Advanced Practice Professional (Nurse Practitioner) Cardiac Intensive Critical Care Area

Advanced Practice Professional (Nurse Practitioner) Cardiac Intensive Critical Care Area

23 Sep 2024
Michigan, Ann arbor, 48103 Ann arbor USA

Advanced Practice Professional (Nurse Practitioner) Cardiac Intensive Critical Care Area

Advanced Practice Professional (Nurse Practitioner) Cardiac Intensive Critical Care AreaApply NowHow to ApplyThis is an Advanced Practice Professional (APP) job opening.Both qualified NP and PA applicants will be considered.NPs are directed to apply to job #254825 and PAs are directed to apply to job #254826.A total of (1) one, 1.0 FTE, Advanced Practice Professional (either NP or PA) will be hired to fill this job opening.Mission StatementMichigan 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.Michigan Medicine offers a competitive salary with excellent benefits!Salary range: $129,541 - $199,061 / yearWhat 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

ResponsibilitiesUnder physician supervision, directs and coordinates care in the cardiac intensive critical care area. Care provided is for the adult patient population, including but not limited to NSTEMI/STEMI, advanced heart failure, pre- and post-heart transplant, and mechanical circulatory support. Some of the Advanced Practice Provider (APP) duties include (not an all-inclusive list)

Complete detailed histories and physicals, daily progress notes, streamline the patient transfer process between levels of care, and discharge orders/documentation.

Responsible for primary Code Team Coverage in the Pavilion

Collect and interpret reports from diagnostic lab tests, radiographic procedures, and 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.

Procedures include point-of-care ultrasound for physical assessment, placement of arterial lines, central venous catheters, and placing NG tubes/dobhoff.

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

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.

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 handoffs 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.

Nursing Specific InfoRequired 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.Required QualificationsNurse Practitioners

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 .

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

BLS and ACLS certified

3 years full time APP experience rounding in an ICU or inpatient cardiology or advanced heart failure service

Physician Assistants

Current license to practice as a Physician Assistant in the State of Michigan.

Certification by the National Commission on Certification for Physician Assistants (NCCPA).

Satisfactory completion of a physician assistant program accredited by the Accreditation Review Commission on Education for the Physician Assistant (ARC-PA), or one of its predecessor agencies, CAHEA or CAAHEP.

State of Michigan Controlled Substance License Required

Current DEA registration

BLS and ACLS certified

3 years full time APP experience rounding in an ICU or inpatient cardiology or heart failure service

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.Desired Qualifications

Procedure experience including but not limited to arterial and central line placements

1 year APP experience working on a Rapid Response/Code team

Demonstrated proficiency as an APP with hemodynamic assessment and ECG interpretation

Certification in one or more areas of cardiology: CCKE, HF-Cert, CHFN-K, ABCL, or CHC

Demonstrates knowledge of adult cardiac physiology

Demonstrates ability to articulate in an effective and clear manner, the pertinent clinical issues to the multidisciplinary team.

Demonstrates excellent written and verbal communication skills, as well as organizational abilities.

Demonstrates Patient and Family oriented Care

Work ScheduleShift/Hours: 40 hours per weekNight/Day and Weekend Rotating Shift Position with a variable scheduleModes of WorkPositions 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 thework modes (https://hr.umich.edu/working-u-m/my-employment/ways-we-work-resource-center/ways-we-work-implementation-group/modes-work) .Union AffiliationThis 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 ScreeningMichigan 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.Selection ProcessMichigan Medicine, University of Michigan 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 StatementThe University of Michigan is an equal opportunity/affirmative action employer.Job DetailJob Opening ID254825Working TitleAdvanced Practice Professional (Nurse Practitioner) Cardiac Intensive Critical Care AreaJob TitleNP CRITICAL CAREWork LocationMichigan Medicine - Ann ArborAnn Arbor, MIModes of WorkOnsiteFull/Part TimeFull-TimeRegular/TemporaryRegularFLSA StatusExemptOrganizational GroupUm HospitalDepartmentMM UH/CVC New Patient TowerPosting Begin/End Date9/23/2024 - 10/06/2024Career InterestNursing- All NursingNursing- Advanced Practice ProfessionalNursing- Cardiology/ CardiovascularApply Now

