Advanced Practice Nurse - Primary Care

TriHealth • Wilmington, OH

3d • Onsite

About The Position

The APRN II is a graduate-prepared 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 provides advanced clinical nursing practice, including patient assessment, diagnostic testing, diagnosis, treatment planning and implementation, follow-up and evaluation, documentation, and patient advocacy. APRNs design, implement, and evaluate patient-specific and population-based care programs and work across the client, personnel, and organizational spheres of influence. The APRN must have a collaborating physician or physicians under an associated Standard Care Arrangement and spend at least 50% of hours worked using prescriptive authority in the advanced clinical practice role.

At least 50% of the position involves direct management of patient and/or family care. The APRN provides primary care, coordinates with physicians and the interdisciplinary team, and supports patients and families through education, referrals, and shared care decisions. The position also contributes to nursing education, mentoring, research, evidence-based practice, quality improvement, and leadership activities to improve patient outcomes and the healthcare environment.

The position is with TriHealth Physician Practice at Clinton Regional Hospital in Wilmington, Ohio. The posting lists day shift and describes work involving frequent physical activity, including lifting, pushing, pulling, standing, sitting, walking, reaching, and stooping, as well as occasional bending, climbing, and kneeling. TriHealth expects team members to follow its SERVE standards and ALWAYS behaviors, emphasizing service, quality, respect, stewardship, and engagement.

Requirements

• Master’s degree in Nursing.
• Graduate of an NP, CNS, or midwife program.
• 3–4 years of clinical nursing experience in geriatric, 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.

Nice To Haves

• The posting encourages continuing education, advanced formal education, specialty certification, membership in nursing organizations, community health involvement, nursing research, and evidence-based practice; these are presented as professional-development opportunities rather than required qualifications.

Responsibilities

• Directly manage patients’ and/or families’ 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 Ohio Revised Code formulary.
• Assess interactive and synergistic effects of pharmacologic and non-pharmacologic interventions.
• Order laboratory and radiologic tests and interpret the results.
• Collaborate with physicians to plan and implement comprehensive care plans.
• Discuss patient care with family members and perform duties under the Standard Care Arrangement.
• Collaborate with the interdisciplinary healthcare team, patients, and families to diagnose and prioritize problems and implement interventions.
• Provide consultation and initiate referrals to other healthcare team members, promoting interdisciplinary collaboration.
• Help team members, patients, and families select therapies that consider cost and quality of benefits.
• Collaborate with other disciplines in teaching, consultation, management, and research to improve nursing outcomes and the healthcare environment.
• Use, participate in, and disseminate research, evidence-based practice, and quality improvement projects to enhance clinical practice and patient outcomes.
• May serve as a primary or co-investigator, or as a member of an investigative team, in nursing or collaborative research.
• Evaluate existing practice against research findings and integrate changes through evidence-based practice projects.
• Evaluate care processes as a leader or team member in quality improvement projects.
• Mentor and educate nurses through activities such as Journal Club and critical appraisal of literature.
• Educate patients, families, and healthcare providers to promote best practice and health promotion, including secondary prevention.
• Serve as a teacher, mentor, and role model for nurses and colleagues in nursing research and evidence-based practice; precept and mentor staff nurses, colleagues, and nursing students.
• Teach, coach, and support nurses and other healthcare professionals to advance patient care.
• Assess, develop, implement, and evaluate patient and staff educational needs.
• Ensure nursing practice is ethical and legal, follows Ohio APRN scope of practice, and provides safe, compassionate, competent, and ethical care.
• Maintain accountability for professional practice and preserve patient dignity.
• Advocate for patients, including promoting advance directives and adherence to patients’ wishes; contribute to appropriate end-of-life and palliative care discussions.
• Provide effective leadership and incorporate 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 development and application of consensus-derived protocols or evidence-based practice guidelines in the clinical setting.
• 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.
• Demonstrate TriHealth SERVE standards and ALWAYS behaviors, including service recovery, respect for differences, quality and safety improvement, responsible resource use, courtesy, and appreciation of colleagues.

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