The Department of Medicine, Division of Internal Medicine is seeking a Nurse Practitioner to support the After Care Clinic (ACC) practice located in the Johns Hopkins Outpatient Center (JHOC). The Nurse Practitioner works collaboratively within a multidisciplinary health team to optimize team performance and patient outcomes and is responsible for providing comprehensive and age appropriate care to both well and/or ill patients. The Nurse Practitioner educates patients and/or intervenes in acute or chronic illness.
The Nurse Practitioner practices within the guidelines of the unit department, and institution and in accordance with the Nurse Practitioner- Physician Written Agreement required and approved by the State of Maryland. The NP is granted affiliate staff privileges by the Johns Hopkins Hospital Medical Board; these privileges list specific tasks and are reviewed annually.
Duties and Responsibilities: Coordinates care for a group of primary complex patients to achieve clinical and organizational outcomes. Uses advanced clinical and theoretical knowledge to identify acute and/or chronic health problems through a comprehensive, age appropriate assessment of patients/families. Provides evidence-based care and provides patient education for self-care chronic disease management.
Effectively uses resources. Prioritizes and organizes work to meet the changing priorities of the functional unit and/or cost center. Authority for coordinating and making decisions regarding patient care. Assesses lab results and implements intervention in consultation with primary providers and medical director. Provides guidance and direction to other unit staff where applicable to promote quality, safety, and excellence in care.
Analyzes findings and applies, as appropriate, to improve the management of patient care. Identifies care continuity needs of patients. Triages phone calls and electronic advice requests from patients and determines need for medical assessment. Participates in quality improvement/patient safety projects.
Responsible for other clinical duties as assigned.
Decision Making: Accountable for own patient care decisions. On a regular and continuous basis, exercises administrative judgment and assumes responsibility for decisions, consequences, and results having an impact on people, costs, and/or quality of service within the functional area.
Communication: Exchanges non-routine information using tact and persuasion as appropriate requiring good oral and written communication skills.
Master's degree in nursing; Registered Nurse license and Certified as a Nurse Practitioner. Must be licensed as NP in State of Maryland or other state where practicing. Three years of related clinical nursing experience. Current CPR certification required. Must maintain current licensure and certification during duration of employment. Completion of the JHH credentialing process is required prior to start date.
Additional Knowledge, Skills and Abilities: Knowledge: Advanced clinical skills in specialty area or equivalent. Successfully completes all training courses required for access to Epic and other clinical software systems. General computer knowledge and capability to use computer. Requires effective use of resources and cost awareness.
Skills and Abilities: Ability to incorporate into practice theoretical concepts and advanced clinical skills with patients, families, and interdisciplinary health care team members. Ability to analyze data to synthesize and summarize information and to make judgments regarding patient care. Analytical ability necessary to diagnose patients and to develop and implement plans of action for long and short term management of acute and chronic health.
Ability to apply principles of evidence-based practice, scientific process, and service excellence in practice. Ability to interact successfully with the public. Ability to perform effectively despite sudden deadlines and changing priorities. Ability to maintain personal composure in high stress situations, deadlines and changing priorities.
Demonstrated interpersonal, written and verbal communication skills are required to service a diverse customer base. Advanced interpersonal skills necessary to communicate effectively with all members of the interdisciplinary health care team to enhance collaboration and problem-solving. Ability to communicate effectively, both verbally and in writing, in order to provide information to patients and health care personnel. Ability to demonstrate and convey a favorable image of the organization and to conform to proper standards of professional dress, attitude and demeanor. Ability to demonstrate a high level of interpersonal skills required to interact with patients, patients' families/visitors and clinical staff.
Ability to perform with a high degree of accuracy and with meticulous attention to detail. Demonstrate a strong ability to use initiative and judgment and to identify, analyze and solve problems. Ability to demonstrate self-direction and initiation. Ability to work independently and as a part of a team. Ability to function effectively in a fluid, dynamic, and rapidly changing environment.
Able to operate patient care equipment, computers, and general office equipment.
Working Conditions: Possible exposure to communicable diseases, hazardous material, aggressive patients, pharmacological agents, with little likelihood of harm if established health precautions are followed.
Work requires standing and/or walking for extended periods of time. Work requires positioning, assisting, and/or providing emergency restraining of aggressive patients and patients experiencing loss of control; and transporting patients and/or equipment from one location to another with little likelihood for injury if proper body mechanics and procedures are location to another with little likelihood for injury if proper body mechanics and procedures are followed.
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