![Cleveland Clinic](https://media.trabajo.org/img/noimg.jpg)
Nurse Practitioner, Physician Assistant or Clinical Nurse Specialist
4 weeks ago
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.
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 with the collaboration agreement of a Physician, (as per O.R.C Performs complete histories and physicals on patients of all ages to establish and record patient's current health status. Develops 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 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/surgical interventions and/or continuous vigilance within the range of high-acuity care.
Cleveland Clinic's Pediatric Institute is currently seeking an experienced Nurse Practitioner (Pediatric Acute care certified) or PA for a PRN position in the Pediatric Critical Care Medicine (PCCM) Department. The hired APRN / PA will care for critically ill patients within both the Pediatric Intensive Care and Intermediate Care Unit. Common patient populations and diagnoses include post operative orthopedic & neurosurgery patients, acute respiratory failure/ARDS requiring mechanical ventilation, bronchiolitis, status asthmaticus, status epilepticus, Diabetic Ketoacidosis, sepsis with need for vasoactive support, PNA, neuromuscular disease, AKI with need for CRRT, acute syndromes associated with neoplastic disease, solid organ transplant, VA/VV ECMO and hepatic failure. Performs a comprehensive history and physical exam on patients presenting for care, develops a thorough differential diagnoses for acute and chronic conditions, and formulates an evidence-based plan of care. Excellent communication and critical thinking skills are required. Previous PICU experience is preferred for this position, however new graduates with strong ICU experience are welcome to apply. Pediatric Acute Care certification is required.
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.
- Performs routine procedures such as injections, immunizations, suturing and wound care, managing simple conditions produced by infection or trauma, assisting in the management of more complex illness and injury which may include assisting surgeons in conducting operations and taking initiative in performing evaluation and therapeutic procedures in response to life threatening situations, as privileged by CCF Credentialing Board.
- May prescribe and monitor medications as allowed by prescriptive authority through applicable state Board of Nursing/Medicine and CCF policy.
- Performs specialized procedures, including bone marrow aspirations, biopsies and harvest, blood draws, designated IV starts, spinal taps, thoracentesis and paracentesis as well as other specific procedures as directed by the physician, following approval by CCF Credentialing Board.
- Provides information and answers routine questions of patients 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.
- 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.
- Performs research follow-up studies.
- Assists in data analysis.
- 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.
- 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.
- Routinely takes call and works off shift hours: Weekends/holidays, nights; shifts cover 24 hours, 7 days a week.
- Special procedure privileging is required
- Other duties as assigned.
- 24/7 IN HOUSE SERVICE COVERAGE (365 DAYS OF THE YEAR COVERED)
Education:
- APRN: EDUCATION: 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 ARPN 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).
- 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.
- PA: Current certification as a Physician Assistant through the NCCPA (or successor).
- Licensed the State Medical Board OF OHIO.
- Must have a Physician Supervision Agreement (listed on State Medical Board website) and/or signed addendum to Physician Supervision Agreement.
- Must be privileged by CCF's Credentialing Board.
- If candidate has held a license to prescribe within another jurisdiction and needs to obtain a Master's degree in order to apply for CT prescribe from applicable state, the candidate will be subject for review for eligibility for hiring within our system.
- 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) may be required based upon work setting.
Complexity of Work:
- APRN/PA: 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.
- Requires critical thinking skills, decisive judgment and the ability to work with minimal supervision.
- Must be able to work in a stressful environment and take appropriate action.
- Depending on practice, surgical fields may require surgical experience.
Work Experience:
- APRN: Two years clinical advanced practice nursing experience preferred.
- PA: Two years relative clinical experience preferred.
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.
Personal Protective Equipment:
- Follows standard precautions using personal protective equipment as required.
Salaries [which may be] shown on independent job search websites reflect various market averages and do not represent information obtained directly from The Cleveland Clinic. Because we value each individual candidate, we invite and encourage each candidate to discuss salary/hourly specifics during the application and hiring process.
Cleveland Clinic Health System is pleased to be an equal employment employer: Women / Minorities / Veterans / Individuals with Disabilities
-
Critical Care Nurse Practitioner
1 week ago
Cleveland, Ohio, United States University Hospitals Full timeJob Description Overview University Hospitals is seeking a dedicated Critical Care Nurse Practitioner to enhance our Surgical, Medical, and Cardiac ICU Team. This role involves working night shifts with a rotating schedule that includes weekends and holidays. We welcome applications from Acute Care Nurse Practitioners, including new graduates. Key...
