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Advanced Practice Clinician - Department of Medicine

Thomas Jefferson University & Jefferson Health
United States, Pennsylvania, Philadelphia
Jan 14, 2025

Job Details

The Department of Medicine is seeking a Advanced Practice Provider (Nurse
Practitioner or Physician Associate) who provides care to an underserved population
of patients. The role's purpose is to bridge the gap of social injustices in health care
through our flagship comprehensive care center. This unique role provides care to
patient's inpatient, in an urgent care setting, and for well health maintenance visits. This
individual can care for complex medical conditions while building a strong rapport with
patients throughout many years.

Job Description

Specific Duties & Responsibilities: Clinical Responsibilities * Will assess each patient that presents to the center in crisis and will write orders for these patients. * The Nurse Practitioner (NP) assessment will include taking a history and physical. * The NP will also write prescriptions for patients who have called in advance and who present to the infusion center for refills. The NP will document narcotics in opioid database in collaboration with other prescribers. * Collaborate with the multi-disciplinary team including psychiatry, nursing, social work, community health worker, hematologist, and place necessary referrals. * Assist with providing comprehensive and episodic care to patients with sickle cell disease. This includes taking a history, completing a physical assessment, and interpreting diagnostic tests. * Provide routine health maintenance for patients with sickle cell disease. This includes review of the patient chart and diagnostic information to assess that labs and radiologic testing are being completed as per protocol. * Sees and assists the primary medical team on sickle cell patients admitted to the hospital. * Provides inpatient coverage for the general hematology service. * Propose and implement medical therapy and treatment plans for patients seen in the clinic and followed by collaborating physicians. * Provide chronic pain management, including having patients sign pain contracts, refilling medications, and tracking of prescribed narcotics. * Monitoring of patients while on therapy to evaluate for side effects and to evaluate for expected outcomes. * Adjusting and starting new medications as indicated by patient condition. * Counsels and teaches patients and family members regarding disease process and expected outcomes. * Assist with the management of chronic transfusion patients. * Make referrals to other specialists as indicated by the patients' condition. * Dictate clinic notes and other pertinent data that are necessary in the care of the patient. Provide information to referring physicians. * Monitoring patients that are on hydroxyurea and other disease modifying therapy. * Provide presentations on sickle cell disease for other health care professionals. * Coordinate and act as a sub-investigator in phase II, III and IV clinical trials. This includes preparing and submitting forms to the IRB. Enrolling patients into studies by completing health assessment and physical examinations. * Reviewing lab work and diagnostic tests and making changes as indicated by lab results while following the protocol. This also includes potentially discontinuing a patient on a study for reasons of non-compliance or other issues. * Attend clinic meetings and other meetings with program leadership. Customer Service & Teamwork Responsibilities * Shows professionalism in person and on the telephone with coworkers, patients, visitors, and supervisors. * Utilizes proper telephone etiquette. Warmly greets patients and visitors. * Handles and resolves patient complaints non-defensively and without blame to other employees. Seeks to satisfy a dissatisfied customer. * Is generous in assisting and supporting others. Participates in coverage of the Sickle Cell Clinic. * Is sensitive to the interrelationship of both people and functions within the department. Computer Knowledge Expectations * Operates personal computer to access email, computerized scheduling and documentation databases, and other basic office support software. * Successfully completes all necessary training courses and other applicable clinical software systems * Completes all required HIPAA and other specified online training courses. Other duties may be assigned by the employee's immediate supervisor, division management or a healthcare provider in order to ensure an efficient office that will assist the Division in fulfilling its mission. Minimum Qualifications (Mandatory): Master's degree in nursing; Registered Nurse license and Certified as a Nurse Practitioner. Must be licensed as NP in State of Maryland or other state where practicing. Additional experience may substitute for master's degree, as permitted by the JHU equivalency formula . Current American Heart Association or American Red Cross CPR certification required. Must maintain current licensure and certification during duration of employment. Completion of the JHH (insert designated work location) credentialing process is required prior to start date. JHU Equivalency Formula: 30 undergraduate degree credits (semester hours) or 18 graduate degree credits may substitute for one year of experience. Additional related experience may substitute for required education on the same basis. Preferred Qualifications: * Minimum of three years of related clinical NP experience strongly preferred. * Familiarity with regulations and standards governing NPs in the State of Maryland. Certification/Licensure: * Successful completion of the national certification examinations. Active CDS, DEA, and buprenorphine waiver required. Additional Knowledge, Skills & Abilities: * Strong oral and written communication skills required. * Demonstrated ability for self-direction and initiation required. * Demonstrated ability to work independently and as part of a team required. * Demonstrated customer service skills required. * Must be able to prioritize responsibilities and work in a fast-paced environment. Physical Requirements: Sitting, standing and walking for extended period. Reaching by extending hand(s) or arm(s) in any direction. Finger dexterity required to manipulate objects with fingers rather than with whole hand(s) or arm(s). Ability to move standard equipment through a hospital or clinical environment

Work Shift

Weekend Day (United States of America)

Worker Sub Type

Regular

Primary Location Address

100 S 9th Street, Philadelphia, Pennsylvania, United States of America

Nationally ranked, Jefferson, which is principally located in the greater Philadelphia region, Lehigh Valley and Northeastern Pennsylvania and southern New Jersey, is reimagining health care and higher education to create unparalleled value. Jefferson is more than 65,000 people strong, dedicated to providing the highest-quality, compassionate clinical care for patients; making our communities healthier and stronger; preparing tomorrow's professional leaders for 21st-century careers; and creating new knowledge through basic/programmatic, clinical and applied research. Thomas Jefferson University, home of Sidney Kimmel Medical College, Jefferson College of Nursing, and the Kanbar College of Design, Engineering and Commerce, dates back to 1824 and today comprises 10 colleges and three schools offering 200+ undergraduate and graduate programs to more than 8,300 students. Jefferson Health, nationally ranked as one of the top 15 not-for-profit health care systems in the country and the largest provider in the Philadelphia and Lehigh Valley areas, serves patients through millions of encounters each year at 32 hospitals campuses and more than 700 outpatient and urgent care locations throughout the region. Jefferson Health Plans is a not-for-profit managed health care organization providing a broad range of health coverage options in Pennsylvania and New Jersey for more than 35 years.

Jefferson is committed to providing equal educational and employment opportunities for all persons without regard to age, race, color, religion, creed, sexual orientation, gender, gender identity, marital status, pregnancy, national origin, ancestry, citizenship, military status, veteran status, handicap or disability or any other protected group or status.

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