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 # 280375 and PAs are directed to apply to job # 280376
A total of one (1), 1.0 FTE, Advanced Practice Professional (either NP or PA) will be hired to fill this job opening.
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.
BASIC FUNCTION AND RESPONSIBILITY
Palliative Care is a specialized area of healthcare that focuses on relieving and preventing the suffering of patients. Palliative medicine is appropriate for patients in all disease stages, including those undergoing treatment for curable illnesses and those living with chronic diseases, as well as patients who are nearing the end of life. Palliative medicine utilizes an interdisciplinary approach to patient care, relying on input from physicians, nurses, social workers, chaplains, pharmacists and other allied health professionals in formulating a plan of care to relieve suffering in all areas of a patient's life. This interdisciplinary approach allows the palliative care team to address physical, emotional, spiritual, and social concerns that arise with advanced illness.
In general, day to day responsibilities will include 1) providing oversight of direct patient care in inpatient beds dedicated to palliative care, and 2) providing full consultative services when needed, both of which will be in collaboration with an assigned physician.
Palliative Care Inpatient Beds (PCIB): This will include managing patients consistent with the collaborative practice agreement, to assess, diagnose and treat health problems associated with uncontrolled symptoms due to a life-limiting illness and/or end of life care that requires expert palliative care management. This will also include, exercising autonomy in medical decision-making and provide a moderate range of diagnostic and therapeutic services. Patients will be general floor care status, accommodating needs for telemetry monitoring, opiate infusions via secured pumps, high flow supplemental oxygen, stable BiPAP settings, palliative weaning of inotropes or LVAD discontinuation with guidance from the Cardiology service and nursing. While patients receiving symptom management may be full code, all end of life patients receiving comfort care must be DNAR, as is the policy in the rest of the institution. Evaluation from the Palliative Care Team will determine if PCIB admission is appropriate, based on bed availability.
Inpatient Consultation: This will include evaluating for medical needs surrounding life-limiting illness and/or end of life care which may include symptom management as well as clarification of goals. Many of our patients are approaching death and this position requires the ability to be present with patients and loved ones during times of strong emotion. Through empathetic communication, we help guide patients through determination of goals, redefining hope, reconciliation or other needs as deemed important to them as individuals. Symptom management may require appropriate prescribing of medications and use of complimentary therapies.
CHARACTERISTIC DUTIES AND RESPONSIBILITIES
Perform health assessments including patient history, physical examinations, diagnostic tests and appropriate interventions or referrals.
Document patient care and progress, and maintain complete and detailed patient records.
Serve as a preceptor for NP/PA students and fellows.
Participate in the development of policies, procedures and protocols including standards of care.
Present workshops, lectures and in-service programs.
Participate in research projects.
RELATED DUTIES
Perform other related duties as assigned.
SUPERVISION EXERCISED
May exercise functional supervision over support staff.
NP Required Qualifications
- 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-Gerontology Acute Care Nurse Practitioner or Adult Gerontology Primary Care Nurse Practitioner and Family 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
- AHA approved BLS certification
PA Required Qualifications
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.
- A minimum of 1 year experience as an advanced practice professional
- Advanced training in specialty palliative care (e.g. fellowship)
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 worlds 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
- $2500 Annual Professional Development Funds (0.5 FTE Appointment or above)
- Paid Release Time for Professional Education Activities
- Medical Malpractice Insurance
- Paid Maternity and Parental Leave
- Tuition Support Program
- Wellness Plans
- Work/Life Resources
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.
Department: Geriatric and Palliative Medicine
Shift: Days
Job Type: Full-time
Rotating Weekends: Yes
Rotating Holidays: Yes
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.
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.
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 [email protected]. For a current listing of all open PA job opportunities at Michigan Medicine, please visit www.UMHSpa.org.
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.
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.
