Neonatal Nurse APP Local Community Level III NICU

Cincinnati Children's

11d•Onsite

About The Position

Cincinnati Children’s is seeking an experienced Neonatal Nurse Practitioner (NNP) or neonatal-trained Physician Assistant (PA) to provide advanced neonatal care in a busy 60-bed Level III community NICU. This role offers the opportunity to care for premature and medically complex newborns in one of Ohio’s highest-delivering hospitals while working alongside neonatologists, subspecialty providers, fellows, pediatric residents, nurses, and other members of the multidisciplinary team. The unit cares for infants from approximately 22 to 42 weeks gestation and provides a collaborative teaching environment that supports professional growth, evidence-based practice, and family-centered care. The NNP or neonatal-trained PA will assess, diagnose, and manage newborns requiring Level III neonatal intensive care. This position is well suited for a provider who enjoys delivery room stabilization, collaborative clinical decision-making, and caring for critically ill infants in a high-volume NICU setting. The provider will partner closely with the neonatal team to deliver safe, evidence-based care and communicate effectively with families throughout the NICU hospitalization.

Requirements

Master’s or Doctoral degree from an accredited Neonatal Nurse Practitioner program
Current Neonatal Nurse Practitioner certification
Eligibility for Ohio APRN licensure and prescriptive authority
Neonatal clinical provider experience preferred
Ability to work collaboratively in a fast-paced, high-acuity environment
Masters degree in related field.
Require clinical license, certification or training OR Doctorate of Nursing Practice degree
Experience as an APP in subspecialty
Licensure and certification in accordance with CCHMC Delineation of Privileges.
Multi-state licensure in addition to Ohio licensure may be required base on subspecialty

Nice To Haves

Neonatal clinical provider experience preferred

Responsibilities

Provide advanced clinical care for premature and medically complex newborns in a 60-bed Level III NICU.
Perform neonatal assessments, develop individualized plans of care, and manage common and complex neonatal conditions.
Participate in delivery room stabilization and ongoing management of critically ill newborns.
Perform neonatal procedures within scope of practice and maintain required competencies.
Collaborate with neonatologists, fellows, residents, nurses, and other healthcare professionals during rounds and clinical decision-making.
Communicate clearly with parents and families about the infant’s condition, treatment plan, progress, and discharge needs.
Support quality improvement, evidence-based practice, clinical education, and safe transitions of care.
Perform history and/or physical exams on patients presenting for care in area of expertise.
Assess and diagnose illnesses, including chronic and acute conditions.
Formulate, document and monitor a treatment plan.
Order and monitor therapeutic interventions including but not limited to diets, laboratory, radiological and diagnostic tests as deemed necessary by patient history and/or physical exam.
Provide clinical consultation, order interdisciplinary consults.
Prescribe medications in accordance with Federal and State Law & Rules and CCHMC policy.
Attain and maintain competency in subspecialty practice, skills and procedures in accordance with Joint Commission standards for focused (FPPE) and ongoing (OPPE) professional practice evaluation.
Develop outcomes as measurable goals that provide direction for continuity of care & consistency among providers.
Develop, prioritize, evaluate & modify an individualized comprehensive plan of care.
Address each diagnosis or issue, as appropriate.
Derive outcomes & plans of care that involve the patient/family/caregiver when possible & are realistic to the patient/family/caregiver capabilities & resources.
Consider risks/benefits, costs, clinical effectiveness, current scientific evidence/clinical guidelines & clinical expertise to formulate interventions, treatments & outcomes.
Incorporate new knowledge & strategies to initiate change in practice if desired outcomes not achieved.
Maintain documentation & updates accordingly outcomes, goals & the plan of care.
Maintain professional behaviors aligned with core values and care standards, participate in quality improvement activities or research to improve the care delivery process & patient care outcomes.
Participate in lifelong learning and professional development activities that improves skills & competence in clinical practice/role performance.
Serve as preceptor, role model, or mentor; Contribute to the professional development of peers/colleagues to improve pediatric health care & to foster the professions growth.
Integrate ethical considerations & research findings into practice; Provide leadership by participating on committees or in professional organizations, or writing/publishing/presenting.
Advocate for the pediatric patient/family/caregiver.
Serve as a leader, influencing both healthcare/APP practice & policy.
Maintain competency in skills/procedures; Promote self-management & family centered care; Employ diverse & complex strategies, interventions, & teaching to promote health & a safe environment; Provide leadership in care management to achieve optimal quality, cost-effective care; Document & communicate with healthcare team members to achieve an integrated delivery of pediatric care services; Delegate appropriate monitoring, assessment, & interventions according to the patient and scope of practice of the caregiver; Provide consultation to influence the identified plan of care, to enhance the abilities of others to provide health care, and to effect change in the healthcare system; Make appropriate referrals and discuss recommendations with patient/family/caregiver; Order and/or perform appropriate treatments, therapies, & procedures that are based on current knowledge, research, & practice; Provide patient/family/caregiver with diagnostic & laboratory results as well as actual/potential benefits, limitations, & adverse effects of proposed therapies.
Use a systematic, ongoing evaluation of the assessment data & outcomes to revise or resolve the diagnoses, outcomes, the plan of care, & the implementation as needed; Evaluate the accuracy of the diagnosis, effectiveness of the interventions & the plan of care strategies in relation to attainment of expected outcomes; Include the patient/family/caregiver & other healthcare providers; Base the evaluation process on advanced knowledge, practice, research, & document appropriately; Utilize the results of the evaluation to determine the impact on the patient/family/caregiver, organization, & system to make/recommend process or structural changes including policy, procedure, or protocols as appropriate.