Nurse Practitioner or Physician Assistant - First Assist Outpatient - Neurosurgery

Job Description Summary

Providing first assist support to Neurosurgeon(s) in the operating room; provide support and care in spine/neuro-surgery outpatient clinics; collaborate with Neurosurgery teams, hospital and outpatient care teams to coordinate patient care; communicate with patients regarding care and concerns; provide administrative support and follow up to ensure patient care is orderly and effective; follow protocols for clinical trials, if necessary.

Entity

University Medical Associates (UMA) Only Employees and Financials

Worker Type

Employee

Worker Sub-Type​

Regular

Cost Center

CC000986 COM NSGY General CC

Pay Rate Type

Salary

Pay Grade

Health-33

Scheduled Weekly Hours

40

Work Shift

Job Description

Fair Labor Standards Act Status: Salaried/Exempt
Hours per week: 40
Scheduled Work Hours/Shift: Mon-Fri

Patient Population Focus: Operating Room/First Assist, Outpatient

Patient Population Age Range: 13 years-death

Required Minimum Training: Completion of an accredited Physician Assistant program and currently licensed or eligible for licensure as a Physician Assistant or completion of an accredited Nurse Practitioner Program and currently licensed or eligible for licensure as an APRN as noted below.

Physician Assistant

or

APRN License Type/Certification:  

• AGPNP/ANP (Adult Gerontology Primary Care NP or Adult NP): Adult pts (13 years to death), stable chronic disease state management or primary care setting.

• FNP (Family NP): (birth to death) Stable chronic disease state management, primary care across the lifespan.

• RNFA (Registered Nurse First Assistant) REQUIRED

Preferred Experience: At least 2 years of spine/neurosurgery First Assist NP/PA-C experience is preferred. 

Degree of Supervision:
Advanced Practice Registered Nurse or Physician Assistant will be assigned a Primary Supervising/Collaborating Physician employed by MUSC and will report directly to this physician.

Required Licensure, Certifications, Registrations:

All certifications must be current and complete prior to start date:

• Basic Life Support (BLS).

• DHEC and DEA license applications must be started prior to first day.

• For NP candidates: RNFA (Registered Nurse First Assistant)

 

Job Duties:

Provides direct care to patients through the following activities:

• Takes comprehensive history and performs physical examinations

• Evaluates and treats on the basis of history, physical examination, radiological, laboratory, and other diagnostic test results pursuant to the practice agreement or scope of practice guideline

• Initiates referrals to other health care providers, and/or consults with the attending physician or the collaborating physician

• Documents and bills for direct care provided

• Utilizes current research and evidence-based decision-making in all clinical practice

• Performs and participates in quality/performance improvement activities and clinical research

• Participates in and supports accreditation, compliance, and regulatory activities of the organization

• Demonstrates responsibility for professional practice through active participation in professional organizations and continuing education

• Potential to precept students at MUSC enrolled as an advanced practice provider student; and facilitates the learning of other new team members

• APRN or PA must maintain licenses, certifications, CNEs/CMEs, etc. as required by applicable policies and state law

• Manage all outpatient needs for a large volume of patients with neurosurgical problems. Assessment, diagnosis, and management of outpatients with neurological problems. Recognize and assess changes in patient status and respond appropriately. Evaluating and managing neurosurgical patients; provide primary and specialized care to the patient population; provide direct care at the physician assistant/nurse practitioner level to spine and other neurosurgery patients; analyze, interpret and prioritize subjective and objective patient data; Assume responsibility and accountability for managing independent patient load and bill appropriately for services rendered.  Be available to assess add-ons in the clinic.  Formulate and implement critical pathways to assist with standardized care. 30%

• Plan, advocate and maximize use of OR block time.  Prepares all surgical posting slips and submits paperwork for case posting. Works with Pre-Cert Office/CVU, if necessary, to expedite all pre-authorization of surgical cases.

• Triages outpatient phone calls and coordinates all necessary paperwork in support of direct patient care. Communicate with family members regarding patient care and concerns; provide patient care support and follow up to ensure patient care is coordinated/communicated effectively; provide clinical instruction and oversight to nursing staff.  Ensures appropriate communication with all referring physicians. Works with the hospital nursing team, residents, interns, inpatient APPs, etc., to provide appropriate patient care through discharge and follow up.

• Works with support staff and central offices to maximize efficiency in clinic scheduling. Documents all patient care activities in EPIC in a timely manner including disposition of patient telephone calls, medication lists, etc.  Attends departmental Case Management and M&M conferences on a weekly basis.  Maintains current license. 

• Collaborate with other first assist care team members and physicians

• First assist with Neurosurgery/Spine

• Other duties as assigned

Additional Job Description

Physical Requirements

Continuous requirements are to perform job functions while standing, walking and sitting. Ability to bend at the waist, kneel, climb stairs, reach in all directions, fully use both hands and legs, possess good finger dexterity, perform repetitive motions with hands/wrists/elbows and shoulders, reach in all directions. Maintain 20/40 vision corrected, see and recognize objects close at hand and at a distance, work in a latex safe environment and work indoors. Frequently lift, lower, push and pull and/or carry objects weighing 50 lbs (+/-) unassisted, exert up to 50 lbs of force, lift from 36" to overhead 25 lbs. Infrequently work in dusty areas and confined/cramped spaces. 

If you like working with energetic enthusiastic individuals, you will enjoy your career with us!

The Medical University of South Carolina is an Equal Opportunity Employer. MUSC does not discriminate on the basis of race, color, religion or belief, age, sex, national origin, gender identity, sexual orientation, disability, protected veteran status, family or parental status, or any other status protected by state laws and/or federal regulations. All qualified applicants are encouraged to apply and will receive consideration for employment based upon applicable qualifications, merit and business need.

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