Overview Responsible for providing prenatal, postnatal, general medical care and treatment of patients within the Maternal Fetal Medicine division which is a division of the Department of Obstetrics and Gynecology at Eastern Virginia Medical School. Nurse Practitioners are expected to function as an independent provider primarily coordinating pre-pregnancy, prenatal and post-partum care in women with high-risk pregnancies. This position will provide a combination of inpatient and outpatient care duties. Maternal Fetal Medicine nurse practitioners’ function in an expanded nursing role and perform selected tasks and services within the province of medicine as well as tasks that fall within the province of nursing. Nursing and medicine must maintain ongoing collaboration in education and practice so that the nurse practitioner is maximally effective in meeting the primary health-care needs of women. When performing nursing aspects of this role, the practitioner must have the opportunity to engage in independent as well as co-operative decision-making. When performing expanded aspects of the role that overlap with medicine, the practitioner must function in collaboration with qualified physicians within the framework of jointly approved guidelines. Nurse practitioners not only must be prepared and competent to apply additional knowledge and skills, but also must be ready and willing to accept responsibility and accountability for their practice. This position will require travel between all Maternal Fetal Medicine locations and Sentara Norfolk General Hospital. Responsibilities Obtain a complete health, psychosocial, obstetric, and gynecologic history and record findings in a systematic, accurate, and succinct form Perform a complete physical examination, with specific emphasis on the reproductive system Order, perform, and interpret routine laboratory tests Develop and implement plans for health promotion and health maintenance, including plans for disease prevention and provision of health education and counseling Provide periodic health assessment of normal, non-pregnant, and asymptomatic women Provide clinical management of women having gynecologic problems Provide assessment, education, and management for family planning and fertility control Provide prenatal care for women with pregnancies, giving attention to both maternal and fetal health Provide postpartum care, including attention to parent and infant relationships, for women who have had pregnancies Provide health education and counseling, with emphasis on physical and psychosocial dimensions of adolescence, sexuality, childbearing, parenting, climacteric, aging, and family life Co-manage care for patients with selected health complications in collaboration with the physician Arrange referrals to other members of the health-care team as needed and to community resources as appropriate Qualifications Required: Nurse Practitioners must have a MSN with a nurse practitioner focus. Must be a licensed RN by the Virginia Board of Nursing and a certified nurse practitioner. Physician Assistants must have a MPA and be credentialed as a licensed Physician Assistant within the Commonwealth of Virginia. Preferred: Experience as a Nurse Practitioner or a Physician Assistant with obstetric patients is preferred by not required. CDCES Certification is desirable, but not required. Location : Location US-VA-Norfolk
Overview General Obstetrics & Gynecology nurse practitioners’ function in an expanded nursing role and perform selected tasks and services previously within the province of medicine as well as tasks that fall within the province of nursing. Nursing and medicine must maintain ongoing collaboration in education and practice so that the nurse practitioner is maximally effective in meeting the primary health-care needs of women. When performing nursing aspects of this role, the practitioner must have the opportunity to engage in independent as well as co-operative decision making. When performing expanded aspects of the role that overlap with medicine, the practitioner must function in collaboration with qualified physicians within the framework of jointly approved guidelines. Nurse practitioners not only must be prepared and competent to apply additional knowledge and skills, but also must be ready and willing to accept responsibility and accountability for their practice. Primary care is provided at all levels of the health-care system, but predominately in an ambulatory setting. The obstetric-gynecologic/women’s health nurse practitioner provides such care in collaboration with physicians, as well as with other members of the health-care team. Position supports all office locations. Practitioner will be required to travel between all office locations. Position will work directly with the Minimally Invasive Gynecology Surgery division within the department of Obstetrics and Gynecology. Responsibilities Provide diagnostic and therapeutic healthcare for complex gynecological conditions, such as endometriosis and abnormal uterine bleeding. Perform history and physical examinations, initial medical decision making and perform minor office procedures. Educate patients as to the nature of disease and provide instruction on proper treatment and care. Provide general OBGYN principles and practices to patient care. Obtain a complete health, psychosocial, obstetric, and gynecologic history and record findings in a systematic, accurate, and succinct form. Perform a complete physical examination, with specific emphasis on the reproductive system. Manage post-operative care, performing clinical follow-ups and collaborating with surgeons and healthcare team. Order, perform, and interpret routine laboratory tests. Provide clinical and medication management of women having gynecologic problems. Co-manage care for patients with selected health complications in collaboration with the physician. Arrange referrals to other members of the health-care team as needed and to community resources as appropriate. Monitor and make recommendations to nursing policy and procedure manual to include development of nursing protocols and procedures for same. Partner with the Division Director, Department Administrator and Practice Manager on quality standards, meaningful use, clinical workflows, nursing education and the delivery of exceptional patient care. Perform inpatient post-operative rounds, consultations and emergency department consultations as necessary. Performs other duties as assigned. Qualifications MSN with a nurse practitioner focus is required. Must be a licensed RN by the Virginia Board of Nursing and a certified nurse practitioner. Experience as a Nurse Practitioner or a Physician Assistant with obstetric or surgical patients is preferred but not required. Location : Location US-VA-Norfolk
