association is required at hire or transfer for the following departments: Cardiac Holding Area (730501), CVICU (730400), MICU (700400), PICU (660401), North Pre Op/PACU (633680) and Trauma Center (713100). ACLS from the American Heart Association is required within six (6) months of hire or transfer for the following departments: 3 ICU-North (620480), 5N CCU (730301), Cardiac Rehab (733100), Non Invasive Cardiology North (733080), and Noninvasive Cardiac Lab (733000). ACLS from the American Heart Association is required within six (6) months of hire or transfer for Progressive Registered Nurses in Intensive Care Units. PALS from the American Heart Association is required within six (6) months of hire or transfer for the following departments: PICU (660401) and Trauma Center (713100). Fellowship RN's must obtain their ACLS, PALS and NRP within six (6) months of hire or transfer if required by the department. Crisis Prevention Institute training within ninety (90) days, and then annually, is required for Psych Unit. Preferred Licensure/Certifications: Professional certification preferred. Required Experience: Less than one year of related experience. Preferred Experience: One (1) year of clinical experience.