CNS) - Medical Care at Home I (PRN)

Cleveland Clinic•Business Operations Center, WA

5d•Onsite

About The Position

Cleveland Clinic’s Primary Care Institute and Center of Connected Care is seeking a Physician Assistant or Nurse Practitioner (Adult or Family) for its Medical Care at Home APP team. The position works with the Medical Care at Home and High-Risk Transitional Care Programs, providing in-home medical visits, managing complex high-risk chronic disease, and collaborating with a multidisciplinary team to help prevent hospital readmissions. Home Care experience is required. The Advanced Practice Provider delivers primary and/or specialty care in a variety of healthcare settings in collaboration with the healthcare team and in accordance with certification and licensure. Practice emphasizes health promotion, disease prevention, and the diagnosis and treatment of acute and chronic health problems. The role also supports knowledge dissemination through instruction, leadership, and development of educational programs.

Requirements

Home Care experience is required.
Graduate of an accredited APRN program for APRN candidates.
For APRN candidates, an MSN is required upon hire or within three years of hire for specified external hires and internal hires moving from a non-APRN licensed role to an APRN licensed role; a master’s degree is required upon hire in neonatal care service areas.
PA 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 be licensed as a Nurse Practitioner and as an RN in applicable states, with 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, PALS, or NRP may be required depending on work setting.
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 their state 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 BLS through the American Heart Association. ACLS, PALS, NRP, or ATLS may be required depending on work setting.
PA candidates must have a Physician Supervision Agreement and signed addendum, and must be credentialed and privileged by the applicable hospitals’ Medical Executive Committee and Governing Body.
CNS candidates must be licensed as a Clinical Nurse Specialist and as an RN in applicable states, with national CNS certification from an organization recognized by the state Board of Nursing.
CNS candidates must hold BLS through the American Heart Association; ACLS, PALS, or NRP may be required depending on work setting. They must have physician arrangements as required by applicable state rules and be credentialed and privileged by the applicable hospitals.
Oral and written communication skills in English.
Excellent analytical and decision-making skills.
Strong written and verbal communication skills.
Ability to work as a member of a multidisciplinary team.
Demonstrated competency in advanced assessment and diagnosis.
Ability to use the electronic medical record.
High standards of moral and ethical behavior, compassion, professionalism, and commitment to excellent patient care.
Critical-thinking skills, decisive judgment, and ability to work independently.
Ability to work in a stressful environment and take appropriate action.
Ability to walk and stand for long periods, perform physical examinations with manual and finger dexterity and eye-hand coordination, and have corrected vision and hearing within normal range.
May require exposure to communicable diseases and/or body fluids.
Must follow standard precautions and use personal protective equipment as required.
Employment offers are followed by controlled-substance testing; caregivers must comply with the annual influenza prevention program or obtain an approved exemption.

Nice To Haves

Related clinical experience is preferred.

Responsibilities

Conduct thorough medical histories and physical examinations where indicated; initiate and review appropriate diagnostic testing; and develop working diagnoses and treatment plans in collaboration with the healthcare team.
Perform and interpret routine diagnostic procedures within granted credentials and privileges.
Perform routine and specialized procedures within granted credentials and privileges.
Prescribe and monitor medications as permitted by license, applicable state boards, and Cleveland Clinic policies.
Educate patients about their conditions, 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 to support quality patient care.
Refer patients to specialists and specialized health resources as appropriate.
Coordinate continuity of care between patients, multidisciplinary team members, and specialty areas.
Review patient 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.
Provide in-home medical visits and manage complex high-risk chronic disease as part of Medical Care at Home and High-Risk Transitional Care Programs.
Work with a multidisciplinary team to prevent hospital readmissions.