Advanced Practice Provider (NP/PA): Cardiology I

Cleveland Clinic; Fort Lauderdale (FL); Sur place; USD 120 000 - 180 000; Plein temps

Résumé du poste

Cleveland Clinic Florida in Weston, FL is seeking a Physician Assistant or Nurse Practitioner to join our Cardiology team. This full-time position focuses on advanced structural heart care, including coordination with surgeons, interventional cardiologists and device specialists to deliver comprehensive patient care.

The ideal candidate will be licensed as an APRN or PA, possess strong teamwork skills, and be committed to clinical excellence and patient education across all stages of care.

Qualifications

• Graduate of an A.R.C. approved Physician Assistant Program.
• Master’s degree in Physician Assistant Studies and/or higher.
• MSN required within 3 years for APRN hires.

Responsabilités

• Receive and review patient referrals for appropriateness, reviewing with an attending provider as needed.
• Establish contact with patient/family and explain process and work-up.
• Perform functional assessments and frailty testing.
• Participate in development of treatment plan and patient education.
• Be available to patients and families through all stages of care.
• Assist in follow-up visits and coordination per registry requirements.
• Flexibility to adapt to new technologies and procedures (TAVR, TMVR, MitraClip, etc.).
• Upload required data to appropriate vendor and maintain communication with device representatives.

Connaissances

Multidisciplinary teamwork

Patient care coordination

Holistic assessment

Formation

A.R.C. approved Physician Assistant program

Master’s degree in Physician Assistant Studies or higher

MSN required within 3 years for APRN hires

Description du poste

Physician Assistant/Nurse Practitioner – Cardiology

Cleveland Clinic – Weston, FL

Full-Time | Monday–Friday

Cleveland Clinic Florida is seeking a dedicated and motivated Physician Assistant or Nurse Practitioner to join our Cardiology team at Weston. This role offers the opportunity to work within a nationally recognized healthcare system that values clinical excellence, collaboration, and work-life balance.

APRN: Nationally certified licensed healthcare provider who provides primary and/or specialty nursing and/or medical care in a variety of healthcare settings. Functions in collaboration with a physician according to an APRN protocol and specialty certification. Practice emphasizes health promotion, disease prevention and the diagnosis and treatment of acute and chronic health problems.

PA: Nationally certified licensed healthcare provider who provides primary and/or specialty medical care (the practice of medicine) in a variety of healthcare settings. Functions within the collaboration agreement of a Physician, as per regulatory requirements. Performs complete histories and physicals on patients of all ages to establish and record patient's current health status and to develop a working diagnosis and treatment plan to provide continuing medical care, including daily examinations, writing orders, chart notes, discharging patients and completing discharge summaries. This medical care may be in a variety of clinical settings. PAs in the Hospital care role provide outpatient and/or hospital-based care to patients (more than 50% of their time) with complex, acute, and chronic health conditions. Outpatient/Hospital care PAs practice in a setting that requires the performance of diagnostic and therapeutic interventions to manage acute and chronic health problems.

Must have the ability to work with multi-disciplinary teams.

Responsibilities

Responsibilities include TAVR, TMVR, MitraClip, TriClip, Evoque, WATCHMAN, Amulet, Lariat and all structural heart patient care coordination.

MAJOR AREAS OF ACCOUNTABILITY

• Receive and review patient referrals for appropriateness, reviewing with an attending provider as needed
• Establish contact with patient/family. Explain process and work-up.
• Perform functional assessments and frailty testing
• Have all testing available for review by cardiologist and CTS at clinic visit
• Participate in development of treatment plan
• Patient and family education
• Facilitate direct contact between cardiologist and referring physician regarding treatment plan
• Order any additional testing i.e. cath, TEE, CT
• Upload required data to appropriate vendor and maintain communication with device representatives
• Participates in follow-up visits and coordinates further follow-up per registry requirement.
• Attends weekly valve conference
• Be available to patients and families through all stages of care.
• Establish strong working relationship with surgeons, interventionalist, advanced practice providers, and device representatives
• Flexibility to adapt to new technologies and procedures as they evolve: TAVR, TMVR, MitraClip, TriClip, Evoque, WATCHMAN, Amulet, Lariat etc.

