Nurse Practitioner or Physician Assistant (APP) Flex Hospital

Full Job Description

Principal Responsibilities:

• Provides professional, compassionate, personalized care to patients and families.

• Follows established departmental policies, procedures, and objectives, continuous quality improvement objectives, and safety, environmental, and/or infection control standards.

• Keeps current with hospital and clinic standards of care, including complying with mandatory education, completing CME requirements as required by federal and state regulations, etc.

• Regularly attends and actively participates in committee and staff meetings, when requested.

• Demonstrates regard for the dignity and respect for all patients, their families, guests, and representatives of other organizations, as well as fellow employees, volunteers, and medical staff.

• Maintains patient confidentiality and abides by all federal and state regulations in practice and billing.

• Demonstrates responsibility for individual performance and efficient utilization of practice resources.

• Maintains appropriate aseptic technique for preparation, procedures, and medications administered.

• Performs appropriate medical procedures within scope of practice as defined by credentialing and privileging processes.

• Performs history, physical exam, and review of pertinent records and results of the inpatient hematology/oncology patient.

• Works alongside physician to communicate pertinent results, treatment options, risks, and benefits to patients and families.

• Assists in development, delivery, and evaluation/revision of patient’s health care plan.

• Provides education to patients and families about disease processes, interventions, and plan of care.

• Prescribes medications and makes recommendations for other therapeutic treatments and/or testing.

• Facilitates administration of chemotherapy/anti-cancer therapies at physicians’ direction. • Completes medical record documentation in a timely manner with accuracy.

• Demonstrates proficiency in use of various EMR systems.

• Consults appropriate specialty services to collaborate in patient’s care. Provides adequate information to consulting service and communicates requests in a timely manner. Responds to such requests in a professional and timely manner.

• Communicates professionally and accurately both verbally and in writing.

• Utilizes practice/hospital approved apps/technology to relay/communicate patient information.

• Maintains a professional relationship with other services and staff and responds to queries in a timely manner.

• Promote and participate in an environment of teamwork.

• Shares pertinent patient information with primary oncologist team and helps to facilitate smooth transition to the outpatient setting. Assists in coordinating outpatient follow up and delivery of care.

• Addresses oncologic emergencies and complications of therapy/disease requiring hospitalization.

• Acts according to current guidelines for co-management with hospitalist services.

• Communicates clearly and openly with the on-call physician.

• Relays stat consult to on call physician and assists as necessary.

• Communicates on call significant events, admissions, and consults to rounding physicians and APPs.

• Report patient safety concerns to leadership or other appropriate party.

• Provides pertinent information to coding/referrals office teams. • Responds to calls in a timely fashion and in a professional manner.

• Responds to patient calls and coordinate care in the outpatient setting as appropriate.

• Attends educational opportunities and participate in CEU opportunities applicable to the inpatient oncology population.

• Mentor and educate NP/PA students.

• Assists in other aspects of patient care as determined by rounding/primary team physician.

• Works a variety of hours as dictated by needs of practice, including but not limited to weekdays, evenings, overnights, weekends, and holidays.

Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions of this position.

Education Requirements:

• Unrestricted nurse practitioner or physician assistant license to practice in Iowa at all times.

• Active member in good standing on Medical Staff with appropriate clinical privileges at all participating hospitals in which requested to work at all times.

• Participating provider status with Medicare and Medicaid programs and from participation in any federally funded health care program, including Medicare or Medicaid at all times

• Unrestricted federal DEA number and applicable state drug permits at all times

Performance Requirements:

Knowledge:

• Excellent communication skills, both written and oral

Skills and Abilities:

• Must be BLS certified; and ACLS where required.

• Proof of completion of mandatory reporter abuse training specific to population serviced within 3 months of hire date.

• Familiarity with HER systems used, including ability to navigate multiple HER systems and provide/maintain current records in a timely fashion. Must have and retain a valid driver’s license Approved by (Supervisor): Approved by (HR): Salary range (HR): Date:

Organizational Structure:

Job Title this position reports: Various, as described by contract.

Job Titles directly reporting to this position: Various, as described by contract

PHYSICAL ACTIVITY REQUIREMENTS:

(Constant = 67-100% of workday, Frequent = 33-66% of work day, Occasional = 33% of work day:

Constant:

• Reaching: Extending hand(s) and arm(s) in any direction

• Walking: Moving about on foot to accomplish tasks, particularly for long distances

• Talking: Expressing or exchanging ideas by means of the spoken word; those activities in which they must convey detailed or important spoken instructions to other workers accurately, loudly, or quickly

• Hearing: Perceiving the nature of sounds at normal range; ability to receive detailed information through oral communication, and to make fine discriminations in sound, i.e., auscultation of breath sounds, blood pressures, etc.

