Advanced Practitioner- Gynecologic Oncology

Greater Baltimore Medical Center (GBMC)
United States, Maryland, Baltimore
6701 North Charles Street (Show on map)
May 30, 2025
Under the clinical supervision of the Medical Director of the Department is accountable for the clinical management of patients. OCN or AOCN highly desired. Experience and capability to use the EPIC electronic medical record. Experience with pelvic exams and gynecologic office procedures, providing chemotherapy and survivorship services. 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 surveillance according to published NCCN Guidelines and survivorship care to gyn oncology patients. Provides independent management of GYN Oncology and GYN 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 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, pathology, genetics, radiology and other reports and provides for appropriate treatment and follow-up as indicated. Reports abnormal patient findings to appropriate physician colleagues and responds accordingly. Assumes responsibility and accountability for time management, professional relationships and interpersonal interactions. 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. This includes the division/department quality and safety committee and its related quality improvement projects. Candidate will function independently in the ambulatory setting at GBMC. Education: Successful completion of Physician Assistant Program OR Nurse Practitioner Program Licensures/Certifications: Licensed as a Physician Assistant or as an Adult Nurse Practitioner by the Board of Medical Examiners of Maryland / Maryland State Board of Examiners of Nurses. Certification as required. Completion of "Healthcare Provider" CPR course. Completion of "Healthcare Provider" ACLS course Experience: One (1) year acute care experience preferred. Skills: Analytical skills in order to assess patients and implement appropriate intervention. Able to work under varying degrees of stress and the ability to adjust to changes in the work environment. Patient & Workplace Safety: Employee has knowledge and understanding of patient and workforce safety as it relates to job duties. Patient Population: Demonstrates competency in the delivery of care and applies the knowledge to meet age-specific needs if applicable. Principal Duties and Responsibilities: Trains staff to receive and screen visitors and telephone calls. Assumes responsibility for the initial evaluation and treatment of admitted surgical patients, except for emergency admissions. Performs admission history and physical as evidenced by appropriate documentation. Writes appropriate orders within approved delegation agreements. Discusses with the attending physician and nursing staff, physical and/or emotional findings which impact patient care. Evaluates patient progress on a continuing basis and, in collaboration with the attending physician, alters treatment modalities. Make daily rounds on assigned patients to evaluate medical, social and educational needs. Initiates referral to appropriate ancillary departments and community resources based on patient need and documents on the progress note. Writes progress notes daily, documenting pertinent information regarding patient progress and treatment regime. Writes orders appropriate to the patient's care requirements in compliance with hospital policy. Establishes medical diagnoses in compliance with standard accepted medical practice. Refers to the attending physician or designee those problems, which require consultation and documents it on progress note. Makes immediate referral of acute and/or life threatening patient conditions to attending physician or designee. Documents physical findings and treatment plan pertaining to same. Performs technical functions as covered by the job description and delegation agreement submitted to BPQA and/or MBON, approved NP agreement and in accordance with hospital policy. Documents results of technical functions performed. Reports to physician or designee any abnormal findings related to it. Monitors patient response related to technical function performed and document it. Acts as a clinical resource. Actively supports and participates in nursing and/or hospital performance improvement initiatives. Performs activities to meet patient/family education needs. Participates actively in health teaching of patient and family to include preventative health care, as well as current medical condition and treatment regime. Plans and reviews home care instructions with patient and family if needed. Includes needs for service provided by community resources and hospital based ancillary services. Maintains continual communication with health team members regarding patient education and discharge planning. Assumes responsibility for utilizing opportunities for educational advancement by pursuing activities to meet identified educational needs and those required for continued certification as well as attending mandatory inservice as required. All roles must demonstrate GBMC Values: Respect I will treat everyone with courtesy. I will foster a healing environment. Treats others with fairness, kindness, and respect for personal dignity and privacy Listens and responds appropriately to others' needs, feelings, and capabilities Excellence I will strive for superior performance in every aspect of my work. I will recognize and celebrate the accomplishments of others. Meets and/or exceeds customer expectations Actively pursues learning and self-development Pays attention to detail; follows through Accountability I will be professional in the way I act, look and speak. I will take ownership to solve problems. Sets a positive, professional example for others Takes ownership of problems and does what is needed to solve them Appropriately plans and utilizes required resources for various job duties Reports to work regularly and on time Teamwork I will be engaged and collaborative. I will keep people informed. Works cooperatively and collaboratively with others for the success of the team Addresses and resolves conflict in a positive way Seeks out the ideas of others to reach the best solutions Acknowledges and celebrates the contribution of others Ethical Behavior I will always act with honesty and integrity. I will protect the patient. Demonstrates honesty, integrity and good judgment Respects the cultural, psychosocial, and spiritual needs of patients/families/coworkers Results I will set goals and measure outcomes that support organizational goals. I will give and accept help to achieve goals. Embraces change and improvement in the work environment Continuously seeks to improve the quality of products/services Displays flexibility in dealing with new situations or obstacles Achieves results on time by focusing on priorities and manages time efficiently Pay Range $80,363.74 - $133,809.65 Final salary offer will be based on the candidate's qualifications, education, experience and alignment with our organizational needs. COVID-19 Vaccination All applicants must be fully vaccinated against Covid-19 or obtain a GBMC approved medical or religious exemption prior to starting employment at GBMC Healthcare, to include Gilchrist and GBMC Health Partners. Equal Employment Opportunity GBMC HealthCare and its affiliates are Equal Opportunity employers. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity and expression, age, national origin, mental or physical disability, genetic information, veteran status, or any other status protected by federal, state, or local law.