NP jobs

Nurse Practitioner (NP) Jobs

Advanced Practice Provider Private - Part-Time

Facility : OrthoIndy, Indianapolis, IN Department: Private APP - Interventional Non-Operative Spine Shift Details : Part-time, hourly, 2-3 weekday clinic shifts, 16-24 hours per week. We are seeking an experienced, motivated Physician Assistant (PA-C) to join a busy interventional spine practice on a part-time basis, 2–3 days per week . This position is primarily outpatient and is ideal for a PA who enjoys direct patient care, longitudinal management of spine conditions, and working collaboratively within a specialized physician-led practice. This APP will care for patients at our northwest Indianapolis, Westfield and Fishers clinics. Great people are the backbone to great care and patient satisfaction. In return, we’ll have your back—offering our employees a supportive team environment, great benefits, a true work/life balance, and the opportunity to positively impact the quality of life for our patients. Join TEAM OI! General Statement of Duties : All clinical care provided by the Advanced Practice Provider (Nurse Practitioner or Physician Assistant) will be within the scope of the duties assigned by the supervising OrthoIndy Physician. The supervising Physician must be either physically present or immediately available for consultation when services are proved by the Advanced Practice Provider, including care provided using protocols, guidelines, and/or standing order. When the supervising Physician is unavailable, they may designate another Physician who has agreed to temporarily be responsible for the supervision. Essential Duties: Evaluate and manage patients in an outpatient spine clinic, including new and established patients. Helps plan and implement care of doctor’s patients, including entering orders into the patient record that are verbal orders or part of standing orders or protocols approved by the supervising physician. Obtain focused histories and perform musculoskeletal and neurologic examinations. Assesses normal and abnormal findings obtained from history and physical examination as well as radiology and ancillary studies. Orders and reviews radiologic and laboratory tests and studies as necessary to complete history and physical examinations. Develops treatment plans in collaboration with the supervising physician, including: EMR documentation, prior authorization= requirements, ordering additional studies, communicates with supervising Physician and additional staff, and prescribes appropriate medications. Also, responds to patient portal and phone messages, medication questions and clinical concerns in a timely manner. Assists with medication management, refills, orders, referrals and coordination of care. Provide follow-up care for patients undergoing interventional spine procedures and other nonsurgical treatments Helps manage and optimize the physician's clinic schedule/template, including appropriate patient placement, visit types, follow-up intervals and clinic workflow. Helps to counsel individuals and families about their health related issues. Communicates individualized teaching plans to patients based on their needs. Collaborates with multidisciplinary team members by making appropriate referrals. Requirements: Master's Degree in Physician Assistant or Nurse Practitioner required Current Indiana Physician Assistant license or Registered Nurse license National Commission on Certification of Physician Assistants certification or American Association of Nurse Practitioners certification required Indiana Physician Assistant Committee certification or Coalition of Advanced Practice Nurses of Indiana certification required BLS and ACLS required Prior spine, orthopedic, neurosurgical, pain management, PM&R, or musculoskeletal experience strongly preferred Experience with outpatient procedural or interventional spine care is a plus Comfortable working both independently and collaboratively in a high-volume specialty practice preferred Excellent clinical judgment, communication skills and organizational abilities are a plus OrthoIndy is an Equal Opportunity Employer

