Advanced Practice Provider - General and Subspecialty Surgery utilizes a patient-centered coordinated care model, demonstrating competencies in leadership, direct clinical practice, consultation/collaboration, coaching/guiding, research, and ethical decision-making. The APN works collaboratively with the practice/hospital team to assess, plan, and implement care for individuals with health and safety needs.

Minimum of 2 years experience as an Acute Care Nurse Practitioner / Physician Assistant preferred

The general surgery and surgical sub-specialty (Surgical subspecialty service refers to specialties beyond the scope of core general surgery practice. This includes, but is not limited to, Surgical Oncology, Colorectal Surgery, Plastic & Reconstructive Surgery, Breast Surgery, Endocrine Surgery, and Head & Neck Oncology) physician assistant manages the day-to-day inpatient and operative needs of surgical  patients in conjunction with, and under the supervision of an attending physician. The PA/NP is responsible for the assessment and management of various patient populations and surgical subspecialties including but not limited to the overall management of a surgical patient, ordering and interpretation of diagnostic testing,  development of appropriate plans of care, therapeutic interventions, and intra operative assistance. They maintain a collaborative work environment that is safe, just, and founded on principles of high reliability and quality outcomes for patients and colleagues.  The PA will perform duties in accordance with state and federal regulations as well as network policies, PA / NP scope of practice guidelines, approved clinical privileges and the JFKUMC PA / NP policy. The physician assistant / NP reports to the department clinical lead and Director of Advanced Practice Providers, Physician Assistant. Full time positions include holidays and weekends on a rotational basis. Covers night shifts on an as-needed basis, filling in for regular night shift personnel during vacations, leaves of absence, and other planned or unplanned absences. 

Responsibilities 

• Under the supervision of a physician(s) with appropriate privileges, performs comprehensive medical care of  patients encompassing all aspects of medical management. 
• Obtains a detailed and accurate history, performs highly reliable physical examination, identifies problems, orders and interprets appropriate laboratory and diagnostic testing.  Develops appropriate plans of care,  follow up and performs interventions based on the outcomes of diagnostic, laboratory and examination findings.
• Participates in daily rounds individually and/or with the General and Sub-specialty team. Performs consultations, manages patient care throughout the shift and evaluates patients for changes in status. 
• Consistently submits timely documentation of admission notes, history and physical examinations, consultations, daily patient encounter notes, urgent evaluation notes, procedure notes, brief post- operative notes and discharge summaries.
• In case of a surgical admission, insures all elements of pre-op evaluation are within acceptable range and facilitates in the expedited coordination of operative care.
• Assists surgeon in the operating room as a first assistant or as a second assistant when deemed necessary by the supervising surgeon and when a qualified assistant physician is not required by N.J.A.C. 12.35-4.1
• Performs bedside procedures including but not limited to dressing changes, wound debridement, incision and drainage, VAC dressing placements, troubleshooting and removal,  the removal of surgical drains,  bedside suturing, and suture removal.
• Acts as a “first line” person responsible for all the post procedure management of patients.
  Prescribes medications in accordance with federal and state laws and regulations under supervision of a licensed physician as approved by the New Jersey Board of Medical Examiners. Under the guidance and direction of a supervising physician and in accordance with the New Jersey Board of Medical Examiners, prescribe controlled dangerous substances only with current state CDS license and DEA number.
• Demonstrates select competencies and high level of clinical judgment and skills amongst commonly diagnosed conditions.  
• Exhibits organizational, communication and leadership skills, initiative, accountability, responsibility, appropriate judgment, and decision making.
• Identifies the needs of the patient population served and modifies and delivers care that is specific to those needs (i.e., age, culture, language, hearing and/or visually impaired, etc.). This process includes communicating with the patient, parent, and/or primary caregiver(s) at their level (developmental/age, educational, literacy, etc.).
• Functions as a resource to other Team Members and participates in their education.
• Adheres to the standards identified in the Medical Center's Organizational Competencies,  Elearning, and standards of behavior. 
• Displays an understanding and awareness of and performs all duties in accordance with the Hospital's and HMH Network Mission and Vision Statements.
• Adheres to all Hospital infection control and safety policies.
• Other duties and/or projects as assigned.

