Cleveland Clinic's Integrated Hospital Care Institute is currently seeking a qualified Physician Assistant or Nurse Practitioner for a full-time position with **Pulmonary Medicine team** at Middleburg Heights, Avon Family Health Center, Fairview Hospital, and potential opportunity at multiple west region outpatient locations (Lakewood, Strongsville, and Lorain). This position is 75% outpatient/25% inpatient. The patient population will include adult pulmonary medicine patients. Some typical duties include (but are not limited to): rounding in the hospital, seeing patients independently in the outpatient pulmonary office, answering patient phone calls and messages, and coordinating patient follow-up visits. The schedule for this position is 5 days (roughly 8am-5pm) and includes some weekends and holidays. The pulmonary department APP team is nationally recognized, supports education, and research opportunities for our APRNs and PAs. We are excited to find our next team member! At least one year of APP experience is preferred. However, new graduates with relevant experience will be considered. 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. 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. PA: Nationally certified licensed healthcare provider who provides primary and or specialty medical care (the practice of medicine) in a variety of healthcare settings. Functions the collaboration agreement of a Physician, (as per O.R.C. 4730) performs complete histories and physicals on patients of all ages to establish and record patient's current health status and to develop a working diagnosis and treatment plan to provide continuing medical care, including daily examinations, writing orders, chart notes, discharging patients and completing discharge summaries. This medical care may be in a variety of clinical settings. PA's are privileged by the Board of Governors. PA's in this role provide advanced care to patients with in any setting in which patients require complex, acute, critical and chronic health conditions. Practice in a setting that requires complex monitoring and therapies and high intensity medical/surgical interventions and/or continuous vigilance within the range of high-acuity care. **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 to establish a record of the patient's current health status and to develop a working diagnosis and treatment plan. Works in collaboration with the health care team. + Performs and interprets common laboratory, radiologic, cardiographic and other routine diagnostic procedures used to identify pathophysiologic processes as credentialed and privileged by the Medical Executive Committee and the Governing Body of the applicable hospitals. + Performs routine and specialized procedures as credentialed and privileged by the Medical Executive Committee and the Governing Body of the applicable hospitals. + May prescribe and monitor medications as allowed by license through applicable state board and Cleveland Clinic policies. + Educates patients and answers questions 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. + 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. + Supports professional development of the health care team. + Promotes translation of evidence-based practices, guidelines, and research. + May conduct research studies. May assists in data collection and analysis. + May serve as clinical preceptor for students. May onboard new caregivers. + Other duties as assigned. **Education:** + Effective 05/01/2014: MSN 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 APRN program. + If in neonatal care service area Master's Degree is required upon hire. **Languages:** + Oral and written communication in English **Certifications:** + Currently licensed as a Nurse Practitioner in applicable state(s). + Must be licensed as an RN in applicable state(s). + National certification as a Nurse Practitioner by nationally accredited organization recognized by state Board of Nursing. + 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. + Must have arrangements with at least one physician in accordance with requirements set forth by the State Board of Nursing in applicable states. + Must be credentialed and privileged by the Medical Executive Committee and the Governing Body of the applicable hospitals. **Complexity of Work:** + 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 independently. + Must be able to work in a stressful environment and take appropriate action. **Work Experience:** + Related clinical experience preferred. **Physical Requirements:** + 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:** + Follows standard precautions using personal protective equipment as required. Salaries [which may be] shown on independent job search websites reflect various market averages and do not represent information obtained directly from The Cleveland Clinic. Because we value each individual candidate, we invite and encourage each candidate to discuss salary/hourly specifics during the application and hiring process. Cleveland Clinic Health System is pleased to be an equal employment employer: Women / Minorities / Veterans / Individuals with Disabilities