Instructor/APP - Clinical APP Instructor/Nocturnist

Department Overview

The full-time annual base salary range for this position is based on the Clinical Faculty APP, Critical Care and Emergency – 24/7 table; Minimum:  $167,300 - Maximum: $$222,938.  Commensurate with experience and rank.

The night differential is then paid out for each night shift worked at 15% of the APP’s straight rate of pay.

A 10% weekend differential shall be paid in addition to the night differential, if applicable.

About OHSU Doernbecher Children’s HospitalLink https://www.ohsu.edu/doernbecherWith a strong tradition of teamwork, diversity and interdisciplinary care, we believe all children deserve the best. At Doernbecher, we built a hospital around that belief. It’s why we have more specialists in children’s health than anywhere else in the state. We offer the newest and most advanced treatments available, along with innovative collaborations and research opportunities. As Oregon’s only academic health center, we strive to offer the best medical care to every child across Oregon, Southwest Washington and beyond.

About OHSULink www.ohsu.eduOHSU's singular focus on improving health starts with Oregonians and has global impact. We are the only academic health center in Oregon, but we're also nationally distinct as a university dedicated solely to advancing health sciences. This allows us to concentrate resources on research to prevent and cure disease, on education that prepares physicians, dentists, nurses and other health professionals to succeed in an evolving health care environment, and on patient care that incorporates the latest knowledge and discoveries. We have 18,000 employees and secure competitive research funding of more than $400 million a year. As a public organization, we provide community outreach and services for Oregon's most vulnerable populations. OHSU’s stated mission to improve the health and quality of life for all Oregonians through excellence, innovation and leadership in health care, education and research.

About Portland and OregonLink https://www.travelportland.comBisected by the Willamette River, Portland is a vibrant city nestled among green woods and waterways. Only 90 minutes from the spectacular Oregon coast or towering Mount Hood, Portland offers the rare accessibility of snow-to-surf. Portland embraces cyclists, hikers, brewpubs, dogs, climbers, artisan coffee shops, book readers, foodies, professional soccer and basketball fans, award-winning wineries, concertgoers and paddle boarders. It’s no wonder Portland constantly ranks as one of America’s favorite lifestyle cities.

Function/Duties of Position

The Clinical Faculty APP delivers care aligned with a defined scope of practice in OHSU Neonatal Intensive Care Unit (NICU), with work expectations operationalized through departmental workflows, productivity standards, and performance expectations consistent with the collective bargaining agreement (CBA) and institutional policies.

This role is structured to meet contract-defined work expectations of 144 annual direct patient care shifts (inclusive of holidays) per year for a 1.0 FTE, aligned with the staffing model for OHSU NICU, including 13-hour shift-based scheduling, continuous 24/7 coverage, and clinical coverage expectations as a nocturnist that include nights, weekends, and holidays consistent with unit scheduling guidelines.

The Clinical Faculty APP will participate in departmental scheduling processes, including weekends and holidays with scheduling practices aligned to contract provisions, equitable distribution of coverage, and maintenance of safe, consistent clinical operations.

Clinical Activities (not assigned administrative, education, or research FTE):

• Patient Population:
  • Neonates and infants requiring Level III/IV neonatal intensive care services, including premature infants, critically ill newborns, surgical neonates, and medically complex patients.
  • Patients may include those requiring stabilization, intensive monitoring, procedural support, and coordination of multidisciplinary care.
• Practice area and practice type:
  • Inpatient practice within the Neonatal Intensive Care Unit (NICU).
  • Shared practice model in collaboration with attending neonatologists and interdisciplinary care teams, with independent practice responsibilities consistent with APP scope, licensure, training, and credentialing.
  • Clinical productivity and effort may include wRVU-generating and non-wRVU clinical activities as defined by departmental standards
• Clinical coverage requirement:
  • Participation in scheduled clinical coverage, which may include night, weekend, and holiday shifts.
  • Support for patient admissions, consultations, delivery attendance, neonatal resuscitation, transport coordination, triage, and cross-coverage responsibilities, as assigned.
• Department specific activities:
  • Management of NICU patients, including assessment, diagnosis, treatment planning, and ongoing clinical management.
  • Attendance at high-risk deliveries and neonatal resuscitations.
  • Performance of procedures within scope of practice and privileges (e.g. intubation, umbilical line placement, lumbar puncture, chest tube assistance, surfactant administration, as applicable).
  • Participation in multidisciplinary rounds, care coordination, discharge planning, and family communication.
  • Support of patient safety, quality improvement, clinical protocols, and compliance with departmental and institutional standards.
  • Participation in neonatal transport or outreach activities, if applicable.

