Excellence

The Lead Advanced Practice Provider (APP) for the Division of Nephrology & Hypertension serves as both a clinician and operational leader for NP/PAs who engage in practice and education. The APP team members serve patient care needs in the inpatient and outpatient setting which includes acute and chronic dialysis therapies.  This role integrates advanced clinical practice with team leadership to ensure high-quality, coordinated, and efficient nephrology care.

This position provides direct patient care across the continuum of nephrology services while overseeing the performance, development, scheduling, and operational effectiveness of the NP/PA workforce.

Lead APP responsibilities

• Serve as liaison between NP/PA staff, physician leadership, and administration.
• Ensure appropriate staffing and NP/PA coverage for hospital days, nights, weekends, holidays, and in-house overnight shifts.
• Provide coaching, evaluations, and performance feedback.
• Lead staff meetings and communicate workflow updates.
• Support orientation and onboarding for new employees.
• Identify and resolve operational issues across the service.
• Contribute to policy creation, process improvement, and operational planning.

Clinical responsibilities of the Lead APP will be consistent with nephrology NP/PA team members.

Nephrology & Hypertension NP/PA hospital-based team members work on a consulting service to provide 24/7 coverage managing chronic kidney disease (CKD), end stage kidney disease (ESKD), acute kidney injury (AKI), hypertension, kidney stones, and acid base & electrolyte disturbances for patients throughout the hospital. The Nephrology & Hypertension NP/PA hospital team works collaboratively with a multidisciplinary team including nephrologists, fellows, nurses, and others. The inpatient role requires timely assessments, interventions, interpretation of diagnostic tests, and management of acute and chronic medical conditions. Patient and family education about recovery and disease process is also a crucial part of the health promotion for the patients.

Nephrology & Hypertension NP/PA outpatient/ambulatory team members provide care for patients with CKD (including glomerular diseases), ESKD, recovering AKI, hypertension, and kidney stones. Individuals with focus on dialysis care round in the outpatient dialysis unit. Additionally, education remains an important mission and NP/PA work with trainees including APP fellows, nephrology fellows, residents and students.

• Work independently to the full scope of practice in compliance with state licensure.
• Perform and document in the medical record detailed patient history and physical examinations.
• Coordinates daily rounds with the attending physician teams; presenting patient report to develop, collaborate and implement individualized plan of care.
• A minimum of 20% in-hospital coverage, which may include days, nights, or weekends
• Occasional outpatient clinic visits, including rounding in outpatient dialysis unit.
• Follows assigned patient population throughout the shift.
• Deliver patient education on the spectrum of CKD care and renal replacement therapies, including dialysis modality options.
• Coordinate care of ESRD patients with outpatient dialysis centers from admission to discharge.
• Prescribe appropriate pharmacological treatments and therapeutic procedures, including dialysis and continuous renal replacement therapies, as per accepted evidence-based guidelines and expected institutional protocols.
• Monitor effectiveness of therapeutic interventions.
• Participate in the delivery of Tele-Health for Advanced Care at Home Patients or other video visits for ambulatory care.
• Make appropriate referrals as needed.
• Examine plan of care for cost-effectiveness and achievement of expected outcomes.
• Assist with ongoing division/departmental process improvement and policy development.
• Actively participate in educational lectures as part of the MD and APP fellowship program, grand rounds, quality improvement and faculty meetings.
• Precept, mentor and instruct students, graduates, and novice NP/PAs.

During the selection process you may participate in an OnDemand (pre-recorded) interview that you can complete at your convenience. During the OnDemand interview, a question will appear on your screen, and you will have time to consider each question before responding. You will have the opportunity to re-record your answer to each question – Mayo Clinic will only see the final recording. The complete interview will be reviewed by a Mayo Clinic staff member and you will be notified of next steps.

Nurse Practitioner: Masters-prepared graduate of an accredited school of nursing and Nurse Practitioner program. Current FL RN and APRN license and certification as a FNP, ANP or ACNP.  

Physician Assistant: Graduate of accredited Physician Assistant program with current PA certification by NCCPA and registration as a PA by the FL State Board of Medical Practice.  

Additional Qualifications:

• Active BLS and ACLS certification from American Heart Association or American Red Cross at start date and DEA registration required
• >1 year experience; However, new graduates may apply.
• Inpatient/Hospitalist acute care advanced practice experience.
• For Nurse Practitioners:
  • Adult-Gerontology Acute Care Nurse Practitioner (AGACNP-BC), Acute Care Nurse Practitioner Adult-Gerontology (ACNPC-AG) or Acute Care Nurse Practitioner (ACNPC) Certifications preferred.
  • Family Nurse Practitioner (FNP-BC) or Adult Nurse Practitioner (ANP-BC) may apply.
• Prior training and education in nephrology, hemodialysis, peritoneal dialysis, and kidney transplant.
• Prior experience providing continuous renal replacement therapy (as a nurse or as an advanced practitioner) in the ICU setting.
• Experience providing care via telehealth/remote monitoring.
• Strong computer skills using an Electronic Medical Record (Epic).
• Excellent verbal and written communication skills.
• Experience with Microsoft 365 and Teams