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  • Summary The incumbent serves as an Advanced Medical Support Assistant (AMSA) assigned to Community Care Service. The Community Care Team generally consists of two registered nurses care navigators and three to four Administrative associate MSA per team. Responsibilities The Advanced MSA coordinates with their team to set up care in the community under the Mission Act Standards. They develop/maintain effective and efficient communication with the patient, interdisciplinary, VA medical centers, and other agencies with communications during the inpatient to outpatient discharge; communicate with non-VA medical facilities; facilitate/process secure messaging with the patient and team; notify patients of normal lab results; develop and manage a tracking system for follow up care(such as consults, tests, ect). Some of the major duties of this position include, and are not limited to: Performing various clerical and administrative duties for the department Participating in team huddles and meetings to manage and plan patient care Setting priorities and deadlines for scheduling in the community Adjusting the flow and sequencing to work to meet the team and patient needs. Work with team to reinforce the plan of care and self help solutions and entering appropriate information into the Electronic Health Record(EHR). Monitoring pre- appointments to assure readiness for patient care in the community Managing active and schedule list of consults in community care Participating and providing problem solving on operational or procedure on team meetings Performing administrative follow up actions Participating in and independently follow up on team huddles by sharing information Precepting and assisting on deskside training for new staff or new team members and collaborating with medical team to assure continuity of care while in the community and back to the VA Work Schedule: Primarily Monday through Friday (schedule to be discussed during interviews). Telework: Not Available. Virtual: This is not a virtual position. Functional Statement #: 92613-0 Relocation/Recruitment Incentives: Not Authorized. Permanent Change of Station (PCS): Not Authorized. Financial Disclosure Report: Not Required. Requirements Conditions of Employment You must be a U.S. Citizen to apply for this job. Selective Service Registration is required for males born after 12/31/1959. Must be proficient in written and spoken English. You may be required to serve a probationary period. Subject to background/security investigation. Selected applicants will be required to complete an online onboarding process. Participation in the seasonal influenza vaccination program is a requirement for all Department of Veterans Affairs Health Care Personnel (HCP). Participation in the Coronavirus Disease 2019 (COVID-19) vaccination program is a requirement for all Veterans Health Administration Health Care Personnel (HCP) - See \"Additional Information\" below for details. Qualifications Basic Requirements: United States Citizenship: Non-citizens may only be appointed when it is not possible to recruit qualified citizens in accordance with VA Policy. Experience and Education. Experience. Six months experience of clerical, office, customer service, or other administrative work that indicates the ability to acquire the particular knowledge and skills needed to perform the duties of the position; OR, Education. One year above high school; OR, Experience/Education Combination. Equivalent combination of experience and education are qualifying for entry level for which both education and experience are acceptable. English Language Proficiency. MSAs must be proficient in spoken and written English in accordance with VA Handbook 5005, Part II, Chapter 3, Section A, paragraph 3.j. Grandfathering Provision All MSAs employed in VHA in this occupation on the effective date of this qualification standard are considered to have met all qualification requirements for the title, series, and grade held, [which] are [a] part of the basic requirements of the occupation. For employees who do not meet all the basic requirements required in this standard, but who met the qualifications applicable to the position at the time they were appointed to it, the following provisions apply: Such employees may be reassigned, promoted, or changed to a lower grade within the occupation Employees who are appointed on a temporary basis prior to the effective date of the qualification standard may not have their temporary appointment extended or be reappointed, on a temporary or permanent basis, until they fully meet the basic requirements of the standard. If an employee who was converted to [Title] 38 hybrid status under this provision leaves the occupation, the employee loses protected status and must meet the full VA qualification standard requirements in effect at the time of reentry to the occupation. Foreign Education: To be creditable, education completed outside the U.S. must have been submitted to a private organization that specializes in the interpretation of foreign educational credentials and such education must have been deemed at least equivalent to that gained in conventional U.S. programs. Grade Determinations: GS-06 Experience: One year of experience equivalent