We have an exciting opportunity to join our team as a APP Manager - PA or Certified Midwife.
In this role, the successful candidate Provision, coordination, and assurance of comprehensive health care using advanced practice process and pertinent standards of care, the diagnosis of illness and physical conditions, and performance of diagnostic, therapeutic, corrective and prescriptive measures as appropriate for patient within a collaborative practice environment. Supervises and directs a designated group of Nurse Practitioners, Midwives and/or Physician Assistants for purposes of optimizing service line activities in the delivery of health care to patients while promoting a positive work environment. Serves as a liaison to nursing, care management, hospital administration, and other hospital departments. Represents the Office of Advanced Practice Providers to accrediting bodies ensuring institutional compliance.
Job Responsibilities:
- Performsallrelevantclinicalfunctionsbasedonevidence-basedapproachtoclinicalcare,usingestablished guidelines.Performscompletehealthhistory,physical examination and psychosocial assessment within the designated practice.
- Works collaboratively with the practice team, attending physicians, house staff, consulting physician(s), and other disciplines to identify, develop, implement, create and modify as necessary an appropriate plan of care thatconsiderspotentialoutcomesandgoalsofcare,maximizespatient/familysatisfaction,andthatenhances quality, access, and cost outcomes.
- Orderslaboratory,radiologicalanddiagnosticstudiesasindicated,differentiatesbetweennormal/abnormal findings and follows protocols for abnormal findings, which may include adjustment in plan of care or discussion with attendings, and house staff.
- Prescribes medications to patients according to NYS law, including controlled substances with DEA authorization.Prescribesmedicalequipment,devices,physicalandoccupationaltherapy,andhomehealth servicesperpracticeprotocol.Evaluatespatientresponsestotreatmentandmodifiesperclinicalstandards and practice protocols.
- Coordinates discharge planning with interdisciplinary team, patient and family to assure timely and safe discharge.Practicesasamemberofthealliedhealthstaffaccordingtotherulesandregulations,andbylaws of the Medical Staff. Practices within scope of practice and approved delineation of privileges.
- Actsasaprofessionalrolemodeltoalllevelsofstaffbyincorporatingexpertiseandrelatedexperienceinto patient care. Considers needs and behaviors of specific patient age and cultural groups in all patient care activities.
- Evaluatesadvancedpracticeactivitiesthatcontributetoachievementofpatientoutcomesandaddvalueto clinical care. Utilizes practice-based evidence as mechanism to evaluate care and the need for change in structure or processes to improve care.
- Participates in the development and monitoring of patient outcomes per established practice protocols for purposesofqualityandperformanceimprovement.Usesevidence-basedhealthcareliterature and specific department clinical and escalation algorithms toadviseand support appropriate practice changes within the designated service.
- ParticipatesinServiceLineQualityandPerformanceImprovementmeetings. ParticipatesinAdvancePractice meetings and committees.
- Assists and participates in the preparation, implementation, and evaluation of research protocols when applicable.Monitorsandtrendsthecosteffectivenessoftheposition,particularlyasitrelatestotheefficiency and performance indicators established for the service.
- Collaborates with the Sr. Director of Advanced Practice Providers and/or Director of Advanced Practice Providers, and the division chief of the clinical department in the recruitment, retention, and human resource management of the nurse practitioners, midwivesandphysicianassistantsassignedtorespectiveservice.Guidesandmonitorsperformanceand delivery of care on a daily basis, including time scheduling, assignments, and coordination of services to patients.
- Facilitatestheon-boardingandorientationaswellasongoingprofessionaldevelopmentofnursepractitioners, midwives and physician assistants. Coordinates clinical activities of nurse practitioners, midwives and physician assistants to accomplish established safety and quality measures. Provides leadership and develops effective team building.
- Develops and maintains policies, standards and processes pertaining to all aspects of patient care. Sets departmental goals in collaboration with division chief and other key personnel. Participates in relevant hospital-widecommittees.Actsasaliaisonbetweeninpatientandoutpatientareastoassurecontinuityof care.
- Participatesinperformanceappraisalsofnursepractitioners, midwivesandphysicianassistantsontheassigned service. Participates in evaluations of the fellows, residents and interns as needed.
- Contributes to the development of nursing/clinical knowledge in area of practice through writing, research, and formal/informalpresentations. Educatespatientandfamilytofacilitateandpromotehealthyadjustmenttonew or changed expected outcomes.
- Serves as a preceptor to graduate students and mentor to staff.Facilitates the preceptorship of nurse practitioner, midwife and physician assistant students on applicable clinical services.
- Participates in the development and revision of interdisciplinary and nursing standards, patient and family educationmaterialsrelevanttotheareaofpracticeandexpertise. Interactswithotherdepartmentstoensure the seamless transitions of care through collaborative communication.
- Providesconsultationaboutthepatientsmedicalissuesandplansofcaretothenursingstaffresponsiblefor the patients care.
- Facilitates the continuity of care across the continuum of services, , home care, discharge to other facilities,andappointmentswithMD,etc.Facilitatestimelyandsafedischargeofpatientstothenextlevelof care.
- Acts as a respectful member of the health care team.
- Promotesownprofessionalgrowthanddevelopmentinclinicalandmanagerialrole.Maintainscurrent expertise in area of practice.
- Participatesinhospital,NYStateandTJCmandatededucationprograms.Servesasaclinicalexpertand resource for the education of peers and other health professionals.
- Collaborates with division chief and appropriate clinical and/or operational administrators to ensure that systems supportive of clinical care functionsmoothly.Facilitatesself-governanceofnursepractitioner, midwife and physicianassistantgroupincollaboration with the Sr. Director of Advanced Practice Providers and/or Director of Advanced Practice Providers when needed.
- Documentsallassessments,findings,progressandcareprescribedinthehospitalmedicalrecordsaccording to standards established.
- Supportsthemission,philosophy,standards,goalsandobjectivesoftheinstitution,departments,andservice line. Plans and organizes care to meet individual patient needs and to ensure appropriate clinical resource utilization per protocol, pathways, and other means.
- Workscollaborativelywiththeinterdisciplinaryteam,todevelopandimplementthetherapeuticplanofcare for a group of patients and ensure communication with patient and family members. Works collaboratively with nursing leadership to ensure timely communications with nursing staff.
Minimum Qualifications:
To qualify you must have a Current license as a certified midwife in NY State. Master's or Doctorate Degree in midwifery from an accredited midwifery program. American Midwifery Board Certification (AMCB); Membership in related professional organizations. Credentialed as allied health professional through the Credentialing Committee of the Medical Board Experience. At least
5 years of clinical experience is preferred. Electronic Fetal Monitoring Credentialing as applicable, NRP certification as applicable Basic Life Support certification; ACLS; Department Drills/Skills participation; Infection Control Certification every 4 years
Demonstrated ability to interface effectively with other disciplines to achieve goals of care, improve patient outcomes, decrease length of stay and utilize resources efficiently. Demonstrated ability to facilitate group processes, and work cohesively and collaboratively as a member of the interdisciplinary team. Demonstrated evidence of excellent interpersonal and communications skills, creative problem- solving, critical thinking and leadership skills. Demonstrated ability to manage change and influence others to work effectively in a changing environment..
Required Licenses: Midwifery Certification-NYS
Qualified candidates must be able to effectively communicate with all levels of the organization.
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