Step-up to Step-Down! Interested in Critical Care but would rather allow yourself time to develop your critical thinking, assessment and team leader skills before diving into the ICU? The Cleveland Clinic is currently seeking innovative, adaptable and critical thinking Acute Care Nurse Practitioners to join us as we grow and develop our successful, NP led team of Acute Care Nurse Practitioners by providing high quality, acute care to patients at Avon Hospital's Step-Down unit. NP experience is preferred, however candidates with at least 3 years of experience as a Step Down, Emergency Room or Critical Care RN will be considered. Successful candidates will have a strong desire for autonomous practice and have the ability to function at the top of their license after training, fully integrating into a community hospital system where they have the ability to affect real change and improve patient outcomes with every interaction. The Step-Down unit Intensive Care and Resuscitation House Officer will, with oversight from the critical care physician, develop and implement plans of care for acutely ill patients. These may include necessary testing, procedures and consultation with various specialties. This provider will also assist with Rapid Response and Code Blue efforts throughout the hospital in collaboration with the ICU Nurse Practitioner. As you progress through your training, you will have the opportunity to obtain further procedural skills that will result in the ability to intubate, place central lines and arterial lines, and manage ventilators. Duties include, but are not limited to: + Daily rounding and development of plans of care for each patient in consultation with the physician + Daily progress notes + Admissions + Transfers + Discharges + Assistance as Team Leader with Rapid Response and Code Blue in collaboration with the ICU NP + Continual communication and collaboration with providers involved in patient care + Procedures including intubation, central line placement, arterial line placement, ventilator management and others as necessitated by patient condition All new hires will undergo an in-depth and fully paid hybrid orientation process that will include: + Dedicated didactic time with presentations on applicable topics provided by experts in their field + Dedicated time on their home unit with a focus on hands-on daily practice and professional growth and development. + Multiple simulation days, progressive in nature, that provide real-life patient care scenarios in a safe environment for learning at Cleveland Clinic's Simulation and Advanced Skills Center + Hands-on training for procedures in OR and Cadaver Lab + Time spent at each regional site to learn workflows and patient management + Participation in a mentorship program (1 year in duration) **Education:** **APRN** 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. **PA** Graduate of an A.R.C. approved Physician Assistant Program. Master's degree in Physician Assistant Studies and/or higher degree obtained from a program recognized by their practicing states Licensing Board. **Languages:** Oral and written communication in English **Certifications:** **NP** + 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. **CNS** + Currently licensed as a Clinical Nurse Specialist in applicable state(s). + Must be licensed as an RN in applicable state(s). + National certification as a Clinical Nurse Specialist 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 **PA** + Certification as a Physician Assistant through the NCCPA or successor organization recognized by their practicing states Licensing Board. + License to practice and prescribe issued by their practicing states Licensing Board. + Current DEA License or DEA designee as required by NCQA. + 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); or Advanced Trauma Life Support (ATLS) American Heart Association may be required based upon work setting. + If a candidate has held a license to prescribe within another jurisdiction and needs to obtain a master's degree in order to apply for prescribing privileges the candidate will be subject for review for eligibility for hiring within our system. + Must have a Physician Supervision Agreement and signed addendum to Physician Supervision Agreement. + Must be credentialed and privileged by the Medical Executive Committee and the Governing Body of the applicable hospitals. **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