Advanced Practice Provider - Nurse Practitioner - Family Center/My Sister S Place

PRIMARY FUNCTION:

The Clinical Coordinator (CC) is a nurse practitioner within the ambulatory setting who leads the provision of medical services at the Maternal Addiction Treatment Education & Research (MATER) program in the Department of Obstetrics & Gynecology. This includes participating in executive leadership of MATER, overseeing nursing at MATER, coordinating prenatal, postpartum, and well-child care, providing patient care focused on womens’ health issues that may or may not intersect with substance use disorders, and conducting initial and annual physicals as required by state and federal regulations. The CC will assist the multidisciplinary team in the promotion of optimal behavioral and physical health, prevention, and treatment of related health problems.

ESSENTIAL FUNCTIONS:

• Participate in Executive Leadership Team of MATER; helping to integrate medical clinical care for women and their children. Assisting with integrated policy and program implementation. Manage medical guidelines, licensing, and certifications.
• Lead a team of registered nurses, licensed practical nurses, and medical assistants, including supervising staff, developing the department, leading special projects, and contributing to the executive leadership of the program.
• Provide 1:1 orientation to new patients, including available medical services at MATER, expected clinical course for pregnancy and postpartum at MATER and during hospitalization for delivery.

Assessment & Management

• Assess presence and impact of acute and chronic medical co-morbidities on addiction and psychiatric treatment, and treating or making referrals for treatment of co-morbid disorders.

• Perform a multi-system and/or pinpoint review of systems and physical exam, determine diagnosis/diagnoses.

• Perform complete history & physicals and document in the medical record.
• Order and collect data using appropriate assessment techniques, relevant supporting diagnostic information and diagnostic procedures where indicated.
• Provide as-needed reproductive health services, including pre-pregnancy counseling, sexually-transmitted infection testing and treatment, contraceptives, and other needed services.
• The APP may serve as the first responder for both nursing and house staff in the event of patient status changes, orders, and in situations requiring procedural and resuscitative interventions.
• Assesses for risks associated with the care of the acute and complex chronically ill patient including: medication side effects, immobility, impaired nutrition, fluid and electrolyte imbalance, immunocompetence, invasive interventions and diagnostic procedures.

Diagnosis

• Recommend/order appropriate medications, laboratory tests, and monitoring of patients.
• Collaborates with interdisciplinary health care team in making diagnoses of acute and complex chronic conditions.
• Manages diagnostic tests through ordering, interpretation, performance, and supervision.
• Formulates differential diagnoses by priority.
• Diagnoses complications and orders appropriate interventions

Formulates Plan of Care

• Develop/review treatment plan for health conditions based on evidence-based standards of care and practice protocols/guidelines
• Identifies expected outcomes from diagnosis, and formulates and documents a plan of care to address complex acute and chronic health care needs.
• Provide referral and coordination of care with primary or specialty providers for management of Hepatitis A, B, and C, HIV/AIDS, and other co-occuring health conditions.
• Utilizes evidenced based practice guidelines and protocols in an individualized, dynamic plan of care that can be applied across the continuum.
• Implements and modifies plan of care.
• Prescribes diagnostic strategies and therapeutic interventions.
• May perform advanced procedures consistent with privileges and competency validation.

Documentation

• Documents/dictates key components of patient's progress via daily progress note, transfer, and discharge summary, and or clinic note where applicable. (h&p, daily progress notes, plan of care, problem lists, procedure notes, acute event note, discharge summaries, in medical record per specific patient unit or service, death summary)
• Documentation is timely, meets acute care compliance standards and captures patient acuity.

Communication and Collaboration

• Coordinate prenatal, postpartum, and well-child care, including coordinating or overseeing coordination of CenteringPregnancy and CenteringParenting projects at MATER.
• Facilitate the transition of patients across levels of care by communicating with next provider/system of care
• Maintains ongoing communication and collaboration with interdisciplinary health care team.
• Facilitates and communicates with patient, family and staff to promote continuity of care across the inpatient and outpatient continuum of care.

Professional Practice

• Demonstrates Professional Practice behaviors including: preceptor/mentoring, education and instruction of graduate students.
• Provide as-needed reproductive health services, including pre-pregnancy counseling, sexually-transmitted infection testing and treatment, contraceptives, and other needed services.
• Participate in MATER’s research projects as appropriate, such as providing health assessments and record review for clinical trials, aiding in study recruitment, conducting study health visits, and seeking out potential research projects.
• Actively participates in Advance Practice Grand Rounds and specialty specific meetings.
• Maintains CEUs, and membership in a professional organization.

• Interacts with co-workers, visitors, and other staff consistent with the values of Jefferson.
• • Apply recovery-oriented principles and trauma-informed care to individuals
  • Ensure patient safety through the appropriate prescription and management of pharmacologic and non-pharmacologic interventions
  • Maintain a quality assurance/quality improvement plan to mitigate risk related to medical care, including conducting root cause analyses for medication errors and installing systems to prevent adverse events.
  • Ensure compliance with local, state, and federal regulations regarding laboratory testing and medical care.
  • Conduct psychoeducational groups related to womens’ health, addiction treatment, and related topics.
  • Use risk-mitigation strategies to prevent diversion or misuse of prescribed or dispensed medications
  • Assess effectiveness of currently ordered therapeutics and adjust as needed
  • Address sexual/physical abuse and prevention of adverse childhood experiences
  • Interpret laboratory values and respond as appropriate
  • Teach patients, families and groups about treatment options with respect to developmental, physiological, cognitive, and readiness
  • Participate in weekly treatment team meetings.
  • Educate nursing students, residents, medical students, and others in OBGYN, Psychiatry, or other departments, on women’s health and addiction trteatment, providing comprehensive care to women and families with substances use disorders, and about MATER’s philosophy and approach to care.
  • Be responsible in keeping current with TJUH Employee mandated health requirements (i.e.PPD screening) and educational requirements (i.e. Health Stream)

Registered Nurse License in PA and National Board Certification as a Nurse Practitioner

Pennsylvania

1 or more years experience as a registered nurse in an applicable clinical area required; experience in women’s health and/or addiction medicine preferred. Written and verbal skills in the English language. Knowledge of clinical and organization skills/techniques.

Jefferson Health delivers state of the art healthcare services to patients throughout the Delaware Valley and southern New Jersey. Jefferson (Philadelphia University + Thomas Jefferson University) provides more than 8,400 students from nearly 40 states and 40 countries with 21st century professional education. Combined, we have over 30,000 employees.

Jefferson Health, with 14 hospitals (seven are Magnet designated by the ANCC for nursing excellence) and 40+ outpatient and urgent care locations, offers a broad range of primary and complex, highly specialized care that touches the lives of more than four million patients annually. U.S. News & World Report has ranked Thomas Jefferson University Hospital among the nation’s best in eight specialties. Jefferson Health also includes the NCI designated Sidney Kimmel Cancer Center; it is one of only 70 such centers in the nation.

Thomas Jefferson University has ten colleges and three schools that offer more than 160 undergraduate and graduate programs. Our University is dedicated to inter-professional and transdisciplinary approaches to learning that offer a vibrant and expandable platform for professional education. Through this unique model, we are preparing our students for current and yet to be imagined careers.

As an employer, Jefferson maintains a commitment to provide equal access to employment. Jefferson values diversity and encourages applications from women, members of minority groups, LGBTQ individuals, disabled individuals, and veterans.