Medical University of South Carolina

Health sciences university in Charleston, SC

Nurse Practitioner or Physician Assistant - Gastroenterology & Hepatology

Advanced Practice ProvidersPosted on Nov 13

Full-timeCharleston, SC, USANo salary listed

About the Job

Requirements

Completion of an accredited Physician Assistant program and current or eligible licensure as a Physician Assistant, or completion of an accredited Nurse Practitioner program and current or eligible licensure as an APRN.
For an Adult Gerontology Primary Care NP or Adult NP, qualification to care for adults aged 13 years through end of life in stable chronic disease management or primary care is required.
For a Family NP, qualification to provide stable chronic disease management and primary care across the lifespan is required.
Current Basic Life Support certification is required.
If applicable, DHEC and DEA license applications must be started before the first day of work.
Maintain licenses, certifications, and continuing education requirements, including CNEs or CMEs, as required by policy and state law.
Perform required physical functions, including standing, walking, sitting, bending, kneeling, climbing stairs, reaching, manual dexterity and repetitive motions; qualify for respirator use; maintain corrected 20/40 vision; work in a latex-safe indoor environment; and frequently handle objects weighing approximately 50 pounds unassisted.
At least two years of experience as a Physician Assistant, Family Nurse Practitioner, or Adult Nurse Practitioner is preferred.

Responsibilities

Provide direct patient care, including taking comprehensive histories and performing physical examinations.
Evaluate and treat patients based on history, physical examination, radiological, laboratory, and other diagnostic test results under the applicable practice agreement or scope-of-practice guideline.
Initiate referrals to other health care providers and consult with attending or collaborating physicians as appropriate.
Document and bill for direct care provided.
Use current research and evidence-based decision-making in clinical practice.
Participate in quality and performance improvement activities and clinical research.
Support organizational accreditation, compliance, and regulatory activities.
Participate in professional organizations and continuing education to maintain professional practice.
Potentially precept advanced practice provider students and facilitate the learning of new team members.
Assess gastrointestinal patients through history, physical examination, diagnostic testing, and outpatient endoscopic procedures.
Help develop short- and long-term patient-care goals and treatments; order and interpret indicated diagnostic studies; and prescribe appropriate treatments and medications within authorized privileges and applicable guidelines or physician collaboration.
Complete required documentation legibly, thoroughly, and promptly; coordinate inpatient and outpatient care; and assist with biologic therapy infusions or injections.
Facilitate contact with attending physicians, provide timely feedback to referring physicians, and assist with follow-up visits and transition to community services.
Make early post-procedure telephone contacts with discharged patients and triage patient and family calls using established protocols.
Report patient and administrative matters to the Division Director of Gastroenterology and Hepatology.
Plan and manage care with physicians, nurses, staff, social services, and community providers; evaluate treatment responses and document progress in the outpatient setting to support patient outcomes, cost, and quality.
Provide clinical management of assigned patients under protocol or attending supervision/collaboration; conduct patient monitoring and selected procedures appropriate to licensure and competencies.
Monitor laboratory work in the clinical database for patients on immunomodulators or biologic therapies, report unusual findings to physicians, obtain physician orders for plans outside protocol, and follow up laboratory and test results.
Document patient assessments, plans, orders, procedures, and progress.
Educate patients, families, medical and clinical staff, and other health care providers about health, illness, health maintenance, and disease prevention; provide pre- and post-operative and family education as appropriate.
Communicate services to patients and families, remain available throughout the episode of illness, and help solve issues and outcomes related to patient care.
Educate patients on risk-benefit profiles of anti-TNF, IL-12/23, IL-23p19, and anti-integrin biologic therapies, and JAK inhibitors and S1P receptor modulators.
Ensure latent tuberculosis testing (IGRA or PPD), viral hepatitis panels (HBV and HCV), and infectious disease clearances are completed and documented before immunosuppression.
Work with clinical pharmacists and medication navigators to submit peer-to-peer appeals, medical necessity letters, and patient assistance applications.

Job Description Summary

The successful applicant will be an Advanced Practice Provider interested in working full-time in the care of gastrointestinal patients. 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. This position will have a focus on inflammatory disease patients.

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

Work Shift

Job Description

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
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: At least 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 providers, 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 legibly, 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. Assist with follow-up care, including scheduling of follow-up visits and interfacing with community services to ensure the optimal transition of the patient and family into the community setting. 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 provide 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.
IBD Therapy Selection & Initiation: Educate patients on risk/benefit profiles across biologic classes (anti-TNF, IL-12/23, IL-23p19, anti-integrin) and small molecules (JAK inhibitors, S1P receptor modulators). Ensure completion and documentation of latent TB testing (IGRA/PPD), viral hepatitis panels (HBV, HCV), and infectious disease clearances prior to immunosuppression.
Access & Prior Authorizations: Partner with clinical pharmacists and medication navigators to submit peer-to-peer appeals, medical necessity letters, and patient assistance applications

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

About the Company

Medical University of South Carolina

Health sciences university in Charleston, SC

Medical University of South Carolina is a public academic health sciences university in Charleston, South Carolina. It offers bachelor's, master's, doctoral, and professional degrees through six colleges in dental medicine, graduate studies, health professions, medicine, nursing, and pharmacy.

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