Per Diem NICU-Nurse Practitioner/Physician Assistant

Completes thorough but appropriately focused evaluations of term and premature newborns primarily in the NICU Level IV, tertiary care referral center, including competent and age appropriate histories and examinations. Identifies level of illness severity in a timely manner. Presents thoughtful assessments to the supervising physician and works towards prescribing necessary care plans. Performs appropriate procedures under their responsibility with the appropriate guidance. Knows when and how to seek assistance. Medical knowledge Clinical knowledge . With guidance, applies basic medical knowledge to common diagnoses in department. Expands clinical knowledge by asking insightful questions, seeking knowledge independently and reading medical literature critically. Incorporates issues of child health advocacy, preventive health care, ethical dilemmas, and cost of tests and therapies. Diagnostic evaluation . Provides basic evaluation (e.g., diagnostic testing and consultation) for common diagnoses. Increasingly recommends broad evaluation based on an unfocused differential diagnosis. Reports results of diagnostic studies, identifying clinically significant results with guidance. Patient history. Gathers patient information following a template. Adapts the template with guidance and as appropriate to filter and prioritize pertinent positives and negatives based on broad diagnostic categories or possible diagnoses. Patient care Clinical reasoning . Presents clinical facts (e.g., history, exam, tests, consultations, etc.) to preceptor, supervising physician, and care team. Ultimately generates an unfocused differential diagnosis based on the clinical facts. Organize and prioritize patient care . Completes assigned patient care responsibilities focused on individual patients. Patient management . Increasingly participates in the creation of patient management plans. Discusses plans with patients/families. Delivery room. Attends deliveries with preceptor until independence in neonatal resuscitation is established. Procedures as defined by clinical department. Increasingly exposed to the array of core procedures and guided in the performance of these. Please reference the “APP Procedures Listing” for those relevant to the Medical Specialty. Interpersonal and communication Patient and family centered communications. Works to establish rapport with patients/families. Develops therapeutic relationship in straightforward encounters. Seeks guidance when adjusting communication strategies in order to mitigate barriers and meet patient/family expectations. Interpersonal and team communication. Participates within the inter-professional team . With guidance, clearly and appropriately requests consultation, presenting relevant patient information to supervising physician . Communication within the Health Care System. Accurately and timely records information in the patient record. Responds in a timely fashion and in appropriate form (e.g., in-person, HER, telephone, email) to requests. Seeks guidance on best mode of communicating when uncertain. Practice-based learning and improvement Evidence-based and informed practice . Develops and articulates clinical questions. Accesses available evidence with appropriate guidance. Reflective practice and commitment to personal growth. Participates in feedback sessions. With guidance from lead/manager, develops professional goals and a learning plan, incorporating feedback and performance data. Professionalism Performs responsibilities in a thorough and timely manner. Proactively seeks guidance in new, complex and/or stressful situations. Participates in creating, promoting and sustaining a healthy and productive team and work environment. Familiarizes self with institutional resources that are meant to promote well-being. System-based practice System navigation for patient centered care-coordination of care. Increasingly involved in coordinating care of patients in routine clinical situations. Identifies the need for and engages inter-professional team based on patient and family needs . Population and community health . Incorporates awareness of population and community health needs and disparities and knowledge of local resources to inform understanding of patient/family health concerns. Minimum Education and Experience Required Minimum education (degree/type of degree). Advanced Practice Nurse Practitioner: Graduate degree in nursing accredited by one of the national certifying bodies in nursing. (Or, on or before December 31, 2004, completion of an advanced nurse practitioner program recognized by a national certifying body for certification as a nurse practitioner.) Or… Physician Assistant: Graduation from a physician assistant program accredited, at the time of graduation, by the Accreditation Review Commission on Education for the Physician Assistant ( ARC-PA ). Minimum experience (minimum years & type of experience). No related experience required. Preferred education & experience. n/a KSAs required upon hire or transfer. (Please reference the KSA section below) License and/or Certification Required: At time of hire and maintenance at time of appointment or privilege approval: Provider licensing: Current Neonatal Nurse Practitioner licensure in the State of Connecticut. OR… Certified by the National Commission on Certification of Physician Assistants, Inc. (NCCPA). Current Physician Assistant licensure in the State of Connecticut. Neonatal Resuscitation Provider (NRP) certification required within 3 months of hire. Additionally: Depending on privileges for role, federal DEA and CT controlled substance registration may be required. Please reference the document: “APP: Certifications by Specialty.” Knowledge, Skills, and Abilities Medical knowledge and procedures: Medical knowledge sufficient to recognize patterns, trends and disease traits and to fully engage in APP learning opportunities, effectively applying such knowledge to basic clinical evaluations and patient care. Communication: Exemplary written and verbal communication. Interpersonal: Respectful and compassionate in interactions with staff, patients, and families. Professionalism, organizational view: Demonstrates accountability for assigned work and the extent of one’s involvement in patient care . Demonstrates openness to feedback. Ability to incorporate feedback and learnings into work effort.

