CNS) – Medical Care at Home and Transitional Care I (Full Time, West-Side)

Cleveland Clinic•Business Operations Center, WA

18d•Onsite

About The Position

Cleveland Clinic Primary Care Institute and Center of Connected Care is hiring a Physician Assistant or Nurse Practitioner (Adult or Family) for its Medical Care at Home APP team. The role supports the Medical Care at Home and High-Risk Transitional Care Programs, including in-home medical visits, management of complex high-risk chronic disease, and collaboration with a multidisciplinary team to prevent hospital readmissions. New graduates are welcome to apply. The nationally certified Advanced Practice Provider delivers primary and/or specialty care in a variety of healthcare settings in collaboration with the healthcare team and within the scope of certification and licensure. Practice emphasizes health promotion, disease prevention, and diagnosis and treatment of acute and chronic health problems. The provider also disseminates knowledge through instruction, leadership, and development of educational programs. The role is based in Independence at the Business Operations Center, in the Medical Care at Home-Primary Care Institute department. The schedule is 8:00 a.m. to 5:00 p.m. on the day shift.

Requirements

Graduate of an accredited Advanced Practice Registered Nurse (APRN) program for APRN candidates.
APRN candidates hired externally, or internal candidates moving from a non-APRN licensed role to an APRN licensed role, must have an MSN upon hire or within three years of hire; a master's degree is required upon hire for neonatal care service areas.
Physician Assistant 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.
NP candidates must hold an active Nurse Practitioner license and RN license in applicable states, and national NP certification from an accredited organization recognized by the state Board of Nursing.
NP candidates must hold Basic Life Support (BLS) certification through the American Heart Association; the certifications section also accepts American Red Cross BLS.
NP candidates must have arrangements with at least one physician as required by applicable State Board of Nursing rules and must be credentialed and privileged by the applicable hospitals' Medical Executive Committee and Governing Body.
PA candidates must hold Physician Assistant certification through the NCCPA or successor organization recognized by the 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, BLS through the American Heart Association, and a Physician Supervision Agreement with signed addendum; they must also be credentialed and privileged by the applicable hospitals' Medical Executive Committee and Governing Body.
CNS candidates must hold an active Clinical Nurse Specialist license and RN license in applicable states, and national CNS certification from an accredited organization recognized by the state Board of Nursing.
CNS candidates must hold BLS through the American Heart Association, have arrangements with at least one physician as required by applicable State Board of Nursing rules, and be credentialed and privileged by the applicable hospitals' Medical Executive Committee and Governing Body.
Advanced Cardiac Life Support (ACLS), Pediatric Advanced Life Support (PALS), Neonatal Resuscitation Program (NRP), or, for PA candidates, Advanced Trauma Life Support (ATLS) may be required depending on work setting.
Oral and written communication skills in English.
Excellent analytical and decision-making skills; strong written and verbal communication; and ability to work as part of a multidisciplinary team.
Demonstrated competence in advanced assessment and diagnosis and ability to use an electronic medical record.
High standards of moral and ethical behavior, compassion, professionalism, and commitment to excellent patient care.
Critical thinking, decisive judgment, ability to work independently, and ability to act appropriately in a stressful environment.
Related clinical experience is preferred.
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.
Comply with post-offer controlled-substance testing and the annual influenza prevention program, including vaccination or an approved exemption.

Nice To Haves

Related clinical experience is preferred.
New graduates are welcome to apply.

Responsibilities

Conduct thorough medical histories and physical examinations where indicated; initiate appropriate diagnostic testing, review laboratory data, 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 as permitted by license, state board requirements, and Cleveland Clinic policies.
Educate patients about diseases, treatments, and related medication and 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 for consultation or specialized health resources and treatment when appropriate.
Support continuity of care by liaising between patients and multidisciplinary team members or specialty areas.
Participate in periodic quality monitoring through review of records and treatment plans and assessment of patient outcomes.
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 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.