Urology APP- Urology- Shelby, NC

Atrium Health is seeking TWO compassionate and motivated Advanced Practice Providers (PA or NP) to join our new urology practice in a welcoming rural community. Work alongside an exceptional staff and with a loyal patient base. We invite experienced APPs to discover all that we can do when we bring healing hearts, inquisitive minds and visionaries together with our Urology team at Atrium Health Urology Cleveland in Shelby, NC.

Position Highlights:

• Monday - Friday - No weekends or holidays; NO CALL
• Outpatient/Inpatient/OR
• $2,500 annual CME allowance and 5 CME days
• Annual performance incentive bonus
• Eligible for overtime, differential pay, and PTO with a competitive benefits package
• Supportive work environment with excellent mentorship and collaborative care

Education & Onboarding:

Atrium Health is deeply committed to provider development and continuing education. This role includes a structured onboarding process to ensure you feel confident and supported from day one. You’ll also participate in our weekly Urology education conference, which fosters continuous learning, collaboration, and professional growth. Additionally, our Urology Residency Program reflects a strong institutional emphasis on education- creating a rich, academic environment that benefits the entire care team, including APPs.

 Ideal Candidate:

• Strong interpersonal and communication skills
• Desire to work in a close-knit, community-oriented setting
• Licensed Physician Assistant or Nurse Practitioner with 1 urology or surgical experience (new grads with strong clinical backgrounds will be considered)
• Graduation from an accredited NP or PA program. Current license to practice as a NP or PA in North Carolina. Current prescriptive privileges and DEA license required. BLS for healthcare provider from AHA required.   
• Nurse practitioners are required to have a master’s degree or doctorate in nursing practice. Certification as an Acute Care NP will be required for any inpatient nurse practitioner. Family and Adult NP certifications will be accepted for outpatient only positions. Certification must be from a nationally recognized certifying body.   
• Physician Assistants with certification from the National Commission on Certification of Physician Assistants preferred.

Why Join Us?

This is a unique opportunity to build long-term relationships in a community where your impact is valued and visible. Enjoy the work-life balance of a four-day work week, with no weekends or holidays, and the professional growth support of Atrium Health’s extensive network and resources

Additional details:

The Nurse Practitioner/Physician Assistant functions as an independent healthcare provider who, working in collaboration with collaboratively within a multidisciplinary health team, is responsible for providing comprehensive care to both well healthy and ill patients in the outpatient/inpatient setting. He/she demonstrates a high degree of clinical expertise in working with patients with acute and chronic illnesses commonly encountered in Urology. He/she is responsible for assessment, diagnosis, treatment, management, education, health promotion and care coordination for patients and families with acute and chronic health needs. The NP/PA practices as a member of the Department of Urology provider team. The Nurse Practitioner/Physician Assistant demonstrates an advanced level of medical/nursing clinical knowledge, communication and interdisciplinary collaboration, professionalism and systems-based practice. He/she works with administrative, nursing, physician, and faculty to assure safe, effective, quality patient care and to promote Atrium Health educational and research missions. 

The Nurse Practitioner/Physician Assistant will provide care within his/her scope of practice as outlined by applicable state law, licensing, regulations, institutional policy and practice agreements. The Nurse Practitioner/Physician Assistant is eligible to begin practice after he/she is credentialed and privileged by Atrium Health and Clinics Medical Staff. Active hospital privileges will be required to begin and to maintain employment within this Department. The Nurse Practitioner/Physician Assistant will need to be credentialed and obtain and maintain professional privileges required for employment within this department.

Major Responsibilities:

Clinical Knowledge
•    Demonstrates knowledge of etiologies, risk factors, pathophysiology, presentation and epidemiology of urologic conditions.
•    Performs history and physical assessments of patients that are accurate, complete, concise, relevant and appropriate for age, gender and clinical problem.
•    Orders appropriate diagnostic studies and correctly interprets the results.
•    Utilizes critical thinking to synthesize and analyze collected data.
•    Develops, implements, evaluates and alters the plan of care as needed.
•    Manages general medical and surgical conditions based on knowledge of the indications, contraindications, side effects, interactions and adverse reactions of pharmacologic agents and other relevant treatment modalities.
•    Counsels and educates patients and families.
•    Demonstrates proficiency in procedural skills pertinent to practice area.
•    Maintains accurate, complete, concise and timely documentation in the electronic medical record.

