Regional

Corewell Health•Troy, MI

7d•Onsite

About The Position

Under the general guidance of the medical director, the Nurse Practitioner or Physician Assistant evaluates, diagnoses, and treats patients with diseases and adverse health conditions in accordance with department-approved written guidelines. This role joins the Cardiothoracic Critical Care Team within the Cardiovascular Surgery Service Line and provides comprehensive care from admission through discharge, with a focus on perioperative management in the Cardiac Surgical ICU. The APP manages ventilators, sedation, hemodynamics, and diagnostics, and coordinates care with multidisciplinary teams. Clinical expertise is needed in complex conditions including shock, sepsis, respiratory failure, heart and renal failure, arrhythmias, and postoperative cardiac care. Responsibilities may include central and arterial line placement, pulmonary artery catheter placement, and point-of-care ultrasound. The APP may also serve on committees and participate in quality and process improvement initiatives. This is a 24/7 service with rotation through days, nights, weekends, and holidays, and regional cross-coverage at other hospital sites. The position is based at Dearborn Hospital, is full-time, and is scheduled for 40 hours per week. The posted shift is nights, with midnights as the hours of work and variable days and weekends.

Requirements

Master’s degree in Nursing or a master’s degree in Physician Assistant studies.
State of Michigan Nurse Practitioner or Physician Assistant license required.
AHA/ARC BLS certification required.

Nice To Haves

One to three years of experience as an Advanced Practice Provider in a CVICU setting is preferred.
Acute care experience is strongly preferred.

Responsibilities

Assess patients’ physical and psychosocial status through interviews, health histories, physical examinations, and diagnostic studies.
Recognize deviations from normal in physical assessments and collaborate with a physician to formulate treatment plans and follow-up for health problems.
Write prescriptions for medication and blood products based on laboratory results, routine diagnostic and follow-up studies, therapeutic measures, and post-discharge care, in accordance with written practice protocols.
Determine patient eligibility for clinical trials based on findings.
Request written consultation from physicians and other healthcare professionals to support appropriate, quality patient care.
Interpret and evaluate findings from studies and tests.
Relay appropriate patient-care information to the collaborating physician.
Administer therapeutic measures and obtain specimens as prescribed.
Evaluate the quality of care provided and recommend improvements.
Initiate actions to implement therapeutic plans consistent with patients’ ongoing healthcare needs.
Dictate follow-up letters to referring physicians summarizing treatment, response, and plan.
Maintain preventive health services, including screening, risk assessment, immunizations, PAP smears, and self-breast exams.
Dictate or write patient histories, admissions, care plans, progress notes, and discharge notes.
Work with program assistants and data managers to support optimal patient care.
Assist with family dynamics and coping mechanisms during acute and chronic phases of care.
Conduct or participate in daily multidisciplinary rounds and ensure appropriate, quality care for assigned patients.
Provide on-call coverage.
Triage patients and determine the urgency of physician evaluation.
Provide symptom management for side effects related to oncologic treatment.
Manage ventilators, sedation, hemodynamics, and diagnostics in the cardiac surgical ICU.
Coordinate care with multidisciplinary teams and provide care from admission through discharge.
Manage complex conditions including shock, sepsis, respiratory failure, heart and renal failure, arrhythmias, and postoperative cardiac conditions.
Perform advanced procedures as applicable, including central and arterial line placement, pulmonary artery catheter placement, and point-of-care ultrasound.
Participate in committees and quality and process improvement initiatives as applicable.
Rotate through days, nights, weekends, and holidays, and provide regional cross-coverage at other hospital sites.

Benefits

Generous paid time off and holidays.
Flexible scheduling.
Employee discounts on a wide range of products and services.
Health, dental, vision, and prescription drug insurance plans.
Relocation assistance.
Savings and retirement plans, including traditional and Roth options with service contribution and matching savings.
Disability insurance.
Optional identity theft protection.
Optional home and auto insurance.
Free onsite parking at all campuses.
On-demand pay program powered by Payactiv.
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