APP Manager – PA or Certified Midwife – Obstetrics

NYU Langone Health is a fully integrated health system that consistently achieves the best patient outcomes through a rigorous focus on quality that has resulted in some of the lowest mortality rates in the nation. Vizient Inc. has ranked NYU Langone the No. 1 comprehensive academic medical center in the country for three years in a row, and U.S. News & World Report recently placed nine of its clinical specialties among the top five in the nation. NYU Langone offers a comprehensive range of medical services with one high standard of care across 6 inpatient locations, its Perlmutter Cancer Center, and over 320 outpatient locations in the New York area and Florida. With $14.2 billion in revenue this year, the system also includes two tuition-free medical schools, in Manhattan and on Long Island, and a vast research enterprise with over $1 billion in active awards from the National Institutes of Health.

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Position Summary:
We have an exciting opportunity to join our team as a APP Manager – PA or Certified Midwife.

In this role, the successful candidate Provision, coordination, and assurance of comprehensive health care using advanced practice process and pertinent standards of care, the diagnosis of illness and physical conditions, and performance of diagnostic, therapeutic, corrective and prescriptive measures as appropriate for patient within a collaborative practice environment. Supervises and directs a designated group of Nurse Practitioners, Midwives and/or Physician Assistants for purposes of optimizing service line activities in the delivery of health care to patients while promoting a positive work environment. Serves as a liaison to nursing, care management, hospital administration, and other hospital departments. Represents the Office of Advanced Practice Providers to accrediting bodies ensuring institutional compliance.

Job Responsibilities:

• Performs all relevant clinical functions based on evidence-based approach to clinical care, using established guidelines. Performs complete health history, physical examination and psychosocial assessment within the designated practice.
• Works collaboratively with the practice team, attending physicians, house staff, consulting physician(s), and other disciplines to identify, develop, implement, create and modify as necessary an appropriate plan of care that considers potential outcomes and goals of care, maximizes patient/family satisfaction, and that enhances quality, access, and cost outcomes.
• Orders laboratory, radiological and diagnostic studies as indicated, differentiates between normal/abnormal findings and follows protocols for abnormal findings, which may include adjustment in plan of care or discussion with attendings, and house staff.
• Prescribes medications to patients according to NYS law, including controlled substances with DEA authorization. Prescribes medical equipment, devices, physical and occupational therapy, and home health services per practice protocol. Evaluates patient responses to treatment and modifies per clinical standards and practice protocols.
• Coordinates discharge planning with interdisciplinary team, patient and family to assure timely and safe discharge. Practices as a member of the allied health staff according to the rules and regulations, and bylaws of the Medical Staff. Practices within scope of practice and approved delineation of privileges.
• Acts as a professional role model to all levels of staff by incorporating expertise and related experience into patient care. Considers needs and behaviors of specific patient age and cultural groups in all patient care activities.
• Evaluates advanced practice activities that contribute to achievement of patient outcomes and add value to clinical care. Utilizes practice-based evidence as mechanism to evaluate care and the need for change in structure or processes to improve care.
• Participates in the development and monitoring of patient outcomes per established practice protocols for purposes of quality and performance improvement. Uses evidence-based health care literature and specific department clinical and escalation algorithms to advise and support appropriate practice changes within the designated service.
• Participates in Service Line Quality and Performance Improvement meetings. Participates in Advance Practice meetings and committees.
• Assists and participates in the preparation, implementation, and evaluation of research protocols when applicable. Monitors and trends the cost effectiveness of the position, particularly as it relates to the efficiency and performance indicators established for the service.
• Collaborates with the Sr. Director of Advanced Practice Providers and/or Director of Advanced Practice Providers, and the division chief of the clinical department in the recruitment, retention, and human resource management of the nurse practitioners, midwives and physician assistants assigned to respective service. Guides and monitors performance and delivery of care on a daily basis, including time scheduling, assignments, and coordination of services to patients.
• Facilitates the on-boarding and orientation as well as ongoing professional development of nurse practitioners, midwives and physician assistants. Coordinates clinical activities of nurse practitioners, midwives and physician assistants to accomplish established safety and quality measures. Provides leadership and develops effective team building.
• Develops and maintains policies, standards and processes pertaining to all aspects of patient care. Sets departmental goals in collaboration with division chief and other key personnel. Participates in relevant hospital-wide committees. Acts as a liaison between inpatient and outpatient areas to assure continuity of care.
• Participates in performance appraisals of nurse practitioners, midwives and physician assistants on the assigned service. Participates in evaluations of the fellows, residents and interns as needed.
• Contributes to the development of nursing/clinical knowledge in area of practice through writing, research, and formal/informal presentations. Educates patient and family to facilitate and promote healthy adjustment to new or changed expected outcomes.
• Serves as a preceptor to graduate students and mentor to staff.  Facilitates the preceptorship of nurse practitioner, midwife and physician assistant students on applicable clinical services.
• Participates in the development and revision of interdisciplinary and nursing standards, patient and family education materials relevant to the area of practice and expertise. Interacts with other departments to ensure the seamless transitions of care through collaborative communication.
• Provides consultation about the patients medical issues and plans of care to the nursing staff responsible for the patients care.
• Facilitates the continuity of care across the continuum of services, e.g., home care, discharge to other facilities, and appointments with MD, etc. Facilitates timely and safe discharge of patients to the next level of care.
• Acts as a respectful member of the health care team.
• Promotes own professional growth and development in clinical and managerial role. Maintains current expertise in area of practice.
• Participates in hospital, NY State and TJC mandated education programs. Serves as a clinical expert and resource for the education of peers and other health professionals.
• Collaborates with division chief and appropriate clinical and/or operational administrators to ensure that systems supportive of clinical care function smoothly. Facilitates self-governance of nurse practitioner, midwife and physician assistant group in collaboration with the Sr. Director of Advanced Practice Providers and/or Director of Advanced Practice Providers when needed.
• Documents all assessments, findings, progress and care prescribed in the hospital medical records according to standards established.
• Supports the mission, philosophy, standards, goals and objectives of the institution, departments, and service line. Plans and organizes care to meet individual patient needs and to ensure appropriate clinical resource utilization per protocol, pathways, and other means.
• Works collaboratively with the interdisciplinary team, to develop and implement the therapeutic plan of care for a group of patients and ensure communication with patient and family members. Works collaboratively with nursing leadership to ensure timely communications with nursing staff.

