CNS) – Independence Internal Medicine I

Cleveland Clinic

10d•Onsite

About The Position

Cleveland Clinic Health System is seeking a nationally certified Advanced Practice Provider (NP, PA, or CNS) to provide ambulatory care for adult patients at Independence Internal Medicine. The provider will deliver holistic 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 role includes working to the top of the provider’s competency in a fast-paced program and may involve floating to other primary care departments or locations based on staffing needs. New graduates are welcome to apply. Standard hours vary by location and need; weekends, holidays, and call may be required. The position also contributes to the dissemination of knowledge through instruction, leadership, and development of educational programs. The provider may precept students, onboard new caregivers, participate in research and data analysis, and support the professional development of the healthcare team. The role requires appropriate education, state licensure, national certification, and credentialing and privileges applicable to the provider’s discipline and practice setting.

Requirements

Graduate of an accredited APRN program for nurse practitioner or clinical nurse specialist candidates; APRN candidates must meet the stated MSN requirement upon hire or within three years of hire, as applicable.
Physician assistant candidates must graduate from an A.R.C.-approved Physician Assistant Program and hold a master’s degree in Physician Assistant Studies or a higher degree from a program recognized by their practicing state’s Licensing Board.
NP candidates must hold applicable state Nurse Practitioner licensure, applicable state RN licensure, and national NP certification from an organization recognized by the state Board of Nursing.
PA candidates must hold NCCPA (or successor organization) certification recognized by their practicing state’s Licensing Board, and a license to practice and prescribe issued by that board.
CNS candidates must hold applicable state Clinical Nurse Specialist licensure, applicable state RN licensure, and national CNS certification from an organization recognized by the state Board of Nursing.
Basic Life Support (BLS) through the American Heart Association is required.
Additional applicable credentials may include ACLS, PALS, NRP, or ATLS, depending on the work setting.
NP and CNS candidates must have arrangements with at least one physician in accordance with applicable State Board of Nursing requirements.
PA candidates must have a Physician Supervision Agreement and signed addendum to that agreement.
PA candidates must hold a current DEA license or DEA designee as required by NCQA.
Must be credentialed and privileged by the applicable hospitals’ Medical Executive Committee and Governing Body.
Oral and written communication skills in English.
Excellent analytical and decision-making skills; strong written and verbal communication; ability to work as part of a multidisciplinary team; demonstrated advanced assessment and diagnostic competency; ability to use an electronic medical record; high ethical standards, compassion, professionalism, and commitment to patient care; critical thinking, decisive judgment, and ability to work independently and take appropriate action in a stressful environment.
Related clinical experience is preferred.
Able 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; occasional lifting and carrying of items up to 50 pounds.
May be exposed to communicable diseases and/or body fluids and must follow standard precautions using required personal protective equipment.

Nice To Haves

Ambulatory care experience, preferably in internal medicine.
One year of advanced practice experience in primary care.
NP candidates with family or adult certification.

Responsibilities

Conduct medical histories and physical examinations where indicated; initiate appropriate laboratory, radiology, and other tests; review results; and establish a working diagnosis and treatment plan in collaboration with the healthcare team.
Perform and interpret common laboratory, radiologic, cardiographic, and other routine diagnostic procedures as credentialed and privileged.
Perform routine and specialized procedures as credentialed and privileged.
Prescribe and monitor medications as permitted by licensure, state-board requirements, and Cleveland Clinic policies.
Educate patients and answer questions about diseases, treatments, and associated medication and treatment side effects or hazards.
Participate in medical team rounds and collaborate regularly with nursing, medical, and other healthcare team members to support quality patient care.
Refer patients to specialists for consultation or specialized resources and treatment as appropriate.
Support continuity of care by liaising between patients, multidisciplinary care team members, and specialty areas.
Review records and treatment plans periodically to monitor outcomes and assure quality care.
Facilitate appropriate length of stay, discharge planning, and compliance with regulatory standards for inpatient management.
Support professional development of the healthcare team.
Promote translation 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.