Advance Practice Provider (NP/PA): Hospital Care at Home I

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Job Title
Advance Practice Provider (NP/PA): Hospital Care at Home I


Location
Cleveland


Facility
Fairview Hospital


Department

Job Code
T98100


Shift
Days


Schedule
8:00am-5:00pm


Job Summary
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.


Job Details

Fairview Hospital is seeking a highly progressive, operationally minded Full-Time Nurse Practitioner or Physician Assistant to launch and drive utilization for our innovative Hospital Care at Home program.

Unlike traditional inpatient roles focused primarily on managing a static daily rounding census, this is a dynamic, dual operational-clinical position. The successful candidate will serve as the boots-on-the-ground catalyst for the program within the West Market. This role is a critical strategic lever designed to optimize institutional throughput, maximize bed capacity, expand patient access, and pioneer next-generation acute care delivery. The APP will actively identify, screen, and cross-reference acute-level candidates within the Emergency Department (ED) and Medical/Surg inpatient units who meet clinical criteria for the Hospital Care at Home program (e.g., stable CHF, COPD, pneumonia, cellulitis, kidney infections). The APP will perform high-level, autonomous clinical evaluations to determine acuity, safety, and home-environment appropriateness for acute-level substitute care.

The ideal candidate possesses strong clinical acumen in acute care management coupled with an entrepreneurial mindset, exceptional cross-functional communication skills, and a passion for healthcare innovation. They have a minimum of 1-2 years of practice as an NP/PA in a high-volume, high-acuity environment such as Hospital Medicine, Emergency Medicine, or Urgent Care. Tangential acute procedural or complex surgical experience will be considered. Demonstrated capability in performing comprehensive acute assessments and managing complex, multi-system medical conditions under a high degree of autonomy. Proven ability to understand hospital metrics (Length of Stay, readmission rates, ED throughput) and a desire to utilize clinical skills to solve operational bottlenecks.


Who you are:

• An original thinker - you see how things will unfold ahead of the crowd. You are creative, motivated, and enjoy thinking outside the box.
• Analytical - you are able to dive into the minutia of issues to find the break in logic.
• Detail Oriented - in your work, you are confident that the small details are correct.
• A lifetime learner - you consider learning to be a reward. You enjoy mastering a new field.
• Comfortable with complexity - you absorb complex ideas quickly and separate signal from noise easily.
• Flexible - You will be asked to do tasks that are outside of the stated job description. You are willing and enjoy learning on the fly.
• Calm under pressure - You respond quickly and accurately in fast moving, complex environments.
• You have strong oral and written communication skills and can articulate effectively regarding complex topics.
• You are inherently capable of developing internal and external relationships and partnerships.
• You enjoy working in a collaborative, transparent and diverse environment.
• Humble - you are interested more in figuring out what's right than being right.
• You believe in innovation and its place in maintaining a productive and sustained business environment.
• Your confidence is balanced by a sense of humility. You're more interested in figuring out what's right than being right.
• You enjoy working as part of a high-performance team. You want to contribute and build the team's culture, finding ways to push us in new directions we've not yet considered.

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.

Languages:

• Oral and written communication in English

Certifications:

• 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 American Heart Association (AHA) or American Red Cross required.
• Advanced Cardiac Life Support (ACLS) or Pediatric Advanced Life Support (PALS) through the American Heart Association (AHA); or Neonatal Resuscitation Program (NRP) through the American Academy of Pediatrics (AAP) may be required based upon work setting.
• Must have arrangements with at least one physician in accordance with requirements set forth by the State Board of Nursing in applicable states.
• Must be credentialed and privileged by the Medical Executive Committee and the Governing Body of the applicable hospitals.

Complexity of Work:

• Excellent analytical and decision-making skills are required.
• Strong written and verbal communication skills.
• Ability to work as a member of a multi-disciplinary team.
• Demonstrated competency and the ability to perform advanced assessment and diagnosis.
• Demonstrated ability to utilize the electronic medical record.
• Demonstrates a high standard of moral and ethical behavior.
• Demonstrates compassion and professionalism and a commitment to excellent patient care.
• Requires critical thinking skills, decisive judgement, and the ability to work independently.
• Must be able to work in a stressful environment and take appropriate action.

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.


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Cleveland Clinic is pleased to be an equal employment opportunity employer.