Advanced Practice Provider (NP/PA) - Fairview Hospital Rapid Observation Unit II Part Time

Cleveland Clinic•Great Barrington, MA

6d•Onsite

About The Position

Cleveland Clinic is hiring a part-time Advanced Practice Provider (NP/PA) for the Rapid Observation Unit at Fairview Hospital in Cleveland. The primary role is to provide care for Rapid Observation Unit patients, including admissions, discharges, and routine follow-up care. The provider will also be cross-trained to cover the House Internal Medicine service line based on department needs. The position is scheduled for 16 shifts over eight weeks, primarily 7:00 a.m.–7:00 p.m. Weekend and holiday work is required, and occasional call may be required. The APP works collaboratively with a physician and a multidisciplinary care team to deliver advanced patient care. The role calls for sound clinical judgment, analytical and decision-making ability, strong communication, adaptability, professionalism, and the ability to work effectively in a stressful, complex environment with minimal supervision. The position requires the appropriate education, licensure, national certification, and life-support credentials for the APRN or PA pathway. Two years of relevant clinical experience is preferred for PAs, and two years of advanced practice nursing experience is preferred for APRNs. Physical demands include prolonged standing and walking, dexterity and eye-hand coordination for examinations, occasional lifting and carrying of up to 50 pounds, and possible exposure to communicable diseases or bodily fluids.

Requirements

For the APRN pathway: graduate of an accredited APRN training program; an MSN is required upon hire or within three years of hire under the stated eligibility conditions.
For the PA pathway: graduate of an ARC-approved Physician Assistant Program; a master's degree in Physician Assistant Studies and/or applicable state license through the State Medical Board for certificate to practice.
APRN candidates must hold current Registered Nurse and Advanced Practice Registered Nurse licenses in the applicable state and national APRN certification from an organization recognized by the state Board of Nursing; state prescriptive certification is required when applicable.
PA candidates must hold current NCCPA (or successor) certification and be licensed by the State Medical Board of Ohio.
PA candidates must have a Physician Supervision Agreement and/or signed addendum and be privileged by the CCF Credentialing Board.
Basic Life Support (BLS) certification through the American Heart Association is required.
ACLS or PALS certification may be required based on work setting; APRNs may alternatively require NRP through the American Academy of Pediatrics, depending on work setting.
Excellent analytical and decision-making skills.
Strong written and verbal communication skills and ability to work as part of a multidisciplinary team.
Demonstrated competency in advanced assessment and diagnosis.
Ability to use an electronic medical record.
Critical-thinking skills, decisive judgment, and ability to work with minimal supervision in a stressful environment.
Ability to take appropriate action in response to clinical circumstances.
Ability to walk and stand for long periods, perform examinations requiring manual and finger dexterity and eye-hand coordination, and meet corrected vision and hearing requirements.
Ability to occasionally lift and carry items weighing up to 50 pounds.
Follow standard precautions and use personal protective equipment as required.
Comply with Cleveland Clinic's influenza prevention program, including annual vaccination or an approved exemption.
Employment offers are followed by controlled-substance testing in the employer's drug-free environment.

Nice To Haves

Two years of clinical advanced practice nursing experience for APRN candidates.
Two years of relevant clinical experience for PA candidates.
Surgical experience may be required depending on practice.

Responsibilities

Take patient histories, perform physical examinations where indicated, order appropriate laboratory, radiology, and other tests, review results, and develop working diagnoses and treatment plans.
Work with a collaborating physician.
Perform and interpret common laboratory, radiologic, cardiographic, and other routine diagnostic procedures, recognizing deviations from normal, as privileged by the CCF Credentialing Board.
Perform routine procedures such as injections, immunotherapy, suturing, and wound care; assist with complex illness and injury management and, when applicable, surgical operations; and respond to life-threatening situations within granted privileges.
Prescribe and monitor medications as allowed by applicable state prescriptive authority and Cleveland Clinic policy.
Perform specialized procedures as directed by a physician and approved by the CCF Credentialing Board, including bone marrow procedures, blood draws, designated IV starts, spinal taps, thoracentesis, and paracentesis.
Provide patients with information about their diseases and preventive health maintenance, and educate them about 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 appropriate health resources for consultation or treatment.
Support continuity of care by serving as a liaison between patients and multidisciplinary care team members or specialty areas.
Perform research follow-up studies and assist with data analysis.
Participate in periodic quality monitoring through review of records, treatment plans, and patient outcomes.
Facilitate appropriate length of stay, discharge planning, and compliance with regulatory standards for inpatient management.
May precept PA/APRN students and other health professionals and may serve as faculty for onboarding new employees.
Demonstrate ethical conduct, compassion, professionalism, and commitment to excellent patient care.
Work weekends and holidays, potentially nights, and some off-shift hours; routinely take call as applicable.
Perform other duties as assigned.