RN

Registered Nurse (RN), Level IV NICU (Full Time/Part Time Nights - 12hrs)

Children's Hospital of Orange County (CHOC) Orange, CT

$56.96 - $91.14 / hour

Work Location Orange, California Work Shift Day – 12hrs (United States of America) Why CHOC? At CHOC, we strive to be the leading destination of children’s health by providing exceptional and innovative care. We are responsible for the overall health of our community’s pediatric population in our hospitals, clinics, and practices. And because of our breadth of care, your career at CHOC can be as diverse and fulfilling as you determine. CHOC’s compensation structure, benefits offerings, and career development programs are geared to helping you achieve your professional and personal goals. Apply now to see where your career at CHOC can take you. Environmental Sustainability Statement Driven by the connection between children's health and a healthy environment, we commit to creating a healthcare model that incorporates environmental sustainability aligned with our mission to protect children's health and patient safety. Job Summary Are you interested in joining CHOC’s mighty brigade of nurses in our Neonatal Intensive Care Unit (NICU)? In addition to nurturing a meaningful career for nurses, CHOC also offers an excellent salary and benefits package including an an education reimbursement program (up to $10,000 per year). Pay Range Minimum $56.96 Midpoint $74.05 Maximum $91.14 Rate of pay is determined by various factors, including but not limited to knowledge, skills, competencies, experience, education, as well as position requirements. Why join our Mighty Brigade? Magnet recognized nursing team Career enrichment including a clinical ladder program We’re consistently growing offering new programs and services Personal fulfillment in a supportive, team-focused environment Highly competitive salary levels and benefits Generous night shift differential Free parking for employees NICU RN Qualifications Registered Nurse-California Ped. Advanced Life Support Basic Life Support NRP 1 year of nursing experience in a level III or IV NIC U (preferably within the last 3 years) Bachelor's of Science in Nursing from an accredited school within 2 years of hire RNC-NIC certified (preferred) Work Environments - Functional Demand: Light - Moderate energy level Lift and carry 25-35 lbs. Push/pull 50-100 lbs. (ie. empty bed, stretcher). Physical Activity Requirements: Bending, Carry Objects, Climbing, Keyboard use/repetitive motion, Pinching/fine motor activities, Push/Pull, Reaching forward, Reaching overhead, Sitting, Squat/kneel/crawl (Squad & Knee), Standing, Talk or hear, Taste or smell, Twisting, Walking, Wrist position deviation Physical Activity Lifting Lifting (Floor to waist level) - Constant 67 or more%, Lifting (Floor to waist level) - Frequent 36-66%, Lifting (Floor to waist level) - Occasional 0-35%, Lifting (Waist level and above) - Constant 67 or more%, Lifting (Waist level and above) - Frequent 36-66%, Lifting (Waist level and above) - Occasional 0-35% Sensory Requirements: Color Discrimination, Depth Perception, Far Vision, Hearing, Near Vision Environment Requirements: Airborn Communicable Disease, Bloodborne Pathogens, Chemical, Dust Particular Matter, Extreme Noise Levels, Extreme Temperatures, Radiation, Uneven Surfaces or Elevations Non-Discrimination Statement: CHOC does not discriminate on the basis of age, race, color, religion, national origin, ancestry, marital status, genetic information, disability, sex, gender (including pregnancy, breastfeeding, childbirth, lactation or related medical conditions), gender identity or expression, medical condition, sexual orientation, veteran status, military or uniformed service member status, or other protected characteristics in accordance with state and federal laws. CHOC will consider for employment qualified applicants with criminal histories, in accordance with the Fair Chance Initiative for Hiring. We encourage individuals from all backgrounds to apply for positions at CHOC, even if your experience doesn’t align perfectly with the listed qualifications for a particular role, as your unique experience may be a great addition to our culture for another one of our opportunities. If you desire support or accommodations throughout the Talent Acquisition process, please inform your Talent Acquisition Partner.

