Description

UPMC Community Provider Services is hiring a full-time Certified Registered Nurse Practitioner to help support our services on site at Heritage Place in Squirrel Hill. This position will support Monday-Friday with no call or weekends.  

See what being an Advanced Practice Provider can do for UPMC and what UPMC can do for Advanced Practice Providers – it’s more than just a job! 

 What Can You Bring to UPMC?

• Contribute to UPMC’s mission of Life Changing Medicine 
• Set the standards for the level and quality of care for the care delivery team 
• Provide patient care activities for a group of patients and their families through the application of independent judgment, communication and collaboration with all team members. 
• Establish and maintain collaborative relationships with physicians, other health care providers, patients and their families, to achieve desired patient outcomes throughout the continuum of care.  
• Demonstrate a commitment to the community and to your health care profession 

What UPMC Can Do for You: 

• A career path that provides you with the right experience to be successful in the position you want to obtain now and, in the future 
• Health and welfare benefits like medical, vision, dental, and life and disability, and an exceptional retirement program 
• Work life balance to help manage other importance aspects of your life such as: PTO, wellness programs, paid parental leave 
• Competitive pay for the work that you do – base pay, merit, and premium pay 

Senior:
The Senior Professional Advanced Practice Provider (APP) is a CRNP and a member of the care delivery team. The Senior Professional APP is responsible to set the standards for the level and quality of care. The Senior Professional APP has responsibility and accountability for the provision of care through supervision by and collaboration with a physician. The Senior Professional APP manages and provides patient care activities for a group of patients and their families through the application of independent judgment, communication and collaboration with all team members. The role of the Senior Professional APP encompasses leadership, partnership, collaboration and supervision. The Senior Professional APP establishes and maintains collaborative relationships with physicians, other health care providers, patients and their families, to achieve desired patient outcomes throughout the continuum of care. The Senior Professional APP demonstrates a commitment to the community and to their healthcare profession. The successful candidate will be placed according to years and months of experience for employment purposes. 

• Demonstrates a passion for developing others, enthusiastically and expertly precepts students and learners. Analyzes clinical and behavioral situations, identifying learning opportunities to improve patient care practices. Regularly seeks feedback on performance and applies continuous professional improvement. Supports continuous learning in the clinical area by sharing research, materials from professional organizations, presenting in the clinical setting, supporting journal clubs, etc.
• Applies principles of acceptable professional practice. Formulates a plan of care for patients that involves the patient as partner and considers the individual needs of the patient. Practices solid communication skills, and is able to articulate and translate the patient's condition to other care providers and to negotiate and make recommendations for changes in patient care and clinical practices. Patient documentation is comprehensive and promotes communication between caregivers. Demonstrates critical thinking in all areas of professional practice. Incorporates acceptable standards of professional practice as well as business unit and health system's goals to improve patient safety, quality and satisfaction of the patient experience in daily work. Builds relationships with patients, families and colleagues.
• Is a role model of professional practice by serving as a recognized leader in one or more of the following areas: clinical expertise, teacher, specialized resource, and/or evidence based practice. Consistently gives appropriate feedback to all members of the health care team and participates in the peer review process. Promotes change that enhances the quality of patient care and the clinical environment. Serves on teams and is a model of team participation as a part of daily practice. Demonstrates highly developed clinical assessment and analytical skills. Actively participates in hospital and system-wide committees and/or council.
• Builds and mends relationships among colleagues within the framework of a healthy workplace. Role models keen cultural awareness including preventing and addressing horizontal violence and impairment. Maintains a conscious balance between work and personal life through prioritization and delegation of responsibilities.

Identifies opportunities for clinical quality as well as workplace improvement. Applies evidence based practice as a regular aspect of professional practice. Serves on or leads teams that launch innovations in patient care or support a healthy workforce. 

