Advanced Practice Provider - Neonatal Intensive Care Unit

Department Overview

The Department of Pediatric / Division of Pediatric Neonatology is recruiting for a full-time APP for the Neonatal Intensive Care Unit (NICU) at PeaceHealth Southwest.

Function/Duties of Position

The appointee shall provide services as assigned by the supervisor in furtherance of the university’s missions and goals of teaching, research, patient care, outreach and public service.

The Clinical Faculty APP delivers care aligned with a defined scope of practice in the Neonatal Intensive Care Unit (NICU) at PeaceHealth Southwest, 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 166.4 annual shifts per year (1.0 FTE), aligned with the staffing model for PeaceHealth Southwest NICU, including 12.5-hour shift-based scheduling, continuous 24/7 coverage, and clinical coverage expectations that include days, 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.

The duties of this position include:

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

• Patient Population:
  • Neonates and infants requiring Level III neonatal intensive care services, including premature infants, critically ill newborns, 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.
  • APPs practice with a high degree of clinical autonomy within their scope, licensure, and credentialed privileges, in collaboration with the interdisciplinary care team.
• Clinical coverage requirement:
  • Participation in a shift-based 24/7 staffing model providing continuous APP coverage at PeaceHealth Southwest NICU.
  • Scheduled coverage includes 12.5-hour day and night shifts, weekends, holidays, and assignment across the full scheduling cohort.
  • Position expectations include participation in night and weekend coverage that may exceed 40% of total shifts, consistent with the defined staffing model for this contracted community-based practice. Assignment of greater than 40% night/weekend coverage is contingent upon the continued use of back-to-back shifts.
  • Participation in voluntary back-to-back day-to-night shifts, when scheduled, is permitted consistently with departmental staffing guidelines.
  • Support for patients requiring neonatal intensive care including but not limited to admissions, daily ongoing care, discharges (planned and unplanned as clinically appropriate), consultations, delivery attendance, neonatal resuscitation, transport coordination, triage, and team-based patient care responsibilities, as assigned
• Department specific activities:
  • Practice includes provision of neonatal care in a community-based contracted practice environment, including collaboration with onsite and remote neonatologist support consistent with the PHSW care model.
  • 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 credentialed privileges (e.g., intubation, umbilical line placement, lumbar puncture, thoracostomy/chest tube placement, thoracentesis, venous and arterial access procedures, surfactant administration, and other procedures as credentialed), consistent with institutional privileging standards
  • Participation in multidisciplinary rounds, care coordination, discharge planning, and family communication.
  • Completion of consultations, both prenatal consults and consults requested by other community newborn providers (pediatricians, family medicine, ER) 
  • Support of patient safety, quality improvement, clinical protocols, and compliance with departmental and institutional standards.

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 as outlined in the Standard Work: Clinical Faculty Pursuit Expectations for Employees in the APU CBA (SOM)

Other Activities (not covered above):

• APPs are eligible for continuing education support consistent with the collective bargaining agreement, including CME funding. Continuing education activities may be supported through a combination of CME funds, PTO, and/or faculty pursuits time, as applicable
• 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 graduate-level advanced practice provider program (e.g., Master’s or Doctor of Nursing Practice [DNP] for Nurse Practitioners, or Master’s/Doctorate for Physician Assistants) from an accredited program.

Registrations, Certifications and/or Licenses:

• Current RN and APRN licensure with the Oregon and Washington Board of Nursing.
• Current national certification as a Neonatal Nurse Practitioner
• Current BLS, NRP, and PALS certification as required for the position
• DEA Registration.

 - OR -

• Current PA licensure with the Oregon and Washington Medical Board.
• Current NCCPA Certification.
• Current BLS, NRP, and PALS certification as required for the position.
• DEA Registration.

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 Neonatal Intensive Care Unit (NICU).
• 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.

Preferred Qualifications

• 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.

Additional Details

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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]