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Advanced Practice Provider (APP) – Pre-Anesthesia Consult Clinic

Nurse Practitioner or Physician Assistant | Full-Time

Work Schedule: Full time, 40 hours/week. 8hr shifts with varying start times between 0600 and 1000AM.

Locations: Cincinnati Children's Burnet, Liberty, Eden, and Eastgate campuses.

Make a Difference in the Lives of Children and Families

Cincinnati Children's is a nationally recognized, top-ranked pediatric healthcare organization committed to providing exceptional care and improving the lives of children and families. We are seeking a compassionate and dedicated Advanced Practice Provider (APP) to join our Pre-Anesthesia Consult Clinic team.

In this role, you will play an important part in preparing pediatric patients for safe anesthesia and surgical experiences. Working collaboratively with anesthesia providers and a multidisciplinary team, you will help identify potential risks, optimize patient health, and ensure children are medically prepared for their procedures.

About the Role

The APP will provide comprehensive pre-anesthesia evaluations for pediatric patients scheduled for procedures requiring anesthesia. Responsibilities include reviewing medical histories, assessing current health status, performing physical examinations, and identifying medical or other concerns that may impact anesthesia and surgical readiness.

This position also includes participation in the Periop SHOPPE, a multidisciplinary program focused on identifying and optimizing the medical, behavioral, and social needs of patients before surgery.

SHOPPE responsibilities typically represent approximately 0.2–0.3 FTE of the overall APP role. Full orientation and training for this subspecialty are expected to occur approximately 9–12 months following completion of general orientation.

Key Responsibilities

• Perform comprehensive pre-anesthesia assessments, including medical history reviews, physical examinations, and evaluation of relevant diagnostic information.
• Identify potential anesthesia risks and medical concerns that may affect surgical readiness.
• Educate patients and families about anesthesia evaluations, procedures, risks, and expectations.
• Collaborate with anesthesiologists and other healthcare providers to develop individualized plans of care.
• Order and interpret appropriate laboratory studies and diagnostic tests within established clinical privileges.
• Coordinate care with medical and surgical specialists to optimize patients with complex medical conditions.
• Participate in multidisciplinary care planning through the Periop SHOPPE program.
• Accurately document assessments, clinical findings, and plans of care in the electronic health record.
• Provide follow-up support and address questions or concerns from patients and families.
• Participate in quality improvement initiatives and clinical education activities.

About the Periop SHOPPE Program

The Periop SHOPPE is a comprehensive, multidisciplinary approach to evaluating and optimizing patients' medical, behavioral, and social needs before surgery.

The program focuses on:

• Increasing patient access while maintaining safe, comprehensive care.
• Reducing surgical delays and same-day cancellations.
• Minimizing patient safety events.
• Streamlining day-of-surgery processes.
• Improving the overall experience and satisfaction of patients, families, and employees.

Qualifications

• Master's degree in Nursing or Doctor of Nursing Practice (DNP)
• Graduate of an accredited Nurse Practitioner or Physician Assistant program.
• Current, unrestricted Ohio licensure and applicable national certification as an NP or PA.
• Licensure and certification must meet Cincinnati Children's Delineation of Privileges requirements.
• Pediatric clinical experience preferred; experience in anesthesia, perioperative services, critical care, or complex pediatric care is a plus.
• Strong clinical assessment, critical thinking, and decision-making skills.
• Excellent communication and interpersonal skills, with a commitment to family-centered care.
• Ability to work independently while collaborating effectively within a multidisciplinary team.
• Demonstrated compassion, flexibility, and commitment to providing exceptional pediatric care.

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Why Join Cincinnati Children's?

• Be part of a nationally recognized, top-ranked pediatric healthcare organization.
• Work alongside highly skilled and collaborative healthcare professionals.
• Make a meaningful impact on the safety and experience of children undergoing anesthesia and surgical procedures.
• Access professional development, continuing education, and career growth opportunities.
• Enjoy a comprehensive benefits package, including health, dental, vision, and retirement plans.
• Practice in state-of-the-art facilities with advanced clinical resources.

Join Our Team!

If you are a dedicated Nurse Practitioner or Physician Assistant who is passionate about pediatric care and enjoys working collaboratively to improve patient outcomes, we invite you to explore this opportunity with Cincinnati Children's Pre-Anesthesia Consult Clinic team.

Help us prepare every child for the safest possible surgical experience!

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.

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 

• Consistently among the top 3 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 (2025) 

• 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) 

 We Embrace Innovation—Together.  We believe in empowering our teams with the tools that help us work smarter and care better. That’s why we support the responsible use of artificial intelligence. By encouraging innovation, we’re creating space for new ideas, better outcomes, and a stronger future—for all of us.

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