About The Position

Cleveland Clinic is seeking a nationally certified Advanced Practice Provider (NP or PA) to join the Hospital Medicine team at Medina Hospital as a nocturnist. The role provides primary and/or specialty care in collaboration with the healthcare team, emphasizing health promotion, disease prevention, and the diagnosis and treatment of acute and chronic health problems. The position includes overnight admissions, patient cross-coverage, and emergency response. The APP works approximately 10–12 shifts per month depending on FTE. Shifts are 15 hours and include a rotation of weekends and holidays. The APP conducts patient assessments, establishes diagnoses and treatment plans, performs or interprets credentialed diagnostic procedures, and may prescribe and monitor medications as permitted by license and policy. The role also includes patient education, collaboration with the multidisciplinary care team, continuity-of-care coordination, quality monitoring, discharge planning, and support for professional development and evidence-based practice. The APP may participate in research, precept students, and onboard new caregivers. Candidates must meet the applicable education, certification, licensure, and credentialing requirements for the NP or PA role. Related clinical experience is preferred.

Requirements

  • Graduate of an accredited APRN program for NP candidates. For external hires and internal hires moving from a non-APRN licensed role to an APRN role, an MSN is required upon hire or within three years of hire; a master's degree is required upon hire for neonatal care service areas.
  • NP candidates must hold current Nurse Practitioner and RN licenses in applicable states and national NP certification from an organization recognized by the state Board of Nursing.
  • NP candidates must hold Basic Life Support (BLS) certification through the American Heart Association. ACLS or PALS through the AHA, or NRP through the AAP, may be required depending on the work setting.
  • NP candidates must have arrangements with at least one physician as required by the applicable State Board of Nursing and be credentialed and privileged by the applicable hospitals' Medical Executive Committee and Governing Body.
  • PA candidates must graduate from an A.R.C.-approved Physician Assistant program and hold a master's degree in Physician Assistant Studies and/or a higher degree from a program recognized by the practicing state's Licensing Board.
  • PA candidates must hold certification through the NCCPA or successor organization recognized by their practicing state's Licensing Board, and a license to practice and prescribe issued by that board.
  • PA candidates must hold a current DEA license or DEA designee as required by NCQA and Basic Life Support (BLS) certification through the American Heart Association.
  • PA candidates may need ACLS or PALS through the AHA, NRP through the AAP, or ATLS, depending on the work setting.
  • PA candidates must have a Physician Supervision Agreement and signed addendum, and be credentialed and privileged by the applicable hospitals' Medical Executive Committee and Governing Body.
  • Excellent analytical and decision-making skills; strong written and verbal communication skills; and the ability to work as part of a multidisciplinary team.
  • Demonstrated competency in advanced assessment and diagnosis and ability to use an electronic medical record.
  • Demonstrates high moral and ethical standards, compassion, professionalism, and commitment to excellent patient care.
  • Critical-thinking skills, decisive judgment, and ability to work independently in a stressful environment and take appropriate action.
  • Oral and written communication in English.
  • Ability to walk and stand for long periods, perform physical examinations using manual and finger dexterity and eye-hand coordination, and meet corrected vision and hearing requirements.
  • Occasionally lift and carry items weighing up to 50 pounds; may be exposed to communicable diseases and/or body fluids.
  • Follow standard precautions and use personal protective equipment as required.
  • Related clinical experience is preferred.

Nice To Haves

  • Related clinical experience.

Responsibilities

  • Conduct medical histories and physical examinations where indicated; order and review appropriate diagnostic tests; and develop working diagnoses and treatment plans in collaboration with the healthcare team.
  • Perform and interpret routine laboratory, radiologic, cardiographic, and other diagnostic procedures as credentialed and privileged.
  • Perform routine and specialized procedures as credentialed and privileged.
  • Prescribe and monitor medications when permitted by applicable licensure and Cleveland Clinic policies.
  • Educate patients 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 to ensure quality patient care.
  • Refer patients to specialists or other health resources as appropriate.
  • Support continuity of care by serving as a liaison between patients and multidisciplinary team members or specialty areas.
  • Review records and treatment plans periodically to monitor patient outcomes and assure quality care.
  • Facilitate appropriate length of stay, discharge planning, and compliance with regulatory standards for inpatient management.
  • Support the professional development of the healthcare team.
  • Promote the use 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.
  • Perform other duties as assigned.
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