Advanced Practice Professional (Physician Assistant) Division of Hospital Medicine

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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 ID 254441 and PAs are directed to apply to job ID 254442

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

Job Summary

The Division of Hospital Medicine program is seeking to hire 1 physician assistant (PA) or nurse practitioner (NP) to join our hospitalist program and practice inpatient medicine across multiple service lines, primarily for Medicine Procedure Service (MPS) and Medicine Faculty Hospitalist (MFH) Service.

The Division of Hospital Medicine is a rapidly growing, dynamic and evolving group within the Department of Internal Medicine. The Division cares for complex internal medicine patients that have needs ranging from observation/short stay and planned procedures to general care, moderate and intensive care including those positive for (or patients under investigation for) COVID-19. Clinicians in the Division care for patients with a wide range of illnesses and system-based problems, ranging from hematological malignancies to cardiovascular, gastrointestinal, pulmonary, and multi-system disease. Advanced practice providers (APPs) work in close collaboration with hospitalist attending physicians and resident trainees to assist with triaging patients, completing history and physicals and other daily documentation, evaluating, and managing patients who are admitted or need admission, and formulating diagnostic and treatment plans. The role also includes admitting, triage and cross-coverage responsibilities along with procedural and other specialty duties as described below.

Providers on our Hospital Medicine Procedure service will, in alliance with a number of medical disciplines (pulmonary, interventional radiology and thoracic surgery), perform bedside evaluation, consultation, procedures and management for DHM patients. The service will provide 7-days a week daytime coverage for procedures, including (but not limited to) thoracentesis, paracentesis, and lumbar punctures. The Hospital Medicine Procedure Service APPs will exercise autonomy in medical decision making, managing patients with complex, acute, critical and chronic health conditions. APPs in these roles will function highly independently within their delegated assignments as part of a large multidisciplinary team. The Hospital Medicine Procedure Service APPs will provide care for patients in the adult inpatient and procedure settings and will be responsible for prioritizing and performing inpatient consultations, coordinating peri-procedural care, communicating care plans and follow-up while responding to the needs of patients, families and other caregivers. While the Hospital Medicine Procedure Service APPs will have unique skills and offer a specialized service for our division, based on division needs they may at times be asked to assist with broader responsibilities, such as admitting or discharging DHM patients.

The Hospital Medicine APP role is based on collaborative model of care teams made up of physician and advanced practice providers on services including (but not limited to): Medical Short Stay Unit, Medicine Faculty Hospitalists, Medicine Procedure Service, Medicine Hematology co-managed service, and internal medicine resident ward services. APPs in the Division of Hospital Medicine are expected to not only engage in clinical activities and responsibilities, but also engage in education and continuous quality improvement activities.

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!

Full Time Salary range: $116,239 - $178,620 / 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

• $2500 Annual Professional Development Funds

• Paid Release Time for Professional Education Activities

• Medical Malpractice Insurance

• Paid Maternity and Parental Leave

• Tuition Support Program

• Wellness Plans

• Work/Life Resources

Responsibilities*

• Responds to all DHM consult requests and performs consults to include pre-procedure case review, patient evaluation, peri-procedural coordination, and order entry.

• Partners with attending physician and other disciplines as appropriate to prioritize, coordinate, direct and perform procedure activity to achieve patient care needs while maximizing safety, quality and efficiency.

• Performs procedures for patients on all DHM services as well as patients cared for by services outside of the DHM, including those admitted with COVID-19 in moderate and intensive care settings.

• Reviews all same day/next day case requests in close collaboration with attending and other disciplines as appropriate for prioritization and planning.

• Communicates and problem-solves during coordination of procedural activity. Obtains, assigns and adjusts resources throughout the day including procedure rooms, staff, anesthesia and any other supporting services. Directs add-on scheduling.

• Performs sedation risk assessments and procedure specific physical examinations.

• Reviews pre-procedure laboratory and radiographic tests results and interfaces with faculty as needed.

• Responds to patient care and service communications including pages, phone calls, messaging through the EMR and emails.

• Provides coverage across unit assignments as required to meet patient care needs.

• Serves as consultant to nursing personnel and other health care professionals involved in the care of patients having undergone procedures.

• Serves as a liaison between the inpatient and outpatient settings and between staff to ensure continuity of care.

• Assess and triage patients referred for admission from external sources (e.g., clinics), the emergency department or other internal sources (e.g., other clinical services) for appropriateness and destination of care delivery.

• Assess new patients for relevant & complete health and medical history, perform an appropriate physical examination and complete documentation and procedures related to admission.

