Full Job Description
The Department of Gastroenterology, Hepatology and Nutrition, East Region Section (Consults in Gastroenterology or CIG) is hiring for three full time night shift Advanced Practice Providers (APPs) to join our team. The primary role for these positions will be inpatient GI consult coverage at Hillcrest Hospital on nights and weekends. If there is adequate hospital staffing on a given day you may be asked to assist with outpatient clinic patient care (outpatient clinics are located at Park East, Hillcrest Atrium and Concord). APPs will be trained and expected to see a wide variety of GI conditions including symptoms that need further evaluation (examples include nausea, vomiting, diarrhea, constipation, abdominal pain, anemia, etc…) and established GI/Liver diagnoses (GERD, fatty liver, pancreatic disorders, inflammatory bowel disease, irritable bowel syndrome, colorectal cancer screening, cirrhosis, etc…). The ideal candidate is self-motivated, comfortable working with a high level of autonomy, functions well as a member of the multi-disciplinary team and is flexible in work assignments. The shift for this position can be discussed during the interview process, as this is a new role we are considering 8 hr, 10 hr and 12 hr shifts. This position will require holiday and weekend coverage. A candidate who is interested in preferentially working more weekends would be preferred. New graduates are welcome to apply in addition to candidates with prior relatable experience.
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:
- 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.
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 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.
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.