Advanced Practice Provider - APRN or PA - Primary Care - 1 Kettering Way - Piqua

Kettering Health is a notforprofit system of 13 medical centers and more than 120 outpatient facilities serving southwest Ohio. We are committed to transforming the health care experience with highquality care for every stage of life. Our serviceoriented mission is in action every day whether its by providing care in our facilities training the next generation of health care professionals or serving others through international outreach.

Medical Group

• Ourelitemedical group employs more than 700 providers including physicians and advanced practice providers throughout the Greater Dayton and Cincinnati areas.
• Our patients have access to a multidisciplinary professional team to meet all their healthcare needs. From primary care to brain and spine surgery weprovidean extensive range of specialties and expertise in over 200 locations and ten counties.
• Working collaboratively across specialties we offerpatients a teambased model of carein which the patient is the most important member of the healthcare team.

Advanced Practice Provider (APP) is a provider of direct primary care health services who synthesizes and utilizes evidencebased practice research and current clinical knowledge. Maintain independent clinic schedule of patients with possibility of empanelment. 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 physical examination order entry clinical documentation 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).
• Evaluates signs and symptoms including ageappropriate changes noting pertinent positives and negatives (patient care).
• Assesses the complex acute critical and chronically illpatient and obtains relevant comprehensive and problemfocused 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 comorbidities 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 evidencebased practice along with prescribing appropriate pharmacologic (includes medication reconciliation) and nonpharmacologic 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 ones 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).

Minimum Education:

• APRN: Masters degree with an Advanced Practice Nursing Focus and National Board Certification required
• PA: Masters 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)
• 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

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 multitask 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.