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 #257921 and PAs are directed to apply to job #257922.

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

Under physician supervision, directs and coordinates care as a primary service for hospitalized patients with advanced heart failure, pre and post-heart transplant, and medical management of left ventricular assist devices (LVAD). Management of this patient population includes cardiology and internal medicine. The NP/PA will:

• Complete detailed histories and physicals, daily progress notes, streamline the patient transfer process between levels of care, and discharge orders/documentation.
• Collect and interpret reports from diagnostic lab tests, radiographic procedures, clinical studies.
• Order tests/prescribe medications. 
• Present pertinent data to the medical staff and assist in maintaining continuity of care throughout Cardiovascular Medicine, including thorough and accurate hand-offs. 
• Patient/family education on heart failure, heart transplant, and LVAD. 
• Procedures include point-of-care ultrasound for physical assessment, placement of wound vacs, and placing NG tubes. 
• Confer with attending physicians and collaborate with other care providers/consultants to coordinate and communicate clinical care needs both inpatient and outpatient, and internal/external care providers.
• Maintain accurate documentation regarding patient status, evaluations, and treatments to physicians and the Heart Failure/Transplant/MVAD Outpatient Teams. 
• Participation in quality assurance activities including Lean Projects with the Heart Failure/Transplant/MVAD Team. 
• Perform other related duties as required.
• Maintain an in-depth 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.
• Participate in activities that promote professional growth and self-development.
• Adhere to all Michigan Medicine dress codes, personnel, and safety policies.
• Perform other related duties as required to assure patient safety and satisfaction utilizing service excellence and Patient Family Centered Care in daily practice.

Nurse Practitioners

• Current licensure to practice as a Registered Nurse and Nurse Practitioner specialty certification in the State of Michigan.
• Certification as an Acute Care Adult Gerontology Nurse Practitioner or Acute Care NP.
• 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.
• BLS, ACLS required.

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.
• BLS, ACLS required.

NOTE:
* Employment is contingent upon successful completion of the credentialing and privileging process.
* 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 with month and year at previous positions to be fully considered for this position.

• 1 year or more of full time Advance Practice Provider (APP) experience with 50% or more clinical time spent working with Heart Failure patients, Pre/Post-Heart Transplant patients, and/or LVAD patients within the last five years.
• Recent (within the last five years) APP experience working adult cardiology patients in an inpatient setting.
• APP experience prescribing and managing immunosuppression medications.
•          1 year or more APP experience rounding on an inpatient internal medicine or hospitalist service caring for acutely ill patients on telemetry, step-down, or ICU settings.
• One or more of the following certifications in Heart Failure: CHFN-K, HF-Cert, or OMT-HF
• One or more of the following certifications in cardiology: CCKE, ABCL, or CHC 
•          Proficiency reading 12 lead ECGs.
• Ability to demonstrate good computer skills including computer documentation and order entry.
• Demonstrates ability to function independently and as a team member, working collaboratively with others.
• Demonstrated clinical leadership and experience with coordinating and managing complex, patients and providing safe hand offs to the next provider. 
• Demonstrated expertise in facilitating the educational growth of others through previous clinical instructional roles.
• Demonstrated ability to collaborate clinical care ideas across multiple patient care services and to communicate effectively as a patient advocate. 
• Demonstrated commitment to carrying out professional responsibilities, adherence to ethical principles, sensitivity to diversity, and sharing knowledge with team members. 

Required qualifications must be met by the candidate in order to be interviewed and considered for the position. Posting may be filled after the initial 5-day posting period.
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.

Hours: 40 hours
Shift/Hours/Days: 24/7 coverage, night/day rotator, team is willing to consider straight night applicants pending the applicant's level of APP experience.
12-hour shifts:  1.0 FTE = 14 shifts per month
Department: Heart Failure Transplant 
Location: University Hospital & Cardiovascular Center 
Shift Differential:  Evening shift, Night shift, and Weekend shifts 

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.

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.

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.

The University of Michigan is an equal employment opportunity employer.

About University of Michigan - Ann Arbor

A great university is made so by its faculty and staff, and Michigan is recognized as one of the best universities to work for in the country. The Michigan culture is known for engaging faculty and staff in all facets of the university to create a workplace that is vibrant and stimulating.For two consecutive years, the Chronicle of Higher Education has placed U-M in its "Great Colleges to Work For" survey. In particular, the university earns high marks for strong relations between faculty and administrators, a collaborative system of governance, strong pay and benefits, and a healthy work/life balance.

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