Posting Note: Phoenix Children’s Hospital’s Neonatology division ranks #20 in the US News and World Report and for the 5th year has ranking in multiple medical specialties. We are proud to be Arizona’s only children’s hospital and one of only 22 designated children’s hospitals in the U.S. Phoenix Children’s also consistently ranks on the Becker’s Hospital Review list of the 150 Top Places to Work in Healthcare and was named the 2018 Exceptional Innovator and Business of the Year by the Greater Phoenix Chamber of Commerce. Our Advanced Practice Providers work collaboratively with the Neonatologist providing comprehensive care for the most critically ill and convalescing neonates and their families, following established, evidenced based practice. Our Neonatal NP and PA-C are encouraged to participate in research projects, divisional QI, and have the opportunity to participate in teaching. Team members have ample opportunity for personal growth while collaborating with other providers to improve care and outcomes for our patient population. This new and fast-growing division at Phoenix Children’s currently includes 4 facilities: - 49 bed AAP designation Level 4 referral NICU with plans for expansion - 72 bed Level 3 delivery center - 28 bed Level 2 delivery center - 12 bed level 2 delivery center with an expansion to a 60 bed Level 3 NICU in a brand-new mother-baby tower to open by 2025. All subspecialties work collaboratively within the NICUs and the delivery center NICUs offer opportunities to attend high-risk deliveries and perform procedures within their scope of practice. Services include, but not limited to, ECMO, HFOV, iNO, and whole-body cooling.

Posting Note: This position will be a split position between our Pain and Pre-Anesthesia Clinics. Experience as an FNP, PNP-PC, or PA is required. The Nurse Practitioner/Physician Assistant will function as an independent healthcare provider working with physician care team on the multidisciplinary inpatient pain service and in the follow-up comprehensive pain clinic. As a member of the Phoenix Children’s (PC) Pain Service, the NP/PA will be responsible for providing pain management services (acute and chronic pain) for pediatric patients in an inpatient setting and outpatient clinic setting. The PC Pain Service is an award winning, multi-disciplinary team with pain trained anesthesiologists, nurse practitioners, pain psychologists, nursing coordinators, physical therapists, and a research assistant. The NP/PA will provide evaluation and management of patients referred to the Pediatric Inpatient Pain Services and Pediatric Pain Clinic. The Pediatric Inpatient Pain Service provides consultation services for patients with complex pain and is actively involved in perioperative analgesia for pediatric patients. The NP/PA will work with the Pain Service attending physician to develop a care plan for patients. There are additional opportunities to help with education of nurses, nurse practitioner students, medical students, residents, and get involved with the development of pain management protocols. Nationally recognized as a premier destination for pediatric medical care, research, and medical education, Phoenix Children’s provides care to the fourth largest pediatric market in the 5th largest city in the United States, serving the greater metropolitan Phoenix area known as “The Valley.” The Phoenix Children’s healthcare system is rapidly growing to facilitate patient access including multiple ambulatory buildings, and scheduled opening of satellite hospitals throughout the state of Arizona. Previous pain management and/or Anesthesia experience would be helpful in this role; however, experienced NP/PA candidates with varied backgrounds are also encouraged to apply. For NP/PA candidates without a background in pain management/Anesthesia, we have a comprehensive onboarding program to help with orientation and mentoring by the other physicians and nurse practitioners on the team. The NP/PA who becomes part of our team will develop a high degree of clinical expertise working with patients with acute and chronic pain conditions. These conditions include acute postoperative and traumatic pain, cancer related pain conditions, and chronic non-cancer related pain conditions. Job Duties: 1. Perform and document the pre-anesthesia/pain assessment and evaluation of the patient. 2. Review, request, and order laboratory/diagnostic studies. 3. Obtain informed consent for anesthesia and related services. 4. Select, obtain, order, and administer preanesthetic medication or treatment. 5. Develop an anesthesia care plan with coordination from Anesthesiologist. 6. Perform and document the post-anesthesia assessment and evaluation of the patient. 7. Document accurately on the pre- and post- anesthesia record. 8. Reports any anesthesia complications via proper reporting structures and obtains consultations and follow-up for patient safety. 9. Facilitate emergence and recovery from anesthesia by evaluating patient response, and selecting, ordering, and administering medications, fluids, and ventilator support to maintain patient stability during transfer. 10. Initiate and administer post-anesthesia pharmacological or fluid support of the cardiovascular system. 11. Initiate and administer respiratory support to ensure adequate ventilation and oxygenation in the post anesthesia period. 12. Evaluate the patient’s response to anesthesia and surgery; take appropriate corrective action during the post anesthesia period. 13. Provide post anesthesia follow-up evaluation and care. 14. Implement consultation with acute pain management when needed. 15. Manage emergency situations by assessing, stabilizing, and determining disposition of patients, including providing airway management, administration of emergency drugs and fluids, and using basic and advanced cardiac life support techniques. 16. Provides expert clinical care, education, consultation, advocacy, research, leadership and mentorship. 17. Promotes the advancement of the nursing profession at Phoenix Children’s and the community-at-large. This may include publication, participation in professional organizations and providing educational support to the nursing staff. 18. Collaborates and coordinates care with medical team to deliver evidenced-based care and establish best practices in clinical care. 19. Conducts and participates in research. 20. Meets the Medical Staffs Allied Health Practitioners core measures of performance related to patient care, medical knowledge, practice-based learning and improvement, interpersonal communication skills, professionalism, and system-based practice. 21. Participates in the education of anesthesia trainees and airway learners from other departments. 22. Performs job functions adhering to service principles with customer service focus of innovation, service excellence and teamwork to provide the highest quality care and service to our patients, families, co-workers and others. 23. Other job functions as assigned.

