Nurse Practitioner Manager
Classified Title: Nurse Practitioner Manager
Starting Salary Range: Competitive; Commensurate with experience
Employee Group: Full Time
Schedule: Monday - Friday; Essential staff
Exempt Status: Exempt
Location: School of Medicine, East Baltimore Campus
Department Name: Oncology
Personnel Area: School of Medicine
The Department of Oncology is seeking a Nurse Practitioner Manager to work collaboratively within a multi-disciplinary health team and is responsible for providing comprehensive and age appropriate care to both well and ill patients. Educates patients and families and intervenes in acute or chronic illness.
The Nurse Practitioner Manager practices within the guidelines of the department and institution and in accordance with the Nurse Practitioner licensure as approved by the State of Maryland and the Nurse Practice Act of the State of Maryland. Is granted privileges by the Johns Hopkins University School of Medicine. These privileges are reviewed annually by the University and the Hospital.
In addition to the duties of a Nurse Practitioner, the manager will provide operational leadership/ management to APPs (approximately 15 nurse practitioners and physician assistants) across the inpatient and ambulatory settings in Hematologic Malignancies and Bone Marrow Transplant. The manager in collaboration with the Director of Nursing and Leadership in Hematologic Malignancies will be responsible for licensing, credentialing, competencies, education, developing policies and procedures, recruitment, hire/fire/disciplinary authority.
DUTIES AND RESPONSIBILITIES
- Supervise, delegate and direct the activities of employees
- Develops, maintains, and monitors daily operations that includes staffing, scheduling, training, purchasing and budget.
- Develop and implement policies and procedures to accomplish goals and objectives.
- Represent Hematologic Malignancies APP’s at the APP Counsel.
- Involved in scientific discussions with collaborators, PI's and/or funding organizations.
Provides comprehensive, age appropriate, and episodic care to patients as a member of the multi-disciplinary health care team
Obtains patient history; Performs patient care and physical examinations; Prepares patient summaries; Develops care/treatment plan; Attends out-patient clinics, IPOP and assists with patient management.
Develops care/treatment plan.
Provides information to staff regarding patient's care plan and condition.
Consistently develops effective care/treatment plan for assigned patients according to established protocols and procedures.
Regularly confers and consults with appropriate supervisory physician and/or other pertinent professionals before implementing treatment plan.
Consistently structures all patient care plans to meet educational, physical and social needs appropriate to the patient's age.
Consistently provides relevant patient care information to the appropriate staff member according to department guidelines.
Follows daily progress of post-transplant patients in the immediate transplant phase, including history and physical exam, ordering, performing, and interpreting laboratory and radiological data and establishing and implementing a plan of care based on those interpretations and observations. Makes referrals to appropriate specialties.
Follows long term progress of transplant patients including history and physical examination, orders and interprets re-staging tests, and assesses status.
Observes for evidence of long term effects of transplantation including infection, toxicity, engraftment, Graft-Versus-Host Disease.
Provides education to patient and family members regarding diagnosis, complications, treatment and medications in order to provide them with continuous information.
Performs, but is not limited to the following advance procedures:
- Routine laboratory procedures such as cultures, smears, venipuncture, electrocardiograms.
- Performs advanced procedures such as bone marrow aspiration and biopsy, skin biopsy, lumbar puncture, and other procedures as necessary, including paracentesis and thoracentesis.
- Bone marrow harvests
Provides Emergency Care:
- Maintains CPR certification
- Maintains airway, breathing, circulation
- Starts and provides basic CPR
- Orders and administers anti-anaphylactic and supportive medications
- Prescribes medications, including oral, parenteral, intramuscular, or subcutaneous drugs.
- Prescribes Schedule 2, 2N, 3, 3N, 4, 5 drugs under the guidelines of the Maryland Nurse Practice Act and the DEA.
- Will work with specific protocols to ensure that all protocol driven tests, examinations, and procedures are ordered, performed and evaluated and data is retrieved, entered on appropriate forms.
- Coordinates scheduling, orders appropriate tests, evaluates results, records data, performs patient evaluations and participates in care of patients on specific protocols regarding specific disease entities and treatment.
