Atrium Health HPB Surgery Cabarrus Fulltime NP/PA

Job Summary

The Nurse Practitioner/Physician Assistant (NP/PA) is an integral member of the Hepatobiliary (HPB) Surgery team, providing comprehensive care to patients in both inpatient and outpatient settings. Working collaboratively with surgeons and the multidisciplinary care team, the NP/PA evaluates and manages patients with acute and chronic conditions related to hepatobiliary surgery.

Responsibilities include patient assessment, diagnosis and treatment, care coordination, postoperative management, inpatient rounding, outpatient follow-up, OR assistance, and patient/family education. The position also includes home call, weekends, and holidays and may participate in weekly GI tumor board conferences as available.

The NP/PA practices within applicable state law, licensing requirements, Advocate Health policies, and established practice agreements. Active hospital privileges and required departmental credentials must be obtained and maintained.

Key Responsibilities

Inpatient & Surgical Care

• Perform inpatient consultations and daily rounding on established patients.
• Complete histories and physicals, review diagnostic studies, and develop and manage treatment plans.
• Provide postoperative care, including wound and drain management.
• Coordinate patient discharges with nursing, case management, physicians, APPs, and other members of the care team.
• Participate in weekday interdisciplinary rounds.
• Assist in open, laparoscopic, and robotic surgical cases as needed.
• Provide home call coverage according to the established rotation, including responding to inpatient and outpatient clinical concerns.
• Evaluate HPB-related transfer requests and coordinate transfers as appropriate.
• Respond to significant clinical changes requiring urgent or emergent intervention.

Outpatient Care

• Evaluate new and established patients with acute, chronic, and postoperative needs.
• Order and interpret appropriate laboratory and imaging studies.
• Establish diagnoses and develop treatment plans within the applicable practice agreement.
• Prescribe medications and order therapeutic interventions as appropriate.
• Provide wound and drain care, including drain removal when appropriate.
• Educate patients and families regarding diagnoses, treatment plans, and follow-up care.
• Initiate referrals and coordinate care with referring and participating providers.
• Address patient calls and clinical questions in collaboration with clinic staff.
• Perform peer-to-peer reviews as needed.
• Maintain timely and accurate documentation in the electronic medical record.

Procedures

Common procedures may include

• OR first assist
• Wound care
• NG/OG tube insertion and removal
• Foley insertion and removal
• Drain removal

Professional Practice

The NP/PA will

• Provide patient- and family-centered care using evidence-based practices.
• Collaborate effectively with physicians, APPs, nursing, and other members of the multidisciplinary team.
• Maintain accurate and timely clinical documentation.
• Participate in quality improvement and professional development activities.
• Support patient education, care coordination, and continuity of care.
• Maintain professionalism, accountability, confidentiality, and ethical standards of practice.
• Participate in education, departmental activities, committees, and workgroups as appropriate.

Qualifications

Education

• Graduate of an accredited Adult Gerontology Acute Care Nurse Practitioner or Physician Assistant program .
• Master’s degree required; doctoral degree preferred.

Licensure & Certification

• Current license to practice as an NP or PA in North Carolina.
• NP: Certification through the American Nurses Credentialing Center or American Association of Critical-Care Nurses required.
• PA: NCCPA certification preferred; current or pending CAQ certification preferred.
• Current prescriptive privileges and DEA license required.
• BLS for Healthcare Provider through the American Heart Association required.

Experience

• Hepatobiliary Surgery and OR assist experience preferred.
• At least one year of surgical practice experience preferred.
• Completion of an APP surgical fellowship preferred.
• Strong critical-thinking, assessment, and interpersonal skills with the ability to work effectively in a fast-paced, high-acuity environment.

Schedule & Call

Current minimum work requirements include

• Four 10-hour shifts per week.
• One weekend every four weeks, including a 10-hour shift and night call with the attending on call.
• Equivalent of seven nights of call, including weekend call, on a rotational basis.
• Schedule and minimum work requirements are subject to change based on practice needs.

CME & Additional Compensation

• $2,500 annually for CME.
• 40 hours of CME annually.
• Eligible for additional compensation for qualifying shifts worked beyond minimum requirements, per Advocate Health policy.
• Paid Time Off and performance incentive bonuses.Essential Functions

Physical Requirements

Work requires walking, standing, sitting, lifting, reaching, bending, stooping, pushing and pulling. Must be able to lift and support the weight of 35 pounds in handling patients, medical equipment, and supplies. Must speak English fluently and in understandable terms. Must possess intact sense of sight, hearing, smell, touch, and finger dexterity. Must have the ability to react and perform in stressful situations. Schedule primarily composed of weekday shifts, greater than 200 hours of weekend and/or night coverage, but less than 400 hours .

Education, Experience and Certifications.

Must have or be eligible for a DEA license. Approved to practice as a Nurse Practitioner in the state one works. Eligible for prescriptive authority application through the Board of Nursing or Medical Board in SC required. BLS for Healthcare Provider from AHA required with expiration date greater than 90 days from date of beginning practice. Demonstrates appropriate critical thinking, interpersonal skills, and the ability to prioritize and concentrate.

Nurse Practitioner

Master's Degree or Doctorate of Nursing Practice required. License to practice as a Registered Nurse required. Certification in the area of practice from a nationally recognized certifying body required. ACNP, AGACNP, AGNP, PNP, or PNP-AC board certification preferred based population served.