Posting Note: Phoenix Children’s Division of Neurosurgery is seeking a certified Pediatric Nurse Practitioner (or Physician Assistant) to join our growing program. Neuroscience experience is preferred but all applicants will be reviewed. The Division of Neurosurgery at Phoenix Children’s is growing to support the needs of the Southwest and beyond. We are the largest pediatric neurosurgery program in the state of Arizona. We offer comprehensive and compassionate care and support for children and their families with known or suspected neurosurgical conditions. Our services include outpatient, inpatient and surgical care for the pediatric patient to include diagnostic and laboratory testing, imaging, and procedures. Our program serves as the main neurosurgery referral for a population of 7 million residents, of whom 1.5 million are in the pediatric age range. This Advance Practice Provider (APP) role in Neurosurgery will have responsibility for the evaluation and team-based care of pediatric neurosurgery patients to include but not be limited to outpatient evaluations, inpatient consultations, and daily care. This role also has on call responsibilities on nights, weekends, and holidays (estimate 4 days/nights of call / month). Inpatient duties include, but are not limited to, rounding on all inpatients, attending to the needs of daily care, daily EHR documentation, communication with consultants, answering questions from collaborating teams, bedside RNs, rehabilitation providers, pharmacy, coordinating operative care, patient discharge, facilitating appropriate follow up for patients, and coverage during the day, as well as on call responsibilities. Further the APP will be a surgical first assistant in the neurosurgery cases. Outpatient responsibilities include independent assessment and care of a variety of conditions as well as participation in multidisciplinary clinics and satellite clinics. Some multi-specialty care teams we are a part of include Spina Bifida, Skeletal Dysplasia, Complex Spine, Movement Disorder, Neuro-Oncology, Epilepsy, Concussion, Neuromuscular, Neurovascular and Cranial Facial. Our clinical staff includes 6 physicians, 6 APPs, 2 RNs, and 2 medical assistants. The clinical activities for the Division include approximately 6,000 ambulatory visits, inpatient consultations, and inpatient subsequent visits in addition to 1,000 surgical cases annually. The Neurosurgery Division covers seven satellite clinics (Scottsdale, East Valley (East Mesa), Mercy Gilbert, Arrowhead, Avondale, Flagstaff and Tucson), in addition to the outpatient and inpatient neurosurgery services on Main campus at Phoenix Children’s. We truly work as a team and have daily virtual rounding as well as clinical conferences. In this way we aim to meet the growing needs of the growing pediatric patient population needs. Phoenix Children’s main campus, located in the heart of Phoenix, is a full-service, freestanding, tertiary medical center, offering 533 licensed beds, 72 of which are dedicated to intensive care and 49 of which are NICU. We are a rapidly growing healthcare system, soon expanding to 610 licensed beds, with an additional 60 NICU beds. Phoenix Children’s is a teaching hospital, leading the way for the next generation of pediatric providers through residency programs and fellowships, and is actively involved in clinical research, dedicating $10 million annually to support research activities. Interested applicants are encouraged to submit a CV to Chastity Jensen at cocano@phoenixchildrens.com.

