NP Jobs in Ohio

NP ICU Full-time
Cleveland Clinic

Nurse Practitioner (Acute Care)-Intensive Care and Resuscitation House Officer (Euclid/AMET)

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)-Intensive Care and Resuscitation House Officer (Euclid/AMET) Location Cleveland Facility Cleveland Clinic Main Campus Department Intensive Care and Resuscitation-Integrated Hospital Care Institute Job Code T98526 Shift Day/Evening/Night/Weekend Schedule 12:00am-12:00am Job Summary Job Details Cleveland Clinic is currently seeking innovative, adaptable and critical thinking Acute Care Nurse Practitioners who thrive in fast-paced environments to join a successful NP led team of Acute Care Nurse Practitioners in providing Emergency Response and ICU care throughout The Cleveland Clinic’s regional hospital system (Emergency response only at Main Campus). Acute Care NP experience is preferred, however candidates with at least 3 years of Critical Care RN experience will be considered. Successful candidates will have a strong desire for autonomous practice and have the ability to function at the top of their license after training, fully integrating into a community hospital system where they have the ability to affect real change and improve patient outcomes with every interaction. Not to be confused with a Hospitalist role, the Intensive Care and Resuscitation House Officer will oversee urgent and critical care of all patients within the regional hospital. Other services can and will call for assistance when needed from the House Officer. Coverage is 24/7 rotating day/night shifts including weekends and rotating holidays with the option for straight night-shift available with salary differential. Duties include, but are not limited to: • Patient evaluations • Team Leader for Rapid Responses/Code Blues • Urgent patient management procedures (bedside echo, intubation, central line insertion, arterial line insertion, chest tube insertion and other procedures as necessitated by emergent situation) • Continual communication with other providers involved in care of admitted patients • Assist with admissions to ICU and subsequent critical care management • Other responsibilities as needed All new-hires will go through an in-depth and fully paid 6 month orientation process that includes: • Dedicated didactic time with presentations on applicable topics provided by experts in their fields. • Multiple simulation days, progressive in nature, that provide real-life patient care scenarios in a safe environment for learning • Hands-on training for procedures in OR, IR and Cadaver Lab • Time spent at each regional site to learn workflows and patient management • Participation in a mentorship program (1 year in duration) **Generous sign-on bonus for Acute Care NPs with at least 3 years of NP experience** Relocation reimbursement available and continuing education/certification reimbursement offered as a part of a generous benefits package. 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) 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 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
NP ICU Full-time
Cleveland Clinic

Nurse Practitioner (Acute Care)-Intensive Care and Resuscitation House Officer (Proactive APP)

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)-Intensive Care and Resuscitation House Officer (Proactive APP) Location Cleveland Facility Cleveland Clinic Main Campus Department Intensive Care and Resuscitation-Integrated Hospital Care Institute Job Code T98526 Shift Day/Evening/Night/Weekend Schedule 12:00am-12:00am Job Summary Job Details Cleveland Clinic is currently seeking innovative, adaptable and critical thinking Acute Care Nurse Practitioners who thrive in fast-paced environments to join a successful NP led team of Acute Care Nurse Practitioners in providing Emergency Response and ICU care throughout The Cleveland Clinic’s regional hospital system (Emergency response only at Main Campus). Acute Care NP experience is preferred, however candidates with at least 3 years of Critical Care RN experience will be considered. Successful candidates will have a strong desire for autonomous practice and have the ability to function at the top of their license after training, fully integrating into a community hospital system where they have the ability to affect real change and improve patient outcomes with every interaction. AS A PROACTIVE APP, THIS PROVIDER’S WOULD NOT YET HAVE A HOME BASE AND THEY WOULD BE EXPECTED TO ROTATE TO MULTIPLE FACILITIES WITHIN A GEOGRAPHIC REGION AS NEEDED. APPLICANTS WILL NEED TO BE FLEXIBLE WITH LOCATION ASSIGNMENTS. SHOULD A NON-PROACTIVE HOUSE OFFICER POSITION BECOME AVAILABLE IN THAT GEOGRAPHIC REGION, THE PROACTIVE PROVIDER WILL HAVE FIRST CONSIDERATION TO STEP INTO THE PERMANENT LOCATION. Not to be confused with a Hospitalist role, the Intensive Care and Resuscitation House Officer will oversee urgent and critical care of all patients within the regional hospital. Other services can and will call for assistance when needed from the House Officer. Coverage is 24/7 rotating day/night shifts including weekends and rotating holidays with the option for straight night-shift available with salary differential. Duties include, but are not limited to: • Patient evaluations • Team Leader for Rapid Responses/Code Blues • Urgent patient management procedures (bedside echo, intubation, central line insertion, arterial line insertion, chest tube insertion and other procedures as necessitated by emergent situation) • Continual communication with other providers involved in care of admitted patients • Assist with admissions to ICU and subsequent critical care management • Other responsibilities as needed All new-hires will go through an in-depth and fully paid 6 month orientation process that includes: • Dedicated didactic time with presentations on applicable topics provided by experts in their fields. • Multiple simulation days, progressive in nature, that provide real-life patient care scenarios in a safe environment for learning • Hands-on training for procedures in OR, IR and Cadaver Lab • Time spent at each regional site to learn workflows and patient management • Participation in a mentorship program (1 year in duration) **Generous sign-on bonus for Acute Care NPs with at least 3 years of NP experience** Relocation reimbursement available and continuing education/certification reimbursement offered as a part of a generous benefits package. 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) 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. 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. 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 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
NP Outpatient Part-time
Cleveland Clinic

Advanced Practice Provider (Family NP) (NP/PA/CNS)-- Pre Anesthesia Consultation Clinic Avon (Part Time .5 FTE)

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 Advanced Practice Provider (Family NP) (NP/PA/CNS)-- Pre Anesthesia Consultation Clinic Avon (Part Time .5 FTE) Location Avon Facility Avon Hospital Department PACCW Anesthesia-Integrated Hospital Care Institute Job Code T97899 Shift Variable Schedule 7:00am-4:00pm/4:00pm-8:00pm Job Summary Job Details Cleveland Clinic’s PACC (Pre-Anesthesia Consultation Clinic) team is currently seeking an experienced Physician Assistant or Family certified Nurse Practitioner for a part time (.5 FTE) position at our PACC site at Avon Hospital. Daily duties will include Pre-Anesthesia assessments (to a diverse patient population). The schedule will include evenings (Monday/Tuesday 4pm-8pm) and weekends (Saturday 7am-4pm). No holidays or call at this time. New graduates with active Ohio license are welcome to apply. 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. 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. 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 the collaboration agreement of a Physician, (as per O.R.C. 4730) 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. PA's are privileged by the Board of Governors. PA's 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 PA's 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. 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 Languages: Oral and written communication in English Certifications: 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 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 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. 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
NP Oncology Full-time
Ohio State University Wexner Medical Center