Backup responsibilities

• Obtain all outside imaging, scheduling screening procedures and structural heart clinic visit
• Assist patient/family with navigation of testing schedule
• Facilitate scheduling and authorization of structural heart procedures
• Contact the patient 48-72 hours post discharge and then as needed until stable.
• Coordinates concerns among multiple departments including but not limited to OR, cath lab, anesthesia, CT, echo, vascular, hospital units.
• Initiates and coordinates outreach programs.
• Initiates and coordinates education for hospital staff.
• Tracks required registry data to be sure requirements are being met.

Additional 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 on new and former clinic patients and hospital admissions to establish a record of the patient's current health status and to develop a working diagnosis and treatment plan.
• Must be able to work with collaborating physician.
• Performs and interprets, at least to the point of recognizing deviations from normal, common laboratory, radiologic, cardiographic and other routine diagnostic procedures used to identify pathophysiologic processes as privileged by CCF Credentialing Board.
• Performs routine procedures such as injections, immunizations, suturing and wound care, managing simple conditions produced by infection or trauma, assisting in the management of more complex illness and injury which may include assisting surgeons in conducting operations and taking initiative in performing evaluation and therapeutic procedures in response to life- threatening situations, as privileged by CCF Credentialing Board.
• May prescribe and monitor medications as allowed by prescriptive authority through applicable state Board of Nursing/Medicine and CCF policy.
• Performs specialized procedures, including bone marrow aspirations, biopsies and harvest, blood draws, designated IV starts, spinal taps, thoracentesis and paracentesis as well as other specific procedures as directed by the physician, following approval by CCF Credentialing Board.
• Provides information and answers routine questions of patients regarding their disease, including preventive health maintenance topics such as diet, weight, smoking and topics related to medical specialty, with basic recommendations.
• Educates patients 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.
• Performs research follow-up studies.
• Assists in data analysis.
• Participates in quality monitoring thru 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.
• May serve as clinical preceptor for PA/APRN students and other health professionals.
• May serve as Faculty for onboarding new employees.
• Other duties as assigned.

Education

APRN

Effective 05/01/2014: 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 states Licensing Board.

Languages

Oral and written communication in English

Certifications

Nationally certified Advanced Practice Provider who provides primary and/or specialty care in a variety of healthcare settings. Functions in collaboration with the health care team in accordance with certification and licensure. Practice emphasizes health promotion, disease prevention and the diagnosis and treatment of acute and chronic health problems. Responsible for dissemination of knowledge through instructing, leading and developing educational programs.

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 nationally accredited organization recognized by 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 American Heart Association (AHA); or Neonatal Resuscitation Program (NRP) through the American Academy of Pediatrics (AAP) may be required based upon 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 states Licensing Board.
• License to practice and prescribe issued by their practicing states 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) or Pediatric Advanced Life Support (PALS) through the American Heart Association (AHA); or Neonatal Resuscitation Program (NRP) through the American Academy of Pediatrics (AAP); or Advanced Trauma Life Support (ATLS) American Heart Association may be required based upon work setting.
• If a candidate has held a license to prescribe within another jurisdiction and needs to obtain a master's degree in order to apply for prescribing privileges the candidate will be subject for review for eligibility for hiring within our system.
• 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.

Complexity of Work

• APRN/PA: Excellent analytical and decision making skills are required.
• 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.
• Demonstrates a high standard of moral and ethical behavior.
• Demonstrates compassion and professionalism and a commitment to excellent patient care.
• Requires critical thinking skills, decisive judgement and the ability to work with minimal supervision.
• Must be able to work in a stressful environment and take appropriate action.
• Depending on practice, surgical fields may require surgical experience.

Work Experience

• Related clinical experience preferred.

Physical Requirements

• Typical physical demands include the 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.

Pay Range

Salaries [which may be] shown on independent job search websites reflect various market averages and do not represent information obtained directly from The Cleveland Clinic. Because we value each individual candidate, we invite and encourage each candidate to discuss salary/hourly specifics during the application and hiring process.