The Nurse Practitioner or Physician Assistant (Tier III) works collaboratively as part of a multi-disciplinary healthcare team. Provides care for patients both in the outpatient clinic and the inpatient setting and addresses both acute and chronic issues in managing disease and treatment-related complications. Collects, documents and analyzes patient data; collaborates in the development and implementation of treatment plans; coordinates patient care with ancillary clinical services; makes appropriate referrals to consulting medical staff; provides follow up to referring physicians; may orient or precept students and new staff. Performs other related duties as assigned or directed to meet the goals and objectives of the institution.

Join our Advanced Practice Provider team in the Division of Critical Care Medicine at St. Jude Children's Research Hospital, where we meet patients at the most critical moments of their lives-and we rise to the challenge together. We are a high-performing, tight-knit team committed to excellence, compassion, and innovation in pediatric onco-critical care. This is a rare opportunity to join a well-established team where you will be empowered to practice at the very top of your scope and supported by your colleagues every step of the way. If you are quick on your feet, thrive under pressure, and are ready for a new challenge, we would love to meet you.

Work Hours: 12-hour shifts. Tier III Advanced Practitioners work a combination of days and nights or straight nights, including weekdays, weekends, and holiday. APPs on Tier III are expected to work one weekend every four weeks and three holidays a year.

For consideration for this position, candidates must have passed the certification exam for either Physician Assistant or Nurse Practitioner. For Nurse Practitioner, Acute Care Certified Pediatric Nurse Practitioner certification is highly preferred.

Job Responsibilities:

• Performs patient care duties in the designated service according to established standards, general and services specific scopes of care, policies and procedures, and patient-specific protocols. Annually demonstrates performance competency in each of the following: Obtains medical, family and social histories, performs physical examination, orders appropriate and interprets appropriate diagnostic studies and laboratory tests, Interprets patient data to accurately diagnose disease and disease stage, Identifies appropriate medical treatment, whether protocol or non-protocol, participates in the implementation of appropriate medical treatment. May write orders as permitted by the Clinical Staff Rules and Regulations, monitors and evaluates patient response to medical treatment, facilitates appropriate patient referrals, provides patient and family support, provides patient follow-up to other health care providers, including referring physicians, performs diagnostic procedures as prescribed by treatment guidelines or as indicated by changes in clinical status.

• Collects and records data as required by utilizing effective verbal and written communication skills to obtain and document patient information in the medical record or other records as required. Monitors treatment guideline/clinical research flow sheets and other pertinent written records and participates in scholarly dissemination of research data.
• Collaborates in the development of clinical research flow sheets by assisting in the collection, analysis and interpretation of historical patient data.
• Assists in research by careful collaboration in the development of clinical research objectives and the implementation of, and adherence to clinical trial protocols. Accurately records information according to medical and research requirements.
• Educates patients, families, students and participates in the orientation of new employees. Assesses the learning needs and abilities of patients and families, to facilitate their development of self-care. Effectively communicates verbally and in writing. Orients and precepts advanced practice students, medical residents, nursing visitors, medical and nursing fellows in clinical areas.
• Maintains current knowledge as related to the profession and job responsibilities by regularly attending conferences and meetings at the hospital and off-site.
• Demonstrates the knowledge and skills necessary identify and provide care appropriate to any age-related needs of the patients served on the assigned unit. Demonstrates knowledge of the principles of growth and development for all ages served and is able to assess and interpret age-specific data about the patient's status.
• Participates in the detection, reporting and improvement of systems, to prevent patient care incidents and improve patient safety and quality.
• Maintains regular and predictable attendance.
• Performs other related duties as assigned in order to meet the goals of the department and institution.
• Participates in elements of care coordination across the continuum.

Minimum Education and/or Training:

Nurse Practitioner:

• Master's degree in nursing required

Physician Assistant:

• Graduate of a Physician Assistant Program accredited by the Accreditation and Review Commission on Physician Assistant Education (ARC-PA)
• BLS/PALS/ACLS

Minimum Experience:

• Pediatrics and hematology and/or oncology experience preferred
• Pediatric intensive care experience preferred

Licensure, Registration and/or Certification Required by Law:

Nurse Practitioner:

• Current Advanced Practice Nurse License issued by the Tennessee State Board of Nursing (LC: AP-TN)
• Current Tennessee State Board of Nursing license if primary residence is Tennessee or a Nurse Licensure non-Compact state (LC:RN-TN), or a current State Board of Nursing license in the state of primary residence if the state is a Nurse Licensure Compact state (LC: RN-ARK, RN-MISS or RN-KY)
• Supervising Physician: verified by St. Jude Managed Care Department (LC: SUPMD)
• Nurse Practitioner Certification: American Nurses Credentialing Center (LC:ANCC-NP) or American Academy of Nurse Practitioners (LC: AA-NP) or Pediatric Nursing Certification Board (LC: PNCB), Acute Care Certified Pediatric Nurse Practitioner (CPNP-AC)
• Certificate of Fitness: State of Tennessee - Division of Health Related Boards (LC: CERTFIT)
• DEA certification: U.S. Department of Justice Drug Enforcement Administration within 6 months of employment (LC: DEA)

Physician Assistant:

• (LC:PA-TN) Licensed by the state of TN Board of Medical Examiners to practice as a physician assistant.
• (LC:NCCPA-CERT) Certified by the National Commission for Certification of Physician Assistants (NCCPA).(LC: SUPMD) Supervising Physician verified by St. Jude Managed Care Department.
• (LC:DEA) DEA certified by U.S. Department of Justice Drug Enforcement Administration within 6 months of employment.

Compensation
In recognition of certain U.S. state and municipal pay transparency laws, St. Jude is including a reasonable estimate of the compensation range for this role. This is an estimate offered in good faith and a specific salary offer takes into account factors that are considered in making compensation decisions including but not limited to skill sets, experience and training, licensure and certifications, and other business and organizational needs. It is not typical for an individual to be hired at or near the top of the salary range and compensation decisions are dependent on the facts and circumstances of each case. A reasonable estimate of the current salary range is $104,000 - $186,160 per year for the role of Nurse Practitioner or Physician Assistant (Tier III) - Pediatric Intensive Care Unit.

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