Because we all have a role
in making care exceptional

Cleveland Clinic's Integrated Hospital Care Institute is currently seeking a qualified Acute Care Nurse Practitioner or Physician Assistant to join the Critical Care Advanced Practice Team at Mercy Hospital. This role offers a high degree of autonomy while working within a supportive, team-based environment caring for diverse patient populations in a mixed MICU/SICU setting, including Level II trauma patients. Additional service line includes the CCU.

Role & Responsibilities:

• Provide independent, high-level critical care to acutely ill patients.

• Perform H&Ps from the ED, floor consultations, and daily rounding.

• Manage procedures including central line placement, arterial lines, and intubations.

• Write admission orders, coordinate care plans, and engage in patient/family discussions.

• Collaborate with attending physicians and consulting teams.

• Respond to hospital-wide emergencies, including rapid responses, sepsis alerts, stroke alerts, and code blues—providing assessment, resuscitation, and appropriate disposition.

• Participate in 24/7 coverage with in-house attending support during daytime hours and eICU resources available overnight.

Training & Support
New APPs receive comprehensive onboarding, structured mentorship, and access to didactic resources to ensure success in providing high-quality patient care within the critical care team.

Schedule:

• 7 days on / 7 days off schedule with 12-hour shifts (7a–7p and 7p–7a).

• All APPs share in the night rotation.

• Straight nights option (with shift differential) available if preferred

• Day-only schedules are not available at this time.

Qualifications:

• Strong communication skills and clinical judgment.

• Commitment to delivering effective, compassionate, and collaborative patient

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 a standard care arrangement and specialty certification. Provides advanced nursing care to patients with complex acute, critical, and chronic health conditions, including the delivery of acute care services. Practices in any setting in which patients require complex monitoring and therapies, high intensity nursing intervention, or continuous nursing vigilance within the range of high-acuity care.

PA: Nationally certified licensed healthcare provider who provides primary and or specialty medical care in a variety of healthcare settings. Functions with the collaboration agreement of a Physician, (as per O.R.C. 4730). Develops a working diagnosis and treatment plan based on histories and physical exam, providing continuing medical care, including daily examinations, writing orders, chart notes.  PA's are privileged by the Board of Governors. PA's in this role provide advanced care to patients within  any setting in which patients have complex, acute, critical and chronic health conditions. Practices in any setting in which patients require complex monitoring and therapies and high intensity medical interventions and/or continuous vigilance within the range of high-acuity care.

Job 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
• Autonomously takes initiative responding to and taking the lead in rapid response, codes and stroke alerts, admissions to the ICU, as well as performing specialized procedures , such as,  blood draws, IV starts, intubation, arterial line placement, central venous catheter placement , ventilator management, in addition to other specific procedures as necessitated by the patient situation.  Must be prepared to function independently in house as the sole provider in hospital.
• Provides information and answers routine questions of patients and families 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.
• May participate in medical team rounds; collaborates with nursing, medical and other healthcare team members.
• 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.
• May serve as clinical preceptor for PA/APRN students and other health professionals.
• May serve as Faculty for onboarding new employees.
• Demonstrates a high standard of moral and ethical behavior.  Demonstrates compassion and professionalism and a commitment to excellent patient care.
• Work/shift requirement: provide 24 hour, 7 days  per week  coverage, typically one NP/PA per shift (13-13 hour shifts per month and one 13 hour call shift per month) (hours may vary)
• Other duties as assigned.

Education:

• APRN: EDUCATION:  Graduate of an accredited MSN/ACNP/AG-ACNP training 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.

Certifications:

• APRN: Currently licensed as a Registered Nurse and Advanced Practice Registered Nurse in 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).
• PA: Current certification as a Physician Assistant through the NCCPA (or successor).
• Must have Prescriptive authority or eligible to apply for licensure to prescribe from the State Medical Board within the first 6 months of hiring.
• Required: Basic Life Support (BLS), Advanced Cardiac Life Support (ACLS) the American Heart Association (AHA).
• Preferred: Emergency Neurological Life Support (ENLS), Fundamental Critical Care Support, Advanced Trauma Life Support.

Competencies (Complexity of Work):

• Excellent analytical and decision making skills are required.
• Strong written and verbal communication skills
• Ability to perform advanced assessment and diagnosis.
• Critical thinking skills, decisive judgment and the ability to work autonomously.
• Must be able to lead in critical situation (codes, rapid response, brain attacks) as sole provider in house.
• Must be able to work in a stressful environment and take appropriate action.

 Work Experience:

• APRN: Two years clinical advanced practice nursing experience preferred.
• PA: Two years relative clinical experience preferred.
• Not currently considering PA for hire at this time (formulary too exclusive)

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.