Vein and Vascular - APP Per Diem

The Advanced Practice Provider (APP) is responsible for the assessment and care of selected patients in the designated service. The APP performs physical examinations, confers with the patients in person and or by phone/electronically, collaborates with others in the department to assure smooth flow of patient care consistent with established quality indicators and participates in the overall coordination of patient care. The APP must demonstrate a commitment of quality service to the Vein & Vascular Specialists.


Under the general direction of the Director of the Vein and Vascular Specialist Director and direct supervisions of the physicians of the Vein & Vascular physician group, and within established Catholic Medical Center policies and procedures, the incumbent performs the following functions:

1. Performs assessments of all patients, including interviews, physical exams and reviewing/ordering diagnostic tests.

2. Provides instructions and guidance regarding medical care matters to patient.

3. Recognizes and reports relevant information that requires urgent attention.

4. Updates diagnoses/problem list and in collaboration with the physicians,

5. In collaboration with the physicians develops and or manages a care plan with the patient.

6. Accurately documents physical findings, diagnostics, diagnoses, plans of care in the patients record/EHR in a timely manner.

7. Triages phone calls for physicians. Responds to questions according to patient care plan and/or physician orders.

8. Arranges referrals and consultations with non-medical healthcare professionals and arranges for medical consultations after discussion with or when directed by a physician or designee.

9. Communicates appropriate follow up information to referring physicians.

10. Provides patient teaching facilitates communication between other providers, caregivers and staff.

11. Serves as a liaison between staff physicians and patients.

12. Performs routine diagnostic and therapeutic procedures as needed.

13. Performs procedures granted through the credentialing process.

14. Works collaboratively with and provides direction to the members of the multi-professional team.

15. Provides and promotes effective and compassionate care for patients and their families.

16. Ensures confidentiality of employee, legal, client/patient, budget, and all company matters.

17. Adheres to infection control procedures and safety control procedures and Universal Precautions.

18. Demonstrates courtesy, respect and caring to patients, families, physicians and coworkers and maintains professional rapport with external parties and organizations.

19. Participates in staff meetings and cooperates with physicians and coworkers to achieve departmental objectives. Reports concerns and problems as they arise.

20. Keeps knowledge base current by reading professional literature and attending educational programs; applies, under the direction of the physician, current evidence-based research applicable to the vein and vascular patient population.

21. Assist surgeons with endovascular or sclerotherapy procedures as required.

22. Maintains all appropriate privileges at Catholic Medical Center.

23. Participates in new program development(s) for Vein and Vascular center.

24. Participates in Performance Improvement programs.

25. Participates in appropriate role in disasters, fire drills, and other emergency situations.

26. Exercises care in the operation and use of equipment and reference materials. Maintains work area in a clean, safe and organized manner.

27. Demonstrates knowledge of and applies safety principles as identified by institution.

28. Performs efficiently in emergency situations following established protocols, remaining calm, informing appropriate persons, and documenting events.

29. Discusses research protocols with Research coordinators as appropriate.

30. Participates in continuing development activities, maintains professional affiliations and licenses and strives to increase skill and knowledge.

31. Demonstrates proficiency in the use of computers and telecommunication modalities to document, track and convey information.

32. Maintains BCLS and ACLS authorization and membership in professional organizations. Must be completed through the American Heart Association.

33. As required, provide precept/teaching of new hires.

34. Adheres to guidelines for appropriate billing and coding all patient encounters. Promptly submits billing information.

35. Attends seminars and workshops for professional growth and development.

36. Performs similar or related duties as assigned or directed.


Individuals must possess the knowledge, skills and abilities listed or be able to explain and demonstrate that the individual can perform the essential functions of the job, with or without reasonable accommodation, using some other combination of skills and abilities and to possess the necessary physical requirements, with or without the aid of mechanical devices to safely perform the essential functions of the job:

1. Ability to deliver patient care in a manner that is appropriate to the demographics and/ or specific needs of the patient population served by the practice.

2. Demonstrates proficiency in assessing, responding and adapting treatment of care to meet the needs of the patient population served by the practice.

3. Physical requirements include the ability to bend the body downward and forward by bending spine at the waist; bend legs at knee to come to rest on knee or knees; bend the body downward and forward by bending leg and spine; extend hand(s) and arm(s) in any direction; stand for sustained periods of time; move about on foot to accomplish tasks; use upper extremities to exert force in order to thrust forward, downward or outward; use upper extremities to exert force in order to draw, drag, haul or tug objects in a sustained motion; raise objects from a lower to higher position or move objects horizontally from position-to-position; pick, pinch, type or otherwise working with fingers and palm; perceive attributes of objects, such as size, shape, temperature or texture by touching with skin, particularly that of fingertips.

4. Ability to express or exchange ideas by means of the spoken word. Essential functions include activities in which incumbent must convey detailed or important spoken instructions to patients, physicians, families and other employees accurately, loudly or quietly.

5. Ability to receive detailed information through oral communication and to make fine discriminations in sound.

6. Ability to exert up to 50 pounds of force occasionally and/or up to 20 pounds of force frequently and/or constantly to lift, carry, push, pull or otherwise move objects.

7. Ability to wear safety glasses, gloves, gowns, masks and other safety equipment.

8. Visual acuity sufficient for work which deals largely with visual inspection involving small anatomic or physiologic details as well as the whole patient and sufficient for preparing and analyzing data and figures, accounting, transcription, computer terminal operation, extensive reading and visual inspection involving small parts/devices.

9. Ability to endure periods of heavy workload and stress.

10. Ability to work with frequent interruptions and respond appropriately to unexpected situations.

11. Ability to plan and perform a wide variety of duties requiring general knowledge of policies and procedures. Requires considerable judgment to work independently toward general results, devising methods, modifying or adapting standard procedures to meet different conditions, also making decisions based on precedent and policy.

12. Ability to communicate effectively and establish a cooperative, collaborative working environment.

13. Ability to accept constructive feedback and initiate appropriate actions to correct situations.

14. Ability to maintain good communications. Ability to establish and maintain positive working relationships with coworkers, physicians, patients, families and the public.

15. Ability to transport self to and from off-site locations.

Education: Graduate of an accredited Physician Assistant/Nurse Practitioner Program.

Experience: Recommend three (3) or more years as a Physician Assistant or Nurse Practitioner with a minimum of one (1) year vascular experience. Nurse Practitioners must have their RNFA through NIFA. Will consider strong new grads interested in vascular surgery, we are willing to train.


  • Licensed by the state of NH as a Physician Assistant or Nurse Practitioner.
  • BLS (Basic Life Support) certification required. Must maintain BLS throughout employment. Must be completed through the American Heart Association.
  • ACLS (Advanced Cardiovascular Life Support). Must maintain ACLS throughout employment. Must be completed through the American Heart Association.