Metabolic & Perioperative Support Nurse Practitioner; NP/Physician Assistant; PA). Al
Job in
City of Albany, Albany, Albany County, New York, 12201, USA
Listed on 2026-06-17
Listing for:
Albany Med
Full Time
position Listed on 2026-06-17
Job specializations:
-
Nursing
Clinical Nurse Specialist, Palliative Care Nurse, Nurse Practitioner, Healthcare Nursing
Job Description & How to Apply Below
Location: City of Albany
Department/Unit:
General Surgery AMCPR - Metabolic and Perioperative Support
Work Shift:
Day (United States of America)
Salary Range: $117,766 - $138,548
The Advanced Practice Provider (Nurse Practitioner or Physician Assistant) provides specialized inpatient care at the intersection of palliative medicine, metabolic optimization, and geriatric surgical co-management. This role partners closely with surgical teams, hospital medicine, geriatrics, nutrition, and palliative care to improve outcomes for medically complex, frail, or high‑risk surgical patients. The APP serves as a clinical leader who advances patient-centered care, symptom management, and evidence-based perioperative optimization.
Key Responsibilities- Provide daily evaluation and management of hospitalized patients requiring palliative, metabolic, or geriatric co-management.
- Conduct comprehensive assessments including functional status, frailty, nutritional risk, symptom burden, and goals of care.
- Develop and implement individualized care plans in collaboration with surgical and interdisciplinary teams.
- Manage acute and chronic symptoms such as pain, dyspnea, nausea, delirium, and anxiety using evidence-based approaches.
- Optimize metabolic and nutritional status, including coordination of enteral/parenteral nutrition, glucose management, and micronutrient support.
- Lead geriatric-focused interventions such as delirium prevention, mobility protocols, medication reconciliation, and polypharmacy reduction.
- Facilitate goals-of-care discussions, advance care planning, and shared decision-making with patients and families.
- Provide primary palliative care support for symptom management and psychosocial needs.
- Identify patients who require specialty palliative care consultation and coordinate referrals.
- Support transitions of care, including hospice referrals when appropriate.
- Conduct comprehensive pre-operative evaluations for frail, high-risk, or medically complex surgical patients.
- Perform frailty assessments, functional evaluations, nutritional screening, and metabolic risk stratification.
- Identify modifiable risk factors and develop individualized optimization plans (nutrition, mobility, glucose control, medication adjustments, symptom management).
- Lead shared decision-making conversations that integrate surgical risk, patient goals, and expected recovery trajectories.
- Coordinate referrals to geriatrics, cardiology, pulmonology, nutrition, palliative care, or other specialties as needed.
- Educate patients and families on perioperative expectations, enhanced recovery pathways, and postoperative support needs.
- Collaborate with surgeons and anesthesiology to determine surgical readiness and align on risk-mitigation strategies.
- Track optimization metrics and postoperative outcomes to support continuous improvement.
- Partner with surgical teams to identify high-risk patients pre- and post-operatively.
- Implement evidence-based protocols for frailty assessment, enhanced recovery, and metabolic optimization.
- Monitor postoperative complications and intervene early to prevent decline.
- Participate in multidisciplinary rounds, case conferences, and care coordination meetings.
- Serve as a consistent point of contact for families navigating complex surgical hospitalizations.
- Provide clear, compassionate updates and education regarding prognosis, treatment options, and expected recovery trajectories.
- Support culturally sensitive communication and shared decision-making.
- Work closely with surgery, geriatrics, palliative care, nutrition, PT/OT, case management, and nursing.
- Promote a team-based approach that centers patient dignity, functional recovery, and quality of life.
- Participate in care pathways and clinical protocols that integrate metabolic and geriatric principles into surgical care.
- Contribute to departmental QI initiatives related to frailty, delirium, nutrition, readmissions, and end-of-life care.
- Track and report clinical outcomes, documentation quality, and adherence to care pathways.
- Participate in morbidity and mortality reviews, geriatric surgery initiatives, and palliative care quality metrics.
- Provide education to medical students, residents, fellows, and nursing staff on palliative, metabolic, and geriatric principles.
- Stay current with evolving evidence in perioperative geriatrics, palliative care, and metabolic optimization.
- Participate in departmental teaching conferences and continuing education.
- Master's degree from an accredited NP or PA program.
- National certification and state licensure as an NP or PA.
- Experience in palliative care, geriatrics, hospital medicine, or surgical co-management preferred.
- Demonstrated skill in complex communication, interdisciplinary teamwork, and…
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