Advanced Practice Provider (NP/PA) – Acute Care Cardiology Unit (ACCU)

CO00 Children's Hospital Medical Center; Greendale (WI); On-site; USD 100,000 - 150,000; Full time

Job summary

Cincinnati Children’s Hospital Medical Center is seeking a Nurse Practitioner or Physician Assistant for the Acute Care Cardiology Unit (ACCU) within the Heart Institute. The 40‑hour workweek includes day and night shifts, with full-time benefits eligibility.

The ACCU unit provides comprehensive cardiac care for a wide age range, from newborns to adults, using advanced monitoring and devices. The role emphasizes clinical assessment, planning, and collaboration with a multidisciplinary team.

Qualifications

• Masters or Doctorate in Nursing Practice required.
• Active clinical license and APP privileges per unit policy.
• Subspecialty APP experience preferred; multi-state licensure may be required.

Responsibilities

• Perform history and/or physical exams for patients in area of expertise.
• Assess and diagnose illnesses, including chronic and acute conditions.
• Formulate, document, and monitor a treatment plan.
• Order and monitor labs, imaging, and diagnostic tests as needed.
• Provide clinical consultation and order interdisciplinary consults.
• Prescribe medications in line with laws and hospital policy.
• Maintain competency and participate in quality improvement.

Skills

Clinical assessment

Care planning

Interdisciplinary collaboration

Prescribing medications

Education

Masters or Doctorate in Nursing Practice

Clinical license / APP privileges

Tools

Berlin Heart

HeartMate II

HeartMate III

SynCardia

Job description

Job Summary

Department/Unit: ACCU Nurse Practitioner (Acute Care Certification) or Physician Assistant. Hours/Shift: Full Time - 40 hours/week, Day/Night Shift. Benefit Eligibility: Full Time Benefits Eligible.

The Acute Care Cardiology Unit (ACCU) is part of the Heart Institute and provides comprehensive care for medical and surgical cardiac patients, including heart and heart‑lung transplant. It also serves as an overflow area for medical‑surgical patients. The patient population ranges from newborns to adults and consists of 24 beds. Modalities used include noninvasive monitoring, cardiac telemetry, oxygen, high‑flow nasal cannula, inotropic and antiarrhythmic drug therapy, NIRS, complex drainage tube management, and mechanical/ventricular assist devices such as Berlin Heart, HeartMate II, HeartMate III, and SynCardia.

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.
  • Provide clinical consultation and order interdisciplinary consults.
  • Prescribe medications in accordance with Federal and State Law & Rules and CCHMC policy.
  • Maintain competency in subspecialty practice, skills and procedures in accordance with Joint Commission standards for focused and ongoing professional practice evaluation.
• Outcomes Identification and Planning
  • Develop outcomes as measurable goals that provide direction for continuity of care and consistency among providers.
  • Prioritize, evaluate, and modify individualized comprehensive plans of care.
  • Involve patient/family/caregiver in realistic outcomes and plans of care.
  • Consider risks/benefits, costs, clinical effectiveness, current evidence, and clinical expertise to formulate interventions.
  • Incorporate new knowledge and strategies to initiate change when desired outcomes are not achieved.
  • Maintain documentation and update goals and plans accordingly.
• Professional Practice
  • Maintain professional behaviors aligned with core values and care standards.
  • Participate in quality improvement activities or research to improve care delivery processes and outcomes.
  • Engage in lifelong learning and professional development activities.
  • Serve as preceptor, role model, or mentor; contribute to peer development.
  • Integrate ethical considerations and research findings into practice.
  • Provide leadership by participating on committees, professional organizations, or writing and publishing.
  • Advocate for the pediatric patient/family/caregiver and serve as a leader in 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 and cost‑effective care.
  • Document and communicate with team members for integrated delivery of pediatric care services.
  • Delegate appropriate monitoring, assessment, and interventions based on patient and scope of practice.
  • Provide consultation to influence the identified plan of care.
  • Make appropriate referrals and discuss recommendations with patient/family/caregiver.
  • Order and/or perform appropriate treatments, therapies, and procedures based on current knowledge.
  • Provide diagnostic and laboratory results and explain benefits, limitations, and adverse effects of proposed therapies.
• Evaluation
  • Use systematic, ongoing evaluation of assessment data and outcomes to revise or resolve diagnoses and plans of care.
  • Evaluate effectiveness of interventions and plan of care strategies relative to expected outcomes.
  • Include patient, family, and other healthcare providers in the evaluation.
  • Base evaluation on advanced knowledge, practice, and research, documenting appropriately.
  • Use results to determine impact on patient, organization, and system; recommend process or structural changes.

Qualifications

• Mentioned: Masters degree or Doctorate in Nursing Practice degree in related field.
• Clinical license, certification, or training in accordance with CCHMC delineation of privileges.
• Work as an APP in a subspecialty preferred.
• Licensure and certification in accordance with CCHMC requirements; multi‑state licensure may be required based on subspecialty.

Equal Employment Opportunity

Cincinnati Children’s is a proud Equal Opportunity Employer committed to creating an environment of dignity and respect for all employees, patients, and families. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, age, genetic information, national origin, sexual orientation, gender identity, disability, or protected veteran status.