RN

NICU

3 weeks ago

NICU Registered Nurse

Yale New Haven Health Greenwich, CT

Overview To be part of our organization, every employee should understand and share in the YNHHS Vision, support our Mission, and live our Values. These values - integrity, patient-centered, respect, accountability, and compassion - must guide what we do, as individuals and professionals, every day. As an integral member of the Yale New Haven Health System (YNHHS) healthcare team, the Registered Professional Nurse (RN) upholds the YNHHS mission, vision, values and strategic initiatives to provide the highest level of patient centered care. The RN practices professional nursing as a registered nurse within the legal and ethical framework established by the Connecticut Nurse Practice Act, American Nurses Association Scope and Standards for Nursing Practice, ANA Code of Ethics for Nurses and the YNHHS Professional Practice Model. The professional role of the RN is exemplified by the qualities of leadership, delegation, collaboration, effective communication, ensuring quality outcomes. YNHHS nurses practice in a framework outlined in our professional practice model, which states, "Achieving outcomes through Autonomy and Accountability". We value Nursing Professional Governance, and use evidence and data to support our practice with the patient and family at the center, always. The RN provides care that: * Establishes and maintains a therapeutic relationship with the patient and family encompasses an understanding and integration of cultural and diversity into practice * Includes communicating and working collaboratively with the patient, family and health care team members * Includes respecting the patient's values, preferences, expressed needs and knowledge of the healthcare situation in holistic data collection, in formulating health care outcomes and in the evaluation process. EEO/AA/Disability/Veteran Responsibilities 1. STANDARDS OF PRACTICE RN practice is guided by the ANA Scope and Standards of Practice (2015). The Standards of Practice describe a competent level of nursing care as demonstrated by utilizing the nursing process components of assessment, diagnosis, outcomes identification, planning, implementation and evaluation. Assessment: The registered nurse collects pertinent data and information relative to the healthcare consumer's health or situation Diagnosis: The RN analyzes the assessment data to determine the actual and potential diagnoses or the issues. Outcomes Identification: The RN identifies expected outcomes for a plan individualized to the healthcare consumer or the situation. Planning: The RN develops and modifies a plan of care that prescribes strategies and alternatives to attain expected outcomes. Implementation: The RN implements the identified plan. Coordination of Care: The RN coordinates care delivery and transitions in care. Health Teaching and Health Promotion: The RN employs strategies to promote health and a safe environment. Evaluation: The RN evaluates progress toward attainment of outcomes. 2. STANDARDS OF PROFESSIONAL PERFORMANCE The ANA Standards of Professional Performance (2015) describe a competent level of behavior in the professional role, including activities related to: ethics, culturally congruent practice, communication, collaboration, leadership, education, evidence-based practice and research, quality of practice professional practice evaluation, resource utilization and environmental health. The RN is expected to engage in professional role activities, including leadership, appropriate to their education and position. The RN is accountable to for their professional actions to themselves, their healthcare consumers, their peers and ultimately to society. Ethics: The RN practices ethically. Culturally congruent practice: The RN practices in a manner that is congruent with cultural diversity and inclusion principles. Communication: The RN communicates effectively in all areas of practice Collaboration: The RN collaborates with healthcare consumer and other key stakeholders in the conduct of nursing practice. Leadership: The RN leads within the professional practice setting and the profession. Education: the RN seeks knowledge and competence that reflects current nursing practice and promotes futuristic thinking. Evidence-Based Practice and Research: The RN integrates evidence and research findings into practice Quality of Practice: The RN contributes to quality nursing practice. Professional Practice Evaluation: The RN evaluates owns' and others' nursing practice. Resource Utilization: The RN utilizes appropriate resources to plan provide and sustain evidence-based nursing services that are safe, effective and fiscally responsible Environmental Health: The RN practices in an environmentally safe and healthy manner. Qualifications EDUCATION Graduation from an accredited school of nursing. BSN preferred. All newly hired registered nurses must have current BCLS certification or must obtain within one month of hire. EXPERIENCE Registered Nurse is the foundational job description for all RNs. All RNs are encouraged to advance through the SPIRE clinical advancement program. LICENSURE Licensed and a currently registered nurse in the State of Connecticut. Clinical specialty certification highly encouraged. SPECIAL SKILLS Registered Nurse is the foundational job description for all RNs. All RNs are encouraged to advance through the SPIRE clinical advancement program. PHYSICAL DEMAND Requires prolonged standing; walking; use of sight, hearing, and touch. May be exposed to infectious diseases. Will be exposed to physical, mental and emotional illness as well as end of life conditions and death. Moderate stress and risk of injury from patient care. Standing/walking for more than half of the day. Frequently bending, reaching, pushing, pulling, twisting and lifting. Must be able to assist pushing/pulling/lifting patients ranging from five (5) to three hundred (300) pounds. YNHHS Requisition ID 190149

