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Physician Assistant Acute-Nephrology, FT (913607-13234)(6602)

Children's Hospital & Medical Center - Omaha Omaha, NE

Job Description

Just like the patients we serve, Children's is growing quickly and hiring a Physician Assistant to perform medical services, including diagnostic, medical, and therapeutic services, as delegated by and under the supervision of the Nephrology physician. This includes: health promotion, health supervision, illness prevention, diagnosis, treatment and management of various health problems and conditions. Clinical management of the pediatric nephrology patient, including dialysis and transplant, will be performed in both the inpatient and outpatient settings at Children's Hospital and University of Nebraska Medical Center. Inpatient care includes rounding on nephrology patients, being a care consultant, coordination of discharge follow-up, and care conference attendance.  Outpatient care includes detailed history taking, assessments, medication management, attending care conferences, telephone triage, care planning, patient and family education, and monitoring of lab results. The APRN/NP is a clinical expert, mentor and educator, leader, collaborator, and researcher.  Schedule and call responsibilities vary according to area and needs of the department.

Essential Functions/Competencies

% of Time



In collaboration with physicians and other members of the health care team, assesses patient and provides non-urgent, urgent and occasionally emergent care to the pediatric nephrology patient. Comprehensive care of the patient includes assessment, diagnosis, and development of a treatment plan and implementation of an individualized plan of care.

  • Completes an accurate assessment (history and physical examination) of the pediatric patient
  • Implements plan with appropriate medical orders utilizing CPOE (computerized provider order entry)
  • Evaluates and revises plan as indicated by changes in patient condition or needs
  • Communicates medical plan to caregivers, staff members and physicians
  • Demonstrates understanding of caregiver dynamics involved in the ill pediatric patient
  • Utilizes the nursing process to meet the development and psychosocial needs of the pediatric patient/caregiver
  • Assesses the educational needs of patients/caregivers and develops/implements the educational plan in collaboration with other healthcare professionals


Prescribes therapeutic measures and medications according to the State of Nebraska Physician Assistant statutes.  As applicable, performs select invasive procedures, as approved in his/her individualized Scope of Service, according to the Children’s Hospital & Medical Center credentialing policy.

  • Demonstrates competency in principles of medication dosing and mechanism of action as it relates to specific diagnoses
  • Orders and/or administers medication according to Children’s Hospital & Medical Center policy, procedure, and scope of practice
  • Utilizes e-prescribing when ordering outpatient medications, including controlled substances
  • Demonstrates knowledge and expertise when performing credentialed procedures/specialty skills, independently or with another healthcare provider
  • Follows medical staff policy/guidelines for obtaining and maintaining privileges
  • Appropriately documents procedures according to Children’s Hospital Policy/ Procedure



Uses sound medical/clinical judgment during care for the pediatric patient including consultation/collaboration with nephrology physicians, use of practice protocols as a guide, and documentation of assessment, interventions, and patient response to treatment. Documentation reflects assessment/evaluation, modification, and patient’s response to treatments, changes in condition, and interventions/procedures.


Assumes leadership role to establish and monitor standards of practice to improve patient care including recommending ways to improve clinical practice, participation in related educational activities, participation in professional organizations and performance improvement teams, and incorporation of new clinical information into practice.

  • Serves as a role model for staff by facilitating, supporting, mentoring, taking initiative, and practicing proactive problem solving
  • Serves as a reliable and visible resource for staff
  • Conducts or utilizes research and new clinical information to recommend ways to improve clinical practice
  • Participates in educational activities and networking related to practice
  • Seeks experiences and learning opportunities related to practice
  • Participates in professional organizations
  • Serves on Performance Improvement teams as needed
  • Assures that clinical practice meets national standards of pediatric healthcare
  • Coordinates project or program development and effective implementation



Regular attendance at work is an essential function of the job.


Perform physical requirements as described in the Physical Requirements section



  • Performs other duties as assigned
  • Participate in research and registry activities and facilitate completion of required documentation under the direction of the principle investigator and the guidelines for the Institutional Review Board as needed
  • Attend scheduled nephrology care conference  and departmental meetings



  • Satisfy all relevant criteria and qualifications outlined in the Medical Staff Policy on Allied Health Professional, required to be credentialed.
  • Practice within framework of respective scope of practice
  • Knowledge of physical, mental, developmental, emotional and social needs of the neonate, infant, toddler, pre-school, school age and adolescent patients
  • Maintains current knowledge and skill level in field through reading appropriate journals, networking, and attendance at conferences or seminars
  • Ability to communicate effectively


  • Education as required by the Department of Health and Human Services-Regulation and Licensure Credentialing Division as represented by Physician Assistant licensure in the State of Nebraska



  • Current and valid unrestricted license Physician Assistant in the State of Nebraska required
  • Current and valid Basic Life Support (BLS) certification required
  • Current and valid Pediatric Advanced Life Support (PALS) certification required, within six months of hire




Job Details

Date Posted July 10, 2018
Date Closes October 8, 2018
Requisition 913607-13234
Address 8200 Dodge Street
Located In Omaha, NE
Department Nephrology
Job Type Full-time Employee
May include some weekend and call coverage
Hours 40 hours per week
Positions Available 1
SOC Category 29-1071.00 Physician Assistants
Zipcode 68114

This job requires the following skills

  • Ability to Work Under Pressure
  • Computer Usage
  • Excellent Logic and Reasoning
  • Positive Attitude
  • Strong Flexibility / Adaptability
  • Strong Time Management
  • Basic Life Support (BLS)
  • Pediatric Care

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