Advanced Practice Provider - Medicine-Inpatient/Outpatient-Hep/GI

The is NOT a remote work position.  Requires Acute Care Certification for inpatient.

The APRN or Physician Assistant is responsible for assessing physical and psychosocial status of patients in an inpatient and/or outpatient setting.  The APPs will see GI and/or Hepatology patients in an outpatient clinic setting by means of interview, health history, physical examination, and diagnostic studies.  This position could require inpatient M-F rotation on the UMH Hepatology inpatient service for the right candidate.  For outpatient ambulatory work, this would require  7-8 half days in outpatient ambulatory clinics and at Uhealth locations.  We have ambulatory practices at UHhealth Towers, UMHC Crohns and colitis Center, Kendall, Lennar, Doral, Sole Mia, Boca, Plantation, Deerfield sites.  

• For Inpatient rotations, APP will round both independently and collaboratively on Hepatology Inpatient Service at University of Miami hospital no later than 8 am and have proper sign-out of patients with fellows at the end of the day and prior to weekends.
• Recognizes deviations from normal in the physical assessment. Works in collaboration with a physician in formulating treatment plans for health problems and follow-up.
• Writes prescriptions for medication, blood products based upon laboratory results, routine diagnostic and follow-up studies, therapeutic measures, and post-discharge care in accordance with written practice protocols.
• APP will independently follow patients in an outpatient setting and manage the care of patients concurrently. 
• Initiates and facilitates clinical research protocols and coordinates patient care with research staff.
• Obtains complete medical history independent of supervision by the physician.
• See patients in follow-up in between infusions and post procedure as necessary.
• Initiate and Maintain infusion orders for non-chemo infusions as per protocol, as needed
• Orders appropriate procedures and laboratory tests according to practice guidelines.
• Develops, implements and evaluates a plan of care that is appropriate for the patient and family.
• Actively participates in quality assurance programs and peer review activities.
• Responsible for providing assistance to physicians in the care and treatment of patients.
• Provides medical support to staff, triaging and implementing care in a knowledgeable and skillful
  manner, as evidenced by team feedback and documentation in medical records.
• Administers nursing assessments to include:
• performing examinations, giving injections and assessing a patient's health status.
• Assess severity of patient's condition, determining and directing patients to appropriate medical
  providers.
• Provide peer-to-peer reviews with insurance carriers in support of patients medications
• Consents patients for GI procedures, and places orders for procedures and preps
• Maintain EMR inbox and close encounters in a timely fashion according to UMMG guidelines.
• Respond to patient inquiries and requests, and communicate results to patients in coordination with our back office Nurses, Medical Assistants and Secretaries.
• Provides inbasket message coverage for Providers who depart the practice, or are out on FMLA.
• Closes inbasket messages within 7 days
• Closes encounters within 3 days of visit.
• Must have annual flu vaccine, unless able to provide medical or religious documentation

This list of duties and responsibilities is not intended to be all-inclusive and may be expanded to include other duties or responsibilities as necessary. 

CORE QUALIFICATIONS  

Education: 

Master’s degree in relevant field 

Certification and Licensing: 

Valid State of Florida Acute Care APRN License

Valid State of Florida Physician Assistant License

Experience:   

Minimum 2 years of relevant experience in Gastroenterology or Hepatology Practice

Previous training or experience in Acute care setting with GI and/or Hepatology practice as APRN or PA.

Knowledge, Skills and Attitudes: 

• Ability to exercise sound judgment in making critical decisions. 

• Skill in completing assignments accurately and with attention to detail. 

• Ability to analyze, organize and prioritize work under pressure while meeting deadlines. 

• Ability to work independently and/or in a collaborative environment. 

• Ability to communicate effectively in both oral and written form. 

• Ensuring compliance with local, state and federal health regulations. 

• Knowledge of and ability to apply professional medical principles, procedures, and techniques  

• Performs in tactful and professional manner. 

• CITI Certification for Clinical Research Study participation 

• Previous experience with EPIC EMR software, or demonstrated ability to manage patients in EMR 

• 1 year with preferred specific experience seeing Gastroenterology patients in an outpatient setting 

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