Registered Nurse - NICU

Waterbury Hospital Waterbury, CT

Scope Of Position The professional nurse practices, delegates, and collaborates with other team members to facilitate the coordination and delivery of patient care for the assigned patient population. The patient population identified as neonate. Reports to Director FBC. Responsibilities Nursing Process - Provides quality of care utilizing the nursing process. Develops plan of care with appropriate intervention for high risk neonate. Leadership - Demonstrates leadership to ensure all patient/family needs are met. Delegates responsibilities to appropriate member of the care team. Has the autonomy capability and motivation to be identified as one of principle care givers for the patient providing appropriate teaching and communicating pertinent information across continuum of patient care. Professional Behavior - Acts as a role model by promoting a professional and collaborating approach with all members of the care team collaborates and works cooperatively to resolve problems and ensure excellence in clinical practice. Demonstrates and promotes cultural sensitivity. Quality - Actively participates in initiatives to ensure quality outcomes of patient care. Adheres to and responsible for meeting all standards of care as it relates to AWHONN, American Academy of Pediatrics, American College of OB, GYN, JCAHO, national and local regulatory requirements. Competency - Maintains accountability for professional competency. Demonstrates competent knowledge and critical thinking to promote optimal patient care in the Special Care Nursery and Surgical Room for Cesarean Section deliveries as well as the FBC Unit for high risk deliveries. Maintains required knowledge and skills, completes general unit/department specific competencies. Requirements Neonatal Resuscitation Acts as mentor/preceptor Excellent communication skills Ability to work in a time oriented environment including exposure to all patient elements in blood borne pathogenics, standing and walking. May be exposed to environmental hazards such as anesthesia gases or elements. Ability to interact with patient and families with tact and confidentiality. Ability to approach clinical responsibilities for patient with regard to growth and development issues for the neonate. Graduate of accredited RN program. Must be a licensed Registered Nurse in the State of Connecticut. Must have basic computer skills and ability to access internet and other programs applicable to Waterbury Hospital procedures. Perform automated functions that fall within job responsibility.

Registered Nurse - NICU

Waterbury Hospital Waterbury, CT

Scope Of Position The professional nurse practices, delegates, and collaborates with other team members to facilitate the coordination and delivery of patient care for the assigned patient population. The patient population identified as neonate. Reports to Director FBC. Responsibilities Nursing Process - Provides quality of care utilizing the nursing process. Develops plan of care with appropriate intervention for high risk neonate. Leadership - Demonstrates leadership to ensure all patient/family needs are met. Delegates responsibilities to appropriate member of the care team. Has the autonomy capability and motivation to be identified as one of principle care givers for the patient providing appropriate teaching and communicating pertinent information across continuum of patient care. Professional Behavior - Acts as a role model by promoting a professional and collaborating approach with all members of the care team collaborates and works cooperatively to resolve problems and ensure excellence in clinical practice. Demonstrates and promotes cultural sensitivity. Quality - Actively participates in initiatives to ensure quality outcomes of patient care. Adheres to and responsible for meeting all standards of care as it relates to AWHONN, American Academy of Pediatrics, American College of OB, GYN, JCAHO, national and local regulatory requirements. Competency - Maintains accountability for professional competency. Demonstrates competent knowledge and critical thinking to promote optimal patient care in the Special Care Nursery and Surgical Room for Cesarean Section deliveries as well as the FBC Unit for high risk deliveries. Maintains required knowledge and skills, completes general unit/department specific competencies. Requirements Neonatal Resuscitation Acts as mentor/preceptor Excellent communication skills Ability to work in a time oriented environment including exposure to all patient elements in blood borne pathogenics, standing and walking. May be exposed to environmental hazards such as anesthesia gases or elements. Ability to interact with patient and families with tact and confidentiality. Ability to approach clinical responsibilities for patient with regard to growth and development issues for the neonate. Graduate of accredited RN program. Must be a licensed Registered Nurse in the State of Connecticut. Must have basic computer skills and ability to access internet and other programs applicable to Waterbury Hospital procedures. Perform automated functions that fall within job responsibility.