Staff Level: 

The Staff Advanced Practice Provider (APP) is a Certified Registered Nurse Practitioner and a member of the care delivery team. The Staff APP is responsible to set the standards for the level and quality of care. The Staff APP has responsibility, authority and accountability for the provision of care through supervision by and collaboration with a physician. The Staff APP manages and provides patient care activities for a group of patients and their families through the application of independent judgment, communication and collaboration with all team members. The role of the Staff APP encompasses the beginnings of leadership, partnership, collaboration and supervision. The Staff APP establishes and maintains collaborative relationships with physicians, other health care providers, patients and their families, to achieve desired patient outcomes throughout the continuum of care. The Staff APP begins to demonstrate a commitment to the community and to their healthcare profession.

The successful candidate will be placed according to years and months of experience for employment purposes.

Purpose:
The CRNP working in the UPMC Skilled Nursing Facilities functions within a Collaborative Practice Agreement with the facility Medical Director to provide on-site medical and palliative care for residents of the skilled nursing facility. This includes both attending to acute changes in medical conditions, as well as delegated review and monitoring of chronic medical conditions. In addition to medical management the CRNP is responsible for the provision of symptoms management and involvement in establishment of goals of care with residents and families. The CRNP works collaboratively with the DON, Unit Managers, and other members of the interdisciplinary team to accomplish such. The CRNP communicates proactively with attending physicians regarding the clinical condition of their patients. The CRNP prescribes medications including controlled substances and orders diagnostic/treatments as needed for residents. The CRNP must demonstrate the knowledge and skills necessary to provide care that is relevant to residents under their care. The CRNP must have well developed communication skills and be able to negotiate the complex medical and psycho-social needs of the residents at the facility. The CRNP must possess the ability to form professional collaborative relationships with attending physicians and all members of the care team. The successful candidate will be place according to years and months of experience for employment purposes.

Responsibilities:
 

• Seeks out appropriate nursing, physician, and other health care teams recommendations.
• Assesses the need for and implements system or process improvements.
• Demonstrates awareness of the impact of his/her behavior of the efficient functioning of the department/organization.
• Develops relationships with service line physicians to promote and proactively promote Palliative Care interventions.
• Collaborates with staff development to provide instruction to nursing staff.
• Provides patient and family education about their condition in and understandable and realistic manner, along with benefits and burdens of treatment options.
• Orders and interprets appropriate laboratory or diagnostic test/procedures as indicated.
• Initiates referrals and consultations with other licensed professional health care providers and consults with other health care providers when indicated.
• Suggests and leads changes within the department/organization that focus on improving care for seriously ill and dying patients.
• Provides for pain and symptom control.
• Evaluates and manages acute problems and changes in condition of patients/residents.
• Communicated with attending physician regarding findings and treatment plans ordered.
• Role models professional communication and encourages free exchange of ideas that serve to improve communication.
• Serves as a mentor for nursing staff, students, and newer nurse practitioners.
• Provides onsite medical management in collaboration with the Medical Director and Attending physicians.
• Perform medical evaluation of residents in response to identified need/request from nursing, attending physician or other staff.
• Chairs or serves on facility based committees as requested.
• As the expert clinician, is accountable and responsible for sharing that expertise with the nursing staff.
• Communicates with the UPMC Health Plan care management for Health Plan members regarding the resident care plan, advanced care plans and discharge planning when appropriate.
• Accountable to establish professional and respectful interpersonal relationships.
• Participates in professional organizations.
• Collaborates with the attending physician, facility care managers, nursing staff, and Medical Director t coordinate services necessary to support resident care and treatment.
• Serves as a resource for staff and other disciplines in the facility.
• Reviews the literature and stays current, applies evidenced based best practices.
• Participates in self review, sets new goals, and objectives for self on an annual basis.
• Ongoing regular assessment of patient values, preferences and goals for care to ensure that the treatment plan reflects these goals.
• Provides focused teaching and identified learning needs of nursing staff.
• Leads health care teams conferences.
• Provides emergent care and initiates appropriate actions.
• Acts as a change agent to design, facilitate, monitor, and evaluate program improvement initiatives.
• Participated in facility/departmental Quality Improvement process through meeting attendance, outcome measures, and input regarding processes and procedures.
• Responsible for guiding staff nurses to understand how to develop a Plan of Care that includes mutual and established goals with patient/family and that focus on Palliative Care.
• Constructively receives feedback and direction and provides the same for the other staff nurses.
• Identifies, communicates, and meets learning needs of self.
• In conjunction with Unit Director mentors staff in effective and appropriate communication skills.
• Documents and communicates goals for care in the medical record and obtains POLST as indicated.

