Nurse Practitioner Infant High-Risk Clinic

Cincinnati Children's

3d•Hybrid

About The Position

At Cincinnati Children’s, we are united by a shared purpose: to make children’s health better. As a Nurse Practitioner in our Infant High-Risk Clinic, you will play a critical role in the longitudinal care of medically complex infants transitioning from the NICU to home. This position focuses on providing comprehensive follow-up care to patients from NICU discharge through approximately 2–3 years of age. You will work within a highly collaborative, multidisciplinary team dedicated to optimizing developmental outcomes, growth, and family support. You will care for infants and young children with complex medical and developmental needs, including those with: Birth gestational age <33 weeks Discharge with feeding support (NG-tube or G-tube) Oxygen dependence at discharge Hypoxic-Ischemic Encephalopathy (HIE) Congenital Diaphragmatic Hernia (CDH) In utero substance exposure Developmental delays or concerns Other conditions requiring close nutritional and developmental follow-up

Requirements

Licensed as an APRN (PNP or FNP) in Ohio and Kentucky
Master's degree in related field.
May require clinical license, certification or training OR Doctorate of Nursing Practice degree
NICU experience strongly preferred
Primary care or pediatric experience is also valuable
Strong interest in nutrition, feeding, and early childhood development
Demonstrated ability to work in a collaborative, multidisciplinary environment

Responsibilities

Conduct comprehensive assessments with a focus on growth, nutrition, feeding, and developmental progress
Partner with families to support care plans, education, and long-term outcomes
Collaborate closely with a multidisciplinary team, including: Occupational Therapy, Physical Therapy, Speech Therapy, Registered Dietitians, Social Work
Coordinate care, including follow-up on labs, diagnostics, and specialist recommendations
Manage in-basket responsibilities (patient messages, medication refills, care coordination)
Participate in pre-clinic planning, documentation, and administrative responsibilities
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.
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 & 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.