Advanced Practice Professional (Nurse Practitioner) D. Dan and Betty Kahn Health Care Pavilion: Otolaryngology Inpatient Service

How to Apply

This is an Advanced Practice Professional (APP) job opening.Both qualified NP and PA applicants will be considered. NPs are directed to apply to job # 280601 and PAs are directed to apply to job # 280602. A total of 1, 1.0 FTE, Advanced Practice Professional (either NP or PA) will be hired to fill this job opening.

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.

Responsibilities*

Job Summary

The Department of Otolaryngology is seeking a qualified Advanced Practice Provider (APP) to join the inpatient service with work focused in the newly-opened D. Dan and Betty Kahn Health Care Pavilion. The APP will manage inpatient care for adult patients covering a range of complex quaternary otolaryngology and head and neck surgery conditions. The ideal candidate will be facile with the evaluation, management, and implementation of treatment plans for inpatient consults and follow-ups, including patients with tracheostomies.

Responsibilities

Manage complex care for adult Otolaryngology inpatients, including those with skull base conditions, airway stenosis, sleep disorders, and post-head and neck surgery.
Evaluate and implement treatment plans for adult Otolaryngology consults and follow-ups, in collaboration with residents and attending physicians. Common cases include epistaxis, head and neck infections, upper airway and laryngeal evaluations (e.g., for hoarseness or dysphagia), and ear assessments for hearing loss or otalgia.
Serve as back-up provider for the Adult Tracheostomy Service, managing and implementing orders for adult inpatients with tracheostomies.
Facilitate decannulation pathways and assist primary teams with longitudinal tracheostomy management.
Order, interpret, and manage appropriate imaging and laboratory studies.
Identify, prescribe, and monitor appropriate pharmacologic therapies.
Document care in accordance with institutional standards, including progress notes, consults, discharge summaries, and associated billing codes.
Coordinate timely discharges through patient and family education, problem-solving for discharge barriers, and communication with the chief resident and supervising physician.
Evaluate acute post-operative Otolaryngology patients.
Assist with minor procedures as directed by attending physicians.
Coordinate and discuss patient care with consulting services.
Coordination and discussion of patient care with consulting services.

Required Qualifications*

Np

Current licensure to practice as a Registered Nurse and specialty certification as a NP in the State of Michigan
Current specialty certification to practice as an Adult Gerontology Acute Care Nurse Practitioner.
Graduate of an accredited Nurse Practitioner program.
Certification as a Nurse Practitioner recognized by the National Council of State Boards of Nursing (NCSBN).
Current DEA registration required
ACLS required (separate AHA approved BLS also required unless ACLS was completed through the UMHS Simulation Center).
One (1) year of inpatient APP experience

Current license to practice as a Physician Assistant in the State of Michigan.
Satisfactory completion of a Physician Assistant program accredited by Accreditation Review Commission Education for the Physician Assistant (ARC-PA) or one of its predecessor agencies, CAHEA or CAAHEP.
Certification by the National Commission on Certification for Physician Assistants (NCCPA).
State of Michigan Controlled Substance License Required
Current DEA registration required
ACLS required (separate AHA approved BLS also required unless ACLS was completed through the UMHS Simulation Center).
One (1) year of inpatient APP experience

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*

One (1) year of experience as a PA/NP providing surgical patient care.
At least one (1) year of Otolaryngology experience as a PA/NP; inpatient experience preferred
Demonstrated experience managing adult tracheostomy patients.
Proficiency in conducting history and physical exams, writing patient orders and progress notes, performing rounds and consultations, and ordering/interpreting diagnostic studies.
Experience with adult inpatients
Experience performing independent minor procedures and/or assisting in the OR.
Strong verbal and written communication skills.
Ability to work independently and as part of a collaborative team.
Ability to handle acute inpatient patient situations (e.g. patient detrioriation)

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.

Michigan Medicine offers a competitive salary with excellent benefits!

Full Time Salary range: $130,630 - $200,734 /year

What benefits can you look forward to?

Flexible Health, Dental, and Vision Plans
Retirement Savings Plans with 2:1 Matching
Group Term Life Insurance
Long Term Disability Plan
Generous Time Off Allowances
$2200 Annual Professional Development Funds (0.5 FTE Appointment or above)
Paid Release Time for Professional Education Activities
Paid Maternity and Parental Leave
Tuition Support Progam
Wellness Plans
Work/Life Resources

Nursing Specific Info

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

Nursing Specific Info

Required qualifications must be met by the candidate in order to be interviewed and considered for the position.

Applicants who have left the UMPNC bargaining unit must include on their resume dates of past employment including months and years of service along with effort.

Positions less than 20 hours/week may be combined.

If you have questions regarding this posting or would like assistance with nursing opportunities please contact Nurse Recruitment at (734) 936-5183.

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

Hours/week: 40 hours/week, including weekdays and alternating weekends.

Shift: Day shift

Union Affiliation

This position is covered under the collective bargaining agreement between the U-M and the Michigan Nurses Association and the U-M Professional Nurse Council union, which contains and settles all matters with respect to wages, benefits, hours and other terms and conditions of employment.

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.

Contact Information

If you have questions regarding this posting or would like assistance with Advanced Practice Nurse opportunities please contact Michigan Medicine Nurse Recruitment at (734) 936-5183 or e-mail [email protected]. For a current listing of all open APRN job opportunities at Michigan Medicine, please visit www.umnursing.org

Application Deadline

Job openings are posted for a minimum of seven calendar days. This job 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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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 Cancer Services #2 and Adult Palliative Care 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 Department of Internal Medicine (Hematology/Oncology and Adult Palliative Care Services), as well as the Department of Radiation Oncology. Current IM-Hematology/Oncology teams include Bone Marrow Transplant/Cell & Gene Therapy, Leukemia, and Hematology Consult. 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.