Director of Advanced Practitioners for Medicine

Under limited supervision, collaborates with Physician and Administrative Leaders to provide leadership & development opportunities. This role may include intermittent patient care activities of medical, surgical, and critical care inpatients in accordance with hospital, State and National regulatory agency standards. Responsible for supervising the day-to-day schedules and activities of assigned Physician Assistants and Nurse Practitioners for the Hospitalist, Inpatient Surgery, and Critical Care units.

Education

Physician Assistant Program / Nurse Practitioner Program, BS degree required, MS preferred

Experience

At least 3-5 years of related work, inpatient hospital experience; 3-5 years related management experience in a healthcare environment required

Skills

• A high level of analytical ability required in order to assess situations, problem solve, develop goals., objectives, clinical protocols, critical pathways, case management practices, and policies and procedures and implement appropriate interventions.
• Skill in leading, motivating, training and developing others
• Skill in managing fiscal resources
• Management and clinical skills in order to work effectively with executive management, physicians, and insurers
• Written and oral communication and interpersonal skills required to communicate and relate information effectively with staff, the public, physicians, and insurers

Licensures, Certifications

• Licensed as a Physician Assistant by the Board of Medical Examiners of Maryland / Current registration with the Maryland State Board of Examiners of Nurses as a Nurse Practitioner.
• Healthcare Provider CPR biennial
• Completion of “ACLS” preferred
• Certified by NCCPA – National Commission of Certification of Physician Assistant if a PA, or
• Certified by the Maryland Board of Nursing in Specialty if a Nurse Practitioner

Principal Duties and Responsibilities

Assumes responsibility for the initial evaluation and treatment of patients in assigned areas. 

• Performs initial history and physical as evidenced by appropriate documentation
• Initiate referral to appropriate health care professional or physician of problems that exceed the NP/PA scope of practice.
• Monitor and manage stable chronic illnesses of the adult population.
• Obtain and perform medical/social histories and perform physical examination as indicated.
• Order diagnostic testing and therapeutic modalities (medications, IV fluids, etc.)
• Perform acts of diagnosis and treatment as determined by established written protocols.
• Write appropriate standard and medication orders
• Discuss with attending physician and nursing staff, physical or emotional findings that impact patient care.

Evaluates patient progress on a continuing basis and, in collaboration with the attending physician, alters treatment modalities, including:

• Evaluates nursing, medical, social, and educational needs on assigned patients. 
• Initiates referral to appropriate ancillary departments and community resources based on patient need and documents on the progress note.
• Writes progress notes daily, documenting pertinent information regarding patient progress and treatment regime.
• Writes orders appropriate to the patient's care requirements in compliance with hospital policy.
• Establishes medical diagnoses in compliance with standard accepted medical practice.
• Refers to the attending physician or designee those problems, which require consultation and documents it on progress note.
• Makes immediate referral of acute and/or life threatening patient conditions to attending physician or designee.  Documents physical findings and treatment plan pertaining to same. 

Performs technical functions as covered by the job description and delegation agreement submitted to BPQA in accordance with hospital policy including:

• Documents results of technical functions performed and patient response. 
• Reports to physician or designee any abnormal findings related to it.
• Monitors patient response related to technical function performed and documents it.
• Actively supports and participates in nursing and/or hospital performance improvement initiatives.
• Apply, remove, change dressings and bandages
• General care for superficial wounds
• Perform venipuncture for blood sampling, cultures, and IV catheterization
• Remove sutures
• Reports any abnormal findings to physician.
• Acts as a clinical resource.
• Actively participates in hospital PI initiatives.

Performs activities to meet patient/family education needs.

• Counsel and instruct patient and significant others as appropriate.
• Participates actively in health teaching of patient and family to include preventative health care, as well as current medical condition and treatment regime.  Evidence of same by documentation on progress note and/or established flow sheet. 
• Plans and reviews home care instructions with patient and family if needed.  Includes needs for service provided by community resources and hospital based ancillary services.
• Maintains continual communication with health team members regarding patient education and discharge planning.

Human Resource functions:

• Manages human resources within established productivity guidelines and the personnel budget.
• Facilitates training and development efforts.
• Maintains and monitors employee hospital and clinical competencies.
• Monitors and reviews work performance of the staff.
• Interviews and selects personnel.
•     Develops and implements appropriate staffing patterns for the work schedules of mid-level practitioners to ensure coverage.
•     Participates in hospital committee work, HR mandatory training and PI initiatives.

Other Administrative Duties:

• Strategic planning representative to coordinate with hospital programs and initiatives, as needed
• Represent Advanced Practitioners in Medical Staff Meetings
• Development and implementation of Professional Development/Career Development and/or educational program for Advanced Practitioners
• Assists in managing the Departmental budgets and in preparing the operating budgets. Maintains expenditures within approved budgets and prepares variance reports as required
• Assumes responsibility for utilizing opportunities for educational advancement by pursuing activities to meet identified educational needs and those required for continued certification as well as attending mandatory inservice as required.
• Coordinates NP/PA services with other Hospital departments to ensure quality patient care.

Physical Requirements

• Ability to work under varying degrees of stress and the ability to adjust to changes in the work environment. 
• Work is of medium to heavy physical demand; walking and standing most of the time.

Working Conditions

• Normal patient care environment with exposure to excessive noise, dust and temperature
• Frequently exposed to moderately adverse working conditions due to performance of certain patient care activities.  Exposure to communicable diseases.

Conditions of Employment

• Maintain current licensure and certifications
• Maintain CME requirements needed for licensure.
• Comply with conditions of contract.

All roles must demonstrate GBMC Values

GBMC Values

Value Description

Respect

I will treat everyone with courtesy. I will foster a healing environment.

• Treats others with fairness, kindness, and respect for personal dignity and privacy
• Listens and responds appropriately to others’ needs, feelings, and capabilities

Excellence

I will strive for superior performance in every aspect of my work. I will recognize and celebrate the accomplishments of others.

• Meets and/or exceeds customer expectations
• Actively pursues learning and self-development
• Pays attention to detail; follows through

Accountability

I will be professional in the way I act, look and speak. I will take ownership to solve problems.

• Sets a positive, professional example for others
• Takes ownership of problems and does what is needed to solve them
• Appropriately plans and utilizes required resources for various job duties
• Reports to work regularly and on time

Teamwork

I will be engaged and collaborative. I will keep people informed.

• Works cooperatively and collaboratively with others for the success of the team
• Addresses and resolves conflict in a positive way
• Seeks out the ideas of others to reach the best solutions
• Acknowledges and celebrates the contribution of others

Ethical Behavior

I will always act with honesty and integrity. I will protect the patient.

• Demonstrates honesty, integrity and good judgment
• Respects the cultural, psychosocial, and spiritual needs of patients/families/coworkers

Results

I will set goals and measure outcomes that support organizational goals. I will give and accept help to achieve goals.

• Embraces change and improvement in the work environment
• Continuously seeks to improve the quality of products/services
• Displays flexibility in dealing with new situations or obstacles
• Achieves results on time by focusing on priorities and manages time efficiently

Pay Range

$143,825.48 - $258,885.86

Final salary offer will be based on the candidate's qualifications, education, experience and alignment with our organizational needs.

COVID-19 Vaccination

All applicants must be fully vaccinated against Covid-19 or obtain a GBMC approved medical or religious exemption prior to starting employment at GBMC Healthcare, to include Gilchrist and GBMC Health Partners.

Equal Employment Opportunity

GBMC HealthCare and its affiliates are Equal Opportunity employers. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity and expression, age, national origin, mental or physical disability, genetic information, veteran status, or any other status protected by federal, state, or local law.