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Job ID: 10477
Location: Chapel Hill, NC
Facility/Division: UNC Faculty Physicians
Status: Full Time
Shift: Day Job
Become part of an inclusive organization with over 40,000 diverse employees, whose mission is to improve the health and well-being of the unique communities we serve.
An Advanced Practice Provider (APP) functions as part of the interdisciplinary healthcare team in accordance with privileges approved by the credentialing committee to provide high quality, cost effective care to patients within the APPs scope of practice in collaboration with a supervising physician. The APP reflects the mission, vision, and values of the organization, and complies with all relevant policies, procedures, guidelines and other regulatory and accreditation standards.
ALS Advanced Practice Provider Specific Details:
The mission of the UNC amyotrophic lateral sclerosis (ALS) Clinic is to provide patient-centered, highest quality, comprehensive and compassionate care to our patients and their families. Our compassionate team is there at every step along the way to provide multidisciplinary care and support. Our clinic highlights the evidence-based foundations of ALS management, knowing that a combination of interdisciplinary care; pulmonary and nutritional support; pharmacologic agents; and supportive and mindful communications increase the lifespan and quality of life of our patients. At UNC, we value our relationship with ALS patients and their families, knowing that the disorder affects the whole family unit. Our approach is one of preparing individualized plans, and our rapport with patients is not limited to in-clinic visits.
ALS APP Responsibilities:
The APP will function as the director of clinical services, overseeing the care provided by our multidisciplinary staff of health professionals. The APP will work with the clinic physicians to establish and realize a personalized, comprehensive care plan for each ALS patient. APP will be involved in all aspects of patient care and education, including the placement and use of feeding tubes, and non-invasive and invasive ventilatory support. Along with the physicians and social worker, the APP will also lead discussions around advanced directives, hospice/palliative care, and other end-of-life issues that require informed decision-making by patients and families.
Specific duties are noted below.
1.collaboration with all members of our Multidisciplinary Team (Physical therapy, occupational therapy, respiratory therapy, speech and swallowing therapist and social worker).
2.evaluation and management of ALS patient physically as well as virtually
3.Care Coordination and execution of plans of care established in clinical visits
4.pharmaceutical prescriptions, refills and authorizations
5.support for durable medical equipment, rehabilitation needs, nutrition and speech
6.home health care, palliative care and hospice coordination
7.exploration of community resources accessible from the patient’s home environment
8.triage of patient calls with management of urgent needs through phone, electronic, in-person or virtual visits
9.identifying patients who may be eligible for clinical trials
10.networking with the ALS Association of North Carolina and maintaining clinical grant requirements for ALSA Clinic Certification
11.establish processes and pipelines to improve care and documentation of quality measures
12.be an equal partner with ALS Clinic Director in advancing the goals and missions of the ALS clinic.
1. Clinical- Obtains relevant health and medical history, performs thorough physical assessment, reviews and interprets pertinent diagnostic tests/results. Develops appropriate differential diagnoses. Develops and implements treatment plans including prescribing/ordering of appropriate evidence-based pharmacological agents consistent with departmental guidelines and privileging, and schedules appropriate follow-up management. Actively incorporates evidence-based hospital initiatives to improve patient care. Conducts preventive health screening based on age, history and patient needs. Maintains clear comprehensive yet concise records of all aspects of patient care. Maintains essential knowledge of general disease and pathologic processes. Maintains extensive knowledge of their specialty literature including awareness of developing areas. Consistently derives correct diagnoses through synthesis of clinical data and proper selection and interpretation of diagnostic studies. Develops comprehensive differential diagnoses for patients. Revises the plan of care to meet the changing needs of the patient. Prioritizes work and assists staff to provide prompt and efficient client flow. Consistently maintains high productivity according to identified standards. Leads/participates in projects to improve productivity. Appropriately performs medical procedures consistent with departmental guidelines, privileging, and clinical roles/responsibilities.
2. Education- Appropriately and professionally educates clients and/or families regarding medical condition, treatment, and follow-up. Collaborates with clinicians, staff, and students to promote continuity and patient/family centered care. Develops educational materials based on learning needs of clinicians, staff, and students. Provide education/instruction to physicians, housestaff, nursing, ancillaries and/or students. Actively recognizes and participates in identification and achievement of self-learning needs. Attends education programs based on identified learning needs.
3. Leadership- Provides instruction to physicians, housestaff, nursing, ancillaries and/or students including but not limited to precepting, shadowing, lectures, training classes, CE, rounds, morning report, and or staff meetings. Participates in community/network outreach programs. Develops/leads community/network outreach programs. Demonstrates both an understanding of the contexts and system in which healthcare is provided and the ability to apply this knowledge to improve and optimize health care delivery. Leads/participates in systems improvements.
4. Professional- Interacts with patients and families in a respectful, courteous and timely fashion using appropriate communication for the patient and situation. Interacts collaboratively with coworkers, other team members and staff in a respectful, courteous, and timely fashion appropriate to patient care needs and situations. Responds quickly to meet customer needs and resolve problems. Accepts responsibility for outcomes of one?s work. Shares responsibility for overall workload with team members.
5. Quality/Research- Engages in daily continuous quality improvement by identifying and implementing processes for improvement. Consults with management in assessment, problem-solving, decision-making, and evaluating clinical/system issues and models of care. Leads interdisciplinary teams to provide integrated delivery of patient care services. Initiates and revises protocol(s) or guideline(s) to reflect evidence-based changes in care management Works to influence policy-making bodies to improve patient care. Develops new clinical programs or services within the department/unit/clinic to improve patient care.
● Completion of an accredited graduate-level Advanced Practice Provider (APRN or PA) program.
● Licensed as an Advanced Practice Provider (i.e., Nurse Practitioner, Physician Assistant, Clinical Pharmacist Practitioner, Certified Nurse Midwife, Certified Registered Nurse Anesthetist) in the state of North Carolina. Board certification if required by the Department.
Professional Experience Requirements:
● No prior experience required.
Knowledge/Skills/and Abilities Requirements:
● Demonstrated clinical competency. Effective leadership skills. Strong interpersonal skills. Ability to work independently and collaboratively. Demonstrated written and verbal communication and strong analytical skills. Effective interaction to ensure the successful care of patients in the clinical setting. Documentation in the medical record to substantiate accurate billing.
Legal Employer: STATE
Entity: UNC Faculty Physicians
Organization Unit: SOM Amb Care-APCF-Neurology
Work Type: Full Time
Standard Hours Per Week: 40.00
Work Schedule: Day Job
Location of Job: US:NC:Chapel Hill
Exempt From Overtime: Exempt: Yes
The UNC Health System and the UNC School of Medicine are committed to valuing all people throughout our organization, regardless of background, lifestyle, and culture. A diverse and inclusive work environment for staff and culturally appropriate care for our patients, are essential to fulfilling our UNC Health vision of improving the health of all North Carolinians.
UNC Health is an equal opportunity employer. As such, UNC Health offers equal employment opportunities to applicants and employees without regard to race, color, religion, sex, national origin, age, genetic information, disability, sexual orientation, gender identity or political affiliation.