Description

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The UNC Neurology Neurogenetics program is looking for an Advanced Practice Provider (APP) to join our growing interdisciplinary group. Our team includes neurologists, genetic counselors, geneticists, nurses, and clinic staff. Our core team collaborates closely with multiple clinical Centers of Excellence (CoE) and interdisciplinary clinics, including the amyotrophic lateral sclerosis (ALS) Clinic, the Hereditary Neuropathy Foundation CoE, the Muscular Dystrophy Association interdisciplinary clinics, the National Ataxia Foundation CoE, and Neurocutaneous disorders clinics. The Epilepsy Neurogenetics Initiative (ENGI) and the UNC Huntington Disease Program clinics are co-homed in Neurogenetics and pediatric neurology/epilepsy and movement disorders, respectively. We also collaborate closely across departments. Many neurogenetic disorders impact other systems such as cardiac and endocrine. We share long term care of mitochondrial and metabolic disorders patients of all ages with clinics homed in pediatric genetics, and receive direct referrals of symptomatic patients (including adults/parents) to us from newborn screening programs.

The APP will be involved in all aspects of patient care and education, including developing and enacting personalized symptom management care plans that leverage medical, surgical and rehab options; facilitating collaborative care across neurology divisions and other departments; discussions around advanced directives, hospice/palliative care, and other end-of-life issues. Neurogenetic disorders seen in our clinics range from relative common to nanorare, and new genetic diagnoses are constantly being discovered. The APP will be closely involved in finding and sharing evidence based clinical practices across our group and with collaborating providers, especially for very rare or newly described disorders.

Ability and willingness to engage with lifespan care are key attributes for this position. UNC Neurogenetics clinics see patients of all ages. This APP position will mainly support adult patient populations, but clinic visits with teens are not uncommon and visits with older children are possible. This is a "mirror image" of the ENGI clinic, and the clinics homed in pediatric genetics (mitochondrial, metabolic disorders) which mainly support pediatric patients but will see older patients when clinically applicable. In addition, a neurogenetic diagnosis in one family member may immediately impact multiple other people in both older and younger generations. Comfort with addressing whole family needs and coordinating care across traditionally pediatric, adult, and geriatric clinic settings is important.

UNC Neurogenetics is a growing program within the larger context of genetics and genomics care at UNC Health. The APP will contribute to program development, such as division and department efforts to expand subspecialty neurology care access across NC, new neurogenetics clinic registries, outreach to primary care providers and engage with UNC Health system new initiatives, for example new genetics care referrals triage pathways, access to new genetic therapeutics.

Summary:
A Nurse Practitioner functions as part of the interdisciplinary healthcare team in accordance with privileges approved by the credentialing committee to provide high quality, cost effective care to patients within the APPs scope of practice in collaboration with a supervising physician. The APP reflects the mission, vision, and values of the organization, and complies with all relevant policies, procedures, guidelines and other regulatory and accreditation standards.

