PRN Critical Care Nurse Practitioner (NP) or Physician Assistant (PA)

Munson Healthcare • Traverse City, MI

4d • Onsite

About The Position

The Critical Care Advanced Practice Provider (APP) is part of the Pulmonary Medicine team and manages adult patients with acute, critical, and chronic illnesses in the intensive care setting, including neurocritical, medical, and surgical patients. The APP provides in-house overnight coverage for ICU patients and new admissions with physician support, and works both day and night shifts on a PRN basis. Shifts are 7 a.m. to 7 p.m. or 7 p.m. to 7 a.m.; there are no on-call requirements.

The APP works under the direction of the Manager, Pulmonary & Critical Care, with a matrix reporting relationship to the Pulmonary Clinical Director. The position collaborates with Critical Care Physicians, the Neurocritical Care Director, the Surgical Services Clinical Director, patients and families, and multidisciplinary teams. Consult services are provided in coordination with a partnering physician for a Physician Assistant or a supervising physician for a Nurse Practitioner.

The role includes assessment, diagnosis, treatment, coordination, and documentation for patients with complex and potentially life-threatening conditions. The APP performs diagnostic and therapeutic procedures, supports patients experiencing rapid deterioration, provides clinical direction to nursing staff, and participates in palliative and end-of-life care planning. The position uses Oracle Health EHR and supports Munson Healthcare’s mission, vision, and values.

Munson Healthcare is a nonprofit healthcare system serving northern Michigan. The organization describes opportunities for personal and professional growth, a collaborative team environment, and flexibility. It provides $65 million in healthcare programs and education, as well as free, discounted, and unreimbursed services. Employees must be vaccinated or have lab-confirmed immunity for measles, mumps, rubella, and varicella, and must receive an annual flu vaccine or have an approved medical or religious exemption.

Requirements

• Nurse Practitioner: Master of Science in Nursing or Doctor of Nursing Practice degree from an accredited CCNE nursing program.
• Nurse Practitioner: Certification as an Acute Care Nurse Practitioner, or as a Family Nurse Practitioner with further acute care education or training.
• Nurse Practitioner: Current unencumbered nursing and specialty Nurse Practitioner license in Michigan.
• Physician Assistant: Master of Science in Physician Assistant Studies degree from an accredited ARC-PA program.
• Physician Assistant: Certification as a Physician Assistant by the American Academy of Physician Assistants (AAPA).
• Physician Assistant: Current unencumbered Physician Assistant license in Michigan.
• Employees must be vaccinated or have lab-confirmed immunity for measles, mumps, rubella, and varicella.
• Employees must receive a flu vaccine during the flu season in the year they are hired and annually thereafter, or receive an approved medical or religious exemption.

Responsibilities

• Provide in-house overnight coverage for ICU patients and new admissions with supporting physician; no on-call requirements.
• Manage complex acute, critical, and chronically ill adult patients at risk for urgent or emergent conditions, using physiologic and technology-derived data to manage instability and life-threatening risk.
• Obtain medical histories, perform physical examinations, and develop assessments and plans.
• Collaborate with others to diagnose and manage acute, chronic, and multisystem health problems, including respiratory distress syndrome, pneumonia, sepsis, diabetic ketoacidosis, stroke, acute abdomen, and trauma.
• Identify comorbidities and potential for rapid physiologic deterioration or life-threatening instability.
• Collaborate with intraprofessional and interprofessional teams to achieve optimal outcomes, including daily multidisciplinary rounds.
• Use pharmacologic and nonpharmacologic interventions to regain and maintain physiologic and psychological stability.
• Perform diagnostic and therapeutic interventions, including interpretation of EKG and imaging studies; laboratory and radiologic studies; respiratory support; hemodynamic monitoring; lumbar puncture; wound debridement and closure; central and arterial line placement; hemodialysis catheter placement; chest tubes; thoracentesis and paracentesis; and suture removal.
• Implement interventions for rapidly deteriorating patients based on Advanced Cardiac Life Support and Fundamentals of Critical Care Support.
• Collaborate with patients, families, and others to provide palliative and end-of-life care options.
• Provide consult services in coordination with a partnering physician for a Physician Assistant or supervising physician for a Nurse Practitioner.
• Coordinate care, including ancillary services, pre-operative plans, discharge planning, provider referrals, and medical devices such as insulin pumps, defibrillators, and pacemakers.
• Maintain patient health records according to established standards and guidelines.
• Provide clinical direction to nursing staff regarding ongoing patient care.
• Perform daily rounds with the multidisciplinary team.
• Perform other duties and responsibilities as assigned.
• Support Munson Healthcare’s mission, vision, and values.

Benefits

• Opportunities for personal and professional growth throughout the healthcare system.
• Flexibility to support a career that can change as life changes.
• Collaborative team environment.

What This Job Offers

• Career Level: Mid Level