-
Clinical Nurse Specialist
4 days ago
Cleveland, Ohio, United States Cleveland Clinic Full timePosition Overview: As a Clinical Nurse Specialist, you will be an integral part of the healthcare team, delivering exceptional patient-centered care. Your expertise will be crucial in managing complex medical histories and advanced therapeutic procedures. Key Responsibilities: Assess and monitor patients' conditions, documenting findings accurately.Develop...
-
Travel Nurse RN ICU Specialist
16 hours ago
Cleveland, Ohio, United States Nurse First Full timeJob SummaryNurse First is seeking a highly skilled Travel Nurse RN ICU Specialist to join our team.Job ResponsibilitiesProvide high-quality patient care in an Intensive Care Unit settingCollaborate with interdisciplinary teams to develop and implement patient care plansMonitor and manage patient vital signs and medical conditionsAdminister medications and...
-
Travel Nurse RN Oncology Specialist
17 hours ago
Cleveland, Ohio, United States Nurse First Full timeJob SummaryNurse First is seeking a skilled Travel Nurse RN to join our team in a dynamic Oncology setting.Key ResponsibilitiesProvide high-quality patient care as a Registered Nurse in an Oncology unit.Collaborate with interdisciplinary teams to develop and implement patient care plans.Administer medications and treatments as prescribed by...
-
Registered Nurse
5 days ago
Cleveland, Ohio, United States Wellspring Nurse Source Full timeWellspring Nurse Source is currently in search of a travel nurse RN specializing in clinic settings. This opportunity is ideal for those looking to enhance their nursing career while exploring new environments.Position Overview & RequirementsSpecialty: ClinicDiscipline: RNDuration: 13 weeksWeekly Hours: 36 hoursShift Type: 12-hour night shiftsEmployment...
-
Nurse Practitioner
4 days ago
Cleveland, Ohio, United States HNI Healthcare Full timeJob Title: Hospitalist Nurse PractitionerWe are seeking a skilled Hospitalist Nurse Practitioner to join our Clinical Team at HNI Healthcare.Key Responsibilities:Deliver high-quality, value-based care to patients in a hospital settingCollaborate with physicians and other healthcare professionals to provide comprehensive careManage patient flow and optimize...
-
Senior Care Nurse Practitioner
4 days ago
Cleveland, Ohio, United States ChenMed Full timePosition Overview: At ChenMed, we are not your typical primary care provider. We are a physician-led, mission-driven organization dedicated to transforming the healthcare experience for seniors. Role Summary: As a Senior Care Nurse Practitioner, you will play a pivotal role in our vision to become America's leading primary care provider, focusing on...
-
Clinical Nurse Specialist
1 week ago
Cleveland, Ohio, United States Cleveland Clinic Full timeJoin the esteemed Cleveland Clinic as a Clinical Nurse Specialist and immerse yourself in a supportive and dynamic healthcare environment. Become an integral part of our dedicated team on Unit 4D, where your contributions are recognized and valued. In this role, you will provide exceptional care to adult patients in our Medical Surgical Telemetry unit,...
-
Clinical Nurse Specialist
1 week ago
Cleveland, Ohio, United States Cleveland Clinic Full timeOverview:The H60 Neurosciences Nursing Unit specializes in the care of intricate neurological medical and surgical patients facing conditions such as stroke, Multiple Sclerosis, brain and spine tumors, Parkinson's Disease, Epilepsy, Guillain-Barre Syndrome, Myasthenia Gravis, degenerative brain diseases, and spinal disorders. Unit Certification:Situated on...
-
Clinical Nurse Specialist
4 days ago
Cleveland, Ohio, United States Cleveland Clinic Full timeJoin Our Esteemed Healthcare TeamBecome a vital member of Cleveland Clinic, a leader in healthcare excellence recognized nationally for its outstanding services. Your Role:As a Clinical Nurse Specialist, you will be an integral part of a dedicated team providing exceptional patient care. You will utilize advanced technology and evidence-based practices to...
