Lead Physician Assistant / Nurse Practioner - OBS Unit

Northwest Hospital

Location: Randallstown, MD

ED Volume: 62,000

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Northwest Hospital

5401 Old Ct Rd
Randallstown, MD 21133

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


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



A part of Lifebridge Health System which also includes Sinai Hospital of Baltimore. It is a 240-bed not-for-profit hospital offering a wide range of patient services. The hospital’s philosophy of patient-centered care continues with their newly opened Rapid Evaluation Unit. This new ideology substantially lowers wait times and assures a heightened accuracy of triage.

Emergency Department

  • 48 bed Emergency Department with significant coverage daily
  • 45 hours of day physician coverage
  • 69 hours of day APP coverage
  • Admission rate 20%
  • Observation Services
  • RAZ unit, exclusive to APPs, use APPs to their highest level of their professional license


Randallstown is a suburban community located approximately six miles northwest of Baltimore with the exciting attractions of the city and its vibrant Inner Harbor area. It is also within one hour of the cultural and educational opportunities of Washington, D.C. The area has excellent schools and safe, friendly neighborhoods. The hospital is easily accessible from the I-695 beltway. The best qualities of urban and suburban life are combined in Randallstown.

Randallstown is in Baltimore County, Maryland just outside of the City itself. The community has a population of 32,000 and is known for its ethnic diversity.


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