Non-Clinical Duties and Responsibilities:

• Demonstrates a professional and collaborative relationship with other providers and Team Members.
• Exhibits and fosters behavior that emulates the hospital's mission, vision and values, and creates a culture that promotes a healthy work environment.
• Maintains superior interpersonal and communication skills as a Team Member. Collaborates effectively with patients, families and other Team Members.
• Promotes a commitment to one’s professional, departmental and organizational growth.
• Participates in departmental and organizational committees, including interdepartmental meetings, Morbidity and Mortality conferences, quality assurance meetings, professional training.
• Participates in Standard of Care practices and promotes the implementation of  quality measures and safety measures.
• Remains active in Continuation of Medical Education programs and self education as well as participates in the education and training of new hires and rotating PA students.

Education, Knowledge, Skills and Abilities Required: 1. Graduate of an NLN/AACN accredited nursing program. 2. Master's or Doctorate degree from an accredited Nurse Practitioner program. 3. Maintains clinical competencies through continuing education and clinical practice. 4. Experience in a relevant patient care setting (or as regulations dictate). 5. National Provider Identifier (NPI). 6. Prescriptive authority through CDS and DEA registration according to New Jersey state law. 7. Collaborative agreement with physicians on staff. 8. Excellent written and verbal communication skills. 9. Proficient computer skills that include but are not limited to Microsoft Office and/or Google Suite platforms. Education, Knowledge, Skills and Abilities Preferred: 1. Not Applicable. Licenses and Certifications Required: 1. NJ State Professional Registered Nurse License. 2. Advanced Nurse Practitioner (w/ Master's Degree). 3. BLS AHA Basic Health Care Life Support HCP Certification. 4. Board certified by AANP or ANCC. 5. RNFA cert 5. AHA Advanced Cardiac Life Support Certification. 6. Acute Care NP cert

PA Qualifications

• Knowledge, Education and Skills Required:  
• Successful completion of an approved physicians assistant program, accredited by the Accreditation and Review Committee for Physician Assistants (ARC-PA) or other NCCPA certification examination qualifying accrediting agency.
  Maintenance of a minimum of 100 hours of CME in accordance with NCCPA regulations every 2 years
• Knowledge, Education and Skills Preferred:  
• 2 years of General/subspecialty surgery experience is preferred however new graduates are considered.
• Preferred robotic training
• Required Certification/Licensing:    
• New Jersey State Physician Assistant Certification
• AHA Basic Cardiac Life Support Certification required
• AHA Advanced Cardiac Life Support Certification
• New Jersey CDS license
• Federal DEA license

HMH is committed to pay equity and transparency for our team members. The posted rate of pay in this job posting is a reasonable good faith estimate of the minimum base pay for this role at the time of posting in accordance with the New Jersey Pay Transparency Act and does not reflect the full value of our market-competitive total rewards package. The starting rate of pay is provided for informational purposes only and is not a guarantee of a specific offer. Posted hourly rates may be stated as an annual salary in the offer and posted annual salaries may be stated as an hourly rate in the offer, depending on the level and nature of the job duties and credentials of the candidate. The base compensation determined at the time of the offer may be different than the posted rate of pay based on a number of non-discriminatory factors, including but not limited to: Labor Market Data: Compensation is benchmarked against market data to ensure competitiveness. Experience: Years of relevant work experience. Education and Certifications: Level of education attained, including specialized certifications, credentials, completed apprenticeship programs or advanced training. Skills: Demonstrated proficiency in relevant skills and competencies. Geographic Location: Cost of living and market rates for the specific location. Internal Equity: Compensation is determined in a manner consistent with compensation ranges for similar roles within the organization. Budget and Grant Funding: Departmental budgets and any grant funding associated with the job position may impact the pay that can be offered. Some jobs may also be eligible for performance-based incentives, bonuses, or commissions not reflected in the starting rate. Certain positions may also be eligible for shift differentials for work performed on evening, night, or weekend shifts. In addition to our compensation for full-time and part-time (20+ hours/week) job positions, HMH offers a comprehensive benefits package, including health, dental, vision, paid leave, tuition reimbursement, and retirement benefits.