This position is responsible for overseeing daily clinical operations and ensuring seamless coordination across multiple units to support patient care needs. The role provides clinical and operational leadership, ensuring safe and efficient workflows across service lines while making real-time staffing decisions to optimize care delivery. As a clinical leader, the incumbent collaborates with multidisciplinary teams to maintain high standards of quality, safety, and patient care. Additionally, the role is cross-trained to provide direct patient care across multiple clinical areas, ensuring flexibility, responsiveness, and continuity of care. This team of Leads provides continuous clinical leadership and operational oversight 24 hours a day, seven days a week.
To be considered for this position, candidates must have passed the certification exam for either Physician Assistant or Nurse Practitioner. For Nurse Practitioner, preference is given to candidates who possess their Acute Care Certified Pediatric Nurse Practitioner certification.
Work Schedule: As a Tier III Advanced Practitioner, you’ll be an exempt employee, working a variable schedule based on patient care needs. Tier III Advanced Practitioners work a combination of days and nights or straight nights, including weekdays, weekends, and holiday. Advanced Practitioners on Tier III are expected to work a balance of weekends and holidays according to scheduling guidelines.
Job Responsibilities
- Oversee daily provider clinical operations and logistics to support patient care needs and facilitate coordination across inpatient units.
- Ensure safe and efficient workflows across service lines.
- Act as a clinical resource for complex, resource-intensive processes and initiatives, including observations, infrequent admission protocols, and add-on procedures.
- Oversee and coordinate direct and indirect support for urgent patient care needs, ensuring timely intervention and appropriate resource allocation.
- Lead and oversee admission and discharge processes, including facilitating discharge rounds and ensuring timely and accurate updates to discharge dates.
- Guide and oversee provider downtime protocols and emergency response procedures to ensure continuity of care and operational readiness.
- Provide patient care by conducting physical examinations, implementing treatment plans, writing orders, monitoring patient responses, making referrals, providing patient and family support, and performing credentialed diagnostic and therapeutic procedures.
- Lead conflict-resolution strategies for staff, visitors, and other stakeholders to maintain a safe and collaborative environment.
- Direct and oversee provider-to-patient assignments, perform ongoing staff assessments, and assist with on-call coordination.
- Serve as a subject matter expert in Quality Improvement, Root Cause Analysis, Common Cause Analysis, and operational optimization initiatives.
- Perform other duties as assigned to meet the goals and objectives of the department and institution.
- Maintain regular and predictable attendance.
Minimum Required Education and/or Training
- Master's degree or higher in a relevant field from an accredited program required (Master of Science in Nursing [MSN], Doctor of Nursing Practice [DNP], or Master's degree in Physician Assistant Studies)
- Doctor of Nursing Practice (DNP), Doctor of Public Health (DrPH), Doctor of Philosophy (PhD), or a related doctoral degree preferred.
Minimum Experience
- Two years of relevant experience at St. Jude Children's Research Hospital preferred.
Licensure, Registration, and/or Certification Required by Law
If Advanced Practice Registered Nurse (APRN):
- Must possess a current Tennessee State Board of Nursing license if the primary residence is Tennessee or another Nurse Licensure Compact non-member state; or must possess a current nursing license in the state of primary residence if residing in a Nurse Licensure Compact state.
- Must possess a current Advanced Practice Registered Nurse license issued by the Tennessee State Board of Nursing.
- Nurse Practitioner Certification through the American Nurses Credentialing Center (ANCC), American Academy of Nurse Practitioners (AANP), or Pediatric Nursing Certification Board (PNCB) required.
- Acute Care Certified Pediatric Nurse Practitioner certification highly preferred.
- Supervising Physician verification through the St. Jude Managed Care Department required.
- Certificate of Fitness issued by the State of Tennessee Division of Health-Related Boards required.
- If prescribing medications, DEA certification issued by the U.S. Department of Justice Drug Enforcement Administration is required.
If Physician Assistant (PA):
- Must be certified by the National Commission on Certification of Physician Assistants (NCCPA).
- Supervising Physician verification through the St. Jude Managed Care Department required.
- If prescribing medications, DEA certification issued by the U.S. Department of Justice Drug Enforcement Administration, along with Authorization for Prescribing for Physician Assistants, is required.
Licensure, Registration and/or Certification Required by SJCRH Only:
- Inpatient nurse practitioners are preferred to either hold a PNP-AC (Pediatric Nurse Practitioner-Acute Care) certification OR demonstrate completion of at least 3,000 hours of supervised practice with a St. Jude physician.
Compensation
In recognition of certain U.S. state and municipal pay transparency laws, St. Jude is including a reasonable estimate of the compensation range for this role. This is an estimate offered in good faith and a specific salary offer takes into account factors that are considered in making compensation decisions including but not limited to skill sets, experience and training, licensure and certifications, and other business and organizational needs. It is not typical for an individual to be hired at or near the top of the salary range and compensation decisions are dependent on the facts and circumstances of each case. A reasonable estimate of the current salary range is $114,400 - $216,320 per year for the role of Lead-Advanced Practice Provider-Tier III, Inpatient Oncology.
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