Faculty Activities (service, scholarship, and research):

• Clinical APP faculty are expected to engage in activities that support professional advancement and are consistent with faculty pursuits and standard work expectations, commensurate with rank, role, effort allocation, and departmental guidelines.
• Faculty pursuit opportunities specific to position:
  • Participation in quality improvement, patient safety, and clinical innovation initiatives
  • Development, implementation, or evaluation of evidence-based practice guidelines or clinical protocols
  • Participation in scholarly activity, including presentations, publications, abstracts, posters, or other dissemination of work
  • Involvement in clinical, translational, educational, or practice-based research, as applicable
  • Teaching, precepting, and mentorship of learners, including APP students, residents, fellows, or new APP faculty
  • Participation in departmental, institutional, or professional committees, task forces, or service activities
  • Engagement in professional development, leadership development, and advancement activities consistent with promotion criteria
  • Contribution to departmental strategic initiatives and other faculty pursuits as assigned or mutually agreed upon

Other Activities (not covered above):

• All APPs are expected to support the clinical, education, and research mission of OHSU through routine clinical care that includes working with students, trainees, and patients participating in research, consistent with their role, scope of practice, and applicable contract and institutional policies.

Required Qualifications

Education:

• Successful completion of a Master’s Degree in Nursing or Master of Science in Nursing in a recognized APRN specialty (Nurse Practitioner)

 - OR -

• Successful completion of a Master’s Degree in Physician Assistant/Associate Studies from an accredited program

Registrations, Certifications and/or Licenses:

• Current RN and APRN licensure with the Oregon Board of Nursing.
• Current national certification in the area of specialization.
• Current BLS, NRP and (currently optional) PALS Certification as indicated for the position
• DEA Certification.

 - OR -

• Current PA licensure with the Oregon Medical Board.
• Current NCCPA Certification.
• Current BLS, NRP and (currently optional) PALS Certification.
• DEA Certification.

Experience:

• Appointee must be a board-certified Neonatal Nurse Practitioner (NNP) or Physician Assistant (PA) with appropriate training, experience, and clinical competency to provide care for infants in a Level III and/or Level IV Neonatal Intensive Care Unit (NICU).
• Experience providing advanced practice care in neonatal, critical care, inpatient, or pediatric settings preferred.
• Experience managing high-acuity or medically complex patients preferred.
• Experience with neonatal procedures, emergency response, and interdisciplinary team-based care, as applicable to scope of practice, preferred.
• For new graduates, completion of required clinical training and eligibility for licensure, credentialing, and privileging as required for the role is required.

Skills and Abilities:

• Demonstrated clinical judgment, critical thinking, and decision-making skills in a complex care environment.
• Ability to assess, diagnose, and manage patients within scope of practice and applicable privileges.
• Ability to perform procedures and clinical interventions consistent with training and role requirements.
• Strong communication and interpersonal skills, including effective collaboration with patients, families, physicians, nurses, and interdisciplinary teams.
• Ability to function effectively in a fast-paced, high-acuity environment, including emergency or rapidly changing situations.
• Ability to prioritize, manage workload, and adapt to evolving clinical needs.
• Proficiency with electronic health records, clinical documentation, and relevant medical technology.
• Commitment to patient safety, quality improvement, professionalism, and continuous learning.

Additional Details

This position is represented by the Oregon Nurses Association - Advance Practice United (ONA-APU), subject to the active Collective Bargaining Agreement (CBA).

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Why apply to OHSU?

We are Oregon's only public academic health center. In addition to caring for patients, we lead groundbreaking research. We also train the next generation of health care professionals. As Portland's largest employer, we give you opportunities to learn and advance in a system of hospitals and clinics across Oregon and Southwest Washington. All are welcome. OHSU welcomes people of all ages, ethnicities, genders, national origins, religions and sexual orientations. We are striving to build an anti-racist, multicultural institution and encourage people with diverse backgrounds to apply. To request reasonable accommodation, contact [email protected]