CMC HPB Surgery NP/PA

Atrium Health; Charlotte (NC); On-site; USD 110,000 - 140,000; Full time

Job summary

Atrium Health in Charlotte, NC seeks a Nurse Practitioner or Physician Assistant to join the HPB Surgery team. You will perform comprehensive histories and physicals, order tests, develop care plans, and collaborate with physicians across the care continuum.

The role emphasizes evidence-based practice, patient education, and coordination of care within a multidisciplinary team. Requires NC licensure, prescriptive authority, and DEA registration; schedule includes weekday shifts.

Qualifications

• Graduation from an ACNP, FNP, ANP or PA program.
• Master's degree required; Doctorate preferred.
• Current NC license to practice as NP or PA.
• Prescriptive privileges and DEA license required.

Responsibilities

• Performs initial and periodic medical history, physical examinations, and daily assessments.
• Documents all patient encounters in the electronic medical record.
• Orders and interprets daily laboratory and radiology examinations.
• Writes prescriptions and administers medications.
• Acts as patient advocate and participates in policy development.

Skills

Clinical knowledge

History & physicals

Interdisciplinary collaboration

Education

MSN or DNP

Tools

EMR

Job description

• Demonstrates knowledge of etiologies, risk factors, pathophysiology, presentation and epidemiology of medical conditions.
• Performs history and physical exams of patients that are accurate, complete, concise, relevant and appropriate for age, gender and clinical problem.
• Orders appropriate diagnostic studies and correctly interprets the results.
• Utilizes critical thinking to synthesize and analyze collected data.
• Develops, implements, evaluates and alters the care plan as needed.
• Manages general medical and surgical conditions based on knowledge of the indications, contraindications, side effects, interactions and adverse reactions of pharmacologic agents and other relevant treatment modalities.
• Counsels and educates patients and families.
• Demonstrates proficiency in procedural skills pertinent to practice area.
• Maintains accurate, complete, concise and timely documentation in the electronic medical record.
• Provides care that is patient and family centered, compassionate, appropriate and effective for the promotion of health, prevention of illness and treatment of disease throughout the lifespan.
• Facilitates consistent, coordinated care and clear communication among all members of the healthcare team.
• Incorporates the patient and family in care planning and treatment across settings.
• Serves as an advocate for patients and families in navigating the health care system.

Clinical Knowledge

• Demonstrates knowledge of etiologies, risk factors, pathophysiology, presentation and epidemiology of medical conditions.
• Performs history and physical exams of patients that are accurate, complete, concise, relevant and appropriate for age, gender and clinical problem.
• Orders appropriate diagnostic studies and correctly interprets the results.
• Utilizes critical thinking to synthesize and analyze collected data.
• Develops, implements, evaluates and alters the care plan as needed.
• Manages general medical and surgical conditions based on knowledge of the indications, contraindications, side effects, interactions and adverse reactions of pharmacologic agents and other relevant treatment modalities.
• Counsels and educates patients and families.
• Demonstrates proficiency in procedural skills pertinent to practice area.
• Maintains accurate, complete, concise and timely documentation in the electronic medical record.

Patient Care

• Provides care that is patient and family centered, compassionate, appropriate and effective for the promotion of health, prevention of illness and treatment of disease throughout the lifespan.
• Facilitates consistent, coordinated care and clear communication among all members of the healthcare team.
• Incorporates the patient and family in care planning and treatment across settings.
• Serves as an advocate for patients and families in navigating the health care system.

Practice Based Learning and Clinical Improvement

• Demonstrates insight into own strengths, limitations and knowledge deficits.
• Demonstrates initiative to meet identified learning needs using multiple resources.
• Actively participates in self-evaluation by seeking and utilizing guidance and constructive feedback in a professional manner.
• Continuously seeks opportunities for clinical advancement and knowledge and skill attainment.

Communication and Interdisciplinary Collaboration

• Communicates and collaborates effectively with physicians, other health professionals and health related agencies.
• Works effectively with multidisciplinary team members.
• Promotes mutual respect and trust working within a team model.
• Communicates effectively with patients and families, incorporating gender, age, culture, race, religion, disabilities and sexual orientation.

Professionalism

• Follows ethical principles regarding patient confidentiality, informed consent and unanticipated adverse outcomes.
• Demonstrates the highest level of accountability for professional practice.
• Participates in education of students and other health care professionals.
• Maintains effectiveness where circumstances and priorities are changing. Is flexible, resilient and change oriented.
• Welcomes and participates in opportunities to advance the mission of Advocate Health through service, scholarship, science and social responsibility.
• Participates in organizational and departmental meetings, educational opportunities, committees and workgroups as necessary.