RN - Childrens NICU

Yale New Haven Health New Haven, CT

Overview To be part of our organization, every employee should understand and share in the YNHHS Vision, support our Mission, and live our Values. These values - integrity, patient-centered, respect, accountability, and compassion - must guide what we do, as individuals and professionals, every day. Works Under The Supervision Of The Nurse Manager/Clinical Coordinator. The Registered Nurse (Rn) Assesses, Plans, Implements, Evaluates And Supervises Individual Patient Care On A Nursing Unit/Department According To Unit Policies And Procedures. Provides Supervision Of Non-Rn Personnel On The Assigned Unit. When Assuming The Charge Role, Delegates And Supervises Unit Activities. May Be Requires To Work On Other Nursing Units According To Distribution Of Staff And Patients. Performs Other Duties As Assigned Or Requested In Order To Maintain A High Level Of Service. EEO/AA/Disability/Veteran Responsibilities Assesses The Patient’s Physical And Psychosocial Condition On An Ongoing Basis Throughout The Continuum Of Care. Develops, Communicates And Documents A Plan Of Care Reflecting Individualized Patient Problems And Interventions To Achieve Desired Outcomes, Involving The Patient, Family And Healthcare Team In This Process. Implements And Coordinates This Plan Of Care In Collaboration With The Healthcare Team. Evaluates The Effectiveness Of The Plan Of Care, Patient?S Response To Care, And Readiness For Discharge. Revises The Plan Of Care As Needed And Makes Referrals Where Indicated. Plans For Education After Assessing The Individual Learning Needs And Readiness Of The Patient And Family. Provides Educational Opportunities And Documents Outcomes. Functions As A Preceptor To New Staff. Functions As A Charge Nurse. Meets Performance Expectations For Customer Service, Teamwork, Resource Utilization, And Staff And Self Development As Outlined In Performance Review. Performs Other Duties As Assigned Or Directed To Ensure Smooth Operation Of The Department/Unit. Demonstrates Competency In The Care Of The Neuro Patient Demonstrates Skill And Knowledge In Neuro Assessment Demonstrates Skill And Knowledge In The Airway Management Of The Neuro Patient Demonstrates Skill And Understanding In Caring For A Trached Patient Demonstrates Skill And Understanding In Assisting The Physician And Caring For The Patient During Special Neuro Procedures Demonstrates Knowledge And Understanding Of Our 'Tia' Teaching Program Performs Pharynaeal, Endotracheal, Tracheostomy Suctioning According To Established Policy And Procedure: Pharynaeal, Endotracheal, Tracheastomy Demonstrates Skill And Understanding In The Use Of Equipment And Care Of Patient In A Halo Brace Demonstrates Skill And Understanding Of Nursing Responsibilities And Interventions For The Patient On A Ventilator Qualifications EDUCATION Graduate Of An Accredited School Of Nursing; BSN Preferred. Proficient In Use Of Computer Software To Include Electronic Patient Records. Must Have Ability To Use Internet For Literature Searches Regarding Care For Patients. EXPERIENCE 1 Year Acute RN experience required. NNICU experience preferred. LICENSURE Valid State Of Connecticut Registered Nurse License SPECIAL SKILLS BLS Required Position Overview November 3, 2025 Cohort Start Date.

Registered Nurse (RN) - NICU Small Baby Unit - Nights (Full Time & Part Time opportunities)

