Nurse Practitioner, Nephrology-Dialysis Unit New

Job Description

At Cincinnati Children’s, we come to work with one goal: to make children’s 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 Children’s.

Cincinnati Children's Is

• Recognized by U.S. News & World Report as a top 10 best children's hospitals in the nation for more than 15 years
• Second Among All Children's Hospitals for National Institutes of Health (NIH) Funding
• Recognized as one of America’s Best Large Employers (2025) , America’s Best Employers for New Grads (2024)
• One of the nation's America’s Most Innovative Companies as noted by Fortune
• Consistently certified as great place to work
• A Leading Disability Employer as noted by the National Organization on Disability
• Magnet® designated for the fourth consecutive time by the American Nurses Credentialing Center (ANCC)
  
  

Overview Of APP Role

Management of pediatric patients with end-stage renal disease (ESRD) requiring dialysis in collaborative setting with Multidisciplinary Team to coordinate care, adjust treatment plans, and address the holistic needs of the patient.

Daily Duties To Include

• Patient Management: development and implement individualized care plans for patients undergoing hemodialysis to include collaboration with Nephrologists for initiation and adjustment of hemodialysis prescriptions, prescribe and management of medications, including those that control blood pressure, fluid balance, and electrolyte levels
• Assessment and Diagnosis: conduct comprehensive assessments of patients’ health status, including physical, psychological, and emotional aspects. Including monitoring vital signs, lab results), and assess for complications such as infections, fluid overload, and cardiovascular issues related to dialysis
• Education and Counseling: consistent education to patients and their families in multidisciplinary setting regarding hemodialysis procedures, dietary restrictions, fluid management, and self-care practices to optimize treatment outcomes.
• Collaboration in Multidisciplinary Setting: Work closely with nephrologists, dietitians, social workers, and other healthcare providers to coordinate care, adjust treatment plans, address the holistic needs of the patient and provide oversight during treatments.
• Research and Quality Improvement: participation and engagement in clinical research or quality improvement initiatives specific to pediatric dialysis to enhance the standards of care and improve patient outcomes specific to the pediatric patient undergoing hemodialysis
  
  

Experience

Experience preferred but will consider new grad with applicable RN experience.

Nurse Practitioner

Primary care PNP, FNP

Qualifications

• Certification-FNP, PNP
• Specialty experience preferred: RN or APRN experience with Nephrology, dialysis highly preferred.
  
  

Schedule

• Shift length: 0.6 FTE; 8 and 10- hour days
• Dayshift M-F, with future potential for occasional Saturday
• Potential for Holidays in future
• No call, no weekends
  
  

Salary

$104,000-$154,336

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/APRN 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

• Masters degree in related field. May require clinical license, certification or training OR Doctorate of Nursing Practice degree
• No directly related experience
• Licensure and certification in accordance with CCHMC Delineation of Privileges
• Multi-state licensure in addition to Ohio licensure may be required base on subspeciality
  
  

Market Leading Benefits Including*:

• Medical coverage starting day 1 of employment. View employee benefits here.
• Competitive retirement plans
• Tuition reimbursement for continuing education
• Expansive employee discount programs through our many community partners
• Shift Differential, Weekend Differential, and Weekend Option Pay Programs
• Referral bonus program for current staff!
• Support through Employee Resource Groups such as African American Professionals Advisory Council, Asian Cultural and Professional Group, EQUAL - LGBTQA Resource Group, Juntos - Hispanic/Latin Resource Group, Veterans and Military Family Advocacy Network, and Young Professionals (YP) Resource Group
• Physical and mental health wellness programs
• Relocation assistance available for qualified positions
• Benefits may vary based on FTE Status and Position Type
  
  

Primary Location

Burnet Campus

Schedule

Part time

Shift

Day (United States of America)

Department

APP Medical Subspecialty Otpt

Employee Status

Regular

FTE

0.6

Weekly Hours

24

• Expected Starting Pay Range
• Annualized pay may vary based on FTE status $99,278.40 - $126,817.60
  
  

Comprehensive Job Description Provided Upon Request.

Cincinnati Children’s 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