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CORE JOB SUMMARY
The APRN Team Manager functions as a clinical leader and clinical team member delivering care to a panel of patients for whom s/he has responsibility for the planning, implementation, coordination, and evaluation of care related outcomes. As a clinical leader the APRN Team Manager is responsible for the management and oversight for the clinical practice of the inter-professional team which may include nurses, medical assistants, and others who are integral to the care of patients at the site. Works in partnership with the patient care team and other practice leaders to ensure effective delivery of care and actively supports the achievement of patient, departmental and organizational goals.
CORE JOB FUNCTIONS
Develops, leads and manages the clinical practice, quality and safety of patient care of an interdisciplinary team which may include registered nurses, licensed practical nurses, medical assistants and others who are essential to the care delivery model.
Coordinates care and meeting patient care needs in conjunction with a variety of providers including licensed independent providers acting in consultation, population managers, care managers, and others. Participates in the hiring, supervision, and performance evaluation for team members.
Identifies opportunities for and initiates interdisciplinary collaboration to achieve team and patient goals.
Utilizes available resources and methodologies to advance practice within the department and beyond, with the aim of improving the care of all patients, particularly those most at risk for adverse outcomes.
Seeks opportunities to disseminate clinical knowledge and nursing practice development through publication in scholarly journals and participation in professional meetings.
Leads and/or participates in departmental, hospital and/or system-level committees and task forces as a representative of the department, practice and the Department of Nursing as requested.
Collaborates with physicians, physician assistants and the interdisciplinary team to refine team goals and objectives and further ensures ongoing continuous improvements to the care delivery model. Analyzes, interprets and presents team-based care results to various audiences as appropriate including senior organizational leaders, departmental and practice leaders, nursing leadership, colleagues, and staff.
Collaborates with the other members of the team, appreciating and valuing their contributions, and encouraging all to “work at the top of his/her license/role, education and training” for effective care and service to patients in the context of efficient use of resources.
Establishes effective interpersonal relationships with other nurses, clinical departments, and interdisciplinary colleagues.
Provides direct care, counseling, and teaching to patients. Performs physical examinations and provides preventive health measures appropriate to patient needs.
Orders, interprets, and evaluates appropriate lab and diagnostic tests to assess patients’ clinical problems and health care needs. Arranges for appropriate plan of care and follow-up based on outcome of diagnostic, lab, and physical assessment findings.
Sets priorities for appropriate and efficient management of patient care that reflects evidence-based practice and cost-effective management of time, available human resources, supplies and equipment.
Incorporates the concepts of health maintenance, prevention, and promotion into daily practice through patient education and counseling. Assists patients and families in self-care management through the provision of information, tools and resources.
Engages in regular performance improvement activities. Uses performance and patient outcome data for continuous quality improvement. Contributes to developing structure, processes and systems to improve the care and disease management of patients.
Establishes and continuously assesses the effectiveness of the internal controls within the unit and compliance with University policies and procedures. Ensures employees are trained on controls within the function and on University policy and procedures.
This list of duties and responsibilities is not intended to be all-inclusive and may be expanded to include other duties or responsibilities as necessary.
CORE QUALIFICATIONS
Graduate of master’s in science in Nursing with approved APRN Curriculum or higher.
Florida Licensure as APRN from Florida Board of Nursing.
Board Certification as APRN from nationally accredited organization such as American Nurses Credentialing
Center (ANCC) or American Academy of Nurse Practitioner (AANP).
Current Certification in BLS and ACLS
CTI certification within three months of employment
Advanced Oncology Nurse Practitioner Certification (AOCNP) within one year of employment
Experience:
Minimum of 3-5 years of relevant experience
Knowledge, Skills and Attitudes:
Ability to handle difficult and stressful situations with professional composure.
Ability to maintain effective interpersonal relationships.
Ability to analyze, consolidate, and interpret accounting data.
Ability to compile, organize, interpret, and communicate accounting data and results concisely.
Ability to manage a budget and work within the constraints of that budget.
Department Specific Functions
Direct Oversite of the following Departments and Programs
Phase I/ET clinic and staff
Oversight of the phase I/ET clinic that aligns with the goals for NCI designation.
Oversight of Phase I APPs and Nurse Manager, nursing staff, and clinical operations.
Provide continual QI of Phase I/ET patient services with real-time rounding surveys.
Involve key stakeholders/leaders.