- Works in collaboration with the Principal Investigators of specific protocols to ensure the completeness of protocol requirements.
- Develops expertise and expands knowledge in specific areas and shares that knowledge and expertise with colleagues as consultant in planning care for patients. Participates in rounds and meetings for consultation
- Supervises and evaluates student/patient interactions in an academic setting. Assumes responsibility for patient care as provided by the student.
- Performs oncology related procedures, such as bone marrow aspiration and biopsy, lumbar puncture, bone marrow harvest, and other procedures as called upon within the scope of practice.
- Assumes fiscal responsibility with working knowledge of evidence based medical model.
- Effectively uses resources of the patient and the institution.
- Is aware of and adheres to specific capitations and limitations of the patient’s insurances while organizing and optimizing individualized care based on the disease state and restraints imposed by the HMO or insurances.
- Utilizes referrals to Home Health in order to provide optimum care in the appropriate setting.
- Has knowledge of and utilizes all available resources in the event that the patient’s resources are limited or unavailable in order to provide medical care and social well-being.
- Works in collaboration with the physician and realizes and is able to detect those deviations from normalcy or from established protocols which require consultation and/or referral to appropriate specialty areas including physicians, nutrition, psycho-social, and other resources.
Supervision of Others:
- Provides supervision and oversight of assigned group of nurse practitioners and physician assistants
- Is responsible for hiring/firing of employees, implementing disciplinary actions when appropriate
- Conducts performance reviews for direct reports and participates in the evaluation process
- Provides education and assistance to disease group staff in organizing time and setting priorities.
- Master's degree in nursing; Registered Nurse license and Certified as a Nurse Practitioner. Completion of accredited NP program, Acute care specialty. Must be licensed as NP in State of Maryland or other state where practicing. Maintains certification by attending appropriate continuing education classes or enrolling in formal credit classes as required by state and national accrediting institutions. 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
- Three years of related nurse practitioner experience required preferably in an Oncology environment.
- Prefer 5 years related experience.
- Residency or fellowship programs in area of specialization may substitute for some experience.
- Supervisory experience preferred
Additional Knowledge, Skills, or Abilities / Competencies:
- Advanced clinical skills in specialty area or equivalent.
- Research knowledge, including interpretation, utilization, and conduct.
- Ability to incorporate into practice theoretical concepts and advanced clinical skills with patients, families, and interdisciplinary health care team members.
- Analytical ability necessary to diagnose patients illnesses and to develop and implement plans of action for long and short term management of acute and chronic health care.
- 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, verbally and in writing, in order to provide information to patients and health care personnel.
- General computer knowledge and capability to use computer.
- Ability to function effectively in a fluid, dynamic, and rapidly changing environment
The successful candidate(s) for this position will be subject to a pre-employment background check.
If you are interested in applying for employment with The Johns Hopkins University and require special assistance or accommodation during any part of the pre-employment process, please contact the HR Business Services Office at firstname.lastname@example.org. For TTY users, call via Maryland Relay or dial 711.
The following additional provisions may apply depending on which campus you will work. Your recruiter will advise accordingly.
During the Influenza ("the flu") season, as a condition of employment, The Johns Hopkins Institutions require all employees who provide ongoing services to patients or work in patient care or clinical care areas to have an annual influenza vaccination or possess an approved medical or religious exception. Failure to meet this requirement may result in termination of employment.
The pre-employment physical for positions in clinical areas, laboratories, working with research subjects, or involving community contact requires documentation of immune status against Rubella (German measles), Rubeola (Measles), Mumps, Varicella (chickenpox), Hepatitis B and documentation of having received the Tdap (Tetanus, diphtheria, pertussis) vaccination. This may include documentation of having two (2) MMR vaccines; two (2) Varicella vaccines; or antibody status to these diseases from laboratory testing. Blood tests for immunities to these diseases are ordinarily included in the pre-employment physical exam except for those employees who provide results of blood tests or immunization documentation from their own health care providers. Any vaccinations required for these diseases will be given at no cost in our Occupational Health office.
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