Harborview Medical Center has an outstanding opportunity for a 100% FTE (40 hours per week), Day shift, Nurse Practitioner (ARNP) or Physician Assistant (PA-C) with our Nephrology Dialysis Services. Harborview Medical Center's Outpatient Dialysis Nephrology ARNP/PA is a member of the UW Multidisciplinary Dialysis team that includes nephrology faculty and fellows, registered nurses, vascular surgeons, interventional radiologists, pharmacists as well as interacting with dialysis centers multidisciplinary teams providing dialysis and medical care to the patients. The successful applicant will be responsible for providing outpatient medical and dialysis care including initial and ongoing assessments, diagnoses and treatment of the patient's medical and dialysis concerns with the care delivered in several community-based dialysis facilities in King County. Standards of Practice and Performance:1. Provides timely patient assessment and care for patients undergoing or nearing dialysis 2. Participates in the management of outpatient dialysis patients including all aspects of dialysis care and decision making from dialysis prescription to management of complications of the dialysis procedure to participation in care management plans as necessary. 3. Collaborates with the nephrologist, primary care physician, and other providers to insure coordination and continuity of care across settings and over time. 4. Attends appropriate clinical meetings to serve as a resource for staff and providers. 5. Facilitates collaboration with all members of the nephrology team to ensure continuity of care. 6. Provides patient and/or family with health education, counseling and referrals to other health professionals and community resources as appropriate. 7. Participates as a key member of the multidisciplinary dialysis team in the practice, at the dialysis centers and with inpatient and outpatient health care providers through the development of collaborative and innovative practices and evaluation of patient care outcomes. 8. Evaluates quality outcomes through participation in the development and monitoring of quality indicators specific to dialysis care. Service ARNP/PA Duties: 1) The Outpatient Dialysis Nephrology ARNP/PA maintains excellent interpersonal skills to execute the UWSOM and HMC Best Practice Model. a) Establishing a therapeutic relationship by imparting a commitment to care for the patient and family throughout the continuum of chronic kidney disease management, dialysis experience and when appropriate transition to transplant and end of life care. b) Connecting with the patient and family by eliciting the patient/family perspective and validating the value of that perspective using strong empathic listening skills c) Communicating a sense of caring and openness 2) The Dialysis Nephrology ARNP/PA provides clinical support and collaborates with the primary nephrologist and primary care providers in all the domains of the outpatient management. a) Patient/family/provider communication about kidney disease and its treatment and how it relates to patient values, priorities, and goals across the spectrum of care. b) Participates with other members of the team to facilitate: i. Transition to dialysis ii. Ongoing management of dialysis related issues iii. Medical management germane to dialysis patients such as hypertension control, vaccination care and general medical care iv. Transplant referral v. Quality of life assessment and end of life decision counseling c) Provide comprehensive management of patients with end stage renal disease (ESRD) with appropriate documentation in the dialysis unit settings and potentially in the clinic and inpatient setting. Traveling to each designated dialysis unit 1-3 times per month in conjunction with the nephrologist so that on average each patient is seen every week and at least once a month by the nephrologist and the remainder by the candidate. 3) The Dialysis Nephrology ARNP/PA assists in program development, develops innovative policies, protocols, and procedures using an evidence based approach to improve quality, safety, and value of dialysis services a) Participates with colleagues throughout UW Medicine and the community on protocol development b) Participates with interagency colleagues on program development across inpatient, outpatient, and community agencies Requirements:Licensure as either an Advanced Registered Nurse Practitioner in the State of Washington or a Physician's Assistant (PA) in the State of Washington, or equivalent legal license/certification; must be eligible to receive hospital staff appointments for adjunct staff membership by the organized medical staff of the hospital under Medical Staff By-Laws for Hospital-based positions. Proven excellence working in a interdisciplinary collaborative team environment, effective interpersonal skills, leadership skills, and clinical expertise in the care of patients.
Founded in 1861, the University of Washington is one of the oldest public institutions in the west coast and one of the preeminent research universities in the world. The University of Washington is a multi-campus university comprised of three different campuses: Seattle, Tacoma, and Bothell. The Seattle campus is made up of sixteen schools and colleges that serve students ranging from an undergraduate level to a doctoral level. The university is home to world-class libraries, arts, music, drama, and sports, as well as the highest quality medical care in Washington State and a world-class academic medical center. The teaching and research of the University’s many professional schools provide undergraduate and graduate students the education necessary toward achieving an excellence that will serve the state, the region, and the nation. As part of a large and diverse community, the University of Washington serves more students than any other institution in the Northwest.