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Transplant Nephrology APP

Company Medical College of Wisconsin
Location Milwaukee, WI
Update 6 Day ago
300
Advanced Practice Nurse

Provides specialty health care services within defined scope of practice in collaboration with a licensed physician and in accordance with MCW/FMLH policies and procedures.

Department Position Purpose

The Advanced Practice Provider (APP) works as part of a multidisciplinary health care team, providing a broad range of diagnostic and therapeutic services for inpatient and outpatient consultative nephrology/kidney transplant services, as a member of the nephrology division.

The APP will have a strong foundation in evidenced based practice and ensure an environment of safe quality care.

Physician Assistant

Provides specialty medical care within defined scope of practice under the supervision of a licensed physician and in accordance with MCW/FMLH policies and procedures.

CORE RESPONSIBILITIES

  • Performs comprehensive histories and physical exams, identifies normal and abnormal findings, including physical, cognitive and psychosocial status.
  • Orders and interprets laboratory and diagnostic tests.
  • Develops pharmaceutical and non-pharmaceutical treatment plans.
  • Monitors effectiveness of plan of care.
  • Educates patients on disease and treatment plans.
  • Performs procedures as trained and appropriately credentialed.
  • Documents within the Electronic Medical Record (EMR) and completes other necessary documents.
  • Collaborates and/or consults with physicians and other health care providers as appropriate.
  • Educates, counsels, and assists patients and families regarding current health problems, health maintenance activities and preventive behaviors.


  • Department Specific Responsibilities

    1. Manage a subset of inpatients and outpatients on a rotating basis, within a team of providers and APPs, on the nephrology transplant team. The inpatient population would consist of those patients who are kidney transplant recipients. The outpatient practice consists of pre-transplant evaluations, re-evaluations, and living donor evaluations in conjunction with the transplant nephrologists. Outpatient practice may include outreach clinic sites.

    3. Will manage subset of patients in the ambulatory setting. The primary focus of these clinics will include pre-transplant recipient evaluations, re-evaluations and donor evaluations.

    4. Develops expertise in cross continuum care management and treatment interventions specific to this patient population.

    5. Writes accurate and timely consultative and progress notes.

    6. Order, perform, and interpret screening and diagnostic procedures and tests, and appropriately communicates and documents information.

    7. Facilitates and communicates with patient, family, and other care organizations to promote continuity across the continuum of care.

    8. Attend required training and meets key regulatory requirements, including CMS, UNOS and The Joint Commission.

    9. Evaluates quality outcomes for the patients under the care of nephrology lead teams through participation in the development of quality indicators and outcomes.

    10. Participates in clinical trials.

    Preferred Schedule:
    Monday – Friday 8a-5p, Rotating weekend coverage. Scheduling flexibility required to provide for an appropriate level of patient care coverage.

    Position Requirements:
    MINIMUM POSITION QUALIFICATIONS

    Education Requirements

    Advanced Practice Nurse

    Master’s Degree or higher in nursing

    Physician Assistant

    Bachelor’s Degree or higher in Physician Assistant Studies

    Experience
    • Zero years of experience required
    • Preference will be given to practitioners with prior experience in hospital based care and /or medical/surgical/transplant patients.

    Certifications/Licenses

    (Must be current and maintained) Department Specific Certifications/Licenses

    Advanced Practice Nurse
    • Wisconsin RN license
    • Wisconsin Advance Practice Nurse Prescriber License
    • Certification as Advance Practice Nurse

    ACLS certification

    DEA

    National Certification as an Acute Care NP is preferred.

    Will consider Adult Nurse Practitioner or Family Nurse Practitioner.

    CITI training within 90 days of hire

    Physician Assistant
    • Wisconsin PA license
    • Certification by NCCPA

    ACLS certification

    DEA

    CITI training within 90 days of hire

    CORE COMPETENCIES

    Medical Knowledge
    • Makes appropriate decisions based on education, analysis, wisdom, experience, and judgment.

    • Uses methods that effectively solve difficult problems, explores available resources for answers, identifies obscure problems.

    Patient Care
    • Uses time effectively and efficiently. Prioritizes. Completes work by required deadlines. Manages and coordinates a wide range of activities.

    • Focuses on essentials. Identifies and manages critical needs, and appropriately postpones or delegates less critical activities. Creates focus, identifies impediments to goals for care.

    Interpersonal and Communication Skills
    • Is approachable. Listens. Displays sensitivity, patience, diplomacy and tact in relationships. Builds rapport.

    • Relates appropriately to a variety of people in all positions. Creates effective team relationships. Diffuses high stress situations.

    • Writes clearly and succinctly in a variety of communication settings. Creates effective documents and messages.

    Practice-based Learning and Improvement
    • Applies current research and evidence based practice guidelines to own practice.

    • Identifies personal strengths and areas for improvement. Seeks feedback. Gains insight from mistakes. Is open to constructive criticism and is not defensive. Is receptive to discussing areas for improvement.

    Systems-based Practice
    • Demonstrates functional and technical knowledge and skills to perform the work at the highest level of accomplishment.

    • Incorporates other resources in system to provide optimal health care.

    Professionalism
    • Adheres to ethical principles. Is widely trusted, direct and truthful. Maintains patient confidentiality. Keeps confidences. Owns mistakes. Does not misrepresent self for personal gain.

    BACKGROUND CHECKS

    Employment in this position is contingent upon successfully passing

    Background, criminal history and caregiver misconduct check in accordance with the Wisconsin Caregiver Background Check Law

    PHYSICAL DEMANDS

    Manual Dexterity : Work requires accuracy and moderate speed.

    Physical Effort: Work requires considerable variety of fairly steady active physical exertion with some and/or continuous standing or walking.

    Working Conditions : May include exposure to conditions requiring the use of personal protective equipment.

    Hazards : Exposure to hazards that may result in short-term work-related absences. Exposure to blood-borne pathogens and hazardous materials.

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    The above statements are intended to describe the general nature and level of work being performed by most people assigned to this job. They are not intended to be an exhaustive list of all responsibilities, duties, and requirements. Scheduling flexibility is required to accommodate changing business needs.