Advanced Practice Professional (Physician Assistant) Medicine Pulmonary Service

University Of Michigan • Ann Arbor, MI

391d • $119,881 - $184,217 • Remote

About The Position

The Advanced Practice Professional (APP) position within the Medicine Pulmonary service at Michigan Medicine involves providing high-quality care to a diverse range of medically complex patients, including those in intensive care and moderate care settings. The role requires collaboration with a team of advanced practice providers and supervision by a pulmonary critical care attending, focusing on evidence-based practices and patient-centered care.

Requirements

• Current licensure to practice as a Registered Nurse and Nurse Practitioner specialty certification in the State of Michigan (for NPs).
• Current specialty certification to practice as an Adult Gerontology Acute Care Nurse Practitioner (for NPs).
• Graduate of an accredited Nurse Practitioner program (for NPs).
• Certification as a Nurse Practitioner recognized by the National Council of State Boards of Nursing (NCSBN) (for NPs).
• Current DEA registration required (for both NPs and PAs).
• ACLS required (separate AHA approved BLS also required unless ACLS was completed through the UMHS Simulation Center) (for both NPs and PAs).
• Experience rounding on an inpatient service for a minimum of 8 months and caring for acutely ill patients (for both NPs and PAs).
• Two or more years experience as an APP caring for ICU level patients (for both NPs and PAs).
• Current license to practice as a Physician Assistant in the State of Michigan (for PAs).
• Satisfactory completion of a Physician Assistant program accredited by ARC-PA or its predecessor agencies (for PAs).
• Certification by the National Commission on Certification for Physician Assistants (NCCPA) (for PAs).
• State of Michigan Controlled Substance License Required (for PAs).

Nice To Haves

• Demonstrated expertise in procedures (i.e. central line placement; thoracentesis).
• APP experience with Pulmonary Disease.
• 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.

Responsibilities

• 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 and DC cardioversions for cardiac arrhythmias with hemodynamic 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.

Benefits

• 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 (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

What This Job Offers

• Job Type: Full-time
• Career Level: Mid Level
• Industry: Educational Services
• Education Level: No Education Listed
• Number of Employees: 10,001+ employees