Physician Assistant, Inpatient Pediatric Surgery
SUBFUNCTION DEFINITION :
We are seeking a Physician Assistant, preferably experienced, but will consider new graduate. The role will be primarily for inpatient coverage but may include some clinic duties and OR first assisting.
Will include doing both inpatient and ED consultations. Our ideal Candidate will have previous surgical experience in general surgery or other surgical discipline.
The role will cover a 24 / 7 staffing model including evenings, nights, weekends, holidays. The general surgery team is a large team with shared responsibilities for off-shifts and holidays.
Advanced Practice Providers (APPs) are Advanced Practice Registered Nurse (APRN), Physician Assistant (PA), Nurse Anesthetist (CRNA), Clinical Nurse Specialist (CNS) or Certified Nurse Midwife (CNM) providing clinical services including diagnosis of illness, development and management of treatment plans, prescription of medication.
APPs may see patients independently or as part of the health care team.
Scope for subspecialty role will not exceed the scope of the collaborating or supervising MD
REPRESENTATIVE RESPONSIBILITIES
Patient Care
Perform history and / or physical exams on patients presenting for care in area of expertise. Assess and diagnose illnesses, including chronic and acute conditions.
Formulate, document and monitor a treatment plan. Order and monitor therapeutic interventions including but not limited to diets, laboratory, radiological and diagnostic tests as deemed necessary by patient history and / or physical exam.
Provide clinical consultation, order interdisciplinary consults. Professional practice including but not limited to prescription of medications in accordance with Federal and State Law & Rules and CCHMC policy.
Attains and maintains competency in subspecialty practice, skills and procedures in accordance with Joint Commission standards for focused (FPPE) and ongoing (OPPE) professional practice evaluation.
Outcomes Identification and Planning
Develops outcomes as measurable goals that provide direction for continuity of care & continuity of care & consistency among providers.
Develops, prioritizes, evaluates & modifies an individualized comprehensive plan of care. Addresses each diagnosis or issue, as appropriate.
Derives outcomes & plans of care that involve the patient / family / caregiver when possible & are realistic to the patient / family / caregiver capabilities & resources.
Considers risks / benefits, costs, clinical effectiveness, current scientific evidence / clinical guidelines & clinical expertise to formulate interventions, treatments & outcomes.
Incorporates new knowledge & strategies to initiate change in practice if desired outcomes not achieved. Maintains documentation & updates accordingly outcomes, goals & the plan of care.
Professional Practice
Maintain professional behaviors aligned with core values and care standards, participate in quality improvement activities or research to improve the care delivery process & patient care outcomes.
Participate in lifelong learning and professional development activities that improves skills & competence in clinical practice / role performance.
Serve as preceptor, role model, or mentor; Contribute to the professional development of peers / colleagues to improve pediatric health care & to foster the professions growth.
Integrate ethical considerations & research findings into practice; Provide leadership by participating on committees or in professional organizations, or writing / publishing / presenting.
Advocate for the pediatric patient / family / caregiver. Serve as a leader, influencing both healthcare / APP practice & policy.
- Care Management
- Maintains competency in skills / procedures; Promotes self-management & family centered care; Employs diverse & complex strategies, interventions, & teaching to promote health & a safe environment;
- Provides leadership in care management to achieve optimal quality, cost-effective care; Documents & communicates with healthcare team members to achieve an integrated delivery of pediatric care services;
- Delegates appropriate monitoring, assessment, & interventions according to the patient and scope of practice of the caregiver;
- Provides consultation to influence the identified plan of care, to enhance the abilities of others to provide health care, and to effect change in the healthcare system;
- Makes appropriate referrals and discusses recommendations with patient / family / caregiver; Orders and / or performs appropriate treatments, therapies, & procedures that are based on current knowledge, research, & practice;
Provides patient / family / caregiver with diagnostic & laboratory results as well as actual / potential benefits, limitations, & adverse effects of proposed therapies.
- Evaluation
- Uses a systematic, ongoing evaluation of the assessment data & outcomes to revise or resolve the diagnoses, outcomes, the plan of care, & the implementation as needed;
- Evaluates the accuracy of the diagnosis, effectiveness of the interventions & the plan of care strategies in relation to attainment of expected outcomes;
- Includes the patient / family / caregiver & other healthcare providers; Bases the evaluation process on advanced knowledge, practice, research, & documents appropriately;
Utilizes the results of the evaluation to determine the impact on the patient / family / caregiver, organization, & system to make / recommend process or structural changes including policy, procedure, or protocols as appropriate.
Qualifications
EDUCATION / EXPERIENCE
Required :
- Masters degree in related field. May require clinical license, certification or training OR Doctorate of Nursing Practice degree
- No directly related experience
- Licensure and certification in accordance with CCHMC Delineation of Privileges.
- Multi-state licensure in addition to Ohio licensure may be required base on subspecialty
Preferred :
Experience as an APP in subspecialty
Schedule : 12-hour, Rotating shiftsHolidays, Weekends and Call (back-up call) required.
Cincinnati Children's is proud to be an Equal Opportunity Employer that values and treasures Diversity, Equity, and Inclusion.
