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 #215574 and PAs are directed to apply to job #215575.

A total of (2) two, 1.0 FTE, Advanced Practice Professionals (either NP or PA) will be hired to fill this job opening.

Summary

The Division of Hospital Medicine program is seeking to hire one full-time nocturnist physician assistant (PA) or nurse practitioner (NP) to join our hospitalist program and practice inpatient medicine across multiple service lines, primarily for one of our internal medicine resident ward services.

The Division of Hospital Medicine is a rapidly growing, dynamic and evolving group within the Department of Internal Medicine. The Division cares for complex internal medicine patients that have needs ranging from observation/short stay and planned procedures, to general care, moderate and intensive care including those positive for (or patients under investigation for) COVID-19.  Clinicians in the Division care for patients with a wide range of illnesses and system-based problems, ranging from hematological malignancies to cardiovascular, gastrointestinal, pulmonary and multi-system disease. Advanced practice providers (APPs) work in close collaboration with hospitalist attending physicians and resident trainees to assist with triaging patients, complete history and physicals and other daily documentation, evaluate and manage patients who are admitted or need admission, and determine diagnostic and treatment plans.  The role includes admitting, triage and cross-coverage responsibilities along with procedural and other specialty duties as described below. 

The Hospital Medicine APP role is based on a collaborative model of care teams made up of physician and advanced practice providers on services including (but not limited to):  Medical Short Stay Unit, Medical Faculty Hospitalists, Medicine Hematology comanaged service, internal medicine resident ward services.  APPs in the Division of Hospital Medicine are expected to not only engage in clinical activities and responsibilities, but also engage in education and continuous quality improvement activities.  

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.

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

Responsibilities*

1. Assess and triage patients referred for admission from external sources (e.g., clinics), the emergency department or other internal sources (e.g., other clinical services) for appropriateness and destination of care delivery.
2. Assess new patients for relevant & complete health and medical history, perform an appropriate physical examination and complete documentation and procedures related to admission.
3. Manage the care of admitted patients, including the following:
   • Order appropriate diagnostic studies, medications, and treatments for acute conditions and manage co-existing conditions.
   • Review, interpret, and manage diagnostic test data. 
   • Write prescriptions for scheduled and unscheduled medications under delegated prescriptive authority from the attending physician(s) as appropriate. 
   • Competently perform invasive and non-invasive procedures, including but not limited to lumbar puncture, paracentesis, thoracentesis and joint aspirations as appropriate.
   • Safely coordinate and oversee patient transfers between sites of care within the University and across external care sites.
   • Coordinate and lead patient and family communication efforts, providing patient and family education, discussing goals of care, and delineating code status as needed.
   • Call consultants and carry out recommended work up and plans of care as recommended by respective specialties.
   • Lead and participate in safety huddles, multidisciplinary rounds, and shift sign-outs that are patient-centered.
4. Manage patients admitted with COVID-19 in moderate care settings including the use of heated high flow oxygen, prone positioning, and non-invasive ventilation.
5. Discharge patients, complete discharge documentation, and communicate discharge plans with other care providers as part of patient’s healthcare continuum.
6. Lead and participate in case conferences and collaborative educational series.
7. Orient and precept newly onboarding APPs, nurse practitioner students, physician assistant students, and medical students as appropriate.
8. Maintain knowledge of medical principles, practices, standards, and techniques in accordance with Michigan Medicine policies and procedures, Medical Staff Bylaws and State and Federal laws/regulations. 
9. Build and maintain professional relationships with physician other health care providers. 
10. Seek consultation with faculty, as appropriate, for concerns and issues outside the one’s scope of knowledge or skills

Required Qualifications*

Nurse Practitioners

• Current licensure to practice as a Registered Nurse and Nurse Practitioner specialty certification in the State of Michigan.
• Certification as an Adult Gerontology Acute Care Nurse Practitioner 
• Graduate of an accredited Nurse Practitioner program or who has successfully completed all required Nurse Practitioner program coursework at an accredited Nurse Practitioner program to qualify to take their specialty certification exam.
• 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.)

Physician Assistants

• Satisfactory completion of a Physician Assistant program accredited by Accreditation Review Commission on 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).
• Current license to practice as a Physician Assistant in the State of Michigan.
• 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.)

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*

• At least 1 year of clinical advanced practice provider employment experience.
• Previous advanced practice employment experience in hospital medicine or a comparable acute inpatient care area.
• Additional specialty certifications related to inpatient care. 
• Intensive care unit advanced practice employment experience.
• Demonstrated ability to efficiently and effectively manage multiple clinical tasks with attention to detail. 
• Demonstrated ability to communicate effectively (oral and written).
• Demonstrated ability to excel in a team based model of care. 
• Demonstrated ability to role model professional behavior in all situations. 
• Demonstrated high level of critical thinking. 
• Demonstrated high level of motivation to learn and participate in diverse patient care activities. 
• Able to work a flexible schedule to accommodate job requirements. 
• Able to physically don and doff PPE required for droplet and airborne isolation. 
• Ability to perform various diagnostic, therapeutic, and specialty procedures. 
• Ability to adhere to Michigan Medicine protocols for protecting patients and workforce members in the management of patients with confirmed COVID-19 and PUIs.

Work Schedule

Shift/Hours:  This position is a full time, primarily nocturnist role with occasional evening hours. Shifts are primarily 12 hours in duration, and work hours are primarily 7p-7a (occasional 10-hour evening shifts will be scheduled).  Holiday and weekend coverage is required.  On-call responsibility for 48-72 hours per month.  

Primary location: University Hospital

Union Affiliation

This position is covered under the collective bargaining agreement between the U-M and the United Physician Assistants of Michigan Medicine, 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 Physician Assistant opportunities please contact Nurse and Physician Assistant Recruitment at (734) 936-5183 or e-mail UMHS_PArecruit@med.umich.edu.  For a current listing of all open PA job opportunities at Michigan Medicine, please visit www.UMHSpa.org. 

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.

Selection Process

Michigan Medicine seeks to recruit and retain a diverse workforce as a reflection of our commitment to serve the diverse people of Michigan and to maintain the excellence of the University. We welcome applications from anyone who would bring additional dimensions to the University’s research, teaching, and clinical mission, including women, members of minority groups, protected veterans, and individuals with disabilities. The University of Michigan as a whole, is committed to a policy of nondiscrimination and equal opportunity for all persons and will not discriminate against any individual because of race, color, national origin, age, marital status, sex, sexual orientation, gender identity, gender expression, disability, religion, height, weight, or veteran status. 

U-M EEO/AA Statement

The University of Michigan is an equal opportunity/affirmative action employer.

U-M COVID-19 Vaccination Policy

COVID-19 vaccinations, including boosters when eligible, are required for all University of Michigan students, faculty and staff across all campuses, including Michigan Medicine.  This includes those working remotely.   More information on this new policy is available on the Campus Blueprint website or the UM-Dearborn and UM-Flint websites.