Advanced Practice Provider Lead - Thoracic Medical Oncology- The James

Screen reader users may encounter difficulty with this site. For assistance with applying, please contact hr-accessibleapplication@osu.edu . If you have questions while submitting an application, please review these frequently asked questions . Current Employees and Students: If you are currently employed or enrolled as a student at The Ohio State University, please l og in to Workday to use the internal application process. Welcome to The Ohio State University's career site. We invite you to apply to positions of interest. In order to ensure your application is complete, you must complete the following: Ensure you have all necessary documents available when starting the application process. You can review the additional job description section on postings for documents that may be required. Prior to submitting your application, please review and update (if necessary) the information in your candidate profile as it will transfer to your application. Job Title: Advanced Practice Provider Lead - Thoracic Medical Oncology- The James Department: James | Ambulatory Nurse Practioner and Physician Assistant Scope of Position The Advanced Practice Provider (APP) Lead works with APP and Division leadership and will function in liaison, oversight, and mentoring roles for other advanced practice providers. Administrative and reporting responsibilities as per department expectations. Interacts with the division workforce at large on issues related to advanced practice providers. Assigned responsibility for mentoring advanced practice providers and is designated expert for advanced practice in the division. Provides clinical and day-to-day leadership and mentoring in matters relating to advanced practice and the professional development of APRNs or PAs for serving as the liaison between the APRN/PAs and upper-level advanced practice management (APP Manager and APP Director). The APP Lead is responsible for providing health care services to patients within the parameters of a standard care or supervisory agreement with an attending physician member of The Ohio State University Wexner Medical Center. Collaborates with a physician (s) and other clinicians in providing a full scope of patient care. The focus is on preventive health or the management of acute and/or stable chronic conditions. Performs medical services that have been specifically authorized and directed by the credentialing body and the certifying organization through which they hold licensure. Position Summary The APP Lead provides health care services to patients working in collaboration with a licensed physician member of the medical staff. Healthcare services provided include care during acute and chronic phases of illness, education, and counseling of individuals and families, health promotion and prevention, and referral to other healthcare providers and community resources when appropriate Minimum Qualifications Current certificate of authority to practice as an APRN in the State of Ohio Graduate of an APRN program that qualifies the graduate to sit for the certification examination of a national certifying organization recognized by the Ohio Board of Nursing Master’s Degree in Science or Nursing OR Masters Prepared; Graduate of a PA-C program that qualifies the graduate to sit for the certification examination recognized by the National Certification Commission for Physician Assistants (NCCPA). Eligibility for State of Ohio licensure as a PA-C Required Experience Years of relevant experience required: 2 Preferred minimum years of relevant experience: 2-4 Additional Information: Location: Brain and Spine Hospital (0372) Position Type: Regular Scheduled Hours: 40 Shift: First Shift Final candidates are subject to successful completion of a background check. A drug screen or physical may be required during the post offer process. Thank you for your interest in positions at The Ohio State University and Wexner Medical Center. Once you have applied, the most updated information on the status of your application can be found by visiting the Candidate Home section of this site. Please view your submitted applications by logging in and reviewing your status. For answers to additional questions please review the frequently asked questions . The university is an equal opportunity employer, including veterans and disability. As required by Ohio Revised Code section 3345.0216 , Ohio State will: educate students by means of free, open and rigorous intellectual inquiry to seek the truth; equip students with the opportunity to develop intellectual skills to reach their own, informed conclusions; not require, favor, disfavor or prohibit speech or lawful assembly; create a community dedicated to an ethic of civil and free inquiry, which respects the autonomy of each member, supports individual capacities for growth and tolerates differences in opinion; treat all faculty, staff and students as individuals, hold them to equal standards and provide equality of opportunity with regard to race, ethnicity, religion, sex, sexual orientation, gender identity or gender expression.
NP Psych Full-time
Psychosocial Therapies

Psychiatric Mental Health Nurse Practitioner or Physician Assistant

Job Description Seeking full-time or part-time Psychiatric Mental Health Nurse Practitioners or PA in the Cleveland, Ohio and the surrounding Area to provide rapid growth and quickly expanding psychiatric service obligations to residents in long term care facilities. This skilled professional must be able to work collaboratively with members of interdisciplinary treatment team to develop, implement or evaluate treatment plans. We are seeking a skilled professional that is committed to providing these services with a high level of integrity and thrives for excellence in the care of the residents. We are offering a competitive compensation package and a sign on bonus for this opportunity. Minimum Job Requirements: Licensed nurse in the state of Ohio with Advance Practice Registered Nurse License in good standing or a PA license. Hold a degree as a PMHNP - Psychiatric Mental Health Nurse Practitioner at the level needed to assess and prescribe medication collaboratively with a psychiatrist as determined by the State Board of Nursing. Board Certified Psychiatric experience required. Geriatric experience preferred. Active DEA required. Ability to travel locally required. Job Types: Full-time, Part-time, Contract
NP Full-time
CareMed

Full Time Primary Nurse Practitioner

Company Description CareMed Health Solutions is a facility-based team of medical providers who provide medical services to patients living in long term care facilities. We strive to give quality care to residents while working together with the facility to carry out the best care possible. While an interdisciplinary care team to provide medical care to patients in long term care facilities, you will have the opportunity to impact in a positive way the life and wellbeing of the elderly population. We are currently seeking Nurse Practitioners provide medical services to patients living in long term care facilities. NP ROLE AND RESPONSIBILITIES: Provide primary and preventative care for long term care patients residing in skilled nursing facilities. Manage Residents with acute change in condition. Advanced care planning and chronic care management. Prescribe appropriate medications, including controlled substances in accordance with OH Law. Order, review and/or follow-up with treatments and diagnostic testing. Communicate with the nursing home staff on a regular and as needed to discuss changes in condition. and/or the care plan. Collaborate with primary care physician. NP QUALIFICATIONS AND EDUCATION REQUIREMENTS Current, unrestricted NP license in the state of Ohio. Board Certification. DEA licensure. Clinical background in adult, family or geriatric specialties. Experience working in a long-term care setting. Ability to work with an EMR. Ability to manage patients with advanced illness and multiple chronic conditions. Ability to work within an interdisciplinary care team to coordinate patient care. NP BENEFITS 401(k) 401(k) matching Continuing education credits Recertification Reimbursement Malpractice insurance Dental insurance Health insurance Paid time off Vision insurance Bonus Pay $5000 Sign-On Bonus
NP Part-time
Carease Health

