Advanced Practice Provider (NP/PA): General Urology I

Cleveland Clinic•Vero Beach, FL
•Onsite

About The Position

Cleveland Clinic Indian River Hospital’s Urology Department is seeking a PA-C or Family Nurse Practitioner to care for adult patients alongside its urology teams. The role involves supporting urologists and providing hospitalist-style care, including postoperative management, admissions, histories and physicals, discharges, consultations, triage, and responding to emergencies. The schedule is Monday through Friday, with no weekends, evenings, or on-call duties. The posting lists a day shift and a schedule of 7:00 a.m.–5:00 p.m.; the role details also state Monday–Friday, 8:00 a.m.–5:00 p.m. The provider evaluates patients, establishes working diagnoses and treatment plans, performs procedures within their privileges, educates patients, collaborates with multidisciplinary care teams, and supports continuity and quality of care. Experienced APRNs or PAs are preferred, but newly licensed candidates may be considered, particularly those with surgical or urological experience or clinical rotations. Applicants are asked to state their specific interest and urology background in their cover letter.

Requirements

  • For APRN candidates: graduate of an accredited APRN graduate program; an MSN or higher graduate nursing degree is required upon hire or within three years of hire for the specified external hires and internal moves from non-APRN roles.
  • For PA candidates: graduate of an A.R.C.-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 applicable-state APRN licensure and national APRN certification from an organization recognized by the state Board of Nursing; RN licensure and prescriptive authority credentials are required where applicable.
  • PA candidates must hold current NCCPA (or successor) certification, Florida State Medical Board licensure as a PA-C, and a Physician Supervision Agreement and/or signed addendum.
  • Must be privileged by CCF's Credentialing Board.
  • Basic Life Support (BLS) certification through the American Heart Association is required.
  • ACLS or PALS certification through the American Heart Association, or NRP through the American Academy of Pediatrics for APRNs, may be required depending on work setting.
  • Excellent analytical and decision-making skills; strong written and verbal communication; ability to work on a multidisciplinary team; competency in advanced assessment and diagnosis; and ability to use an electronic medical record.
  • Demonstrate ethical conduct, compassion, professionalism, and commitment to excellent patient care.
  • Critical thinking, decisive judgment, and ability to work with minimal supervision in a stressful environment.
  • Ability to walk and stand for long periods; manual and finger dexterity and eye-hand coordination for examinations; corrected vision and hearing to normal range; and ability to occasionally lift and carry up to 50 pounds.
  • May require exposure to communicable diseases and/or body fluids.

Nice To Haves

  • Experience as an APRN or PA is preferred; newly licensed candidates may be considered, particularly with surgical or urological experience or clinical rotations.
  • Two years of clinical nursing experience preferred for APRNs.
  • Two years of relevant clinical experience preferred for PAs.
  • Surgical experience may be required depending on the practice.

Responsibilities

  • Take thorough medical histories and perform complete physical examinations where indicated; initiate appropriate laboratory, radiology, and other tests; review results; and develop working diagnoses and treatment plans.
  • Work with a collaborating physician.
  • Perform and interpret routine laboratory, radiologic, cardiographic, and other diagnostic procedures within CCF Credentialing Board privileges, recognizing deviations from normal.
  • Perform routine procedures such as injections, immunizations, suturing, and wound care; assist with complex illness and injury management and surgical operations; and respond to life-threatening situations within granted privileges.
  • Prescribe and monitor medications as permitted by state prescriptive authority and Cleveland Clinic policy.
  • Perform specialized procedures as directed by a physician and approved by the CCF Credentialing Board, including designated blood draws and IV starts and other listed procedures.
  • Answer routine patient questions and provide information on disease and preventive health topics, including diet, weight, and smoking.
  • Educate patients about diseases, treatments, and related medication and treatment effects and hazards.
  • Participate in medical team rounds and collaborate regularly with nursing, medical, and other healthcare team members.
  • Refer patients to specialists and other appropriate health resources.
  • Support continuity of care 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.
  • Support 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.
  • Perform other duties as assigned.
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