Advance Practice Provider Pulmonary Hypertension Program

Cincinnati Children's•Cincinnati, OH

About The Position

Pulmonary Hypertension APP (Acute Care Nurse Practitioner or Physician Assistant) Cincinnati Children’s Hospital Medical Center is seeking a Pulmonary Hypertension Advanced Practice Provider (APP) Acute Care Nurse Practitioner or Physician Assistant—to join our specialized Pulmonary Hypertension program. This role supports a highly complex patient population across NICU, CICU, inpatient units and outpatient settings, collaborating closely with cardiology, neonatology, pulmonology, and critical care teams to deliver comprehensive, evidence-based care. The ideal candidate will have a strong background in acute care and a passion for managing medically complex infants and children with pulmonary hypertension and associated cardiac and pulmonary conditions. Key Responsibilities Perform comprehensive assessments and contribute to diagnosis, treatment planning, and ongoing management of pulmonary hypertension. Provide longitudinal follow-up and care for pulmonary hypertension patients across: Neonatal Intensive Care Unit (NICU), Cardiac Intensive Care Unit (CICU), Inpatient units and Outpatient clinics Manage and monitor complex patient populations, including Bronchopulmonary dysplasia (BPD) patients, Pulmonary vein disease patients, Single ventricle physiology patients Initiate, adjust and titrate pulmonary hypertension medications based on clinical status and diagnostic findings. Provide education and guidance to patients and families regarding: Pulmonary hypertension diagnosis, therapies, infusion pump management, trial and investigational medications Collaborate with multidisciplinary teams to ensure continuity of care across inpatient and outpatient settings Quality Improvement & Research Participate in quality improvement initiatives aimed at optimizing outcomes for pulmonary hypertension patients Support and engage in clinical research activities, including data collection, protocol adherence, and implementation of evidence-based practices Assist with monitoring outcomes and contributing to program development and innovation Schedule & Call Responsibilities Monday through Friday schedule, Four (4) ten-hour shifts per week Call responsibilities overnight and weekends required Why Join Cincinnati Children’s Cincinnati Children’s is a nationally recognized leader in pediatric care, research, and education. Our Pulmonary Hypertension program offers the opportunity to work with a highly specialized team caring for some of the most complex pediatric patients, while contributing to innovation, research, and quality initiatives that shape the future of care. JOB RESPONSIBILITIES Patient Care- Perform history and/or physical exams on patients presenting for care in area of expertise. Assess and diagnose illnesses, including chronic and acute conditions. Formulate, document and monitor a treatment plan. Order and monitor therapeutic interventions including but not limited to diets, laboratory, radiological and diagnostic tests as deemed necessary by patient history and/or physical exam. Provide clinical consultation, order interdisciplinary consults. Professional practice including but not limited to prescription of medications in accordance with Federal and State Law & Rules and CCHMC policy. Attains and maintains competency in subspecialty practice, skills and procedures in accordance with Joint Commission standards for focused (FPPE) and ongoing (OPPE) professional practice evaluation. Outcomes Identification and Planning- Develops outcomes as measurable goals that provide direction for continuity of care & continuity of care & consistency among providers. Develops, prioritizes, evaluates & modifies an individualized comprehensive plan of care. Addresses each diagnosis or issue, as appropriate. Derives outcomes & plans of care that involve the patient/family/caregiver when possible & are realistic to the patient/family/caregiver capabilities & resources. Considers risks/benefits, costs, clinical effectiveness, current scientific evidence/clinical guidelines & clinical expertise to formulate interventions, treatments & outcomes. Incorporates new knowledge & strategies to initiate change in practice if desired outcomes not achieved. Maintains documentation & updates accordingly outcomes, goals & the plan of care. Professional Practice- Maintain professional behaviors aligned with core values and care standards, participate in quality improvement activities or research to improve the care delivery process & patient care outcomes. Participate in lifelong learning and professional development activities that improves skills & competence in clinical practice/role performance. Serve as preceptor, role model, or mentor; Contribute to the professional development of peers/colleagues to improve pediatric health care & to foster the professions growth. Integrate ethical considerations & research findings into practice; Provide leadership by participating on committees or in professional organizations, or writing/publishing/presenting. Advocate for the pediatric patient/family/caregiver. Serve as a leader, influencing both healthcare/APRN practice & policy. Care Management- Maintains competency in skills/procedures; Promotes self-management & family centered care; Employs diverse & complex strategies, interventions, & teaching to promote health & a safe environment; Provides leadership in care management to achieve optimal quality, cost-effective care; Documents & communicates with healthcare team members to achieve an integrated delivery of pediatric care services; Delegates appropriate monitoring, assessment, & interventions according to the patient and scope of practice of the caregiver; Provides consultation to influence the identified plan of care, to enhance the abilities of others to provide health care, and to effect change in the healthcare system; Makes appropriate referrals and discusses recommendations with patient/family/caregiver; Orders and/or performs appropriate treatments, therapies, & procedures that are based on current knowledge, research, & practice; Provides patient/family/caregiver with diagnostic & laboratory results as well as actual/potential benefits, limitations, & adverse effects of proposed therapies. Evaluation- Uses a systematic, ongoing evaluation of the assessment data & outcomes to revise or resolve the diagnoses, outcomes, the plan of care, & the implementation as needed; Evaluates the accuracy of the diagnosis, effectiveness of the interventions & the plan of care strategies in relation to attainment of expected outcomes; Includes the patient/family/caregiver & other healthcare providers; Bases the evaluation process on advanced knowledge, practice, research, & documents appropriately; Utilizes the results of the evaluation to determine the impact on the patient/family/caregiver, organization, & system to make/recommend process or structural changes including policy, procedure, or protocols as appropriate. Scope for subspecialty role will not exceed the scope of the collaborating or supervising MD.

