Nephrology - Physician Assistant or Nurse Practitioner - Jefferson Center City

Responsibilities:

The advanced practice provider (Nurse Practitioner/Physician Assistant) within the acute care hospital setting works in collaboration with, and is an integral member of, a multidisciplinary health care team. The APP provides comprehensive care in the Nephrology Transplant Division , Department of Medicine.

The Acute Care Nurse Practitioner supporting the transplant Nephrology team will be responsible for the care of patients following kidney or pancreas transplant surgeries, both in clinic and hospital settings. In the clinic, the role involves overseeing the management of waitlisted kidney and/or pancreas transplant patients, as well as providing postoperative care for recipients of kidney and/or pancreas transplants. Additionally, the NP will offer consultation services, participate in rounds with physicians and fellows within the hospital.

Duties encompass a range of responsibilities, such as obtaining patient history, conducting comprehensive assessments, ordering and interpreting diagnostic tests, prescribing pharmacological agents and treatments, and recommending non-pharmacological therapies. Monitoring the effectiveness of therapeutic interventions and making appropriate referrals are integral aspects of the role.

Moreover, the NP is expected to exhibit leadership qualities by actively participating in transplant committees, engaging in team projects, contributing to education projects and actively seeking opportunities to enhance practice through performance improvement initiatives. Involvement in professional organizations and participation in community activities is encouraged

Assessment & Management

• Performs complete history & physicals and documents in the medical record.
• Orders and collects data using appropriate assessment techniques, relevant supporting diagnostic information and diagnostic procedures where indicated.
• Assesses for risks associated with the care of the acute and complex chronically ill patient including: medication side effects, immobility, impaired nutrition, fluid and electrolyte imbalance, immunocompetence, and diagnostic procedures.

Diagnosis

• Collaborates with interdisciplinary health care team in making diagnoses of acute and complex chronic conditions.
• Manages diagnostic tests through ordering, interpretation, performance, and supervision.
• Formulates differential diagnoses by priority.
• Diagnoses complications and orders appropriate interventions

Formulates Plan of Care

• Identifies expected outcomes from diagnosis, and formulates and documents a plan of care to address complex acute and chronic health care needs.
• Utilizes evidenced based practice guidelines and protocols in an individualized, dynamic plan of care that can be applied across the continuum.
• Implements and modifies plan of care.
• Prescribes diagnostic strategies and therapeutic interventions.
• May perform advanced procedures consistent with privileges and competency validation.

Communication and Collaboration

• Maintains ongoing communication and collaboration with interdisciplinary health care team.
• Facilitates and communicates with patient, family and staff to promote continuity of care across the inpatient and outpatient continuum of care.

Documentation

• Documents/dictates key components of patient's progress via daily progress note, transfer, and discharge summary, and or clinic note where applicable.
• Documentation is timely, meets acute care compliance standards and captures patient acuity.

Professional Practice

• Demonstrates Professional Practice behaviors including: preceptor/mentoring, education and instruction of graduate students.
• Seeks opportunities for active engagement in research and the analysis of evidenced based practice.
• Maintains CEUs, and membership in a professional organization.

• Shift: Monday - Friday 8am-5pm
• Location: Primarily Center City with potential rotation at a satellite location, Bala Cynwyd, Navy Yard, Vorhees etc.
• May share dialysis rounding responsibilities in the Jefferson-affiliated dialysis units
• The APC provides comprehensive care in the Nephrology and Transplant Nephrology ambulatory practice
• Performs complete history & physicals and documents in the medical record
• Orders and collects data using appropriate assessment techniques, relevant supporting diagnostic information, and diagnostic procedures where indicated
• Collaborates with interdisciplinary health care team in making diagnoses of acute and complex chronic conditions
• Manages diagnostic tests through ordering, interpretation, performance, and supervision
• Formulates differential diagnoses by priority
• Identifies expected outcomes from diagnosis and formulates and documents a plan of care to address complex acute and chronic health care needs
• Utilizes evidence-based practice guidelines and protocols in an individualized, dynamic plan of care that can be applied across the continuum
• Implements and modifies plan of care

Qualifications

Master's Degree

National Board Certification as a Family Nurse Practitioner or Physician Assistant

BLS certification

Closing Statement

About Jefferson

Nationally ranked, Jefferson, which is principally located in the greater Philadelphia region, Lehigh Valley and Northeastern Pennsylvania and southern New Jersey, is reimagining health care and higher education to create unparalleled value. Jefferson is more than 65,000 people strong, dedicated to providing the highest-quality, compassionate clinical care for patients; making our communities healthier and stronger; preparing tomorrow's professional leaders for 21st-century careers; and creating new knowledge through basic/programmatic, clinical and applied research. Thomas Jefferson University , home of Sidney Kimmel Medical College, Jefferson College of Nursing, and the Kanbar College of Design, Engineering and Commerce, dates back to 1824 and today comprises 10 colleges and three schools offering 200+ undergraduate and graduate programs to more than 8,300 students. Jefferson Health , nationally ranked as one of the top 15 not-for-profit health care systems in the country and the largest provider in the Philadelphia and Lehigh Valley areas, serves patients through millions of encounters each year at 32 hospitals campuses and more than 700 outpatient and urgent care locations throughout the region. Jefferson Health Plans is a not-for-profit managed health care organization providing a broad range of health coverage options in Pennsylvania and New Jersey for more than 35 years.

Jefferson is committed to providing equal educational and employment opportunities for all persons without regard to age, race, color, religion, creed, sexual orientation, gender, gender identity, marital status, pregnancy, national origin, ancestry, citizenship, military status, veteran status, handicap or disability or any other protected group or status.