Advanced Practice Practitioner - OPAT Infectious Diseases
Job ID: R0031479 | Advance Practice Provider | Full Time | Charlottesville, VA
The University of Virginia, Department of Medicine, Division of Infectious Diseases and International Health is seeking a full-time nurse practitioner (NP) to join our Outpatient Parenteral Antimicrobial Therapy (OPAT) team. The OPAT service is responsible for coordinating the transition of care from the inpatient to the outpatient setting for patients requiring parenteral antimicrobials, and for managing problems that arise during the administration of parenteral antimicrobials in the outpatient setting. The service has been successful in reducing readmissions in this population and in reducing the unnecessary administration of parenteral antibiotics. The service includes a staff of an infectious diseases physician, a dedicated infectious diseases pharmacist and a nurse practitioner. This NP position mirrors a clinic schedule, requiring a full-time commitment from approximately 8am to 5pm on weekdays.

The NP is essential for the beneficial effect of the OPAT program on the health of enrolled patients, the improved measurable outcomes and the cost savings enabled by the program. Additional information about the UVA Division of Infectious Diseases and International Health can be found here:

  • Coordinating the transition of care in conjunction with the other members of the team.
  • Managing outpatient issues in conjunction with the infectious diseases physician.
  • Outpatient management includes responding to medical issues that arise during outpatient antibiotic therapy. These include responding to adverse antibiotic events, responding to central line-associated complications, helping to determine end of therapy, managing acute medical events that do not require long-term care, determining whether known infection may be worsening or a new infection is present, responding to recommendations of follow-up physicians, enabling first infusion of antibiotics when started in the outpatient setting, and assuring removal of central line.
  • The NP will hold two half-days of clinic per week for evaluation of problems that arise during follow-up of enrolled patients. Some appointments will be performed by telehealth and general comfort with telehealth is needed (UVA system training will be provided). An additional half-day of clinic may be added depending on volume and quality improvement initiatives.
  • Some work may be performed at home at the preference of the employee, excluding clinic days, OPAT group meetings, initial training and any meetings identified by the Medical Director.
  • The NP is expected to participate with the team in quality improvement initiatives that have included a successful effort to reduce readmissions and overuse of IV antibiotics, as well as an ongoing effort to reduce antibiotic-associated renal failure in enrolled patients.

  • Independently and in collaboration with physician(s) and interdisciplinary team members, provides comprehensive clinical and organizational direction and leadership to the healthcare provider team in the care of patients.
  • Performs comprehensive history and physical assessment.
  • Documents findings noting pertinent normal and abnormal findings.
  • Orders and interprets the appropriate diagnostic labs and tests.
  • Forms medical diagnoses based on history, assessment and diagnostic findings.
  • Develops, implements and evaluates treatment plans.
  • Prescribes and recommends pharmacological and non-pharmacological interventions.
  • Initiates appropriate specialty consultations referrals when requisite.
  • Initiates and evaluates clinical pathways and protocols.
  • Collaborates with attendings and/or fellows regarding admissions and community transfers.
  • Facilitates the timely flow of patients via collaboration with interdisciplinary team members and supports all interdisciplinary relationships.
  • Recognizes acute/emergent situations requiring immediate responsiveness and initiates lifesaving interventions, alerting the interdisciplinary team members for assistance.
  • Recognizes and incorporates age-specific requirements; communicates plan of care with patients and families.
  • Advocates for patients and family members in educational needs, treatment options, participation in care and ethical issues, and patient rights with recognition and consideration of the diverse needs of the individual/family.
  • Provides consultation in specialty area.
  • Maintains confidentiality of patient information.
  • Coordinates meeting applicable clinical standards for all disciplines in collaboration with interdisciplinary team members.
  • Explains the necessity, preparation, nature and anticipated effects of procedure(s) to patients, patient families, staff and students.
  • Performs designated procedures after demonstrated competency.

