Advanced Practice Provider (PA/NP) - NC Surgery

Careerwebsite; Raleigh, Northern (NC, KY); Hybrid; USD 77,000 - 106,000; Full time

Job summary

UNC Health in Raleigh, NC seeks an Advanced Practice Provider to join the NC Surgery Colorectal team to deliver patient-centered care alongside four surgeons and three other APPs. The APP will focus on inpatient, outpatient, and OR first-assist duties, with a four-day work week and one rounding weekend per month, plus one weekly night on call.

The role also involves education, leadership, and quality initiatives while requiring North Carolina licensure/board certification.

Qualifications

• Education requirements: Completion of an accredited graduate-level Advanced Practice Provider (APRN or PA) program.
• North Carolina APRN/PA licensure and board certification required.

Responsibilities

• Clinical inpatient and outpatient care management.
• First-assist in operating room: open, laparoscopic, and robotic cases.
• Education for patients/families about condition and care.
• Lead and participate in quality improvement projects.
• Documentation and compliance with privileging and policies.

Skills

Clinical competency

Leadership

Interpersonal skills

Communication

Independent work

Team collaboration

Billing documentation

Education

Graduate-level APRN/PA program

North Carolina licensure & board certification

Job description

Description

Your passion belongs at UNC Health. Join more than 56,000 teammates working together to improve the health and well-being of the communities we serve across North Carolina.

We are currently searching for an Advanced Practice Provider, preferably with Colorectal or General Surgery experience (but open to strong and motivated new graduate candidates or those willing to learn a new service line), to join our NC Surgery Colorectal team at Rex/UNC. The APP will work alongside an experienced team of four Surgeons and three other APPs to deliver patient-centered comprehensive care. This position will focus on all areas below:

1) Inpatient clinical care and management (evaluating ED and inpatient consults, rounding on postoperative patients, admissions, discharges, performing bedside procedures, and patient care coordination).

2) Outpatient clinical care (preoperative and postoperative visits, hospital follow ups, cancer surveillance, tube/drain removal, a variety of other acute and chronic conditions, patient triaging, and other roles to support the surgeon and team). The APP clinic can also include a wide variety of new patients with anorectal conditions, to include, but not limited to, abscess drainage, fissure evaluation, internal/external hemorrhoid treatment, pruritis, etc.

3) Operating room 1st assist duties, to include open, laparoscopic, and robotic cases.

This position is 4 days per week plus one rounding weekend per month; day off to be discussed and determined by existing staff and needs of the division. Call requirements: 1 night per week.

Summary

An Advanced Practice Provider functions as part of the interdisciplinary healthcare team in accordance with privileges approved by the credentialing committee to provide high quality, cost effective care to patients within the APPs scope of practice in collaboration with a supervising physician. The APP reflects the mission, vision, and values of the organization, and complies with all relevant policies, procedures, guidelines and other regulatory and accreditation standards.

Responsibilities

1. Clinical- Obtains relevant health and medical history, performs thorough physical assessment, reviews and interprets pertinent diagnostic tests/results. Develops appropriate differential diagnoses. Develops and implements treatment plans including prescribing/ordering of appropriate evidence-based pharmacological agents consistent with departmental guidelines and privileging, and schedules appropriate follow-up management. Actively incorporates evidence-based hospital initiatives to improve patient care. Conducts preventive health screening based on age, history and patient needs. Maintains clear comprehensive yet concise records of all aspects of patient care. Maintains essential knowledge of general disease and pathologic processes. Maintains extensive knowledge of their specialty literature including awareness of developing areas. Consistently derives correct diagnoses through synthesis of clinical data and proper selection and interpretation of diagnostic studies. Develops comprehensive differential diagnoses for patients. Revises the plan of care to meet the changing needs of the patient. Prioritizes work and assists staff to provide prompt and efficient client flow. Consistently maintains high productivity according to identified standards. Leads/participates in projects to improve productivity. Appropriately performs medical procedures consistent with departmental guidelines, privileging, and clinical roles/responsibilities.

2. Education- Appropriately and professionally educates clients and/or families regarding medical condition, treatment, and follow-up. Collaborates with clinicians, staff, and students to promote continuity and patient/family centered care. Develops educational materials based on learning needs of clinicians, staff, and students. Provide education/instruction to physicians, housestaff, nursing, ancillaries and/or students. Actively recognizes and participates in identification and achievement of self-learning needs. Attends education programs based on identified learning needs.

3. Leadership- Provides instruction to physicians, housestaff, nursing, ancillaries and/or students including but not limited to precepting, shadowing, lectures, training classes, CE, rounds, morning report, and or staff meetings. Participates in community/network outreach programs. Develops/leads community/network outreach programs. Demonstrates both an understanding of the contexts and system in which healthcare is provided and the ability to apply this knowledge to improve and optimize health care delivery. Leads/participates in systems improvements.

4. Professional- Interacts with patients and families in a respectful, courteous and timely fashion using appropriate communication for the patient and situation. Interacts collaboratively with coworkers, other team members and staff in a respectful, courteous, and timely fashion appropriate to patient care needs and situations. Responds quickly to meet customer needs and resolve problems. Accepts responsibility for outcomes of one’s work. Shares responsibility for overall workload with team members.

5. Quality/Research- Engages in daily continuous quality improvement by identifying and implementing processes for improvement. Consults with management in assessment, problem-solving, decision-making, and evaluating clinical/system issues and models of care. Leads interdisciplinary teams to provide integrated delivery of patient care services. Initiates and revises protocol(s) or guideline(s) to reflect evidence-based changes in care management Works to influence policy-making bodies to improve patient care. Develops new clinical programs or services within the department/unit/clinic to improve patient care.

Other Information

Education Requirements:

• Completion of an accredited graduate-level Advanced Practice Provider (APRN or PA) program.

Licensure/Certification Requirements:

• Licensed as an Advanced Practice Provider (i.e., Nurse Practitioner, Physician Assistant, Clinical Pharmacist Practitioner, Certified Nurse Midwife, Certified Registered Nurse Anesthetist) in the state of North Carolina.
• Board certification if required by the Department. DEA.

Professional Experience Requirements:

• No prior experience required.

Knowledge/Skills/and Abilities Requirements:

• Demonstrated clinical competency.
• Effective leadership skills. Strong interpersonal skills.
• Ability to work independently and collaboratively.
• Demonstrated written and verbal communication and strong analytical skills.
• Effective interaction to ensure the successful care of patients in the clinical setting.
• Documentation in the medical record to substantiate accurate billing.

Job Details

• Legal Employer: NCHEALTH
• Entity: UNC Health Medical Group
• Organization Unit: NC Surgery
• Work Type: Full Time
• Standard Hours Per Week: 40.00
• Salary Range: $56.15 - $76.88 per hour (Hiring Range)
• Pay offers are determined by experience and internal equity
• Work Assignment Type: Onsite
• Work Schedule: Day Job
• Location of Job: US:NC:Raleigh
• Exempt From Overtime: Exempt: Yes

This position is employed by NC Health (Rex Healthcare, Inc., d/b/a NC Health), a private, fully-owned subsidiary of UNC Heath Care System. This is not a State employed position.

Qualified applicants will be considered without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, age, genetic information, disability, status as a protected veteran or political affiliation.

UNC Health makes reasonable accommodations for applicants' and employees' religious practices and beliefs, as well as applicants and employees with disabilities.