Trauma Advanced Practice Provider (APP) - Night Shift

NHNPA; Cleveland, Northern (OH, KY); Hybrid; USD 110,000 - 170,000; Full time

Job summary

The MetroHealth System is seeking a Trauma Advanced Practice Provider to deliver overnight care for adult trauma patients in a high-acuity Level 1 center. You will work with trauma attendings, residents, and multidisciplinary teams to assess, treat, and coordinate care across the trauma service.

You will perform urgent bedside procedures, participate in trauma activations, and ensure proper documentation and collaboration with the surgical team.

Qualifications

• Graduated from an accredited master’s degree program (PA or AGACNP/ACNP).
• National certification through NCCPA, ANCC, or AACN.
• Licensure as PA or APRN/RN in Ohio, and eligibility for federal DEA registration.
• ATLS certification within 180 days of hire and BLS before hire.
• Clinical privileges process per MetroHealth credentialing requirements.

Responsibilities

• Provide overnight trauma care alongside attending surgeons and residents.
• Perform initial and ongoing trauma assessments with interpretation of labs and imaging.
• Respond to trauma activations, stabilize high-acuity patients, and follow ATLS guidelines.
• Evaluate changes in clinical status and escalate care as needed.
• Perform bedside procedures and manage post‑operative plans with the team.
• Document care plans timely and coordinate patient disposition with services.

Skills

ATLS knowledge

BLS certification

Clinical judgment

Overnight patient care

Education

Master's degree PA/AGACNP/ACNP

Tools

Vascular access (central/arterial lines)

Ventilator management

FAST exam proficiency

Job description

Trauma Advanced Practice Provider (APP) - Night Shift

Position Overview

The Trauma Advanced Practice Provider (APP) delivers direct patient care consistent with the APP’s education, experience, and certification, in collaboration with the attending Trauma Surgery physicians. This includes the diagnosis, management, and referral of health care issues specific to Trauma. The APP will provide comprehensive overnight management of adult trauma patients in a fast-paced Level 1 Trauma Center environment.

The Trauma Night APP will primarily provide overnight coverage for patients admitted to the Trauma Service, respond to trauma activations, and assist with the evaluation and management of acute changes in patient condition. This role provides an opportunity to practice at the highest level of an APP’s training while caring for a diverse and complex trauma population. The Trauma Night APP will remain separate from the Trauma/Surgical ICU APP team and will not be responsible for routine ICU coverage or management.

Key Responsibilities

• Collaborate with Trauma attending physicians, surgical residents and Trauma APPs to provide comprehensive overnight care for trauma patients.
• Perform initial and ongoing assessments of trauma patients, including review and interpretation of laboratories, imaging, and clinical data to develop and document appropriate assessments and treatment plans.
• Respond to trauma activations in the resuscitation bay, perform trauma survey assessments, and stabilize high-acuity patients in accordance with Advanced Trauma Life Support (ATLS) guidelines.
• Independently evaluate and manage changes in clinical status, including recognition of patient deterioration and escalation of care when appropriate.
• Perform bedside procedures for surgical and non-surgical trauma patients.
• Provide overnight management of patients across the trauma service, including the trauma floor.
• Provide pre- and post-operative management of trauma patients and collaborate with the surgical team regarding operative and non-operative treatment plans.
• Work collaboratively with Trauma Surgery attendings, residents, nursing, intensivists, and other multidisciplinary team members to coordinate patient care.
• Complete timely documentation, orders, and implementation of care plans.
• Assist with patient disposition and coordination of care, including communication with consulting services and multidisciplinary teams.
• Promote patient and family education, advocacy, and engagement throughout the trauma care process.
• Uphold the mission, vision, values, and customer service standards of The MetroHealth System.

Required Qualifications

• Graduate of an accredited master’s degree program for:
  • Physician Assistant (PA)
  • Adult Gerontology Acute Care Nurse Practitioner (AGACNP)
  • Acute Care Nurse Practitioner (ACNP) or equivalent grandfathered certification.
• National certification through NCCPA, ANCC, or AACN.
• Licensure:
  • PA: License through the State Medical Board of Ohio.
  • NP: License as an Advanced Practice Registered Nurse (APRN) and Registered Nurse (RN) through the Ohio Board of Nursing.
• Eligibility for federal DEA registration.
• Current Basic Life Support (BLS) certification from the American Heart Association or obtained within 90 days of hire.
• Advance Trauma Life Support (ATLS) certification obtained within 180 days of hire.
• Additional advanced life support certifications (as applicable to practice area) obtained within 180 days of hire.
• Knowledge of sterile techniques and aseptic practices.
• Meet requirements for clinical privileges in the specialty/department with The MetroHealth System and apply for privileges at the time of hire.
• Maintain a standard care arrangement or supervision agreement as required by Ohio law.

Preferred Qualifications (preferred but not required for otherwise qualified candidates)

• One year of Advanced Practice Provider experience.
• Experience in trauma surgery, emergency general surgery, surgical critical care, or another acute care setting.
• Experience caring for high-acuity trauma or critically ill patients.
• Proficiency in procedural skills such as central and arterial line placement, ventilator management, chest tube placement, laceration repair, and FAST exams.
• Experience managing trauma patients in a Level 1 trauma center.

Additional Notes

Other department-specific qualifications for providers will be addressed through the Certificate of Authority and credentialing process.

Work Environment

The APP will work at The MetroHealth System's primary facility in Cleveland, home to Cleveland's most experienced Level 1 Adult Trauma Center. This position is specifically designed to provide overnight trauma coverage in a high-acuity, fast-paced clinical environment. This position is primarily focused on nightshift coverage, with holidays and weekend coverage required.

The role requires adaptability, sound clinical judgment, and the ability to work independently while maintaining close collaboration with Trauma Surgery attendings, residents, and multidisciplinary team members.

About The MetroHealth System

The MetroHealth System is a nationally recognized public health care system committed to providing outstanding care to everyone, regardless of their ability to pay. As one of the largest, most comprehensive health systems in Northeast Ohio, MetroHealth operates an integrated network of hospitals, health centers, and outpatient clinics. The organization is dedicated to fostering innovation, improving community health, and advancing medical education and research. Learn more at www.metrohealth.org.

MetroHealth’s Trauma Center

MetroHealth’s Trauma Center is Cleveland's most experienced Level 1 Adult Trauma Center, known for delivering cutting-edge, lifesaving care to critically injured patients. The center’s multidisciplinary approach ensures seamless collaboration between trauma surgeons, specialists, and advanced practice providers. Recognized for its excellence in trauma care, MetroHealth’s Trauma Center plays a vital role in the region, serving as a leader in trauma education, research, and outreach programs designed to enhance injury prevention and improve outcomes for the community.