Nurse Practitioner or Physician Assistant, Endocrinology-Diabetes

Cincinnati Children's•Greendale, WI

19h

About The Position

This advanced practice provider role is in the Endocrinology department and focuses on managing patients with Type 1 diabetes. The work includes clinical care, potentially at the Base campus and/or Union Kentucky, Eastgate, or other satellite locations as needed, and phone coverage for insulin dose adjustments. The role is scheduled for 6–8 clinics per week and 1–3 phone-coverage shifts per week. The schedule is a day shift, with 8-hour and 12-hour shifts during inpatient weeks. The position is full time at 32 weekly hours and 0.8 FTE. Weekend and holiday work may be introduced at some future date. The provider must be willing to travel to satellite locations, including Union Kentucky, as needed. The scope of the subspecialty role will not exceed that of the collaborating or supervising physician. The APP provides and coordinates patient- and family-centered care, including assessment, diagnosis, treatment planning, ordering and monitoring interventions, medication prescribing within applicable laws and policies, and evaluating outcomes. The role also includes maintaining clinical competency, participating in quality improvement and professional development, supporting colleagues as a preceptor or mentor, and advocating for pediatric patients and families. The position requires a master’s degree in a related field, with a Doctorate of Nursing Practice degree also listed as an option. A clinical license, certification, or training may be required. Licensure and certification must meet CCHMC Delineation of Privileges requirements; multi-state licensure in addition to Ohio licensure may be required based on the subspecialty. The posting lists no directly related experience as a qualification, while diabetes experience is highly preferred.

Requirements

Nurse Practitioner and/or Physician Assistant.
Certification as FNP, Primary Care, or Physician Assistant.
Master’s degree in a related field; a Doctorate of Nursing Practice degree is also listed.
Clinical license, certification, or training may be required.
Licensure and certification in accordance with CCHMC Delineation of Privileges.
Multi-state licensure in addition to Ohio licensure may be required based on the subspecialty.
Willingness to travel to satellite locations, including Union Kentucky, as needed.

Nice To Haves

Experience with diabetes is highly preferred.
Candidates with RN or APP experience with Type 1 diabetes and Type 1 diabetes technology, including continuous glucose monitors and pumps, will be prioritized.

Responsibilities

Perform patient histories and physical examinations in the area of expertise; assess and diagnose acute and chronic conditions.
Formulate, document, monitor, and update individualized treatment and plans of care.
Order and monitor therapeutic interventions, including diets, laboratory tests, radiological tests, diagnostic tests, treatments, therapies, and procedures as appropriate.
Provide clinical consultation and order interdisciplinary consultations and referrals.
Prescribe medications in accordance with federal and state law, rules, and CCHMC policy.
Maintain competency in subspecialty practice, skills, and procedures in accordance with Joint Commission FPPE and OPPE standards.
Develop measurable care outcomes and goals that support continuity and consistency of care; prioritize, evaluate, and modify comprehensive plans of care.
Involve patients, families, and caregivers in realistic care planning when possible, considering their capabilities and resources as well as risks, benefits, costs, evidence, guidelines, and clinical expertise.
Use new knowledge and strategies to modify practice when desired outcomes are not achieved, and maintain appropriate documentation.
Maintain professional behavior aligned with core values and care standards; participate in quality improvement activities or research to improve care delivery and outcomes.
Participate in lifelong learning and professional development; serve as a preceptor, role model, or mentor and support the development of colleagues.
Integrate ethical considerations and research findings into practice; contribute leadership through committees, professional organizations, writing, publishing, or presentations.
Advocate for pediatric patients and families and contribute to healthcare practice and policy.
Promote self-management and family-centered care through teaching and other strategies that support health and safety.
Communicate and document with healthcare team members to coordinate integrated pediatric care; delegate monitoring, assessment, and interventions appropriately.
Provide consultation to support care plans, enhance others’ ability to provide care, and contribute to changes in the healthcare system.
Discuss referrals and recommendations with patients, families, or caregivers; provide diagnostic and laboratory results and explain proposed therapies, including potential benefits, limitations, and adverse effects.
Systematically evaluate assessment data, diagnoses, interventions, care plans, and outcomes; include patients, families, caregivers, and other providers in evaluation and document findings.
Use evaluation results to assess effects on patients, families, the organization, and the healthcare system and recommend process or structural changes as appropriate.
Manage Type 1 diabetes patients in clinic settings and provide phone coverage for insulin dose adjustments.
Travel to satellite locations as needed.