Division: Pediatric Surgery

Description of APP role:

Provide comprehensive inpatient management for pediatric surgical patients throughout the preoperative and postoperative continuum of care.

Perform daily rounds, assessments, and documentation for acute and complex surgical patients. This is a 24/7 role.

Develop and implement patientcentered treatment plans in collaboration with attending surgeons, residents, nursing staff, and interdisciplinary care teams.

Assist with ordering and interpreting diagnostic tests, labs, imaging, and other evaluations to support clinical decisionmaking.

Conduct preoperative evaluations and assist in preparing patients and families for surgical procedures.

Deliver postoperative care, including monitoring recovery, adjusting care plans, managing complications, and coordinating discharge planning.

Communicate effectively with patients and families, providing education about surgical diagnoses, treatment plans, procedures, and followup care.

Participate in care coordination, including consultations, transitions of care, and collaboration with outpatient providers when appropriate.

Respond to emergent or urgent clinical situations within the inpatient pediatric surgical population.

Document all patient interactions accurately and timely in the electronic medical record according to institutional and regulatory standards.

Contribute to quality improvement initiatives and patient safety efforts within the division.

Support ongoing education for students, residents, or new APPs when applicable.

Maintain compliance with hospital policies, credentialing requirements, and evidencebased practice guidelines.

Experience:

Experience or new graduate Nurse Practitioner or Physician Assistant

Qualifications:

Certification- Acute Care, FNP, PA

Experience working in the inpatient setting is required

Schedule:

Shift length-12 hours

Rotating shifts

Holidays- yes

Weekends- yes

Call - yes

Salary:

$112, 590-$146,370

** Above salary range is reflective of 40 weekly scheduled hours. This position is 36 weekly scheduled hours.

JOB RESPONSIBILITIES

• Patient Care-Perform history and/or physical exams on patients presenting for care in area of expertise. Assess and diagnose illnesses, including chronic and acute conditions. Formulate, document and monitor a treatment plan. Order and monitor therapeutic interventions including but not limited to diets, laboratory, radiological and diagnostic tests as deemed necessary by patient history and/or physical exam. Provide clinical consultation, order interdisciplinary consults. Professional practice including but not limited to prescription of medications in accordance with Federal and State Law & Rules and CCHMC policy. Attains and maintains competency in subspecialty practice, skills and procedures in accordance with Joint Commission standards for focused (FPPE) and ongoing (OPPE) professional practice evaluation.

• Outcomes Identification and Planning-Develops outcomes as measurable goals that provide direction for continuity of care & continuity of care & consistency among providers. Develops, prioritizes, evaluates & modifies an individualized comprehensive plan of care. Addresses each diagnosis or issue, as appropriate. Derives outcomes & plans of care that involve the patient/family/caregiver when possible & are realistic to the patient/family/caregiver capabilities & resources. Considers risks/benefits, costs, clinical effectiveness, current scientific evidence/clinical guidelines & clinical expertise to formulate interventions, treatments & outcomes. Incorporates new knowledge & strategies to initiate change in practice if desired outcomes not achieved. Maintains documentation & updates accordingly outcomes, goals & the plan of care.

• Professional Practice-Maintain professional behaviors aligned with core values and care standards, participate in quality improvement activities or research to improve the care delivery process & patient care outcomes. Participate in lifelong learning and professional development activities that improves skills & competence in clinical practice/role performance. Serve as preceptor, role model, or mentor; Contribute to the professional development of peers/colleagues to improve pediatric health care & to foster the professions growth. Integrate ethical considerations & research findings into practice; Provide leadership by participating on committees or in professional organizations, or writing/publishing/presenting. Advocate for the pediatric patient/family/caregiver. Serve as a leader, influencing both healthcare/APP practice & policy.

• Care Management-Maintains competency in skills/procedures; Promotes self-management & family centered care; Employs diverse & complex strategies, interventions, & teaching to promote health & a safe environment; Provides leadership in care management to achieve optimal quality, cost-effective care; Documents & communicates with healthcare team members to achieve an integrated delivery of pediatric care services; Delegates appropriate monitoring, assessment, & interventions according to the patient and scope of practice of the caregiver; Provides consultation to influence the identified plan of care, to enhance the abilities of others to provide health care, and to effect change in the healthcare system; Makes appropriate referrals and discusses recommendations with patient/family/caregiver; Orders and/or performs appropriate treatments, therapies, & procedures that are based on current knowledge, research, & practice; Provides patient/family/caregiver with diagnostic & laboratory results as well as actual/potential benefits, limitations, & adverse effects of proposed therapies.

• Evaluation-Uses a systematic, ongoing evaluation of the assessment data & outcomes to revise or resolve the diagnoses, outcomes, the plan of care, & the implementation as needed; Evaluates the accuracy of the diagnosis, effectiveness of the interventions & the plan of care strategies in relation to attainment of expected outcomes; Includes the patient/family/caregiver & other healthcare providers; Bases the evaluation process on advanced knowledge, practice, research, & documents appropriately; Utilizes the results of the evaluation to determine the impact on the patient/family/caregiver, organization, & system to make/recommend process or structural changes including policy, procedure, or protocols as appropriate.

Scope for subspecialty role will not exceed the scope of the collaborating or supervising MD

JOB QUALIFICATIONS

• Master's degree in related field. May require clinical license, certification or training OR Doctor of Nursing Practice degree

• Preferred: Experience as an APP in subspecialty

• Licensure and certification in accordance with CCHMC Delineation of Privileges

• Multi-state licensure in addition to Ohio licensure may be required based on subspecialty

Primary Location

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At Cincinnati Childrens, we come to work with one goal: to make childrens health better. We believe in a holistic team approach, both in caring for patients and their families, and in advancing science and discovery. We strive to do better and find energy and inspiration in our shared purpose. If you want to be the best you can be, you can do it at Cincinnati Childrens.

Cincinnati Children's is:

• Recognized by U.S. News & World Report as atop 10 best Children's Hospitals in the nation for more than 15 years

• Consistently among the top 3 Children's Hospitals for National Institutes of Health (NIH)Funding

• Recognized as one of Americas Best Large Employers (2025), Americas Best Employers for New Grads (2025)

• One of the nation'sAmericas Most Innovative Companiesas noted by Fortune

• Consistently certified as great place to work

• A Leading Disability Employeras noted by theNational Organization on Disability

• Magnet designated for the fourth consecutive time by theAmerican Nurses Credentialing Center (ANCC)

We Embrace InnovationTogether. We believe in empowering our teams with the tools that help us work smarter and care better. Thats why we support the responsible use of artificial intelligence. By encouraging innovation, were creating space for new ideas, better outcomes, and a stronger futurefor all of us.

Comprehensive job description provided upon request.

Cincinnati Childrens is proud to be an Equal Opportunity Employer committed to creating an environment of dignity and respect for all our employees, patients, and families. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, age, genetic information, national origin, sexual orientation, gender identity, disability or protected veteran status. EEO/Veteran/Disability