We are seeking an Advanced Provider Practitioner (APP). The Advanced Provider Practitioner (APP) supports the Johns Hopkins Sleep Disorders Center at both Johns Hopkins East Baltimore and Johns Hopkins Bayview Medical Center campuses. The APP works collaboratively within a multidisciplinary team of Sleep physicians from subspecialties including pulmonary, neurology, psychiatry, and psychology attendings and residents/fellows that deliver care to patients with a wide range of sleep disorders. The APP will also partner with sleep technologists and respiratory therapists to optimize team performance and patient outcomes. The APP will see patients initially with supervision and once competencies have been demonstrated, will practice independently in partnership with the physician faculty. The duties include a comprehensive set of activities including, evaluating and treating new and established patients by taking a sleep-related history and physical and ordering sleep-related testing as needed. Triaging of patients for sleep testing and clinic visits with the appropriate sleep medicine specialist. Patient and family education regarding the nature of their sleep-related medical problems, prognoses, and options for continued care concerning care continuity. Providing clinical support for prescription authorization and patient follow-up for the practice, and developing materials for patient education. Acting as a liaison between referring physicians and the practice and between hospital staff, including nurses, physicians, and other departments, sleep fellows and the sleep medicine program. Assisting with research recruitment when possible, and supporting inpatient evaluation of patients undergoing sleep testing. The APP practices within the guidelines of the Department of Medicine, Division of Pulmonary and Critical Care Medicine, and the institution in accordance with the clinical purview and approved by the State of Maryland.
Specific Duties & Responsibilities
Conduct health interviews and physical exams, assigns a sleep disorder-related diagnosis (e.g. sleep-disordered breathing, restless legs syndrome, parasomnias, circadian rhythm disorders, insomnias, and hypersomnias). Orders diagnostic tests (e.g. home sleep studies, overnight sleep studies, positive airway pressure titration studies, EKGs, PFTs, sleep studies, and lab values), provides consultations, counseling and teaching to patients, families, and other health care professionals.
Initiates referrals to other providers for concurrent and continuing care, manages clinical emergencies should they arise, mobilizes resources, and makes appropriate short and long term referrals.
Develops appropriate treatment plans for the management of patients with sleep disorders including patient education and the judicious prescription of non-controlled and controlled drugs as appropriate.
Assists with patient triage from available Epic work queues for sleep lab or clinic evaluations with the appropriate sleep medicine sub-specialist.
Update and create new patient education materials to be used in the Sleep Disorders Center. Assist with a patient support group if one is developed.
Work closely with other division staff including administrative personnel, sleep technologists, and respiratory therapists to coordinate other aspects of patient care such as scheduling of clinic appointments, scheduling of necessary testing, troubleshooting CPAP problems and answering patient questions.
Provide clinical support as needed for prescription authorizations, response to patient phone calls, and other documents that need signing/attention by providers in the practice.
Develop and improve sleep center under the supervision of the Clinical Director, clinical and managerial operations that include but are not limited to improving clinic flow, marketing of the sleep center, and developing and improving upon clinical services.
Uses advanced clinical and theoretical knowledge to identify acute and/or chronic health problems through a comprehensive, age-appropriate assessment of patients/families.
Provides evidence-based care and provides patient education for self-care chronic disease management.
Effectively uses resources. Prioritizes and organizes work to meet the changing priorities of the functional unit and/or cost center.
Authority for coordinating and making decisions regarding patient care.
Triages phone calls and electronic advice requests from patients and determines need for medical assessment. Assesses lab results and implements intervention in consultation with primary providers and medical director. Provides guidance and direction to other unit staff where applicable to promote quality, safety, and excellence in care.
Analyzes findings and applies, as appropriate, to improve the management of patient care.
Identifies care continuity needs of patients.
Participates in quality improvement/patient safety projects.
Coordinates care for a group of primary complex patients to achieve clinical and organizational outcomes.
Responsible for other clinical duties as assigned.
Special Knowledge, Skills & Abilities
Advanced clinical skills in specialty area or equivalent.
Successfully completes all training courses required for access to Epic and other clinical software systems. General computer knowledge and capability to use computer.
Requires effective use of resources and cost awareness.
Ability to incorporate into practice theoretical concepts and advanced clinical skills with patients, families, and interdisciplinary health care team members.
Ability to analyze data to synthesize and summarize information and to make judgments regarding patient care.
Analytical ability necessary to diagnose patients and to develop and implement plans of action for long and short term management of acute and chronic health.
Ability to apply principles of evidence-based practice, scientific process, and service excellence in practice.
Ability to interact successfully with the public. Ability to perform effectively despite sudden deadlines and changing priorities. Ability to maintain personal composure in high stress situations.
Demonstrated interpersonal, written and verbal communication skills are required to service sleep center patients.
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, both verbally and in writing, in order to provide information to patients and health care personnel.
Ability to demonstrate and convey a favorable image of the organization and to conform to proper standards of professional dress, attitude and demeanor.
Ability to demonstrate a high level of interpersonal skills required to interact with patients, patients' families/visitors and clinical staff.
Ability to perform with a high degree of accuracy and with meticulous attention to detail. Demonstrate a strong ability to use initiative and judgment and to identify, analyze and solve problems.
Able to operate patient care equipment, computers, and general office equipment.
Technical Qualifications or Specialized Certifications
DEA and Maryland CDS license or willingness to obtain one.
Possible exposure to communicable diseases, hazardous material, aggressive patients, pharmacological agents, with little likelihood of harm if established health precautions are followed.
Work requires positioning, assisting, and/or providing emergency restraining of aggressive patients and patients experiencing loss of control; and transporting patients and/or equipment from one location to another with little likelihood for injury if proper body mechanics and procedures are followed.
Ability to move about.
Bachelor's Degree, Certification by the NCCPA or similar national certifying body, Completion of a CAAHEP certified Physician Assistant program. Must be licensed as PA in State of Maryland or other state where practicing.
Experience may be considered in lieu of bachelor's Degree.
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.
Excellent organizational skills and the ability to handle multiple tasks simultaneously.
Experience in sleep medicine or working in specialty practices such as pulmonary medicine, cardiology, neurology, psychiatry.
Previous experience with Epic.
Prior certification as a sleep educator.
Analytical ability necessary to evaluate health status of patient and to implement proper care plan.
Interpersonal skills necessary to communicate with other services.
Ability to work well as a member of a health care team with a high degree of self-motivation.
General computer knowledge and ability to use computerized medical information systems.
Classified Title: Physician Assistant Role/Level/Range: ACRP/04/MG Starting Salary Range: $84,810 - $116,600/Annually (Commensurate with experience) Employee group: Full Time Schedule: M-F, 8:30-5pm Exempt Status: Exempt Location: Hybrid/Johns Hopkins Bayview Department name: SOM DOM Pulmonary Personnel area: School of Medicine
Please refer to the job description above to see which forms of equivalency are permitted for this position. If permitted, equivalencies will follow these guidelines:
JHU Equivalency Formula: 30 undergraduate degree credits (semester hours) or 18 graduate degree credits may substitute for one year of experience. Additional related experience may substitute for required education on the same basis. For jobs where equivalency is permitted, up to two years of non-related college course work may be applied towards the total minimum education/experience required for the respective job.
**Applicants who do not meet the posted requirements but are completing their final academic semester/quarter will be considered eligible for employment and may be asked to provide additional information confirming their academic completion date.
The successful candidate(s) for this position will be subject to a pre-employment background check.
All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability, or status as a protected veteran.
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