• Manage the care of admitted patients, including the following:

• Order appropriate diagnostic studies, medications, and treatments for acute conditions and manage co-existing conditions.

• Review, interpret, and manage diagnostic data.

• Write prescriptions for scheduled and unscheduled medications under delegated prescriptive authority from the attending physician(s) as appropriate.

• Competently perform invasive and non-invasive procedures, including but not limited to lumbar puncture, paracentesis, thoracentesis and joint aspirations as appropriate.

• Safely coordinate and oversee patient transfers between sites of care within the University and across external care sites.

• Coordinate and lead patient and family communication efforts, providing patient and family education, discussing goals of care, and delineating code status as needed.

• Call consultants and carry out recommended work up and plans of care as recommended by respective specialties.

• Lead and participate in safety huddles, multidisciplinary rounds, and shift sign-outs that are patient-centered.

• Manage patients admitted with COVID-19 in moderate care settings including the use of heated high flow oxygen, prone positioning, non-invasive ventilation (e.g., CPAP, BiPAP, and associated medications e.g., Precedex, low-dose vasopressors).

• Discharge patients, complete discharge documentation, and communicate discharge plans with other care providers as part of patient?s healthcare continuum.

• Lead and participate in case conferences and collaborative educational series.

• Orient and precept newly onboarding APPs, nurse practitioner students, physician assistant students, and medical students as appropriate.

• Maintain 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.

• Build and maintain professional relationships with physician other health care providers.

• Seek consultation with faculty, as appropriate, for concerns and issues outside the one?s scope of knowledge or skills

Required Qualifications*

Nurse Practitioners

• Current licensure to practice as a Registered Nurse and Nurse Practitioner specialty certification in the State of Michigan.

• Certification as an Adult Gerontology Acute Care Nurse Practitioner

• 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

• ACLS/BLS certification required (separate AHA approved BLS certification also required unless ACLS was completed through the UMHS Simulation Center; ACLS course taken through the UMHS Simulation Center will meet both the ACLS and the BLS requirement).

• At least 1 year of clinical advanced practice provider employment experience.

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

• ACLS/BLS certification required (separate AHA approved BLS certification also required unless ACLS was completed through the UMHS Simulation Center; ACLS course taken through the UMHS Simulation Center will meet both the ACLS and the BLS requirement).

• At least 1 year of clinical advanced practice provider employment experience.

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*

• Previous procedural experience, specifically performing thoracentesis, paracentesis and lumbar puncture

• Proficiency in ultrasound for the purpose of bedside evaluation of ascites and pleural effusion, as well as use of the ultrasound for the purpose of performing procedures.

• 2 years of advanced practice employment experience in inpatient hospital medicine.

• Current employment as an APP.

• Demonstrated ability to manage multiple clinical tasks efficiently and effectively with attention to detail.

• Demonstrated ability to communicate effectively (oral and written).

• Demonstrated ability to excel in a team-based model of care.

• Demonstrated ability to role model professional behavior in all situations.

• Demonstrated high level of critical thinking.

• Demonstrated high level of motivation to learn and participate in diverse patient care activities.

• Able to work a flexible schedule to accommodate job requirements.

• Able to physically don and doff PPE required for droplet and airborne isolation.

• Ability to perform various diagnostic, therapeutic, and specialty procedures.

• Ability to adhere to Michigan Medicine protocols for protecting patients and workforce members in the management of patients with confirmed COVID-19 and PUIs.

Work Schedule

Shifts range from 10-12 hours in duration, and work hours include those that cover day, evening, and night shifts. This includes possible cross coverage shifts to other hospital medicine services. Holiday and weekend coverage is required. On-call responsibility for 48-72 hours a month.

Modes of Work

Positions that are eligible for hybrid or mobile/remote work mode are at the discretion of the hiring department. Work agreements are reviewed annually at a minimum and are subject to change at any time, and for any reason, throughout the course of employment. Learn more about thework modes (https://hr.umich.edu/working-u-m/my-employment/ways-we-work-resource-center/ways-we-work-implementation-group/modes-work) .

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 [email protected] . 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.

Job Detail

Job Opening ID

254442

Working Title

Advanced Practice Professional (Physician Assistant) Division of Hospital Medicine

Job Title

PA General Medicine

Work Location

Michigan Medicine - Ann Arbor

Ann Arbor, MI

Modes of Work

Onsite

Full/Part Time

Full-Time

Regular/Temporary

Regular

FLSA Status

Exempt

Organizational Group

Um Hospital

Department

MM Int Med Fac Hospitalists

Posting Begin/End Date

9/13/2024 - 9/27/2024

Career Interest

Physician Assistant - Advanced Practice Professional

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