Advanced Practice Registered Nurse (H) - Hematology, Sickle Cell - Full Time

University of Miami; Miami (FL); On-site; USD 100,000 - 150,000; Full time

Job summary

The University of Miami/UHealth Hematology offers an Advanced Practice Registered Nurse opportunity within a dynamic multidisciplinary team. The APRN delivers medical care, conducts independent assessments, and collaborates with physicians to manage hematology patients across ambulatory and inpatient settings.

Qualifications include Florida APRN licensure with prescriptive authority and hematology experience.

Qualifications

• APRN licensed in Florida with prescriptive authority.
• Hematology experience preferred.
• Ability to work autonomously within a multidisciplinary team.

Responsibilities

• Performs comprehensive physical exams and histories for diverse patients.
• Orders and interprets diagnostic tests; prescribes medications per protocol.
• Coordinates inpatient and ambulatory care across teams.
• Provides patient education and discharge planning.

Skills

Clinical assessment

Independent practice

Pharmacologic management

Multidisciplinary collaboration

Education

Nurse Practitioner (NP) certification

Tools

EMR systems

Job description

The University of Miami/UHealth Department of Hematology, Sickle Cell has an exciting opportunity for an Advanced Practice Registered Nurse (APRN). The Advanced Practice Provider (APP) delivers medical care to a wide variety of patients. The APP also examines and treats patients independently and in autonomous collaboration with other health care professionals, ensures proper illness and injury care and disease prevention, diagnosis, treatment, and recovery. May prescribe medications and order diagnostic tests. Advises patients about continuing care.

APP CORE JOB FUNCTIONS

• Performs and documents complete physical examinations and comprehensive health histories.
• Functions independently to perform age-appropriate history and physical for patients.
• Orders and interprets diagnostic and therapeutic tests relative to patient's age-specific needs.
• Prescribes appropriate pharmacologic and non-pharmacologic treatment modalities.
• Implements interventions to support the patient to regain or maintain physiologic stability.
• Assists with the provision of care in accordance with facility, state, and federal regulations.
• Monitors the effectiveness of interventions.
• Facilitates the patient's transition within and between health care settings, e.g. admitting, transferring, and discharging patients.
• Collaborates with multidisciplinary team members by making appropriate referrals.
• Facilitates staff, patient and family decision making by providing educational tools.
• Adheres to University and unit-level policies and procedures and safeguards University assets.

DEPARTMENT OF HEMATOLOGY SPECIFIC JOB FUNCTIONS

Clinical (Both Ambulatory and Inpatient)

• Assesses the physical and psychosocial status of clients by means of interview, health history, physical examination, and diagnostic studies.
• Recognizes deviations from normal in the physical assessment.
• Works in collaboration with a physician in formulating treatment plans for health problems and follow-up.
• Writes prescriptions for medications and blood products based upon laboratory results, orders and interprets routine diagnostic and follow-up studies, therapeutic measures, and postdischarge care in accordance with written practice protocols.
• Requests written consultation from physicians and other healthcare professionals to ensure appropriate and quality patient care.
• Assesses and follows consult patients when required and independently of physician when needed.
• Interprets and evaluates findings of studies/tests and intervenes accordingly.
• Advises collaborating physician of appropriate information regarding patient care and reports to the physician the actions provided to the patients.
• Evaluates the quality of care provided and recommends changes for improvement.
• Initiates appropriate actions to facilitate the implementation of therapeutic plans that are consistent with the continuing healthcare needs of the clients.
• Answers patient-related inquiries via all forms of telecommunication throughout the system (Telephone, Email, Secure Chat, In-basket messaging, etc.).
• Assists in the management of family dynamics and coping mechanisms during acute and chronic phases of patient care.
• Conducts or participates in multidisciplinary rounds and ensures appropriate and quality care for patients.
• Performs patient triage and determines the urgency of physician's evaluation.
• Provides symptom management for side effects related to hematologic oncologic treatment.
• Assist with Peer-to-Peer authorizations and filling out medical forms for patients.
• Ensure that the clinic runs smoothly and efficiently, corresponding with referring physicians and patients to provide adequate coordinate of care to improve outcomes.
• Performs bone marrow biopsies, lumbar punctures with IT chemo, Omaya reservoir access, PICC line removals and skin biopsies if competency met.
• Act as a preceptor for APP students, fellows and new APP staff as appropriate.

Ambulatory Specific:

• Rotates with colleagues taking weekend and holiday call from Sylvester patients.
• Responds to medical and oncologic emergencies in the CTU and clinics.
• Communicates with triage nurses regarding patients who need to be added to OCC clinic for symptom management, evaluation, and treatment.

Inpatient Specific:

• Interacts with admitting physician, hospitalist, and other multidisciplinary teams.
• Prioritizes consults to present to attending physician and rounds with attending daily on patients as appropriate.
• Writes consult inpatient notes, discharge notes and dictates as appropriate.
• Rotates with colleagues performing Hematology consultations.