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Nurse Practitioner (Acute Care), Physician Assistant or Clinical Nurse Specialist-Critical Care Medicine Mercy Hospital

Cleveland Clinic Fort Smith, AR 72903, US
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At Cleveland Clinic Health System, we believe in a better future for healthcare. And each of us is responsible for honoring our commitment to excellence, pushing the boundaries and transforming the patient experience, every day.

We all have the power to help, heal and change lives — beginning with our own. That’s the power of the Cleveland Clinic Health System team, and The Power of Every One.

Job Title

Nurse Practitioner (Acute Care), Physician Assistant or Clinical Nurse Specialist-Critical Care Medicine Mercy Hospital

Location

Canton

Facility

Mercy Hospital

Department

Critical Care Medicine-Integrated Hospital Care Institute

Job Code

T97893

Shift

Day/Evening/Night/Weekend

Schedule

7:00am-7:00pm

Job Summary

Job Details

Cleveland Clinic's Integrated Hospital Care Institute is currently seeking a qualified Acute Care Nurse Practitioner or Physician Assistant to join the Critical Care Advanced Practice Team at Mercy Hospital. This role offers a high degree of autonomy while working within a supportive, team-based environment caring for diverse patient populations in a mixed MICU/SICU setting, including Level II trauma patients. Additional service line includes the CCU.

Role & Responsibilities:

  • Provide independent, high-level critical care to acutely ill patients.
  • Perform H&Ps from the ED, floor consultations, and daily rounding.
  • Manage procedures including central line placement, arterial lines, and intubations.
  • Write admission orders, coordinate care plans, and engage in patient/family discussions.
  • Collaborate with attending physicians and consulting teams.
  • Respond to hospital-wide emergencies, including rapid responses, sepsis alerts, stroke alerts, and code blues—providing assessment, resuscitation, and appropriate disposition.
  • Participate in 24/7 coverage with in-house attending support during daytime hours and eICU resources available overnight.

Training & Support

New APPs receive comprehensive onboarding, structured mentorship, and access to didactic resources to ensure success in providing high-quality patient care within the critical care team.

Schedule:

  • 7 days on / 7 days off schedule with 12-hour shifts (7a–7p and 7p–7a).
  • All APPs share in the night rotation.
  • Straight nights option (with shift differential) available if preferred
  • Day-only schedules are not available at this time.

Qualifications:

  • Strong communication skills and clinical judgment.
  • Commitment to delivering effective, compassionate, and collaborative patient

APRN: Nationally certified licensed healthcare provider who provides primary and/or specialty nursing and/or medical care in a variety of healthcare settings. Functions in collaboration with a physician according to a standard care arrangement and specialty certification. Provides advanced nursing care to patients with complex acute, critical, and chronic health conditions, including the delivery of acute care services. Practices in any setting in which patients require complex monitoring and therapies, high intensity nursing intervention, or continuous nursing vigilance within the range of high-acuity care.

PA: Nationally certified licensed healthcare provider who provides primary and or specialty medical care in a variety of healthcare settings. Functions with the collaboration agreement of a Physician, (as per O.R.C. 4730). Develops a working diagnosis and treatment plan based on histories and physical exam, providing continuing medical care, including daily examinations, writing orders, chart notes. PA's are privileged by the Board of Governors. PA's in this role provide advanced care to patients within any setting in which patients have complex, acute, critical and chronic health conditions. Practices in any setting in which patients require complex monitoring and therapies and high intensity medical interventions and/or continuous vigilance within the range of high-acuity care.

