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Advanced Practice Professional (Physician Assistant) Medicine Pulmonary Service

University of Michigan

Job Description

How to Apply

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 # 227387 and PAs are directed to apply to job # 227389

A total of one (1), 1.0 FTE, Advanced Practice Professional (either NP or PA) will be hired to fill this job opening.

Summary

The Medicine ICU service cares for medically complex patients including patients with shock and multiorgan injury/failure. The Medical ICU service is expanding to cover additional ICU patients. ICU care will be delivered by APPs with supervision by the ICU attending and fellow. APPs may also care for patients who are moderate care and general care status, including patients requiring heated high flow oxygen and invasive and non-invasive ventilation.

Mission Statement

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.

Why Join Michigan Medicine?

Michigan Medicine is one of the largest health care complexes in the world and has been the site of many groundbreaking medical and technological advancements since the opening of the U-M Medical School in 1850. Michigan Medicine is comprised of over 30,000 employees and our vision is to attract, inspire, and develop outstanding people in medicine, sciences, and healthcare to become one of the world’s most distinguished academic health systems.  In some way, great or small, every person here helps to advance this world-class institution. Work at Michigan Medicine and become a victor for the greater good.

Michigan Medicine offers a competitive salary with excellent benefits! 

Salary range: $116,389 - $178,851 / year

What benefits can you look forward to?

  • Flexible Health, Dental, and Vision Plans
  • Retirement Savings Plans with 2:1 Matching
  • Group Term Life Insurance
  • Long Term Disability Plan
  • Generous Time Off Allowances
  • $2000 Annual Professional Development Funds (0.5 FTE Appointment or above)
  • Paid Release Time for Professional Education Activities
  • Medical Malpractice Insurance
  • Paid Maternity and Parental Leave
  • Tuition Support Program
  • Wellness Plans
  • Work/Life Resources

Responsibilities*

Duties will include but are not limited to:

  • Perform initial assessments of ICU, moderate care patients and general care patients.
  • Perform detailed history and physical, formulate initial assessment and plan, and present patient cases and any pertinent data to medical staff.
  • Appropriately order, collect, and interpret reports from diagnostic lab testing, radiographic procedures, and other clinical studies.
  • Prescribe medications and enter other orders related to patient care.
  • Perform various diagnostic, therapeutic, and procedural clinical interventions, based on privileges such as central lines, arterial lines, chest tube removals, tracheostomy removal, decisions to extubate patients, thoracentesis, paracentesis, bedside ultrasound
  • Manage mechanical ventilation, non-invasive ventilation, heated hi-flow nasal canula for respiratory failure
  • Manage hypotension with fluids, blood products, albumin, vasopressors
  • Manage antibiotics and antifungals
  • Manage Gastrointestinal bleeding and liver failure patients
  • Manage renal failure patients requiring dialysis and continuous renal replacement therapy
  • Manage immunosuppression and opportunistic infections in transplant patients.
  • Manage chest tubes, including decision to place, administering thrombolytics, placement on suction or water seal or clamp, decision to remove chest tube.
  • Run ACLS codes for cardiac arrest
  • DC cardioversions for cardiac arrhythmias with hemodynamics instability
  • Initiate transplant evaluations for end stage lung and end stage liver patients
  • Assist attending physicians in orientation of new medical trainees to the service, such as resident physicians or medical students; assist in the training of new advanced practice providers to the service; assist in maintaining continuity of care throughout the hospital stay.
  • Communicate appropriately with attending physicians, consultants, and other members of the patient care team in order to coordinate and provide clinical care.
  • Maintain accurate and thorough documentation regarding patient status, evaluations, and treatments.
  • Streamline the patient transfer process between levels of care, including writing discharge orders and summaries and communicating specific patient needs to internal and external care centers or team members, as well as ambulatory care providers as needed.
  • Participate in quality assurance activities including quality improvement projects, peer evaluations and support research initiatives involving the ICU and Moderate Care patients. 
  • Assist in the development of patient-specific, facility-based disease management protocols; perform other related duties as required to assure patient safety and satisfaction; and utilize new improvements and/or technologies that relate to job assignments.

Required Qualifications*

NP:

  • Current licensure to practice as a Registered Nurse and Nurse Practitioner specialty certification in the State of Michigan.
  • Current specialty certification to practice as an Adult-Gerontology Acute Care Nurse Practitioner. 
  • Graduate of an accredited Nurse Practitioner program.
  • Certification as a Nurse Practitioner recognized by the National Council of State Boards of Nursing (NCSBN). 
  • Current DEA registration required
  • ACLS required (separate AHA approved BLS also required unless ACLS was completed through the UMHS Simulation Center)
  • One (1) year, or more, of clinical ICU experience within the last 5 years caring for acutely ill patients.

PA:

  • Current license to practice as a Physician Assistant in the State of Michigan.
  • State of Michigan Controlled Substance License Required.
  • 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).
  • State of Michigan Controlled Substance License Required  
  • Current DEA registration required
  • ACLS required (separate AHA approved BLS also required unless ACLS was completed through the UMHS Simulation Center)
  • One (1) year, or more, of clinical ICU experience within the last 5 years caring for acutely ill patients. 

NOTE: Employment is contingent upon successful completion of the credentialing and privileging process.
NOTE: 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 to be fully considered for this position.

Desired Qualifications*

  • Demonstrated expertise in procedures (ie central line placement; thoracentesis)
  • One or more years of full time Advance Practice Experience.
  • Experience rounding on an ED or inpatient service for a minimum of 12 months caring for acutely ill patients.
  • Demonstrated ability to coordinate clinical care ideas across multiple patient care services and to communicate as a patient advocate.  
  • Ability to prioritize assignments and manage a busy work environment

Work Schedule

Shift/Hours/Days:
Primary 7pm-7am Week and Weekend Nights
Rotating as needed 7am-7pm Week and Weekend

Union Affiliation

This position is covered under the collective bargaining agreement between the U-M and the United Physician Assistants of Michigan Medicine, which contains and settles all matters with respect to wages, benefits, hours and other terms and conditions of employment.

Background Screening

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.

Contact Information

If you have questions regarding this posting or would like assistance with Physician Assistant opportunities please contact Nurse and Physician Assistant Recruitment at (734) 936-5183 or e-mail UMHS_PArecruit@med.umich.edu.  For a current listing of all open PA job opportunities at Michigan Medicine, please visit www.UMHSpa.org

Application Deadline

Job openings are posted for a minimum of seven calendar days.  The review and selection process may begin as early as the eighth day after posting. This opening may be removed from posting boards and filled anytime after the minimum posting period has ended.

Selection Process

Michigan Medicine seeks to recruit and retain a diverse workforce as a reflection of our commitment to serve the diverse people of Michigan and to maintain the excellence of the University. We welcome applications from anyone who would bring additional dimensions to the University’s research, teaching, and clinical mission, including women, members of minority groups, protected veterans, and individuals with disabilities. The University of Michigan as a whole, is committed to a policy of nondiscrimination and equal opportunity for all persons and will not discriminate against any individual because of race, color, national origin, age, marital status, sex, sexual orientation, gender identity, gender expression, disability, religion, height, weight, or veteran status. 

U-M EEO/AA Statement

The University of Michigan is an equal opportunity/affirmative action employer.


U-M COVID-19 Vaccination Policy

COVID-19 vaccinations, including one booster when eligible, are required for all University of Michigan students, faculty and staff across all campuses, including Michigan Medicine.  This includes those working remotely and temporary workers.   More information on this new policy is available on the U-M Health Response website or the UM-Dearborn and UM-Flint websites.

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