Nurse Practitioner, (NP) or Physician Assistant (PA) Emergency Medicine
Cincinnati Children's Hospital Medical Center

Job Description

At Cincinnati Children's, we come to work with one goal: to make children's health better. We believe in a holistic team approach, both in caring for patients and their families, and in advancing science and discovery. We strive to do better and find energy and inspiration in our shared purpose. If you want to be the best you can be, you can do it at Cincinnati Children's.

Cincinnati Children's Hospital Has Been Named:

• Consistently recognized by U.S. News & World Report as a top 10 children's hospital in the nation
• One of four Medical Centers making the list of the 2022 Glassdoor Best Places to Work
• A Top Hospital and Health System for Diversity recognized by DiversityInc
• One of the nation's most innovative companies by Fortune in March 2023
• An LGBTQ+ Healthcare Equality Top Performer in 2022 by The Human Rights Campaign (HRC)

Department/Unit: Emergency Medicine

Hours/Shift: Full Time - 32 hours/week, 6, 7 or 8-hour shifts, Rotating,

Hours include variable shifts including days, evenings and some overnights, weekends, and holidays. Schedule is variable based on needs.

Benefit Eligibility: Full Time Benefits Eligible

Expected Starting Salary: $54.90 minimum - $69.02 mid

At Cincinnati Children's, we come to work with one goal: to make children's health better. We believe in a holistic team approach, both in caring for patients and their families, and in advancing science and discovery. We strive to do better and find energy and inspiration in our shared purpose. If you want to be the best you can be, you can do it at Cincinnati Children's.

Cincinnati Children's Hospital has once again been named to U.S. News & World Report's Best Children's Hospitals Honor Roll for the 2024-25 rankings

Awards and Recognitions:

On Forbes Magazine 2023 list of America's Best Employers for Diversity

On Forbes Magazine 2023 list of America's Best Large Employers

Great Place to Work™ Certified in 2023

An LGBTQ+ Healthcare Equality Top Performer in 2022 by The Human Rights Campaign (HRC)

Advanced Practice Providers (APPs) at Cincinnati Children's are recognized as a vital part of our healthcare delivery team. Our APPs bring a passion for improving the lives of our patients and their families through leadership, creativity, and innovation driving exceptional care, research, quality, and process improvement. Cincinnati Children's employs over 650 advanced practice providers with the number growing yearly because of their numerous respected contributions driving the mission of the institution, changing the outcomes for every patient and family.

Be a part of World-Class Care around the clock in our Emergency Department. Cincinnati Children's Emergency Department is one of the busiest pediatric emergency departments in the United States. We offer 24-hour emergency care at our Burnet Campus, including the region's only Level 1 pediatric trauma center. Our Liberty Campus also offers 24-hour services and is equipped to handle most pediatric emergencies. Urgent care services offered at our Burnet Campus, Liberty Campus, Anderson Township, Green Township and Mason outpatient centers.

Market Leading Benefits Including:

Shift Differential & Weekend Differential

Medical coverage starting day 1 of employment.

View employee benefits here: https://www.cincinnatichildrens.org/careers/benefits

Pension plan and optional 403(b) supplemental retirement plans

Tuition reimbursement for continuing education

Expansive employee discount programs through our many community partners

Referral bonus program for current staff!

Support through Employee Resource Groups such as African American Professionals Advisory Council, Asian Cultural and Professional Group, EQUAL - LGBTQA Resource Group, Juntos - Hispanic/Latin Resource Group, Veterans and Military Family Advocacy Network, and Young Professionals (YP) Resource Group

Physical and mental health wellness programs

Relocation assistance packages available

SUBFUNCTION DEFINITION: Advanced Practice Providers (APPs) are Advanced Practice Registered Nurse (APRN), Physician Assistant (PA), Nurse Anesthetist (CRNA), Clinical Nurse Specialist (CNS) or Certified Nurse Midwife (CNM) providing clinical services including diagnosis of illness, development and management of treatment plans, prescription of medication. APPs may see patients independently or as part of the health care team.

Scope for subspecialty role will not exceed the scope of the collaborating or supervising MD.

