CNS) – Medical Care at Home Urgent Dispatch West II

Cleveland Clinic•Business Operations Center, WA

40d•Remote

About The Position

Cleveland Clinic Primary Care Institute and Center of Connected Care is looking to add a Physician Assistant or Nurse Practitioner to our Medical Care at Home Urgent Dispatch APP Team. Urgent Dispatch provides in-home evaluation for patients on an urgent basis to prevent an Emergency Room visit or hospitalization. Job responsibilities in this role include but are not limited to in-home medical visits, lab draws, Point-of-Care Lab testing, foley catheter exchanges, IV infusions, IV Medication Administration, management of complex chronic diseases in the home, and working with a multidisciplinary team to prevent ED Visits and Hospital Readmissions. This position is full-time, requires travel/in-home patient evaluation. Coverage will primarily be WEST Side of Cleveland, but travel will be required across Northeast Ohio as this program is consult-based. The typical schedule is Monday-Friday 8am-5pm. Weekend and Holiday coverage may be required based on the needs of the program.

Requirements

Graduate of an accredited APRN program.
Graduate of an A.R.C. approved Physician Assistant Program.
Master’s degree in Physician Assistant Studies and/or higher degree obtained from a program recognized by their practicing states Licensing Board.
Currently licensed as a Nurse Practitioner in applicable state(s).
Must be licensed as an RN in applicable state(s).
National certification as a Nurse Practitioner by nationally accredited organization recognized by state Board of Nursing.
Basic Life Support (BLS) through the American Heart Association (AHA) required.
Advanced Cardiac Life Support (ACLS) or Pediatric Advanced Life Support (PALS) through the American Heart Association (AHA); or Neonatal Resuscitation Program (NRP) through the American Academy of Pediatrics (AAP) may be required based upon work setting.
Must have arrangements with at least one physician in accordance with requirements set forth by the State Board of Nursing in applicable states.
Must be credentialed and privileged by the Medical Executive Committee and the Governing Body of the applicable hospitals.
Certification as a Physician Assistant through the NCCPA or successor organization recognized by their practicing states Licensing Board.
License to practice and prescribe issued by their practicing states Licensing Board.
Current DEA License or DEA designee as required by NCQA.
Advanced Cardiac Life Support (ACLS) or Pediatric Advanced Life Support (PALS) through the American Heart Association (AHA); or Neonatal Resuscitation Program (NRP) through the American Academy of Pediatrics (AAP); or Advanced Trauma Life Support (ATLS) American Heart Association may be required based upon work setting.
Must have a Physician Supervision Agreement and signed addendum to Physician Supervision Agreement.
Currently licensed as a Clinical Nurse Specialist in applicable state(s).
National certification as a Clinical Nurse Specialist by nationally accredited organization recognized by state Board of Nursing.

Nice To Haves

Prefer providers with 1-2 years of clinical APP experience but will consider new graduates with home care experience.
If in neonatal care service area Master’s Degree is required upon hire.
If a candidate has held a license to prescribe within another jurisdiction and needs to obtain a master's degree in order to apply for prescribing privileges the candidate will be subject for review for eligibility for hiring within our system.

Responsibilities

Conducts thorough medical histories, performs complete physical examinations (where indicated), initiates appropriate lab, radiology tests or other special tests required for evaluation of illness, and scrutinizes lab data to establish a record of the patient's current health status and to develop a working diagnosis and treatment plan.
Works in collaboration with the health care team.
Performs and interprets common laboratory, radiologic, cardiographic and other routine diagnostic procedures used to identify pathophysiologic processes as credentialed and privileged by the Medical Executive Committee and the Governing Body of the applicable hospitals.
Performs routine and specialized procedures as credentialed and privileged by the Medical Executive Committee and the Governing Body of the applicable hospitals.
May prescribe and monitor medications as allowed by license through applicable state board and Cleveland Clinic policies.
Educates patients and answers questions regarding their disease, treatments, related drug and treatment side effects and hazards.
Participates in medical team rounds; collaborates with nursing, medical and other healthcare team members regularly to ensure quality patient care.
Refers patients to specialists as appropriate for consultation or for specialized health resources and treatment.
Ensures continuity of care by serving as a liaison between patient and other members of the multi-disciplinary care team or with other specialty areas as necessary.
Participates in quality monitoring thru the review of records and treatment plans for patient outcomes on a periodic basis to assure quality care.
Facilitates appropriate length of stay, discharge planning and compliance with regulatory standards for inpatient management.
Supports professional development of the health care team.
Promotes translation of evidence-based practices, guidelines, and research.
May conduct research studies. May assists in data collection and analysis.
May serve as clinical preceptor for students. May onboard new caregivers.
Other duties as assigned.