Job Responsibilities:

  • Conducts thorough medical histories, performs complete physical examinations (where indicated), initiates appropriate lab, radiology tests or other special tests required for evaluation of illness, and scrutinizes lab data on new and former clinic patients and hospital admissions to establish a record of the patient's current health status and to develop a working diagnosis and treatment plan.
  • Must be able to work with collaborating physician.
  • Performs and interprets, at least to the point of recognizing deviations from normal, common laboratory, radiologic, cardiographic and other routine diagnostic procedures used to identify pathophysiologic processes as privileged by CCF Credentialing Board
  • Autonomously takes initiative responding to and taking the lead in rapid response, codes and stroke alerts, admissions to the ICU, as well as performing specialized procedures , such as, blood draws, IV starts, intubation, arterial line placement, central venous catheter placement , ventilator management, in addition to other specific procedures as necessitated by the patient situation. Must be prepared to function independently in house as the sole provider in hospital.
  • Provides information and answers routine questions of patients and families regarding their disease, including preventive health maintenance topics such as diet, weight, smoking and topics related to medical specialty, with basic recommendations.
  • Educates patients regarding their disease, treatments, related drug and treatment side effects and hazards.
  • May participate in medical team rounds; collaborates with nursing, medical and other healthcare team members.
  • Refers patients to specialists as appropriate for consultation or for specialized health resources and treatment.
  • Ensures continuity of care by serving as a liaison between patient and other members of the multi-disciplinary care team or with other specialty areas as necessary.
  • May serve as clinical preceptor for PA/APRN students and other health professionals.
  • May serve as Faculty for onboarding new employees.
  • Demonstrates a high standard of moral and ethical behavior. Demonstrates compassion and professionalism and a commitment to excellent patient care.
  • Work/shift requirement: provide 24 hour, 7 days per week coverage, typically one NP/PA per shift (13-13 hour shifts per month and one 13 hour call shift per month) (hours may vary)
  • Other duties as assigned.

Education:

  • APRN: EDUCATION: Graduate of an accredited MSN/ACNP/AG-ACNP training program.
  • PA: EDUCATION: Graduate of an A.R.C.-approved Physician Assistant Program.
  • Master's degree in Physician Assistant Studies and/or applicable state license through the
  • State Medical Board for certificate to practice.

Certifications:

  • APRN: Currently licensed as a Registered Nurse and Advanced Practice Registered Nurse in applicable state.
  • National certification as Advanced Practice Registered Nurse by nationally accredited organization recognized by state Board of Nursing, current licensure by applicable state Board of Nursing, (including certificate to prescribe if applicable).
  • PA: Current certification as a Physician Assistant through the NCCPA (or successor).
  • Must have Prescriptive authority or eligible to apply for licensure to prescribe from the State Medical Board within the first 6 months of hiring.
  • Required: Basic Life Support (BLS), Advanced Cardiac Life Support (ACLS) the American Heart Association (AHA).
  • Preferred: Emergency Neurological Life Support (ENLS), Fundamental Critical Care Support, Advanced Trauma Life Support.

Competencies (Complexity of Work):

  • Excellent analytical and decision making skills are required.
  • Strong written and verbal communication skills
  • Ability to perform advanced assessment and diagnosis.
  • Critical thinking skills, decisive judgment and the ability to work autonomously.
  • Must be able to lead in critical situation (codes, rapid response, brain attacks) as sole provider in house.
  • Must be able to work in a stressful environment and take appropriate action.

 Work Experience:

  • APRN: Two years clinical advanced practice nursing experience preferred.
  • PA: Two years relative clinical experience preferred.
  • Not currently considering PA for hire at this time (formulary too exclusive)

Physical Requirements:

  • APRN/PA: Typical physical demands include the ability to walk and stand for long periods of time.
  • Manual and finger dexterity and eye/hand coordination to perform physical examinations.
  • Requires corrected vision and hearing to a normal range.
  • Occasionally lifts and carries items weighing up to 50 pounds.
  • May require exposure to communicable diseases and/or body fluids.

The policy of Cleveland Clinic Health System and its system hospitals (Cleveland Clinic Health System) is to provide equal opportunity to all of our caregivers and applicants for employment in our tobacco free and drug free environment. All offers of employment are followed by testing for controlled substance and nicotine. All offers of employment are follwed by testing for controlled substances and nicotine. All new caregivers must clear a nicotine test within their 90-day new hire period. Candidates for employment who are impacted by Cleveland Clinic Health System's Smoking Policy will be permitted to reapply for open positions after one year.