REPRESENTATIVE RESPONSIBILITIES

•Patient Care

Perform history and/or physical exams on patients presenting for care in area of expertise. Assess and diagnose illnesses, including chronic and acute conditions. Formulate, document, and monitor a treatment plan. Order and monitor therapeutic interventions including diets, laboratory, radiological and diagnostic tests deemed necessary by patient history and/or physical exam. Provide clinical consultation, order interdisciplinary consultations. Professional practice including but not limited to prescription of medications in accordance with Federal and State Law & Rules and CCHMC policy. Attains and maintains competency in subspecialty practice, skills, and procedures in accordance with Joint Commission standards for focused (FPPE) and ongoing (OPPE) professional practice evaluation.

•Outcomes Identification and Planning

Develops outcomes as measurable goals that provide direction for continuity of care & continuity of care & consistency among providers. Develops, prioritizes, evaluates & modifies an individualized comprehensive plan of care. Addresses each diagnosis or issue, as appropriate. Derives outcomes & plans of care that involve the patient/family/caregiver when possible & are realistic to the patient/family/caregiver capabilities & resources. Considers risks/benefits, costs, clinical effectiveness, current scientific evidence/clinical guidelines & clinical expertise to formulate interventions, treatments & outcomes. Incorporates new knowledge & strategies to initiate change in practice if desired outcomes are not achieved. Maintains documentation & updates according to outcomes, goals & the plan of care.

•Professional Practice

Maintain professional behaviors aligned with core values and care standards, participate in quality improvement activities or research to improve the care delivery process & patient care outcomes. Participate in lifelong learning and professional development activities that improve skills & competence in clinical practice/role performance. Serve as preceptor, role model, or mentor; Contribute to the professional development of peers/colleagues to improve pediatric health care & to foster the profession's growth. Integrate ethical considerations & research findings into practice; Provide leadership by participating on committees or in professional organizations, or writing/publishing/presenting. Advocate for the pediatric patient/family/caregiver. Serve as a leader, influencing both healthcare/APP practice & policy.

•Care Management

Maintains competency in skills/procedures; Promotes self-management & family centered care; Employs diverse & complex strategies, interventions, & teaching to promote health & a safe environment; Provides leadership in care management to achieve optimal quality, cost-effective care; Documents & communicates with healthcare team members to achieve an integrated delivery of pediatric care services; Delegates appropriate monitoring, assessment, & interventions according to the patient and scope of practice of the caregiver; Provides consultation to influence the identified plan of care, to enhance the abilities of others to provide health care, and to effect change in the healthcare system; Makes appropriate referrals and discusses recommendations with patient/family/caregiver; Orders and/or performs appropriate treatments, therapies, & procedures that are based on current knowledge, research, & practice; Provides patient/family/caregiver with diagnostic & laboratory results as well as actual/potential benefits, limitations, & adverse effects of proposed therapies.

•Evaluation

Uses a systematic, ongoing evaluation of the assessment data & outcomes to revise or resolve the diagnoses, outcomes, the plan of care, & the implementation as needed; Evaluates the accuracy of the diagnosis, effectiveness of the interventions & the plan of care strategies in relation to attainment of expected outcomes; Includes the patient/family/caregiver & other healthcare providers; Bases the evaluation process on advanced knowledge, practice, research, & documents appropriately; Utilizes the results of the evaluation to determine the impact on the patient/family/caregiver, organization, & system to make/recommend process or structural changes including policy, procedure, or protocols as appropriate.

Required:

Master's degree in related field, OR Doctor of Nursing Practice degree completed at the time of the application.

Ohio Licensure and certification as an APRN or PA is required in accordance with Cincinnati Children's Delineation of Privileges at the time of the application.

Preferred:

Prefer experience in Emergency Departments or Urgent Cares as an APP

May consider a new graduate APRN who worked as an RN in a Pediatric ED or Urgent Care.

PAs should have at least 1-2 years' experience but may consider a new graduate PA who also was a PA student in the ED or Urgent cares at Cincinnati Children's.

JOB RESPONSIBILITIES

• Patient Care- Perform history and/or physical exams on patients presenting for care in area of expertise. Assess and diagnose illnesses, including chronic and acute conditions. Formulate, document and monitor a treatment plan. Order and monitor therapeutic interventions including but not limited to diets, laboratory, radiological and diagnostic tests as deemed necessary by patient history and/or physical exam. Provide clinical consultation, order interdisciplinary consults. Professional practice including but not limited to prescription of medications in accordance with Federal and State Law & Rules and CCHMC policy. Attains and maintains competency in subspecialty practice, skills and procedures in accordance with Joint Commission standards for focused (FPPE) and ongoing (OPPE) professional practice evaluation.
  