Outpatient

Full-time

4 days ago

Advanced Practice Provider - Cardiology - Inpatient/Outpatient - CMH

VCU Health La Crosse, VA

VCU's Pauley Heart Center is expanding access to inpatient and outpatient cardiovascular care at VCU's Community Memorial Hospital. The full time APP will manage acute and chronic cardiovascular conditions of new, transitional, and follow up patients in both the inpatient and ambulatory setting. The Advanced Practice Provider (APP- NP, PA) provides high-quality medical and/or surgical patient care. This position provides care to patients with acute and chronic complaints in collaboration with the Attending Physician. The Advanced Practice Provider provides diagnostic, therapeutic, and/or preventive healthcare service on a Collaborative APP/Physician team. The Advanced Practice Provider may perform any or all of the following: histories and physicals; order and interpret tests; make diagnosis; treat injuries/illness; assist with surgical procedures; counsel patient and/or prescribe medication and those invasive procedures defined by the Virginia Board of Medicine. The Advanced Practice Provider works collaboratively with the medical team to deliver organized, timely, cost effective and quality patient care. The Advanced Practice Provider will provide patient care under a defined departmental and state-approved scope of practice with the collaboration of an Attending Physician(s). Essential Job Statements Performance Expectation: Clinical & Patient Care Responsibilities Demonstrates mastery of treatment and patient care of specialty population served. Demonstrates expert knowledge to coordinate patient care across the continuum of services through the patient’s trajectory of illness. Assesses the health status of individuals through health histories, by performing physical examination, initiating screening, ordering or performing diagnostic tests, providing direct patient care, assisting with surgical procedure, therapeutic intervention, prescribing medication and/or counseling patients to a specified patient population. Initiates emergency procedures as needed. Practices safety, environmental and/or infection control methods. Makes rounds with the attending physicians as necessary. Supervises and/or coordinates the activities of patient care and support staff within assigned area. Documents all pertinent information and data in the patient’s medical record. Interpreting information obtained from history and physical and develops a treatment plan. Formulates and prioritizes appropriate short-term and long-term therapeutic plans when indicated. Incorporates in the plan of care the physical, spiritual, cultural and psychosocial aspects of patients and families to promote optimum levels of health. Explores strategies to decrease length of stay and resource consumption within specialty area. Establishes priorities to meet the health needs of the individual, family or community. Maintains effective communications about patient care with all members of the health care team to assure care is coordinated. Assists with the coordination of care between primary and specialty health care services when needed. Performance Expectation: Consultation Functions as a consultant to other health care professionals in the multi-disciplinary team regarding routine and unusual therapeutic interventions. Serves as a liaison, translator and negotiator for staff, patients and families. Collaborates in the development, implementation, communication and monitoring of the multi-disciplinary plan of care for complex patients. Shares responsibility for patient education which may include the patient, family members or other caregivers. May provide training to residents, fellows and other health care staff in area of specialty. Participates in the continual assessment and revision of practices and procedures in specialty area. Promotes teamwork through effective communication, feedback to team members. Recognizes team as integral to individual effectiveness and quality patient outcomes. Performance Expectation: Research Utilizes current research to develop, implement and evaluate critical paths and standards of care for identified patient population. Contributes to the profession through participation in research, publications, consultation and/or educational activities. Demonstrates knowledge and support for clinical trials within specialty area. Performance Expectation: Ethical Decision Making Skills Incorporates the use of clinical judgment in ethical decision making. Practices the principles of ethics in decision making for patients. Promotes the use of interdisciplinary collaborative processes to resolve ethical dilemmas. Demonstrates appropriate use of skills of negotiation, mediation, collaboration, compromise and accommodation to assist families struggling with ethical decisions. Displays the ability to examine patient’s values that impact treatment decision-making preferences. Recognizes patient rights as a foundation for ethical decisions. Performance Expectation: Professional Development Seeks out opportunities for professional growth through organizational affiliations. Functions in collaborative relationships with physicians, allied health professionals and administration. Assesses own learning needs and develops and implements a plan for professional growth. Enhances professional growth and development through participation in educational programs, current literature, in-service and workshops. Participates in teaching program as needed. Participates in continuing education activities to maintain competencies and to meet re-certification requirements. Maintain appropriate certification requirements to continue VCUHS privileges. Performance Expectation: Miscellaneous Responsibilities Performs other duties as assigned and/or participates in special projects in order to support the mission of VCU Health. Provides assistance to team members. Accepts alternate assignments, as required, graciously. Patient Population Age Specific groups served: As appropriate based on unit assignment. Employment Qualifications Required Education: Graduation from an accredited Nurse Practitioner, Nurse Midwife or Physician Assistant Program Preferred Education: Service-specific education Licensure/Certification Required: Current Virginia licensure from the appropriate Board as a Nurse Practitioner, or Physician Assistant Current national certification as appropriate for the role Credentialing in accordance with medical staff by-laws for specific job titles Current CPR and Basic Life Support (BLS) certifications; Additional certifications, including Advanced Cardiac Life Support (ACLS) certifications, Pediatric Advanced Life Support (PALS) for Pediatric services, may be determined at the department level Licensure/Certification Preferred: Service-specific certification Minimum Qualifications Years and Type of Required Experience Previous clinical experience with the population served Other Knowledge, Skills and Abilities Required: Cultural Responsiveness Other Knowledge, Skills and Abilities Preferred: Three (3) years of previous clinical experience with the population served Previous experience in an academic healthcare system Working Conditions Physical Requirements Physical Demands: Lifting/ Carrying (0-50 lbs.), Lifting/ Carrying (50-100 lbs.), Lifting/ Carrying (100+ lbs.), Push/ Pull (0-50 lbs.), Push/ Pull (50-100 lbs.), Stoop, Kneel, Squat, Crawling, Climbing, Balance, Bending Work Position: Sitting, Walking, Standing Additional Physical Requirements/ Hazards Physical Requirements: Manual dexterity (eye/hand coordination), Perform Shift Work, Maneuver weight of patients, Hear alarms/telephone/tape recorder, Reach above shoulder, Repetitive arm/hand movements, Finger Dexterity, Color Vision, Acuity – near, Acuity – far Hazards: Depth perception, Use of Latex Gloves, Exposure to toxic/caustic/chemicals/detergents, Exposure to moving mechanical parts, Exposure to dust/fumes, Exposure to potential electrical shock, Exposure to x ray/electromagnetic energy, Exposure to high pitched noises, Gaseous risk exposure Mental/Sensory – Emotional Mental / Sensory: Strong Recall, Reasoning, Problem Solving, Hearing, Speak Clearly, Write Legibly, Reading, Logical Thinking Emotional: Fast pace environment, Steady Pace, Able to Handle Multiple Priorities, Frequent and Intense Customer Interactions, Noisy Environment, Able to Adapt to Frequent Change EEO Employer/Disabled/Protected Veteran/41 CFR 60-1.4.