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 278816 and PAs are directed to apply to job ID 278817

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

A cover letter is required for consideration for this position and should be attached as the first page of your resume.  The cover letter should address your specific interest in the position and outline skills and experience that are directly relevant. Interested applicants should apply online to this posting.

About the Division of Hospital Medicine: The Division of Hospital Medicine at Michigan Medicine is a collaborative, dynamic, and rapidly expanding team comprised of over 140 faculty members, 45 advanced practice providers, and 45 operational, administrative, and research staff. We are dedicated to advancing the care of acutely ill patients across multiple hospital locations, managing a daily census of more than 320 patients. Our team is at the forefront of cutting-edge health sciences, health systems research, and quality improvement initiatives, with a growing portfolio of research funding. We take pride in our leadership roles within the hospital, health system, region, and on a national level. Our division fosters a supportive, transparent, and positive team environment, embracing change with curiosity and courage in the ever-evolving landscape of healthcare. We are relentless in our pursuit of excellence and innovation, always striving to work smarter and better by maximizing the diverse skills and strengths of every team member. Supported and valued by the Department of Internal Medicine and our partners in the Adult Hospitals, we invite you to thrive as a vital member of our team. Join the "leaders and best" in the Hospital Medicine Division!

The Division of Hospital Medicine program is seeking to hire 1 physician assistant (PA) and/or nurse practitioner (NP) to join our hospitalist program and practice inpatient medicine primarily for our Medicine Hematology APP service (MHP). Advanced practice provider (APP) will also have small effort across multiple service lines including our Medical Short Stay Unit (MSSU) and Medicine Faculty Hospitalist service (MFH). Future effort delineation would be based on Division needs. 
 

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 care and 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. 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.
 

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.

 

• Work collaboratively with a team of physicians, PAs, and pharmacists to evaluate, admit, and treat patients with malignant hematologic diagnoses.
• Assess and triage hematologic 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 bone marrow biopsy and lumbar puncture for intrathecal chemotherapy administration, 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 other health care providers. 
• Seek consultation with faculty, as appropriate, for concerns and issues outside the one?s scope of knowledge or skills
   
   

Nurse Practitioners

• 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 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.

• Previous advanced practice employment in hematology/oncology (preference for inpatient). previous advanced practice employment in Hematology (preference for inpatient)?
• Demonstrated in-depth clinical knowledge of hematology/oncology diagnoses. 
• Previous procedural experience with bone marrow biopsy and/or lumbar puncture with intrathecal chemotherapy. 
• Previous advanced practice employment experience in hospital medicine or a comparable acute inpatient care area.
• 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. 
• Ability to adhere to Michigan Medicine protocols for protecting patients and workforce members in the management of patients with confirmed COVID-19 and PUIs.

Shifts are 10.5 hours in length, 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. 

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.

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.

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. 

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.

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.

The University of Michigan is an equal employment opportunity employer.

About University of Michigan - Ann Arbor

A great university is made so by its faculty and staff, and Michigan is recognized as one of the best universities to work for in the country. The Michigan culture is known for engaging faculty and staff in all facets of the university to create a workplace that is vibrant and stimulating.For two consecutive years, the Chronicle of Higher Education has placed U-M in its "Great Colleges to Work For" survey. In particular, the university earns high marks for strong relations between faculty and administrators, a collaborative system of governance, strong pay and benefits, and a healthy work/life balance.

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