Advanced Practice Provider (NP/PA/CNM/APP) OB-GYN Post-Partum Care

The Rector & Visitors of the University of Virginia
$91,312.00 - $146,099.20 Annual
United States, Virginia, Charlottesville
1215 Lee Street (Show on map)
Nov 09, 2024
Primary duties: * Coordinate and manage morning postpartum sign out with resident/attending physicians and CNMs * Perform postpartum patient rounding and management of postpartum patients including, but not limited to the following functions: a.Physical assessments b.Daily progress notes c.Ordering and following up indicated diagnostic tests d.Contraceptive counseling and management, including placing Nexplanons and arranging outpatient contraception e.Placing inpatient consults and discussing patient with consulting services f.Working with Breastfeeding Medicine to support infant feeding g.Working with inpatient Social Worker as needed in obtaining patient resources and discharge planning h.Working with pediatric teams to coordinate mother-baby care * Manage postpartum pager when on shift: respond to pages, assess patients, place orders and update LIP teams as necessary * Perform discharge education, discharge planning and write discharge summaries * Facilitate communication between LIPs and Mother-Baby nursing and staff * Work directly with students assigned to the unit as required and participate in teaching. * Opportunity to perform circumcisions in rotation with OB resident teams and pediatrics services. Conduct post-partum tele visits per ACOG guidelines. Coverage of outpatient postpartum clinic if needed to support Fourth Trimester goals. Secondary duties: * Serve on select committees as needed based on professional interests. * Participate in the clinical experience of students (graduate/post graduate advanced practice, nursing, and medical students), interns, and residents, as appropriate. * Participate in group, peer and other review activities as requested. * Prepare and attend to all reports, claims, and correspondence necessary or appropriate to the performance of professional services. * Participate in research projects and quality improvement initiatives that impact patients on the Mother/Baby unit. Participation includes understanding of active projects and if necessary, supporting clinical research coordinators assigned to recruit patients. Summary of Expectations: * Work in conjunction with the medical director, administrative management, nursing and other interprofessional team members to facilitate patient care and management throughout the health care system. * Exercise independent judgment in the assessment, diagnosis and initiation of medical processes and procedures commensurate with training and experience, as credentialed by UVA Health System. * Perform and document comprehensive health histories and physical assessments, to include initiation of CPR or other appropriate emergency therapy as needed. * Formulate diagnoses, identifies problems and health risk profiles, document and clearly communicate with other members of the health care team. * Perform, order, and interpret diagnostic studies, such as x-rays and laboratory tests, in consultation with peers and colleagues. * Perform procedures within scope of practice and UVA Health System credentialing and privileges. * Order medications, treatments and therapies in accordance with Virginia Prescriptive regulations. * Request consultation and initiate referrals to other health care providers, including specialists when and if needed. * Evaluate and analyze patient responses to the disease process and/or therapeutic, diagnostic interventions. * Provide information, education and support to patients/families regarding disease processes and treatment plans (diagnostic procedures, medications and treatments), thus, facilitating communication between patients/families and the health care team. * Manage patients in accordance with established UVA Medical Center and UVA UPG policies and procedures. * Report births, deaths, outbreaks of communicable diseases and other information critical to the patient's and/or the public's health as required by legal or governmental authorities, in a timely manner. * Meet quality standards as determined by the Medical Director and/or UVA Health System. * Promote the professional practice of the advanced practice group by serving as a clinical resource to nursing, medical and allied healthcare practitioners. * Work closely with learners of all levels (nursing, medical student, Resident, fellow, APP) in support of UVA Health's commitment to academic excellence. Schedule: This is a full-time position; hours will generally mirror pager turnover times of 7:00 AM in order to attend rounding and huddles. This is a 24/7/365 unit and due to the census and acuity, we expect the Inpatient APP staffing to support as needed, including weekend and holidays. Clinical: * Independently and in collaboration with physician(s) and interdisciplinary team members, provides comprehensive clinical and organizational direction and leadership to the healthcare provider team in the care of patients. * Performs comprehensive history and physical assessment * Documents findings noting pertinent normal and abnormal findings * Orders and interprets the appropriate diagnostic labs and tests * Forms medical diagnoses based on history, assessment and diagnostic findings * Develops, implements and evaluates treatment plans * Prescribes and recommends pharmacological and non-pharmacological interventions * Initiates appropriate specialty consultations referrals when requisite * Initiates and evaluates clinical pathways and protocols * Collaborates with Attendings and/or Fellows regarding admissions and community transfers * Facilitates the timely flow of patients via collaboration with interdisciplinary team members and supports all interdisciplinary relationships * Recognizes acute/emergent situations requiring immediate responsiveness and initiates life-saving interventions, alerting the interdisciplinary team members for assistance * Recognizes and incorporates age-specific requirements, communicates