APP, EHC (OB/GYN)

Division: Eskenazi Medical Group Sub-Division: EMG -Employee Req ID: 26030 Schedule : Full Time Shift : Varied EMG is affiliated with Eskenazi Health and employs physician and advanced practice providers who support the Eskenazi Health system. A multi-specialty provider group, it strives to be a leading primary care provider serving all patients regardless of ability to pay or condition of health while advancing medicine through teaching and research. Eskenazi Health is one of American's largest safety net health systems with more than 1 million outpatient visits each year. Partnering with the Indiana University School of Medicine, Eskenazi Health serves as the public hospital division of the Health & Hospital Corporation of Marion County, Indiana. In addition to the 327-bed hospital located on its downtown Indianapolis campus, Eskenazi Health provides services at 10 federally qualified health care centers and multiple mental health sites and residential facilities located throughout Indianapolis. Eskenazi Health is accredited by The Joint Commission and has been highlighted as one of the nation's 150 best places to work by Becker's Hospital Review for four consecutive years. Indianapolis offers affordable housing, excellent schools and a wealth of entertainment options, including a variety of amateur and professional sports teams, dynamic museums, live theater productions, symphony and opera concerts, a wide variety of shopping options and restaurants, and numerous outdoor festivals, as well as the famous Indy 500 race each May. FLSA Status Exempt Job Role Summary The APP-OB/GYN manages and coordinates nursing and patient care management for in collaboration with physicians/interdisciplinary team. This position provides diagnostic, as well as therapeutic intervention and day-to-day evaluation, including diagnostic and pharmacologic intervention under the direction of a physician. The APP implements and coordinates plans of care to address the physical, emotional, and psychosocial needs of patients and families and serves as the informational resource to patients, families, and staff. The APP also makes appropriate physician and allied health care referrals. Essential Functions and Responsibilities Evaluate and manage uncomplicated Obstetrical patients, including prenatal and postpartum care. {Does not include labor and delivery, admitting, or operating room privileges.) • Monitor fetal well-being with fetal Doppler and blood tests at office visits. • Order and evaluate fetal surveillance with ultrasound and non-stress testing. • Maintain professional skills and knowledge of guidelines to manage care of pregnancies with associated conditions such as gestational diabetes, chronic hypertension, obesity, prior cesarean, anemia, substance abuse, and conditions of comparable complexity. • Recognize and refer high-risk patients according to established policies. • Provide group prenatal care for cohorts of patients with similar social or educational concerns. • Evaluate and treat Gynecologic patients including attention to all systems, with focus on breast and cervical health. Treatment of vulvo-vaginitis, cervicitis, etc. • Evaluate and manage referred patients for gynecologic conditions such as abnormal uterine bleeding, polycystic ovary, peMc pain, menopausal symptoms, and urinary incontinence. Recognize conditions requiring referral to gynecology physician for surgical or medical treatment. • Provide family planning care, including counseling all available methods of temporary and permanent birth control. o Prescribe and manage oral, transdermal, injections, and vaginal hormonal methods. o Insert and remove Nexplanon o Insert and remove IUDs and implants. o Counsel and refer for surgical permanent methods. • Evaluate patients by ordering and reviewing gyn ultrasounds to determine diagnosis and plan of care and microscopic exam of bacterial and fungal smears . • Procedures which may be performed by some Women's Health Nurse Practitioners are: o Endometrial, vulvar and punch biopsies o I & D of abscess o Pessary placement o colposcopy Job Requirements TBD Knowledge, Skills & Abilities • Ability to assess system and patients’ needs and function autonomously to develop and implement programs to improve patient care • Ability to collaborate with other health care team members to enhance patient care across the continuum • Demonstrates leadership abilities by serving as a mentor to influence patient outcomes • Ability to conduct product, program and/or process value analysis including complete financial implications involved in implementation of the product or program • Ability to review/critique pertinent research literature related to specialty areas and promotes evidence based practices to improve patient care • Demonstrates excellent communication skills related to team development, group process, conflict management and negotiations • Possesses knowledge and skills necessary to provide care appropriate to the age of patients served. Must demonstrate knowledge of the principles of growth and development over the life span and possess the ability to assess data/interpret appropriate information needed to identify each patient's requirements relative to age-specific needs • Ability to use age-appropriate and cognitive skills detailed in the department/area/unit job specific/age specific competencies Minimum Qualifications, Training, and Experience • Graduation from an accredited school of nursing with a Master of Science degree • Current Indiana license as a Registered Nurse or current registration with another State Board of Nursing followed by immediate registration with the Indiana Board of Nurse Examiners for license endorsement • Collaborative agreement with affiliated physician group • Current Indiana Controlled Substance and Drug Enforcement Registration Eskenazi Health has been named to Becker's Hospital Review's 2018 list of "150 Great Places to Work In Health Care." This is the 3rd year in a row now that EH has received this honor.