Cleveland Clinic Health System administers an influenza prevention program. You will be required to comply with this program, which will include obtaining an influenza vaccination on an annual basis or obtaining an approved exemption.

Decisions concerning employment, transfers and promotions are made upon the basis of the best qualified candidate without regard to color, race, religion, national origin, age, sex, sexual orientation, marital status, ancestry, status as a disabled or Vietnam era veteran or any other characteristic protected by law. Information provided on this application may be shared with any Cleveland Clinic Health System facility. 

Please review the Equal Employment Opportunity poster. 

Cleveland Clinic Health System is pleased to be an equal employment employer: Women / Minorities / Veterans / Individuals with Disabilities

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The practitioner will provide care to adults with life-threatening illnesses and will be an integral part of the critical care team headed by an attending intensivist, who will be on-site 24/7. Duties include ICU rounding, Rapid Response Team leader, procedures including intubations, central line insertion, arterial line insertion. APP will be able to work 6 (12-hour) shifts per month. Combination of night week day and weekend shifts. 6pm-6am Nationally certified Advanced Practice Provider who provides primary and/or specialty care in a variety of healthcare settings. Functions in collaboration with the health care team in accordance with certification and licensure. Practice emphasizes health promotion, disease prevention and the diagnosis and treatment of acute and chronic health problems. Responsible for dissemination of knowledge through instructing, leading and developing educational programs. Responsibilities: Conducts thorough medical histories, performs complete physical examinations (where indicated), initiates appropriate lab, radiology tests or other special tests required for evaluation of illness, and scrutinizes lab data to establish a record of the patient's current health status and to develop a working diagnosis and treatment plan. Works in collaboration with the health care team. Performs and interprets common laboratory, radiologic, cardiographic and other routine diagnostic procedures used to identify pathophysiologic processes as credentialed and privileged by the Medical Executive Committee and the Governing Body of the applicable hospitals. Performs routine and specialized procedures as credentialed and privileged by the Medical Executive Committee and the Governing Body of the applicable hospitals. May prescribe and monitor medications as allowed by license through applicable state board and Cleveland Clinic policies. Educates patients and answers questions regarding their disease, treatments, related drug and treatment side effects and hazards. Participates in medical team rounds; collaborates with nursing, medical and other healthcare team members regularly to ensure quality patient care. Refers patients to specialists as appropriate for consultation or for specialized health resources and treatment. Ensures continuity of care by serving as a liaison between patient and other members of the multi-disciplinary care team or with other specialty areas as necessary. Participates in quality monitoring thru the review of records and treatment plans for patient outcomes on a periodic basis to assure quality care. Facilitates appropriate length of stay, discharge planning and compliance with regulatory standards for inpatient management. Supports professional development of the health care team. Promotes translation of evidence-based practices, guidelines, and research. May conduct research studies. May assists in data collection and analysis. May serve as clinical preceptor for students. May onboard new caregivers. Other duties as assigned. Education: APRN Effective 05/01/2014: MSN required upon hire or within 3 years of hire for external hires and internal hires moving from a non-APRN licensed role to an APRN licensed role. Graduate of an accredited APRN program. If in neonatal care service area Master’s Degree is required upon hire. PA Graduate of an A.R.C. approved Physician Assistant Program. Master’s degree in Physician Assistant Studies and/or higher degree obtained from a program recognized by their practicing states Licensing Board. Certifications: NP Currently licensed as a Nurse Practitioner in applicable state(s). Must be licensed as an RN in applicable state(s). National certification as a Nurse Practitioner by nationally accredited organization recognized by state Board of Nursing. Basic Life Support (BLS) through the American Heart Association (AHA) required. Advanced Cardiac Life Support (ACLS) or Pediatric Advanced Life Support (PALS) through the American Heart Association (AHA); or Neonatal Resuscitation Program (NRP) through the American