Nurse Practitioner or Physician Assistant – Inpatient Malignant Hematology/Cell Therapy

Full Job Description

The Hematology/Oncology APP functions as an independent healthcare provider who, working collaboratively within a health team is responsible for providing comprehensive care to both well and ill patients. He/she demonstrates a high degree of clinical expertise in working with patients with acute and chronic illnesses, specifically cancer patients in active treatment. He/she is responsible for assessment, diagnosis, treatment, management, education, health promotion and care coordination for patients and families with acute and chronic health needs. The APP demonstrates an advanced level of medical/nursing clinical knowledge, communication and interdisciplinary collaboration, professionalism, and systems-based practice. He/she works with administrative, nursing, physician, to assure safe, effective, quality patient care and to promote educational and research missions.

Hematology/Oncology APP is dedicated to assisting patients and their families as they cope with various forms of cancer. The Hematology/Oncology APP is trained to manage the physical and psychological needs of the oncology patient and his or her family. They will provide primary, acute or tertiary care in a variety of medical settings including but not limited to private practice, hospitals, cancer care centers, and palliative care centers. They may also work collaboratively with educational programs on cancer prevention and similar topics.

Essential Functions:

Clinic Specific Responsibilities:

• Provide care to BMT/Cellular Therapy patients and manage complications before, during, and after transplant/cellular therapies on the inpatient transplant unit and in the Cellular-immunotherapy Transplant Unit (outpatient).
• Conduct comprehensive or episodic health history and physical assessment of oncology/hematology patients with acute, chronic and/or potential health problems.
• Establish medical diagnoses.
• Oversee treatment infusions and supportive care needs.
• Write specific orders within the limits of the practice agreement/scope of practice including chemotherapy.
• Provide appropriate direction to clinic staff regarding patient care issues.
• Communicates effectively with referring and primary health care providers.
• Manage independent outpatient clinical practice and coverage for collaborating physicians.
• Maintain clinical documentation according to group practice.
• Participate in medical oncology/hematology specific clinical quality and research projects.
• Educates patients and families on treatment plans, wellness care, and survivorship plans.
• Participates in learning opportunities.
• Participate in and accept on-call coverage assignments.
• Provider may be required to participate in hospital rounds with physician on assigned days and additional coverage as needed, this is including and not limited to holidays, weekends, and weekdays.

Quality Metrics:

• Provider is expected to run an efficient and timely office schedule. Patient satisfaction is of utmost importance as it relates to patients feeling a sense of interest and concern for their needs.
• Provider is expected to complete exams in a thorough manner and accurately document chemotherapy and other medical orders.
• Provider is expected to remain current with documentation, notes and/or dictations (completed within a 48 hours of visit) and follow NCCN guidelines.
• Provider is expected to participate in medical staff meetings and teaching rounds, including physical attendance at least one CME meeting per year within physician’s sub-specialization. In addition, provider shall participate in at least one community event per year.
• Provider is expected to respond to emergency pages within a reasonable amount of time, no longer than 20 minutes. Initiative should be taken when identifying times when assistance is needed for coverage and/or filling in for colleagues.
• Provider is expected to document on all assigned MIPS quality measures for each patient accurately in the EMR.
• Provider is expected to participate in hospital rounds with physician on assigned days and additional coverage as needed, this is including and not limited to holidays, weekends, and week days.

Other Job Duties:

Clinical Knowledge:

• Performs history and physical assessments 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 plan of care 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.
• Participate in research opportunities to advance the care and treatment of patients with cancer.

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 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 CCSF 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).

Supervisory Responsibilities:

This job has no supervisory responsibilities.

Qualifications:

Education and/or Experience

• Nurse Practitioner: Master’s or Doctorate’s degree from accredited Nursing Program.
• Physician Assistant: Bachelor’s or Master’s degree from accredited PA Program.
• Prior Hematology/Oncology experience required.
• 2 Years Prior Experience as APRN or PA.

