Nurse Practitioner, Physician Assistant or Clinical Nurse Specialist-Acute Pulmonary Inpatient East Region II

The Power of Every One

At Cleveland Clinic Health System, we believe in a better future for healthcare. We all have the power to help, heal and change lives beginning with our own. That's the power of the Cleveland Clinic Health System team.

Job Title

Nurse Practitioner, Physician Assistant or Clinical Nurse Specialist-Acute Pulmonary Inpatient East Region II

Location

Mayfield Hts

Facility

Hillcrest Hospital

Department

Pulmonary Medicine-Integrated Hospital Care Institute

Cleveland Clinic's Integrated Hospital Care Institute is currently seeking a Physician Assistant or Nurse Practitioner for a full time position managing the inpatient population of our Eastern Region (Marymount/Euclid/South Pointe /Hillcrest Hospital). Including LTACH's Select Fairhill and Select Regency. In this role, you will be assigned to any one of the facilities for anywhere from one day to a week at a time, depending on census. You will work with over 30 attending staff, and 14 APP's. Responsibilities include managing patient's in the hospital as consults or follow ups. You will manage patients with chronic care diseases, such as COPD, Asthma, ILD, OSA, and other respiratory illnesses. The practice in this high acuity and fast-paced position involves working closely with your colleagues and collaborating with specialty staff. We cover every day, including Holiday's, yet we do not take call. We are looking for the clinician who is autonomously motivated, and seeks to expand their career. New grads welcome to apply.

Job Details

Responsibilities:

• Conducts thorough medical histories, performs complete physical examinations (where indicated), initiates appropriate lab, radiology tests or other special tests required for evaluation of illness, and scrutinizes lab data on new and former clinic patients and hospital admissions to establish a record of the patient's current health status and to develop a working diagnosis and treatment plan.
• Must be able to work with collaborating physician.
• Performs and interprets, at least to the point of recognizing deviations from normal, common laboratory, radiologic, cardiographic and other routine diagnostic procedures used to identify pathophysiologic processes.
• Performs routine procedures such as injections, immunotherapy, suturing and wound care, managing simple conditions produced by infection or trauma, assisting in the management of more complex illness and injury.
• May prescribe and monitor medications as allowed by prescriptive authority.
• Performs specialized procedures, including bone marrow aspirations, biopsies and harvest, blood draws, designated IV starts, spinal taps, thoracentesis and paracentesis.
• Provides information and answers routine questions of patients regarding their disease, including preventive health maintenance topics.
• Educates patients regarding their disease, treatments, related drug and treatment side effects and hazards.
• Participates in medical team rounds; collaborates with nursing, medical and other healthcare team members regularly to ensure quality patient care.
• Ensures continuity of care by serving as a liaison between patient and other members of the multi-disciplinary care team.
• Assists in data analysis. Participates in quality monitoring thru the review of records and treatment plans for patient outcomes.
• Facilitates appropriate length of stay, discharge planning and compliance with regulatory standards for inpatient management.
• May serve as clinical preceptor for PA/APRN students and other health professionals.
• May serve as Faculty for onboarding new employees.
• Demonstrates a high standard of moral and ethical behavior.
• Demonstrates compassion and professionalism and a commitment to excellent patient care.
• Routinely takes call and works some off shift hours: weekends/holidays, possibly nights, some special procedure privileging is required.
• Other duties as assigned.

Education:

• APRN: MSN required upon hire or within 3 years of hire for external hires and internal hires moving from a non-APRN licensed role to an APRN licensed role. Graduate of an accredited ARPN training program.
• PA: Graduate of an A.R.C.-approved Physician Assistant Program. Master's degree in Physician Assistant Studies and/or applicable state license through the State Medical Board for certificate to practice.

Certifications:

• APRN: Currently licensed as a Registered Nurse and Advanced Practice Registered Nurse in applicable state. National certification as Advanced Practice Registered Nurse by nationally accredited organization recognized by state Board of Nursing, current licensure by applicable state Board of Nursing, (including certificate to prescribe if applicable). Basic Life Support (BLS) through the American Heart Association (AHA) required. Advanced Cardiac Life Support (ACLS) or Pediatric Advanced Life Support (PALS) or Neonatal Resuscitation Program (NRP) through the American Heart Association (AHA); may be required based upon work setting.
• PA: Current certification as a Physician Assistant through the NCCPA. Licensed by the State Medical Board of Ohio. Must have a Physician Supervision Agreement and/or signed addendum to Physician Supervision Agreement. Must be privileged by CCF's Credentialing Board. Basic Life Support (BLS) through the American Heart Association (AHA) required. Advanced Cardiac Life Support (ACLS) or Pediatric Advanced Life Support (PALS) may be required based upon work setting. For Homecare and Hospice field staff only, must have valid Ohio Driver's license upon hire; per policy 8-175 thereafter.
• For Homecare and Hospice field staff only, must have proof of automobile insurance coverage with $100,000/$300,000 coverage, upon hire; per policy 8-175 thereafter.

Complexity of Work:

• Excellent analytical and decision making skills are required.
• Strong written and verbal communication skills.
• Ability to work as a member of a multi-disciplinary team.
• Demonstrated competency and the ability to perform advanced assessment and diagnosis.
• Demonstrated ability to utilize the electronic medical record.
• Requires critical thinking skills, decisive judgment and the ability to work with minimal supervision.
• Must be able to work in a stressful environment and take appropriate action.
• Depending on practice, surgical fields may require surgical experience.

Work Experience:

• APRN: Two years clinical advanced practice nursing experience preferred.
• PA: Two years relative clinical experience preferred.

Physical Requirements:

• Typical physical demands include the ability to walk and stand for long periods of time.
• Manual and finger dexterity and eye/hand coordination to perform physical examinations.
• Requires corrected vision and hearing to a normal range.
• Occasionally lifts and carries items weighing up to 50 pounds.
• May require exposure to communicable diseases and/or body fluids.

Personal:

• Follows standard precautions using personal protective equipment as required.