APRN PA I Gastroenterology- IBD Medical Home
Company: Cleveland Clinic
Location: Elyria
Posted on: May 18, 2024
Job Description:
The Digestive Disease Institute is currently seeking a full time
Physician Assistant or Nurse Practitioner for a unique position
with our Inflammatory Bowel Disease (IBD) section at our Main
Campus.
Cleveland Clinic is certified as a "Patient-Centered Medical Home"
for IBD. The specialty medical home (SMH) is the concept to immerse
the patient with a chronic specialty illness at the center of a
patient-centric multidisciplinary health care delivery model, with
the specialist serving as the principal care coordinator amongst
the multiple providers. The IBD specialty medical home has several
core tenets of health care delivery: 1) multidisciplinary
team-based care including gastroenterologists, advanced practice
providers, psychologists, dieticians, and a pharmacist among
others; 2) care coordination with individualized care plans; 3)
outcome measures including clinical outcomes, quality measures, and
costs; 4) incorporation and utilization of health care technology
such as remote monitoring or telehealth; and 5) care access with
open-access scheduling and clinic availability. From the patient
perspective the medical home means a comprehensive, "wrap around",
whole-person care team for their medical needs.
This provider (along with a physician) would serve as principal
providers for Crohn's Disease and Ulcerative Colitis patients. They
would work as a key member of the medical home healthcare team. The
Cleveland Clinic IBD section is composed of international leaders
in the field and the advanced practice provider will have
opportunities to participate in research, education, and quality
improvement projects with their mentorship.
Some typical responsibilities will include:
- Coordinating Care for the spectrum of IBD and non-IBD care
required for the medical home patient. This may include assisting
with care of patients admitted to the hospital for their IBD.
- Performing preventive care measures such as: screening prior to
biologics, vaccinations, bone densitometry, etc
- Independently caring for patients - prescribe medications, assess
patient symptoms, and seeing patients urgently and/or as needed and
scheduled
- Providing education for the patient and family in IBD
- Be the first contact for the patient for medical needs related to
IBD
- Coordinating care with the patient's primary care physician and
local healthcare team
- Remote monitoring, telemedicine when available.
- Reviewing and interpreting diagnostic testing.
New graduates are welcome to apply.
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. Practice emphasizes health promotion, disease
prevention and the diagnosis and treatment of acute and chronic
health problems.
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 the collaboration
agreement of a Physician, (as per O.R.C. 4730) performs complete
histories and physicals on patients of all ages to establish and
record patient's current health status and to develop 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 the Hospital care
role provide outpatient and/or hospital based care to patients
(more than 50% of their time) with complex, acute, and chronic
health conditions. Outpatient/Hospital care PA's practice in a
setting that requires the performance of diagnostic and therapeutic
interventions to manage acute and chronic health problems. Must
have the ability to work with multi-disciplinary
teams.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.
- Other duties as assigned.Education:
- If in neonatal care service area Master's Degree is required
upon hire
- 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 graduate 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 by the State Medical Board OF OHIO AS A PA-C.
- Must have a Physician Supervision Agreement 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.
- 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 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 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.
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Keywords: Cleveland Clinic, Southfield , APRN PA I Gastroenterology- IBD Medical Home, Healthcare , Elyria, Michigan
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