Department: 02426 GCMG HPB Surgery: Cabarrus - Surgery: Liver and Pancreatic
Status: Full time
Benefits Eligible: Yes
Hours Per Week: 40
Schedule Details/Additional Information: Monday - Friday 10hr Shifts with every 4th Weekend
Pay Range: $47.50 - $71.25
Job Summary
The Nurse Practitioner/Physician Assistant (NP/PA) is an integral member of the Hepatobiliary (HPB) Surgery team, providing comprehensive care to patients in both inpatient and outpatient settings. Working collaboratively with surgeons and the multidisciplinary care team, the NP/PA evaluates and manages patients with acute and chronic conditions related to hepatobiliary surgery.
Responsibilities include patient assessment, diagnosis and treatment, care coordination, postoperative management, inpatient rounding, outpatient follow-up, OR assistance, and patient/family education. The position also includes home call, weekends, and holidays and may participate in weekly GI tumor board conferences as available.
The NP/PA practices within applicable state law, licensing requirements, Advocate Health policies, and established practice agreements. Active hospital privileges and required departmental credentials must be obtained and maintained.
Key Responsibilities
Inpatient & Surgical Care
- Perform inpatient consultations and daily rounding on established patients.
- Complete histories and physicals, review diagnostic studies, and develop and manage treatment plans.
- Provide postoperative care, including wound and drain management.
- Coordinate patient discharges with nursing, case management, physicians, APPs, and other members of the care team.
- Participate in weekday interdisciplinary rounds.
- Assist in open, laparoscopic, and robotic surgical cases as needed.
- Provide home call coverage according to the established rotation, including responding to inpatient and outpatient clinical concerns.
- Evaluate HPB-related transfer requests and coordinate transfers as appropriate.
- Respond to significant clinical changes requiring urgent or emergent intervention.
Outpatient Care
- Evaluate new and established patients with acute, chronic, and postoperative needs.
- Order and interpret appropriate laboratory and imaging studies.
- Establish diagnoses and develop treatment plans within the applicable practice agreement.
- Prescribe medications and order therapeutic interventions as appropriate.
- Provide wound and drain care, including drain removal when appropriate.
- Educate patients and families regarding diagnoses, treatment plans, and follow-up care.
- Initiate referrals and coordinate care with referring and participating providers.
- Address patient calls and clinical questions in collaboration with clinic staff.
- Perform peer-to-peer reviews as needed.
- Maintain timely and accurate documentation in the electronic medical record.
Procedures
Common procedures may include:
- OR first assist
- Wound care
- NG/OG tube insertion and removal
- Foley insertion and removal
- Drain removal
Professional Practice
- Provide patient- and family-centered care using evidence-based practices.
- Collaborate effectively with physicians, APPs, nursing, and other members of the multidisciplinary team.
- Maintain accurate and timely clinical documentation.
- Participate in quality improvement and professional development activities.
- Support patient education, care coordination, and continuity of care.
- Maintain professionalism, accountability, confidentiality, and ethical standards of practice.
- Participate in education, departmental activities, committees, and workgroups as appropriate.
Qualifications
Education
- Graduate of an accredited Adult Gerontology Acute Care Nurse Practitioner or Physician Assistant program .
- Master's degree required; doctoral degree preferred.
Licensure & Certification
- Current license to practice as an NP or PA in North Carolina.
- NP: Certification through the American Nurses Credentialing Center or American Association of Critical-Care Nurses required.
- PA: NCCPA certification preferred; current or pending CAQ certification preferred.
- Current prescriptive privileges and DEA license required.
- BLS for Healthcare Provider through the American Heart Association required.
Experience
- Hepatobiliary Surgery and OR assist experience preferred.
- At least one year of surgical practice experience preferred.
- Completion of an APP surgical fellowship preferred.
Schedule & Call
Current minimum work requirements include:
- Four 10-hour shifts per week.
- One weekend every four weeks, including a 10-hour shift and night call with the attending on call.
- Equivalent of seven nights of call, including weekend call, on a rotational basis.
- Schedule and minimum work requirements are subject to change based on practice needs.
CME & Additional Compensation
- $2,500 annually for CME.
- 40 hours of CME annually.
- Eligible for additional compensation for qual