Neonatal Nurse Practitioner (NNP)

Cincinnati Children's

About The Position

Neonatal Nurse Practitioner (NNP) At Cincinnati Children’s, we come to work with one goal: to make children’s health better. We believe in a holistic team approach—both in caring for patients and their families and in advancing science and discovery. We continually strive to improve and find energy and inspiration in our shared purpose. If you want to be the best you can be, you can do it here. About the NICU The Newborn Intensive Care Unit (NICU) at Cincinnati Children’s is one of the largest and most advanced Level IV neonatal intensive care units in the United States—and the only Level IV NICU in Greater Cincinnati. In addition to caring for the most critically ill newborns in our Level IV unit, our team also provides expert neonatal care at affiliated local Level III nurseries. This integrated model offers our providers the unique opportunity to work across multiple levels of acuity, gaining broad clinical exposure while delivering high-quality care to newborns throughout the region. Our multidisciplinary team collaborates closely with subspecialists in cardiology, fetal and neonatal surgery, neurology, pulmonology, and urology to care for more than 700 infants each year. Role Overview Cincinnati Children’s is seeking a PRN Neonatal Nurse Practitioner (NNP) to join our highly specialized neonatal team. This role provides advanced clinical care to critically ill and medically complex newborns in the NICU and affiliated neonatal units. The PRN NNP will work collaboratively with neonatologists, fellows, residents, nurses, and multidisciplinary specialists to deliver comprehensive, family-centered care. Key Responsibilities Provide advanced practice care to neonates in a Level IV NICU and affiliated Level III nurseries Perform comprehensive neonatal assessments and develop evidence-based care plans Manage complex neonatal conditions including respiratory failure, congenital anomalies, prematurity, and surgical conditions Perform advanced neonatal procedures within scope of practice Collaborate with neonatologists, pediatric subspecialists, and multidisciplinary teams Participate in stabilization and management of critically ill neonates Provide education and support to families during hospitalization Contribute to quality improvement, clinical excellence, and evidence-based practice initiatives Team Environment Our Neonatal Nurse Practitioners play a vital role on an expert care team that includes: 100+ Advanced Practice Providers (APRNs/PAs) High-risk follow-up programs Specialized Bronchopulmonary Dysplasia (BPD) teams Congenital Diaphragmatic Hernia (CDH) program Neonatal surgical subspecialty teams Minimum Qualifications 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 Why Cincinnati Children’s Cincinnati Children’s is consistently ranked among the top pediatric hospitals in the nation and is internationally recognized for excellence in pediatric care, research, and education. Our providers are part of a culture that values innovation, collaboration, and a shared commitment to improving the lives of children and families. JOB RESPONSIBILITIES Patient 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. Professional practice including but not limited to prescription of medications in accordance with Federal and State Law & Rules and CCHMC policy. Attains and maintains competency in subspecialty practice, skills and procedures in accordance with Joint Commission standards for focused (FPPE) and ongoing (OPPE) professional practice evaluation. Outcomes Identification and Planning- Develops outcomes as measurable goals that provide direction for continuity of care & continuity of care & consistency among providers. Develops, prioritizes, evaluates & modifies an individualized comprehensive plan of care. Addresses each diagnosis or issue, as appropriate. Derives outcomes & plans of care that involve the patient/family/caregiver when possible & are realistic to the patient/family/caregiver capabilities & resources. Considers risks/benefits, costs, clinical effectiveness, current scientific evidence/clinical guidelines & clinical expertise to formulate interventions, treatments & outcomes. Incorporates new knowledge & strategies to initiate change in practice if desired outcomes not achieved. Maintains documentation & updates accordingly outcomes, goals & the plan of care. Professional Practice- 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. Care Management- Maintains competency in skills/procedures; Promotes self-management & family centered care; Employs diverse & complex strategies, interventions, & teaching to promote health & a safe environment; Provides leadership in care management to achieve optimal quality, cost-effective care; Documents & communicates with healthcare team members to achieve an integrated delivery of pediatric care services; Delegates appropriate monitoring, assessment, & interventions according to the patient and scope of practice of the caregiver; Provides 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; Makes appropriate referrals and discusses recommendations with patient/family/caregiver; Orders and/or performs appropriate treatments, therapies, & procedures that are based on current knowledge, research, & practice; Provides patient/family/caregiver with diagnostic & laboratory results as well as actual/potential benefits, limitations, & adverse effects of proposed therapies. Evaluation- Uses a systematic, ongoing evaluation of the assessment data & outcomes to revise or resolve the diagnoses, outcomes, the plan of care, & the implementation as needed; Evaluates the accuracy of the diagnosis, effectiveness of the interventions & the plan of care strategies in relation to attainment of expected outcomes; Includes the patient/family/caregiver & other healthcare providers; Bases the evaluation process on advanced knowledge, practice, research, & documents appropriately; Utilizes 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.

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
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 practice care to neonates in a Level IV NICU and affiliated Level III nurseries
Perform comprehensive neonatal assessments and develop evidence-based care plans
Manage complex neonatal conditions including respiratory failure, congenital anomalies, prematurity, and surgical conditions
Perform advanced neonatal procedures within scope of practice
Collaborate with neonatologists, pediatric subspecialists, and multidisciplinary teams
Participate in stabilization and management of critically ill neonates
Provide education and support to families during hospitalization
Contribute to quality improvement, clinical excellence, and evidence-based practice initiatives
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.
Professional practice including but not limited to prescription of medications in accordance with Federal and State Law & Rules and CCHMC policy.
Attains and maintains competency in subspecialty practice, skills and procedures in accordance with Joint Commission standards for focused (FPPE) and ongoing (OPPE) professional practice evaluation.
Develops outcomes as measurable goals that provide direction for continuity of care & continuity of care & consistency among providers.
Develops, prioritizes, evaluates & modifies an individualized comprehensive plan of care.
Addresses each diagnosis or issue, as appropriate.
Derives outcomes & plans of care that involve the patient/family/caregiver when possible & are realistic to the patient/family/caregiver capabilities & resources.
Considers risks/benefits, costs, clinical effectiveness, current scientific evidence/clinical guidelines & clinical expertise to formulate interventions, treatments & outcomes.
Incorporates new knowledge & strategies to initiate change in practice if desired outcomes not achieved.
Maintains 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.
Maintains competency in skills/procedures; Promotes self-management & family centered care; Employs diverse & complex strategies, interventions, & teaching to promote health & a safe environment; Provides leadership in care management to achieve optimal quality, cost-effective care; Documents & communicates with healthcare team members to achieve an integrated delivery of pediatric care services; Delegates appropriate monitoring, assessment, & interventions according to the patient and scope of practice of the caregiver; Provides 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; Makes appropriate referrals and discusses recommendations with patient/family/caregiver; Orders and/or performs appropriate treatments, therapies, & procedures that are based on current knowledge, research, & practice; Provides patient/family/caregiver with diagnostic & laboratory results as well as actual/potential benefits, limitations, & adverse effects of proposed therapies.
Uses a systematic, ongoing evaluation of the assessment data & outcomes to revise or resolve the diagnoses, outcomes, the plan of care, & the implementation as needed; Evaluates the accuracy of the diagnosis, effectiveness of the interventions & the plan of care strategies in relation to attainment of expected outcomes; Includes the patient/family/caregiver & other healthcare providers; Bases the evaluation process on advanced knowledge, practice, research, & documents appropriately; Utilizes 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.