Advanced Practice Nurse II

TriHealth, Inc.; Montgomery (OH); On-site; USD 100,000 - 140,000; Full time

Benefits offered by this job

Medical, dental, vision

Paid time off

Retirement plans

Tuition reimbursement

Job summary

TriHealth’s GI team in Montgomery seeks an Acute Care Nurse Practitioner to provide cross-coverage for ambulatory and inpatient Gastroenterology services. You will practice at the top of your license, delivering high-quality, patient-centered care in a fast-paced setting.

The role emphasizes clinical judgment, collaboration with physicians, and a commitment to superior patient outcomes. In-office Monday–Friday with a day shift and no weekends or on‑call commitments.

Qualifications

• Master’s degree in nursing is required.
• Graduate from NP, CNS or midwife program is required.
• 3–4 years of clinical nursing experience is required.
• Demonstrated expertise in area of clinical specialization.
• NP-C and ANP-BC credentials are required.
• Registered Nurse license is required.

Responsibilities

• Direct patient/family care management accounts for at least 50% of the role.
• Take and document a complete patient history and physical examination.
• Prescribe drugs and therapeutic devices per formulary.
• Assess interactions and plan integrated interventions.
• Order and interpret laboratory and imaging tests.
• Collaborate with physicians to plan comprehensive care.
• Discuss patient care with families.
• Promote and enforce Standard Care Arrangement.
• Consult with the interdisciplinary team on diagnoses and interventions.
• Refer to other care team members when appropriate.
• Support cost and quality considerations in care decisions.
• Lead and participate in education, mentoring, and research activities.
• Engage in evidence-based practice to improve outcomes.

Skills

Clinical experience

NP‑C & ANP‑BC

Registered Nurse

Education

Master’s degree in nursing

Graduate from NP, CNS or midwife program

Job description

Advanced Practice Nurse II (Acute Care Nurse Practitioner)

TPP Gastroenterology – Montgomery Location

Join a collaborative GI team where you'll practice at the top of your license while making a meaningful impact on patient care. We’re seeking an Acute Care Nurse Practitioner to provide cross-coverage for both ambulatory and inpatient Gastroenterology services. The ideal candidate brings strong clinical judgment, thrives in a dynamic environment, and is passionate about delivering exceptional patient-focused care.

Location:

• TPP Gastroenterology Montgomery

  • In office Monday – Friday

Work Schedule:

• Full-time (80 hours biweekly)

• Day Shift

• No Weekend, Holiday or On Call Commitment

Benefits:

TriHealth offers a comprehensive benefits package - including medical, dental, vision, paid time off, retirement plans, and tuition reimbursement. Please view our benefits page https://careers.trihealth.com/what-we-offer/benefits

Job Requirements:

• Master’s degree in nursing (Required)

• Graduate from NP, CNS or midwife program (Required)

• 3 - 4 years’ experience Clinical in Nursing practice in geriatric, occupational health, or other applicable setting. (Required)

• Demonstrated expertise in area of clinical specialization

• Adult Nurse Practitioner - (NP-C & ANP-BC)

• Registered Nurse

Job Overview:

The APRN II is a nurse prepared with graduate level nursing education and authorized to practice and prescribe as a Clinical Nurse Specialist or Certified Nurse Practitioner in collaboration with one or more physicians or podiatrists. Advanced clinical practice in nursing includes the following components: assessment of patient health status, diagnostic testing, diagnoses, development of treatment plans, implementation of treatment plans, follow-up and evaluation of the patient’s response to treatment, accurate documentation of the patient’s status, and patient advocacy. APRNs are clinical experts who design, implement and evaluate patient-specific and population-based programs of care and promote care through a variety of methods. APRNs function at all levels of the healthcare system within three sphere of influence: client, personnel, and organization. APRNs must have a collaborating physician(s) in an associated Standard Care Arrangement. The APRN II must spend 50% of hours worked utilizing prescriptive authority in their advanced clinical practice role.

Job Responsibilities:

• At least 50% of position involves direct management of the patient’s and/or family’s care.

• Independently performs and documents a complete history and physical examination, including psychosocial assessment.

• Prescribes drugs and therapeutic devices consistent with the formulary under section 4723.50 of the Ohio Revised Code.

• Assess for interactive and synergistic effects of multiple pharmacologic and non-pharmacologic interventions.

• Orders laboratory and radiologic tests and interprets the results.

• Collaborate with physicians to plan to implement a comprehensive plan of care.

• Discusses patient’s care with family members.

• Perform duties per the Standard Care Arrangement.

• Collaborates and consults with the interdisciplinary healthcare team, the patient and family when diagnosing, prioritizing problems, and implementing interventions.

• Provides consultation and initiates referrals to other healthcare team members and promotes collaboration among other members of the interdisciplinary healthcare team.

• Assists interdisciplinary team members, patients, and families in selecting therapies that integrate perspectives of cost and quality of benefits.

