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The APP is a provider of hospital medicine services who synthesizes and utilizes evidence-based practice, research, and current clinical knowledge.  The APP demonstrates an advanced level of medical and/or nursing knowledge, clinical and technical competence, sound clinical judgment, professionalism as it relates to interpersonal and general communication skills, timely and complete documentation and takes responsibility for ongoing professional development and competency validation. The APP works in collaboration with a multidisciplinary health care team and in partnership with supervising/collaborating physician(s) with responsibilities that include history taking, clinical assessment, and physical examination, order entry, interpretation of diagnostic studies, clinical diagnosis, treatment, and evaluation of care for the given population.  The APP may have On Call duties and/or weekend responsibilities as assigned by practice/department.

Performs other duties as assigned.

Essential Functions:

• Physician and APP completed Quality Assurance chart reviews (25 charts for new grad, 10 charts for an established provider) (Must be kept at practice location).
• Interviewing and examining patients, initiating appropriate work-up, interpreting lab and imaging results, and creating a proper treatment plan.
• Daily rounding responsibilities including appropriate disposition of patients based on findings and needs.
• Evaluates signs and symptoms, including age-appropriate changes, noting pertinent positives and negatives (patient care).
• Assesses the complex acute, critical, and chronically ill-patient and obtains relevant comprehensive and problem-focused health histories, prioritizing data collection and using collateral sources as necessary (medical knowledge and patient care).
• Demonstrates the ability to develop and reformulate as necessary, differential diagnoses by priority, identifies the presence of co-morbidities, and uses diagnostic strategies and technical skills to monitor and sustain physiological function and ensure patient safety.
• Participates in daily team transition huddles to facilitate effective coordinated patient care.
• Utilizes evidence-based practice, along with prescribing appropriate pharmacologic (includes medication reconciliation) and non-pharmacologic treatment modalities; implements treatment and referral orders; interprets and evaluates appropriate lab and diagnostic testing and reports to collaborating physician(s) and health care team members.
• Monitoring and ensuring the Quality of the Healthcare Practice - skill of ensuring quality of care through consultation, collaboration, continuing education, certification, and evaluation.
• The skill of improving one's own practice as well as engaging in interdisciplinary peer and colleague review.
• Adapts teaching and learning approaches based on physiological and psychological changes, age, developmental stage, cognitive status, readiness to learn, health literacy, the environment, and available resources (professionalism).
• Participates professionally and works collaboratively to identify processes, principles to meet quality core metrics and documentation standards and expectations (system based)

Work Experience:

High level of autonomy is needed therefore, minimum of two years of experience is required and experience with procedures is preferred.

Minimum Education:

APRN: Master’s degree with an Advanced Practice Nursing Focus and National Board Certification required

PA:  Master’s degree required with the appropriate National Certification.

Required Certifications:

• APRN - National Board Certification as a CNP, CNS, CNM, or CRNA (APRN certification to match scope of practice)
• APRN - Acute Care Certification
• PA- National Commission on Certification of Physician Assistants (NCCPA)
• Basic Life Support (BLS) certification required

Required Licenses:

• Current Ohio Board of Nursing license for APRN
• Current Ohio License 50RX – License to practice as a physician assistant with prescriptive authority

Maintain collaborative/supervision agreement as required through the Ohio Medial Board/Ohio Board of Nursing.  Includes yearly review/Quality Assurance and evaluations. 

Required skills include but are not limited to the following:

• Ability to communicate and relate well with staff, provider(s), and the public
• Must have awareness of patient confidentiality and be able to follow directions well from physician and work autonomously with little direction
• Demonstrates positive interpersonal relationships and critical analysis skills.
• Demonstrates ability to multi-task and work under stress
• Maintains competencies and skills of specialty area of practice.
• Demonstrates assessment skills, diagnosis with critical thinking and implementation of a plan of care.
• Professional Role- skill includes clinical reasoning and builds collaborative intra and interprofessional relationships to provide optimal care to patients with complex acute, critical, and chronic illness. Skill of advocating on the behalf of the patient population and the profession through active participation in the health policy process. 
• Managing and Negotiating Healthcare Delivery Systems - skill in addressing the development and implementation of system policies affecting services.

Kettering Health is a not-for-profit system of 14 medical centers and more than 120 outpatient facilities serving southwest Ohio. Our mission is to live God’s love by promoting and restoring health. Our commitment to our patients is to help individuals be their best. With that context, safety is our top priority. We provide an integrated system of healthcare experts committed to providing exceptional care.