Advanced Practice Nurse - Primary Care

TriHealth • Wilmington, OH

20h • Onsite

About The Position

The APRN II is a graduate-educated nurse authorized to practice and prescribe as a Clinical Nurse Specialist or Certified Nurse Practitioner in collaboration with one or more physicians or podiatrists. The role includes assessing patient health, ordering and interpreting diagnostic tests, diagnosing conditions, developing and implementing treatment plans, following up and evaluating patient responses, documenting patient status, and advocating for patients. APRNs design, implement, and evaluate patient-specific and population-based care programs and work across client, personnel, and organizational spheres of influence. The APRN must have a collaborating physician or physicians under an associated Standard Care Arrangement and must spend at least 50% of hours worked using prescriptive authority in advanced clinical practice.

At least 50% of the position involves direct management of patient and/or family care. The APRN provides clinical care, collaborates with physicians and interdisciplinary teams, supports research and evidence-based practice, educates and mentors patients and healthcare professionals, and promotes ethical, legally compliant, safe, and compassionate practice. The position also contributes leadership in care quality, resource use, protocols, and healthcare decision-making.

Requirements

• Master's degree in Nursing.
• Graduate of an NP, CNS, or midwife program.
• Three to four years of clinical nursing practice experience in geriatrics, occupational health, or another applicable setting.
• Demonstrated expertise in an area of clinical specialization.
• Adult Nurse Practitioner certification: NP-C and ANP-BC.
• Registered Nurse.

Responsibilities

• Directly manage patient and/or family care for at least 50% of the position.
• Independently perform and document complete histories and physical examinations, including psychosocial assessments.
• Prescribe drugs and therapeutic devices consistent with the applicable Ohio formulary and assess interactions among pharmacologic and non-pharmacologic interventions.
• Order laboratory and radiologic tests and interpret results.
• Collaborate with physicians to plan and implement comprehensive care, discuss care with family members, and perform duties under the Standard Care Arrangement.
• Collaborate with the interdisciplinary healthcare team, patients, and families in diagnosing and prioritizing problems and implementing interventions.
• Provide consultation and initiate referrals to other healthcare team members, while promoting interdisciplinary collaboration.
• Help team members, patients, and families select therapies that consider both cost and quality of benefits.
• Collaborate in teaching, consultation, management, and research activities to improve outcomes and the healthcare environment.
• Use, participate in, and disseminate research, evidence-based practice, and quality improvement initiatives to enhance clinical practice and patient outcomes.
• Critically evaluate current practice and integrate research findings and evidence-based changes into practice; participate in or lead relevant quality improvement projects.
• Mentor and educate nurses in research and evidence-based practice, including facilitating critical appraisal of literature.
• Educate patients, families, and healthcare providers to promote best practice and health promotion, including secondary prevention.
• Serve as a teacher, preceptor, role model, and mentor to nurses, colleagues, and nursing students; coach and support healthcare professionals in advancing patient care.
• Collaborate in assessing, developing, implementing, and evaluating patient and staff educational needs.
• Ensure nursing practice is ethical and legally compliant, follow the Ohio Scope of Practice for APRNs, and provide safe, compassionate, competent, and accountable care.
• Preserve patient dignity and advocate for patients, including promoting advance directives and adherence to patient wishes.
• Support appropriate discussions of end-of-life decisions and palliative care with patients, families, physicians, and the healthcare team.
• Provide effective leadership and integrate cost-benefit analysis into care decisions.
• Develop innovative, resource-efficient solutions to patient care problems while maintaining or improving quality and advancing best practices.
• Lead or contribute to developing and applying consensus-derived protocols and evidence-based practice guidelines.
• Participate in healthcare-related decision-making at system, local, state, and national levels as opportunities arise, with an emphasis on improving patient outcomes.
• Participate in or lead committees, councils, and administrative teams.

Benefits

• Competitive shift differentials.
• Opportunities for professional growth.
• Comprehensive benefits package that may include medical, dental, and vision coverage, paid time off, retirement savings plans, and tuition reimbursement.

What This Job Offers

• Job Type: Full-time
• Career Level: Mid Level