CNS)-Critical Care Post-Graduate Fellowship

Cleveland Clinic

10d•Onsite

About The Position

The Cleveland Clinic Critical Care Advanced Practice Provider (APP) Fellowship is an intensive, 12-month post-graduate program preparing Acute Care Nurse Practitioners and Physician Assistants to provide comprehensive critical care services to critically ill Medical ICU patients. Fellows develop critical-thinking, diagnostic, and clinical skills for managing complex cases and delivering safe, efficient, evidence-based care within a multidisciplinary, team-based model. The program has two cohorts per year. Training begins with a boot camp and includes weekly protected didactic education, case-based learning, lectures, simulations, and nine months of precepted rotations in intensive care units and other services, followed by three months of internship. Clinical schedules vary by rotation and include days, evenings, nights, weekends, and holidays. Fellows commit approximately five days and 50 hours per week to clinical and didactic training. Training includes procedural simulation, procedural-service rotations, and dedicated airway-management training in the operating room. Department APPs and physician experts supervise the fellows. Each fellow also receives professional-development instruction and one-on-one mentorship to identify and complete a quality or research project intended for submission as an abstract or peer-reviewed article. The fellowship is concentrated at Cleveland Clinic Main Campus, Fairview Hospital, and Hillcrest Hospital in Northeast Ohio. Main Campus rotations include the Medical ICU, Medical Intensive Liver Unit, Procedure Service, and Consult Service; Fairview and Hillcrest rotations include their Medical ICUs and Coronary Care Units. The Department of Critical Care Medicine serves 12 adult ICUs across nine Cleveland Clinic hospitals in Northeast Ohio, including the 64-bed Medical ICU at Main Campus. The fellow learns the Advanced Practice Provider role under the supervision of an APRN/PA preceptor and/or physician preceptor for no longer than 12 months. Duties include patient assessment, diagnostic testing and interpretation within privileges, treatment planning under physician direction, patient education, documentation, referrals, care coordination, research support, quality monitoring, and discharge planning. The role requires critical thinking, decisive judgment, and the ability to work in a stressful environment. The fellow is hired into a full-time, salaried position for a term not exceeding one year and is eligible for full-time benefits described in Cleveland Clinic’s Total Rewards Brochure. Salary is paid semi-monthly. After successful completion of the fellowship, the fellow may apply for open positions within Cleveland Clinic; employment after the fellowship is not guaranteed. The listed cohort start dates are April 5, 2027, and October 4, 2026.

Requirements

For Nurse Practitioner applicants: a master's degree in Adult-Gerontology Acute Care from an accredited school or college of nursing.
For Nurse Practitioner applicants: current Ohio Registered Nurse license and current Ohio license.
For Physician Assistant applicants: master's degree from an accredited Physician Assistant program and current Ohio license.
All certifications and board examinations must be completed at least six weeks before the program start date.
Eligible for DEA licensure.
Current BLS and ACLS certification for application.
Submit a CV or resume, cover letter or personal statement, and at least two letters of recommendation; recommendation letters must be sent directly by their authors.
Strong critical-thinking skills and decisive judgment, with the ability to work with minimal supervision and take appropriate action in stressful environments.
Good verbal, written, and interpersonal communication skills; oral and written English communication.
Demonstrated competency in advanced assessment, diagnosis, treatment-plan development, and invasive procedures consistent with clinical privileges.
Ability to meet the physical requirements, including prolonged standing and walking, manual dexterity and eye-hand coordination, corrected vision and hearing within normal range, and occasional lifting or carrying up to 50 pounds.
Follow Standard Precautions and use personal protective equipment as required.
Comply with Cleveland Clinic's controlled-substance testing after an employment offer and annual influenza vaccination program, unless an approved exemption is obtained.
For Nurse Practitioner applicants: current national Nurse Practitioner certification from an organization recognized by the applicable state Board of Nursing; BLS through the American Heart Association; and applicable RN and Nurse Practitioner licenses.
For Nurse Practitioner applicants: arrangements with at least one physician in accordance with applicable State Board of Nursing requirements, and credentialing and privileges through the applicable hospitals' Medical Executive Committee and Governing Body.
For Physician Assistant applicants: certification through the NCCPA or successor organization recognized by the applicable state licensing board; license to practice and prescribe; current DEA license or DEA designee as required by NCQA; BLS through the American Heart Association; a Physician Supervision Agreement and signed addendum; and credentialing and privileges through the applicable hospitals' Medical Executive Committee and Governing Body.
Meet any setting-specific advanced life-support requirements that apply, such as ACLS, PALS, NRP, or ATLS.

Nice To Haves

Surgical experience may be required depending on the practice area, particularly in surgical fields.

Responsibilities

Conduct medical histories and physical examinations as indicated; initiate appropriate laboratory, radiology, and other tests; review patient data; and develop working diagnoses and treatment plans with direct physician review.
Work under the direction of a supervising physician and within applicable state law.
Perform and interpret routine laboratory, radiologic, cardiographic, and other diagnostic procedures within granted privileges, recognizing deviations from normal.
Perform routine and specialized procedures within approved privileges, and assist with management of illness and injury, including responding to life-threatening situations and assisting surgeons when required.
Provide patients with information about their disease and preventive health maintenance, and educate them about treatments, medications, side effects, and hazards.
Maintain patient records, complete medical charts, and transcribe laboratory data and routine correspondence as directed and reviewed by a physician.
Refer patients to physicians or specialized health resources when appropriate.
Coordinate continuity of care as a liaison between patients, multidisciplinary care teams, and specialty services.
Conduct physician-directed research follow-up and assist with data analysis.
Participate in periodic quality monitoring through review of records and treatment plans and assessment of patient outcomes.
Facilitate appropriate length of stay, discharge planning, and compliance with regulatory standards for inpatient management.
Complete other duties as assigned.