Nurse Practitioner (NP) Cleveland Hybrid

Carease is a nationwide preventative healthcare company focused on reducing hospitalizations. We are dedicated to improving the lives of nursing home patients through remote monitoring, chronic care management, and psychiatric collaborative care. We believe in teamwork, compassion, and supporting one another so every employee feels valued and empowered to make a real difference in patient care. Carease Health is seeking an experienced Nurse Practitioner (NP) or Physician Assistant (PA) with a background in Geriatrics or Internal Medicine to deliver high-quality preventative care to residents in skilled nursing facilities. This hybrid role combines on-site visits with remote work from home, supported by a dedicated scribe team for efficient documentation. Success in this role depends on building strong relationships with the facility, maintaining a patient-centered approach, and being a collaborative team player. We offer great compensation, flexibility, and a supportive clinical environment. Requirements: Active NP or PA license (in the state of practice) 1+ year of experience in: Geriatric care Documentation review Excellent communication, collaboration, and teamwork skills Benefits: Hybrid Role! Make your own schedule! Support and Training from our clinical directors, regional managers and supervisors Free CEUs Referral Bonuses Up to 18 hours per week mostly from home Join a growing company that truly cares about you! Your growth, your well being, and your work-life balance. Apply today!
NP Psych Full-time
Psychosocial Therapies

Psychiatric Mental Health Nurse Practitioner (PMHNP) or Physician Assistant (PA)

Job Description Seeking full-time or part-time Psychiatric Mental Health Nurse Practitioner or Physician Assistant in the Sidney, Vandalia and Dayton, Ohio area. The responsabilities will be to provide rapid growth and quickly expanding psychiatric service obligations to residents in long term care facilities. This skilled professional must be able to work collaboratively with members of interdisciplinary treatment team to develop, implement or evaluate treatment plans. We are seeking a skilled professional that is committed to providing these services with a high level of integrity and thrives for excellence in the care of the residents. We are offering a competitive compensation package and a sign on bonus for this opportunity. Minimum Job Requirements: Licensed nurse in the state of Ohio with Advance Practice Registered Nurse License in good standing. or Physician Assistant degree is the State of Ohio. Hold a degree as a PMHNP - Psychiatric Mental Health Nurse Practitioner at the level needed to assess and prescribe medication collaboratively with a psychiatrist as determined by the State Board of Nursing. Or a Physician Assistant with experince in the psychiatry field. Board Certified Psychiatric experience required. Geriatric experience preferred. Active DEA required. Ability to travel locally required. Job Types: Full-time, Part-time, Contract
NP Psych Full-time
Psychosocial Therapies

Psychiatric Mental Health Nurse Practitioner or Physician Assistant

Job Description Seeking full-time or part-time Psychiatric Mental Health Nurse Practitioners or PA in the Akron, Ohio and the surrounding Area to provide rapid growth and quickly expanding psychiatric service obligations to residents in long term care facilities. This skilled professional must be able to work collaboratively with members of interdisciplinary treatment team to develop, implement or evaluate treatment plans. We are seeking a skilled professional that is committed to providing these services with a high level of integrity and thrives for excellence in the care of the residents. We are offering a competitive compensation package and a sign on bonus for this opportunity. Minimum Job Requirements: Licensed nurse in the state of Ohio with Advance Practice Registered Nurse License in good standing or a PA license. Hold a degree as a PMHNP - Psychiatric Mental Health Nurse Practitioner at the level needed to assess and prescribe medication collaboratively with a psychiatrist as determined by the State Board of Nursing. Board Certified Psychiatric experience required. Geriatric experience preferred. Active DEA required. Ability to travel locally required. Job Types: Full-time, Part-time, Contract
NP Outpatient Full-time
CareMed

Full Time Primary Care Nurse Practitioner

Company Description CareMed Health Solutions is a facility-based team of medical providers who provide medical services to patients living in long term care facilities. We strive to give quality care to residents while working together with the facility to carry out the best care possible. While an interdisciplinary care team to provide medical care to patients in long term care facilities, you will have the opportunity to impact in a positive way the life and wellbeing of the elderly population. We are currently seeking Nurse Practitioners provide medical services to patients living in long term care facilities. NP ROLE AND RESPONSIBILITIES: Provide primary and preventative care for long term care patients residing in skilled nursing facilities. Manage Residents with acute change in condition. Advanced care planning and chronic care management. Prescribe appropriate medications, including controlled substances in accordance with NH Law. Order, review and/or follow-up with treatments and diagnostic testing. Communicate with the nursing home staff on a regular and as needed to discuss changes in condition. and/or the care plan. Collaborate with primary care physician. NP QUALIFICATIONS AND EDUCATION REQUIREMENTS Current, unrestricted NP license in the state of Ohio. Board Certification. DEA licensure. Clinical background in adult, family or geriatric specialties. Experience working in a long-term care setting. Ability to work with an EMR. Ability to manage patients with advanced illness and multiple chronic conditions. Ability to work within an interdisciplinary care team to coordinate patient care. Psych experience a plus Full Time NP BENEFITS 401(k) 401(k) matching Continuing education credits Recertification Reimbursement Malpractice insurance Dental insurance Health insurance Paid time off Vision insurance Bonus Pay $5000 Sign-On Bonus
NP Outpatient Per Diem
CareMed

Part Time / PRN Primary Care Nurse Practitioner

Company Description CareMed Health Solutions is a facility-based team of medical providers who provide medical services to patients living in long term care facilities. We strive to give quality care to residents while working together with the facility to carry out the best care possible. While an interdisciplinary care team to provide medical care to patients in long term care facilities, you will have the opportunity to impact in a positive way the life and wellbeing of the elderly population. We are currently seeking Nurse Practitioners provide medical services to patients living in long term care facilities. NP ROLE AND RESPONSIBILITIES: Provide primary and preventative care for long term care patients residing in skilled nursing facilities. Manage Residents with acute change in condition. Advanced care planning and chronic care management. Prescribe appropriate medications, including controlled substances in accordance with OH Law. Order, review and/or follow-up with treatments and diagnostic testing. Communicate with the nursing home staff on a regular and as needed to discuss changes in condition. and/or the care plan. Collaborate with primary care physician. NP QUALIFICATIONS AND EDUCATION REQUIREMENTS Current, unrestricted NP license in the state of Ohio. Board Certification. DEA licensure. Clinical background in adult, family or geriatric specialties. Experience working in a long-term care setting. Ability to work with an EMR. Ability to manage patients with advanced illness and multiple chronic conditions. Ability to work within an interdisciplinary care team to coordinate patient care. NP BENEFITS Recertification Reimbursement Malpractice insurance
State of Ohio

