Advanced Practice Nurse

Job Description

As an APN at a TriHealth, you’ll join a supportive, patient‑centered organization where your clinical expertise is valued, your professional growth is supported, and your work helps strengthen the health of the community.

Location: Bethesda North Hospital

Schedule: Full time, day shift

Incentives & Benefits

We offer competitive shift differentials, opportunities for professional growth, and a comprehensive benefits package that may include medical, dental, vision, paid time off, retirement savings plans, and tuition reimbursement.

PRN positions not eligible for TriHealth benefits

https://careers.trihealth.com/what-we-offer/benefits

Minimum Job Requirements

Master's Degree in Nursing
Graduate from NP, CNS or midwife program
Specialty certification in area of expertise
Registered Nurse with APRN Licensure
Demonstrated expertise in area of clinical specialization
Professional membership in specialty nursing organization required within one year of start date
3-4 years experience Clinical in Nursing Nursing practice in geriatric, occupational health, or other applicable setting.

Job Overview

The APRN II is a nurse prepared with graduate level nursing education and authorized to practice and prescribe as a Clinical Nurse Specialist or Certified Nurse Practitioner in collaboration with one or more physicians or podiatrists. Advanced clinical practice in nursing includes the following components: assessment of patient health status, diagnostic testing, diagnoses, development of treatment plans, implementation of treatment plans, follow-up and evaluation of the patient’s response to treatment, accurate documentation of the patient’s status, and patient advocacy. APRNs are clinical experts who design, implement and evaluate patient-specific and population-based programs of care and promote care through a variety of methods. APRNs function at all levels of the healthcare system within three sphere of influence: client, personnel, and organization. APRNs must have a collaborating physician(s) in an associated Standard Care Arrangement. The APRN II must spend 50% of hours worked utilizing prescriptive authority in their advanced clinical practice role.

Job Responsibilities

Collaborates with the interdisciplinary healthcare team, patients, and families to diagnose, prioritize problems, implement interventions, and coordinate referrals while promoting teamwide collaboration.
Assists team members, patients, and families in selecting therapies by integrating considerations of cost, quality, and benefit, and partners with other disciplines in teaching, consultation, management, and research to improve nursing practice and the healthcare environment.
Provides effective leadership by analyzing cost–benefit considerations, designing innovative, resource‑efficient care solutions, and guiding the development and application of evidence‑based practice (EBP) guidelines and consensus protocols.
Participates in healthcare decision‑making at system, local, state, and national levels to improve patient outcomes, and serves in leadership roles on committees, councils, and administrative teams.
Utilizes, participates in, and disseminates research, EBP, and quality‑improvement projects; evaluates current practice based on research; and mentors nurses through activities such as Journal Club and appraisal of clinical literature.
Provides education to patients, families, nurses, students, and other healthcare professionals; mentors and precepts staff; promotes nursing research and EBP; and collaborates in assessing, developing, implementing, and evaluating educational needs.
Ensures ethical and legal nursing practice; provides safe, compassionate, accountable care; advocates for patients’ wishes and end‑of‑life decisions; and independently conducts comprehensive assessments, prescribes medications and devices within scope, orders and interprets tests, and collaborates with physicians to implement comprehensive care plans.

Working Conditions

Climbing - Occasionally

Concentrating - Consistently

Continuous Learning - Consistently

Hearing: Conversation - Consistently

Hearing: Other Sounds - Consistently

Interpersonal Communication - Consistently

Kneeling - Occasionally

Lifting <10 Lbs. - Frequently

Lifting 50+ Lbs - Frequently

Lifting <50 Lbs - Frequently

Pulling - Frequently

Pushing - Frequently

Reaching - Consistently

Reading - Consistently

Sitting - Frequently

Standing - Frequently

Stooping - Frequently

Talking - Consistently

Thinking/Reasoning - Consistently

Use of Hands - Consistently

Color Vision - Consistently

Visual Acuity: Far - Consistently

Visual Acuity: Near - Consistently

Walking - Frequently

TriHealth SERVE Standards and ALWAYS Behaviors

At TriHealth, We Believe There Is No Responsibility More Important Than To SERVE Our Patients, Our Communities, And Our Fellow Team Members. To Achieve Our Vision And Mission, ALL TriHealth Team Members Are Expected To Demonstrate And Live The Following

Serve: ALWAYS…

Welcome everyone by making eye contact, greeting with a smile, and saying "hello"
Acknowledge when patients/guests are lost and escort them to their destination or find someone who can assist
Refrain from using cell phones for personal reasons in public spaces or patient care areas

Excel: ALWAYS…

Recognize and take personal responsibility to address and recover from service breakdowns when a customer's expectations have not been met
Offer patients and guests priority when waiting (lines, elevators)
Work on improving quality, safety, and service

Respect: ALWAYS…

Respect cultural and spiritual differences and honor individual preferences.
Respect everyone’s opinion and contribution, regardless of title/role.
Speak positively about my team members and other departments in front of patients and guests.

Value: ALWAYS…

Value the time of others by striving to be on time, prepared and actively participating.
Pick up trash, ensuring the physical environment is clean and safe.
Be a good steward of our resources, using supplies and equipment efficiently and effectively, and will look for ways to avoid waste.

Engage: ALWAYS…

Acknowledge wins and frequently thank team members and others for contributions.
Show courtesy and compassion with customers, team members and the community

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Demonstrates the highest level of accountability for professional practice. Preserves the patient’s dignity. Serves as a patient advocate by promoting advanced directives and adherence to the patient's wishes. Contributes and promotes the discussions of end-of-life decisions and palliative care with the patient, family members, physician and the health care team as appropriate. At least 50% of position involves direct management of the patient’s and/or family’s care. Independently performs and documents a complete history and physical examination, including psychosocial assessment. Prescribes drugs and therapeutic devices consistent with the formulary under section 4723.50 of the Ohio Revised Code. Assesses for interactive and synergistic effects of multiple pharmacologic and non-pharmacologic interventions. Orders laboratory and radiologic tests and interprets the results. Collaborates with physician(s) to plan to implement a comprehensive plan of care. Discusses patient’s care with family members. Performs duties per the Standard Care Arrangement. Other Job-Related Information The TriHealth Nursing Vision, Mission, and Philosophy speak to professional development, collaboration, and our nursing culture. To achieve excellence in nursing care, TriHealth encourages: pursuit of improved knowledge through continuing education classes, formal education leading to advanced degrees, and the attainment of specialty certification; nurse membership in local, regional, and national nursing organizations related to the appropriate nurse specialty; involvement in activities that better the health of our community; nursing research activities and use of evidence-based practice, and all nurses to foster, support, and personally model collaborative relationships amongst nurses, physicians, and other caregivers for the betterment of patient care. Working Conditions Climbing - Occasionally Concentrating - Consistently Continuous Learning - Consistently Hearing: Conversation - Consistently Hearing: Other Sounds - Consistently Interpersonal Communication - Consistently Kneeling - Occasionally Lifting