Children's Hospital of Orange County (CHOC) Orange, CT

$56.96 - $91.14 / hour

Work Location Orange, California Work Shift Night – 12hrs (United States of America) Why CHOC? At CHOC, we strive to be the leading destination of children’s health by providing exceptional and innovative care. We are responsible for the overall health of our community’s pediatric population in our hospitals, clinics, and practices. And because of our breadth of care, your career at CHOC can be as diverse and fulfilling as you determine. CHOC’s compensation structure, benefits offerings, and career development programs are geared to helping you achieve your professional and personal goals. Apply now to see where your career at CHOC can take you. Environmental Sustainability Statement Driven by the connection between children's health and a healthy environment, we commit to creating a healthcare model that incorporates environmental sustainability aligned with our mission to protect children's health and patient safety. Job Summary Are you interested in joining CHOC’s mighty brigade of nurses in our small baby unit? This is a unit that specializes in premature babies born at 28 weeks or less. In addition to nurturing a meaningful career for nurses, CHOC also offers an excellent salary and benefits package including an education reimbursement program (up to $10,000 per year). Pay Range Minimum $56.96 Midpoint $74.05 Maximum $91.14 Rate of pay is determined by various factors, including but not limited to knowledge, skills, competencies, experience, education, as well as position requirements. Why join our Mighty Brigade? · Magnet recognized nursing team · Career enrichment including a clinical ladder program · We’re consistently growing offering new programs and services · Personal fulfillment in a supportive, team-focused environment · Highly competitive salary levels and benefits · Generous night shift differential · Free parking for employees NICU RN Qualifications · Registered Nurse-California · Ped. Advanced Life Support · Basic Life Support · NRP · 1 year of nursing experience in a level III or IV NICU (preferably within the last 3 years) · Bachelor's of Science in Nursing from an accredited school within 2 years of hire · RNC-NIC certified (preferred) Work Environments - Functional Demand: Light - Moderate energy level Lift and carry 25-35 lbs. Push/pull 50-100 lbs. (ie. empty bed, stretcher). Physical Activity Requirements: Bending, Carry Objects, Climbing, Keyboard use/repetitive motion, Pinching/fine motor activities, Push/Pull, Reaching forward, Reaching overhead, Sitting, Squat/kneel/crawl (Squad & Knee), Standing, Talk or hear, Taste or smell, Twisting, Walking, Wrist position deviation Physical Activity Lifting Lifting (Floor to waist level) - Constant 67 or more%, Lifting (Floor to waist level) - Frequent 36-66%, Lifting (Floor to waist level) - Occasional 0-35%, Lifting (Waist level and above) - Constant 67 or more%, Lifting (Waist level and above) - Frequent 36-66%, Lifting (Waist level and above) - Occasional 0-35% Sensory Requirements: Color Discrimination, Depth Perception, Far Vision, Hearing, Near Vision Environment Requirements: Airborn Communicable Disease, Bloodborne Pathogens, Chemical, Dust Particular Matter, Extreme Noise Levels, Extreme Temperatures, Radiation, Uneven Surfaces or Elevations Non-Discrimination Statement: CHOC does not discriminate on the basis of age, race, color, religion, national origin, ancestry, marital status, genetic information, disability, sex, gender (including pregnancy, breastfeeding, childbirth, lactation or related medical conditions), gender identity or expression, medical condition, sexual orientation, veteran status, military or uniformed service member status, or other protected characteristics in accordance with state and federal laws. CHOC will consider for employment qualified applicants with criminal histories, in accordance with the Fair Chance Initiative for Hiring. We encourage individuals from all backgrounds to apply for positions at CHOC, even if your experience doesn’t align perfectly with the listed qualifications for a particular role, as your unique experience may be a great addition to our culture for another one of our opportunities. If you desire support or accommodations throughout the Talent Acquisition process, please inform your Talent Acquisition Partner.

