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Job Opening: Nurse Practitioner


Position: Nurse Practitioner
Company: Johns Hopkins University
Location: Baltimore MD US

The Nurse Practitioner is a health care provider working collaboratively within a multi-disciplinary health team, responsible for providing comprehensive care to both well and/or ill patients. The Nurse Practitioner educates patients and/or intervenes in acute or chronic illness. The Nurse Practitioner practices within the guidelines of the department, and the Institution in accordance with the Nurse Practitioner-Physician Written Agreement required and approved by the State of Maryland. The Nurse Practitioner is granted affiliate staff privileges by the Johns Hopkins University School of Medicine and the Johns Hopkins Bayview Medical Center; these privileges are reviewed annually. The Nurse Practitioner is responsible to the preceptor and department head for nursing and clinical standards and practice. The Nurse Practitioner will report to the Director of the Division of Gynecologic Oncologic, The Kelly Gynecologic Oncology Service.
The primary duties and responsibilities of the job:
Provides care to women diagnosed with gynecologic cancers, or who are high risk for
development of a gynecologic cancer, as it relates to cancer surveillance, general health
maintenance, contraception, menopause and generalized cancer screening, in a timely, professional,
and friendly manner.
Provides primary cancer survivorship care to these patients. Available to all gynecologic oncology
survivors who have completed their primary cancer treatment, our survivorship team led by our
CRNP develops an individualized and comprehensive treatment summary and care plan for
each woman that addresses:
– Wellness, nutrition and lifestyle modification after a cancer diagnosis.
– General health, with a history and physician examination.
– Side effects of cancer therapy, including physical, emotional, cognitive and sexual health
– Gynecologic cancer surveillance.
– Screening referrals for other cancers.
– Distress and depression screening.
– Referral for psychosocial supportive services and counseling from our social workers as well
as initiation of referrals for multidisciplinary support services.
Provides independent management of GYN Oncology complaints, including counseling, testing,
diagnosis, treatment, and/or follow-up, referring patients appropriately to other physician providers
as needed, in the case of issues too complex or complicated to be managed by a Nurse Practitioner.
Performs health screening, orders, performs and interprets tests. Establishes medical and nursing
diagnoses; orders, performs and evaluates diagnostic studies; performs and monitors therapeutic
procedures (i.e., colposcopy and biopsy, endometrial biopsies, vulvar biopsies, incisional and wound
care etc), assesses and/or manages follow-up plans.
Performs chemotherapy services and care, including but not limited to assisting the attending
physicians with writing chemotherapy orders, managing decisions regarding dose reductions,
managing chemotherapy-related side effects, including evaluation of patients for emergent
chemotherapy-related toxicities in the Weinberg Infusion Center or ambulatory areas, ordering
anti-emetics, growth colony stimulating factors, pain medications and other medications related to
chemotherapy administration, physical examinations, ordering and interpretation of chemotherapy
laboratory studies and imaging studies and referral to patients for clinical trial.
Documents patient chart information as needed, including but not limited to problem
identification, treatment and follow-up, chemotherapy flow sheets and other program forms as
needed. Records and documents health assessment data necessary to maintain, coordinate, and/or
expedite required services.
Provides consultation and collaboration with and referral to physician colleagues as indicated, for
high-risk medical conditions or for treatment of side effects of surgery or chemotherapy (i.e.
Lymphedema Clinic, Palliative Care etc).
Prescribes and regulates medications per Nurse Practitioner-Physician written agreement.
Reviews daily laboratory, radiology and other reports and provides for appropriate treatment and
follow-up as indicated. Reports abnormal patient findings to appropriate physician colleagues.
With regards to the Doctorate of Nursing Practice, the candidate will also design and coordinate
all research conducted within the Kelly Gynecologic Oncology Survivorship Center, including:
Conduction of longitudinal, formal quality of life assessments in patients at baseline, during
treatment and at 3-6 month intervals using the PROMIS and SF-36 instruments. Conduction of longitudinal distress and depression screening in all cancer survivors. Participates in the development and implementation of a quality assurance program for the Survivorship Center.
Leading patient focus groups to ascertain potential gaps in cancer care. Managing quarterly education events for gynecologic cancer survivors. Developing and coordinating support group meetings in conjunction with the Kelly’s Angels. Helping manage a bi-annual GYN Oncology Survivorship Conference
Supports clinical activities of the Greenspring/JHOC- GYN Onc practice, by providing patient
and family education, developing teaching materials and other support activities as time permits.
Assumes responsibility and accountability for time management, professional relationships and
interpersonal interactions. Administratively, will also oversee the other midlevel providers (1 CRNP
and 1 PA) within the Kelly Gynecologic Oncology Service.
Develops, conducts, and/or evaluates formal or informal in-service and continuing education
programs in areas of expertise for peer groups and other disciplines. Assumes responsibility for his/her own professional development and remains current in clinical practice by attending relevant continuing education.
Participates on department, functional unit, and Hospital committees, as assigned.
Occasionally serves as clinical preceptor for nursing students, including nurse practitioner
candidates as time permits. Serves as a clinical preceptor for the GYN Onc fellows regarding survivorship care.
Adheres to Hospital and nursing policies and procedures.
May be required to work at other JHU/JHH Gyn/Ob outpatient facilities as needed.
Degree of independent action performed on the job: The CRNP/OCN will function
independently in the ambulatory setting at both the Johns Hopkins Outpatient Center and
Greenspring Station GYN Oncology and Survivorship clinics. For all of these clinics, a Kelly
Gynecologic Oncology Service attending will be available to provide clinical back-up for the
Internal and external contacts required as part of the job: The CRNP/OCN/DNP will interact
regularly with the Kelly Gynecologic Oncology Service faculty and staff, Sidney Kimmel
Comprehensive Cancer Center personnel and Greenspring Station and JHOC staff.

Required License/Certification: Registered nurse, CRNP and/or OCN license required. Must be licensed as an NP in the State of Maryland or other state where practicing/eligible for licensure to practice in the State of Maryland. Current CPR certification. Must meet all credentialing requirements of the Johns Hopkins Hospital.
Familiar with Microsoft Word, Excel, Power point, RedCAPPS.
Experience and capability to use the EPIC electronic medical record, provide chemotherapy and survivorship services as well as experience with gynecologic care is preferred.

NOTE: The successful candidate(s) for this position will be subject to a pre-employment background check.

If you are interested in applying for employment with The Johns Hopkins University and require special assistance or accommodation during any part of the pre-employment process, please contact the School of Medicine HR Divisional Office at 410-955-2990. For TTY users, call via Maryland Relay or dial 711.

During the Influenza (“the flu”) season, as a condition of employment, The Johns Hopkins Institutions require all employees who provide ongoing services to patients or work in patient care or clinical care areas to have an annual influenza vaccination or possess an approved medical or religious exception. Failure to meet this requirement may result in termination of employment.

The pre-employment physical for positions in clinical areas, laboratories, working with research subjects, or involving community contact requires documentation of immune status against Rubella (German measles), Rubeola (Measles), Mumps, Varicella (chickenpox), Hepatitis B and documentation of having received the Tdap (Tetanus, diphtheria, pertussis) vaccination. This may include documentation of having two (2) MMR vaccines; two (2) Varicella vaccines; or antibody status to these diseases from laboratory testing. Blood tests for immunities to these diseases are ordinarily included in the pre-employment physical exam except for those employees who provide results of blood tests or immunization documentation from their own health care providers. Any vaccinations required for these diseases will be given at no cost in our Occupational Health office.

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