to the GS-5 grade level. You must have one year of specialized experience equivalent to at least the next lower grade GS-05 in the normal line of progression for the occupation in the organization. Examples of specialized experience would typically include, but are not limited to: Independently performs a full range of duties related to the delivery of healthcare services in an inpatient or outpatient setting. Advises clinical staff on current administrative processes. Responsible for answering phones, greeting patients, relaying messages to appropriate staff inside or outside of the unit, scheduling appointments, including interpreting and verifying provider orders in accordance with VHA national scheduling guidelines. Scheduling, canceling, re-scheduling patient appointments and/or consults. Entering no-show information. Monitoring appointment requests from multiple electronic sources. Participating in huddles with other MSAs and/or clinic staff to determine the daily needs of the clinic, monitoring both inpatient and outpatient appointments in areas of responsibility Verifying and updating demographics and insurance information when patients check-in for appointments. Coordinates administrative functions relating to emergency and non-emergency transfers to other VA facilities or private hospitals, and determines appointment type based on the patient\'s eligibility status (i.e., TRICARE, sharing agreements, collaterals, research patient, VA employee, etc.). Additionally, candidates must demonstrate all of the following Knowledge, Skills, and Abilities: Please make sure that each is addressed in your application package. 1. Ability to collaborate and communicate with a wide range of medical clinicians across multiple disciplines (e.g. medical doctors, nurse practitioners, physician assistants, psychologists, psychiatrists, social workers, clinical pharmacists, and nursing staff) to accomplish team goal setting to ensure medical care to patients is met. 2. Ability to independently set priorities and organize work to meet deadlines, ensuring compliance with established processes, policies, and regulations. 3. Ability to communicate tactfully and effectively, electronically, by phone, in person, and in writing, with internal and external customers. This may include preparing reports in various formats and presenting data to various organizational levels, as well as resolving patient concerns. 4. Advanced knowledge of the technical health care process (including, but not limited to, scheduling across interdisciplinary coordinated care delivery and/or care in the community models and patient health care portals) as it relates to access to care. 5. Advanced knowledge of policies and procedures associated with interdisciplinary coordinated care delivery and/or care in the community operational activities that affect patient flow, and patient support care administrative functions to include, but not limited to appointment cycles, outside patient referrals, follow-up care, overbooking, provider availability, etc. 6. Advanced knowledge of medical terminology due to the technical nature of language utilized by clinicians. References: APPENDIX G45. MEDICAL SUPPORT ASSISTANT QUALIFICATION STANDARD GS-0679. Physical Requirements: Work requires some physical exertion such as prolonged periods of standing, bending, reaching, crouching, stooping, stretching and lifting moderately heavy items such as manuals and record boxes. Work environment is in an adequately lighted, heated, and ventilated medical facility setting. The work environment involves everyday discomforts or risks that require normal safety precautions. Education There is no education substitution at this grade level. Additional Information Under the Fair Chance to Compete Act, the Department of Veterans Affairs prohibits requesting an applicant\'s criminal history prior to accepting a tentative job offer. For more information about the Act and the complaint process, visit Human Resources and Administration/Operations, Security, and Preparedness (HRA/OSP) at The Fair Chance Act. This job opportunity announcement may be used to fill additional vacancies. This position is in the Excepted Service and does not confer competitive status. VA encourages persons with disabilities to apply. The health-related positions in VA are covered by Title 38, and are not covered by the Schedule A excepted appointment authority. Pursuant to VHA Directive 1193.01, VHA health care personnel (HCP) are required to be fully vaccinated against COVID-19 subject to such accommodations as required by law (i.e., medical, religious or pregnancy). VHA HCPs do not include remote workers who only infrequently enter VHA locations. If selected, you will be required to be fully vaccinated against COVID-19 and submit documentation of proof of vaccination before your start date. The agency will provide additional information regarding what information or documentation will be needed and how you can request a legally required accommodation from this requirement using the reasonable accommodation process. If you are unable to apply online or need an alternate method to submit documents, please reach out to the Agency Contact listed in this Job Opportunity Announcement.

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