Advanced Practice Provider (NP/PA): Rheumatology I, Indian River

Cleveland Clinic’s Medical Specialty Institute is seeking a Nurse Practitioner (Adult or Family Certified) or Physician Assistant for the Rheumatology Department. This role involves participating in our Team Care Model, assessing health status, performing physical exams, and managing an independent outpatient clinic and care plans for adult patients with conditions such as rheumatoid arthritis, inflammatory arthritis, metabolic bone diseases, gout, fibromyalgia, vasculitis, lupus, and auto-inflammatory diseases. Once trained, the candidate will perform joint and soft-tissue injections and other procedures, as well as follow up on patient questions and support staff physicians.

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 healthcare team.
• Performs and interprets common laboratory, radiologic, cardiographic, and other routine diagnostic procedures 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 through 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 healthcare team.
• Promotes translation of evidence-based practices, guidelines, and research.
• May conduct research studies and assist in data collection and analysis.
• May serve as a clinical preceptor for students and onboard new caregivers.
• Other duties as assigned.

Requirements

• APRN: 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 state’s Licensing Board.
• Oral and written communication in English.
• 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 a nationally accredited organization recognized by the 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 AHA; or Neonatal Resuscitation Program (NRP) through the American Academy of Pediatrics (AAP) may be required based on 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 state’s Licensing Board. License to practice and prescribe issued by their practicing state’s 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), Pediatric Advanced Life Support (PALS), Neonatal Resuscitation Program (NRP), or Advanced Trauma Life Support (ATLS) may be required based on work setting. 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.

Skills

• Excellent analytical and decision-making skills.
• 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.
• High standard of moral and ethical behavior.
• Compassion, professionalism, and a commitment to excellent patient care.
• Critical thinking skills, decisive judgment, and the ability to work independently.
• Able to work in a stressful environment and take appropriate action.

Schedule

Monday–Friday, 8:00 AM–5:00 PM.

Benefits

• Competitive salary.
• Comprehensive benefits package (medical, dental, vision, retirement).
• CME allowance and paid CME time.
• Paid time off (PTO).
• Malpractice insurance coverage.

Physical Requirements

• 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.