Charlottesville, Virginia, United States of America
19 hours ago
Advanced Practice Provider (APP/ NP/ PA) Urology, Genitourinary Reconstruction
The Genitourinary Reconstructive Advanced Practice Provider (APP) is an integral member of an academic urology team specializing in the care of patients with complex pelvic floor and lower urinary tract disorders. This role focuses on the evaluation and management of patients with pelvic floor disorders, urinary incontinence, overactive bladder, urinary retention, pelvic organ prolapse, genitourinary fistula, voiding dysfunction, urinary tract infections, neurogenic bladder, and complications related to prior pelvic or urologic surgery.

The position is structured with initially supervised clinical practice and a defined progression to independent practice, based on demonstrated competency, institutional privileging, and departmental approval. The APP practices in close collaboration with fellowship-trained faculty in endourology, genitourinary reconstructive surgery, and urogynecologic pelvic surgery within a tertiary and quaternary academic referral center.

Administration

Documents clinical encounters in the electronic health record in a timely and accurate mannerCoordinates care with internal and external providers, schools, and community agenciesParticipates in clinic workflow processes that support access, continuity, and quality of careAssists with care coordination, referrals, and follow up planning for patients with complex needs

Professional

Practices in accordance with state regulations, scope of practice, and institutional policiesEngages in continuing education related to child and adolescent psychiatry and psychopharmacologyParticipates in team meetings, case discussions, and interdisciplinary collaborationContributes to a respectful, family centered, and culturally responsive care environment

Clinical

Evaluate and manage patients with pelvic floor disorders, including pelvic organ prolapse, stress urinary incontinence, urgency urinary incontinence, mixed incontinence, and overactive bladder. This will include performance and interpretation of urodynamic studies, flow rate and post void residuals, bladder diaries as well as other diagnostic testing related to these specialty diagnoses.Provide comprehensive care for patients with genitourinary fistula, urethral stricture disease, urinary retention, voiding dysfunction, neurogenic bladder, recurrent urinary tract infections and post-surgical complicationsObtain detailed urologic, gynecologic, obstetric (when applicable), sexual, and surgical historiesPerform focused genitourinary and pelvic examinations, including prolapse assessmentDevelop and implement individualized, evidence-based treatment plans in collaboration with attending physiciansProvide longitudinal management of chronic pelvic and lower urinary tract conditionsInterpret and apply diagnostic studies including urodynamics, cystoscopy findings, imaging, and laboratory resultsCoordinate multidisciplinary care with pelvic floor physical therapy, urogynecology, gynecology, colorectal surgery, transplant, nursing, and referring providersProvide pre-operative counseling, perioperative coordination, and post-operative follow-up careThe APP will receive supervised training with progression to independent performance, based on competency and credentialing, in the following outpatient procedures commonly performed in pelvic and reconstructive urology:Flexible cystoscopyUrethral dilation and difficult catheter placementFoley catheter insertion, exchange, and troubleshootingSuprapubic tube exchanges and managementVoiding trials and post-void residual assessmentUrodynamic testing, including performance and interpretationAssistance with and interpretation of retrograde urethrograms (RUG) and voiding cystourethrograms (VCUG), nephrostograms, looporams and other related studies when applicableIntravesical instillations, including botulinum toxin for overactive bladder (when credentialed)Pessary evaluation, fitting, counseling, and management (if included in institutional scope)Minor postoperative wound care and vaginal, perineal, or genital assessmentsManagement of urinary diversion appliances and stoma care, when applicable

Leadership

Assist in supervision of learners in urologic clinics and procedural settingsContribute to departmental conferences, urologic case conferences, and morbidity and mortality reviewsSupport clinical research, registries, and quality improvement initiatives related to their urologic specialtySupports the educational mission of the division through collaboration with trainees and learners when appropriateParticipates in quality improvement initiatives aimed at enhancing access and clinical careServes as a clinical liaison with community partners to strengthen care coordinationDemonstrates accountability, teamwork, and commitment to the mission of pediatric behavioral health services

MINIMUM REQUIREMENTS

Education: Graduate of an accredited graduate school of nursing or physician assistant program with a master’s degree.

Experience: Department and unit specific.

Licensure: License or license eligible as an Advance Practice Provider (Nurse Practitioner, Physician Associate, Certified Registered Nurse Anesthetist, and Certified Nurse Midwife) as set forth by the state of Virginia. If Nurse Practitioner, license to Practice as a Registered Nurse in the Commonwealth of Virginia is required. Must demonstrate and maintain all credentialing and licensing requirements of UVA Health System, the Virginia Board of Medicine or the Virginia Board of Nursing, and appropriate certifying bodies. Current Basic Life Support (BLS) required. Current PALS/NRP, as required, specific to position. Advanced Cardiac Life Support (ACLS) as required, specific to position.

PHYSICAL DEMANDS

Job requires standing for prolonged periods, frequently bending/stooping, reaching (overhead, extensive, and repetitive); Repetitive motion: computer keyboard. Proficient communicative, auditory and visual skills; Attention to detail and ability to write legibly; Ability to lift/push/pull 50 - 100lbs. May be exposed to noise, radiation, radioactive materials, blood/body fluids and infectious disease.

The starting base rate for this role is $124,845.00 annually. Individual compensation will be determined by the selected candidate's qualifications, previous work experience, and/or education.

Benefits

Comprehensive Benefits Package: Medical, Dental, and Vision Insurance

Paid Time Off, Long-term and Short-term Disability, Retirement Savings

Health Saving Plans, and Flexible Spending Accounts

Certification and education support

Generous Paid Time Off

UVA Health is a world-class Magnet Recognized academic medical center and health system with a level 1 trauma center. 2023-2024 U.S. News & World Report “Best Hospitals” guide rates UVA Health University Medical Center as “High Performing” in 5 adult specialties and 14 conditions/procedures. We are one of 70 National Cancer Institute designated cancer centers. UVA Health Children’s is named by 2023-2024 U.S. News & World Report as the best children's hospital in Virginia with 9 specialties ranked among the best in the nation. Our footprint also encompasses 3 community hospitals and an integrated network of primary and specialty care clinics throughout Charlottesville, Culpeper, Northern Virginia, and beyond.

The University of Virginia is an equal opportunity employer. All interested persons are encouraged to apply, including veterans and individuals with disabilities. Learn more about UVA’s commitment to non-discrimination and equal opportunity employment.

Confirm your E-mail: Send Email