House APRN - Per Diem

About the role

• Position Location: Hospital for Special Care
• Scheduled Weekly Hours: 0
• Work Shift: Second Shift
• Department: Pulmonology

We are dedicated to creating an environment of care and engagement that makes us one of the most desirable places to work, providing exceptional care to each patient each and every day!

Qualifications

• Required: Master's degree in Nursing with a defined clinical specialty.
• Required: Minimum of five years of relevant clinical experience, including demonstrated leadership, clinical judgment, and teaching skills.
• Required: Current Connecticut Advanced Practice Registered Nurse (APRN) license and applicable national specialty certification.
• Required: Successful completion of a Connecticut-approved pharmacology course as part of an accredited master's degree program.
• Required: DEA registration for prescribing controlled substances.
• Required: Current Basic Life Support (BLS) and Advanced Cardiovascular Life Support (ACLS) certifications.
• Required: Education and training as a Family Nurse Practitioner (FNP).

Job Summary

Make a meaningful difference in specialized patient care while enjoying the flexibility of a per diem opportunity.

Hospital for Special Care is seeking an experienced, compassionate, and clinically skilled Advanced Practice Registered Nurse (APRN) to join our collaborative medical team in a per diem House APRN role.

This position offers the opportunity to practice in a unique hospital environment, caring for patients with complex medical needs while working alongside experienced physicians, nursing professionals, and interdisciplinary care teams.

As a House APRN, you will play an important role in assessing patient needs, managing acute and ongoing medical conditions, developing individualized treatment plans, and supporting safe, high-quality care. You will apply your advanced clinical expertise, independent judgment, and critical thinking skills while collaborating with physicians and other healthcare professionals.

The ideal candidate thrives in a team-oriented environment, demonstrates confidence in clinical decision-making, and is passionate about delivering compassionate, patient-centered care.

This per diem opportunity is ideal for an experienced APRN seeking scheduling flexibility, professional collaboration, and the opportunity to make a direct impact on patient outcomes. Hours include: evenings/nights, weekends and holidays.

Physical Demands

• Performs clinical responsibilities requiring walking, standing, sitting, bending, reaching, and occasional lifting.
• Demonstrates the physical dexterity and coordination necessary to perform patient assessments, clinical procedures, and documentation.
• Uses appropriate visual, perceptual, and motor skills to safely perform essential clinical functions.
• Occasionally pushes or pulls equipment weighing up to 50 pounds and performs activities involving squatting, kneeling, reaching, and twisting.

Cognitive Demands

• Demonstrates sound clinical judgment, critical thinking, and effective problem-solving skills in complex patient care situations.
• Independently assesses clinical findings, interprets diagnostic results, and develops appropriate differential diagnoses and treatment recommendations in collaboration with physicians.
• Effectively prioritizes patient needs and responds promptly to changes in clinical condition.
• Maintains accurate, timely, and comprehensive medical documentation.
• Communicates clearly and professionally with patients, families, physicians, and interdisciplinary team members.
• Demonstrates strong organizational skills, adaptability, and attention to detail in a dynamic clinical environment.

Work Demands

• Works collaboratively with physicians, nursing leadership, and interdisciplinary healthcare professionals in a specialized hospital setting.
• Demonstrates confidence, adaptability, and sound judgment when managing urgent or complex clinical situations.
• Responds effectively to patient care emergencies and participates in on-call coverage as assigned.
• Provides care primarily to adult patients, with occasional pediatric involvement under the guidance of a pediatrician.
• Maintains professional standards and follows established infection prevention and workplace safety practices.

Essential Functions

Clinical Assessment and Patient Management

• Provides comprehensive clinical assessments, examinations, diagnoses, and treatment recommendations within established privileges and collaborative agreements.
• Performs admission, annual, and preoperative history and physical examinations.
• Evaluates changes in patient condition and initiates appropriate clinical interventions in collaboration with the medical team.
• Orders, reviews, and interprets laboratory studies, diagnostic imaging, and other clinical tests in accordance with approved protocols.
• Develops, implements, and monitors individualized treatment plans to promote optimal patient outcomes.
• Coordinates specialty consultations and follow-up care as clinically indicated.
• Provides night and weekend on-call coverage with physician backup as requested by the department chief.
• Maintains accurate and timely documentation, including progress notes, clinical assessments, and discharge summaries.

Interdisciplinary Collaboration and Patient Advocacy

• Partners with physicians, nurses, rehabilitation specialists, and other healthcare professionals to coordinate comprehensive patient care.
• Serves as a trusted clinical resource to nursing staff and interdisciplinary team members.
• Communicates effectively with patients and families regarding diagnoses, treatment plans, and ongoing care needs.
• Promotes patient-centered care while respecting individual cultural, religious, developmental, and personal preferences.
• Supports safe transitions of care through effective communication, documentation, and care coordination.

Specialized Clinical Care

• Assists with specialty procedures and clinical interventions within the APRN's scope of practice and approved privileges.
• Supports management of complex medical needs, including wound and ostomy care, feeding tubes, implanted central lines, intrathecal pumps, and continence management.
• Collaborates with specialty providers in procedural care, including preoperative, intraoperative, and postoperative management when appropriate.
• Contributes to clinical protocols and patient care initiatives involving specialized treatments and procedures.

Clinical Leadership, Education, and Quality Improvement

• Demonstrates clinical leadership by promoting evidence-based practice and excellence in patient care.
• Provides guidance, mentorship, and clinical education to nursing staff and other healthcare professionals.
• Participates in educational initiatives and professional development activities.
• Collaborates with the Chief of Internal Medicine and department leadership to improve clinical efficiency, patient safety, and quality outcomes.
• Identifies opportunities for process improvement and participates in quality assurance, peer review, and patient safety initiatives.
• Supports the review and development of clinical policies, procedures, and protocols.
• Participates in relevant committees, educational programs, and clinical research initiatives as assigned.
• Maintains professional competencies and fulfills continuing education requirements.
• Identifies and reports patient safety concerns and risk management issues in accordance with hospital policies.

Compensation & Benefits

At Hospital for Special Care, we are committed to supporting the health, financial well-being, and professional growth of our team members. The wage range for this position is $103.00 to $128.00.

Eligible employees may participate in a comprehensive benefits package that includes employer-subsidized medical and dental, vision insurance; a 403(b) retirement savings plan with an employer match of up to 6%; paid time off; employer-paid life insurance; short-term and long-term disability insurance; a Health Savings Account (HSA) with employer contributions; Flexible Spending Accounts (FSA); an Employee Assistance Program (EAP); tuition reimbursement and professional development opportunities; voluntary benefits, including pet insurance; employee wellness programs with access to our onsite fitness and aquatics center; an employee referral bonus program; and meaningful employee recognition and appreciation initiatives.

Eligibility for certain benefits is based on scheduled hours worked.