-
Clinical Nurse Specialist
1 week ago
Cleveland, Ohio, United States Cleveland Clinic Full timeCleveland Clinic's Taussig Cancer Center is esteemed as one of the premier programs in the nation and in Ohio. Become a vital member of our G110 Bone Marrow Transplant Unit as a Clinical Nurse Specialist and immerse yourself in a nurturing environment where every team member is recognized for their contributions to our multidisciplinary approach. In this...
-
Clinical Nurse Specialist
4 days ago
Cleveland, Ohio, United States Cleveland Clinic Full timeCleveland Clinic Hillcrest Hospital stands as a leading healthcare provider in the nation, offering an exceptional environment for nursing professionals.At Cleveland Clinic, we provide a vibrant and technologically advanced setting that encourages you to explore, learn, and advance your career. We are committed to ensuring that you remain professionally...
-
Travel Nurse RN Specialist
1 day ago
Cleveland, Ohio, United States Wellspring Nurse Source Full timeWellspring Nurse Source is seeking a skilled travel nurse RN Telemetry professional for a challenging travel nursing opportunity.Job Details:Specialty: TelemetryDiscipline: Registered Nurse (RN)Shift: 12 hours, nightsHours per week: 36Employment Type: TravelCompensation Package:Pay package based on 12 hour shifts36 hours per weekSubject to confirmationAbout...
-
Clinical Education Specialist
4 days ago
Cleveland, Ohio, United States ConsignMed Full timePOSITION SUMMARY: The Clinical Training/Education Specialist role is designed to enhance the adoption and utilization of a vital fluid management device aimed at patients experiencing sepsis and septic shock. This position operates on a PRN/1099 basis, requiring travel to various healthcare facilities for the purpose of device introduction, training, and...
-
Clinical Nurse Specialist
1 week ago
Cleveland, Ohio, United States University Hospitals Full timeJob OverviewPosition SummaryOverview of ResponsibilitiesThe Clinical Nurse Specialist is responsible for delivering safe and effective nursing care tailored to the unique needs of patients and their families. Utilizing the nursing process, this role aims to support individuals in achieving and maintaining optimal health.As a member of the nursing team, the...
-
Diagnostic Imaging Specialist
1 day ago
Cleveland, Ohio, United States Nurse First Full timeJob Summary:Nurse First is seeking a skilled Diagnostic Imaging Specialist to join our team as a travel CT Technologist. This is a 12-week assignment with a 40-hour workweek, offering a unique opportunity to work in a dynamic environment and gain valuable experience.Key Responsibilities:Operate CT scanners to produce high-quality diagnostic imagesAssist...
-
Clinical Education Specialist
1 week ago
Cleveland, Ohio, United States CosignMed Full timePosition Title: Clinical Training/Education SpecialistLocation: Cleveland, OHJob Overview:The Clinical Training/Education Specialist will be responsible for enhancing the utilization of a vital fluid management device designed for patients experiencing sepsis and septic shock. This role operates on a PRN/1099 basis, requiring on-site engagement at various...
-
Advanced Practice Nurse Specialist
1 week ago
Cleveland, Ohio, United States Cleveland Clinic Full timeRole Overview: The Clinical Nurse Specialist or Nurse Practitioner will provide specialized knowledge and support to nursing staff in delivering optimal patient care. This position is essential in fostering practice improvements and ensuring adherence to evidence-based methodologies for superior patient outcomes.Clinical Responsibilities:Offer expert...
-
Clinical Education Specialist
4 days ago
Cleveland, Ohio, United States ConsignMed Full timeJOB SUMMARY: The Clinical Training Specialist role is designed to enhance the utilization of the client's innovative fluid management device, specifically tailored for patients experiencing sepsis and septic shock. This position operates on a PRN/1099 basis. The Clinical Specialist will engage in on-site assistance, visiting healthcare facilities to...
-
Travel Nurse RN Specialist
16 hours ago
Cleveland, Ohio, United States Wellspring Nurse Source Full timeWellspring Nurse Source is seeking a skilled travel nurse to fill a medical surgical/telemetry position in a dynamic healthcare environment.Job DetailsSpecialty: Medical Surgical/TelemetryDiscipline: Registered NurseEmployment Type: TravelShift: 12 hours, nightsHours per Week: 36 hoursThe ideal candidate will possess excellent clinical skills and a strong...