Qualifications

Qualifications: 

• Demonstrate the knowledge and skills necessary to provide care and/or interact appropriately to the patients served as specified below 
• Demonstrate knowledge of the principles of growth and development over the life span  
• Possess the ability to assess data reflective of the patient's status and interpret the appropriate information needed to identify each patient's requirements relative to his/her age-specific needs  
• Provide the care needs as described in the department policy and procedures 

Special Skills and Abilities Required:  

• Ability to establish and maintain positive, caring relationships with executives, managers, physicians, non-physician providers, ancillary and support staff, other departments, and patients/families 
• Ability to work productively and effectively within a complex environment 
• Handle multiple/changing priorities and specialized equipment 
• Critical thinking, analytical and problem-solving abilities required as related to various aspects of patient care 
• Good clinical judgment 
• Critical thinking skills necessary to exercise and lead others in application of acceptable standards of practice 
• Mobility and visual manual dexterity 
• Physical stamina for frequent walking, standing, lifting and positioning of patients 

This position is dependent upon successful attainment and maintenance of hospital privileges, if applicable to the Business Unit practice. 
 

Senior:

The individual must be able to demonstrate the knowledge and skills necessary to provide care and/or interact appropriately to the patients served as specified below. They must also demonstrate knowledge of the principles relative to the patient's age-specific needs and to provide the care needs as described in the department policy and procedures. Minimum 3 years of experience or Completion of a post-graduate residency. The successful completion of an approved Nurse Practitioner program or PA program is required. Completion of National Certification. Must achieve a 'Solid/Strong/Good' performance rating or higher on annual performance evaluation for consideration and to maintain status annually. Completion of an OAPP approved professional contribution within one year of hire or promotion into the position. Must have department chair approval for promotion. Demonstration of clinical precepting of one APP student per calendar year for at least two years or evidence of ongoing education of APP students or demonstrate a meaningful contribution to student education. Special Skills and Abilities Required: Ability to establish and maintain positive, caring relationships with executives, managers, physicians, non-physician providers, ancillary and support staff, other departments, and patients/families. Ability to work productively and effectively within a complex environment, handle multiple/changing priorities and specialized equipment. Exemplary clinical judgment with critical thinking, analytical and problem-solving abilities required as related to various aspects of patient care. Critical thinking skills necessary to exercise and to lead others in application of the acceptable standards of practice. Mobility and visual manual dexterity. This position is dependent upon successful attainment and maintenance of hospital privileges, if applicable to the Business Unit practice.

Licensure, Education, Certifications, and Clearances 

CRNP:  

• The successful completion of an approved nurse practitioner program is required 
• BSN, MSN is preferred 
• Professional nursing experience and/or nurse practitioner experience is preferred 
• Current state RN license and CRNP certification are required 
• National certification, eligible for licensure by Pennsylvania board of nursing, eligible for certification as a CRNP by Pennsylvania state board of nursing 
• Current CPR certification is required 
• Act 33 Clearance will be required  
• Act 73 Clearance will be required  
• Act 34 Clearance required 

UPMC has a Center for Engagement and Inclusions that is charged with executing leading-edge and next- generation diversity strategies to advance the organization’s diversity management capability and its national presence as a diversity leader.  This includes having Employee Resources Groups, such as PRIDE Health or UPMC ENABLED (Empowering Abilities and Leveraging Difference) Network, that support the implementation of our diversity strategy. 

UPMC is an Equal Opportunity Employer/Disability/Veteran 

Total Rewards

More than just competitive pay and benefits, UPMC’s Total Rewards package cares for you in all areas of life — because we believe that you’re at your best when receiving the support you need: professional, personal, financial, and more.

Our Values

At UPMC, we’re driven by shared values that guide our work and keep us accountable to one another. Our Values of Quality & Safety, Dignity & Respect, Caring & Listening, Responsibility & Integrity, Excellence & Innovation play a vital role in creating a cohesive, positive experience for our employees, patients, health plan members, and community. Ready to join us? Apply today.