APP Palliative Care

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New Haven, CT
Nov 15, 2018


Job Description

To be part of our organization, every employee should understand and share in the YNHHS Vision, support our Mission, and live our Values. These values-integrity, patient-centered, respect, accountability, and compassion - must guide what we do, as individuals and professionals, every day.
The Smilow APP lead will provide clinical and administrative support for Physician Assistants and Nurse Practitioners in the assigned section or department. The APP Lead will also work clinically to supplement the activities of the other APPs as needed. The APP Lead will report to the SMILOW APP Manager. Administrative responsibilities will be approximately 20% of position, with Clinical duties approximately 80% of position depending upon the needs of the section or department.
  • 1. Administrative
  • 1.1. Works with medical and administrative supervisors in reviewing applications, interviewing and hiring of candidates. Coordinate interviewing process/selection of new staff
  • 1.2. Orients new and assists new staff with integration into the team. Facilitates new employee training relative to daily responsibilities
  • 1.3. Assists in the development and implementation of policies and procedures for the team. Develops and audits standards of care and quality measures for the team.
  • 1.4. Assists APPs in becoming proficient with procedures in area(s) of specialty.
  • 1.5. Assists supervising physician with chart review of APPs if requested
  • 1.6. Facilitates on boarding and orientation of new APPs
  • 1.7. Coordinates schedules for APPs and assures back-up coverage balancing departmental needs with APP PTO requests and CME requirements
  • 1.8. In collaboration with the supervising physicians and the APP manager, prepares and assists with performance evaluations of individual APPs.
  • 1.9. Provides information and education about APP role to incoming nursing and physician staff.
  • 1.10. Helps lead regular meetings with assigned APP groups
  • 1.11. Supports Department leadership with APP related issues and matters
  • 1.12. Supports department leadership in Hospital operational, regulatory and quality issues as requested.
  • 1.13. Will assist with creation/implementation of a career ladder as well as work with individuals on their professional development.
  • 2. Operational
  • 2.1. Ensures compliance with all YNHH policies and procedures.
  • 2.2. Ensures the required licensure and certifications are kept up to date and that YNHH Medical Services always has copies of current licenses and certificates.
  • 2.3. Assists with compliance with billing for all services/procedures performed.
  • 2.4. Attends administrative and clinical meetings, as required.
  • 2.5. Coordinates with Quality Improvement/Quality Assurance work group on issues related to advanced practice
  • 2.6. Lead/Participate in patient flow initiatives as they relate to APPs and entire department flow.
    Leads/Participates in team based quality improvement and patient/customer satisfaction initiatives.
  • 2.7. Works on patient satisfaction initiatives within the team. Implements measures to aid in patient satisfaction. Responds to patient complaints and reports patient satisfaction concerns to Patient Relations
  • 2.8. Responds to patient complaints and reports patient satisfaction concerns to Patient Relations
    Department and appropriate manager so that appropriate action may be taken.
  • 2.9. Ensures medical record documentation meets YNHH, State and Federal guidelines, clearly documenting patient diagnosis and medical information required for legal and billing purposes. Conducts regular chart reviews and provides feedback to respective individuals.
  • 2.10. Immediately reports any concerns about patient safety to appropriate parties.
  • 2.11. Ensures compliance with all Yale-New Haven Hospital patient policies and procedures for healthcare providers.
  • 2.12. As a healthcare provider, is responsible for reporting adverse or potential adverse events related to patient care.
  • 2.13. Lead/assist with deployment of new initiatives including Information Technology projects.
  • 2.14. Ensure compliance with completeness and timeliness of provider clinical documentation, including those aspects of the documentation that affect medication reconciliation, coding and billing.
  • 2.15. Participate in Department clinical QI/QA process
  • 3. Education
  • 3.1. Identifies information needs of team members, patients and families. Provides related teaching and education to unit staff
  • 3.2. Actively researches information on patient medical conditions and shares information with other team members and students.
  • 3.3. Participates in department and/or section educational conferences and attends Yale University School of Medicine Grand Rounds, as time permits.
  • 3.4. Participates in a level of continuing medical education - (CME) activity annually that improves the quality of care provided by the Service.
  • 3.5. Facilitate regular continuing education conference attendance as per department objectives for
    APPs to ensure continuing clinical competence
  • 3.6. Ensure APP completion of and documentation of competency and compliance with HIPAA, CME, regulatory and accreditation standards
  • 3.7. Promotes the dissemination of the newest clinical evidence in literature to improve patient care.
    Other information:


    Graduate of an approved APRN program required. Graduation from an APRN position with concentrated oncology clinicals is preferred.


    Experience as an APRN preferred. Oncology RN experience is preferred.


    License to practice in the State of CT as a Registered nurse and Advanced Practice Nurse


    Must have excellent clinical, verbal and written communication, interpersonal, and organizational skills. Ability to work independently with minimal supervision, develop and lead programs, foster a positive work environment. Strong initiative and excellent leadership skills.

    Annual performance review by administrative supervisor with input from medical directors for administrative and clinical responsibilities. Accountable for conducting accurate and appropriate evaluation, care, and coordination of care of medicine inpatients. Accountable for performance of all administrative tasks assigned.

    May assist Attending physicians in all aspects of patient care, including interactions with other services involved in the care of inpatients, outpatients and Emergency Department. Works with administrative and medical supervisors on special projects as assigned .All administrative responsibilities performed with professionalism , independently and with minimal supervision. Problem solves utilizing available resources efficiently.

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    Job Info

    Job: 3139

    Department: Palliative Care Program
    Category: Advanced Practice
    Hours: 40.00

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