Nurse Practitioner or Physician Assistant · Transplant Hepatology

Summary

The successful applicant will be an Advanced Practice Provider interested in working full-time in the care of Transplant Hepatology patients in the outpatient setting. The APP will join a busy and thriving Gastroenterology & Hepatology Division that includes Gastroenterologists, Hepatologists, Gastroenterology Fellows, Hepatology and General Gastroenterology APPs. The Division’s nationally recognized Digestive Disease Center brings together a multidisciplinary team of gastroenterologists, surgeons, hepatologists, and radiologists to provide the highest level of comprehensive care for patients with a wide variety of digestive diseases and disorders. Clinical services are coordinated within five sections: liver disease, pancreatic and biliary disease, gastrointestinal cancer, functional and inflammatory bowel disease, and nutrition.

Entity

University Medical Associates (UMA) Only Employees and Financials

Worker Type

Employee

Worker Sub-Type​

Regular

Cost Center

CC004744 COM DOM TRANS Gastroenterology Transplant CC

Pay Rate Type

Salary

Pay Grade

Health-33

Scheduled Weekly Hours

40

Work Shift

Day (United States of America)

Fair Labor Standards Act Status: Salaried/Exempt

Hours per week: 40 hours per week

Scheduled Work Hours/Shift: Monday - Friday, 8:00am - 5:00pm

Patient Population Focus

Outpatient

Patient Population Age Range

13years-death

Required Minimum Training and Education

Completion of an accredited Physician Assistant program and currently licensed or eligible for licensure as a Physician Assistant or

Completion of an accredited Nurse Practitioner Program and currently licensed or eligible for licensure as an APRN as noted below.

• AGPNP/ANP (Adult Gerontology Primary Care NP or Adult NP): Adult pts (13 years to death), stable chronic disease state management or primary care setting.
• FNP (Family NP): (birth to death) Stable chronic disease state management, primary care across the lifespan.

Preferred APP Experience: Preferred 2 years of experience as a PA, FNP or ANP

Degree of Supervision

Advanced Practice Registered Nurse or Physician Assistant will be assigned a Primary Supervising/Collaborating Physician employed by MUSC and will report directly to this physician.

Required Licensure, Certifications, Registrations

All certifications must be current and complete prior to start date:

• Basic Life Support (BLS).
• If applicable, DHEC and DEA license applications must be started prior to first day.

Job Duties:

Provides direct care to patients through the following activities:

• Takes comprehensive history and performs physical examinations
• Evaluates and treats on the basis of history, physical examination, radiological, laboratory, and other diagnostic test results pursuant to the practice agreement or scope of practice guideline
• Initiates referrals to other health care provides, and/or consults with the attending physician or the collaborating physician
• Documents and bills for direct care provided
• Utilizes current research and evidence-based decision-making in all clinical practice
• Performs and participates in quality/performance improvement activities and clinical research
• Participates in and supports accreditation, compliance, and regulatory activities of the organization
• Demonstrates responsibility for professional practice through active participation in professional organizations and continuing education
• Potential to precept students at MUSC enrolled as an advanced practice provider student; and facilitates the learning of other new team members
• APRN or PA must maintain licenses, certifications, CNEs/CMEs, etc. as required by applicable policies and state law
• Assess the health status of gastrointestinal patients through the performance of history, physical examination, diagnostic testing, and endoscopic procedures in the outpatient setting. Assist in the development of short and long-term patient care goals and treatments, order and interpret appropriate and indicated diagnostic studies, and prescribe appropriate and indicated treatments and medications with authorized prescriptive privileges in accordance with established PA/APRN guidelines and/or in collaboration with supervising/collaborating physicians. Complete required documentation thoroughly and in a timely manner. Assist with infusion/injection of biologic therapy to patients. Assure coordination and continuity of inpatient and outpatient care. Facilitate contact with attending physicians as appropriate. Assure timely feedback to referring physicians. Make early post-procedure telephone contacts with discharged patients. Triage patient/family phone calls with appropriate management of specific problems by pre-established protocol. Report directly to the Division Director of Gastroenterology and Hepatology regarding patient and administrative matters.
• Plan and manage care in collaboration with other health care providers (Physicians, nurses, staff, social services, community providers), including evaluation of patient’s response to treatment and documentation of patient’s progress in the outpatient setting to achieve optimal patient outcomes relative to cost and quality.  Provide clinical management of assigned patients under protocol and/or attending supervision/collaboration. Plan and manage care in collaboration with the health care team. Perform patient monitoring activities and selected procedures appropriate to licensure and competencies. Maintain clinical database monitoring lab work for patients on immunomodulators and/or biologic therapies. Report unusual findings to physicians. Obtain and document orders from physicians regarding plans not covered by the protocol. Document assessment plans orders, procedures, and progress of patients. Follow-up results of lab work and tests.
• Assure appropriate education of patient/family, medical, and clinical staff.  Teach and counsel individuals, families, groups, and other health care providers about health and illness and promote health maintenance and disease prevention.  Facilitate and provides as appropriate pre- and post-operative and family education.  Communicate to the patient and family services provided; remain visible and available throughout the patient’s episode of illness; engage in problem-solving for the issues and outcomes related to the patient’s care.

Additional Job Description

Physical Requirements

Continuous requirements are to perform job functions while standing, walking and sitting. Ability to bend at the waist, kneel, climb stairs, reach in all directions, fully use both hands and legs, possess good finger dexterity, perform repetitive motions with hands/wrists/elbows and shoulders, reach in all directions. Ability to be qualified physically for respirator use, initially and as required. Maintain 20/40 vision corrected, see and recognize objects close at hand and at a distance, work in a latex safe environment and work indoors. Frequently lift, lower, push and pull and/or carry objects weighing 50 lbs (+/-) unassisted, exert up to 50 lbs of force, lift from 36" to overhead 25 lbs. Infrequently work in dusty areas and confined/cramped spaces.

If you like working with energetic enthusiastic individuals, you will enjoy your career with us!

The Medical University of South Carolina is an Equal Opportunity Employer. MUSC does not discriminate on the basis of race, color, religion or belief, age, sex, national origin, gender identity, sexual orientation, disability, protected veteran status, family or parental status, or any other status protected by state laws and/or federal regulations. All qualified applicants are encouraged to apply and will receive consideration for employment based upon applicable qualifications, merit and business need.

Medical University of South Carolina participates in the federal E-Verify program to confirm the identity and employment authorization of all newly hired employees. For further information about the E-Verify program, please click here: http://www.uscis.gov/e-verify/employees