Correctional Advanced Practice Nurse / Psychiatric / Mental Health 20079782

$51.32 / HOUR
What You’ll Do Provides direct psychiatric/mental health care, which may be done in person or via videoconferencing at any institution as the need arises (e.g., conducts mental health and psychopharmacological assessments, formulates mental health diagnoses and provides psychotropic medication management consistent with formulary, orders lab tests, may include care for offenders in crisis) Performs mental health evaluations of offenders for purposes of formulating diagnoses and determining whether psychotropic medication is indicated for treatment of condition Prescribes medication as needed Orders, interprets and analyzes laboratory reports and findings Collaborates with medical services staff to ensure integrated care Documents all clinical encounters and medication management appointments in the health record in accordance with DRC policy and protocols Participates in treatment planning, treatment team meetings pertaining to his/her caseload inmates Provides psychiatric/mental health care services to offenders incarcerated in correctional institutions Provides clinical supervision and consultation for registered nurses and other mental health staff on issues pertaining to psychotropic medication management and other clinical issues Receives clinical supervision from collaborating physician on a regular basis Participates as a member of behavioral health staff in development of overall goals, objectives, standards, policies and guidelines for assigned mental health programs Participates in Continuous Quality Improvement activities Maintains clinical competency Valid license as Registered Nurse; completion of advanced level practice nurse program for Clinical Nurse Specialist or Certified Nurse Practitioner in psychiatric/mental health specialty & certified by Ohio Board of Nursing for advanced practice with valid certificate of authority & certificate to prescribe in accordance with ORC 4723. Job Skills: Nursing, Behavioral Health, Corrections - Mental Health, Medical Charting, Medication Management, Listening, Decision Making, Teamwork, Time Management, Written Communication. Organization Rehabilitation & Correction - Southeastern Correctional Institution Agency Contact Name and Information Michele.Addison@drc.ohio.gov Unposting Date Dec 5, 2025, 10:59:00 PM Work Location Southeastern Correctional Inst Primary Location United States of America-OHIO-Fairfield County-Lancaster Compensation $51.32 Schedule Full-time Classified Indicator Classified Union 1199 Primary Job Skill Nursing Technical Skills Medical Charting, Medication Management, Behavioral Health, Corrections - Mental Health, Nursing Professional Skills Decision Making, Listening, Teamwork, Time Management, Written Communication Agency Overview Who We Are… Guided by a single mission “To reduce recidivism among those we touch,” the Ohio Department of Rehabilitation and Correction believes that everyone is capable of positive change. Our staff embrace these core values and serves as role models for pro-social behavior conveying an attitude of dignity and respect in the treatment of others. What We Do… The Ohio Department of Rehabilitation and Correction has been tasked with front line crime reduction through rehabilitative treatment and programming efforts provided in a safe, secure and humane correctional environment and effective community supervision. Our goal is to protect the public through helping individuals turn away from crime and become productive, contributing members of our communities, ensuring a safer Ohio for all Ohioans now and in the future. To learn more about our agency, please visit our website at www.drc.ohio.gov Are You Ready? We are thrilled to see that you are interested in beginning your career with the Ohio Department of Rehabilitation and Correction! Without a doubt, this will be the most rewarding and meaningful work you’ll ever find with a work family that is second to none!
NP Part-time
Carease Health

Nurse Practitioner (NP) Hybrid

Carease is a nationwide preventative healthcare company focused on reducing hospitalizations. We are dedicated to improving the lives of nursing home patients through remote monitoring, chronic care management, and psychiatric collaborative care. We believe in teamwork, compassion, and supporting one another so every employee feels valued and empowered to make a real difference in patient care. Carease Health is seeking an experienced Nurse Practitioner (NP) or Physician Assistant (PA) with a background in Geriatrics or Internal Medicine to deliver high-quality preventative care to residents in skilled nursing facilities. This hybrid role combines on-site visits with remote work from home, supported by a dedicated scribe team for efficient documentation. Success in this role depends on building strong relationships with the facility, maintaining a patient-centered approach, and being a collaborative team player. We offer great compensation, flexibility, and a supportive clinical environment. Requirements: Active NP or PA license (in the state of practice) 1+ year of experience in: Geriatric care Documentation review Excellent communication, collaboration, and teamwork skills Benefits: Hybrid Role! Make your own schedule! Support and Training from our clinical directors, regional managers and supervisors Free CEUs Referral Bonuses Up to 20 hours per week mostly from home Join a growing company that truly cares about you! Your growth, your well being, and your work-life balance. Apply today!
NP Psych Part-time
Psychosocial Therapies

Psychiatric Mental Health Nurse Practitioner, PMHNP

Job Description Psycho Social Therapies is a leading mental health agency specializing in long-term care, servicing the geriatric population residing in nursing homes and assisted living facilities throughout the state of Ohio. We are actively seeking a part-time Psychiatric Mental Health Nurse Practitioner in the Lima, Ohio area and its environs. Our mission is to meet the growing psychiatric service needs of residents in long-term care facilities. As a skilled professional, you will collaborate with interdisciplinary treatment teams to design, implement, and assess treatment plans . Our ideal candidate is deeply committed to delivering these services with integrity and a relentless pursuit of excellence in resident care . In return, we offer a competitive compensation package . Join us in making a positive impact on the well-being of our community! Minimum Job Requirements: Licensed nurse in the state of Ohio with Advance Practice Registered Nurse License in good standing. Hold a degree as a PMHNP - Psychiatric Mental Health Nurse Practitioner at the level needed to assess and prescribe medication collaboratively with a psychiatrist as determined by the State Board of Nursing. Board Certified Psychiatric experience required. Geriatric experience preferred. Active DEA required. Job Types: Part-time
NP Psych Full-time
Psychosocial Therapies

Psychiatric Mental Health Nurse Practitioner (PMHNP) or Physician Assistant (PA)

