Nurse Practitioner or Physician Assistant

Cincinnati Children's • Cincinnati, OH

3d • Onsite

About The Position

Acute Care Nurse Practitioner (ACNP-CRNFA) or Physician Assistant (PA) Cardiothoracic Surgery | Heart Institute Join a National Leader in Pediatric and Congenital Heart Surgery Cincinnati Children’s is internationally recognized for excellence in pediatric and congenital heart surgery and transplantation. We care for some of the most complex cardiac conditions that other hospitals are unable to treat. Our Heart Surgery Program supports patients with congenital heart defects from before birth through adulthood. With expertise spanning pediatric and adult congenital care, our surgeons perform approximately 600 cardiothoracic surgeries each year, including 15–20 heart, lung, and multi-organ transplants annually. Families travel from more than 48 states and 22 countries to receive care from our world-renowned Heart Institute team. Position Highlights We are seeking an Acute Care Nurse Practitioner (ACNP with CRNFA) or Physician Assistant (PA) to join our Cardiothoracic Surgery team. In this role, you will function as a vital member of a highly collaborative, multidisciplinary care team delivering exceptional, family-centered care. Schedule & Coverage Shifts: 7:00 AM – 7:00 PM Schedule: Requires flexibility to meet patient care, including weekends, holidays, and on-call coverage Hours: Average 40 hours per week Scheduling is managed in 6-week time blocks: Two weeks of four 12-hour shifts Four weeks of three 12-hour shifts Key Responsibilities Provide care for cardiothoracic surgery patients across the continuum Participate in outpatient clinics, including pre-operative evaluations Round on inpatients and manage post-operative care Assist in the operating room, including first assist responsibilities as applicable Participate in weekday and weekend call rotation Respond on-site for emergent cases as required Collaborate closely with surgeons, intensivists, nursing, and ancillary teams Qualifications Licensed Acute Care Nurse Practitioner (ACNP) with CRNFA certification or licensed Physician Assistant (PA) Eligible for or holding Ohio licensure Previous cardiothoracic surgery, critical care, or complex inpatient experience strongly preferred Ability to thrive in a high-acuity, fast-paced surgical environment Commitment to patient- and family-centered care Compensation & Benefits Competitive salary, determined based on years of Advanced Practice Provider experience Comprehensive benefits package Professional development and continuing education opportunities Opportunity to practice at one of the nation’s top pediatric academic medical centers If you are seeking a challenging and rewarding role caring for some of the most complex cardiac patients in the world, we invite you to join Cincinnati Children’s Cardiothoracic Surgery team and make a meaningful impact every day. 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/APRN 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. Scope for subspecialty role will not exceed the scope of the collaborating or supervising MD.

Requirements

• Licensed Acute Care Nurse Practitioner (ACNP) with CRNFA certification or licensed Physician Assistant (PA)
• Eligible for or holding Ohio licensure
• Ability to thrive in a high-acuity, fast-paced surgical environment
• Commitment to patient- and family-centered care
• Masters degree in related field. May require clinical license, certification or training OR Doctorate of Nursing Practice degree
• Licensure and certification in accordance with CCHMC Delineation of Privileges
• Multi-state licensure in addition to Ohio licensure may be required base on subspeciality

Nice To Haves

• Previous cardiothoracic surgery, critical care, or complex inpatient experience strongly preferred

Responsibilities

• Provide care for cardiothoracic surgery patients across the continuum
• Participate in outpatient clinics, including pre-operative evaluations
• Round on inpatients and manage post-operative care
• Assist in the operating room, including first assist responsibilities as applicable
• Participate in weekday and weekend call rotation
• Respond on-site for emergent cases as required
• Collaborate closely with surgeons, intensivists, nursing, and ancillary teams
• 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/APRN 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.

Benefits

• Competitive salary, determined based on years of Advanced Practice Provider experience
• Comprehensive benefits package
• Professional development and continuing education opportunities
• Opportunity to practice at one of the nation’s top pediatric academic medical centers

What This Job Offers

• Job Type: Full-time
• Career Level: Mid Level
• Number of Employees: 5,001-10,000 employees