Minimum Qualifications:
To qualify you must have a Current license as a certified midwife in NY State. Master’s or Doctorate Degree in midwifery from an accredited midwifery program. American Midwifery Board Certification (AMCB); Membership in related professional organizations. Credentialed as allied health professional through the Credentialing Committee of the Medical Board Experience. At least
5 years of clinical experience is preferred. Electronic Fetal Monitoring Credentialing as applicable, NRP certification as applicable Basic Life Support certification; ACLS; Department Drills/Skills participation; Infection Control Certification every 4 years
Demonstrated ability to interface effectively with other disciplines to achieve goals of care, improve patient outcomes, decrease length of stay and utilize resources efficiently. Demonstrated ability to facilitate group processes, and work cohesively and collaboratively as a member of the interdisciplinary team. Demonstrated evidence of excellent interpersonal and communications skills, creative problem- solving, critical thinking and leadership skills. Demonstrated ability to manage change and influence others to work effectively in a changing environment..

Required Licenses: Midwifery Certification-NYS

Qualified candidates must be able to effectively communicate with all levels of the organization.

NYU Langone Health provides its staff with far more than just a place to work. Rather, we are an institution you can be proud of, an institution where you’ll feel good about devoting your time and your talents.

At NYU Langone Health, we are committed to supporting our workforce and their loved ones with a comprehensive benefits and wellness package. Our offerings provide a robust support system for any stage of life, whether it’s developing your career, starting a family, or saving for retirement. The support employees receive goes beyond a standard benefit offering, where employees have access to financial security benefits, a generous time-off program and employee resources groups for peer support. Additionally, all employees have access to our holistic employee wellness program, which focuses on seven key areas of well-being: physical, mental, nutritional, sleep, social, financial, and preventive care. The benefits and wellness package is designed to allow you to focus on what truly matters. Join us and experience the extensive resources and services designed to enhance your overall quality of life for you and your family.

NYU Langone Health is an equal opportunity employer and committed to inclusion in all aspects of recruiting and employment. All qualified individuals are encouraged to apply and will receive consideration. We require applications to be completed online.

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NYU Langone Health provides a salary range to comply with the New York state Law on Salary Transparency in Job Advertisements. The salary range for the role is $195,000 – $204,433 Annually. Actual salaries depend on a variety of factors, including experience, specialty, education, and hospital need. The salary range or contractual rate listed does not include bonuses/incentive, differential pay or other forms of compensation or benefits.

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