Academy of Pediatrics (AAP) may be required based upon work setting. Must have arrangements with at least one physician in accordance with requirements set forth by the State Board of Nursing in applicable states. Must be credentialed and privileged by the Medical Executive Committee and the Governing Body of the applicable hospitals. PA Certification as a Physician Assistant through the NCCPA or successor organization recognized by their practicing states Licensing Board. License to practice and prescribe issued by their practicing states Licensing Board. Current DEA License or DEA designee as required by NCQA. Basic Life Support (BLS) through the American Heart Association (AHA) required. Advanced Cardiac Life Support (ACLS) or Pediatric Advanced Life Support (PALS) through the American Heart Association (AHA); or Neonatal Resuscitation Program (NRP) through the American Academy of Pediatrics (AAP); or Advanced Trauma Life Support (ATLS) American Heart Association may be required based upon work setting. If a candidate has held a license to prescribe within another jurisdiction and needs to obtain a master's degree in order to apply for prescribing privileges the candidate will be subject for review for eligibility for hiring within our system. Must have a Physician Supervision Agreement and signed addendum to Physician Supervision Agreement. Must be credentialed and privileged by the Medical Executive Committee and the Governing Body of the applicable hospitals. CNS Currently licensed as a Clinical Nurse Specialist in applicable state(s). Must be licensed as an RN in applicable state(s). National certification as a Clinical Nurse Specialist by nationally accredited organization recognized by state Board of Nursing. Basic Life Support (BLS) through the American Heart Association (AHA) required. Advanced Cardiac Life Support (ACLS) or Pediatric Advanced Life Support (PALS) through the American Heart Association (AHA); or Neonatal Resuscitation Program (NRP) through the American Academy of Pediatrics (AAP) may be required based upon work setting. Must have arrangements with at least one physician in accordance with requirements set forth by the State Board of Nursing in applicable states. Must be credentialed and privileged by the Medical Executive Committee and the Governing Body of the applicable hospitals Complexity of Work: Excellent analytical and decision-making skills are required. Strong written and verbal communication skills. Ability to work as a member of a multi-disciplinary team. Demonstrated competency and the ability to perform advanced assessment and diagnosis. Demonstrated ability to utilize the electronic medical record. Demonstrates a high standard of moral and ethical behavior. Demonstrates compassion and professionalism and a commitment to excellent patient care. Requires critical thinking skills, decisive judgement, and the ability to work independently. Must be able to work in a stressful environment and take appropriate action. Languages: Oral and written communication in English Work Experience: Related clinical experience preferred. Physical Requirements: Typical physical demands include the ability to walk and stand for long periods of time. Manual and finger dexterity and eye/hand coordination to perform physical examinations. Requires corrected vision and hearing to a normal range. Occasionally lifts and carries items weighing up to 50 pounds. May require exposure to communicable diseases and/or body fluids. Personal Protective Equipment: Follows standard precautions using personal protective equipment as required. The policy of Cleveland Clinic Health System and its system hospitals (Cleveland Clinic Health System) is to provide equal opportunity to all of our caregivers and applicants for employment in our drug free environment. All offers of employment are followed by testing for controlled substances. Cleveland Clinic Health System administers an influenza prevention program. You will be required to comply with this program, which will include obtaining an influenza vaccination on an annual basis or obtaining an approved exemption. Decisions concerning employment, transfers and promotions are made upon the basis of the best qualified candidate without regard to color, race, religion, national origin, age, sex, sexual orientation, marital status, ancestry, status as a disabled or Vietnam era veteran or any other characteristic protected by law. Information provided on this application may be shared with any Cleveland Clinic Health System facility. If applying for a Florida position, please see the following website for more information on the background screening requirements required by the Agency of Health Care Administration: https://info.flclearinghouse.com/ Please review the Equal Employment Opportunity poster . Cleveland Clinic is pleased to be an equal employment opportunity employer.
NP ICU Mother-Baby Full-time
Michigan Medicine