Certificates, Licenses, Registrations

APRN:

• Active RN and APNP license in State of Florida.
• Active board certification as a NP in: Adult; Adult/Gerontology, Acute Care; Family.

PA:

• Active PA license in State of Florida.
• Active PA board certification.

Computer Skills

To perform this job successfully, an individual should have knowledge of Electronic Medical Record (EMR) and Practice Management (PM) softwares, Microsoft Office Applications, and the ability to operate basic Internet software. The individual should be able to operate a computer in order to accurately enter data into a database, search for information, send and receive email and attachments. Must use the internet to access schedules, research insurance information, etc. Work requires extensive work using a computer.

Other Skills and Abilities

Must be competent in; Time Management, Organization, Attention to Detail, Quality Focus, Professionalism, Productivity, Thoroughness, Coordination, Deadline-Oriented, Internal Communications, and Reporting Skills.

Must have:

• Interpersonal skills to work with end users.
• Experience with HIPAA and other Healthcare standards a plus.
• Excellent oral and written communication skills – Speaks clearly and persuasively in positive or negative situations; Listens and gets clarification; Responds well to questions; Participates in meetings. Writes clearly and informatively; edits work for spelling and grammar; able to read and interpret written information.
• Teamwork – Balances team and individual responsibilities; Exhibits objectivity and openness to others’ views; Gives and welcomes feedback; Contributes to building a positive team spirit; Puts success of team above own interests; Supports everyone’s efforts to succeed.
• Ethics – Treats people with respect; Keeps commitments; Works with integrity and ethically; Upholds organizational values.
• Organizational Support – Follows policies and procedures; Completes administrative tasks correctly and on time; supports organization’s goals and values; Supports affirmative action and respects diversity.
• Judgment – Displays willingness to make decisions; Exhibits sound and accurate judgment; Supports and explains reasoning for decisions; Includes appropriate people in decision-making process; Makes timely decisions.
• Planning/Organizing – Prioritizes and plans work activities; Uses time efficiently.
• Professionalism – Approaches others in a tactful manner; Reacts well under pressure; Treats others with respect and consideration regardless of their status or position; Accepts responsibility for own actions; Follows through on commitments.
• Quality – Demonstrates accuracy and thoroughness; Looks for ways to improve and promote quality; Applies feedback to improve performance; Monitors own work to ensure quality.
• Quantity – Meets productivity standards; Completes work in timely manner; Strives to increase productivity; Works quickly.

Language Skills

Ability to read and comprehend simple instructions, short correspondence, and memos. Ability to write simple correspondence. Ability to effectively present information in one-on-one and small group situations to customers, clients, and other employees of the organization.

Reasoning Ability

Ability to apply common sense understanding to carry out simple one or two step instructions.

Ability to deal with standardized situations with only occasional or no variables.

Physical Demands

The physical demands described here are representative of those that must be met by an employee to successfully perform the essential functions of this job. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions. While performing the duties of this Job, the employee is regularly required to use hands to finger, handle, or feel and reach with hands and arms. The employee is frequently required to stand; walk; sit; climb or balance; stoop, kneel, crouch, or crawl and talk or hear. The employee must regularly lift and /or move up to 10 pounds, frequently lift and/or move up to 25 pounds. Specific vision abilities required by this job include close vision, distance vision, color vision, depth perception and ability to adjust focus.

Work Environment

The work environment characteristics described here are representative of those an employee encounters while performing the essential functions of this job. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions. The noise level in the work environment is usually moderate.

Environmental Exposure

None

Job Type: Full-time

Job Type: Full-time

Benefits:

• 401(k)
• 401(k) matching
• Dental insurance
• Employee assistance program
• Flexible spending account
• Health insurance
• Life insurance
• Paid time off
• Vision insurance

Medical specialties:

• Oncology

Supplemental schedule:

• On call

Weekly schedule:

• Weekends as needed

Work setting:

• Hospital
• In-person

License/Certification:

• Certified Nurse Practitioner (Required)

Work Location: In person