About Us: Psycho Social Therapies is a leading mental health agency dedicated to providing exceptional psychiatric services to residents in long-term care facilities. Our mission is to address the growing mental health needs within these communities through compassionate and comprehensive care. Job Description: We are actively seeking a part-time Psychiatric Mental Health Nurse Practitioner (PMHNP) or Physician Assistant (PA) to join our team in the Norwalk, Ohio area. As a valued member of our team, you will collaborate with interdisciplinary treatment teams to design, implement, and evaluate individualized treatment plans. Your primary responsibilities will include conducting psychiatric evaluations, performing assessments, and managing medications for residents. You will make regular visits to long-term care facilities, ensuring consistent and quality care. Key Responsibilities: Conduct psychiatric evaluations and assessments for residents. Manage and prescribe medications as part of comprehensive treatment plans. Collaborate with interdisciplinary teams to design, implement, and assess treatment plans. Make regular visits to assigned long-term care facilities to provide ongoing support and care. Qualifications: Licensed Nurse Practitioner or Physician Assistant in the state of Ohio. Degree as a Psychiatric Mental Health Nurse Practitioner or Physician Assistant, with the ability to assess and prescribe medications in collaboration with a psychiatrist as per State Board of Nursing regulations. Board Certification required. Experience in psychiatric care is essential. Geriatric experience is preferred. Active DEA license required. What We Offer: Competitive compensation package. Opportunities for professional growth and development. A supportive and collaborative work environment. The chance to make a meaningful impact on the well-being of our community. Join Us: If you are a dedicated and compassionate professional looking to make a positive difference in the lives of long-term care residents, we invite you to join our team. Apply today and help us continue our mission of excellence in mental health care.
NP Full-time
Fulton County Health Center

FCHC HEART & VASCULAR - NURSE PRACTITIONER (NP) OR PHYSICIAN ASSISTANT (PA) - Full-time Days

Description FCHC Heart & Vascular - Nurse Practitioner (NP) or Physician Assistant (PA) Department: FCHC Heart & Vascular Status Hours: Full-Time, 72 hours bi-weekly Shift: 1st Shift ------------------------------------------------------------------------------------------------------------------------------------------------- Job Summary: Fulton County Health Center’s Heart & Vascular Center is seeking a compassionate and skilled Nurse Practitioner (NP) or Physician Assistant (PA) to provide high-quality cardiovascular care to patients of all ages. This role collaborates closely with cardiologists and the healthcare team to deliver comprehensive, patient-centered care in both office and hospital settings. Job Responsibilities: Manage acute and chronic cardiac patients in both outpatient and inpatient settings. Conduct outpatient clinic visits, inpatient rounding, hospital consults and on-call rotation. Collaborate with cardiologists, nursing staff, and other specialists to ensure continuity of care. Order, perform, and interpret diagnostic tests, including labs and imaging studies. Prescribe and manage medications for cardiac and related conditions. Maintain accurate electronic health records and ensure compliance with documentation and billing standards. Provide patient education and counseling on treatment plans, disease prevention, and health maintenance. Assist physicians with procedures, minor surgeries, and other interventions as needed. ------------------------------------------------------------------------------------------------------------------------------------------------- Requirements Master’s degree from an accredited Nurse Practitioner or Physician Assistant program. Current state license and DEA registration, or eligibility to obtain. Preferred experience in cardiology, internal medicine, or acute care; new graduates may be considered depending on practice setting. Strong clinical reasoning, communication, and interpersonal skills. Ability to collaborate effectively with a multidisciplinary team. Proficiency in electronic medical records and understanding of documentation and billing standards.
NP Full-time
The Christ Hospital Health Network

Advanced Practice Provider - Ortho Spine Surgery

Job Description ADVANCED PRACTICE PROVIDER – SPINE SURGERY Our Orthopedic Spine Surgery practice is seeking a highly motivated and dedicated Physician Assistant (PA) or Nurse Practitioner (NP) to join our team. This role will be 2:1 APP coverage with a single physician and involves a blend of clinic, surgical, and administrative responsibilities, with opportunities for professional growth and autonomy over time. The selected candidate will be the second dedicated APP for this physician. The position will include a highly competitive compensation with a full benefits package. Below is a summary of key responsibilities and expectations for the role: Primary Responsibilities: Clinic Duties Clinics locations Blue Ash, Liberty, Mt. Auburn; Clinics typically start is 8:00 AM Attend biweekly pre-op conferences to review upcoming surgical cases Operating Room Assistance Assist in surgeries As Appropriate, complete post-operative orders and conduct neurological checks when patients awaken. On-Call Responsibilities Participate in office-based call pool Rounding Duties Conduct hospital rounds on post-operative patients as needed Administrative Work Assist in the management of patient queries, prescription refills. Conduct peer-to-peer calls for insurance approvals when necessary Desired Qualities and Skills: Strong motivation to learn and grow Determination of next steps in clinical and surgical settings, ensuring efficiency and comprehensive care. Resourcefulness in resolving EMR, communication, and patient care challenges Dedication to continuous learning, including self-study of spine-related conditions and imaging THE CHRIST HOSPITAL HEALTH NETWORK The Christ Hospital Health Network is a regional system of care that extends The Christ Hospital’s 130+ years of exceptional care and leadership with multiple ambulatory centers and over 180 neighborhood offices conveniently located throughout the Greater Cincinnati area. We deliver integrated, individualized healthcare and wellness services through our comprehensive physician and advanced practice provider network, innovative specialty services and the region’s Most Preferred Hospital (National Research Corporation). Our mission is to improve the health of our community and create patient value by providing exceptional outcomes and the finest experience in an affordable way. Education: Graduate from accredited Certified Nurse Practitioner or Physician Assistant program. License/Certification: DEA license BLS and ACLS certified Physician Assistant: Graduate from accredited physician assistant program with a Master's Degree Physician Assistant Certification (verified by the National Commission or the Certification of Physician Assistant – NCCPA. Current, valid license (registration) by the state Medical Board of Ohio or applicable state medical board. Current Certificate to prescribe by the State Medical Board of Ohio.
NP ICU Full-time
OhioHealth

Medical ICU Nurse Practitioner (NP) or Physician Assistant (PA)

