The Advanced Practice Provider (APP) will play a pivotal role within the EVMS Department of Medicine, Hospitalist Division, with a focus primarily on night shifts. In this dynamic position, APP will take charge of managing health issues and coordinating healthcare in progressive care or acute care in-patient hospital settings. As an integral part of our team, the APP holds the responsibility of delivering top-notch patient care and medical services to individuals, families, and/or groups within the hospital setting. This includes working independently and collaboratively with a sponsoring physician, and internal medicine residency program teaching teams, providing a wide range of health care services. The scope of practice encompasses conducting thorough health assessments, diagnosing medical conditions, developing personalized medical plans of care, and prescribing/providing treatments and interventions. APP will also play a key role in evaluating patient responses, making referrals, and adeptly managing both acute and stable chronic illnesses. This position offers a unique opportunity to work independently during overnight shifts, showcasing autonomy and expertise. APPs will have access to remote physician support as needed, ensuring a collaborative and supportive environment.
Will include a night shift differential in pay.
Responsibilities Able to evaluate medical problems of patients in the in-patient setting, devise a management plan of care including further testing and medications, and appropriately requests consultation of other specialties when indicated.Provides education to patients and/or families about preventive care, medical issues and use of prescribed medical treatments and/or medications pertinent to the patient’s condition.Creates diagnostically appropriate treatment plansDocuments all medical evaluation, diagnoses, procedures, treatments, outcomes, education, referrals and consultations consistent with NCQA, The Joint Commission, state regulatory standards and evidenced-based standards of care. Maintains documentation compliance for appropriate coding and billing.May refer complex and high priority cases to collaborating physician with regards to complicated diagnostic problems, serious illness, complicated therapeutic problems and re-evaluation of chronic conditions.Provides medical and emergency interventions appropriate to the patient’s needs; prescribes and monitors medications appropriate to the diagnosis; orders and monitors the appropriateness of emergency interventions.Maintains collegiality with all members of the inter-disciplinary team.Utilizes appropriate chain-of-command and communicates with Division Chief, or designee, any clinical issues appropriately and contributes to quality improvement or process improvement as necessary.Must be able to perform the professional, clinical and or technical competencies of the hospitalist role.Initial assessment of the patient’s service needs;Develops treatment plans for patients and or revises in accordance with applicable protocols and standards of care.Differentiates between normal and abnormal findings and orders appropriate diagnostic studies. Counsels’ patients and their families, when necessary, in areas such as health maintenance, medication adjustments and end of life issues.Maintains strict confidentiality of patient information in accordance with HIPAA and handles all matters professionally with sensitivity to racial, ethnic, and sexual orientation issues.Maintains effective working relationships with faculty, staff, residents and the public.Participate in development and implementation of divisional and/or departmental quality assessment/improvement/research programs and processes as requested. Contributes toward the achievement of divisional and/or departmental goals. Participates and contributes in/toward activities that enhance clinical expertise. Participates in professional clinical activities in the Department, Division, community and professional organizations as needed or requested.Signs out patients at the end of clinical workPerforms other duties as assigned.
Note: These statements are intended to describe the essential functions of the job and are not intended to be an exhaustive list of all responsibilities.
Qualifications Nurse Practitioners must have an MSN with a nurse practitioner focus. Must be a licensed RN by the Virginia Board of Nursing and a certified nurse practitioner. Physician Assistants must have an MPA. Must be a licensed Physician Assistant within the Commonwealth of Virginia.BLS and ACLS Certification required.Age-appropriate training for “population served” may depend on NP or PA program training and may require additional training as determined by the Hospital Medicine Division. Location : Location US-VA-Norfolk