We are seeking a CO Nurse Practitioner who will serve on a multidisciplinary team, working collaboratively with the faculty, fellows, staff and other nurse practitioners at the top ranked Johns Hopkins Division of Endocrinology Diabetes & Metabolism, providing clinical diabetes care and education to patients who are evaluated and treated as part of the Total Pancreatectomy Islet Auto Transplant (TPIAT) program. Working with a strong focus on quality and patient satisfaction, the nurse practitioner, as a critical member of the Total Pancreatectomy Islet Auto Transplant (TPIAT) team, will be responsible for pre-operative diabetes assessment and education of patients who are candidates for the program; conducting daily inpatient diabetes consults and follow-up care of patients undergoing pancreatic surgery and/or TPIAT; and continued diabetes management of patients in outpatient clinic at the Johns Hopkins Diabetes Center. The nurse practitioner will work in collaboration with the adult endocrinologist for the TPIAT program and contribute to the development of clinical management pathways, data collection and research projects, and educating nursing staff in best practices for glucose management of patients following TPIAT surgery. The nurse practitioner will participate in the Diabetes Center's diabetes education curriculum and will actively interact with the provider community to contribute to the continuous advancement of diabetes care. Serving in a Division that exceeds national benchmarks for employee engagement, the nurse practitioner will impact patient lives as a valued care team member practicing at the height of their scope of practice, developing significant expertise, undertaking meaningful projects and exercising professional citizenship to advance inpatient glucose management across the institution. Staff privileges will be granted to the Nurse Practitioner by the Johns Hopkins Hospital Medical Board and Bayview Medical Center; these privileges include specific tasks and are reviewed annually. The Nurse Practitioner will participate in training and evaluation led by the Division of Endocrinology, Diabetes, and Metabolism, and meet internal training guidelines prior to treating patients. Skills needed include an ability to incorporate into practice theoretical concepts and advanced clinical skills with patients, families, and interdisciplinary health care team members. Analytical abilities are necessary to diagnose patients and to develop and implement plans of action. Advanced interpersonal skills are necessary to communicate effectively with all members of the interdisciplinary health care team to enhance collaboration and problem-solving. Excellent communication skills, both verbal and written, are necessary to provide information to patients and health care personnel. The Nurse Practitioner must be able to function effectively in a fluid, dynamic, and rapidly changing environment.
Specific Duties & Responsibilities
Performing new consultations daily for hospitalized adults on surgical services following pancreatic surgery and/or TPIAT
Making recommendations for the initial glucose management plan and continued glycemic management for the duration of the patient's admission (as needed based on glycemic control)
Documenting the diabetes management plan in the electronic medical record on a daily basis and communicating directly with primary teams.
Ensuring appropriate plans have been made for patients at the time of discharge including: appropriate clinic follow-up appointments have been made and adequate diabetes treatment and testing supplies have been ordered.
Seeing patients for outpatient diabetes management in the Diabetes Center during a one half-day session per week
Pre-operative diabetes assessment and education of patients who are candidates for TPIAT surgery
Developing clinical pathways for diabetes management following pancreatic and/or TPIAT surgery together with the faculty endocrinologist for the program
Assisting with nursing staff education regarding inpatient glucose management following TPIAT
Working collaboratively with the TPIAT program's adult endocrinologist and other members of the interdisciplinary TPIAT team including surgeons, gastroenterologists, islet biologists, and surgery nurse practitioners
Working collaboratively with the inpatient endocrine attending and fellow each month and with outpatient providers in the Diabetes Center
Assisting in the cross-coverage of patients followed by members of the Inpatient Diabetes Management Service (i.e. vacation, illness)
Educating patients and families regarding the nature of their clinical problems, prognoses, and options for continued care
Managing and regularly updating a diabetes database of patients seen in the TPIAT program.
Contribute to programmatic research initiatives that may result from the TPIAT program related to diabetes care, including opportunities for co-authorship of research publications
Scope of Responsibility
Knows the informal policies, procedures and practices necessary to conduct the normal function of a specific section, unit, or work area.
Is aware of the role of the position and its potential impact on the working unit.
Decision Making
Ability to analyze data and make independent judgments regarding patient care consistent with his/her scope of practice.
Carries out duties and responsibilities with limited supervision. Makes decisions and establishes work priorities on essentially procedure-oriented operations.
Communication
Exchanges routine information in an appropriate manner requiring good oral and written communication skills.
Physical Requirements
Sitting in a normal seated position for extended periods of time.
Reaching by extending hand(s) or arm(s) in any direction.
Finger dexterity required to manipulate objects with fingers rather than with whole hand(s) or arm(s), for example, using a keyboard.
Communication skills using the spoken word.
Ability to see within normal parameters.
Ability to hear within normal range.
Ability to move about.
Ability to attend to information presented one-on-one and during staff meetings.
Ability to lift patients, 50 lbs. or more.
*This description is a general statement of required major duties and responsibilities performed on a regular and continuous basis. It does not exclude other duties as assigned.
Minimum Qualifications
Master's Degree in Nursing, Registered Nurse license and Certified as a Nurse Practitioner. Must be licensed as NP in State of Maryland or other state where practicing.
Current CPR / ACLS certification required.
Experience in diabetes management preferred but not 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.
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.
Holds or plans to obtain a Certified Diabetes Care and Education Specialist (CDCES) certificate within first 1-2 years of date of hire.
Additional experience may substitute for master's degree, to the extent permitted by the JHU equivalency formula.
Classified Title: Nurse Practitioner Job Posting Title (Working Title): CO Nurse Practitioner Role/Level/Range: ACRP/04/MG Starting Salary Range: $102,000 - Max $151,400 ($115,000 targeted; Commensurate with experience) Employee group: Full Time Schedule: 37.5 Exempt Status: Exempt Location: School of Medicine Campus Department name: SOM DOM Endocrinology Personnel area: School of Medicine
Total Rewards The referenced salary range is based on Johns Hopkins University's good faith belief at the time of posting. Actual compensation may vary based on factors such as geographic location, work experience, market conditions, education/training and skill level. Johns Hopkins offers a total rewards package that supports our employees' health, life, career and retirement. More information can be found here: https://hr.jhu.edu/benefits-worklife/
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. Johns Hopkins is committed to hiring individuals with a justice-involved background, consistent with applicable policies and current practice. A prior criminal history does not automatically preclude candidates from employment at Johns Hopkins University. In accordance with applicable law, the university will review, on an individual basis, the date of a candidate's conviction, the nature of the conviction and how the conviction relates to an essential job-related qualification or function.
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