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The APP provides longitudinal care for lung transplant patients across inpatient non-ICU and outpatient settings, from pre-transplant evaluation to post-transplant follow-up. Responsibilities include managing immunosuppression, coordinating multidisciplinary care, and performing comprehensive clinical evaluations.
Requirements summary
Candidates must be a licensed APRN or PA-C with national board certification and BLS/ACLS certifications. Prior experience in lung transplantation, pulmonary medicine, or critical care is preferred.
professional certificatepostgraduate degreePatient EducationCritical CareElectronic Medical RecordsWaitlist ManagementPatient EvaluationClinical ReasoningLung Transplant CareMultidisciplinary CoordinationCardiopulmonary SupportPeri-transplant CareAdvanced Lung Disease ManagementImmunosuppression Surveillance
Job description
Overview Piedmont Healthcare is seeking a highly motivated Advanced Practice Provider (APP) to join The Thoracic Rescue, ECMO & Lung Transplant Program.
This position is designed as a longitudinal transplant-focused APP role integrated across the continuum of advanced lung disease and lung transplant care, including pre-transplant evaluation, inpatient non-ICU management, outpatient longitudinal follow-up, immunosuppression surveillance, multidisciplinary coordination, and post-transplant continuity of care.
The APP will function as a physician-aligned clinical extender working closely with the lung transplant physicians and multidisciplinary transplant team to support comprehensive, patient-centered thoracic transplant care.
This role is intentionally structured to provide continuity across ambulatory and inpatient settings rather than functioning within a geographically restricted “inpatient” or “outpatient” model.
This position is structured around a longitudinal continuity-of-care model rather than a shift-based inpatient coverage structure.
The APP will function as an integrated member of the Lung Transplant and Thoracic Rescue Program across ambulatory and inpatient non-ICU settings, supporting continuity, multidisciplinary coordination, and longitudinal patient management throughout all phases of transplant care.
Responsibilities
Clinical Responsibilities:
Perform comprehensive evaluations of patients with advanced lung disease undergoing lung transplant consideration and assessment
Participate in longitudinal management of patients with advanced thoracic disease throughout all phases of transplant evaluation, waitlisting, transplantation, and post-transplant follow-up
Develop familiarity with advanced lung disease processes and indications for lung transplantation, including obstructive, restrictive, vascular, and suppurative lung diseases
Independently evaluate and round on hospitalized lung transplant and advanced lung disease patients in non-ICU settings in collaboration with supervising transplant physicians
Evaluate and manage outpatient transplant and advanced lung disease clinic patients, including routine follow-up visits, urgent evaluations, transplant assessments, and post-discharge continuity visits
Assist in coordination of transplant evaluations, diagnostic testing, and multidisciplinary transplant candidacy discussions
Participate in pre-transplant patient and family education regarding transplant evaluation, listing process, expected peri-transplant course, immunosuppression, long-term follow-up, and potential complications
Review laboratory, microbiologic, radiographic, pulmonary function testing, and pathology results and coordinate appropriate follow-up plans
Assist in immunosuppression management and medication surveillance under transplant program protocols and physician collaboration
Coordinate transitions of care following hospitalization and transplantation
Participate in multidisciplinary transplant candidate selection and management discussions
Assist with waitlist management, transplant readiness evaluations, and longitudinal patient tracking
Provide patient and family education regarding transplantation, medications, immunosuppression, complications, and long-term post-transplant care
Communicate with referring physicians and outside providers to support continuity of care
Maintain timely, accurate, and complete documentation within the electronic medical record Programmatic Responsibilities:
Assist with development and maintenance of transplant clinical pathways, protocols, and standardized workflows
Participate in transplant quality improvement initiatives and programmatic growth efforts
Support transplant regulatory, compliance, and documentation processes as needed
Participate in educational initiatives for staff, patients, and referring providers
Collaborate closely with transplant coordinators, pharmacists, social workers, dietitians, rehabilitation specialists, and consulting services Schedule and Work Structure: This position is designed around a longitudinal continuity-of-care model with integrated clinical responsibilities spanning outpatient, inpatient non-ICU, and transplant coordination settings. The role emphasizes continuity, patient ownership, multidisciplinary collaboration, and physician-aligned transplant care rather than shift-based inpatient service coverage. Scheduling structure may include either: Five 8-hour shifts, or Four 10-hour shifts depending on operational structure and candidate preference/experience. About the Program: The Thoracic Rescue, ECMO & Lung Transplant Program at Piedmont Healthcare is being developed as a comprehensive multidisciplinary program focused on advanced thoracic disease, extracorporeal life support, and lung transplantation. The program emphasizes longitudinal continuity of care, multidisciplinary collaboration, and specialized expertise across all phases of transplant evaluation, peri-transplant management, critical illness recovery, and long-term post-transplant care. The program is designed around a dedicated thoracic care model integrating advanced lung disease management, extracorporeal support, transplant medicine, and longitudinal transplant-centered care in an effort to optimize patient outcomes across the continuum of thoracic critical illness. Leveraging Piedmont Healthcare’s established statewide presence, the program aims to become a leading regional referral center for advanced lung disease and thoracic failure, offering comprehensive multidisciplinary evaluation and therapeutic decision-making for patients with complex end-stage pulmonary conditions, including those requiring advanced cardiopulmonary support and lung transplantation
Qualifications
Required
Current licensure as an Advanced Practice Registered Nurse (APRN) or Physician Assistant (PA-C)
National board certification appropriate to specialty
BLS and ACLS certification
Eligibility for credentialing and privileging within Piedmont Healthcare Preferred
Prior experience in lung transplantation, advanced lung disease, pulmonary medicine, critical care, cardiothoracic surgery, or transplant medicine
Experience caring for medically complex cardiopulmonary patients
Experience functioning within multidisciplinary specialty care environments Professional Expectations
Excellent communication and interpersonal skills
Strong organizational and clinical reasoning abilities
Ability to function independently within a collaborative multidisciplinary transplant environment
Commitment to longitudinal patient-centered care
Professionalism, adaptability, and accountability
Interest in participating in the continued development and growth of a comprehensive lung transplant program Business