NICU-Neonatal Nurse Practitioner/Physician Assistant-Full-Time-Hartford

Connecticut Children's Hartford, CT

Independently completes thorough evaluations of term and premature newborns primarily in the NICU Level IV tertiary care referral center. Develops and implements informed management plans encompassing complicated and atypical diagnoses, with the ability to modify plans as necessary. Anticipates and triages urgent and emergent issues. Collaborates care and facilitates communication with the supervising physician and the inter-professional team. Coordinates recommendations to optimize patient care and foster collaborative practice. Incorporates a broader organization awareness into decision-making and interpersonal relationships. Medical knowledge Clinical knowledge . Integrates a breadth of medical knowledge that includes complicated and atypical conditions to guide patient care, incorporating evidence-based practice and current literature to support care. Diagnostic Evaluation . Prioritizes and optimizes evaluation based on risks, benefits, indications, and alternatives to clarify the diagnosis(es). Interprets clinical significance of diagnostic study results while considering study limitations. Patient History. Gathers, filters, prioritizes, and synthesizes patient history to develop a differential diagnosis in real-time for complicated or atypical presentations in addition to the uncomplicated or typical. Patient care Clinical reasoning . Integrates clinical facts (e.g., history, exam, tests, consultations, etc.) into a unifying diagnosis(es); reappraises in real time to avoid diagnostic error. Organize and prioritize patient care . Organizes, prioritizes, and collaborates with others on patient care responsibilities even when patient volume approaches the capacity of the individual or facility; anticipates and triages urgent and emergent issues. Patient management . Develops and implements informed management plans for complicated and atypical diagnoses, in addition to common and typical diagnoses, with the ability to modify plans as necessary. Delivery room. Attends deliveries independently. Procedures as defined by clinical department. Applies full competency in core procedures. May assist in mentoring less experienced APPs in the performance of procedures. Please reference the “APP Procedures Listing” for those relevant to the Medical Specialty. Interpersonal and Communication Patient and family centered communication . Establishes a culturally competent and therapeutic relationship in straightforward and complex encounters with patients/families, including those with ambiguity and/or conflict. Elicits patient/family values and incorporates awareness of these in communications with patient/family and in patient care. Uses shared decision making with patient/family to make a personalized care plan. Interpersonal and team communication . Facilitates and maintains communication with supervising physician and inter-professional team. Coordinates recommendations to optimize patient care and foster collaborative practice. Communication within Health Care System . Concisely documents updated, prioritized, diagnostic and therapeutic reasoning, including anticipatory (preventive) guidance, in the patient record. Applies increased ability to identify areas for preventive counseling. Aligns type of communication with message to be delivered (e.g., direct and indirect) based on urgency and complexity. Practice–based learning and improvement Evidence-based and informed practice . Critically appraises data and applies evidence, even in the face of uncertainty and conflicting evidence, to guide care tailored to the individual patient, including integrating patient preference. Contributes to evidence-based practice based on program needs. Reflective practice and commitment to personal growth . Proactively seeks feedback. Designs and implements a learning plan, incorporating feedback and performance data. Professionalism Models professional behavior and maintains composure in all circumstances. Proactively seeks guidance in new or unusually difficult circumstances. Constructively highlights to lead/manager concerns that impact the cohesiveness and well-being of the team. Proactively presents viable solutions for discussion. System-based practice Sys tem navigation for patient centered care-coordination of care. Coordinates inter-professional patient-centered care among different disciplines and specialties actively assisting families in navigating the health care system. Population and community health . Adapts practice to provide for the needs of and reduce health disparities of a specific patient population. Organizational View . Considers divisional impact of own decisions, especially in relation to improving patient care, systems and processes, and the overall culture and well-being of the organization. Constructively and proactively addresses considerations of others related to the same. Minimum Education and Experience Required Minimum education (degree/type of degree). Advanced Practice Nurse Practitioner: Graduate degree in nursing accredited by one of the national certifying bodies in nursing. (Or, on or before December 31, 2004, completion of an advanced nurse practitioner program recognized by a national certifying body for certification as a nurse practitioner.) Or… Physician Assistant: Graduation from a physician assistant program accredited, at the time of graduation, by the Accreditation Review Commission on Education for the Physician Assistant (ARC-PA). Minimum experience (minimum years & type of experience): At least 5 years of neonatal APP experience. Preferred education & experience: n/a License and/or Certification Required: At time of hire and maintenance at time of appointment or privilege approval: Provider licensing: Current Neonatal Nurse Practitioner licensure in the State of Connecticut. OR… Certified by the National Commission on Certification of Physician Assistants, Inc. (NCCPA). Current Physician Assistant licensure in the State of Connecticut. Neonatal Resuscitation Provider (NRP) certification required within 3 months of hire. Additionally: Depending on privileges for role, federal DEA and CT controlled substance registration may be required. Please reference the document: “APP: Certifications by Specialty.” Knowledge, Skills, and Abilities Medical knowledge and procedures: A breadth of medical knowledge sufficient to independently develop a differential diagnosis and management plan for a range of presentations – through uncommon or atypical presentations and/or where clinical evidence is not straightforward. Ability to evaluate patient outcomes and implement new procedures and policies, as needed. Fully competent in performing the core procedures of the department. Communication: Exemplary written and verbal communication skills with the ability to modify communication strategy/method for the audience and circumstance. Highly organized in the presentation of essential information. Ability to tactfully and proactively address concerns and propose solutions. Interpersonal: Ability to maintain composure in complex and stressful situations and in the midst of ambiguity or uncertainty. Skilled at effectively and proactively engaging patients/families in developing a care plan. Ability to facilitate and coordinate care across all levels of professionals and specialties. Professionalism, Organizational view: Understands and demonstrates in one’s decision-making and interrelationships a sensitivity to the considerations of the broader team