Cleveland Clinic

Non-profit medical center delivering care

Advanced Practice Provider: Cardiothoracic Surgery 3 - Acute Care Nurse Practitioner/Physician Assistant

Advanced Practice ProvidersConfirmed live in the last 24 hours

Full-timeVero Beach, FL, USANo salary listedIn-person

About the Job

Requirements

For the APRN pathway, an MSN or higher graduate degree in nursing is required upon hire or within three years of hire for applicable hires, and the candidate must graduate from an accredited APRN graduate program.
For the PA pathway, the candidate must graduate from an ARC-approved Physician Assistant program and have a Master's degree in Physician Assistant Studies and/or applicable state licensure for a certificate to practice.
APRN candidates must hold applicable state APRN licensure and national APRN certification; RN licensure is required only when mandated by the state. Prescriptive certification is required when applicable.
PA candidates must hold current NCCPA certification or successor certification, Florida State Medical Board PA-C licensure, a Physician Supervision Agreement or signed addendum, and CCF Credentialing Board privileges.
Basic Life Support certification through the American Heart Association is required. Advanced Cardiac Life Support or Pediatric Advanced Life Support, or in specified settings Neonatal Resuscitation Program certification, may be required.
Advanced practice nurses working in specified oncology settings or administering chemotherapy must obtain cancer-specific certification or demonstrate qualifying ongoing education within the facility accreditation timeframe.
The role requires excellent analytical and decision-making skills, strong written and verbal communication, multidisciplinary teamwork, advanced assessment and diagnostic competency, electronic medical record proficiency, ethical conduct, critical thinking, decisive judgment, and the ability to work with minimal supervision in a stressful environment.
Surgical fields may require surgical experience.
Candidates must be able to walk and stand for long periods, perform physical examinations requiring manual and finger dexterity and eye-hand coordination, and have corrected vision and hearing within a normal range. The role may require occasional lifting and carrying of items up to 50 pounds and exposure to communicable diseases or bodily fluids.
Employment offers are subject to controlled-substance testing, and employees must comply with the annual influenza vaccination program or obtain an approved exemption.

Responsibilities

Evaluate, treat, and document cardiothoracic surgery patients during preoperative, intraoperative, and postoperative periods and provide post-discharge follow-up to maintain continuity of care.
Round in the intensive care unit and on the floor; evaluate and treat patients after discussion with the supervising physician; document progress notes, consult notes, discharge summaries, and patient education in the electronic medical record; place orders and follow up on their completion.
Harvest conduits for coronary artery bypass grafting, including endoscopic and open vein and radial artery harvesting, and first-assist during cardiac and thoracic cases, including bypass, valve, aortic aneurysm, and aortic dissection procedures. Cross-cover thoracic surgery cases, including open and minimally invasive esophagectomies and video-assisted thoracoscopic lung resections.
See patients for clinic visits, perform small office procedures, return phone calls, and educate patients and family members.
Take medical histories, perform physical examinations where indicated, initiate appropriate laboratory, radiology, and other diagnostic tests, review laboratory data, and develop working diagnoses and treatment plans.
Work with the collaborating physician; perform and interpret routine laboratory, radiologic, cardiographic, and other diagnostic procedures to recognize abnormalities within credentialed privileges.
Perform routine procedures such as injections, immunizations, suturing, and wound care; assist with management of complex illness and injury and, within privileges, assist surgeons or initiate evaluation and treatment in life-threatening situations.
Prescribe and monitor medications as permitted by state prescriptive authority and Cleveland Clinic policy.
Perform approved specialized procedures, including bone marrow aspirations, biopsies and harvest, blood draws, designated intravenous starts, spinal taps, thoracentesis, and paracentesis, as directed by the physician.
Answer routine patient questions about diseases and preventive health maintenance, including diet, weight, smoking, and specialty-related topics; educate patients about diseases, treatments, and related medication and treatment side effects and hazards.
Participate in medical team rounds and collaborate regularly with nursing, medical, and other healthcare team members to support quality patient care.
Refer patients to specialists for consultation or specialized health resources and treatment, and serve as a liaison between patients and the multidisciplinary care team or other specialty areas to ensure continuity of care.
Conduct research follow-up studies and assist with data analysis.
Review patient records and treatment plans periodically to monitor outcomes and quality of care.
Facilitate appropriate length of stay, discharge planning, and compliance with regulatory standards for inpatient management.
May serve as a clinical preceptor for PA/APRN students and other health professionals, or as faculty for onboarding new employees.
Perform other duties as assigned.

Desired Qualifications

One year of cardiothoracic surgery experience is stated as required in the role-specific section.
Two years of clinical nursing experience is preferred for APRN candidates.
Two years of relevant clinical experience is preferred for PA candidates.

At Cleveland Clinic Health System, we believe in a better future for healthcare. And each of us is responsible for honoring our commitment to excellence, pushing the boundaries and transforming the patient experience, every day.

We all have the power to help, heal and change lives — beginning with our own. That’s the power of the Cleveland Clinic Health System team, and The Power of Every One.

