Cleveland Clinic PA-Outpatient-Hospital-Provider in United States

Job Summary:

Outpatient Hospital Midlevel Provider (T31170, D29020) With the supervision 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, in a variety of clinical settings. Practices as privileged by the Board of Governors. Provides outpatient and/or hospital based care to patients (more than 50% of their time) with complex, acute, and chronic health conditions, in the Hospital care role. Practices in a setting that requires the performance of diagnostic and therapeutic interventions to manage acute and chronic health problems, working with multi-disciplinary teams.

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 with direct review by a physician.

  • Works with autonomy within applicable state law under direction of supervising 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.

  • Performs routine procedures such as injections, immunizations, suturing and wound care, managing simple conditions produced by infection or trauma, assisting in the management of more complex illness and injury which may include assisting surgeons in conducting operations and taking initiative in performing evaluation and therapeutic procedures in response to life-threatening situations, as privileged by CCF Credentialing Board.

  • Performs specialized procedures, including bone marrow aspirations, biopsies and harvest, blood draws, designated IV starts, spinal taps, thoracentesis and paracentesis as well as other specific procedures as directed by the physician, following approval by CCF Credentialing Board.

  • Provides information and answers routine questions of patients 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. Assists with record keeping, completes appropriate patient medical chart, transcribes lab data and routine correspondence, as directed and reviewed by physician.

  • Refers patients to physicians 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.

  • Performs research follow-up studies as directed by the supervision of a physician.

  • Assists in data analysis.

  • 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.

  • May serve as clinical preceptor for PA students and other health professionals.

  • Demonstrates a high standard of moral and ethical behavior.

  • Demonstrates compassion and professionalism and a commitment to excellent patient care.

  • Other duties as assigned.

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:

  • Current certification as a Physician Assistant through the NCCPA.

  • Must have Prescriptive authority or eligible to apply for licensure to prescribe from the State Medical Board within the first 6 months of hiring.

  • Must have approved Physician Supervision Agreement (listed on State Medical Board website) and/or signed addendum to Physician Supervision Agreement.

  • Must be privileged by CCF's Credentialing Board. If candidate has held a license to prescribe within another jurisdiction and needs to obtain a Master's degree in order to apply for CT prescribe from applicable state, the candidate will be subject for review for eligibility for hiring within our system.

  • Basic Life Support (BLS) Healthcare Provider required; Advanced Cardiac Life Support (ACLS) or Pediatric Advanced Life Support (PALS) may be required based upon work setting.

Complexity of Work:

  • Requires critical thinking skills, decisive judgment and the ability to work with minimal supervision.

  • Must be able to work in a stressful environment and take appropriate action.

  • Good verbal, written and interpersonal communication skills.

  • Demonstrated competency and the ability to perform advanced assessment, diagnosis, treatment plan development and invasive procedures as per clinical privileges.

Work Experience:

  • Depending on practice, surgical fields may require surgical experience.

Physical Requirements:

  • Ability to push/pull patients as part of a team to various positions, to move/push medical equipment and supplies.

  • Requires extensive walking, sitting and stair climbing.

  • Ability to obtain safety precautions against blood borne pathogens by using protective gear.

Personal Protective Equipment:

  • Follows standard precautions using personal protective equipment as required.

The policy of Cleveland Clinic and its system hospitals (Cleveland Clinic) is to provide equal opportunity to all of our employees and applicants for employment in our tobacco free and drug free environment. All offers of employment are followed by testing for controlled substance and nicotine. Job offers will be rescinded for candidates for employment who test positive for nicotine. Candidates for employment who are impacted by Cleveland Clinic’s Smoking Policy will be offered smoking cessation assistance and will be permitted to reapply for open positions after 90 days. Decisions concerning employment, transfers and promotions are made upon the basis of the best qualified candidate without regard to color, race, religion, national origin, age, sex, sexual orientation, marital status, ancestry, status as a disabled or Vietnam era veteran or any other characteristic protected by law. Information provided on this application may be shared with any Cleveland Clinic facility.

Cleveland Clinic is pleased to be an equal employment employer: Women/Minorities/Veterans/Individuals with Disabilities