Posting Note: The Cardiovascular Intensive Care Unit (CVICU) is looking for an Advanced Practice Provider (APP) to join their growing group of highly autonomous APPs. The APP in the CVICU is part of a team caring for acutely ill patients in the ICU, whose condition can change rapidly. They are responsible for the developing a plan of care for their patient load, presenting the plan to the attending physician and medical team, carrying out the plan throughout the day, and adjusting the plan as the patient’s condition changes. The CVICU APP performs procedures such as endotracheal intubation, central venous and arterial line placement, chest tube placement, chest tube removal, intracardiac line removal, and temporary pacing wire removal. The APP is expected to participate in both formal and in-formal education for the CVICU RNs and MD fellows, and actively participate in all division related meetings. An ideal candidate will have at least 5 years of ICU experience as a bedside RN, preferably in the CVICU setting, as well as strong clinical experience in an ICU setting as a student. However, these items are not a requirement for consideration. The hours worked by the APP in the CVICU are varied, and include day shifts, night shifts, weekends, and holidays. As this is a shift-work and exempt position, the amount of work per week is not always consistent (i.e. you may work 3 days one week and two night shifts the next week). The day shift hours are typically 6:30 am to 5:30 pm, and night shift hours at 4:00 pm to 8:00 am. The APP in the CVICU provides care to a caseload of patients within their scope of practice as outlined by applicable state law, regulations, institutional policies, and practice agreements. He/she functions as a licensed independent practitioner (LIP) who works collaboratively within a multidisciplinary health team including cardiac intensivists, cardiologists, cardiothoracic surgeons, pediatric surgeons, and other subspecialists as needed. The APP only provides care to patients in an inpatient setting. He/she is directly supervised by the Division Chief and Director of Advanced Practice services, under the direction of the Physician-in-chief.

Posting Note: The Cardiovascular Intensive Care Unit (CVICU) is looking for an Advanced Practice Provider (APP) to join their collaborative group of highly autonomous APPs. The APP in the CVICU is part of a team caring for acutely ill patients in the ICU, whose condition can change rapidly. They are responsible for the developing a plan of care for their patient load, presenting the plan to the attending physician and medical team, carrying out the plan throughout the day, and adjusting the plan as the patient’s condition changes. The CVICU APP performs procedures such as endotracheal intubation, central venous and arterial line placement, chest tube placement, chest tube removal, intracardiac line removal, and temporary pacing wire removal. The APP is expected to participate in both formal and in-formal education for the CVICU RNs and MD fellows, and actively participate in all division related meetings. An ideal candidate will have at least 5 years of ICU experience as a bedside RN, preferably in the CVICU setting, as well as strong clinical experience in an ICU setting as a student. However, these items are not a requirement for consideration. An Acute Care Certification is required. The hours worked by the APP in the CVICU are varied, and include day shifts, night shifts, weekends, and holidays. As this is a shift-work and exempt position, the amount of work per week is not always consistent (i.e. you may work 3 days one week and two night shifts the next week). The day shift hours are typically 6:30 am to 5:30 pm, and night shift hours at 4:00 pm to 8:00 am. The APP in the CVICU provides care to a caseload of patients within their scope of practice as outlined by applicable state law, regulations, institutional policies, and practice agreements. He/she functions as a licensed independent practitioner (LIP) who works collaboratively within a multidisciplinary health team including cardiac intensivists, cardiologists, cardiothoracic surgeons, pediatric surgeons, and other subspecialists as needed. The APP only provides care to patients in an inpatient setting. He/she is directly supervised by the Division Chief and Director of Advanced Practice services, under the direction of the Physician-in-chief.

