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Job Title

Advanced Practice Provider (NP/PA): Sleep Medicine - Pulmonary I

Location

Vero Beach

Facility

Indian River Hospital

Department

Intensivist Practice-Indian River Hospital

Job Code

001134

Shift

Days

Schedule

7:00am-5:00pm

Job Summary

Job Details

Cleveland Clinic Indian River's Sleep Disorder Center is seeking an Advanced Practice Registered Nurse or Physician Assistant to join our Sleep Medicine team in an outpatient role. Working in close collaboration with board-certified Sleep Medicine and Pulmonary physicians, the APP will evaluate and manage patients across the full spectrum of sleep-related breathing and sleep-wake disorders.

Clinical responsibilities include:

Evaluation and management of obstructive and central sleep apnea, including interpretation of home sleep apnea testing in collaboration with the supervising physician, and initiation and titration of PAP therapy (CPAP, BiPAP, ASV)
Ongoing PAP adherence management, including review of device download data, troubleshooting mask and pressure issues, and coordination with DME vendors and respiratory therapy
Assessment of alternative therapies for PAP-intolerant patients, including oral appliance therapy and referral for hypoglossal nerve stimulation
Management of sleep-related hypoventilation and nocturnal hypoxemia in patients with COPD, obesity hypoventilation syndrome, and neuromuscular disease, including supplemental oxygen and non-invasive ventilation
Assessment of restless legs syndrome, circadian rhythm disorders, and parasomnias

Schedule: Full Time – Days; Monday–Friday, 8:00 am–5:00 pm (occasional meetings may fall outside these hours). No weekends, no holidays, no call.

Qualifications:

Current Florida licensure as an APRN or PA-C with prescriptive authority
Previous experience in pulmonary medicine, sleep medicine, or critical care strongly preferred, with particular emphasis on sleep apnea and PAP management
Familiarity with polysomnography, home sleep testing, and PAP download interpretation preferred
Comfort managing insomnia and behavioral sleep concerns; experience with CBT-I or psychiatric/behavioral health training is a plus

Please include a cover letter detailing your specific interest in sleep medicine and any relevant pulmonary, sleep, or behavioral health clinical experience.

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.

Additional 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:

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.

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:

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.

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 a