Overview Function as an independent nurse clinician in coordinating patients to include the performance, interpretation, and reporting of test results, assessment of patient status, educational needs, and follow up care. Provides education for staff and community and assists with research programs. Responsibilities Recognize normal versus abnormal results; prepares accurate, readable report of the test; contact physician when necessary. Assess health education needs of patient to provide ongoing evaluation of necessary instructions. Provide a holistic approach in the care of all patients. Triage incoming patients by obtaining vital signs, reconcile current medication list, reconcile allergies and determine chief complaint. Administer injections of medications or immunizations in accordance with approved nursing protocol or standing orders and document appropriately in the patients’ electronic medical record. Observe patient for any adverse reactions. Assist with and maintain ongoing knowledge of billing and insurance protocols. Assist physicians with examinations, minor surgeries, diagnostic procedures and treatments. Implement standing orders when applicable. Provide basic care as ordered. Maintain clinical competency in areas of responsibility to ensure quality patient care which includes validation of skill level by passing both verbal and written tests administered by Supervisor. Promote the philosophy, goals and objectives of the School and the Department by becoming familiar with and complying with policies and procedures. Contribute to the well-being of patients by serving as a positive role model and demonstrating a professional, caring attitude, and behavior towards co-workers, patients, and guests. Collects samples, such as urine, blood and sputum, from patients for testing and perform routine laboratory test on samples. Must be able to log in collection sample and follow-up on results. Appropriately document all nursing interventions in the electronic medical record. Review chart for completeness, test results and billing Maintain knowledge of all office procedures: ECG, “in-house” labs, spirometry, administration of nebulizer treatments, insertion and monitoring of IVs, assistant with minor surgical procedures and GYN procedures. Call test/lab results to patients and answer questions regarding those results and physician instructions. Respond to questions from patients, family members, faculty/residents, other health care providers in a timely and professional manner. Patient phone calls should be answered or documented the same day they are received. All patient conversation must be documented in the chart, as well as, attempts to reach patient. Review and work/complete all “tasks” assigned to you and your individual team (as well as covering for other nurses who may be absent. This will include responding to patient messages, prescription refills, lab results, referrals, home health agencies, medication prior authorizations, patient forms and follow up from physicians. Patient education; diabetic teaching of home monitoring, coagulation therapy, discharge medication reconciliation, drug assistance programs nutrition and barriers to care. Participate in staff meeting, education lectures, and PCMH/QI improvement activities. Sustain the quality assurance of patient charts. Monitors clinical supply levels and inventory for the entire facility and place orders as needed. Performs venipuncture as needed. Completes patient’s FMLA and disability forms. Complete other miscellaneous duties as assigned. Qualifications Must have a valid Virginia license as a Professional Registered Nurse. Graduation from NLN Accredited School of Nursing with RN required, BSN preferred. Prior clinical experience is preferred. Location : Location US-VA-Norfolk
Overview The Department of Medicine has developed a Comprehensive Sickle Cell Program in collaboration with the Departments of Physical Medicine and Rehabilitation and Psychiatry. This program is supported by EVMS and Sentara Health. The goal of this program is to provide top-notch outpatient and inpatient clinical care to patients with sickle cell disease. We are looking for Advanced Practice Providers (APP), a nurse practitioner (NP) or a physician assistant (PA), who will function as a clinical provider in the Division of General Internal Medicine, Department of Medicine. The APP will participate in all aspects of patient care and will participate in the supporting roles of consultant and educator as indicated. The clinical practice will mostly focus on clinical care of patients with Sickle Cell Disease in the hospital and in the outpatient clinic under supervision of clinical faculty. The clinical practice may also include provision of primary care to all types of patients. Responsibilities Independently assess, diagnose, & develop treatment plans for patients with sickle cell disease as well as patients in the area of Primary Care in accordance with protocols and standards of care. Promote a schedule of health promotion examinations and interventions in our patient population Obtain medical histories, perform physical examinations, and prescribe, dispense or deliver medications under a collaborative practice agreement. Differentiate between normal and abnormal findings and orders appropriate diagnostic studies. Provide anticipatory guidance and counseling to patients/families. Document patient assessment and plan of care in the medical record and generate appropriate outgoing correspondence. Be familiar with documentation requirements to insure proper billing. Initiate and coordinate referrals to other health care team members or agencies. Serve as a consultative resource to nursing staff. Participate in the