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Cleveland Clinic
Medina, Ohio

Nurse Practitioner (Acute Care)-Step Down/ICU Intensive Care and Resuscitation House Officer (Avon)

Nurse PractitionerIncludes weekendsFull-Time Physician-Supervised State

Compensation

Pay not listed

The week · per this posting · weekdays assumed

Ask the employer about the pay range, the work setting, call expectations and time off.

Posted 1h ago · Verified live

Job Description

At Cleveland Clinic Health System, we believe in a better future for healthcare. And each of us is responsible for honoring our commitment to excellence, pushing the boundaries and transforming the patient experience, every day.

We all have the power to help, heal and change lives — beginning with our own. That’s the power of the Cleveland Clinic Health System team, and The Power of Every One.

Job Title

Nurse Practitioner (Acute Care)-Step Down/ICU Intensive Care and Resuscitation House Officer (Avon)

Location: Avon

Facility

Avon Hospital

Department: Intensive Care and Resuscitation-Integrated Hospital Care Institute

Job Code: T98526

Shift: Day/Evening/Night/Weekend

Schedule: 12:00am-12:00am

Job Summary

Job Details

ICU/Step-Down Unit Rotation: Interested in Critical Care but would like time to develop your critical thinking, assessment and team leader skills before diving fully into the ICU?

The Cleveland Clinic is currently seeking innovative, adaptable and critical thinking Acute Care Nurse Practitioners to join us as we grow and develop our successful, NP led team of Acute Care Nurse Practitioners by providing high quality, acute care to patients under the Critical Care umbrella rotating between Step-Down and ICU at Avon Hospital.

NP experience is preferred, however candidates with at least 3 years of experience as a Step Down, Emergency Room or Critical Care RN will be considered.

Successful candidates will have a strong desire for autonomous practice and have the ability to function at the top of their license after training, fully integrating into a community hospital system where they have the ability to affect real change and improve patient outcomes with every interaction.

The Step-Down/ICU Intensive Care and Resuscitation House Officer will, with oversight from the critical care physician, develop and implement plans of care for acutely ill patients. These may include necessary testing, procedures and consultation with various specialties.

This provider will also assist with Rapid Response and Code Blue efforts throughout the hospital in collaboration with additional Critical Care Nurse Practitioners.

As you progress through your training, you will have the opportunity to obtain further procedural skills that will result in the ability to intubate, place central lines and arterial lines, and manage ventilators.

Once fully credentialed you will be able to begin rotating into the ICU to gradually gain exposure to more acutely ill patients.

Duties Include, But Are Not Limited To

  • Daily rounding and development of plans of care for each patient in consultation with the physician
  • Daily progress notes
  • Admissions
  • Transfers
  • Discharges
  • Assistance as Team Leader with Rapid Response and Code Blue in collaboration with the ICU NP
  • Continual communication and collaboration with providers involved in patient care
  • Procedures including intubation, central line placement, arterial line placement, ventilator management and others as necessitated by patient condition
  • All new hires will undergo an in-depth and fully paid hybrid orientation process that will include:
  • Dedicated didactic time with presentations on applicable topics provided by experts in their field

Dedicated time on their home unit with a focus on hands-on daily practice and professional growth and development.

Multiple simulation days, progressive in nature, that provide real-life patient care scenarios in a safe environment for learning at Cleveland Clinic’s Simulation and Advanced Skills Center

  • Hands-on training for procedures in OR and Cadaver Lab
  • Time spent at each regional site to learn workflows and patient management
  • Participation in a mentorship program (1 year in duration)

Education

APRN

  • Effective 05/01/2014: MSN required upon hire or within 3 years of hire for external hires and internal hires moving from a non-APRN licensed role to an APRN licensed role.
  • Graduate of an accredited APRN program.
  • If in neonatal care service area Master’s Degree is required upon hire.

Certifications

  • NP
  • Currently licensed as a Nurse Practitioner in applicable state(s).
  • Must be licensed as an RN in applicable state(s).
  • National certification as a Nurse Practitioner by nationally accredited organization recognized by state Board of Nursing.
  • Basic Life Support (BLS) through the American Heart Association (AHA) required.

Advanced Cardiac Life Support (ACLS) or Pediatric Advanced Life Support (PALS) through the American Heart Association (AHA); or Neonatal Resuscitation Program (NRP) through the American Academy of Pediatrics (AAP) may be required based upon work setting.

Must have arrangements with at least one physician in accordance with requirements set forth by the State Board of Nursing in applicable states.

Must be credentialed and privileged by the Medical Executive Committee and the Governing Body of the applicable hospitals.

Languages

Oral and written communication in English

Work Experience

Related clinical experience preferred.

