Advance Practice Provider: Lexington Surgery-Acute Care Job Listing at Lexington Medical Center in West Columbia, SC (Job ID 1242796300)

Description

Lexington Surgery - Acute Care ( Advance Practice Provider: Nurse Practitioner/Physician Assistant) 
Full Time
PM Shift
7pm - 7am

*In-house Shift Coverage

Sign-On Bonus: $10,000 

Consistently named best hospital, Lexington Medical Center anchors an expansive health care network that includes nearly 600 physicians and advanced practice providers at nearly 80 locations across the Midlands of South Carolina, making it the region's third largest employer. From general medicine and orthopaedics to oncology, cardiology and neurosurgery, these dedicated professionals combine the highest quality care with advanced medicine and state-of-the-art technology to help patients achieve the best possible outcomes.  Its postgraduate medical education programs include family medicine and transitional year residencies.

Assesses the physical and psychosocial status of patients by means of interview, health history, physical examination and diagnostic tests. Interprets the data, develops and implements a plan of treatment, follows through on a continuum of patient care across the health-illness continuum and life span within protocols set forth and approved.

The Advanced Practice Provider (APP) will collaborate with a Surgical Oncologist to provide comprehensive care for complex surgical patients. Responsibilities will be divided between serving as a first assist in the operating room and managing a personal patient schedule in the clinic. Clinic appointments will primarily include follow-ups for post-operative patients and oncology surveillance visits.

Nurse Practitioner Minimum Qualifications:

Minimum Education: None
Minimum Years of Experience: None
Substitutable Education & Experience: None
Required Certifications/Licensure: Current licensure as RN in the State of South Carolina;
Certification by appropriate credentialing organization recognized by South Carolina as Nurse Practitioner;
CPR,BLS.
Required Training: None

Physician Assistant: Minimum Qualifications:

Minimum Education: Master's Degree from an accredited college or university.
Minimum Years of Experience: None
Substitutable Education & Experience: None
Required Certifications/Licensure: Approved South Carolina state licensing through a local medical licensing office and/or board of Medical Examiners. 
Required Training: Successful completion of a course of study or training approved by an accredited medical body such as CAHEA, American Medical Association, or the Association of Medical Colleges; CPR, BLS. 

• Documents all situations, both internally and externally, that may arise out of the ordinary or are necessary to maintain accurate patient charts/records.
• Responsive to all patients and office staff requests and needs. 
• Helps maintain the work area in a neat and orderly fashion. Responsible for keeping supplies necessary to perform the job duties. 
• Provides diagnosis and treatment of common acute illnesses; prevention and maintenance health care to patients with stable chronic illnesses; and performs interim physical examinations for healthy patients within prescribed guidelines:
  • Elicits appropriate present and past medical history and review of systems.
  • Performs appropriate physical examination and orders appropriate diagnostic studies.
  • Discriminates between normal and abnormal findings in history and physical.
  • Establishes appropriate differential diagnosis.
  • Assesses stability of chronic illness and compliance with present therapy; monitors for complications of disease or therapy.
  • Establishes appropriate treatment plan.  Assesses need for hospitalization or physician intervention.
  • Determines timing for follow-up and orders appropriate referrals.
  • Counsels regarding health maintenance and disease prevention, and provides anticipatory guidance as appropriate.
• Provides health education to patients about ways to improve, promote, and maintain their health status, including but not limited to providing educational information on disease/disease processes, self-care practices, and positive lifestyle choices (i.e. diabetes, safe sex, weight loss, smoking cessation, etc.).
• Indicates, designs, and completes educational programs for patients, families, and targeted audiences. 
• Maintains accurate records, medication lists, and documentation of care and follow-up for administrative purposes and reimbursement of services. Adheres to agreed-upon format/protocol for documentation or records.
• Adheres to agreed-upon format/protocol for documentation or records.
• Maintains appropriate level of documentation to promote/support level of complexity when compared against/to service fee charges.
• Reviews and updates problem list at least on annual visit/episodic visit by patient and initiates problem and medication lists on new patients seen.
• Documents telephone calls with patients and specialists.
• Documents visit in concise, clear, logical, and legible manner.
• Maintains competence in clinical practice. Identifies the knowledge and skills needed through self-assessment, peer review, and supervisory review.
• Participates in a variety of educational activities in order to maintain and increase competency.
• Uses continuing education opportunities as a basis for expanding medical knowledge and improving clinical skills, and incorporates these into the daily practice of medicine.
• Participates in developing, implementing, and interpreting quality assurance/risk management programs.
• Maintains licensure/certification.

