Nurse Practitioner or Physician Assistant, Endocrinology-Diabetes

Primary Location: Location A | Department: APP Medical | Subspecialty: Outpatient | Division: Endocrinology | Schedule: Full time, 32 hours/week (0.8 FTE) | Employee Status: Regular

About the role

Advanced Practice Provider in the Department of Endocrinology managing Type 1 diabetes patients. The role includes a clinical component (seeing patients in clinics at the Base campus, Union Kentucky, Eastgate, or other satellite locations as needed, 6–8 clinics per week) and phone coverage (managing insulin dose adjustments, 1–3 shifts per week).

Responsibilities

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 diets, laboratory, radiological, and diagnostic tests as deemed necessary by patient history and/or physical exam
• Provide clinical consultation and order interdisciplinary consults
• Prescribe medications in accordance with Federal and State Law, Rules, and CCHMC policy
• Attain and maintain competency in subspecialty practice, skills, and procedures per Joint Commission standards for FPPE and OPPE

Outcomes Identification and Planning

• Develop measurable outcome goals that provide direction for continuity and consistency of care among providers
• Develop, prioritize, evaluate, and modify an individualized comprehensive plan of care addressing each diagnosis or issue
• Derive outcomes and plans involving the patient/family/caregiver when possible, realistic to their capabilities and resources
• Consider risks/benefits, costs, clinical effectiveness, current scientific evidence/clinical guidelines, and clinical expertise to formulate interventions
• Incorporate new knowledge and strategies to initiate change in practice if desired outcomes not achieved
• Maintain documentation and update outcomes, goals, and plan of care accordingly

Professional Practice

• Maintain professional behaviors aligned with core values and care standards
• Participate in quality improvement activities or research to improve care delivery and patient outcomes
• Engage in lifelong learning and professional development to improve clinical skills and role performance
• Serve as preceptor, role model, or mentor; contribute to professional development of peers/colleagues
• Integrate ethical considerations and research findings into practice
• Provide leadership through committee participation, professional organizations, writing, publishing, or presenting
• Advocate for the pediatric patient/family/caregiver
• Serve as a leader influencing healthcare/APRN practice and policy

Care Management

• Maintain competency in skills and procedures
• Promote self-management and family-centered care
• Employ diverse and complex strategies, interventions, and teaching to promote health and a safe environment
• Provide leadership in care management to achieve optimal quality, cost-effective care
• Document and communicate with healthcare team members for integrated delivery of pediatric care services
• Delegate appropriate monitoring, assessment, and interventions according to patient needs and caregiver scope of practice
• Provide consultation to influence the identified plan of care, enhance abilities of others, and effect change in the healthcare system
• Make appropriate referrals and discuss recommendations with patient/family/caregiver
• Order and/or perform appropriate treatments, therapies, and procedures based on current knowledge, research, and practice
• Provide patient/family/caregiver with diagnostic and laboratory results, benefits, limitations, and adverse effects of proposed therapies

Evaluation

• Use systematic, ongoing evaluation of assessment data and outcomes to revise or resolve diagnoses, outcomes, plan of care, and implementation
• Evaluate accuracy of diagnosis, effectiveness of interventions, and plan of care strategies in relation to expected outcomes
• Include patient/family/caregiver and other healthcare providers in evaluation
• Base evaluation on advanced knowledge, practice, research, and document appropriately
• Utilize evaluation results to determine impact on patient/family/caregiver, organization, and system; recommend process or structural changes including policy, procedure, or protocols

Scope for subspecialty role will not exceed the scope of the collaborating or supervising MD.

Requirements

Experience

• Nurse Practitioner and/or Physician Assistant experience or new graduate
• Experience with diabetes highly preferred
• Candidates with RN or APP experience with Type 1 diabetes and T1D technology (CGM, pumps) prioritized

Certifications

• Certification as FNP, Primary Care, or Physician Assistant

Education

• Master's degree in related field, or Doctorate of Nursing Practice degree
• May require clinical license, certification, or training

Licensure

• Licensure and certification in accordance with CCHMC Delineation of Privileges
• Multi-state licensure in addition to Ohio licensure may be required based on subspecialty

Schedule

• Shift length: 8 hours and 12 hours (inpatient weeks)
• Day shift
• Potential for weekends and holidays at some future date
• Must be willing to travel to satellite locations including Union Kentucky and other satellites as needed