APP Lead - Neurosurgery ICU

Job Description Summary

The APP Lead (Nurse Practitioner or Physician Assistant) will provide guidance and oversight to a defined team of APPs working in the NSICU areas, while also working clinically as an APP on the unit. The Lead will evaluate and manage inpatients on the Neurological Surgery Service while also managing the schedule, providing basic clinical oversight and bi-directional communication of operational priorities.

Entity

University Medical Associates (UMA) Only Employees and Financials

Worker Type

Employee

Worker Sub-Type​

Regular

Cost Center

CC003542 COM NSGY Coverage CC

Pay Rate Type

Salary

Pay Grade

Health-33

Scheduled Weekly Hours

40

Work Shift

Rotating (United States of America)

Job Description

Fair Labor Standards Act Status: Salaried/ Exempt

                                                                                                                     
Hours per week: Full Time Shift Work– hours per week vary

Scheduled Work Hours/Shift: 14 (13-hour) shifts a month which includes nights, weekends and holiday coverage on a rotating schedule. Administrative time of ½ day per week of total time worked will be dedicated to the Lead role

Patient Population Focus
Neuroscience Intensive Care Unit (ICU)

Patient Population Age Range
13 years-death

Required Minimum Training and Experience Training
Current licensure as a Physician Assistant or currently licensed as an APRN as noted below. One year of experience as an APP and/or experience in a managerial or leadership role is required.

Physician Assistant

or

Nurse Practitioner License Type/ Certification:

• 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.

Additional Required Licensure, Certifications, Registrations

• Basic Life Support (BLS).

• Advanced Cardiovascular Life Support (ACLS)

• DHEC and DEA license

Preferred Training and Experience

Training: At least 1 year of Neurosurgical care as an NP/PA-C and at least two years of experience as an APP is preferred. Prior supervision of Advanced Practice Providers, or participation within an Advanced Practice Provider leadership program is also preferred.

 

Job Duties:

 

25% APP Lead Duties:

 

• Hold monthly meetings with APPs using BPC Meeting template and send to team.
• Attend 80% of APP Manager meetings held by APP BPC (second Monday of the month, 4:30-5:15pm on Teams)
• Attend department faculty/staff meetings and cascade information to APP team
• Manage schedule coverage if applicable
• Conduct APP interviews and record progress in OurDay (if applicable), partner with department leadership and HR for job offer/salary quotes.
• Ensure Transition to Practice document is given to new APP hires
• Assist with 30/60/90/120 day evaluations with physician and/or department leadership, along with perform 1:1 with APPs on a regular basis
• Assist with performance evaluations with physician and/or department leadership
• Work with physician/department leadership to ensure compliance with annual mandatories or other compliance-related requirements
• Coordinate APP student rotations for both internal and external students, coordinate APP fellow rotations if applicable.
• Assist with APRN Practice Agreements and PA Scope of Practice documents to ensure compliance with state boards and MUSC Credentialing.
• Develop and implement any new initiatives involving APPs in conjunction with the APP Best Practice Center.
• Assist in coaching and facilitating the development, support, and management of the APRN/PA group within the department.
• Develop staffing systems which respond effectively and quickly to changes in patient volume, acuity or service demands. 

75% APP Clinical 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
• Performs the following therapeutic procedures in accordance with procedural privileges, skill and proficiency as approved by the Clinical Division Chief. The Nurse Practitioner will assist/perform the following, but NOT limited to:

• • Lumbar Puncture
  • Central Venous line placement
  • Pulmonary Artery Catheterization
  • Arterial line placement
  • Endotracheal Intubation
  • Chest Tube placement
  • Bronchoscopy
  • Thoracentesis
  • Paracentesis
  • Perform suturing/stapling, and removal of catheters/ tubes/ drains as needed.
• Initiates referrals to other health care provides, and/or consults with the attending physician or the collaborating physician
• Potential to first assist in the operating room
• 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

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. 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.

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