Neurology - Headache Advanced Practice Provider (ARNP/PA)

This position is for either a Physician Assistant (PA) or an Advanced Registered Nurse Practitioner (ARNP) in the Department of Neurology. Only one position will be hired. When applying, please indicate which position/classification you are interested in.

The University of Iowa Department of Neurology is seeking a Advanced Registered Nurse Practitioner (ARNP)/Physician Assistant (PA) to provide personalized care in the outpatient and inpatient settings to headache patients within the Department of Neurology. This position will promote the referral of patients to clinic, coordinate the care of patients through the process of evaluation, and perform overall medical care and medical management, while exercising autonomy in medical decision-making and services provided in an outpatient setting and follow up on an as needed basis. 

Responsibilities:

• Perform direct patient care including diagnostic and therapeutic services.
• Be responsible for evaluation, management, education and assurance of follow up for each patient seen in clinic.
• Conduct comprehensive assessments focused on neurological needs of patients.
• Collaborate with the Neurointerventional team members, patient/family and other referring providers to formulate, implement, coordinate, evaluate and modify care plans that are individualized, multimodal/comprehensive and evidence-based.
• Work with patients and families to determine their understanding of the patient’s condition and proposed treatment plan and treatment options, provide appropriate education; discuss and develop goals of care and identify measurable treatment objectives.
• Assist the patient, family and primary care provider(s) with implementation of the plan of care in the home or community, and outpatient settings.
• Coordinate the care of patients undergoing evaluation for neurointerventional surgery, from time of identification of candidacy through the post-operative follow-up.
• Assist with triaging phone calls and provide assistance with transition of care from outpatient to inpatient, and as needed, inpatient to outpatient.
• Assess and facilitate referrals and consultations to other services per patient needs.
• Complete documentation and billing procedures according to institutional and departmental guidelines. Ensure that documentation identifies goals of care and facilitates interdisciplinary communication.
  Demonstrate accountability for evaluation of clinical practice, including adherence to organizational, state and national practice standards and codes.
• Assure clinical competency and expertise in the area of cerebrovascular anatomy and neuro-intervention. 
• Initiate and coordinate referrals to other health care team members or agencies.
• Provide anticipatory guidance and counseling to patients/families and provide education and serve as a resource for ancillary staff in area of clinical expertise.
• Inpatient responsibilities will include, rounding with the team to learn about the management of patients with neurointerventional and cerebrovascular diseases. 
• The primary documentation of the inpatient service will be managed by residents and fellows, however, when they are not available for these duties, the ARNP or PA will write consult and progress notes, and discharge summaries. 
• Peri-operative care (admission orders, communication with other teams, follow-up on testing/laboratory studies ordered, PACU triage, discharge planning, among others) will be done by residents and fellows, however, when they are not available, these duties will be done by the ARNP or PA. 
• Return patient phone calls regarding procedures or any questions/concerns relating to such.
• Provide education and serve as a resource for nursing staff, medical and advanced practice provider students, and residents in area of clinical expertise. Provide education on neuro-interventional diagnoses and procedures to referring providers and the general community
• Serve in a consultative resource capacity by providing expert knowledge and behavioral skills that impact clinical practices and patient outcomes
• Participate in the development and implementation of divisional and departmental QA/QI/research programs.
• Participate in consent and protocols for clinical trials/research projects in conjunction with other disciplines.
• Participate in the development and implementation of divisional and departmental quality assessment/improvement/research programs and processes as well as contribute toward the achievement of divisional and departmental goals.
• Participate in clinically relevant activities and attend UI Health Care APP council meetings and other conferences to enhance clinical and professional expertise.
• Maintain national and state licensing and certification requirements.
• Maintain current compliances (University, UI Health Care, Departmental, etc.) as required.
• Attend Stroke/Neuro-Interventional Conferences, Stroke/Neuro-Interventional division meetings, and related Neurology Grand Rounds presentations.

The University of Iowa Health Care Medical Center—recognized as one of the best hospitals in the United States—is Iowa's only comprehensive academic medical center and a regional referral center. Each day more than 12,000 employees, students, and volunteers work together to provide safe, quality health care and excellent service for our patients. Simply stated, our mission is: Changing Medicine. Changing Lives. ®