We are more than a health system. We are a belief system. We believe wellness and sickness are both part of a lifelong partnership, and that everyone could use an expert guide. We work hard, care deeply and reach further to help people uncover their own power to be healthy. We inspire hope. We learn, grow, and achieve more – in our careers and in our communities. Job Description Summary: The Advanced Practice Providers (APP), Physician Assistant (PA) or Advanced Practice Registered Nurse (APRN) including Clinical Nurse Specialist (CNS) or Nurse Practitioner (NP), work in collaboration with the physician in the hospital-based inpatient setting working with critically ill patients, primarily in the Intensive Care Unit or as a surgery first assist in a variety of specialties. Perform invasive procedures and requires a high level of independent clinical decision-making. Responsibilities And Duties: Works under direction and in consultation/collaboration with physician and may perform services authorized by the supervising/collaborating physician that are part of the physician's normal course of practice and expertise. Promotes quality outcomes and initiatives. Must have a Supervision Agreement (SA) or Standard Care Arrangement (SCA) with a physician in like practice. Practices within applicable state laws, appropriate boards, and in accordance with his/her/their SA/SCA and delineation of privileges. Minimum Qualifications: COA - Certificate of Authority as CNS - State of Ohio, RN - Registered Nurse - Ohio Board of Nursing Additional Job Description: Work Shift: Variable Scheduled Weekly Hours : 40 Department RMH Critical Care APPs Join us! ... if your passion is to work in a caring environment ... if you believe that learning is a life-long process ... if you strive for excellence and want to be among the best in the healthcare industry Equal Employment Opportunity OhioHealth is an equal opportunity employer and fully supports and maintains compliance with all state, federal, and local regulations. OhioHealth does not discriminate against associates or applicants because of race, color, genetic information, religion, sex, sexual orientation, gender identity or expression, age, ancestry, national origin, veteran status, military status, pregnancy, disability, marital status, familial status, or other characteristics protected by law. Equal employment is extended to all person in all aspects of the associate-employer relationship including recruitment, hiring, training, promotion, transfer, compensation, discipline, reduction in staff, termination, assignment of benefits, and any other term or condition of employment
NP ICU Full-time
Ohio State University Wexner Medical Center

Advanced Practice Provider (NP/PA)- Surgical Intensive Care Unit (SICU)

Screen reader users may encounter difficulty with this site. For assistance with applying, please contact hr-accessibleapplication@osu.edu . If you have questions while submitting an application, please review these frequently asked questions . Current Employees and Students: If you are currently employed or enrolled as a student at The Ohio State University, please l og in to Workday to use the internal application process. Welcome to The Ohio State University's career site. We invite you to apply to positions of interest. In order to ensure your application is complete, you must complete the following: Ensure you have all necessary documents available when starting the application process. You can review the additional job description section on postings for documents that may be required. Prior to submitting your application, please review and update (if necessary) the information in your candidate profile as it will transfer to your application. Job Title: Advanced Practice Provider (NP/PA)- Surgical Intensive Care Unit (SICU) Department: James | Critical Care Nurse Practitioner and Physician Assistant Scope of Position The Advanced Practice Provider (APP) is responsible for providing health care services to patients within the parameters of a standard care or supervisory agreement with an attending physician member of The Ohio State University Wexner Medical Center. Collaborates with a physician(s) and other clinicians in providing a full scope of patient care. The focus is on preventive health or the management of acute and/or stable chronic conditions. Performs medical services that have been specifically authorized and directed by the credentialing body and the certifying organization through which they hold licensure. Position Summary The APP provides health care services to patients working in collaboration with a licensed physician member of the medical staff. Healthcare services provided include care during acute and chronic phases of illness, education, and counseling of individuals and families, health promotion and prevention, and referral to other healthcare providers and community resources when appropriate Minimum Qualifications Current certificate of authority to practice as an APRN in the State of Ohio Graduate of a Nurse Practitioner program that qualifies the graduate to sit for the certification examination of a national certifying organization recognized by the Ohio Board of Nursing Master of Science Degree in Nursing 0 years of relevant experience required. 0-2 years of relevant experience preferred. OR Masters Prepared; Graduate of a PA-C program that qualifies the graduate to sit for the certification examination recognized by the National Certification Commission for Physician Assistants (NCCPA). Eligibility for State of Ohio licensure as a PA-C 0 years of relevant experience required. 0-2 years of relevant experience preferred. Career Roadmap FUNCTION: Advanced Practice SUBFUNCTION: Advanced Practice Provider CAREER BAND: Individual Contributor - Clinical CAREER LEVEL: C3 Additional Information: Acute Care NP or PA required Location: James Cancer Hospital (0375) Position Type: Regular Scheduled Hours: 40 Shift: Rotating Shift Final candidates are subject to successful completion of a background check. A drug screen or physical may be required during the post offer process. Thank you for your interest in positions at The Ohio State University and Wexner Medical Center. Once you have applied, the most updated information on the status of your application can be found by visiting the Candidate Home section of this site. Please view your submitted applications by logging in and reviewing your status. For answers to additional questions please review the frequently asked questions . The university is an equal opportunity employer, including veterans and disability. As required by Ohio Revised Code section 3345.0216 , Ohio State will: educate students by means of free, open and rigorous intellectual inquiry to seek the truth; equip students with the opportunity to develop intellectual skills to reach their own, informed conclusions; not require, favor, disfavor or prohibit speech or lawful assembly; create a community dedicated to an ethic of civil and free inquiry, which respects the autonomy of each member, supports individual capacities for growth and tolerates differences in opinion; treat all faculty, staff and students as individuals, hold them to equal standards and provide equality of opportunity with regard to race, ethnicity, religion, sex, sexual orientation, gender identity or gender expression.
NP ICU Full-time
Ohio State University Wexner Medical Center

Advanced Practice Provider (NP/PA)- Surgical Intensive Care Unit (SICU)

