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Advanced Practice Provider (NP/PA) - UNC Medicine Infectious Disease

Job ID: 12973
Location: Chapel Hill, NC
Facility/Division: UNC Faculty Physicians
Status: Full Time
Shift: Day Job

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Job Description

Description

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.

Summary:
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.

The Immunocompromised Host Infectious Diseases (ICHID) service at the University of North Carolina was established in 2013 to provide inpatient and outpatient consultative infectious diseases care for the following patient populations: solid organ transplantation recipients, candidates for solid organ transplantation, ventricular assist device recipients, ventricular assist device candidates, stem cell transplant recipients, stem cell transplant candidates, patients with hematologic malignancies including those treated with CAR-T cell therapies, and patients admitted to the burn service for care of burns and/or skin conditions. 

Since 2013, our service has continued to expand. We are now recruiting an enthusiastic Advanced Practice Provider (APP) to work with us to help care for these vulnerable patients. Currently, the ICHID service consists of five dedicated faculty members and a transplant ID fellow. Furthermore, general ID fellows also rotate on the service. We work very closely with the clinical microbiology laboratory and round every weekday with them to discuss current patients. The ICHID faculty is committed to providing education, and opportunities for growth to the APP. Funds for continuing medical education (CME) will also be available. 

The APP will support the ongoing expansion of our inpatient consult services. 

• In collaboration with the attending ICHID physician, the APP will evaluate and see assigned patients daily to assess, diagnose, plan treatment, set priorities and realistic outcomes, evaluate the effectiveness and cost efficiency of patient care, and assess whether care is aligned with principles of antimicrobial stewardship. The attending ICHID physician will be always available to the APP for questions. 

• The APP will communicate with and educate patients. 

• The APP will obtain, summarize, coordinate and/or document in the electronic health record the following items: history and physical examination, laboratory, and imaging results, outside hospital data, elements of care including medications, nursing instructions and other required items

 • The APP will communicate with primary teams including triaging consult questions as well as with potential other consulting teams to coordinate care. 

• The APP will be part of the ICHID team structure which also includes general ID fellows, dedicated ICHID fellows, ID pharmacists, internal medicine residents, medical students, and visiting fellows in addition to ICHID faculty. As such, the APP is expected to establish a collaborative relationship with all team members. 

• The APP will contribute to efforts to provide treatment options that may require investigational new drug (IND) applications.

 • The APP will attend inter-disciplinary meetings as needed to discuss patient care, policies, and procedures. 

• The APP will actively participate in dedicated training, quality improvement, and ongoing education opportunities. 

Responsibilities:
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. Professionalism- 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.


Other Information

Other information:
Education Requirements:
● Completion of an accredited graduate-level Advanced Practice Provider (APRN or PA) program.
Licensure/Certification Requirements:
● Licensed as an Advanced Practice Provider (i.e., Nurse Practitioner, Physician Assistant, Certified Nurse Midwife) 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.


Job Details

Legal Employer: STATE

Entity: UNC Faculty Physicians

Organization Unit: Dept of Med Infectious Disease 

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



This is a State position employed by UNC Health Care System.
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Diversity Statement

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