Requirements

Licensed Acute Care Nurse Practitioner or Physician Assistant
Minimum of 2 years of APP experience required
Eligible for or currently licensed in the state of Ohio
National certification appropriate to role (ACNP or PA-C)
Licensure and certification in accordance with CCHMC Delineation of Privileges
Multi-state licensure in addition to Ohio licensure may be required based on subspeciality

Nice To Haves

cardiac experience strongly preferred

Responsibilities

Perform comprehensive assessments and contribute to diagnosis, treatment planning, and ongoing management of pulmonary hypertension.
Provide longitudinal follow-up and care for pulmonary hypertension patients across: Neonatal Intensive Care Unit (NICU), Cardiac Intensive Care Unit (CICU), Inpatient units and Outpatient clinics
Manage and monitor complex patient populations, including Bronchopulmonary dysplasia (BPD) patients, Pulmonary vein disease patients, Single ventricle physiology patients
Initiate, adjust and titrate pulmonary hypertension medications based on clinical status and diagnostic findings.
Provide education and guidance to patients and families regarding: Pulmonary hypertension diagnosis, therapies, infusion pump management, trial and investigational medications
Collaborate with multidisciplinary teams to ensure continuity of care across inpatient and outpatient settings
Participate in quality improvement initiatives aimed at optimizing outcomes for pulmonary hypertension patients
Support and engage in clinical research activities, including data collection, protocol adherence, and implementation of evidence-based practices
Assist with monitoring outcomes and contributing to program development and innovation
Perform history and/or physical exams on patients presenting for care in area of expertise.
Assess and diagnose illnesses, including chronic and acute conditions.
Formulate, document and monitor a treatment plan.
Order and monitor therapeutic interventions including but not limited to diets, laboratory, radiological and diagnostic tests as deemed necessary by patient history and/or physical exam.
Provide clinical consultation, order interdisciplinary consults.
Professional practice including but not limited to prescription of medications in accordance with Federal and State Law & Rules and CCHMC policy.
Attains and maintains competency in subspecialty practice, skills and procedures in accordance with Joint Commission standards for focused (FPPE) and ongoing (OPPE) professional practice evaluation.
Develops outcomes as measurable goals that provide direction for continuity of care & continuity of care & consistency among providers.
Develops, prioritizes, evaluates & modifies an individualized comprehensive plan of care.
Addresses each diagnosis or issue, as appropriate.
Derives outcomes & plans of care that involve the patient/family/caregiver when possible & are realistic to the patient/family/caregiver capabilities & resources.
Considers risks/benefits, costs, clinical effectiveness, current scientific evidence/clinical guidelines & clinical expertise to formulate interventions, treatments & outcomes.
Incorporates new knowledge & strategies to initiate change in practice if desired outcomes not achieved.
Maintains documentation & updates accordingly outcomes, goals & the plan of care.
Maintain professional behaviors aligned with core values and care standards, participate in quality improvement activities or research to improve the care delivery process & patient care outcomes.
Participate in lifelong learning and professional development activities that improves skills & competence in clinical practice/role performance.
Serve as preceptor, role model, or mentor; Contribute to the professional development of peers/colleagues to improve pediatric health care & to foster the professions growth.
Integrate ethical considerations & research findings into practice; Provide leadership by participating on committees or in professional organizations, or writing/publishing/presenting.
Advocate for the pediatric patient/family/caregiver.
Serve as a leader, influencing both healthcare/APRN practice & policy.
Maintains competency in skills/procedures; Promotes self-management & family centered care; Employs diverse & complex strategies, interventions, & teaching to promote health & a safe environment; Provides leadership in care management to achieve optimal quality, cost-effective care; Documents & communicates with healthcare team members to achieve an integrated delivery of pediatric care services; Delegates appropriate monitoring, assessment, & interventions according to the patient and scope of practice of the caregiver; Provides consultation to influence the identified plan of care, to enhance the abilities of others to provide health care, and to effect change in the healthcare system; Makes appropriate referrals and discusses recommendations with patient/family/caregiver; Orders and/or performs appropriate treatments, therapies, & procedures that are based on current knowledge, research, & practice; Provides patient/family/caregiver with diagnostic & laboratory results as well as actual/potential benefits, limitations, & adverse effects of proposed therapies.
Uses a systematic, ongoing evaluation of the assessment data & outcomes to revise or resolve the diagnoses, outcomes, the plan of care, & the implementation as needed; Evaluates the accuracy of the diagnosis, effectiveness of the interventions & the plan of care strategies in relation to attainment of expected outcomes; Includes the patient/family/caregiver & other healthcare providers; Bases the evaluation process on advanced knowledge, practice, research, & documents appropriately; Utilizes the results of the evaluation to determine the impact on the patient/family/caregiver, organization, & system to make/recommend process or structural changes including policy, procedure, or protocols as appropriate.