The department of Cardiothoracic Surgery is seeking a 50%-time PA/ARNP in the Division of Cardiothoracic Surgery. This position will focus on the care of hospitalized and ambulatory patients, manage length of stay, improve resource utilization, and decrease costs to patients and the institution while providing personalized care to the cardiothoracic surgery patients within the Department of Surgery and UI Heart and Vascular Center. To be part of a team that cares for the cardiac and thoracic patient population across the continuum of care, pre-procedure, intraoperative and post-operative management. This position requires weekend, holiday and night call coverage responsibilities as clinically indicated.
CHARACTERISTIC DUTIES AND RESPONSIBLITIES:
Clinical
• Provide comprehensive medical and surgical management of patients residing within the cardiothoracic surgery service, as well as patients that are managed collaboratively with other services such Anesthesia, Cardiology, and Critical Care.
• Facilitate timely admissions, discharges and transfers.
• Obtain complete health and medical histories form the patient and family.
• Perform comprehensive physical exams on patients.
• Exhibit current and comprehensive knowledge of vascular, cardiac and thoracic diseases.
• Assess and facilitate referrals and consultation per patient needs.
• Demonstrate accountability for evaluation of clinical practice including adherence to organizational, state, and national practice standards and codes.
• Perform medical diagnosis, therapeutic procedures, and prescribes medications as clinically indicated for patient care.
• Order and evaluate lab, x-ray, EKG, echo, and other tests as clinically indicated.
• Provide anticipatory guidance and counseling to patients and families receiving vascular/thoracic/cardiac surgery.
• Document patient assessment and plan of care in the electronic medical record and generate appropriate health reports for outgoing correspondence.
• Attend rounds/bed huddles in the ICUs and step down units.
• Function as first assist in the OR with invasive procedures including but not limited to endovascular vein harvesting, and central line placement.
• Insert and remove chest tubes, discontinues epicardial wires and documents procedures in the electronic medical record.
• Manage intra-aortic balloon pumps and discontinue as clinically indicated.
• Perform Extracorporeal Life Support Device management and device interrogation.
Consultation
• Serve in a consultative and resource capacity to other divisions, departments and health care professionals as needed for management of cardiac, vascular and thoracic patients.
• Provide expert knowledge and model behavioral skills that appropriately impact clinical practice and patient outcomes.
Education
• Provide education and serve as a resource for nursing staff, medical and advanced practice provider students, and residents in area of clinical expertise.
• Participate in the development, utilization and evaluation of resources to meet patient/family educational needs.
• Contribute to professional sharing of expertise and knowledge with others.
• Participate in thoracic, cardiac and vascular surgery conferences and presentations.
• Maintain necessary continuing medical/nursing education requirements for licensure.
Administration
• Contribute toward the achievement of divisional and departmental goals.
• Perform other projects or tasks designated by supervisor.
Research/QA/QI
• Participate in the development and implementation of divisional and departmental QA/QI/research programs.
• Participate in consent and protocols for clinical trials/research projects in conjunction with other disciplines.
• Complete and update clinical data collection, assist with the maintenance of Society of Thoracic Surgery registry and other databases.
• Participate in thoracic, cardiac and vascular surgery research projects.
Professional Responsibilities
• Participate in clinically relevant activities and attend UIHC APP council meetings and other conferences to enhance clinical and professional expertise.
• Maintain national and state licensing and certification requirements.
• Maintain current compliances (University, UI Health Care, Departmental etc.) as required.
POSITION EXPECTATIONS/UNIVERSAL COMPETENCIES
Positive Impact/Achieving Results
Ability to utilize existing resources and learning to achieve or exceed desired outcomes of current and future organizational goals/needs. Able to demonstrate ethical behavior in diverse situations while producing results.
Service Excellence/Customer Focus
Ability to meet or exceed customer service needs and expectations and provide excellent service in a direct or indirect manner. Ability to effectively transmit and interpret information through appropriate communication with internal and external customers.
Collaboration and Embracing Diversity
Positively interact with a variety of individuals and groups in a constructive and civil manner while appreciating the unique contribution of individuals from varied cultures, nationalities, genders, ages, etc.
SUPERVISION RECEIVED
Clinical practice oversight received from the assigned collaborating physician. Functional and administrative oversight received from the APP lead.
EDUCATION REQUIRED:
Physician Assistant
• Must comply with registration and licensure requirements as specified by the Iowa Board of Physician Assistant Examiners which include graduation from accredited PA educational program and certification by the NCCPA.
• Eligible to be licensed by the State of Iowa to perform as an Physician Assistant. Certification by the NCCPA.
--OR-
Advanced Registered Nurse Practitioner (ARNP) -
• A Master's degree is required. A Master's degree in Nursing is preferred. If Master's degree is in a related field, a Baccalaureate degree in nursing is required.
• Current board board certification in specialty area and licensure as an ARNP in the State of Iowa.
REQUIRED QUALIFICATIONS
• Reasonable (1-3 years) experience in area of clinical practice is required or previous experience in specified hospital specialty area or demonstrated knowledge of area of clinical practice.
• Excellent written and verbal communication skills.
Professional job-related experience fostering or promoting a welcoming and respectful work/academic environment where people of all backgrounds and perspectives feel welcomed and appreciated; or demonstrated the ability to do so.
HIGHLY DESIRED QUALIFICATIONS
• Considerable (3-5 years) experience in clinical Cardiothoracic surgery, with 1-3 years of this experience as an Advanced Practice Provider in ICU or Cardiothoracic surgery.
DESIRED QUALIFICATIONS
• Experience with patient and staff education.
• Demonstrated ability to develop and implement new programs.
• Experience with evidence based practice or research utilization.
• Participation in professional PA/ARNP organizations.
Position and Application Details
Successful candidates will be subject to a criminal background check and education/credential verification. Successful candidates will be required to self-disclose any conviction history and will be subject to a criminal background check. Up to 5 professional references will be requested at a later step in the recruitment process.
In order to be considered for an interview, applicants must upload the following documents and mark them as a "Relevant File" to the submission:
- Resume
- Cover Letter
For additional questions, please contact Lydia Messer at lydia-messer@uiowa.edu
Benefits Highlights
- Fringe benefit package including paid vacation; sick leave; health, dental, life and disability insurance options; and generous employer contributions into retirement plans
- The University of Iowa offers a generous benefits package, including paid vacation and paid sick leave. Complete information regarding the full benefits package may be viewed at: Benefits | University Human Resources - The University of Iowa (uiowa.edu)
Additional Information
- Classification Title: PA/ARNP Hospitalist
- Appointment Type: Professional and Scientific
- Schedule: Part-time
- Work Modality Options: On Campus
- Pay Level: 7A
- Organization: Healthcare
- Contact Name: Lydia Messer
- Contact Email: lydia-messer@uiowa.edu
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