Advanced Practice Professional

2 days ago

Ann Arbor, Michigan, United States University of Michigan Full time
Job Summary

The Division of Hospital Medicine at the University of Michigan is seeking a highly skilled Advanced Practice Professional to join our team. As a key member of our hospitalist program, you will provide exceptional patient care and work collaboratively with our team of physicians and healthcare professionals.

Responsibilities
  • Assess and triage patients referred for admission from external sources, the emergency department, or other internal sources for appropriateness and destination of care delivery.
  • Assess new patients for relevant and 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 ordering diagnostic studies, medications, and treatments for acute conditions and managing co-existing conditions.
  • Review, interpret, and manage diagnostic data, write prescriptions for scheduled and unscheduled medications under delegated prescriptive authority from the attending physician as appropriate.
  • Competently perform invasive and non-invasive procedures, including 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 workup 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.
  • Perform general medicine consults, as well as rounding on established patients on the consult service in UH/UHS, with expansion to Pavilion in 2025.
  • Manage patients admitted with COVID-19 in moderate care settings, including the use of heated high flow oxygen, prone positioning, non-invasive ventilation, and associated medications.
  • 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.
Requirements
  • 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.
Preferred Qualifications
  • At least 2 years of advanced practice employment experience in inpatient internal medicine.
  • Previous observation unit advanced practice employment experience.
  • Intensive care unit or ED advanced practice employment experience.
  • Current employment as an advanced practice provider.
  • Demonstrated ability to efficiently and effectively manage multiple clinical tasks 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.
Work Schedule

Shifts range from 10-12 hours in duration, and work hours include those that cover primarily evening with occasional 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.

Additional Information

Employment is contingent upon successful completion of the credentialing and privileging process, and maintenance of state licensure(s), professional certifications, and privileges for the entirety of hire.

Union Affiliation

This position is covered under the collective bargaining agreement between the U-M and the Michigan Nurses Association and the U-M Professional Nurse Council union, 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.

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