Physician Assistant/Nurse Practitioner (C), CVICU - Dearborn/Regional

Corewell Health • Royal Oak, MI

11d • 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 according to written guidelines approved by the department. The role is part of Corewell Health’s 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. The position requires clinical expertise 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 take part in quality and process improvement initiatives.

This is a 24/7 service with rotation through days, nights, weekends, and holidays, as well as regional cross-coverage at other hospital sites. The position is full-time, with 40 scheduled hours per week.

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 or ARC BLS certification required.

Nice To Haves

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

Responsibilities

• Assess patients’ physical and psychosocial status through interviews, health histories, physical examinations, and diagnostic studies.
• Recognize deviations from normal findings and collaborate with a physician to formulate treatment plans and follow-up.
• Write prescriptions for medications and blood products based on laboratory results, and order 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 consultations from physicians and other healthcare professionals to support appropriate, quality patient care.
• Interpret and evaluate study and test findings.
• Relay relevant patient-care information to the collaborating physician.
• Administer therapeutic measures and obtain prescribed specimens.
• Evaluate care quality and recommend improvements.
• Initiate actions to implement therapeutic plans consistent with patients’ continuing 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-exam guidance.
• Dictate or write patient histories, admissions, care plans, progress notes, and discharge notes.
• Interact 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.
• Provide perioperative management in the Cardiac Surgical ICU, including management of ventilators, sedation, hemodynamics, and diagnostics.
• Coordinate care with multidisciplinary teams and provide regional cross-coverage at other hospital sites.
• Perform advanced procedures as needed, including central and arterial line placement, pulmonary artery catheter placement, and point-of-care ultrasound.
• Participate in committees and quality and process improvement initiatives.

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 retirement options with service contribution and matching savings.
• Disability insurance.
• Identity theft protection.
• Home and auto insurance options.
• Free onsite parking.
• On-demand pay program powered by Payactiv.

What This Job Offers

• Job Type: Full-time
• Career Level: Mid Level