Nurse Practitioner - DLD Navigator Program
Columbia University
- Job Type: Officer of Administration
- Regular/Temporary: Regular
- Hours Per Week: 35
- Salary Range: $130,000 - $150,000
Position Summary
The Nurse Practitioner (NP) will provide comprehensive clinical support for the Navigator-facilitated direct-to-procedure screening program within the Department of Medicine. Operating under the clinical supervision of the Clinical Director, the NP will play a pivotal role in ensuring patient safety, optimizing procedural preparedness, and facilitating effective communication across the care continuum. This position is integral to the success of the open-access pathway for endoscopic procedures.
Responsibilities
Preoperative Duties:
- Conduct comprehensive preoperative clinical reviews of open access referrals, applying established criteria to confirm procedural indication and patient suitability for the open access pathway.
- Collaborate with consultants and referring providers to coordinate necessary preoperative medical management and address any clinical concerns.
- Develop and provide individualized modifications to bowel preparation instructions, considering comorbid conditions (e.g., chronic anticoagulation, diabetes, Obstructive Sleep Apnea (OSA), morbid obesity).
- Identify and address risk factors for suboptimal bowel preparation (e.g., chronic constipation, opioid use, history of poor preparations) and implement strategies to optimize procedural success.
- Provide clinical supervision and support to the program's Registered Nurse (RN) in delivering patient education regarding prep instructions and addressing preoperative questions and concerns.
- Serve as a key medical liaison to referring providers, ensuring seamless communication and care coordination.
- Offer clinical expertise and support for prior authorization requests as required.
Postoperative Duties:
- Review procedure and pathology reports. Under the guidance of the Program Director and performing endoscopist, communicate results effectively to referring providers and patients through written correspondence, telephone communication, and in-person consultations when clinically indicated.
- Ensure timely and accurate updates to the Health Maintenance module in the Epic electronic health record (EHR) system to reflect follow-up recommendations.
- Facilitate appropriate referrals for patients requiring further consultation or management from other specialists (e.g., Colorectal Surgery, Interventional Gastroenterology, GI Motility services).
General Duties:
- Represent the Navigation Program at external events, meetings, and conferences as designated by the Clinical Director.
- Participate in research activities and clinical protocols pertinent to the Navigation Program and patient outcomes.
- Conduct outreach initiatives to referring clinics and community-based organizations to promote program services and foster collaborative relationships.
- Foster a collaborative working relationship with all members of the multidisciplinary team, including medical leadership, RNs, patient navigators, fellows, and endoscopy unit staff.
- Perform additional related duties as needed.
Minimum Qualifications
- Master's degree or equivalent in education and experience, plus one to two years of experience.
- Current New York State NP and RN licenses, and board certification
- Current Drug Enforcement Administration (DEA) registration.
- Excellent communication (written and verbal), interpersonal, and organizational skills.
- Availability for a full-time, five-day work week schedule.
Preferred Qualifications
- Bilingual proficiency in English and Spanish.
- Prior clinical experience in Gastroenterology, Endoscopy, or General Surgery.
- Proficiency with the Epic electronic health record (EHR) system.
Other Requirements
- Obtain and maintain any additional clinical and research certifications as required by Columbia University Irving Medical Center and New York-Presbyterian Hospital, as determined by the Clinical Director to support role responsibilities.
- Successful completion of applicable compliance and systems training requirements
- Medical clearance conducted by the NYP Workforce Health & Safety Department
Equal Opportunity Employer / Disability / Veteran
Columbia University is committed to the hiring of qualified local residents.