Responsibilities:
1. Clinical- Obtains relevant health and medical history, performs thorough physical assessment, reviews and interprets pertinent diagnostic tests/results. Develops appropriate differential diagnoses. Develops and implements treatment plans including prescribing/ordering of appropriate evidence-based pharmacological agents consistent with departmental guidelines and privileging, and schedules appropriate follow-up management. Actively incorporates evidence-based hospital initiatives to improve patient care. Conducts preventive health screening based on age, history and patient needs. Maintains clear comprehensive yet concise records of all aspects of patient care. Maintains essential knowledge of general disease and pathologic processes. Maintains extensive knowledge of their specialty literature including awareness of developing areas. Consistently derives correct diagnoses through synthesis of clinical data and proper selection and interpretation of diagnostic studies. Develops comprehensive differential diagnoses for patients. Revises the plan of care to meet the changing needs of the patient. Prioritizes work and assists staff to provide prompt and efficient client flow. Consistently maintains high productivity according to identified standards. Leads/participates in projects to improve productivity. Appropriately performs medical procedures consistent with departmental guidelines, privileging, and clinical roles/responsibilities.
2. Education- Appropriately and professionally educates clients and/or families regarding medical condition, treatment, and follow-up. Collaborates with clinicians, staff, and students to promote continuity and patient/family centered care. Develops educational materials based on learning needs of clinicians, staff, and students. Provide education/instruction to physicians, housestaff, nursing, ancillaries and/or students. Actively recognizes and participates in identification and achievement of self-learning needs. Attends education programs based on identified learning needs.
3. Leadership- Provides instruction to physicians, housestaff, nursing, ancillaries and/or students including but not limited to precepting, shadowing, lectures, training classes, CE, rounds, morning report, and or staff meetings. Participates in community/network outreach programs. Develops/leads community/network outreach programs. Demonstrates both an understanding of the contexts and system in which healthcare is provided and the ability to apply this knowledge to improve and optimize health care delivery. Leads/participates in systems improvements.
4. Professional- Interacts with patients and families in a respectful, courteous and timely fashion using appropriate communication for the patient and situation. Interacts collaboratively with coworkers, other team members and staff in a respectful, courteous, and timely fashion appropriate to patient care needs and situations. Responds quickly to meet customer needs and resolve problems. Accepts responsibility for outcomes of one?s work. Shares responsibility for overall workload with team members.
5. Quality/Research- Engages in daily continuous quality improvement by identifying and implementing processes for improvement. Consults with management in assessment, problem-solving, decision-making, and evaluating clinical/system issues and models of care. Leads interdisciplinary teams to provide integrated delivery of patient care services. Initiates and revises protocol(s) or guideline(s) to reflect evidence-based changes in care management Works to influence policy-making bodies to improve patient care. Develops new clinical programs or services within the department/unit/clinic to improve patient care.

Other Information

Other information:
Education Requirements:
? Completion of an accredited graduate-level Advanced Practice Provider (APRN or PA) program.
Licensure/Certification Requirements:
? Licensed as an Advanced Practice Provider (i.e., Nurse Practitioner, Physician Assistant, Clinical Pharmacist Practitioner, Certified Nurse Midwife, Certified Registered Nurse Anesthetist) in the state of North Carolina.
? Board certification if required by the Department. DEA.
Professional Experience Requirements:
? No prior experience required.
Knowledge/Skills/and Abilities Requirements:
? Demonstrated clinical competency.
? Effective leadership skills. Strong interpersonal skills.
? Ability to work independently and collaboratively.
? Demonstrated written and verbal communication and strong analytical skills.
? Effective interaction to ensure the successful care of patients in the clinical setting.
? Documentation in the medical record to substantiate accurate billing.

Job Details

Legal Employer: STATE

Entity: UNC Faculty Physicians

Organization Unit: SOM Amb Care-APCF-Neurology

Work Type: Full Time

Standard Hours Per Week: 40.00

Work Assignment Type: Onsite

Work Schedule: Day Job

Location of Job: US:NC: Chapel Hill

Exempt From Overtime: Exempt: Yes

This is a State position employed by UNC Health Care System with UNC Health benefits. If, however, you are presently an employee of another North Carolina agency and currently participate in TSERS or the ORP, you will be eligible to continue participating in those plans at UNC Health.

Qualified applicants will be considered without regard to their race, color, religion, sex, sexual orientation, gender identity, national origin, disability, or status as a protected veteran.

UNC Health makes reasonable accommodations for applicants' and employees' religious practices and beliefs, as well as applicants and employees with disabilities. All interested applicants are invited to apply for career opportunities. Please email applicant.accommodations@unchealth.unc.edu if you need a reasonable accommodation to search and/or to apply for a career opportunity.

About UNC Health

UNC Health is charting a new course for the organization, one that reflects our aspirations, values and the high expectations customers have in today’s healthcare marketplace. These changes will help the organization adopt business and medical practices that will help us become a more responsive, customer-focused, integrated healthcare system. UNC Health and its 33,000 employees, continue to serve as North Carolina’s Health Care System, caring for patients from all 100 counties and beyond our borders. We continue to leverage the world class research conducted in the UNC School of Medicine, translating that innovation to life-saving and life-changing therapies, procedures, and techniques for the patients who rely on us.

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