Physical Requirements

  • Typical physical demands include the ability to walk and stand for long periods of time.
  • Manual and finger dexterity and eye/hand coordination to perform physical examinations.
  • Requires corrected vision and hearing to a normal range.
  • Occasionally lifts and carries items weighing up to 50 pounds.
  • May require exposure to communicable diseases and/or body fluids.

Personal Protective Equipment

Follows standard precautions using personal protective equipment as required.

The policy of Cleveland Clinic Health System and its system hospitals (Cleveland Clinic Health System) is to provide equal opportunity to all of our caregivers and applicants for employment in our drug free environment. All offers of employment are followed by testing for controlled substances.

Cleveland Clinic Health System administers an influenza prevention program. You will be required to comply with this program, which will include obtaining an influenza vaccination on an annual basis or obtaining an approved exemption.

Decisions concerning employment, transfers and promotions are made upon the basis of the best qualified candidate without regard to color, race, religion, national origin, age, sex, sexual orientation, marital status, ancestry, status as a disabled or Vietnam era veteran or any other characteristic protected by law. Information provided on this application may be shared with any Cleveland Clinic Health System facility.

If applying for a Florida position, please see the following website for more information on the background screening requirements required by the Agency of Health Care Administration: info.flclearinghouse.com

  • Please review the Equal Employment Opportunity poster.
  • Cleveland Clinic is pleased to be an equal employment opportunity employer.

Key Responsibilities

The Nurse Practitioner will develop and implement care plans for acutely ill patients in the ICU and step-down units while collaborating with critical care physicians. They will also serve as a team leader during rapid response and code blue events and perform clinical procedures such as intubation and line placement.

Requirements

Candidates must be a graduate of an accredited APRN program and hold a current Nurse Practitioner license and RN license. National certification as a Nurse Practitioner and BLS/ACLS certifications are required, with at least 3 years of experience as a Step Down, ER, or Critical Care RN preferred.

Qualifications

Education
Professional certificate or licensure
Experience
2+ years of experience

Key Skills

Patient assessmentTeam leadershipClinical roundingCare planningEmergency medicine

Critical Care — Nurse Practitioner Career Context

Of the 50 active Nurse Practitioner listings this role was benchmarked against, 34% are remote, 70% have no call, 72% require no weekends.

The cost-of-living index for Ohio is 92.8 (US average = 100; BEA Regional Price Parities (2024)). 61.3% of Ohio clinicians report burnout symptoms in WeekdayDoc's Burnout Index (2026-01 data).

How many Nurse Practitioner jobs are remote?
MeasureThis jobMarket
Listed paynot listedNurse Practitioner median $138k (middle half $129k–$159k)295 comparable listings, Oct 2026
Cost of livingOhio index 92.8US average = 100BEA Regional Price Parities (2024)
Nurse Practitioner listings in Ohio555 active14,236 nationallylive on WeekdayDoc, Oct 2026
Work settingon-sitepeers: 34% remote · 70% no call · 72% no weekends50 benchmarked listings
Nurse Practitioner pay trend+1.1% vs prior quarter—through Sep 2026
Sources: WeekdayDoc live listing index, BEA Regional Price Parities (2024); as of Oct 2026. Same values as the Weekday Verdict and Market Insights on this page.

Top Nurse Practitioner Jobs

46 matches · ranked by pay

Salary Distribution

45 jobs · 39 employers
13
<$145k
14
$145k-170k
10
$170k-195k
6
$195k-220k
2
$220k+

Annual compensation range

Benefits & Perks

33 jobs
401k / retirement match
79%
Sign-on bonus
52%
CME allowance
42%
Loan repayment
6%
Relocation assistance
6%

Share of similar jobs offering each benefit

#1

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LifeStance Health · Kirkwood, Missouri

$205k-$230k
#2

Psychiatric Mental Health Nurse Practitioner (PMHNP)

Mood Health · Santa Cruz, California

$100-$110/hr
#3

FNP or PA needed for 2.5 month, FT primary care coverage

$100 per hour
#4

FNP needed for 3 mo, FT coverage

$100 per hour
+ 44 more · ranked by pay

Work-life snapshot

median 1.5this job 1.5
Below most Critical Care (NP) listings for work-life

Listing-based score, 0–10, across 48 comparable listings. Shaded area = the share scoring below this one.

  • Includes weekends
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About Cleveland Clinic

Hospitals and Health Care
Cleveland, Ohio
10,000+ employees

Benefits & Perks

Paid hybrid orientation
Mentorship program (1 year)
Simulation training
Procedural training

Living in Medina

Typical 3-bedroom home value
$343k
Typical market rent
$1,927/mo
Residents’ average commute
24 min
State income tax
Up to 4%
Sources & methodology

Sources: Zillow home values (Aug 2026), Zillow market rents (Aug 2026), U.S. Census ACS 2024 five-year.

City-level figures. Not a cost-of-living guarantee.