Advanced Practice Provider (NP/PA): Breast Surgery II

Cleveland Clinic•Weston, FL
•Onsite

About The Position

Cleveland Clinic’s Weston Breast Surgery Department is seeking a full-time Physician Assistant or Nurse Practitioner to join the Breast Center Surgery Team at the Weston Campus. The role works with breast surgeons in the outpatient clinic and in the operating room as a first assist. APPs collaborate with staff surgeons, fellows and residents, nursing, and multidisciplinary consult services to support continuity of care for patients, families, and caregiver staff. Responsibilities include evaluating and managing new, established, and postoperative breast surgery patients; ordering and interpreting diagnostic tests; providing daytime outpatient phone coverage; coordinating care with the plastic surgery team; and assisting in the OR with supervising physicians. The schedule is Monday through Friday, days, 8:00 a.m. to 5:00 p.m., with no weekends, holidays, or call. The Advanced Practice Provider delivers primary and/or specialty care in collaboration with the healthcare team and within the scope of certification and licensure. Practice emphasizes health promotion, disease prevention, and diagnosis and treatment of acute and chronic health problems. The role also contributes to education through instruction, leadership, and development of educational programs. First-assist OR experience of at least one year is preferred; new graduates are welcome to apply.

Requirements

  • Graduate of an accredited APRN program for Nurse Practitioner applicants; an MSN is required upon hire or within three years of hire for specified external hires and internal hires moving from a non-APRN licensed role to an APRN role.
  • For Physician Assistant applicants, graduate of an A.R.C.-approved Physician Assistant program and a master’s degree in Physician Assistant Studies and/or a higher degree from a program recognized by the applicable state licensing board.
  • Oral and written communication skills in English.
  • For Nurse Practitioner applicants: current Nurse Practitioner license and RN license in applicable state(s), and national NP certification from an organization accredited and recognized by the state Board of Nursing.
  • For Nurse Practitioner applicants: BLS through the American Heart Association is required; additional advanced life support certification may be required based on work setting.
  • For Nurse Practitioner applicants: arrangements with at least one physician as required by the applicable State Board of Nursing, and credentialing and privileges through the applicable hospital’s 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; and a current DEA license or DEA designee as required by NCQA.
  • For Physician Assistant applicants: BLS through the American Heart Association is required; additional life support or trauma certification may be required based on work setting.
  • For Physician Assistant applicants: a Physician Supervision Agreement and signed addendum, and credentialing and privileges through the applicable hospital’s Medical Executive Committee and Governing Body.
  • Excellent analytical and decision-making skills.
  • Strong written and verbal communication skills.
  • Ability to work as part of a multidisciplinary team.
  • Demonstrated competency in advanced assessment and diagnosis.
  • Ability to use an electronic medical record.
  • High standard of moral and ethical behavior, compassion, professionalism, and commitment to excellent patient care.
  • Critical thinking skills, decisive judgment, and ability to work with minimal supervision and take appropriate action in a stressful environment.
  • Ability to walk and stand for long periods; manual and finger dexterity and eye-hand coordination for physical examinations; corrected vision and hearing within normal range; and ability to occasionally lift and carry items up to 50 pounds.
  • Ability to follow standard precautions and use personal protective equipment as required.
  • Compliance with Cleveland Clinic’s influenza prevention program, including annual vaccination or an approved exemption; employment offers are followed by controlled-substance testing.

Nice To Haves

  • Adult or Acute Nurse Practitioner certification with RNFA experience preferred.
  • At least one year of first-assist operating-room experience preferred; new graduates are welcome to apply.
  • Related clinical experience preferred.
  • Surgical experience may be required depending on practice.

Responsibilities

  • Conduct medical histories and physical examinations; initiate appropriate diagnostic tests; review laboratory data; and develop working diagnoses and treatment plans.
  • Work with a collaborating physician.
  • Perform and interpret routine laboratory, radiologic, cardiographic, and other diagnostic procedures within granted privileges.
  • Perform routine procedures such as injections, immunizations, suturing, and wound care; assist with complex illness and injury management, including surgical operations; and respond to life-threatening situations within granted privileges.
  • Prescribe and monitor medications as permitted by applicable state authority and Cleveland Clinic policy.
  • Perform specialized procedures as directed by a physician and approved by the CCF Credentialing Board.
  • Provide patients with information about their disease and preventive health topics, and educate them about treatments and associated medication or treatment risks.
  • Participate in medical team rounds and collaborate with nursing, medical, and other healthcare team members to ensure quality patient care.
  • Refer patients to specialists and appropriate health resources as needed.
  • Coordinate continuity of care between patients and multidisciplinary or specialty care teams.
  • Conduct research follow-up studies and assist with data analysis.
  • Participate in quality monitoring by periodically reviewing records and treatment plans for patient outcomes.
  • Facilitate appropriate length of stay, discharge planning, and compliance with inpatient regulatory standards.
  • May precept PA/APRN students and other health professionals and may serve as faculty for onboarding new employees.
  • Evaluate and manage new, established, and postoperative breast surgery patients in the outpatient clinic.
  • Order and interpret diagnostic test results.
  • Provide daytime outpatient phone call coverage.
  • Coordinate care for the patient population in collaboration with the plastic surgery team.
  • First assist in the operating room with supervising physician(s).
  • Perform other duties as assigned.
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