• Supervises and intervenes with clinical issues and supports/directs triage by clinical staff when necessary. Implements clinical education and training or clinical staff when necessary.
• Is available for feedback on call-back and triage issues as needed. 
• Provides in-services and clinical education for staff members on an “as needed” basis.
• Identifies barriers to patient care flow or delivery and assists in formulating corrective action.
• Adheres to the drug formulary developed by the practice. Prescribes within the practice agreement set forth by supervising physicians 100% of the time. Ensures updated and accurate practice agreement every 2 years as set forth in rules and regulations for prescribing authority.
• Ensures updated and accurate practice agreement every 2 years as set forth in rules and regulations for prescribing authority.
• Maintains confidentiality of patient and of patient/practice information with no infractions as noted by supervision.
• Maintains current signed protocols reviewed and revised annually and as needed.
• Regularly maintains a neat appearance and adheres to department/corporation  dress, including the wearing of appropriate identification.
• Provides proper notification for all absences or tardiness, scheduled shift and scheduled time off in accordance with company policy.
• Demonstrates regard for the dignity and respect for all patients, their families, guests, and representatives of other organizations as well as fellow employees, volunteers, and medical staff in support of the practice's mission to provide consistent, quality health care services in a professional, caring, and responsive environment.
• Demonstrates responsibility for individual performance and efficient utilization of products, supplies, equipment, and time to ensure the timely completion of duties and to promote financial viability through provision of services at a reasonable cost.
• Employee follows established safety precautions and procedures in the performance of all duties in order to ensure a safe environment.
• Ensure Hazardous Waste or Hazardous Waste Pharmaceuticals are discarded, stored, and managed with other compatible waste streams in containers that are properly labeled and closed prior to being shipped offsite for proper disposal.  Initial RCRA training is received within 6 months of the hire date and continuing with annual RCRA training.
• Demonstrates a complete knowledge of body mechanics by consistent use in the work setting as evidenced by no injuries sustained as a result of improper body mechanics in the evaluation period.
• Performs all other duties as assigned or as required in an emergency, e.g., fire or disaster.

We are committed to offering quality, cost-effective benefits choices for our employees and their families:

• Day ONE medical, dental and life insurance benefits 
• Health care and dependent care flexible spending accounts (FSAs)
• Employees are eligible for enrollment into the 403(b) match plan day one.  LHI matches dollar for dollar up to 6%.
• Employer paid life insurance – equal to 1x salary
• Employee may elect supplemental life insurance with low cost premiums up to 3x salary 
• Adoption assistance
• LHI provides its full-time employees employer paid short-term disability and long-term disability coverage after 90 days of eligible employment
• Tuition reimbursement
• Student loan forgiveness

Equal Opportunity Employer
It is the policy of LMC to provide equal opportunity of employment for all individuals, and to remain compliant with applicable state and federal laws and regulations. LMC strives to provide a discrimination-free environment, and to recruit, select, on-board, and employ all employees without regard to race, color, religion, sex, age, disability, national origin, veteran status, or pregnancy, childbirth, or related medical conditions, including but not limited to, lactation. LMC endeavors to upgrade and promote employees from within the hospital where possible and consistent with the employee's desires and abilities and the hospital's needs.