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UVA Health · 2 hours ago

Advanced Practice Provider Fellow (NP/PA/APP) - Critical Care

Virginia, United States

Full-time

Onsite

New Grad

1+ years exp

UVA Health is a world-class Magnet Recognized academic medical center and health system with a level 1 trauma center. They are seeking Advanced Practice Provider Fellows to rotate through various ICU environments, providing high-acuity and critical care to complex patients under the guidance of designated preceptors.

Health CareHospitalMedical

Responsibilities

Independently, and in close collaboration with the primary preceptor, attending physician(s), fellows, and interdisciplinary team members, provides comprehensive delivery of high-acuity and critical care to complex, critically ill patients across the continuum of care

Performs rapid, comprehensive history taking and physical assessment, including advanced hemodynamic, neurologic, and ventilatory evaluation in unstable patients

Accurately documents findings, clearly differentiating pertinent positive and negative results, abnormal trends, and critical values in the electronic health record

Orders, interprets, and acts upon diagnostic laboratory tests, imaging studies, point-of-care ultrasound (POCUS), and advanced monitoring data (e.g., continuous EEG, ICP monitoring, pulmonary artery catheterization, etc.) in accordance with evidence-based protocols

Formulates differential and working medical diagnoses using advanced clinical reasoning, integrating history, physical examination, diagnostic data, and knowledge of critical illness pathophysiology

Develops, implements, continuously evaluates, and modifies individualized, evidence-based treatment plans in dynamic critical care environments

Prescribes and titrates pharmacologic agents (including vasoactive infusions / vasopressors, sedatives, analgesics, paralytics, anticoagulants, and antimicrobial therapy) and non-pharmacologic interventions (mechanical ventilation strategies, CRRT, ECMO management, IABP, Impella, etc.) within scope of practice and institutional protocols

Initiates urgent or emergent specialty consultations and facilitates rapid transfer to higher levels of care when indicated

Leads or co-develops, implements, evaluates, and/or utilizes unit-specific clinical pathways, order sets, and evidence-based protocols to standardize and optimize critical care delivery

Actively collaborates with attending physicians, fellows, residents, nursing, pharmacy, respiratory therapy, and ancillary services regarding admissions, transfers, downgrades, and inter-facility transport to ensure safe and efficient patient flow

Recognizes and responds immediately to acute decompensation or life-threatening emergencies; independently initiates advanced life-support interventions (airway management, defibrillation, massive transfusion protocol, RSI, bronchoscopy, central/arterial line placement, chest tube insertion, etc.) while simultaneously activating emergency response protocols and alerting the primary preceptor and interdisciplinary team

Incorporates age-specific, culturally sensitive, and developmental considerations into all assessments, plans of care, and family communication

Serves as a patient and family advocate, ensuring informed decision-making, education regarding critical illness, treatment options, goals of care, palliative/extubation discussions, and ethical issues while respecting autonomy, diversity, and individual values

Provides expert consultation in acute and critical care management to other services, units, and external facilities

Maintains strict confidentiality and security of protected health information in accordance with HIPAA and institutional policy

Ensures compliance with national clinical standards, quality metrics, and regulatory requirements (TJC, CMS, SCCM guidelines, etc.) through interdisciplinary collaboration and performance improvement initiatives

Clearly explains the necessity, preparation, risks, benefits, and anticipated effects of diagnostic and therapeutic procedures to patients, families, healthcare team members, and learners

Performs advanced diagnostic and therapeutic procedures (as privileged and after demonstrated competency) including but not limited to: endotracheal intubation, central venous and arterial catheterization, chest tube placement, pulmonary artery catheter placement, bronchoscopy, thoracentesis, paracentesis, lumbar puncture, point-of-care ultrasound (eFAST, cardiac, lung), and epicardial pacing—initially under direct supervision of the primary preceptor and progressing to independent practice as competency is validated

Meets or exceeds all defined clinical milestones by the conclusion of the fellowship year, as evaluated through multisource feedback, portfolio review, and direct observation

Serves as an exemplary professional role model for colleagues, interdisciplinary team members, the institution, and the broader healthcare community through consistent demonstration of integrity, accountability, and clinical excellence

Exhibits unwavering respect, cultural humility, and collaborative spirit in all interactions with patients, families, staff, learners, and the interdisciplinary care team

Demonstrates emerging leadership by actively mentoring junior APPs, residents, nurses, and students; fostering interdisciplinary teamwork; and championing initiatives that empower others to deliver high-quality critical care

Advocates for the expanded role and value of Advanced Practice Providers in critical care through patient/family education, professional presentations, community outreach, and/or participation in hospital committees or professional organizations

Assumes progressive leadership responsibilities within the fellowship, including (but not limited to) leading quality-improvement efforts, presenting in formal educational sessions, or representing the APP group in departmental initiatives

Meets or exceeds all defined leadership and professionalism competency milestones by the conclusion of the fellowship year, as evaluated through multisource feedback, portfolio review, and direct observation

Qualification

Adult Acute Care NPPhysician AssistantBLS CertificationACLS CertificationCritical Care ExperienceAdvanced Clinical ReasoningEvidence-Based PracticeQuality ImprovementPatient AdvocacyInterdisciplinary CollaborationCultural HumilityLeadership Skills

Required

Adult Acute Care Nurse Practitioner or Physician Assistant

Master's Degree as an Advance Practice Provider (Nurse Practitioner or Physician Assistant)

Less than 1 year of experience in desired specialty

License or license eligible as an Advance Practice Provider (Physician Assistant or Adult Acute Care Nurse Practitioner) as set forth by the state of Virginia for Critical Care

Must demonstrate and maintain all credentialing and licensing requirements of the UVA Medical Center, the Virginia Board of Medicine or the Virginia Board of Nursing, and the appropriate certifying bodies

Must be enrolled with all payers through Delegated Credentialing and can participate in Medicaid and Medicare for billing

Current Basic Life Support (BLS) certification through American Heart Association required

For Critical Care only, current Advanced Cardiac Life Support (ACLS) certification through American Heart Association required

Job requires standing for prolonged periods, frequently traveling/bending/stooping

Proficient communicative, auditory and visual skills

Attention to detail and ability to write legibly

Ability to lift/push/pull 20 - 50lbs

May be exposed to chemicals, blood/body fluids and infectious disease