South Region)

Cleveland Clinic•Middleburg Heights, OH

12d•Onsite

About The Position

The MFM APP will work collaboratively with the Maternal-Fetal Medicine physicians as a licensed independent provider caring for high-risk obstetric patients. These patients have acute and medical conditions, obstetric comorbidities, fetal anomalies, or other high-risk pregnancy conditions. The primary role is to support the Maternal-Fetal Medicine physicians in managing these patients and in supporting the program for diabetes during pregnancy. The MFM-APP will provide outpatient antenatal and postpartum care to MFM patients, which includes prenatal visits, consultations for a spectrum of higher risk conditions (gestational diabetes, chronic hypertension, history of preterm birth, etc), and postpartum visits. The MFM-APP can perform office procedures including interpretation of NSTs, placement long-acting reversible contraception (IUD, implants), and removing cerclage sutures. Additionally, the MFM-APP will staff the online shared medical appointment program for gestational diabetes (a collaborative multidisciplinary program involving MFM, nutritionists, diabetes educators), during which the MFM-APP will provide the gestational diabetes consultations. The MFM-APP will assist in the ongoing management of blood glucose levels for diabetic patients through weekly MyChart encounters or telephone/virtual visits. The MFM-APP will have the clinical support of the entire MFM provider team, and generally works alongside the MFM providers in the office. In our academic Maternal Fetal Medicine practice, engagement with trainees and learners (medical students, residents, nursing students) and patient research studies is anticipated.

Requirements

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.
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.
Basic Life Support (BLS) through the American Heart Association (AHA) required.
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.
Must have a Physician Supervision Agreement and signed addendum to Physician Supervision Agreement.
Must be credentialed and privileged by the Medical Executive Committee and the Governing Body of the applicable hospitals.
Excellent analytical and decision-making skills are required.
Strong written and verbal communication skills.
Ability to work as a member of a multi-disciplinary team.
Demonstrated competency and the ability to perform advanced assessment and diagnosis.
Demonstrated ability to utilize the electronic medical record.
Demonstrates a high standard of moral and ethical behavior.
Demonstrates compassion and professionalism and a commitment to excellent patient care.
Requires critical thinking skills, decisive judgement, and the ability to work independently.
Must be able to work in a stressful environment and take appropriate action.

Nice To Haves

Previous experience in Maternal-Fetal Medicine, Obstetrics, Labor & Delivery, Nutrition, Diabetes Education and/or Women's Heath is preferred but not required.
Outpatient MFM and/or OB experience
Diabetes care, nutrition, and hypertensive care
Labor and delivery
Fetal heart rate interpretation
Procedural competency (IUD, Nexplanon, other outpatient Ob/Gyn procedures
Point of care ultrasound

Responsibilities

Provide prenatal care, postpartum care
Provide consultations for a spectrum of high risk pregnancy conditions (such gestational diabetes, chronic hypertension, history of preterm birth)
Perform history and physical examinations
Order and interpretation of laboratory tests including standard prenatal labs and diagnostic labs for obstetric complications
Interpretation of antenatal testing (e.g. fetal non-stress tests, biophysical profile)
Communication of lab and testing results to patients in a timely manner
Review blood pressure logs, evaluate hypertensive disorders, and adjust medical therapy.
Review blood sugar logs, initiate and adjust medical therapy which can include insulin and oral agents
Screen and triage requests to determine level of care. Includes review/request records, ordering appropriate tests, and defining appointment timing.
Participate in the development of office and Division guidelines.
Participate in MFM office and Department of OBGYN meetings, quality improvement committees and activities, or other meetings and/or committees as appropriate.
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.

Benefits

The policy of Cleveland Clinic Health System and its system hospitals (Cleveland Clinic Health System) is to provide equal opportunity to all of our caregivers and applicants for employment in our drug free environment.
All offers of employment are followed by testing for controlled substances.
Cleveland Clinic Health System administers an influenza prevention program. You will be required to comply with this program, which will include obtaining an influenza vaccination on an annual basis or obtaining an approved exemption.

Stand Out From the Crowd

Upload your resume and get instant feedback on how well it matches this job.

Upload and Match Resume