A Physician Assistant provides medical care to patients, under the supervision of a physician or surgeon. Works in all areas and specialties of medicine, and is licensed to practice medicine but has less formal certification than a physician. Performs duties delegated by a physician such as recording patient medical histories, ordering diagnostic tests, or giving immunizations. May serve as the primary healthcare provider, in consultation with a part-time physician, in communities with limited health care resources.
This is an Advanced Practice Professional (APP) job opening. Both qualified NP and PA applicants will be considered. NPs are directed to apply to job #281098 and PAs are directed to apply to job #281099. A total of (1) one, 0.67 FTE, Advanced Practice Professional (either NP or PA) will be hired to fill this job opening. Under physician supervision, directs and coordinates care as a primary service for hospitalized patients with advanced heart failure, pre and post-heart transplant, and medical management of left ventricular assist devices (LVAD). Management of this patient population includes cardiology and internal medicine.
The NP/PA will:
Complete detailed histories and physicals, daily progress notes, streamline the patient transfer process between levels of care, and discharge orders/documentation. Collect and interpret reports from diagnostic lab tests, radiographic procedures, clinical studies. Order tests/prescribe medications. Present pertinent data to the medical staff and assist in maintaining continuity of care throughout Cardiovascular Medicine, including thorough and accurate hand-offs. Patient/family education on heart failure, heart transplant, and LVAD. Procedures include point-of-care ultrasound for physical assessment, placement of wound vacs, and placing NG tubes. Confer with attending physicians and collaborate with other care providers/consultants to coordinate and communicate clinical care needs both inpatient and outpatient, and internal/external care providers. Maintain accurate documentation regarding patient status, evaluations, and treatments to physicians and the Heart Failure/Transplant/MVAD Outpatient Teams. Participation in quality assurance activities including Lean Projects with the Heart Failure/Transplant/MVAD Team. Perform other related duties as required. Maintain an in-depth knowledge of medical principles, practices, standards, and techniques in accordance with Michigan Medicine policies and procedures, Medical Staff Bylaws, and State and Federal laws/regulations. Participate in activities that promote professional growth and self-development. Adhere to all Michigan Medicine dress codes, personnel, and safety policies. Perform other related duties as required to assure patient safety and satisfaction utilizing service excellence and Patient Family Centered Care in daily practice. Nurse Practitioners Current licensure to practice as a Registered Nurse and Nurse Practitioner specialty certification in the State of Michigan. Certification as an Acute Care Adult Gerontology Nurse Practitioner or Acute Care NP. Graduate of an accredited Nurse Practitioner program or who has successfully completed all required Nurse Practitioner program coursework at an accredited Nurse Practitioner program to qualify to take their specialty certification exam. Certification as a Nurse Practitioner recognized by the National Council of State Boards of Nursing (NCSBN). Current DEA registration required. AHA BLS and ACLS required. Physician Assistants Satisfactory completion of a Physician Assistant program accredited by Accreditation Review Commission on Education for the Physician Assistant (ARC-PA) or one of its predecessor agencies, CAHEA or CAAHEP. Certification by the National Commission on Certification for Physician Assistants (NCCPA). Current license to practice as a Physician Assistant in the State of Michigan. State of Michigan Controlled Substance License Required. Current DEA registration required. AHA BLS and ACLS required.
NOTE:
• Employment is contingent upon successful completion of the credentialing and privileging process. • In order to be considered for this position the applicant must have met or will have met all the required qualifications prior to the start date of employment.
RESUME REQUIRED
(for both internal & external applicants): You must attach a complete and accurate resume with month and year at previous positions to be fully considered for this position. 1 year or more of full time Advance Practice Provider (APP) experience with 50% or more clinical time spent working with Heart Failure patients, Pre/Post-Heart Transplant patients, and/or LVAD patients within the last five years. Recent (within the last five years) APP experience working adult cardiology patients in an inpatient setting. APP experience prescribing and managing immunosuppression medications. 1 year or more APP experience rounding on an inpatient internal medicine or hospitalist service caring for acutely ill patients on telemetry, step-down, or ICU settings. One or more of the following certifications in
Heart Failure:
CHFN-K, HF-Cert, or OMT-HF One or more of the following certifications in cardiology: CCKE, ABCL, or CHC Proficiency reading 12 lead ECGs. Ability to demonstrate good computer skills including computer documentation and order entry. Demonstrates ability to function independently and as a team member, working collaboratively with others. Demonstrated clinical leadership and experience with coordinating and managing complex, patients and providing safe hand offs to the next provider. Demonstrated expertise in facilitating the educational growth of others through previous clinical instructional roles. Demonstrated ability to collaborate clinical care ideas across multiple patient care services and to communicate effectively as a patient advocate. Demonstrated commitment to carrying out professional responsibilities, adherence to ethical principles, sensitivity to diversity, and sharing knowledge with team members. Demonstrated clinical leadership through the coordination and management of complex patients, facilitating safe and seamless transitions of care with effective verbal and written communication, rigorous attention to detail, and thorough provider handoffs.
Hours:
12 hour shifts, 9 shifts per month plus an additional 8 shifts scheduled throughout the year
Shift/Hours/Days:
24/7 coverage, night/day rotator, team is willing to consider straight night applicants pending the applicant's level of APP experience
Department:
Heart Failure Transplant Location:
Pavilion or other locations as necessary
Shift Differential:
Evening shift, Night shift, and Weekend shifts This position is covered under the collective bargaining agreement between the U-M and the United Physician Assistants of Michigan Medicine (UPAMM), which contains and settles all matters with respect to wages, benefits, hours, and other terms and conditions of employment. Michigan Medicine conducts background screening and pre-employment drug testing on job candidates upon acceptance of a contingent job offer and may use a third party administrator to conduct background screenings. Background screenings are performed in compliance with the Fair Credit Report Act. Pre-employment drug testing applies to all selected candidates, including new or additional faculty and staff appointments, as well as transfers from other U-M campuses. Michigan Medicine improves the health of patients, populations and communities through excellence in education, patient care, community service, research and technology development, and through leadership activities in Michigan, nationally and internationally. Our mission is guided by our Strategic Principles and has three critical components; patient care, education and research that together enhance our contribution to society. The University of Michigan is an Equal Opportunity Employer. We are committed to providing an environment of mutual respect where equal employment opportunities are available to all applicants, including protected veterans and individuals with disabilities.