Maintain financial and patient satisfaction reports.
Assure appropriate clinical coverage and resources for the operations of the clinic.
Mentor and develop Nurse Manager.
Ensures compliance with regulatory and maintains credentialing, competencies, and professional standards for all APPs and nurses in the clinic.
Regularly meet with Phase I/ET staff to assure quality care and to address needs.
Assures educational needs of staff are being met.
Track metrics related to volume and provide feedback to Executive leadership when resources identified are needed.
Act as a liaison between physician leaders, physician investigators (PIs), sub-PIs, departments, and divisions.
Advance Practice Provider oversight to Research APPs
Serves as a mentor and role model to all APPs, thus facilitating the development from novice to expert.
Serves as a liaison and advocate between the APP and hospital leadership, department heads, and collaborating physicians.
Assist APPs in clinical integration upon hire and throughout time of employment.
Identifies APP learning needs and provides learning experiences to meet those needs.
Integrates and informs APP of current knowledge of professional issues, trends in health care and technological advances into APPs scope of practice.
Teaches/lectures in continuing education programs, journal clubs, conferences, and provides APPs opportunities for learning.
Participates in and or coordinates community education programs.
Coordinates assignments of preceptors to advanced practice providers. Provides coordination of APP students with university liaisons.
Identifies opportunities and challenges to promote full scope of practice in the advanced practice model.
Ensures and coordinates standardization of advanced practice processes between patient care services and collaborative teams.
Ensures compliance with regulatory and maintains credentialing, competencies, and professional standards for all APPs in the service line.
Provides coordination of coverage during weekdays and weekends between satellites, hospitals, and outpatient areas.
Evaluates and approves APPs time-off requests per university policy and procedures.
Leads an entity committee and Co-leads collaborative team in developing a new service or strategic performance improvement.
Engages and empowers staff by sharing decision-making, delegating, providing choice and fostering autonomy and adaptability.
Contributes to the design, development, and implementation of strategic and operational initiatives.
Prioritizes competing demands while integrating strategic plan into daily operations.
Leads and supports APP staff during periods of transition; communicates purpose and empowers staff to embrace change.
Leads staff during the implementation and evaluation of new initiatives at the unit, division and department level.
Recruits, hires, and facilitates training and orientation. Manages, recognizes, and rewards performance. Provides ongoing formal and informal performance feedback.
Cultivates a climate of professional growth and development to promote excellence, retain talent and develop future leaders.
Initiates and/or participates in unit and/or hospital research activities.
Utilizes research findings and nursing theory in clinical practice. Promotes evidence-based/knowledge-based nursing practice.
Collects data for patient and program evaluation and participates in quality assessment and improvement/patient experience activities.
Administrative Duties
Clinical Operations:
Improve the clinical operations and patient experience by coordinating efforts to deliver a plan of care that addresses the medical, surgical, emotional, physical, educational, short, and long-term needs of individual and family's needs in a setting of expertise, warmth, and compassion.
Monitor national "best practices" and integrates into current practice.
Examine operational gaps and formulate a plan to close the gaps by defining objectives, implement and track timelines, establish new program roll out to staff and patients while gauging anticipated outcomes and
evaluating process.
Works collaboratively with SCCC Executive & Nursing Leadership to develop and implement clinic flow parameters, including benchmarks and dashboards for patient flow through their visits, and processes for proactively managing.
Cross covers for other APPs or APP Supervisors when needed.
Draft Policies and Procedures for new initiatives as needed and update existing policies.
Provide senior management with necessary updates on progress and changes in scope, schedule, and resources in a timely manner.
Operates within budget guidelines under the supervision of Executive Leadership.
Collaborates with Nursing and system leadership on meeting and maintaining accreditation standards.
Nurse Practitioner (Clinical & Research) Duties and Responsibilities
Clinical Role/Research
Provides care to a select group of patients by determining and rendering advanced nursing and medical interventions.
Assessment/Diagnosis: Assesses patients by interviewing/examining the patient, reviewing the patient’s medical history, provider’s/physician’s/PI/Sub-PI diagnosis and orders, diagnostic test results (labs, x-ray, MRI, etc.) to determine medical diagnosis, plan of care and monitor patient’s progress.
Reviews the medical record including physician/consultation notes, lab(s) and diagnostic tests results. Formulates medical diagnoses based on the data.