We are committed to creating an environment of dignity and respect for all our employees, patients, and families (EEO / AA).
Nursing / Clinical
Shift
Rotating
Job Type
Standard
Department
Inpatient Pediatric Surgery
Employee Status
Regular
Weekly Hours
Salary Range
50.80-79.03
Social Worker I
Description
Expected Starting Salary Range : 27.60 - 35.28
Cincinnati Children’s (CCHMC) is dedicated to addressing the mental health crisis and needs in our community by increasing access to quality mental health care.
We are seeking licensed counselors and social workers to join our Eating Disorders Program to implement evidence based treatment for eating disorders.
The positions would provide direct patient care at our Norwood location Monday through Friday (no on-call obligations) and includes consultation with other BMCP providers, and providers in the multidisciplinary Eating Disorders Program including Adolescent Medicine and Nutrition.
Direct patient care includes using evidence-based treatment (EBT) modalities such as Family Based Treatment, Cognitive Behavioral Therapy, Exposure Therapy, and Behavioral Parent Training.
Providers will strengthen their risk assessment and safety planning skills and receive advanced training in the application of EBT with patients with eating disorders, thus developing advanced expertise in these areas.
REPRESENTATIVE RESPONSIBILITIES
Psychosocial Assessment
Performs psychosocial assessments taking into consideration family, social, and medical history. Maintains current knowledge of medical and mental health diagnosis.
Report suspicions of abuse and neglect to legally mandated authorities for investigations. Completes documentation with accuracy and clarity.
Resource Support
Collaboration with the health care team in the development of a treatment plan and assisting in the identification of appropriate resources to support the interventions.
Collaboration with patient / family / caregivers to identify appropriate resources to support the needed interventions Maintain fluent knowledge of internal and external resources.
Provide real time accurate information to patient / family / caregiver for resources for which they are eligible. Provide condition-specific and related medical, financial, educational, and social supportive resource information.
Evaluates effectiveness of clinical interventions and make changes as needed
Psychosocial Interventions
Provide psychosocial services as identified in the patient's comprehensive plan of care. Provides supportive counseling with the goal of improving emotional coping and adherence to the treatment plan.
Education of the patient / family / caregiver and members of the health care team about treatment options. Provide self-management support to high risk / complex patients / families to increase their skills and confidence to manage their chronic care conditions at home.
Provide groups and programs for special populations as needed. Provide anticipatory guidance and planning to reduce or eliminate psychosocial barriers to discharge.
Coordinate and facilitate family centered care team meetings. Provide crisis assessment and interventions to patients / families / caregivers with the goal of restoring equilibrium .
Collaborate with referral sources and health care team members.
Interdisciplinary Collaboration
Working for system improvement, promoting patient / family / caregiver well-being. Identify and advocate for the needs of the patient / families / caregivers within the healthcare system and community.
Act as a liaison between the patient / family / caregiver within the medical team and outside agencies. Act as the mediator as needed with in the medical team on behalf of the patient / family / caregiver.
Empower the patient / family / caregiver to problem-solve by exploring options of care when available and alternative plans, when necessary, to achieve desired outcomes.
Facilitate communication and coordination between members of the health care team while involving the patient / family / caregiver in the decision making process in order to minimize fragmentation of services.
Collaboration
Partner with the patient, family, healthcare team in the safe transition of care to the next, most appropriate level. Educates health care professionals and or students on the psychosocial aspects of patient care and the role and function of social work.
Promotes a positive work environment. Participates in professional growth opportunities. Attend divisional, team, institution meetings / conferences, and in-service programs to develop skills.
Qualifications
EDUCATION / EXPERIENCE
Required :
- Master's degree in Social Work or Counseling
- May require clinical license, certification or training
- 2 - 5 years of work experience in a related job discipline
- LISW or LPCC License
Preferred :
The competitive candidate will self-identify as a lifelong learner who would thrive in an environment dedicated to continuing education, training, and consultation.
Candidates will also demonstrate strong interest in adhering to and delivering evidence-based treatment. Experience working with youth and families with eating disorders and providing family based treatment for anorexia nervosa is desired.
Unique Skills
Psychosocial Knowledge
Professional knowledge and clinical ability sufficient to provide psychosocial services to patients with eating disorders and their families
- Diversity Appreciation
- Understanding and showing respect and appreciation for the uniqueness of all individuals; leveraging differences in others' perspectives and ideas;
appreciating cultural differences and adjusting one's approach to successfully integrate with others who are different from oneself
Professional Demeanor
Demonstrates an independent work initiative, sound judgment, diplomacy, tact and professional demeanor
Problem Solving
Ability to independently work through details of a problem to reach a positive solution
Cincinnati Children's is proud to be an Equal Opportunity Employer that values and treasures Diversity, Equity, and Inclusion.
We are committed to creating an environment of dignity and respect for all our employees, patients, and families (EEO / AA).
Clinical / Non-Nursing
Shift
Day Job
Job Type
Standard
Department
567000
Employee Status
Regular
Weekly Hours
Salary Range
27.60-42.95