Advanced Practice Nurse - Primary Care

TriHealth; Wilmington (OH); On-site; USD 110,000 - 140,000; Full time

Benefits offered by this job

Shift differentials

Professional growth

Comprehensive benefits

Job summary

TriHealth Clinton Regional Hospital is seeking an APRN II to join our clinical team in Wilmington, Ohio. The role focuses on advanced nursing practice with prescriptive authority, working in collaboration with physicians to assess, diagnose, and manage patient care.

The APRN II will provide expert clinical leadership, develop patient care plans, and engage in education for patients, families, and staff, while advancing evidence-based nursing practice and quality improvement initiatives.

Qualifications

• Master’s degree in nursing is required and NP/CNS/midwife program graduate.
• 3–4 years of clinical nursing experience in geriatrics, occupational health, or related setting.
• Adult Nurse Practitioner credentials (NP-C and ANP-BC) and RN licensure are required.

Responsibilities

• Perform complete history and physical examinations with psychosocial assessment.
• Prescribe medications and therapies within formulary and collaborate with physicians to develop care plans.
• Educate patients and families, coordinate referrals, and promote evidence-based practice and quality improvement.
• Participate in leadership, mentoring, and collaboration with interdisciplinary teams.

Skills

Clinical nursing experience

Prescriptive authority knowledge

Education

Master's Degree in Nursing

Graduate from NP, CNS or midwife program

Registered Nurse (RN) license

Job description

TriHealth Physician Practice | Clinton Regional Hospital

At TriHealth Clinton Regional Hospital, you’ll find more than a job—you’ll find connection. Our teams are united by a shared commitment to service, respect, and teamwork, creating an environment where people support one another and take pride in caring for their community. With small‑town charm, strong relationships, and a culture built on TriHealth’s servant‑leadership values, Clinton is a place where careers grow and people stay.

Located in Wilmington, Ohio, TriHealth Clinton Regional Hospital offers small‑town charm with convenient access to Cincinnati, Dayton, and Columbus.

Serve your community. Grow your skills. Build your future with TriHealth.

Location:

2241 Rombach Ave., Wilmington

Work Hours:

• OPTIONAL WORK HOURS
• Day shift

Incentives & Benefits:

We offer competitive shift differentials, opportunities for professional growth, and a comprehensive benefits package that may include medical, dental, vision, paid time off, retirement savings plans, and tuition reimbursement.For more information, please visit our benefits page: https://careers.trihealth.com/what-we-offer/benefits

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 Requirements:

• Master's Degree in Nursing (Required)
• Graduate from NP, CNS or midwife program (Required)
• 3 - 4 years experience Clinical in Nursing 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 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. Assesses for interactive and synergistic effects of multiple pharmacologic and non‑pharmacologic interventions. Orders laboratory and radiologic tests and interprets the results. Collaborates with physician(s) to plan to implement a comprehensive plan of care. Discusses patient’s care with family members. Performs 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 a 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