NP / Physician Assistant

Highland Hospital•Rochester Hills, MI

4d•$98,000 - $130,083

About The Position

Highland Hospital is adding Advanced Practice Providers within its Department of Surgery. The Advanced Practice Provider (Physician Assistant or Nurse Practitioner) provides coordinated surgical care in a blended position consisting of 50% daytime Surgical Subspecialty coverage and 50% overnight Surgical House Coverage. Candidates are required to work a 50/50 day/night split; shift differential add-ons are available. Working collaboratively with attending surgeons, residents, and the interdisciplinary care team, the APP evaluates and manages surgical patients in emergency, inpatient, observation, surgical short-stay, ambulatory surgery, and perioperative settings. Responsibilities are performed within the APP’s education, experience, scope of practice, medical staff privileges, and applicable physician supervision or collaboration requirements. Daytime coverage includes assigned specialty care, consultations, admissions, preoperative and postoperative evaluations, daily rounds, care coordination, and patient and family education. Assigned services may include Neurosurgery, Urology, Plastic Surgery, Surgical Oncology, Bariatric/Colorectal/General Surgery, Otolaryngology, Vascular Surgery, and Ophthalmology. When assigned and appropriately privileged, the APP may provide operating room first- or second-assist functions, wound closure, approved procedures, and postoperative transfer and evaluation. Overnight coverage includes assessment, management, and cross-coverage for assigned surgical patients and services; responding to consultation requests; evaluating postoperative concerns; initiating treatment within privileges; performing authorized bedside procedures; coordinating escalation or transfers when indicated; documenting care; and providing structured handoffs to daytime teams.

Requirements

Completion of an accredited educational program qualifying the applicant for licensure as a Physician Assistant or Nurse Practitioner in New York State.
Current New York State PA or NP licensure, or eligibility for licensure.
American Heart Association Basic Life Support (BLS) certification.
Excellent communication and collaboration skills across clinical and administrative staff.

Nice To Haves

One to two years of experience in a surgical inpatient setting; new graduates may be considered.
First-assist certification for Nurse Practitioners is preferred.

Responsibilities

Provide assigned daytime surgical subspecialty coverage, including inpatient and emergency consultations, admissions, preoperative and postoperative evaluations, and daily rounds.
Obtain histories, reconcile medications, perform comprehensive examinations, develop assessments and plans of care, and enter appropriate orders.
Coordinate laboratory testing, imaging, medication management, perioperative pain management, discharge planning, and patient and family education.
Provide care for assigned services, which may include Neurosurgery, Urology, Plastic Surgery, Surgical Oncology, Bariatric/Colorectal/General Surgery, Otolaryngology, Vascular Surgery, and Ophthalmology.
When assigned and appropriately privileged, provide operating room first- or second-assist functions, wound closure, approved procedures, and postoperative transfer and evaluation.
Communicate and collaborate with surgeons, consulting clinicians, residents, nurses, and other team members to promote safe and coordinated care.
Provide overnight assessment, management, and cross-coverage for assigned surgical patients and services, including changes in clinical condition.
Respond to surgical consultation requests from inpatient and emergency settings and escalate to the appropriate on-call surgeon or resident.
Evaluate postoperative concerns, order and interpret appropriate tests, initiate treatments within privileges, and facilitate higher levels of care or transfers when indicated.
Perform authorized bedside procedures, promptly document assessments and interventions, and provide structured handoffs to daytime teams.
Coordinate with on-call attending physicians, residents, nursing, and interdisciplinary colleagues to maintain continuity and timely escalation.