"Advanced Practice Professional (Nurse Practitioner) Medicine Pulmonology Gen/Mod Care"

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 # 272742 and PAs are directed to apply to job # 272743

A total of one (1), 1.0 FTE, Advanced Practice Professional (either NP or PA) will be hired to fill this job opening.

The Medicine Pulmonary service is a team of advanced practice providers (APPs) that provide care to an array of medically complex patient populations at an acuity level from general care to moderate care, with the largest patient population at the moderate care level. The Medicine Pulmonary service cares for several pulmonary population subsets including patients that are waiting for or have received a pulmonary transplant, adult patients with cystic fibrosis, post-operative interventional pulmonary patients, adult patients requiring invasive and non-invasive ventilation. The Medicine Pulmonary team is well established within the institution and is comprised of advanced practice providers that deliver high-quality and evidence-based care under the supervision of a pulmonary critical care attending.

Duties will include but are not limited to:

• Perform initial assessments of moderate care patients and general care patients.
• Perform detailed history and physical, formulate initial assessment and plan, and present patient cases and any pertinent data to medical staff.
• Appropriately order, collect, and interpret reports from diagnostic lab testing, radiographic procedures, and other clinical studies.
• Prescribe medications and enter other orders related to patient care.
• Perform various diagnostic, therapeutic, and procedural clinical interventions, based on privileges such as chest tube removals, tracheostomy removal.
• Manage mechanical ventilation, non-invasive ventilation, heated hi-flow nasal canula for respiratory failure
• Manage antibiotics and antifungals
• Manage immunosuppression and opportunistic infections in transplant patients.
• Manage chest tubes, including decision to place, administering thrombolytics, placement on suction or water seal or clamp, decision to remove chest tube.
• Run ACLS codes for cardiac arrest
• Initiate transplant evaluations for end stage lung and end stage liver patients
• Assist attending physicians in orientation of new medical trainees to the service, such as resident physicians or medical students; assist in the training of new advanced practice providers to the service; assist in maintaining continuity of care throughout the hospital stay.
• Communicate appropriately with attending physicians, consultants, and other members of the patient care team in order to coordinate and provide clinical care.
• Maintain accurate and thorough documentation regarding patient status, evaluations, and treatments.
• Streamline the patient transfer process between levels of care, including writing discharge orders and summaries and communicating specific patient needs to internal and external care centers or team members, as well as ambulatory care providers as needed.
• Participate in quality assurance activities including quality improvement projects, peer evaluations and support research initiatives involving Moderate Care patients.
• Assist in the development of patient-specific, facility-based disease management protocols; perform other related duties as required to assure patient safety and satisfaction; and utilize new improvements and/or technologies that relate to job assignments.

Organizational Relationships and Practice Environment:

• Advance Practice Professionals (APPs) will receive medical supervision from the Medicine Pulmonary Service Chief.
• Advance Practice Professionals (APPs) will receive administrative supervision from the APP Manager.

NP:

• Current licensure to practice as a Registered Nurse and Nurse Practitioner specialty certification in the State of Michigan.
• Current specialty certification to practice as an Adult Acute Care Nurse Practitioner or Adult-Gerontology Acute Care Nurse Practitioner.
  OR Current specialty certification to practice as a FNP, AGPCNP, or ANP ? with 3 years? experience as an APP in general or moderate care inpatient clinical environment with the same acuity and patient population-within the past 4 years.
• 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)
• 1 or more years of experience as an advanced practice provider working in an inpatient setting with internal medicine or pulmonology services.
• Experience rounding on an inpatient service as an APP caring for acutely ill patients.

PA:

• Current license to practice as a Physician Assistant in the State of Michigan.
• State of Michigan Controlled Substance License Required.
• 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).
• 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)
• 1 or more years of experience as an advanced practice provider working in an inpatient setting with internal medicine or pulmonology services.
• Experience rounding on an inpatient service as an APP caring for acutely ill patients.

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.

Preferred Qualifications:

• Demonstrated ability to coordinate clinical care ideas across multiple patient care services and to communicate as a patient advocate.
• Ability to prioritize assignments and manage a busy work environment
• Experience managing patients with chronic respiratory failure requiring non-invasive ventilation or invasive ventilation via tracheostomy.
• Experience managing patients with cystic fibrosis and patient being evaluated for or having had received a pulmonary transplant.
• APP experience with Pulmonary Disease
• Demonstrated ability to coordinate clinical care ideas across multiple patient care services and to communicate as a patient advocate.

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

Shift/Hours/Days
7pm-7am Week and Weekend shifts; predominantly night shift with rotation to day shift as needed.

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.