Michigan Medicine

Adult Medical Specialties #2 Advanced Practice Provider Manager

Mission Statement

Michigan Medicine improves the health of patients, populations and communities through excellence in education, patient care, community service, research and technology development, and through leadership activities in Michigan, nationally and internationally. Our mission is guided by our Strategic Principles and has three critical components; patient care, education and research that together enhance our contribution to society.

Job Summary

The Adult Medical Specialties #2 Advanced Practice Provider (APP) Manager is responsible for the direct managerial oversight of a clinical advanced practice provider (APP) team to include inpatient/outpatient Physician Assistants (PA) and Nurse Practitioners (NP) within the Occupational Medicine team, as well as those within the Department of Internal Medicine, IM-Allergy Service, IM-Metabolism, Endocrinology, and Diabetes (MEND) Service, IM- Nephrology Service, IM- Pulmonology Service, and IM-Rheumatology Service. Oversees operations of the teams including clinical practice, staffing, staff development, strategic planning, quality assurance, and administration of activities and personnel that span inpatient and outpatient clinical operations. Develops, implements, and monitors patient care and revenue-generating departmental programs for APP teams while committing to work in their designated department/service regularly as a staff provider. The APP manager will foster a positive work environment for APPs and ensure a high-quality of service provided to patients, while exemplifying the Michigan Medicine values of caring, innovation, inclusion, integrity and teamwork.

Note: This is a 40-hour position and may include off shifts, weekends, and holidays as required by the service. This position will provide leadership to all APPs within designated areas and potential for expansion of role to include other APP teams as determined by needs of the APP structure and determined by APP Directors.

Responsibilities*

  • Manage, direct, and coordinate clinical advanced practice provider (APP) to include Physician Assistants (PA) and Nurse Practitioners (NPs) across all designated areas teams; additional teams if assigned in the future.
  • Responsible for operational and tactical planning, contributing to strategic plans, implementing and assessing techniques to promote and improve the quality, safety, and continuity of patient care.
  • Ensure financial integrity and planning for area of responsibility by regularly reviewing billing practices and monitoring metrics such as reimbursement, productivity, and utilization.
  • Ensure APP compliance with institutional policies and procedures and adherence to federal and state regulations at the local level.
  • Partner with local physician leadership to optimize models of care resulting in top of license function.
  • Facilitate and promote open channels of communication between APPs and department/section leadership including attending faculty, house officers, and interdisciplinary staff.
  • Support the coordination of APP recruitment, orientation, onboarding, and scheduling of clinical coverage.
  • Manage the performance of all APPs in area of responsibility by conducting formal performance evaluations, including providing coaching and mentoring opportunities, developing improvement plans, and coordinating disciplinary processes as needed. This includes distribution and collection of feedback from interdisciplinary teams which may include faculty, residents, and peers.
  • Organize, promote, and direct continuing education and staff development programs to encourage continued learning and professional growth.
  • Attend continuing education offerings and staff development programs, review literature, and collaborate with other professionals.
  • Act as central oversight for CE/CME policy including review and approval of CE/CME related expenses consistent with the policy within the department/section.
  • Assist with the development of clinically relevant peer review and quality metrics. May assist with individual chart reviews as required for ongoing professional evaluation.
  • Advise with the development of a focused professional practice evaluation (FPPE) in collaboration with local physician leadership.
  • Identify opportunities and facilitate experiences for APP students within service line or team, as applicable.


This position is a 35% clinical and 65% administrative appointment.

SUPERVISION RECEIVED: The APP Manager will have dual reporting to the relevant clinical grouping APP Director for administrative purposes. When on clinical duty, the APP Manager will collaborate with the assigned physician.

SUPERVISION EXERCISED: Administrative supervision is exercised over APPs within the assigned areas. For concerns related to nursing practice, the APP Manager will also consult with the appropriate NP leadership. For concerns related to PA practice, the APP Manager will also consult with the appropriate PA leadership.