Screen reader users may encounter difficulty with this site. For assistance with applying, please contact hr-accessibleapplication@osu.edu . If you have questions while submitting an application, please review these frequently asked questions . Current Employees and Students: If you are currently employed or enrolled as a student at The Ohio State University, please l og in to Workday to use the internal application process. Welcome to The Ohio State University's career site. We invite you to apply to positions of interest. In order to ensure your application is complete, you must complete the following: Ensure you have all necessary documents available when starting the application process. You can review the additional job description section on postings for documents that may be required. Prior to submitting your application, please review and update (if necessary) the information in your candidate profile as it will transfer to your application. Job Title: Advanced Practice Provider (NP/PA)- Surgical Intensive Care Unit (SICU) Department: James | Critical Care Nurse Practitioner and Physician Assistant Scope of Position The Advanced Practice Provider (APP) is responsible for providing health care services to patients within the parameters of a standard care or supervisory agreement with an attending physician member of The Ohio State University Wexner Medical Center. Collaborates with a physician(s) and other clinicians in providing a full scope of patient care. The focus is on preventive health or the management of acute and/or stable chronic conditions. Performs medical services that have been specifically authorized and directed by the credentialing body and the certifying organization through which they hold licensure. Position Summary The APP provides health care services to patients working in collaboration with a licensed physician member of the medical staff. Healthcare services provided include care during acute and chronic phases of illness, education, and counseling of individuals and families, health promotion and prevention, and referral to other healthcare providers and community resources when appropriate Minimum Qualifications Current certificate of authority to practice as an APRN in the State of Ohio Graduate of a Nurse Practitioner program that qualifies the graduate to sit for the certification examination of a national certifying organization recognized by the Ohio Board of Nursing Master of Science Degree in Nursing 0 years of relevant experience required. 0-2 years of relevant experience preferred. OR Masters Prepared; Graduate of a PA-C program that qualifies the graduate to sit for the certification examination recognized by the National Certification Commission for Physician Assistants (NCCPA). Eligibility for State of Ohio licensure as a PA-C 0 years of relevant experience required. 0-2 years of relevant experience preferred. Career Roadmap FUNCTION: Advanced Practice SUBFUNCTION: Advanced Practice Provider CAREER BAND: Individual Contributor - Clinical CAREER LEVEL: C3 Additional Information: Acute Care NP or PA required. Location: James Cancer Hospital (0375) Position Type: Regular Scheduled Hours: 40 Shift: Rotating Shift Final candidates are subject to successful completion of a background check. A drug screen or physical may be required during the post offer process. Thank you for your interest in positions at The Ohio State University and Wexner Medical Center. Once you have applied, the most updated information on the status of your application can be found by visiting the Candidate Home section of this site. Please view your submitted applications by logging in and reviewing your status. For answers to additional questions please review the frequently asked questions . The university is an equal opportunity employer, including veterans and disability. As required by Ohio Revised Code section 3345.0216 , Ohio State will: educate students by means of free, open and rigorous intellectual inquiry to seek the truth; equip students with the opportunity to develop intellectual skills to reach their own, informed conclusions; not require, favor, disfavor or prohibit speech or lawful assembly; create a community dedicated to an ethic of civil and free inquiry, which respects the autonomy of each member, supports individual capacities for growth and tolerates differences in opinion; treat all faculty, staff and students as individuals, hold them to equal standards and provide equality of opportunity with regard to race, ethnicity, religion, sex, sexual orientation, gender identity or gender expression.
NP Part-time
Akron Children's Hospital

Nurse Practitioner

Summary: 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 board certification. Operates in accordance with Section 4723.431 of the Ohio Revised Code and rule adopted by the Board of Nursing for Advanced Practice Nurses, the national board certifying agency, and maintains a Standard Care Arrangement with a collaborating physician(s) on the medical staff. Performs health assessments and physical exams Identifies significant health and medical risk factors. Orders, interprets and evaluates tests and studies to assess clinical problems and health care needs. Develops a diagnosis by analyzing and synthesizing collected data. Independently and in collaboration with the physician, develops treatment plans along with the patient and significant others. Performs diagnostic or therapeutic interventions consistent with board certification, state law and organizational medical staff privileges. May prescribe and monitor medications as allowed by prescriptive authority through Ohio Board of Nursing and hospital policy. Develops patient education plan. Participates in medical team rounds; collaborates with nursing, medical and other healthcare team members regularly to ensure quality patient care. Performs admission history & physical, document progress notes, complete discharge summaries as required. Provides consultations and requests consults as directed and in accordance with hospital bylaws. Assists with and facilitates discharge planning. May serve as resource for staff/residents and clinical preceptor for APN students. Other duties as assigned. Responsibilities: 1. Provides advanced nursing care to patients with complex acute, critical, and chronic health conditions, including the delivery of acute care services. 2. Practice with a variety of specialty-based populations including neonatal, pediatric, and adult 3. 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 4. Participates in quality monitoring through the review of records and treatment plans for patient outcomes on a bi-annual basis to assure quality care and per ORC requirements 5. This review is completed via the Focused Professional Performance Evaluation (FPPE) and Ongoing Professional Performance Evaluation (OPPE) for Advanced Practice Providers as part of Joint Commission requirements 6. Practice emphasizes health promotion, disease prevention and the diagnosis and treatment of acute and chronic health problems 7. Participates in quality monitoring through the review of records and treatment plans for patient outcomes on a bi-annual basis to assure quality care and per ORC requirements 8. This review is completed via the Focused Professional Performance Evaluation (FPPE) and Ongoing Professional Performance Evaluation (OPPE) for Advanced Practice Providers as part of Joint Commission requirement Other information: Technical Expertise 1. Excellent critical thinking, self-motivation and interpersonal communication skills essential. 2. Must be proficient in word processing, spreadsheet and database use, and other computer software programs for data analysis, and presentations Education and Experience Master's or Doctoral Degree in Nursing preferred Licensed as an RN in State of Ohio, National Certification as a nurse practitioner by nationally accredited organization Must have current certificate of authority and certificate to prescribe (or eligible) by Ohio Board of Nursing. ACLS or PALS may be required based upon practice setting Must obtain credentialing as an active member of medical staff and appropriate medical staff privileges Current Health Care Provider BLS training is required Individuals hired without an MSN or DNP and those hired without a certificate to prescribe must actively pursue and obtain a MSN or DNP degree/certificate to prescribe Part Time FTE: 0.800000 Status: Onsite
NP PCU ICU Full-time
Cleveland Clinic

Nurse Practitioner (Acute Care)-Step Down/ICU Intensive Care and Resuscitation House Officer (Avon)