• Collaborates with other disciplines in teaching, consultation, management, and research activities to improve outcomes in nursing practice and enhance the healthcare environment.

• Utilizes, participates in, and disseminates research, evidence-based practice, or quality improvement projects to enhance clinical practice and patient outcomes.

• May serve as primary or co-investigator, or member of the investigative team in conducting nursing or collaborative research.

• Critically evaluates existing practice based on current research findings and integrates changes into practice through an EBP project.

• Evaluates processes of care by serving as leader or team member in relevant Quality Improvement projects.

• Promotes mentoring and education to nursing by serving as a Journal Club mentor and facilitates learning in critically appraising the literature.

• Provides education to patients, families, and healthcare providers to promote best practice.

• Serves as a teacher, mentor, role model to nurses in the promotion of nursing research, EBP.

• Serves as preceptor, role model and mentor to staff nurses and colleagues as well as nursing students.

• Teaches, coaches, and supports nurses and other healthcare professionals to advance the care of patients.

• Provides education to the patient and their family for health promotion including secondary prevention strategies.

• Collaborates in the assessment, development, implementation and evaluation of patient and staff educational needs.

• Ensures nursing practice is conducted in an ethical and legal manner. Abides by the Ohio Scope of Practice as an APRN.

• Provides safe, compassionate, competent, and ethical care.

• Demonstrates the highest level of accountability for professional practice.

• Preserves the patient’s dignity.

• Serves as a patient advocate by promoting advanced directives and adherence to the patient's wishes.

• Contributes and promotes the discussions of end‑of‑life decisions and palliative care with the patient, family members, physician and the health care team as appropriate.

• Provides effective leadership.

• Integrates analysis of cost and benefits in care decisions.

• Designs/Develops innovative solutions for patient care problems that utilize resource efficiency while maintaining or improving quality and advancing best practices.

• Provides leadership in the development and application of consensus derived protocols or evidence-based practice (EBP) guidelines in the clinical setting.

• Participates, as opportunities arise, in healthcare-related decision-making at the system, local, state, and national levels with an emphasis on improving patient outcomes.

• Serves in key roles by participating in/leading committees, councils, and administrative teams.

Other Related Information:

The TriHealth Nursing Vision, Mission, and Philosophy speak to professional development, collaboration, and our nursing culture. To achieve excellence in nursing care, TriHealth encourages: pursuit of improved knowledge through continuing education classes, formal education leading to advanced degrees, and the attainment of specialty certification; nurse membership in local, regional, and national nursing organizations related to the appropriate nurse specialty; involvement in activities that better the health of our community; nursing research activities and use of evidence-based practice, and all nurses to foster, support, and personally model collaborative relationships amongst nurses, physicians, and other caregivers for the betterment of patient care.

Working Conditions:

• Bending -
• Climbing - Occasionally
• Concentrating - Consistently
• Continuous Learning - Consistently
• Hearing: Conversation - Consistently
• Hearing: Other Sounds - Consistently
• Interpersonal Communication - Consistently
• Kneeling - Occasionally
• Lifting <10 Lbs. - Frequently
• Lifting 50+ Lbs. - Frequently
• Lifting <50 Lbs. - Frequently
• Pulling - Frequently
• Pushing - Frequently
• Reaching - Consistently
• Reading - Consistently
• Sitting - Frequently
• Standing - Frequently
• Stooping - Frequently
• Talking - Consistently
• Thinking/Reasoning - Consistently
• Use of Hands - Consistently
• Color Vision - Consistently
• Visual Acuity: Far - Consistently
• Visual Acuity: Near - Consistently
• Walking - Frequently

TriHealth SERVE Standards and ALWAYS Behaviors

At TriHealth, we believe there is no responsibility more important than to SERVE our patients, our communities, and our fellow team members. To achieve our vision and mission, ALL TriHealth team members are expected to demonstrate and live the following:

Serve: ALWAYS...

• Welcome everyone by making eye contact, greeting with a smile, and saying "hello"
• Acknowledge when patients/guests are lost and escort them to their destination or find someone who can assist
• Refrain from using cell phones for personal reasons in public spaces or patient care areas

Excel: ALWAYS...

• Recognize and take personal responsibility to address and recover from service breakdowns when a customer's expectations have not been met
• Offer patients and guests priority when waiting (lines, elevators)
• Work on improving quality, safety, and service

Respect: ALWAYS...

• Respect cultural and spiritual differences and honor individual preferences.
• Respect everyone's opinion and contribution, regardless of title/role.
• Speak positively about my team members and other departments in front of patients and guests.

Value: ALWAYS...

• Value the time of others by striving to be on time, prepared and actively participating.
• Pick up trash, ensuring the physical environment is clean and safe.
• Be a good steward of our resources, using supplies and equipment efficiently and effectively, and will look for ways to avoid waste.

Engage: ALWAYS...

• Acknowledge wins and frequently thank team members and others for contributions.
• Show courtesy and compassion with customers, team members and the community