Physical Requirements

This position requires moderate standing/walking, as well as lifting, positioning, pushing, and/or transferring of patients. This description is intended to indicate the kinds of tasks and levels of work difficulty that will be required of positions that will be given this title and shall not be construed as declaring what the specific duties and responsibilities of any particular position shall be. It is not intended to limit or in any way modify the right of any supervisor to assign, direct, and control the work of employees under his supervision. The use of a particular expression or illustration describing duties shall not be held to exclude other duties not mentioned that are of a similar kind or level of difficulty.

Required Qualifications*

Physician Assistant Candidate

  • Current license to practice as a Physician Assistant in the State of Michigan.
  • Satisfactory completion of a physician assistant program accredited by ARC-PA or one of its predecessor agencies.
  • Certification by the National Commission on Certification for Physician Assistants (NCCPA).
  • State of Michigan Controlled Substance License Required
  • Current DEA registration required
  • BLS required (ACLS may be required dependent on delineation of additional privileges not included in core privileges)
  • Five years APP clinical experience in specialty relevant to practice area.
  • 1 year formal leadership experience or 2 years progressive leadership experience in leading teams, work units, departments


Nurse Practitioner Candidate

  • Current licensure to practice as a Registered Nurse and Nurse Practitioner specialty certification in the State of Michigan.
  • Current specialty certification to practice as Nurse Practitioner.
  • Graduate of an accredited Nurse Practitioner program.
  • Current DEA registration required.
  • BLS required (ACLS may be required dependent on delineation of additional privileges not included in core privileges)
  • Five years APP clinical experience in specialty relevant to practice area.
  • 1 year formal leadership experience or 2 years progressive leadership experience in leading teams, work units, departments.


NOTE: Employment is contingent upon successful completion of the credentialing and privileging process.

NOTE: In order to be considered for this position the applicant must have met or will have met all the required qualifications prior to the start date of employment

RESUME REQUIRED (for Both Internal & External Applicants)

You must attach a complete and accurate resume to be fully considered for this position.

Desired Qualifications*

  • Have in-depth knowledge of Advanced Practice and Physician Assistant work, state and federal regulations, and credentialing.
  • Considerable knowledge of University and departmental policies, procedures and regulations is desired.
  • Demonstrated ability to assess, interpret and analyze clinical information independently and collaboratively.
  • Strong knowledge of management and leadership principles and practices.
  • Demonstrated leadership skills and ability to perform as role model to APP team.
  • Excellent communication and interpersonal skills; ability to work independently with minimal supervision and demonstrated maximum collaboration in a team environment and matrix organization.
  • Able to collaborate in a manner that fosters teambuilding and to provide visionary direction for team members.
  • Demonstrated ability to work effectively with administrators, physicians, peers, and all members of the health care team.
  • Demonstrated ability to initiate and effectively lead a change management process using continuous improvement frameworks.


Why Join Michigan Medicine?

Michigan Medicine is one of the largest health care complexes in the world and has been the site of many groundbreaking medical and technological advancements since the opening of the U-M Medical School in 1850. Michigan Medicine is comprised of over 30,000 employees and our vision is to attract, inspire, and develop outstanding people in medicine, sciences, and healthcare to become one of the world’s most distinguished academic health systems. In some way, great or small, every person here helps to advance this world-class institution. Work at Michigan Medicine and become a victor for the greater good.

What Benefits can you Look Forward to?

  • Excellent medical, dental and vision coverage effective on your very first day
  • 2:1 Match on retirement savings


Modes of Work

Positions that are eligible for hybrid or mobile/remote work mode are at the discretion of the hiring department. Work agreements are reviewed annually at a minimum and are subject to change at any time, and for any reason, throughout the course of employment. Learn more about the work modes.

Work Schedule

1.0 FTE

This is a 40-hour position and may include off shifts, weekends, and holidays as required by the service.

This position is a 35% clinical and 65% administrative appointment.

Union Affiliation

This position is not included under the collective bargaining agreement between the U-M and the Michigan Nurses Association and the U-M Professional Nurse Council or the United Physician Assistants of Michigan Medicine unions.

