Advanced Practice Professional Primary Care

• POSITION SUMMARY:    The Advanced Practice Professional (APP) has coordination and clinical skillsrequiredfor the comprehensive management of primary care and behavioral medicinepatients, (including biological,socialand psychologicalassessments).  The APP coordinates involvement of medical specialty teams necessary to develop a comprehensive plan for thepatient, andreviews the plan of care with the other members of the clinical team,participatesin directing that care, performsdiagnostic/therapeuticprocedures and coordinates discharge planning (as applicable).  The APPparticipatesin the education of residents and medical/nursing students.
  
  Provide healthcare services consistent with state law and the requirements of the professional licensing or certification authority and/or hospital privileges, where applicable.  Suchservicemayinclude, butare not limited to.   

MINIMUM QUALIFICATIONS FOR NURSE PRACTITIONER:
EDUCATION, CERTIFICATION, AND/OR LICENSURE:
1. Graduate of a CCNE accredited nursing program withMaster’s Degree in Nursing.
2. National Certification by one of the recognized APRN Certification Centers.
3. Licensure or eligibility for licensure as a professional Registered Nurse and Advanced Practice Registered Nurse in state of Practice
Maryland.
4. BLS CertificationrequiredwithadditionalAdvanced Life Support training at the discretion of the department.
EXPERIENCE:
1. Primary care experience preferred.
2. Eligible new graduates will be considered.

PREFERRED QUALIFICATIONS:
EDUCATION, CERTIFICATION, AND/OR LICENSURE:
1. ACNPs and FNPsconsidered.
MINIMUM QUALIFICATIONS FOR PHYSICIAN ASSISTANT:
EDUCATION, CERTIFICATION, AND/OR LICENSURE:
1.Bachelor’s Degree or Master’sDegree as a Medical/Surgical (as applicable) Physician Assistantrequired.
2. Graduate of an ARC-PA approved Physician Assistant (PA) training programrequired.
3. Certification by the National Commission for Certification of Physician Assistantsrequired.
4. Must be licensed or eligible for licensure by the Board of Medicine in state of practice.
5. BLS CertificationrequiredwithadditionalAdvanced Life Support training at the discretion of the department.
EXPERIENCE:
1. Primary care experience preferred.
2. Eligible new graduates will be considered.
PREFERRED QUALIFICATIONS:
EDUCATION, CERTIFICATION, AND/OR LICENSURE:
1.Master’s Degreeas Physician Assistant preferred.
CORE DUTIES AND RESPONSIBILITIES: The statements described here are intended to describe the general nature of
work being performed by people assigned to this position. They are not intended to be constructed as an all-inclusive list of all
responsibilities and duties. Other duties may be assigned.
1. Manages comprehensive and individualized care for primary care and behavioral medicine patients and their
families in the ambulatory setting.
2. Consults and/orpre-procedure/evaluations,acutevisitsand wellness visits.
3. Completes integrated assessments.
4. With the collaboration of primary care and behavioral medicine faculty or by following established clinical
Guidelines and Protocols,ordersadditionaltests or consults asdeemedappropriate.
5. Performs and communicates results of diagnostic tests following established clinical guidelines and scope of
practice.
6. Consults and communicates with clinic and hospital staffregardingabnormal findings in the evaluations of patients.
7. Performs succinct comprehensive clinical evaluations and documents findings in medicalrecord.
8. Facilitates patient follow-up by coordinatingappropriate servicesand tests for follow-up appointments in the clinic (as
applicable).
9. Develops a comprehensive individualized plan of care for primary care patients, which includes teaching, follow-up
planning and necessary referral to other members of the health careteamas necessary.
10. Demonstratesexpertisein caring for patients across theagecontinuum of their educational experience and
certification.
11.Identifiesunstable or complex primary care patient care situations andfacilitatesappropriate interventionin the clinic
and/or hospital setting.
12.Recognizesemergency situations andinitiateseffective emergency care.
13. Evaluates primary care and behavioral medicine patients and serves as a coordinator for follow up procedures and
tests in the ambulatory setting (as applicable).
14.Assistsin the collection of outcome measures (as applicable).
15. Demonstrates critical thinking and diagnostic reasoning skills in clinical decision making by the identification,
evaluation and management of the individual needs of patients/families.
16. Demonstrates the ability toutilizeequipment in a safe manner.
17. Bases decisions made/actions taken on the relevant scientific principles,establishedstandards of care and/or
research findings.
18. Utilizes teaching/learning theory andappropriate teachingstrategies in the provision of education to nursing staff,
hospital staff, students, patients,familiesand the community.
19. Promotes an environment thatfacilitateslearning by responding toappropriate patient/internalpreferences, priorities
and readiness to learn.
20. Updates own knowledge base throughout the year.
21. Completes all identified clinical competencies.
22. Serves as a resource person for staff caring for the primary care patient.
23. Provides educational programs to professional and paraprofessional personnel inareaof expertise.
24. Participates in community programs, distribution of literature, asappropriate inarea of expertise.
25. Documents the plan of care,interventionsand evaluations in a clear and concise manner for every patient visit in the
patient’s medical record following approved hospital/UHA policies and compliance standards for documentation.
26. Collaborates with other leaders and staff to effectively achieve patientoutcome basedimprovements in care.
27. Provides leadership in the development and implantation of changes in the primary care practice that positively
impact patient outcomes.
28. Works collaboratively with medical and nursing staff to facilitate creative problem solving and provide professional
support.
29. Participates andinitiatesinter-disciplinary approaches to patient care, programdevelopmentand education. Serves
as a professional role model.
30. Promotes and practices innovation of the expanded role in the delivery of care to primary care patients and families
throughout the inpatient hospitalization, and the ambulatory setting.
31. Participates and provides leadership for committees and task forces.
32. Documents hours andsubmitsbilling reports, asappropriate.
33. Reviews and interprets primary care data from sources such as patient registries, clinical and financial reports, length
of stay, access to care, and cost per case reports andrecommends/implementschangesas necessary.
34. Participates in clinical trials and research studies with the Principal Investigator.
35.Assistsprimary care Faculty, Administrators and Directors in the collection of outcome measures.
36. Other duties/projects as assigned.
PHYSICAL REQUIREMENTS: The physical demands described here are representative of those that must be met by an
employee to successfully perform the essential functions of this job. Reasonable accommodations may be made to enable
individuals with disabilities to perform the essential functions.
1. Heavy/Hard Work:Workrequiresstrength and/or stamina, lifting, moving, stooping, reaching, positioning of
patients, standing, walking, and carrying of patients, materials and equipment weighting 40+ pounds.
WORKING ENVIRONMENT: The work environment characteristics described here are representative ofthose anemployee
encounters while performing the essential functions of this job. Reasonable accommodations may be made to enable
individuals with disabilities to perform the essential functions.
1. Working closely with others.
2. Protracted or irregular hours.
3. Working around biohazards.
4. Working around infectious diseases.

5. Working with or near the deceased.
6. Working with hands in water.
7. Electrical hazards associated with patient care equipment.
SKILLS AND ABILITIES:
1.Proficiencywith computers.
2.Strong communicationskills.