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)-Step Down/ICU Intensive Care and Resuscitation House Officer (Avon) Location Avon Facility Avon Hospital Department Intensive Care and Resuscitation-Integrated Hospital Care Institute Job Code T98526 Shift Day/Evening/Night/Weekend Schedule 12:00am-12:00am Job Summary Job Details ICU/Step-Down Unit Rotation: Interested in Critical Care but would like time to develop your critical thinking, assessment and team leader skills before diving fully into the ICU? The Cleveland Clinic is currently seeking innovative, adaptable and critical thinking Acute Care Nurse Practitioners to join us as we grow and develop our successful, NP led team of Acute Care Nurse Practitioners by providing high quality, acute care to patients under the Critical Care umbrella rotating between Step-Down and ICU at Avon Hospital. NP experience is preferred, however candidates with at least 3 years of experience as a Step Down, Emergency Room or Critical Care RN will be considered. Successful candidates will have a strong desire for autonomous practice and have the ability to function at the top of their license after training, fully integrating into a community hospital system where they have the ability to affect real change and improve patient outcomes with every interaction. The Step-Down/ICU Intensive Care and Resuscitation House Officer will, with oversight from the critical care physician, develop and implement plans of care for acutely ill patients. These may include necessary testing, procedures and consultation with various specialties. This provider will also assist with Rapid Response and Code Blue efforts throughout the hospital in collaboration with additional Critical Care Nurse Practitioners. As you progress through your training, you will have the opportunity to obtain further procedural skills that will result in the ability to intubate, place central lines and arterial lines, and manage ventilators. Once fully credentialed you will be able to begin rotating into the ICU to gradually gain exposure to more acutely ill patients. Duties include, but are not limited to: Daily rounding and development of plans of care for each patient in consultation with the physician Daily progress notes Admissions Transfers Discharges Assistance as Team Leader with Rapid Response and Code Blue in collaboration with the ICU NP Continual communication and collaboration with providers involved in patient care Procedures including intubation, central line placement, arterial line placement, ventilator management and others as necessitated by patient condition All new hires will undergo an in-depth and fully paid hybrid orientation process that will include: Dedicated didactic time with presentations on applicable topics provided by experts in their field Dedicated time on their home unit with a focus on hands-on daily practice and professional growth and development. Multiple simulation days, progressive in nature, that provide real-life patient care scenarios in a safe environment for learning at Cleveland Clinic’s Simulation and Advanced Skills Center Hands-on training for procedures in OR and Cadaver Lab Time spent at each regional site to learn workflows and patient management Participation in a mentorship program (1 year in duration) 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. 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. 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. 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
NP Full-time
Greenlife Healthcare Staffing

Family Nurse Practitioner

Family Nurse Practitioner - Sandusky, OH (#3293) Location: Sandusky, OH Employment Type: Full-time Salary: Up to $120,000 annually About Greenlife Healthcare Staffing Greenlife Healthcare Staffing is a leading nationwide recruitment agency dedicated to connecting healthcare professionals with top-tier opportunities. We partner with hospitals, clinics, nursing homes, multi-specialty groups, and private practices to match talented individuals with roles that align with their skills and career goals. Position Overview Greenlife Healthcare Staffing is seeking a Family Nurse Practitioner to fill an opening at a Federally Qualified Health Center in Sandusky, OH. This position offers an exceptional work-life balance with a comprehensive benefits package. Why Join Us? Work Schedule: Full-time position with flexible scheduling options: 4-day 10-hour workweek or 5-day workweek (Monday–Friday, 8 AM–5 PM) — no weekends or holidays. Professional Growth: Integrated care model with behavioral health collaboration Impactful Work: Serve diverse populations in a community health setting Key Responsibilities: Deliver comprehensive primary care services, including patient exams, diagnosis, and treatment. Develop and manage individualized care plans, referring patients to specialists as appropriate. Collaborate with an integrated care model, partnering with behavioral health and care coordination teams. Prescribe medications in accordance with Ohio laws and the FNP scope of practice. Provide patient education for preventive care, chronic disease management, and overall wellness. Participate in quality improvement and team-based initiatives to enhance clinical outcomes. Support clinical team members while modeling compassionate, high-quality care. Greenlife Healthcare Staffing - Empowering Healthcare Professionals, Enriching Lives. Qualifications: Education: Graduate of an accredited School of Advanced Practice Nursing Licensure: Current Ohio Nurse Practitioner license Certification: Board Certified as a Family Nurse Practitioner Experience: 3+ years of clinical experience as a Nurse Practitioner Experience in community health, ambulatory care, or FQHC settings Soft Skills: Compassionate care, team collaboration, patient education, quality improvement focus Competitive Compensation: Up to $120,000 annually (Negotiable) Outstanding Benefits: Loan Forgiveness: Eligible for up to $50,000 in FQHC loan repayment (2-year commitment) Extra Day Off: Enjoy an additional day off during your birthday month. Paid Time Off: 20 PTO days + 5 CME days annually. Professional Development: $2,000 annual CME allowance + tuition assistance. Retirement: 403(b) with employer match at a max 6% Insurance Coverage: Medical, dental, and vision insurance 100% employer-paid life insurance and long-term disability coverage Short-term disability and pet insurance available
NP Full-time
The MetroHealth System

Advanced Practice Provider - Neurosurgery

The Advanced Practice Provider will collaborate closely with neurosurgery physicians and the care team to deliver comprehensive patient care across the continuum—pre-, intra-, and post-operative. Responsibilities include assessing, managing, and coordinating neurosurgical health concerns, providing timely referrals when necessary, and ensuring seamless care transitions. This role also encompasses neurosurgery call coverage, inpatient management, and assisting in the operating room as needed. Schedule Rotating shifts, including weekends and evenings Required Credentials Graduation from an accredited Physician's Assistant program OR Nurse Practitioner program with Acute Care certification. Current licensure in the State of Ohio. Graduate of an approved formal training program for surgical assisting or appropriate related certification from an approved military surgical assisting program. Ability to prioritize work assignments and maintain flexibility in a fast-paced environment. Ability to meet the requirements/qualifications for clinical privileges with The MetroHealth System within 90 days of placement within position and maintain privileges. Preferred Experience Experience in neurosurgery or spine surgery is preferred, but not required
NP Psych Part-time
Psychosocial Therapies

Psychiatric Mental Health Nurse Practitioner (PMHNP) or Physician Assistant

Job Description Seeking full-time or part-time Psychiatric Mental Health Nurse Practitioners in Canton, Ohio and the surrounding area to provide rapid growth and quickly expanding psychiatric service obligations to residents in long term care facilities. This skilled professional must be able to work collaboratively with members of interdisciplinary treatment team to develop, implement or evaluate treatment plans. We are seeking a skilled professional that is committed to providing these services with a high level of integrity and thrives for excellence in the care of the residents. We are offering a competitive compensation package and a sign on bonus for this opportunity. Minimum Job Requirements: Licensed nurse in the state of Ohio with Advance Practice Registered Nurse License in good standing. Hold a degree as a PMHNP - Psychiatric Mental Health Nurse Practitioner at the level needed to assess and prescribe medication collaboratively with a psychiatrist as determined by the State Board of Nursing. Board Certified Psychiatric experience required. Geriatric experience preferred. Active DEA required. Ability to travel locally required. Job Types: Part-time, Contract