Observation Site Lead APP

Frederick Memorial Hospital

Location: Frederick, MD

ED Volume: 63,000

Photo of Frederick Memorial Hospital

Frederick Memorial Hospital

400 W 7th St.
Frederick, MD 21701

GENERAL SUMMARY:                                                                                                                                               

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.
  • Manage and monitor patient experience via iPad program (pending)
  • 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


  • Started as a two-ward hospital with an “accident room” for emergencies has grown into a state-of-the-art healthcare facility with 233 beds
  • Designated as a Primary Stroke Center, Accredited Chest Pain Center
  • Recognized by The Joint Commission as a Top Performer on Key Quality Measures for achieving excellence in performance on its accountability measures during 2012 for heart attack, heart failure, pneumonia and surgical care

Emergency Department

  • 28,000 square feet, 51-bed department, all private rooms, 8 Fast Track beds
  • Diagnostic Imaging suite for digital x-ray, CT Scan and Ultrasound
  • 58 hours of physician coverage and 40 hours of APP coverage
  • Meditech EMR system
  • Separate Pediatric Emergency Department
  • Adult and Pediatric Hospitalist Service
  • Closed Observation Care Unit


Frederick County is the second fastest growing county in Maryland with an estimated population of more than 233,000.  Frederick, Maryland is less than one hour from Washington, D.C., Baltimore, and nearby Gettysburg, Antietam, and Harpers Ferry. Aside from its history, charm, and cultural abundance, the town’s location affords its residents a huge variety of activities, from outdoor pursuits like hiking, camping, hunting, and fishing in the mountains, to the infinite variety of entertainment and culture in nearby Washington DC and Baltimore. The Chesapeake Bay and Atlantic beaches are also within reach of a day trip. Frederick simply offers an excellent lifestyle for almost any family. 

Frederick County Public Schools (FCPS) system is consistently ranked as one of the best in the nation. FCPS ranks first in statewide 2012 School Progress Index accountability data, which includes overall student performance, closing achievement gaps, student growth and college and career preparation. FCPS achievement exceeds Maryland averages with scores that consistently surpass state and national averages on measures such as the College Board SAT.


Choose to apply or contact a recruiter for more information.

Contact A Recruiter

Let our experienced team lead you through the career maze of competitive salaries, signing bonuses, retirement plans, insurance and medical malpractice coverage.

Contact A Recruiter
  1. Title
  6. Attach Resume / CV

Career Application

Career Application
  1. Title
  2. Attach Resume / CV