Screens for patients for clinical trials based on information collected above.
Collaborates with referring physician or physician investigator (PI) through discussion and assessment of diagnoses and ascertain study patient eligibility for a clinical trial, including documentation of criteria specified in the protocol.
Assesses patients for trial-related and non-trial related symptoms and ensures evidence-based symptom management while maintaining trial compliance.
During Phase I/dose escalation studies, collaborates with the principal investigator to determine if dose limiting toxicity has been achieved based on adverse event assessment data and clinical judgement.
The APRN will also work with the clinic/triage nurse and physician investigator (PI) to assure timely call back to patient calls regarding any medical or study procedure concerns.
Planning/Outcomes: Develops a plan of care from the assessment/diagnoses and physician/PI/Sub-PI collaboration.
Identifies expected outcomes based on the assessment/diagnoses and physician/PI/sub-PI collaboration.
Ensures initial and ongoing consent process is performed and documented in compliance with FDA, Good Clinical Practice (GCP), institutional sponsor, IRB, and other applicable regulations, guidance’s, and policies.
Participates in the education of clinical trial patients about their clinical trial and significant new information that is forthcoming during or after the conduct of the trial.
Ensures ordering and scheduling of all procedures/exams that are required to enroll patients, for further assessment for adverse events, and for evaluation of disease response to study treatment according to protocol.
Ensures adherence to protocol schedule of events, study drug, and other requirements.
Ensures the successful completion of correlative components of the clinical trial (pharmacokinetics and quality of life studies).
Orders, prescribes, and recommends interventions in plan of care that reflects expected outcomes.
Implementation: Institutes necessary actions as outlines in the plan of care.
Collaborates with research and primary care team members to ensure implementation of plan
Implements physician/PI/Sub-PI orders per protocol.
Works in collaboration with study team to assure good documentation clinical practices and assures there is a source related to the documentation being performed.
Documents assessment, management, and evaluation in source documents for patients on clinical trials as appropriate to the protocol and role.
Documents adverse events according to CTCAE criteria.
Provides patient/family education regarding disease processes, treatment options, treatment outcomes, possible complications, medications, drug handling (oral treatments), discharge/follow-up planning and lifestyle modification.
Integrates current knowledge of professional issues, trends in health care and technological advances into scope of practice.
Communicates plan of care to team members.
Assists in the management of family dynamics and coping mechanisms during acute and chronic phases of patient care.
Evaluation: Evaluates the patient’s progress in attaining expected outcomes by follow up with
collaborating physician and staff
Evaluates disease response results and physical assessment data in conjunction with the principal investigator or sub investigator to determine response per the protocol.
Assures patient is transferred to appropriate physician/specialty once study completed.
Consultation/Collaboration: Consults with collaborating physician(s) on implementation, evaluation and revision of treatment plan.
Ensures ongoing formal and informal communication regarding clinical trials with team members.
Promotes ongoing compliance with key ethical concepts by the research team, including informed consent, documentation, respect for persons, beneficence, and justice.
Develops relationships with referring physicians, clinical staff, and ancillary departments to facilitate compliance with an accrual to clinical trials.
Provides education related to clinical trials to staff, patients, and their significant others.
Advocates for clinical trial patients as well for promotion and integrity of the clinical trial.
Advocates for clinical trials by participating in community outreach efforts to provide general clinical trials education when opportunities arise.
Coordinates care with interdisciplinary health care team in the development and implementation of plan of care.
Conducts or participates in multidisciplinary rounds and ensures appropriate and quality care for patients.
Attends institutional PI and Site Disease Group (SDG) meetings and participates by providing patient updates required by study team and any potential patients that can be enrolled.
The University of Miami offers competitive salaries and a comprehensive benefits package including medical, dental, tuition remission and more.
UHealth-University of Miami Health System, South Florida's only university-based health system, provides leading-edge patient care powered by the ground breaking research and medical education at the Miller School of Medicine. As an academic medical center, we are proud to serve South Florida, Latin America and the Caribbean. Our physicians represent more than 100 specialties and sub-specialties, and have more than one million patient encounters each year. Our tradition of excellence has earned worldwide recognition for outstanding teaching, research and patient care. We're the challenge you've been looking for.
The University of Miami is an Equal Opportunity Employer. Applicants and employees are protected from discrimination based on certain categories protected by Federal law.
Job Status:
Full timeEmployee Type:
Staff