Nurse Practitioner or Physician Assistant, Primary Care Medical-Psychiatry

THIS IS NOT A PSYCHIATRY POSITION!!!

Nurse Practitioner or Physician Assistant, Primary Care Medical Psychiatry

The Advanced Practice Provider (Nurse Practitioner or Physician Assistant) is member of the inpatient psychiatry medical consult team, responsible for the comprehensive medical management of children and adolescents admitted for psychiatric stabilization. The APP performs admission histories and physical examinations, manages chronic medical conditions, and assesses, diagnoses, and treats acute medical concerns that arise during hospitalization.

• Experienced APP with at least 2 years' experience in pediatrics
• Nurse Practitioner and/or Physician Assistant

• Certification-PNP, FNP, Primary Care
• Specialty Experience preferred: ED or Primary Care experience

• Shift length-8-10 hours
• Rotating Days/Evenings
• No Holidays

$104,000-$160-846

** Above salary is reflective of 40 scheduled weekly hours

• 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/APRN 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…