Systems Based Practice

• Considers cost effectiveness and risk/benefit analysis when making decisions about patient care.
• Uses evidenced-based medicine to systematically analyze and improve patient care practices.
• Participates in quality initiative/performance activities.
• Participates in development, evaluates and implements standards of care within area of specialization (policies, protocols, etc).

Outpatient Specific Responsibilities

Roles and responsibilities specific to area of clinical practice:

• Participate in pancreatic cyst clinic, follow up for non-operative drain management, post-operative care and management of postoperative complications.
• Conduct comprehensive or episodic health history and physical exam of patients with acute, chronic and/or potential health problems, including follow up for post-operative care and management of postoperative complications.
• Order appropriate diagnostic laboratory and imaging tests pertinent to active health problem(s).
• Establish medical diagnosis.
• Medical Management within the parameters set in the Collaborative Practice Agreement:
• Prescribe appropriate medications pertinent to active health problems.
• Order therapeutic interventions as appropriate for pertinent health problems.
• Perform wound and drain care, including removal of drains as appropriate.
• Provide counseling and education to the patient and family regarding active health problems.
• Initiate outpatient referrals as appropriate.
• Document the encounter in the electronic medical record and assure follow up plan.
• Provide appropriate direction to clinic staff regarding patient care issues.
• Orders to be instituted at the bedside (ie: staple removal, drain removal, etc).
• Follow-up plan.
• Ordering of lab work and/or other diagnostic tests.
• Other patient needs within the scope of practice for the clinic staff.
• Communicate effectively with referring health care providers
• Communicate collaboratively with other health care providers who are participating in the care of each patient as it relates to the active health problems managed by HPB Surgery.
• Be available to address outpatient needs for our patients by addressing calls/questions in collaboration with the clinic staff.
• Perform peer-to-peer reviews as necessary.

Procedures

• Common procedures performed on HPB Surgery
• Wound Care
• I&D
• Drain removal

Position Qualifications

• Education Requirements:
• Graduation from an accredited ACNP, FNP, ANP or PA program.
• A master's degree is required.
• Licensure/Certification
• Current license to practice as a NP or PA in North Carolina.
• PA: Certification from the National Commission on Certification of Physician Assistants preferred. Current or pending CAQ certification preferred.
• NP: Certification from the American Nurses Credentialing Center or American Academy of Nurse Practitioners Certification Board
• Current prescriptive privileges and DEA license required.
• Work Experience
• Must have at least 1 year of experience as an APP
• Preference will be given to applicants with experience in Hepatobiliary Surgery
• Experience in a surgical practice preferred.
• BLS for healthcare provider from AHA required.
• Demonstrates appropriate critical thinking and interpersonal skills when working in a fast-paced work environment. Able to perform thorough history and physical assessment. Also, able to evaluate, assess, and monitor other co-morbid medical conditions.

Essential Functions

• Performs initial and periodic medical history, physical examinations, and daily assessments.
• Records findings of examinations, assessments and plan of care.
• Performs minor office-based medical and/or surgical procedures.
• Writes appropriate prescriptions and administers medications.
• Orders and interprets daily laboratory and radiology examinations.
• Determines treatment plan for patient.
• Documents all patient encounters, records observations, interventions, and actions in a medically appropriate manner on the patient's medical record.
• Acts as a patient advocate for the population served.
• Attends, participates and contributes to group/practice meetings and development of policies and procedures when requested.

Physical Requirements

Work requires walking, standing, sitting, lifting, reaching, bending, stooping, pushing and pulling. Must be able to lift and support the weight of 35 pounds in handling patients, medical equipment, and supplies. Must speak English fluently and in understandable terms. Must possess intact sense of sight, hearing, smell, touch, and finger dexterity. Must have the ability to react and perform in stressful situations

Education, Experience And Certifications.

Work requires walking, standing, sitting, lifting, reaching, bending, stooping, pushing and pulling. Must be able to lift and support the weight of 35 pounds in handling patients, medical equipment, and supplies. Must speak English fluently and in understandable terms. Must possess intact sense of sight, hearing, smell, touch, and finger dexterity. Must have the ability to react and perform in stressful situations. Schedule primarily composed of weekday shifts, less than or equal to 200 hours of weekend and/or night coverage.

Nurse Practitioner

Master's Degree or Doctorate of Nursing Practice required. License to practice as a Registered Nurse required. Certification in the area of practice from a nationally recognized certifying body required. ACNP, AGACNP, AGNP, PNP, or PNP-AC board certification preferred based population served.