Advanced Practice Professional (NNP) Brandon Newborn Intensive Care Unit and Von Voigtlander Women's Hospital)

Michigan Medicine Ann Arbor, MI
$138,489 - $213,656 / year
How to Apply This is an Advanced Practice Professional (APP) job opening. Both qualified NP and PA applicants will be considered. NPs are directed to apply to job # 273901 and PAs are directed to apply to job # 273902 A total of one (1), 1.0 FTE Advanced Practice Professionals (either NP or PA) will be hired to fill this job opening. Job Summary The Neonatal Advanced Practice Professional will provide direct patient care to newborns/infants in Von Voigtlander Women's Hospital (VVWH) 9 East and 9 West Birthing Center as well as neonatal patients in the Brandon NICU on 8 W and the expansion unit (10 West). The goals include providing the highest quality patient and family centered care, facilitating communication among multidisciplinary care providers, increasing educational opportunities for house staff and medical students, and innovating care of the newborn in the Children's and Women' Hospital Mission Statement Michigan Medicine improves the health of patients, populations and communities through excellence in education, patient care, community service, research and technology development, and through leadership activities in Michigan, nationally and internationally. Our mission is guided by our Strategic Principles and has three critical components; patient care, education and research that together enhance our contribution to society. Why Join Michigan Medicine? Michigan Medicine is one of the largest health care complexes in the world and has been the site of many groundbreaking medical and technological advancements since the opening of the U-M Medical School in 1850. Michigan Medicine is comprised of over 30,000 employees and our vision is to attract, inspire, and develop outstanding people in medicine, sciences, and healthcare to become one of the world's most distinguished academic health systems. In some way, great or small, every person here helps to advance this world-class institution. Work at Michigan Medicine and become a victor for the greater good. Michigan Medicine offers a competitive salary with excellent benefits! Full Time Salary range: $138,489 - $213,656 / year Bonus: An employee in the Neonatal Nurse Practitioner role who participates in air and ground patient transports will be eligible for a quarterly bonus of $1000. Bonuses shall be prorated for part-time employees. What benefits can you look forward to? Flexible Health, Dental, and Vision Plans Retirement Savings Plans with 2:1 Matching Group Term Life Insurance Long Term Disability Plan Generous Time Off Allowances $2200 Annual Professional Development Funds Paid Release Time for Professional Education Activities Paid Maternity and Parental Leave Tuition Support Progam Wellness Plans Work/Life Resources Responsibilities* Under physician supervision, coordinates care of acutely ill and convalescing neonates in the intensive care and acute care unit settings. The APP will perform advanced diagnostic and therapeutic tasks associated with neonates admitted to the NICU. Direct, coordinate and participate in neonatal transports (ground and air) to and from UMHS as assigned Initiate medical treatment, in collaboration with supervising physician, to stabilize the neonate prior to and during transport and lead a team to retrieve neonates from other institutions as assigned. The APP will complete detailed histories and physicals and present pertinent data to the medical staff. Collect and interpret reports from diagnostic lab tests, radiographic procedures, and clinical studies. Order tests and prescribe medications. Perform various diagnostic, therapeutic, and minor procedures. Contribute to the education of new resident physicians to the service and assist in maintaining continuity of care. Confer with attending physicians and communicate with other care providers/consultants to coordinate clinical care. Maintain accurate documentation regarding patient status, evaluations, and treatment. Streamline the patient transfer process between levels of care, including writing discharge orders and communicating specific patient needs to team members. Attend high risk deliveries, lead neonatal resuscitation activities. Participate in quality assurance activities. Perform other related duties as requested by the attending physician, and/or NICU medical director. Utilize new improvements and/or technologies that relate to job assignment. Palliative care Prenatal consult services for mothers who are taking high risk medications. Consult services to other newborn care providers in the birthing center, including Family Practice Physicians, Private Pediatricians, and Well Newborn Rounding Physicians. Note: This is a day/night position. This position includes weekend and