Posting Note: Center for Cancer and Blood Disorders: Outpatient / Infusion APP This APP position will have Outpatient Infusion Unit responsibilities for the Center for Cancer and Blood Disorders The APP will work with the comprehensive, multidisciplinary team helping children of childhood cancer, hematologic disorders, immunodeficiency and immunologic diseases who receive infusions in our center. The provider is expected to understand their general medical needs, the role and side effects of infusion medications and work closely with ordering providers to ensure safe administration of medication. You will be responsible for management of acute illness, infusion reactions and toxicity, including facilitating transfer to higher level of care for unstable patients. Additionally, you will be trained in outpatient procedures like bone marrow aspirates/biopsies and lumbar puncture, a part of the general care of many of our patients. You will be responsible for entering patient care orders, outpatient prescriptions, patient and family education and coordinating care with primary Additionally, you will be a resource for development of standard operating procedures and quality improvement projects. Time Expectation: Coverage is weekdays, salaried, M-F We will consider 4-10 hr day/week with rotating day off. Job Qualifications. o PNP, FNP, or PA-C with at least 2 years of experience as Advanced Practice Provider o Board Certified and Credentialed at PCH o Additional experience in any of the following areas is preferred: o Pediatric Acute care in Emergency Medicine, PICU, or Trauma o Hematology / Oncology / BMT

Posting Note: This APP position will have primary responsibility for the benign hematology patient population. The successful provider will have responsibility for both pediatric and adult hospitalized hematology patients on primary or consultative service. Duties would include evaluating patients including new consultation with provider supervision, ordering medications and necessary blood products, managing prescriptions, radiology and home care orders, educating patients and their families on active issues and therapeutic changes, interacting with appropriate consultants, assistance with data monitoring related to this patient population, and scheduling appropriate follow up for patients. The successful individual is expected to work collaboratively with other providers within the hematology team and the broader CCBD to help with completion of projects as they are identified. Participation in focused quality or research projects, in conjunction with the hematology team, is also encouraged. Prior pediatric hematology experience preferred, although not required.

Posting Note: This APP position will primarily have responsibility for the Inpatient Oncology and Hematology patient population with an alternative schedule. This will primarily be nights/weekends with some opportunity to rotate thru daytime. The provider will have alternating responsibility for patient care on inpatient services (Leukemia, Solid Tumor, Hematology). Additional opportunities for rotating between inpatient and outpatient Hematology or Oncology patient care may be available for individuals with Primary Care PNP/FNP or PA-C certification. Each inpatient oncology service cares for newly diagnosed patients as well as patients requiring readmission for scheduled chemotherapy, immunotherapy or to treat intercurrent treatment complications. Patients on the hematology service will be patients with hemoglobinopathies, bleeding disorders and other hematological diseases who require inpatient care. Inpatient duties include, but are not limited to: - obtaining health history and performing physical examination - rounding with the inpatient team, consisting of attending, residents, fellows, nurses and other healthcare personnel - documentation in the Electronic Medical Record System (EMR) - ordering and managing chemotherapy and medications - ordering and managing schedule (II-IV) medications - assisting with admission, chemotherapy and protocol orders - ordering and interpreting diagnostic tests and therapeutic modalities - performing procedures, such as bone marrow aspiration and biopsies, lumbar puncture (diagnostic or with chemotherapy instillation) - supporting fertility preservation - supporting research protocols - supporting and coordinating care with a multi-disciplinary team, e.g., nursing, residents, fellows, attendings, pharmacy, social work, specialty consultants - providing patient and family education - participating in nursing education - coordination of patient discharges, including home care orders - dictations as required The position will include rotating weekend and holiday coverage. Participation in focused quality or research projects, is expected. Prior Hematology or Oncology experience is desirable, although not required. A Family Practice or Primary Care degree is acceptable for this position.

Posting Note: This APP position will join the Solid Tumor team in the Center for Cancer and Blood Disorders. The position is primarily responsible for patient care in the outpatient setting, including satellite locations. Outpatient duties include evaluation of patients in the clinic setting, writing chemotherapy orders for planned chemotherapy cycles, management of outpatient prescriptions and home care orders, performance of bone marrow aspirations and biopsies and lumbar punctures with chemotherapy injection, education of patients and their families on active issues and therapeutic changes, interaction with appropriate consultants, scheduling appropriate follow up for patients and assistance with data monitoring related to the Solid Tumor patient population. The position may also provide select services to patients in the inpatient setting, including daily rounding and assistance with coordination of care. The successful individual will work collaboratively with other providers within the Leukemia and Neuro-Oncology teams and the broader CCBD to help with patient care needs and/or completion of projects as they are identified. Participation in focused quality or research projects, in conjunction with the Solid Tumor team, is encouraged. The position will work Monday through Friday, without mandatory weekend or holiday coverage responsibilities. Prior pediatric oncology experience preferred although not required.