Advanced Practice Provider (NP, PA, CNS) General Surgery OR II

Cleveland Clinic•Elkton, MD

5d•Onsite

About The Position

Cleveland Clinic Union Hospital is seeking a full-time Advanced Practice Provider (PA-C or FNP with RNFA certification) to join its General Surgery team in the operating room. The APP works collaboratively with surgeons and the multidisciplinary surgical team to provide perioperative care and assist with general surgical procedures. Duties include first assisting in the OR, managing patients before and after surgery, evaluating patients, and coordinating care throughout the surgical continuum. The role is described as three 8-hour shifts, Monday through Friday, between 7:00 a.m. and 5:00 p.m., with approximately 3–4 days of call per month. The job listing also gives a Days shift and a schedule of 8:00 a.m.–4:30 p.m. The position is suited to a clinician with strong surgical skills, sound clinical judgment, and a collaborative approach to care. More broadly, this nationally certified Advanced Practice Provider delivers primary and/or specialty care in collaboration with the healthcare team and within the scope of certification and licensure. Practice includes health promotion, disease prevention, and diagnosis and treatment of acute and chronic health problems. The provider may also disseminate knowledge through instruction, leadership, and development of educational programs.

Requirements

For the APRN pathway: graduate of an accredited APRN program; MSN 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 licensed role.
For the PA pathway: graduate of an A.R.C.-approved Physician Assistant Program; master's degree in Physician Assistant Studies and/or higher degree from a program recognized by the practicing state's Licensing Board.
For the NP pathway: current Nurse Practitioner and RN licenses in applicable states, and national Nurse Practitioner certification from an organization recognized by the state Board of Nursing.
For the PA pathway: Physician Assistant certification through the NCCPA or successor organization recognized by the practicing state's Licensing Board, and license to practice and prescribe issued by that board.
For the CNS pathway: current Clinical Nurse Specialist and RN licenses in applicable states, and national CNS certification from an organization recognized by the state Board of Nursing.
Basic Life Support (BLS) through the American Heart Association is required.
Additional applicable credentials may include ACLS or PALS through the American Heart Association, NRP through the American Academy of Pediatrics, or, for certain PA settings, ATLS.
NP and CNS candidates must have arrangements with at least one physician in accordance with applicable State Board of Nursing requirements.
PA candidates must have a Physician Supervision Agreement and signed addendum; a current DEA license or DEA designee is required as specified by NCQA.
Must be credentialed and privileged by the Medical Executive Committee and Governing Body of the applicable hospitals.
Oral and written communication skills in English.
Excellent analytical and decision-making skills; strong written and verbal communication; ability to work as part of a multidisciplinary team; demonstrated competence in advanced assessment and diagnosis; ability to use the electronic medical record; high ethical standards, compassion, professionalism, and commitment to patient care; critical thinking, decisive judgment, ability to work independently, and ability to function in a stressful environment.
Typical physical requirements include prolonged walking and standing, manual and finger dexterity and eye-hand coordination, corrected vision and hearing within a normal range, occasional lifting and carrying up to 50 pounds, and possible exposure to communicable diseases or body fluids.
Follow standard precautions and use personal protective equipment as required.
Employment offers are followed by controlled-substance testing; employees must comply with the influenza prevention program, including annual vaccination or an approved exemption.

Nice To Haves

Related clinical experience is preferred.
PA-C candidates or FNPs with RNFA certification are encouraged to apply.

Responsibilities

Conduct medical histories and physical examinations where indicated; initiate appropriate diagnostic testing, review results, and develop working diagnoses and treatment plans in collaboration with the healthcare team.
Perform and interpret routine laboratory, radiologic, cardiographic, and other diagnostic procedures within credentialed and privileged scope.
Perform routine and specialized procedures within credentialed and privileged scope.
Prescribe and monitor medications as permitted by licensure, state boards, and Cleveland Clinic policies.
Educate patients and answer questions about diseases, treatments, and related medication or treatment side effects and hazards.
Participate in medical team rounds and collaborate regularly with nursing, medical, and other healthcare team members.
Refer patients to specialists and specialized health resources when appropriate.
Support continuity of care by acting as a liaison between patients and multidisciplinary team members or specialty areas.
Participate in periodic quality monitoring through review of records and treatment plans and patient outcomes.
Facilitate appropriate length of stay, discharge planning, and compliance with regulatory standards for inpatient management.
Support professional development of the healthcare team and promote translation of evidence-based practices, guidelines, and research.
May conduct research studies and assist with data collection and analysis.
May serve as a clinical preceptor for students and onboard new caregivers.
Other duties as assigned.
First assist in the operating room and assist with general surgical procedures.
Manage patients before and after surgery, evaluate patients, and coordinate care across the surgical continuum.
Work approximately 3–4 days of call per month.