Job Title

Advanced Practice Provider (Acute Care NP/PA): Cardiothoracic Surgery III

Location

Vero Beach

Facility

Indian River Hospital

Department

Cardiovascular Surgery Practice-Indian River Hospital

Job Code

001433

Shift

Day/Evening/Night/Weekend

Schedule

6:00am-5:00pm

Job Summary

Job Details

PA / APRN, Cardiothoracic Surgery III, Indian River (Acute Care NP)

Cleveland Clinic Indian River Hospital has an exciting opportunity for a Physician Assistant or Nurse Practitioner to join our team.

Duties include:

Comprehensive evaluation, treatment, and documentation of all cardiothoracic surgery patients in the Pre-operative, intraoperative and postoperative periods as well as follow up after discharge to insure there is continuity of care in patient management.
Rounding in the ICU and on the floor (usual patient load per PA 2-3). Patient evaluation and treatment after team discussion with supervising physician as well as clear and concise documentation in the electronic medical records, placing orders on patients, following up on orders completion. This will include daily progress notes, consult notes, discharge summaries and patient education.
Operating Room: Perform conduit harvesting for Coronary Artery Bypass Grafting (Endoscopic and open vein and radial artery), first assist during Cardiac and thoracic cases. Cases include CABG, Valve repair and replacements, Aortic aneurysm replacements, aortic dissections. Also, there will be an opportunity and the need for cross coverage with thoracic surgery cases including open and minimally invasive esophagectomies and lung resections via VATS.
Office Responsibilities: See patients for clinic visits, small office procedures, returning phone calls and providing education and clarification to the patients and their family members using all the tools available.

Schedule: M-F with intermittent weekend call coverage.

Preferred Experience: 1 years of CT surgery experience is required.

PLEASE STATE YOUR SPECIFIC INTEREST and BACKGROUND IN YOUR COVER LETTER.

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.

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: EDUCATION: Effective 05/01/2014: MSN or higher graduate degree in nursing 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 ARPN graduate program.

PA: EDUCATION: Graduate of an A.R.C.-approved Physician Assistant Program.
Master's degree in Physician Assistant Studies and/or applicable state license through the State Medical Board for certificate to practice.

Languages:

Certifications:

APRN: Currently licensed as an Advanced Practice Registered Nurse in applicable state. RN licensure required only if mandated by applicable state.
National certification as Advanced Practice Registered Nurse by nationally accredited organization recognized by state Board of Nursing, current licensure by applicable state Board of Nursing, (including certificate to prescribe if applicable).
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.
Any registered nurse or advanced practice nurse must obtain a cancer specific certification or demonstrate ongoing qualifying education within the timeframe of the facilities accreditation cycle, if they work in medical oncology, radiation oncology, cancer center or cancer clinic and/or administer chemotherapy within an accredited Cleveland Clinic facility.

PA: Current certification as a Physician Assistant through the NCCPA (or successor).
Licensed by the State Medical Board of Florida as a PA-C.
Must have a Physician Supervision Agreement and/or signed addendum to Physician Supervision Agreement.
Must be privileged by CCF's Credentialing Board.
If candidate has held a license to prescribe within another jurisdiction and needs to obtain a Master's degree in order to apply for CT prescribe from applicable state, the candidate will be subject for review for eligibility for hiring within our system.
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) may be required based upon work setting.
Any registered nurse or advanced practice nurse must obtain a cancer specific certification or demonstrate ongoing qualifying education within the timeframe of the facilities accreditation cycle, if they work in medical oncology, radiation oncology, cancer center or cancer clinic and/or administer chemotherapy within an accredited Cleveland Clinic facility.

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.
Experience:
- APRN: Two years clinical nursing experience preferred.
- PA: Two years relative clinical experience preferred.
Physical Requirements:
- APRN/PA: 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:

The policy of Cleveland Clinic Health System and its system hospitals (Cleveland Clinic Health System) is to provide equal opportunity to all of our caregivers and applicants for employment in our drug free environment. All offers of employment are followed by testing for controlled substances.

Cleveland Clinic Health System administers an influenza prevention program. You will be required to comply with this program, which will include obtaining an influenza vaccination on an annual basis or obtaining an approved exemption.

Decisions concerning employment, transfers and promotions are made upon the basis of the best qualified candidate without regard to color, race, religion, national origin, age, sex, sexual orientation, marital status, ancestry, status as a disabled or Vietnam era veteran or any other characteristic protected by law. Information provided on this application may be shared with any Cleveland Clinic Health System facility.

If applying for a Florida position, please see the following website for more information on the background screening requirements required by the Agency of Health Care Administration: https://info.flclearinghouse.com/

Please review the Equal Employment Opportunity poster.

Cleveland Clinic is pleased to be an equal employment opportunity employer.

About the Company

Cleveland Clinic

Non-profit medical center delivering care

Cleveland Clinic runs a nonprofit academic medical center that delivers patient care, conducts research, and educates future clinicians. It provides in-person hospital services, surgeries, and telehealth options, plus digital tools like MyChart to manage care, as well as provider tools such as DrConnect and eRadiology to coordinate care. It differentiates itself by combining clinical care, medical research, and education under a nonprofit model with a broad international network and a strong emphasis on safety and quality. Its goal is to deliver high-quality medical care while advancing medical knowledge and training clinicians to improve health outcomes for diverse populations, globally.

Company size: 10,001+
Company stage: Grant
Total funding: $74.7M
Headquarters: Cleveland, OH
Founded: 1921

Recently Posted Jobs

Explore more opportunities at Cleveland Clinic

See more jobs