Neonatal Nurse APP Local Community Level III NICU

Primary Location

Department

Shift

Schedule

Weekly Hours

FTE

Employee Status

Neonatal Nurse Practitioner (NNP) / Neonatal-Trained Physician Assistant (PA)

Local Community Level III NICU | Cincinnati Children’s Neonatal Team

Schedule: 0.9 FTE; rotating days/nights; every third weekend

Making a Difference in the NICU

Cincinnati Children’s is seeking an experienced Neonatal Nurse Practitioner (NNP) or neonatal-trained Physician Assistant (PA) to provide advanced neonatal care in a busy 60-bed Level III community NICU.

This role offers the opportunity to care for premature and medically complex newborns in one of Ohio’s highest-delivering hospitals while working alongside neonatologists, subspecialty providers, fellows, pediatric residents, nurses, and other members of the multidisciplinary team. The unit cares for infants from approximately 22 to 42 weeks gestation and provides a collaborative teaching environment that supports professional growth, evidence-based practice, and family-centered care.

Role Overview

The NNP or neonatal-trained PA will assess, diagnose, and manage newborns requiring Level III neonatal intensive care. This position is well suited for a provider who enjoys delivery room stabilization, collaborative clinical decision-making, and caring for critically ill infants in a high-volume NICU setting.

The provider will partner closely with the neonatal team to deliver safe, evidence-based care and communicate effectively with families throughout the NICU hospitalization.

Key Responsibilities

• Provide advanced clinical care for premature and medically complex newborns in a 60-bed Level III NICU.
• Perform neonatal assessments, develop individualized plans of care, and manage common and complex neonatal conditions.
• Participate in delivery room stabilization and ongoing management of critically ill newborns.
• Perform neonatal procedures within scope of practice and maintain required competencies.
• Collaborate with neonatologists, fellows, residents, nurses, and other healthcare professionals during rounds and clinical decision-making.
• Communicate clearly with parents and families about the infant’s condition, treatment plan, progress, and discharge needs.
• Support quality improvement, evidence-based practice, clinical education, and safe transitions of care.

Why Join This Team?

This position combines the clinical complexity of a Level III NICU with the collaborative atmosphere of a community hospital. Providers care for a high volume of premature infants while remaining connected to the resources, expertise, and learning environment of Cincinnati Children’s.

Highlights include:

• Busy 60-bed Level III NICU located within one of Ohio’s highest-delivering hospitals.
• Care for infants approximately 22 to 42 weeks gestation, with a strong focus on prematurity and neonatal critical care.
• Teaching environment with neonatal fellows and pediatric residents.
• Collaborative relationship with Cincinnati Children’s Neonatal Specialists and multidisciplinary partners.
• Opportunity to make a meaningful impact on newborns and families throughout the Cincinnati region.

Minimum Qualifications

• Master’s or Doctoral degree from an accredited Neonatal Nurse Practitioner program

• Current Neonatal Nurse Practitioner certification

• Eligibility for Ohio APRN licensure and prescriptive authority

• Neonatal clinical provider experience preferred

• Ability to work collaboratively in a fast-paced, high-acuity environment

Why Cincinnati Children’s

Cincinnati Children’s is consistently ranked among the top pediatric hospitals in the nation and is internationally recognized for excellence in pediatric care, research, and education. Our providers are part of a culture that values innovation, collaboration, and a shared commitment to improving the lives of children and families.

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/APP 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.

JOB QUALIFICATIONS

• Masters degree in related field. Require clinical license, certification or training OR Doctorate of Nursing Practice degree

• Experience as an APP in subspecialty

• Licensure and certification in accordance with CCHMC Delineation of Privileges.

• Multi-state licensure in addition to Ohio licensure may be required base on subspecialty

About Us

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