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Observation Medicine - APP Lead (Physician Assistant / Nurse Practitioner)


Emergency Department

  • ED Volume: 52,000
  • New 39-bed ED provides for a highly functioning department
  • Rapid Front End Process
  • Hosts a USACS post-graduate APP program
  • Fellowship opportunities available
  • The modern and well-equipped department includes two ultrasound machines, two types of video laryngoscopes
  • The hospital provides full diagnostic and lab capabilities including CT and ultrasound
  • Among the most experienced nursing staff in the region
  • Active in EMS, Saint Vincent’s emergency department provides a medical command to multiple services and offers education and training to local EMS personnel
  • For stroke care, Saint Vincent Hospital collaborates with Allegheny General Teleneurology and serves as a Joint Commission Accredited Primary Stroke Center 
  • Epic EMR


Financial Benefits:

  • Industry-leading 10% company funded 401(k)
  • Comprehensive medical, dental, vision and Rx coverage
  • Short- and long-term disability (own occupation)
  • Annual CME/BEA (Business Expense Account)
  • Medical Malpractice with tail and litigation support
  • Pioneering Paid Military Leave
  • Groundbreaking 100% Paid Parental Leave


Intangible Benefits:

  • Location flexibility and career stability of a national group
  • National Clinical Governance Board (NCGB) of internally elected clinicians
  • Clinical Management Tools (CMTs)
  • 24/7/365 live physician support
  • USACS Orientation and Assemblies
  • Professional Development Programs including:
    • Scholars (Leadership Training)
    • Efficiency Academy
    • Engagement & Experience Academy


  • 348-bed, urban facility
  • Founded by the Sisters of Saint Joseph in 1875
  • Erie’s first hospital 
  • Full-service, mission-driven tertiary care and teaching hospital with strong commitment to quality
  • Integrated health system as part of Allegheny Health Network
  • Saint Vincent is a member of the community and continues to provide a continuum of services to fit the health care needs of the region.
  • Residencies in emergency medicine, ENT, family medicine, and orthopedics; fellowship in sports medicine
  • Saint Vincent has been nationally recognized for quality, including a Top 10 Hospital for Patient Safety in Overall Surgical Care, Cancer Care, Cardiac Care and Joint Replacement from CareChex by Quantros.


Erie is a beautiful, medium-sized city situated on the south central shores of Lake Erie. Erie lies between Cleveland, OH, Buffalo, NY and Pittsburgh, PA, and was recently ranked among the nation's most livable communities.

There are a number of beautiful, established suburban and urban communities including lakeside developments and tree-lined streets with Victorian homes proximate to excellent public and private schools. Abundant recreational options include arts and culture (Erie Philharmonic, Erie Art Museum, and several theatre companies), semi-pro and professional sports (Seawolves baseball, Otters -Ontario Hockey League, to name a few) plus collegiate sports from Gannon University, Mercyhurst College, Edinboro University and Penn State-Behrend. There is also a local NASCAR track. Outdoor recreation includes Presque Isle State Park beaches, the Seaway Trail along the lakefront, and a variety of winter activities including skiing, snowmobile trails, and ice skating. There is no shortage of family fun activities, from Waldameer amusement park to the renowned Splash Lagoon indoor waterpark to the Children's Museum, the options are endless.

Erie is home to the largest medical school in the country, Lake Erie College of Osteopathic Medicine. 

The region is also famous for growing grapes and produces the third-largest amount of wine in the United States. The Erie International Airport provides many daily flights and connections for convenient travel.

Other USACS services at this location

Observation Unit Icon

Observation Unit

  • 12-bed observation unit
  • 12-hour shifts 7a-7p and 7p-7a
  • Must be an experienced NP/PA


The Lead APP’s primary responsibility is to care for patients by building highly reliable, high performing APP clinicians as well as providing leadership for daily functioning, operations, administrative and clinical support to the APP’s within select observation sites. Their scope of responsibility includes 1-2 sites. They collaborate with the Medical Directors, Hospital Leadership, Emergency Department Physicians, ED/Observation Nursing leadership team, and hospital medical staff; to ensure the care delivery model provides and achieves high‐quality care for the patients, the department, the hospital, and the community. As a leader, they are responsible for creating and developing a pipeline of talent for the organization in addition to maintaining an inclusive work environment, providing recognition, performance coaching and career guidance to the APP teams.

Clinical and Service Operations

  • Assist with hiring of APPs to fulfill adequate staffing needs.
  • Responsible for onboarding and orientation of all new hires and monitoring compliance with APP Academy.
  • Under direction of Medical Director, may be responsible for investigating and responding to patient complaints or grievances related to patient care by APPs
  • Responsible for generating, verifying and validating monthly unit metrics.
  • Ensure APP providers are aware of and compliant with departmental, hospital and medical staff policies.
  • Work to ensure that medical staff policies support the department and hospital vision for ED/Observation Medicine care.
  • Address questions or concerns of the APPs or other members of the ED/Observation team related to the APPs
  • Coordinate staffing and scheduling of APPs for sites within their scope of responsibility.
  • Maintain peer review, Web QI and other quality programs in conjunction with Medical Director.
  • Provide leadership for department and operational meetings in the absence of Medical Director.
  • Attend all Observation department meetings, unit meetings run by nursing management, and quality department meetings if applicable.
  • Conduct 30 and 90-day performance evaluations of APPs and aid Medical Director with annual performance appraisals.
  • Responsible for coaching, refining and providing support to APPs with respect to performance and professional growth.
  • Identify and participate in, and/or provide opportunities for ongoing, focused education courses for/by the APP staff, as appropriate to the staff, patient population and facility needs.
  • Additional teaching or supervisory responsibilities may exist in teaching facilities.
  • Monitor ED/Observation‐related regulatory issues and ensure ongoing regulatory compliance.
  • Educate APPs and physicians on regulatory issues and requirements surrounding APP utilization and supervision within the department.
  • Participate in risk management activities including communication with facility legal representative(s) concerning relevant departmental issues. Work with APP staff to identify and mitigate areas of risk.
  • In conjunction with Medical Director and Case Management; maintain knowledge of CMS guidelines as it relates to Observation services.
  • Interface with various hospital sub-specialties to provide necessary support and resolve conflicts.
  • Participate in hospital/campus base committees and sub-committee for USACS.
  • Attend ED departments meetings.
  • Participate in monthly Obs Lead APP calls and no less than monthly Regional Lead- Obs 1:1 meeting.
  • Attend Regional Biyearly Lead APP meeting.
  • Be cognizant of financial consideration in management of Observation units.
  • Assist with 90-day implementation of new Observation Units if applicable.

Required Education and Experience

  • PA or NP Degree
  • NCCPA or Nursing Board Certification
  • State PA or NP License
  • Federal DEA License and State CDS License

Preferred Experience

  • Two (2) + years of clinical experience
  • Leadership experience either with USACS or previously


Talk to a recruiter about positions staffed by USACS. Let our experienced team lead you through the career maze of competitive salaries, signing bonuses, retirement plans, insurance and medical malpractice coverage.

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