NP Full-time
Cleveland Clinic

Nurse Practitioner, Physician Assistant - Gastroenterology

                    

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, Physician Assistant - Gastroenterology

                        

Location

Vero Beach

                    

Facility

Indian River Hospital

                     

Department

Vero Gastroenterology-Indian River Hospital

                      

Job Code

001134

                     

Shift

Days

                       

Schedule

8:00am-5:00pm

                       

Job Summary

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 an APRN protocol and specialty certification. Practice emphasizes health promotion, disease prevention and the diagnosis and treatment of acute and chronic health problems.
PA: Nationally certified licensed healthcare provider who provides primary and/or specialty medical care
(the practice of medicine) in a variety of healthcare settings. Functions within the collaboration agreement of a Physician, as per regulatory requirements. Performs complete histories and physicals on patients of all ages to establish and record patient's current health status and to develop a working diagnosis and treatment plan to provide continuing medical care, including daily examinations, writing orders, chart notes, discharging patients and completing discharge summaries. This medical care may be in a variety of clinical settings. PAs in the Hospital care role provide outpatient and/or hospital based care to patients (more than 50% of their time) with complex, acute, and chronic health conditions. Outpatient/Hospital care PAs practice in a setting that requires the performance of diagnostic and therapeutic interventions to manage acute and chronic health problems.
Must have the ability to work with multi-disciplinary teams.

                         

Job Details

Nurse Practitioner (Family and/or Adult APRN Certification), Physician Assistant- Gastroenterology I


The Cleveland Clinic Indian River Medical Center Gastroenterology Department is seeking a team oriented and engaged Advanced Practice Provider to join our team of extremely supportive caregivers, serving the adult GI population in outpatient and intermittent hospital service to assist with rounds and new consults.


Duties/procedures involved include
• 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.
• 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.
• Must be able to work with collaborating physician.
• Performs routine procedures managing simple conditions assisting in the management of more complex illness and taking initiative in performing evaluation and therapeutic procedures in response to life- threatening situations, as privileged by CCF Credentialing Board.
• May prescribe and monitor medications as allowed by prescriptive authority through applicable state Board of Nursing/Medicine and CCF policy.
• Performs specialized procedures, including PEG tube exchange as directed by the physician, following approval by CCF Credentialing Board.

Schedule: Monday – Friday

GI Experienced Preferred although newly licensed considered, especially with gastroenterology experience or clinical rotations.

PLEASE STATE YOUR SPECIFIC INTEREST and GASTROENTEROLOGY BACKGROUND IN YOUR COVER LETTER.

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.

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. 

Languages: 

Oral and written communication in English 

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. 

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. 

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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Clinical Expertise Comfort overseeing APPs across diverse clinical settings: IR suites, ambulatory imaging centers, inpatient consult services, and pre/post‑procedure clinics, remote virtual practices, Florida based practices, telehealth medicine . Proven Leadership & Team Development Skills Experience managing, mentoring, or developing APP teams. The ability to recruit, onboard, coach, and retain high-performing clinicians. Skill in addressing performance issues constructively and fairly. A leadership style that is approachable, supportive, and rooted in clear expectations and accountability Operational Strength & Systems Thinking Throughput, patient flow, and scheduling complexities How APP deployment affects access, case volume, turnaround times, and patient safety. How to design staffing models, anticipate needs, and respond to operational demands across multiple sites. How to use data to drive decisions and monitor productivity, quality, and service metrics. Commitment to Quality, Safety & Regulatory Compliance Strong working knowledge of accreditation standards (e.g., Joint Commission), radiation safety, sedation guidelines, and procedural best practices. Experience leading quality initiatives and reducing procedural complications. A proactive approach to investigating safety events and implementing process improvements. They maintain a high standard of safe, evidence-based APP practice. Strong Educational & Competency Development Background Experience designing or delivering onboarding programs, competencies, and clinical pathways. A passion for teaching, coaching, and professional growth. Ability to maintain skill validation processes and ensure readiness for procedure-specific competencies unique to IR. Strategic Vision & Innovation Identify opportunities to expand APP scope and improve imaging or IR access. Develop new APP-driven models such as triage pathways, pre-procedure clinics, or follow-up programs. Identify workflow inefficiencies and introduce innovative solutions to improve patient experience and clinical efficiency. Professionalism, Emotional Intelligence & Leadership Presence High emotional intelligence, strong judgment, and professionalism that reflects well on the Imaging Institute. Composure under pressure and the ability to navigate complex or sensitive situations with confidence. Integrity, reliability, and an unwavering commitment to patient-centered care. Reporting to the Vice President, Advanced Practice Providers, leads the Advanced Practice Providers for multiple specialties or service lines within the Institute, Hospital or Sub-market. May hold other positions within the organization simultaneously, serving in multiple leadership roles. Responsible for team performance and attainment of OKRs. Coordinates efforts with leadership (clinical and administrative) to ensure staffing and patient standard of care. Responsibilities: Leads managers on daily operations and performance expectations. Partners with administration and a multi-disciplinary clinical team to ensure patient access and fill rates in accordance with enterprise metrics. Drives strategy for business service lines to align with enterprise goals. Sets objectives and key results for APP management to align with institute, hospital, or sub-market with enterprise initiatives. Monitors performance and productivity levels to ensure efficiency objectives to include staffing design for growth. Embraces technical and innovative advances for future planning. Oversees and approves educational and development initiatives. Develops and approves policies, procedures and guidelines. Oversees compliance with safety protocols. Drives SQPE initiatives and continuous improvement efforts to strengthen high reliability standards. Monitors team engagement and develops plans for improvement focusing on recruitment and retention. Fulfills the role of an APRN or PA providing clinical practice in accordance with privileges granted and as appropriate for certification and licensure. Other duties as assigned. Education: Graduate of an A.R.C.-approved Physician Assistant Program, or Graduate of an accredited APRN program. Languages: English, written and spoken. Certifications: Current Advanced Practice Registered Nurse or Physician Assistant State License. Must have prescriptive authority or eligible to apply for licensure to prescribe from the State Medical Board within 6 months of hire. Basic Life Support (BLS) through American Heart Association (AHA) or American Red Cross required. Advanced Cardiac Life Support (ACLS) or Pediatric Advanced Life Support (PALS) through the American Heart Association (AHA) may be required based on assigned department. Complexity of Work: Strong analytical skills to interpret data and plan accordingly. Excellent communication and presentation skills with the ability to adjust for a diverse audience. Flexibility to adjust to changing initiatives and performance criteria. Ability to partner with other leaders and influence outcomes. Ability to think critically and make sound decisions in stressful situations. Ability to coach and mentor for developmental and performance outcomes and build a culture of continuous improvement. Navigates a complex, global regulatory landscape. Work Experience: Minimum of five years’ experience as an Advanced Practice Provider. Minimum of two years’ management experience. Physical Requirements: Normal vision and hearing range (can be corrected) to view documentation, presentations and communicate with other caregivers and properly examine, evaluate and communicate with patients. Ability to use a computer, phone and other technology to document patient records, use software to develop reporting and data analysis. Ability to travel regionally and walk to in person meetings. Personal Protective Equipment: Follow 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.