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Description

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Summary:
An Advanced Practice Provider (APP) functions as part of the interdisciplinary healthcare team in accordance with privileges approved by the credentialing committee to provide high quality, cost effective care to patients within the APPs scope of practice in collaboration with a supervising physician. The APP reflects the mission, vision, and values of the organization, and complies with all relevant policies, procedures, guidelines and other regulatory and accreditation standards.

The UNC Division of Hematology-Oncology is seeking an Advanced Practice Provider (APP) to join our outpatient leukemia program. The general responsibilities of the APP occupying this position are to support the leukemia patients while under the care of leukemia subspecialty physicians.

In coordination with supervising physician, Dr. Joshua Zeidner, and within the defined scope of practice, the APP is expected to:

* Perform initial and periodic medical history, physical examinations, and regular assessments

*Evaluate return patients with diagnosed leukemia and bone marrow cancers, via independent templated schedule

*Order and interpret appropriate diagnostic tests accurately based on the pre-determined plan of care

*Record findings of examinations, assessments and plan of care

*Document all patient encounters, record observations, interventions, and actions in a medically appropriate manner on the patient's medical record

*Promote evidence-based practice

*Work collaboratively with leukemia research teams

*Assist with planning for transitions of care

*Work as a team player and functions as a member of an interdisciplinary team

*Attend, participates and contributes to group/practice meetings and development of policies and procedures when requested

*Teach learners from multiple disciplines

*Participate in program development and quality improvement endeavors

*Lead family/patient meetings and providing compassionate support and counseling about the dying experience, symptom management, life-sustaining treatment decisions, and out-of-hospital care options such as hospice

*Respond to patient inquiries

*Work in collaboration with other providers and ancillary staff

The position serves the patients of the NC Cancer Hospital, as well as the physicians of the Division of Hematology at the UNC Medical Center in Chapel Hill. The position will be supervised clinically by the Leukemia Section Chief, and administratively by the SOM Dir of HemOnc, and supported by our APP Lead in the Outpatient arena.

The position will interface with the supervising physician as outlined by Board of Nursing regulations and institutional policy. The position will interface with other physicians as needed in person, via telephone, and via electronic communication.

The APP will undergo a period of training under the direction of the physician supervisor and the established APP Leads in the Hematology/Oncology Division. During that time, the APP will orient to the appropriate diagnostic and care algorithms for patients undergoing treatment for leukemia.

Responsibilities:
1. Clinical- Obtains relevant health and medical history, performs thorough physical assessment, reviews and interprets pertinent diagnostic tests/results. Develops appropriate differential diagnoses. Develops and implements treatment plans including prescribing/ordering of appropriate evidence-based pharmacological agents consistent with departmental guidelines and privileging, and schedules appropriate follow-up management. Actively incorporates evidence-based hospital initiatives to improve patient care. Conducts preventive health screening based on age, history and patient needs. Maintains clear comprehensive yet concise records of all aspects of patient care. Maintains essential knowledge of general disease and pathologic processes. Maintains extensive knowledge of their specialty literature including awareness of developing areas. Consistently derives correct diagnoses through synthesis of clinical data and proper selection and interpretation of diagnostic studies. Develops comprehensive differential diagnoses for patients. Revises the plan of care to meet the changing needs of the patient. Prioritizes work and assists staff to provide prompt and efficient client flow. Consistently maintains high productivity according to identified standards. Leads/participates in projects to improve productivity. Appropriately performs medical procedures consistent with departmental guidelines, privileging, and clinical roles/responsibilities.
2. Education- Appropriately and professionally educates clients and/or families regarding medical condition, treatment, and follow-up. Collaborates with clinicians, staff, and students to promote continuity and patient/family centered care. Develops educational materials based on learning needs of clinicians, staff, and students. Provide education/instruction to physicians, housestaff, nursing, ancillaries and/or students. Actively recognizes and participates in identification and achievement of self-learning needs. Attends education programs based on identified learning needs.
3. Leadership- Provides instruction to physicians, housestaff, nursing, ancillaries and/or students including but not limited to precepting, shadowing, lectures, training classes, CE, rounds, morning report, and or staff meetings. Participates in community/network outreach programs. Develops/leads community/network outreach programs. Demonstrates both an understanding of the contexts and system in which healthcare is provided and the ability to apply this knowledge to improve and optimize health care delivery. Leads/participates in systems improvements.
4. Professionalism- Interacts with patients and families in a respectful, courteous and timely fashion using appropriate communication for the patient and situation. Interacts collaboratively with coworkers, other team members and staff in a respectful, courteous, and timely fashion appropriate to patient care needs and situations. Responds quickly to meet customer needs and resolve problems. Accepts responsibility for outcomes of one?s work. Shares responsibility for overall workload with team members.
5. Quality/Research- Engages in daily continuous quality improvement by identifying and implementing processes for improvement. Consults with management in assessment, problem-solving, decision-making, and evaluating clinical/system issues and models of care. Leads interdisciplinary teams to provide integrated delivery of patient care services. Initiates and revises protocol(s) or guideline(s) to reflect evidence-based changes in care management Works to influence policy-making bodies to improve patient care. Develops new clinical programs or services within the department/unit/clinic to improve patient care.

Other Information

Other information:
Education Requirements:
* Completion of an accredited graduate-level Advanced Practice Provider (APRN or PA) program.
Licensure/Certification Requirements:
* Licensed as an Advanced Practice Provider (i.e., Nurse Practitioner, Physician Assistant, Certified Nurse Midwife) in the state of North Carolina. Board certification if required by the Department. DEA.
Professional Experience Requirements:
* No prior experience required.
Knowledge/Skills/and Abilities Requirements:
* Demonstrated clinical competency. Effective leadership skills. Strong interpersonal skills. Ability to work independently and collaboratively. Demonstrated written and verbal communication and strong analytical skills. Effective interaction to ensure the successful care of patients in the clinical setting. Documentation in the medical record to substantiate accurate billing.

Job Details

Legal Employer: STATE

Entity: UNC Faculty Physicians

Organization Unit: SOM Med Hematology

Work Type: Full Time

Standard Hours Per Week: 40.00

Work Schedule: Day Job

Location of Job: US:NC:Chapel Hill

Exempt From Overtime: Exempt: Yes

This is a State position employed by UNC Health Care System.