• Feeling: Perceiving attributes of objects, such as size, shape, temperature or texture by touching with skin, particularly that of fingertips, i.e., nursing assessments

Frequent:

• Standing: Particularly for sustained periods of time

• Pushing: Using upper extremities to press against something with steady force in order to thrust forward, downward, or outward

• Gasping: Applying pressure to an object with the fingers and palms

Occasional:

• Lifting: Raising Objects from a lower to a higher position or moving objects horizontally from position to position

• Kneeling: Bending legs at the knee to come to a rest on knee or knees

• Crouching: Bending the body downward and forward by bending leg and spine

• Fingering: Picking, pinching, typing or otherwise working, primarily with fingers rather than with the whole hand or arm; Requires manual and finger dexterity and eye-hand coordination

Physical Demand Requirements:

• Medium Work: Exerting up to 50 pounds of force occasionally and/or up to 20 pounds of force frequently, and/0r up to 10 pounds of force constantly to move objects.

• If a patient is unable to function independently, a mechanism/assistive device and/or additional personnel must be utilized. If an object >50 lb requires lifting, additional equipment/personnel must also be utilized.

Visual Acuity Requirements:

• Work involves the accurate use of sharps and instructions, to assist with procedures to provide treatments to patients. Work requires close vision, distance vision, depth perception, and ability to adjust focus.

Intellectual/Emotional Requirements:

• Adaptability to accept responsibility for the medical direction and control of the medical care provided.

• Ability to maintain both a high standard of courtesy and cooperation in dealing with co-workers, patients and families, and satisfactory job performance despite the stress of a health care environment.

• Ability to perform a variety of duties, often changing from one task to another without loss of efficiency or composure.

• Ability to attend to the needs or requests of people, beyond giving or receiving instructions.

• Ability to adapt to situations involving the interpretation of feelings, ideas, or facts in terms of personal viewpoint.

• Ability to influence people in their opinions, attitudes, or judgements about ideas or things.

• Ability to adapt to making generalizations, evaluations or decisions based on sensory or judgmental criteria.

• Ability to adapt to making generalizations, evaluations, or decisions based on measurable or verifiable criteria.

• Ability to adapt to situations requiring precise attainment of set limits/standards.

Working Conditions:

• This employee has been identified as having the likelihood of occupational exposure to blood or other potentially infectious materials, and therefore, these materials are included in the OSHA Exposure Control Plan with all its specifications for preventing contact with the above materials.

Physical surroundings: Medical Office

Adverse working environment: Work may be stressful due to continual interaction with others, long hours required and nature of the medical specialty.

Physical Effort: Must possess the physical and mental abilities to perform the tasks normally associated with this role including walking, bending, standing, reaching, and sitting. Lifting up to 15 pounds of office or technology equipment.

Local Travel: Within the state of Iowa

Domestic/International Travel: None

Extensive Hours: Varies due to need.

The above statements are intended to describe the general nature and level of work being performed by persons assigned to this position. They are not intended to be an exhaustive list of all associated responsibilities, skills, efforts or working conditions. Mission Cancer + Blood reserves the right to change, amend, add, delete, and otherwise assign any and all duties, responsibilities, and position titles as it deems necessary to meet the needs of the business.

Mission Cancer + Blood is proud to be an Equal Employment Opportunity and Affirmative Action employer. We do not discriminate based upon race, religion, color, national origin, gender, sexual orientation, gender identity, gender expression, age, status as a protected veteran, status as an individual with a disability, or other applicable legally protected characteristics. All employment is decided on the basis of qualifications, merit, and business need.

Job Type: Full-time

Benefits:

• 401(k)
• 401(k) matching
• Continuing education credits
• Dental insurance
• Disability insurance
• Employee assistance program
• Flexible schedule
• Flexible spending account
• Health insurance
• Life insurance
• Malpractice insurance
• Paid time off
• Retirement plan
• Tuition reimbursement
• Vision insurance

Medical Specialty:

• Oncology

Experience:

• oncology: 3 years (Preferred)

License/Certification:

• BC/BE (Preferred)
• Advanced Registered Nurse Practitioner or PA licensure (Required)

Work Location: Multiple locations

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