  • Acts as a clinical resource, utilizing both formal and informal opportunities for the education of other members of the interdisciplinary team.
  • Provides education consistent with evidence-based practices and protocols.
  • Precepts APP students and provides mentoring for other APPs.
  • Provides outreach and education to the community and within the advanced practice arena.
  • Coordinates meeting applicable educational standards for all disciplines in collaboration with interdisciplinary team members.

  • Acts as a role model to colleagues, interdisciplinary team members, the institution and the community.
  • Demonstrates respect to all within the institution and community.
  • Demonstrates leadership abilities in the development, mentorship and empowerment of others within the healthcare community.
  • Assumes leadership role in the development of the advanced practice role to patients, families, other healthcare professionals and the community.
  • Coordinates meeting applicable leadership standards for all disciplines in collaboration with physician(s) and team members.
  • Meets leadership competency standards.

  • Participates in, supports and leads quality assurance initiatives, performance improvement and benchmarking initiatives to advance patient care delivery.
  • Utilizes research and evidence-based practice in the delivery of patient care.
  • Evaluates the implications of access, quality, safety and cost on the delivery of healthcare.
  • Participates in the development of instruments to measure patient and practice outcomes.
  • Identifies needs, variations and interventions to ensure and improve quality care.
  • Maintains compliance and regulatory documentation for the purposes of administration and reimbursement.
  • Provides expertise in the measurement, development, evaluation and communication of the status and progression of applicable patient care standards.
  • Participates and contributes to departmental/divisional/institutional initiatives.
  • Provides input in the annual review of other staff members.
  • Assists in the development of clinical pathways and protocols.
  • Participates in accreditation preparedness.
  • Coordinates meeting applicable performance improvement standards for all disciplines in collaboration with interdisciplinary team members.

  • Pursues opportunities for active engagement in research and in the analysis of evidence-based practice.
  • Coordinates meeting applicable research standards for all disciplines and areas of practice.

Professional Development:
  • Maintains professional licensure, DEA registration (as applicable), certification and practice agreements as required by the Virginia Board of Medicine or the Virginia Board of Nursing, national certification organizations and the institution.
  • Maintains and demonstrates competencies for designated privileges requested as required for ongoing professional practice evaluation and outcomes.
  • Maintains advanced certification(s).
  • Pursues educational opportunities for professional growth (CEU/CME, conferences, and or seminars, etc.).
  • Serves on appropriate committees in department/division/institution and community.
  • Participates in/presents at M&M, grand rounds, etc.

Position Compensation Range: $81,078.40 - $129,729.60 Annually

  • Education: Master of Science in Nursing from accredited nursing program.
  • Experience: 3 years of NP practice in inpatient or outpatient setting.
  • Licensure: Licensed to practice as a registered nurse in the Commonwealth of Virginia required. If nurse practitioner, license to practice as a registered nurse in the Commonwealth of Virginia is required. Must demonstrate and maintain all credentialing and licensing requirements of the UVA Medical Center, the Virginia Board of Medicine or the Virginia Board of Nursing, and the appropriate certifying bodies. Must be enrolled with all payers through Delegated Credentialing and can participate in Medicaid and Medicare for billing. Current Basic Life Support (BLS) required. Current PALS/NRP, as required, specific to position. Advanced Cardiac Life Support (ACLS) as required.

  • Clinical and professional leadership skills
  • Excellent verbal and written communication skills
  • Self-motivated and ability to motivate others
  • Culturally competent and able to work effectively with diverse populations
  • Exceptional customer service, interpersonal and active listening skills
  • Function within a team and also work effectively independently
  • Embrace and display the department's core values of compassion, respect, service excellence and integrity.

Job requires standing for prolonged periods and frequently traveling/bending/stooping. Proficient communicative, auditory and visual skills. Attention to detail and ability to write legibly. Ability to lift/push/pull 20-50 lbs. May be exposed to chemicals, blood/body fluids and infectious disease.

COVID Vaccination Requirement

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Renee Bounds
Renee Bounds
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Charlottesville, VA
Charlottesville, VA 22903
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Renee Bounds
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