Patient Care

•    Provides care that is patient and family centered, compassionate, appropriate and effective for the promotion of health, prevention of illness and treatment of disease throughout the lifespan.
•    Facilitates consistent, coordinated care and clear communication among all members of the healthcare team.
•    Incorporates the patient and family in care planning and treatment across settings.
•    Serves as an advocate for patients and families in navigating the health care system.
Practice Based Learning and Clinical Improvement
•    Demonstrates insight into own strengths, limitations and knowledge deficits. 
•    Demonstrates initiative to meet identified learning needs using multiple resources. 
•    Actively participates in self-evaluation by seeking and utilizing guidance and constructive feedback in a professional manner. 
•    Continuously seeks opportunities for clinical advancement and knowledge and skill attainment. 

Communication and Interdisciplinary Collaboration:

•    Communicates and collaborates effectively with physicians, other health professionals and health related agencies. 
•    Works effectively with multidisciplinary team members. 
•    Promotes mutual respect and trust working within a team model. 
•    Communicates effectively with patients and families, incorporating gender, age, culture, race, religion, disabilities and sexual orientation. 
 

Professionalism 

•    Follows ethical principles regarding patient confidentiality, informed consent and unanticipated adverse outcomes. 
•    Demonstrates the highest level of accountability for professional practice. 
•    Participates in education of students and other health care professionals. 
•    Maintains effectiveness where circumstances and priorities are changing. Is flexible, resilient and change oriented. 
•    Welcomes and participates in opportunities to advance the mission of Atrium Health through service, scholarship, science and social responsibility. 
•    Participates in organizational and departmental meetings, educational opportunities, committees and workgroups as necessary. 
Systems Based Practice 
•    Considers cost effectiveness and risk/benefit analysis when making decisions about patient care. 
•    Uses evidenced-based medicine to systematically analyze and improve patient care practices. 
•    Participates in quality initiative/performance activities. 
•    Participates in development, evaluates and implements standards of care within area of specialization (policies, protocols, etc). 

Roles and responsibilities specific to area of clinical practice:

Outpatient Specific Responsibilities

•    Conduct comprehensive or episodic health history and physical assessment of patients with acute, chronic and/or potential health problems. 
•    Establish medical diagnosis. 
•    Provide medical management. 
•    Accurately and appropriately transcribe or execute standing orders at the direction of the supervising physician. Write specific orders within the limits of the practice agreement/scope of practice. 
•    Discuss proposed surgical procedures with attendant risks and potential complications to obtain proper patient informed consent. 
•    See patients in follow-up for routine post-operative care and manage complications related to surgery. 
•    Provide appropriate direction to clinic staff regarding patient care issues. 
•    Communicate effectively with referring health care providers. 
Inpatient Specific Responsibilities 
•    Perform daytime hospital consultations and rounding on established patients 
•    Potential to assist in the Operating Room.
•    Limited number of weekly overnight call shifts. 
•    Perform bedside procedures (ie: cystoscopy, difficulty catheter placement, etc)

Procedures:
Performs routine clinical procedures independently as outlined in practice agreements/scope of practice including, but not limited to, the following: 

• Catheter insertion 

• Catheter changes 

• Complex bladder irrigation

• Cystoscopy with foreign body removal

• Cystoscopy with complex foley catheter placement

• Prostate transrectal ultrasound

• Prostate transrectal ultrasound with biopsy

• Vantas Implant and exchanges

• Interstim interrogation

• Tibial Nerve stimulation

• Urethral dilation

• Bedside Incision and Drainage 

• Suturing 

• Visicoil Placement 

• Pessary fitting and placement 

• Chemotherapy bladder instillation

• Potential for additional procedures independently as outlined in the collaborative practice agreement/scope of practice while under the direction and supervision of the responsible physician  

 When you join Atrium Health, you will be welcomed into a culture that celebrates and respects the contributions a team can make together. Practice where your voice is valued, your passion for advancing medicine is rewarded, and you get the resources and support you need to thrive personally and professionally. In our nationally-renowned integrated health system, you can work alongside the most advanced minds in medicine to improve medicine, and redefine care for all.