This position will be in the Nephrology & Hypertension division, functioning as a NP/PA Hospitalist. The Nephrology & Hypertension NP/PA Hospitalists work on a consulting service to provide 24/7 coverage managing chronic kidney disease (CKD), end stage renal disease (ESRD), acute kidney injury (AKI), hypertension, and acid base & electrolyte disturbances for patients throughout the hospital. The Nephrology & Hypertension NP/PA Hospitalists will work collaboratively with the 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.

• Primarily focused on in Hospital Coverage (nights and days).  
• A minimum of 33% and up to 75% of coverage expected as in-house overnight hospital coverage. 
• Occasional outpatient clinic visits, including rounding in ESRD outpatient dialysis unit.
• Work independently to the full scope of practice in compliance with state licensure. 
• Perform and documents 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.
• Follows assigned patient population throughout the shift.
• Deliver patient education on the spectrum of CKD care and renal replacement therapies, including dialysis modality options.
• Consult with surgical teams to promote optimal dialysis access placements for hospitalized patients.
• 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
• Make appropriate referrals as needed.
• Examen plan of care for cost-effectiveness and achievement of expected outcomes.
• Assist with ongoing departmental process improvement and policy development.
• Actively participates 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, 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, 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 in patient’s homes or via telehealth/remote monitoring.