development, utilization and evaluation of resources to meet patient/family educational needs. Provide education to external agencies, community and other health professionals. Participate in development and implementation of divisional and departmental quality assessment/improvement/research programs and processes. Monitor task module of the electronic health record to insure timely response. Responsible for administrative activities and special projects as assigned. Contribute toward the achievement of divisional and departmental goals. Participate and contribute to activities that enhance clinical expertise and nursing knowledge. Participate in professional nursing activities in the division, community and professional organizations. Maintain effective working relationships with faculty, staff, residents and the public. Performs other duties as assigned. Qualifications Nurse Practitioner’s must have MSN and must be a licensed RN by the Virginia Board of Nursing and a certified Nurse Practitioner. Physician Assistant must have an MPA. Must be a licensed Physician Assistant within the Commonwealth of Virginia. EXPERIENCE PREFERRED: Schedule II prescriptive eligibility Knowledge of or experience working with: persons with sickle cell disease, chronic pain management; cardiovascular disease is preferred. Intermediate knowledge of and experience with personal computer Intermediate word processing skills required Location : Location US-VA-Norfolk
Overview The Advanced Practice Provider (APP) will play a pivotal role within the EVMS Department of Medicine, Hospitalist Division, with a focus primarily on night shifts. In this dynamic position, APP will take charge of managing health issues and coordinating healthcare in progressive care or acute care in-patient hospital settings. As an integral part of our team, the APP holds the responsibility of delivering top-notch patient care and medical services to individuals, families, and/or groups within the hospital setting. This includes working independently and collaboratively with a sponsoring physician, and internal medicine residency program teaching teams, providing a wide range of health care services. The scope of practice encompasses conducting thorough health assessments, diagnosing medical conditions, developing personalized medical plans of care, and prescribing/providing treatments and interventions. APP will also play a key role in evaluating patient responses, making referrals, and adeptly managing both acute and stable chronic illnesses. This position offers a unique opportunity to work independently during overnight shifts, showcasing autonomy and expertise. APPs will have access to remote physician support as needed, ensuring a collaborative and supportive environment. Will include a night shift differential in pay. Responsibilities Able to evaluate medical problems of patients in the in-patient setting, devise a management plan of care including further testing and medications, and appropriately requests consultation of other specialties when indicated. Provides education to patients and/or families about preventive care, medical issues and use of prescribed medical treatments and/or medications pertinent to the patient’s condition. Creates diagnostically appropriate treatment plans Documents all medical evaluation, diagnoses, procedures, treatments, outcomes, education, referrals and consultations consistent with NCQA, The Joint Commission, state regulatory standards and evidenced-based standards of care. Maintains documentation compliance for appropriate coding and billing. May refer complex and high priority cases to collaborating physician with regards to complicated diagnostic problems, serious illness, complicated therapeutic problems and re-evaluation of chronic conditions. Provides medical and emergency interventions appropriate to the patient’s needs; prescribes and monitors medications appropriate to the diagnosis; orders and monitors the appropriateness of emergency interventions. Maintains collegiality with all members of the inter-disciplinary team. Utilizes appropriate chain-of-command and communicates with Division Chief, or designee, any clinical issues appropriately and contributes to quality improvement or process improvement as necessary. Must be able to perform the professional, clinical and or technical competencies of the hospitalist role. Initial assessment of the patient’s service needs; Develops treatment plans for patients and or revises in accordance with applicable protocols and standards of care. Differentiates between normal and abnormal findings and orders appropriate diagnostic studies. Counsels’ patients and their families, when necessary, in areas such as health maintenance, medication adjustments and end of life issues. Maintains strict confidentiality of patient information in accordance with HIPAA and handles all matters professionally with sensitivity to racial, ethnic, and sexual orientation issues. Maintains effective working relationships with faculty, staff, residents and the public. Participate in development and implementation of divisional and/or departmental quality assessment/improvement/research programs and processes as requested. Contributes toward the achievement of divisional and/or departmental goals. Participates and contributes in/toward activities that enhance clinical expertise. Participates in professional clinical activities in the Department, Division, community and professional organizations as needed or requested. Signs out patients at the end of clinical work Performs other duties as assigned. Note: These statements are intended to describe the essential functions of the job and are not intended to be an exhaustive list of all responsibilities. Qualifications Nurse Practitioners must have an MSN with a nurse practitioner focus. Must be a licensed RN by the Virginia Board of Nursing and a certified nurse practitioner. Physician Assistants must have an MPA. Must be a licensed Physician Assistant within the Commonwealth of Virginia. BLS and ACLS Certification required. Age-appropriate training for “population served” may depend on NP or PA program training and may require additional training as determined by the Hospital Medicine Division. Location : Location US-VA-Norfolk