plan of care with patients and families * Advocates for patients and family members in educational needs, treatment options, participation in care and ethical issues and patient rights with recognition and consideration of the diverse needs of the individual/family * Provides consultation in specialty area * Maintains confidentiality of patient information * Coordinates meeting applicable clinical standards for all disciplines in collaboration with interdisciplinary team members * Explains the necessity, preparation, nature and anticipated effects of procedure(s) to patients, patient families, staff and students * Performs designated procedures after demonstrated competency Educational: * Acts as a clinical resource, utilizing both formal and informal opportunities for the education of other members of the interdisciplinary team. * Provides education consistent with evidence-based practices and protocols * Precepts APP students and provides mentoring for other APP's * Provides outreach and education to the community and within the Advanced Practice arena * Coordinates meeting applicable educational standards for all disciplines in collaboration with interdisciplinary team members Leadership: * Acts as a role model to colleagues, interdisciplinary team members, the institution and to the community * Demonstrates respect to all within the institution and community * Demonstrates leadership abilities in the development, mentorship and empowerment of others within the healthcare community * Assumes leadership role in the development of the Advanced Practice Role to patients, families, other healthcare professionals and to the community * Coordinates meeting applicable leadership standards for all disciplines in collaboration with physician(s) and team members * Meets leadership competency standards Quality/Stewardship/Outcomes: * Participates in, supports and leads quality assurance initiatives, performance improvement, benchmarking initiatives to advance patient care delivery * Utilizes research and Evidence-Based practice in the delivery of patient care * Evaluates the implications of access, quality, safety and cost on the delivery of healthcare * Participates in the development of instruments to measure patient and practice outcomes * Identifies needs, variations and interventions to ensure and improve quality care * Maintains compliance and regulatory documentation for the purposes of administration and reimbursement * Provides expertise in the measurement, development, evaluation and communication of the status and progression of applicable patient care standards * Participates and contributes to departmental/divisional/institutional initiatives * Provides input in the annual review of other staff members * Assists in the development of clinical pathways and protocols * Participates in accreditation preparedness * Coordinates meeting applicable performance improvement standards for all disciplines in collaboration with interdisciplinary team members Research: * Pursues opportunities for active engagement in research and in the analysis of evidence-based practice * Coordinates meeting applicable research standards for all disciplines and areas of practice Professional Development: * Maintains professional licensure, DEA registration (as applicable), certification and practice agreements as required by the Virginia Board of Medicine or the Virginia Board of Nursing,national certification organizations, and the institution * Maintains and demonstrates competencies for designated privileges requested as required for ongoing professional practice evaluation and outcomes * Maintains Advanced certification(s) * Pursues educational opportunities for professional growth (CEU/CME, conferences, and or seminars, etc.) * Serves on appropriate committees in department/division/institution and community * Participates in/presents at M&M, Grand Rounds, etc. Position Compensation Range: $91,312.00 - $146,099.20 Annual MINIMUM REQUIREMENTS Education: Master's Degree as an Advance Practice Provider - Nurse Practitioner or as an Advance Practice Provider - Physician Assistant Experience: One to two years minimum experience as an Advanced Practice Provider Nurse Practitioner or Physician Assistant preferred. Licensure: License or license eligible as an Advance Practice Provider (Nurse Practitioner or Physician Assistant) as set forth by the state of Virginia. If Nurse Practitioner, license to Practice as a Registered Nurse in the Commonwealth of Virginia is required. Must demonstrate and maintain all credentialing and licensing requirements of the UVA Medical Center, the Virginia Board of Medicine or the Virginia Board of Nursing, and the appropriate certifying bodies. Must be enrolled with all payers through Delegated Credentialing and can participate in Medicaid and Medicare for billing. Current Basic Life Support (BLS) required. Current PALS/NRP, as required specific to position. Advanced Cardiac Life Support (ACLS) as required. PHYSICAL DEMANDS Job requires standing for prolonged periods, frequently traveling/bending/stooping. Proficient communicative, auditory and visual skills; Attention to detail and ability to write legibly; Ability to lift/push/pull 20 - 50lbs. May be exposed to chemicals, blood/body fluids and infectious disease. The University of Virginia, including the UVA Health System which represents the UVA Medical Center, Schools of Medicine and Nursing, UVA Physician's Group and the Claude Moore Health Sciences Library, are fundamentally committed to the diversity of our faculty and staff. We believe diversity is excellence expressing itself through every person's perspectives and lived experiences. We are equal opportunity and affirmative action employers. All qualified applicants will receive consideration for employment without regard to age, color, disability, gender identity or expression, marital status, national or ethnic origin, political affiliation, race, religion, sex, pregnancy, sexual orientation, veteran or military status, and family medical or genetic information.