Internal Medicine Association Advanced Practice Provider (Nurse Practitioner/Physician Assistant) Jefferson Primary Care Abingt - Thomas Jefferson University & Jefferson Health

The Advanced Practice Provider (Nurse Practitioner/Physician Assistant) within the ambulatory setting works in collaboration with, and is an integral member of, a multidisciplinary health care team. The PRIMARY CARE APP provides comprehensive care in a FAMILY MEDICINE or INTERNAL MEDICINE practice.

Overview:

• Provides primary care to patients across the life span (family medicine) or adult patients (internal medicine).

Assessment/Diagnosis and Management of Patients in Primary Care Setting

• Provides preventive health, including well visits, screenings, and immunizations; as well as acute and complex care visits requiring diagnosis, treatment/management, and referral to specialists or higher level of care when necessary.
• Collaborates with interdisciplinary health care team.
• Possesses awareness and provides assessment of patient risk factors, including physical, socioeconomic, and psychosocial risk factors.
• Obtains and documents thorough patient history.
• Performs and documents comprehensive physical exam.
• Orders, performs, and interprets appropriate diagnostic testing, and responds to results requiring further evaluation or investigation.
• Formulates differential diagnoses by priority.
• Engages/Collaborates with collaborative physicians when needed (i.e. diagnosis in question, patient not responding to treatment, etc.).
• Coordinates with other specialists as needed.

Formulates Plan of Care

• Identifies expected outcomes from diagnosis, and formulates and documents a plan of care to address preventive care, acute care, and chronic health care needs.
• Utilizes evidenced-based practice guidelines and protocols in an individualized, dynamic plan of care that can be applied across the continuum.
• Implements and modifies plan of care based on patient response, diagnostic testing, and specialist recommendations.
• Prescribes diagnostic strategies and therapeutic interventions (as above).
• May perform in-office procedures consistent with privileges and competency validation.

Documentation

• Outpatient visits are documented in EPIC system using SOAP format. 
• Provides timely documentation in Epic; meets compliance standards; and captures patient history, presenting problem, physical exam, diagnosis(es) and treatment/plan of care.
• Signs/closes visit notes within 24 hours of the patient encounter.

Other Responsibilities

• Reviews results of diagnostic studies in a timely manner, and communicates follow-up plan to the patient
• Reviews and addresses telephone and Epic portal messages (In-Basket)
• Reviews specialist consults, recent inpatient summaries, or other patient information copied from other providers
• Provides In-Basket coverage as needed when other providers are out-of-office

Communication and Collaboration

• Maintains ongoing communication and collaboration with office staff and interdisciplinary health care team.
• Facilitates and communicates with patients, patient care team, and staff
• Report compliance concerns or patient safety issues/events.

Quality and Productivity

• Engages with population health team to improve patient access and outcomes. 
• Aims to meet annual quality metric goals as defined by Jefferson Medical Group.
• Meets target productivity, measured by work RVUs (relative volume units)

Professional Practice

• Demonstrates Professional Practice behaviors including: preceptor/mentoring, education, and instruction of graduate students.
• Seeks opportunities for active engagement in research and the analysis of evidenced based practice.
• Completes annual required health system learning activities
• Actively participates in Advance Practice Grand Rounds and specialty-specific meetings.
• Maintains national board certification, state licensure and required continuing education, and membership in a professional organization as appropriate

• Master’s Degree  
• National Board Certification as a Primary/Family Care Nurse Practitioner or Physician Assistant
• BLS certification

Covid Vaccination is a requirement for employment at Jefferson for employees working at Jefferson’s clinical entities or at the University.  If you are not currently vaccinated you will be required to receive the vaccination prior to hire date if you are offered employment, unless you request and receive an approved medical or religious exemption from Jefferson.

Jefferson includes Thomas Jefferson University and Jefferson Health, a dynamic university and health system with broad reach across the Delaware Valley. Jefferson is the second largest employer in Philadelphia and the largest health system in Philadelphia based on total licensed beds.

Through the merger of Thomas Jefferson University and Philadelphia University in 2017, our University includes ten colleges and four schools. We are an NCAA Division II university and an R2 national doctoral university offering undergraduate and graduate-level programs that provide students with a forward-thinking education in architecture, business, design, engineering, fashion and textiles, health, medicine and social science.

Jefferson Health, the clinical arm of Thomas Jefferson University, has grown from a three-hospital academic health center in 2015, to an 18-hospital health system through mergers and combinations that include hospitals at Abington Health, Aria Health, Kennedy Health, Magee Rehabilitation and Einstein Healthcare Network. We have over 50 outpatient and urgent care centers; ten Magnet®-designated hospitals (recognized by the ANCC for nursing excellence); the NCI-designated Sidney Kimmel Cancer Center (one of only 70 in the country and one of only two in the region); and one of the largest faculty-based telehealth networks in the country. In 2021, Jefferson Health became the sole owner of HealthPartners Plan, a not-for-profit health maintenance organization in Southeastern Pennsylvania. We are the first health system regionally to create an aligned payer-provider partnership.

Jefferson’s mission, vision and values create an organization that attracts the best and the brightest students, faculty, staff, and healthcare professionals, as well as the most visionary leaders to drive exceptional results.

• OUR MISSION: We improve lives.
• OUR VISION: Reimagining health, education and discovery to create unparalleled value
• OUR VALUES: Put People First, Be Bold & Think Differently and Do the Right Thing

As an employer, Jefferson maintains a commitment to provide equal access to employment. Jefferson values diversity and encourages applications from women, members of minority groups, LGBTQ individuals, disabled individuals, and veterans.