• Outcomes Identification and Planning- Develops outcomes as measurable goals that provide direction for continuity of care & continuity of care & consistency among providers. Develops, prioritizes, evaluates & modifies an individualized comprehensive plan of care. Addresses each diagnosis or issue, as appropriate. Derives outcomes & plans of care that involve the patient/family/caregiver when possible & are realistic to the patient/family/caregiver capabilities & resources. Considers risks/benefits, costs, clinical effectiveness, current scientific evidence/clinical guidelines & clinical expertise to formulate interventions, treatments & outcomes. Incorporates new knowledge & strategies to initiate change in practice if desired outcomes not achieved. Maintains documentation & updates accordingly outcomes, goals & the plan of care.
  
• Professional Practice- Maintain professional behaviors aligned with core values and care standards, participate in quality improvement activities or research to improve the care delivery process & patient care outcomes. Participate in lifelong learning and professional development activities that improves skills & competence in clinical practice/role performance. Serve as preceptor, role model, or mentor; Contribute to the professional development of peers/colleagues to improve pediatric health care & to foster the professions growth. Integrate ethical considerations & research findings into practice; Provide leadership by participating on committees or in professional organizations, or writing/publishing/presenting. Advocate for the pediatric patient/family/caregiver. Serve as a leader, influencing both healthcare/APP practice & policy.
  
• Care Management- Maintains competency in skills/procedures; Promotes self-management & family centered care; Employs diverse & complex strategies, interventions, & teaching to promote health & a safe environment; Provides leadership in care management to achieve optimal quality, cost-effective care; Documents & communicates with healthcare team members to achieve an integrated delivery of pediatric care services; Delegates appropriate monitoring, assessment, & interventions according to the patient and scope of practice of the caregiver; Provides consultation to influence the identified plan of care, to enhance the abilities of others to provide health care, and to effect change in the healthcare system; Makes appropriate referrals and discusses recommendations with patient/family/caregiver; Orders and/or performs appropriate treatments, therapies, & procedures that are based on current knowledge, research, & practice; Provides patient/family/caregiver with diagnostic & laboratory results as well as actual/potential benefits, limitations, & adverse effects of proposed therapies.
  
• Evaluation- Uses a systematic, ongoing evaluation of the assessment data & outcomes to revise or resolve the diagnoses, outcomes, the plan of care, & the implementation as needed; Evaluates the accuracy of the diagnosis, effectiveness of the interventions & the plan of care strategies in relation to attainment of expected outcomes; Includes the patient/family/caregiver & other healthcare providers; Bases the evaluation process on advanced knowledge, practice, research, & documents appropriately; Utilizes the results of the evaluation to determine the impact on the patient/family/caregiver, organization, & system to make/recommend process or structural changes including policy, procedure, or protocols as appropriate.
  

Scope for subspecialty role will not exceed the scope of the collaborating or supervising MD



Market Leading Benefits Including*:

• Shift Differential, Weekend Differential, and Weekend Option Pay Programs
  
• Medical coverage starting day 1 of employment. View employee benefits here.
  
• Competitive retirement plans
  
• Tuition reimbursement for continuing education
  
• Expansive employee discount programs through our many community partners
  
• Referral bonus program for current staff!
  
• Support through Employee Resource Groups such as African American Professionals Advisory Council, Asian Cultural and Professional Group, EQUAL - LGBTQA Resource Group, Juntos - Hispanic/Latin Resource Group, Veterans and Military Family Advocacy Network, and Young Professionals (YP) Resource Group
  
• Physical and mental health wellness programs
  
• Relocation assistance packages available for nurses!
  

*Benefits may vary based on FTE Status and Position Type

Primary Location
Burnet Campus

Schedule
Full time

Shift
Rotating (United States of America)

Department
APP Emergency Medicine

Employee Status
Regular

FTE
0.8

Weekly Hours
32

Salary Range
$111,155.20 - $142,043.20

Comprehensive job description provided upon request.

Cincinnati Children's is proud to be an Equal Opportunity Employer that values and treasures Diversity, Equity, and Inclusion. We are committed to creating an environment of dignity and respect for all our employees, patients, and families. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, age, genetic information, national origin, sexual orientation, gender identity, disability or protected veteran status. EEO/AA/M/F/Veteran/Disability.

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