Background Screening

Michigan Medicine conducts background screening and pre-employment drug testing on job candidates upon acceptance of a contingent job offer and may use a third party administrator to conduct background screenings. Background screenings are performed in compliance with the Fair Credit Report Act. Pre-employment drug testing applies to all selected candidates, including new or additional faculty and staff appointments, as well as transfers from other U-M campuses.

Application Deadline

Job openings are posted for a minimum of seven calendar days. The review and selection process may begin as early as the eighth day after posting. This opening may be removed from posting boards and filled anytime after the minimum posting period has ended.

U-M EEO Statement

The University of Michigan is an Equal Opportunity Employer. We are committed to providing an environment of mutual respect where equal employment opportunities are available to all applicants, including protected veterans and individuals with disabilities.

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Nurse Practitioner Manager, Palliative Care at Home - Mount Sinai Home Health - Full Time - Day

$115,494 - $192,328 / year
Description Title - Nurse Practitioner Manager, Palliative Care at Home - Mount Sinai Home Health - Full Time - Day Palliative Care at Home, part of Mount Sinai at Home, provides home based palliative symptom assessment, treatment and ongoing goals of care discussions for patients and families facing advanced illness. The full clinical team is comprised of CHWs, NPs, nurses, social workers and physicians. The team works in collaboration with patients’ healthcare teams to provide high quality evidence based complex palliative care and chronic care management and is designed to improve symptoms and QOL, reduce caregiver burden, reduce unnecessary inpatient utilization, and facilitate hospice when appropriate. Nurse practitioners will be responsible for the symptom management of chronically/terminally ill patients within an interdisciplinary team environment. This role will provide disease process and trajectory education to the team, patients and families. The NP will assess, order and interpret clinical testing, diagnose and treat symptoms related to a variety of chronic disease states to focus on palliative symptoms and advanced illness education. Responsibilities • Responsible for clinical and operational oversight. • Develops strategies to drive service line growth, clinical excellence, and attract and retain staff in collaboration with leadership. • Collaborates with leadership to create financial strategies that align with the organization's goals and objectives. • Serves as an expert and resource in symptom management, demonstrating sound clinical judgment and prescribing proficiency as a nurse practitioner/clinical leader. • Facilitates family meetings and goals of care conversations. • Responsible for the onboarding, orientation, and ongoing clinical education of the team. • Promotes a team environment based on company mission, vision, and values. Acts as a clinical resource for the team and collaborates with the lead physician. • Communicates organizational policies and procedures, evidence-based best practices, and regulatory/industry changes to direct reports. • Holds employees accountable for the attainment of defined goals/objectives and provides performance redirection when needed. • Ensures compliance with policies, procedures and regulatory mandates. • Performs all other duties as assigned. Qualifications • Master's degree program designed to prepare a NP to diagnose, treat, and prescribe for a patients condition that fall within their specialty area of practice or the successful completion of an approved supplemental education program, i.e., post-master's NP certificate. • Licensure: New York State License with current registration as a registered nurse. • State Certification: Certified by the New York State Department of Education as a Nurse Practitioner with current registration as follows: • a. Is a graduate of New York State registered Nurse Practitioner Program or equivalent OR is certified as a Nurse Practitioner by a national association via examination. • b. Has completed a pharmacy component of not less than the required semester hours or the equivalent AND has been instructed in New York State and Federal Laws relating to prescriptions and recordkeeping (3-hour course). • c. Has a Collaborative Practice Agreement with a physician and designated protocols if less than 3600 hours experience as a practicing Nurse Practitioner. OR • Has a Collaborative Relationship with a physician based on employment in clinical practice in the NP role at Mount Sinai Hospital. If there is a documented work history as a Nurse Practitioner with greater than 3600 practice hours. Please note all NPs regardless of their status will be placed on an FPPE initially) Three or more years of clinical experience in palliative care/geriatrics as a nurse practitioner. Two or more years of progressive leadership including team-building and influencing growth. Licensed as a Nurse Practitioner in the state of practice. National certification in a primary field (e.g. Adult, Family, Gerontology, Acute Adult, and Acute preferred) Hospice and Palliative Certification (e.g. Advanced Certified Hospice and Palliative Nurse (ACHPN) from the Hospice and Palliative Credentialing Center (HPCC)). BCLS and/or ACLS certification. Issuing Agency: AHA Drug Enforcement Administration (DEA) certificate required. Credentialed through the Credentialing Committee of the Medical Board with approved Delineation of Privileges Employer Description Strength through Unity and Inclusion The Mount Sinai Health System is committed to fostering an environment where everyone can contribute to excellence. We share a common dedication to delivering outstanding patient care. When you join us, you become part of Mount Sinai’s unparalleled legacy of achievement, education, and innovation as we work together to transform healthcare. We encourage all team members to actively participate in creating a culture that ensures fair access to opportunities, promotes inclusive practices, and supports the success of every individual. At Mount Sinai, our leaders are committed to fostering a workplace where all employees feel valued, respected, and empowered to grow. We strive to create an environment where collaboration, fairness, and continuous learning drive positive change, improving the well-being of our staff, patients, and organization. Our leaders are expected to challenge outdated practices, promote a culture of respect, and work toward meaningful improvements that enhance patient care and workplace experiences. We are dedicated to building a supportive and welcoming environment where everyone has the opportunity to thrive and advance professionally. Explore this opportunity and be part of the next chapter in our history. About the Mount Sinai Health System: Mount Sinai Health System is one of the largest academic medical systems in the New York metro area, with more than 48,000 employees working across eight hospitals, more than 400 outpatient practices, more than 300 labs, a school of nursing, and a leading school of medicine and graduate education. Mount Sinai advances health for all people, everywhere, by taking on the most complex health care challenges of our time — discovering and applying new scientific learning and knowledge; developing safer, more effective treatments; educating the next generation of medical leaders and innovators; and supporting local communities by delivering high-quality care to all who need it. Through the integration of its hospitals, labs, and schools, Mount Sinai offers comprehensive health care solutions from birth through geriatrics, leveraging innovative approaches such as artificial intelligence and informatics while keeping patients’ medical and emotional needs at the center of all treatment. The Health System includes more than 9,000 primary and specialty care physicians; 13 joint-venture outpatient surgery centers throughout the five boroughs of New York City, Westchester, Long Island, and Florida; and more than 30 affiliated community health centers. We are consistently ranked by U.S. News & World Report's Best Hospitals, receiving high "Honor Roll" status, and are highly ranked: No. 1 in Geriatrics, top 5 in Cardiology/Heart Surgery, and top 20 in Diabetes/Endocrinology, Gastroenterology/GI Surgery, Neurology/Neurosurgery, Orthopedics, Pulmonology/Lung Surgery, Rehabilitation, and Urology. New York Eye and Ear Infirmary of Mount Sinai is ranked No. 12 in Ophthalmology. U.S. News & World Report’s “Best Children’s Hospitals” ranks Mount Sinai Kravis Children's Hospital among the country’s best in several pediatric specialties. The Icahn School of Medicine at Mount Sinai is ranked No. 11 nationwide in National Institutes of Health funding and in the 99th percentile in research dollars per investigator according to the Association of American Medical Colleges. Newsweek’s “The World’s Best Smart Hospitals” ranks The Mount Sinai Hospital as No. 1 in New York and in the top five globally, and Mount Sinai Morningside in the top 20 globally. Equal Opportunity Employer The Mount Sinai Health System is an equal opportunity employer, complying with all applicable federal civil rights laws. We do not discriminate, exclude, or treat individuals differently based on race, color, national origin, age, religion, disability, sex, sexual orientation, gender, veteran status, or any other characteristic protected by law. We are deeply committed to fostering an environment where all faculty, staff, students, trainees, patients, visitors, and the communities we serve feel respected and supported. Our goal is to create a healthcare and learning institution that actively works to remove barriers, address challenges, and promote fairness in all aspects of our organization. Compensation The Mount Sinai Health System (MSHS) provides salary ranges that comply with the New York City Law on Salary Transparency in Job Advertisements. The salary range for the role is $115494 - $192328 Annually. Actual salaries depend on a variety of factors, including experience, education, and operational need. The salary range or contractual rate listed does not include bonuses/incentive, differential pay or other forms of compensation or benefits.