holidays shifts as required by the service. Nursing Specific Info Required qualifications must be met by the candidate in order to be interviewed and considered for the position. Applicants who have left the UMPNC bargaining unit must include on their resume dates of past employment including months and years of service along with effort. Positions less than 20 hours/week may be combined. If you have questions regarding this posting or would like assistance with nursing opportunities please contact Nurse Recruitment at (734) 936-5183. Required Qualifications* Nurse Practitioner Current licensure to practice as a Registered Nurse and Nurse Practitioner specialty certification in the State of Michigan Current specialty certification to practice as a Neonatal Nurse Practitioner Graduate of an accredited Nurse Practitioner program AHA approved BLS Current DEA license Minimum of three (3) years of patient care experience in the care of critically ill neonates or infants in critical care inpatient settings Physician Assistant Satisfactory completion of a Physician Assistant program accredited by Accreditation Review Commission on Education for the Physician Assistant (ARC-PA) or one of its predecessor agencies, CAHEA or CAAHEP. Certification by the National Commission on Certification for Physician Assistants (NCCPA). Current license to practice as a Physician Assistant in the State of Michigan. State of Michigan Controlled Substance License Required Current DEA registration required AHA approved BLS Minimum of three (3) years of patient care experience in the care of critically ill neonates or infants in critical care inpatient settings In order to be considered for this position the applicant must have met or will have met all the required qualifications prior to the start date of employment. NOTE: Employment is contingent upon successful completion of the credentialing and privileging process. RESUME REQUIRED (for Both Internal & External Applicants) You must attach a complete and accurate resume to be fully considered for this position. Desired Qualifications* One (1) year of clinical practice experience as an APP in a NICU Demonstrated ability to positively contribute to a team. Demonstrated excellent verbal and written communication skills, organization, and problem-solving skills. Ability to function independently while assuring the medical care team is functioning smoothly and in collaboration with each other. Demonstrated ability to collaborate clinical care ideas across multiple patient care services and to communicate as a patient advocate. Demonstrated high level of critical thinking. Ability to prioritize assignments and manage a busy work environment. Demonstrated high level of motivation to learn and to participate in activities to improve patient care. Must reflect a professional appearance and demeanor and possess excellent customer service skills. Demonstrated experience with and knowledge of current medical, surgical, and pharmaceutical treatment modalities of the acute and chronically ill neonates. Work Schedule Hours: per week 40 Shift: Day/Night rotation, this position includes weekend and holidays shifts as required by the service Location: C.S. Mott Children's Hospital- 8 W, 10 W Brandon Newborn Intensive Care Unit and Von Voigtlander Women's Hospital (VVWH) 9E, 9W Birthing Center Modes of Work Positions that are eligible for hybrid or mobile/remote work mode are at the discretion of the hiring department. Work agreements are reviewed annually at a minimum and are subject to change at any time, and for any reason, throughout the course of employment. Learn more about the work modes. Union Affiliation This position is covered under the collective bargaining agreement between the U-M and the Michigan Nurses Association and the U-M Professional Nurse Council union, which contains and settles all matters with respect to wages, benefits, hours and other terms and conditions of employment. Background Screening Michigan Medicine conducts background screening and pre-employment drug testing on job candidates upon acceptance of a contingent job offer and may use a third party administrator to conduct background screenings. Background screenings are performed in compliance with the Fair Credit Report Act. Pre-employment drug testing applies to all selected candidates, including new or additional faculty and staff appointments, as well as transfers from other U-M campuses. Contact Information If you have questions regarding this posting or would like assistance with Advanced Practice Nurse opportunities please contact Michigan Medicine Nurse Recruitment at (734) 936-5183 or e-mail [email protected]. For a current listing of all open APRN job opportunities at Michigan Medicine, please visit www.umnursing.org U-M EEO Statement The University of Michigan is an equal employment opportunity employer.