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Job Summary

Manages, directs and coordinates the clinical advanced practice provider team (APP) to include Physician Assistants (PA) and Advance Practice Nurses (APN) within the Frankel CVC Adult Cardiac Surgery team.  Administrative Effort (80%) Administers overall operations of the APP team to include clinical practice, staffing, staff development, strategic planning, budgeting, quality assurance, and administration of activities and personnel that impact inpatient and/or outpatient clinical operations. Develops implements and monitors patient care and revenue-generating departmental programs for APP teams. Clinical Effort (20%) Commits to work in designated units (CVICU/4C) as a staff provider.

The APP Manager is an experienced clinical leader and provider with exceptional communication and management skills who is committed to the highest level of patient care and business success. 

Note: This is a 40-hour position and includes off shifts, weekend and holidays shifts as required by the service.

Responsibilities*

  • Administratively manages APP staff and operations and develops and administers policies and procedures.
  • Responsible for operational and tactical planning, contributing to strategic plans, assessing related processes, implementing techniques to promote and improve the quality and continuity of patient care and evaluating aggregate data for the purpose of assessment.
  • Develop and administer a strategic plan to manage APP activity.
  • Ensure that appropriate personnel are in place by developing and managing a staffing plan for the APP team.
  • Develop and monitor staff compliance with education and training requirements.
  • Review and assess clinical needs and, as required, proposes restructuring or creation of clinical services in both the planning and budgeting processes.
  • Review billing activity of APPs for the purposes of compliance, distribution of effort and in comparison to budgeted activity.
  • Ensure APPs function in accordance with federal and state regulatory standards and institutional policies and procedures.
  • Ensure appropriate goal alignment of APPs within the team, service and department.
  • Facilitate open channels of communication with Adult Cardiac Surgery faculty and administration by acting as a liaison among staff.
  • Schedule staff.  Coordinate work for APPs including training and orientation. Resolve scheduling and possible cross coverage issues as they arise with individual APPs. Maintain a central schedule resource that includes paid time off and CME.
  • Plan, review, and manage the administrative and operational activities of the APPs related to productivity, quality assurance and regulatory compliance.
  • Direct the recruiting, interview, selection and orientation process for APP positions.
  • Develop/revise job descriptions for APPs within the unit.
  • Conduct performance evaluation of APPs, coach and mentor APPs with respect to opportunities for performance and professional growth. This includes distribution and collection of 360 degree feedback from faculty & APPs, individual chart reviews as required for ongoing professional evaluation or focused professional evaluation.
  • Provide oversight for credentialing and privileging process including selection of privileges appropriate to role and competency assessment including logging of minimum procedures required for APP privileges.
  • Provide feedback to the assigned physician(s) regarding performance issues as may apply to the APP individuals or team.
  • Conduct review of department operational and process issues as they impact/affect APPs.
  • Coordinate the development of department policies and procedures for APPs.
  • Plan and direct educational activities for APPs within the department. 
  • Facilitate and conduct planning, coordinating and evaluating quality assurance and patient safety activities as they relate to APPs.
  • Participate as clinical leader on the management team for Adult Cardiac Surgery APT.  Meet regularly with department administration to determine the need for any position or department-specific or competency-based education or assessment of APPs, in addition to the required UMHS annual mandatories. If specific needs are determined, work with department administration to define and implement those assessments.
  • Participate in and encourage activities among APPs to promote continued learning and professional growth.
  • Act as central oversight for CME policy including review and approval of CME related expenses consistent with the policy within the unit. 
  • Identify opportunities and facilitate APP student experiences within the department.
  • Attend continuing education offerings and staff development programs, review literature, and collaborate with other professionals.
  • Develop own performance plan consistent with the goals of the position. Evaluate own performance periodically with assigned physician Provider.    
  • Provide direct patient care for a percentage of appointment appropriate for the team and approved by the department.

Required Qualifications*

  • Five years APP clinical experience in an acute care setting. 
  • Minimum of 3 years of supervisory experience in a healthcare or hospital setting.
  • Have in-depth knowledge of Advanced Practice Nurse and Physician Assistant work, state and federal regulations, and credentialing.
  • Demonstrated ability to assess, interpret and analyze clinical information independently and collaboratively.
  • Strong knowledge of management and leadership principles and practices.
  • Demonstrated leadership skills and ability to perform as role model to APP team.
  • Excellent communication and interpersonal skills; ability to work independently with minimal supervision and demonstrated maximum collaboration in a team environment and matrix organization.
  • Able to collaborate in a manner that fosters teambuilding and to provide visionary direction for team members.
  • Demonstrated ability to work effectively with administrators, physicians, peers and all members of the health care team.
  • Demonstrated ability to initiate and effectively lead a change management process using lean methodology or other process improvement framework.

Physician Assistant Candidate:

  • Satisfactory completion of a physician assistant program accredited by the by the Accreditation Review Commission on Education for the Physician Assistant (ARC-PA).
  • Certification by the National Commission on Certification for Physician Assistants (NCCPA) is required.
  • Possession of a current license to practice as a Physician Assistant in the State of Michigan is required.

Advanced Practice Nurse Candidate:

  • Current licensure to practice as a Registered Nurse in the State of Michigan.
  • Current specialty certification to practice as a Nurse Practitioner in the State of Michigan.
  • Graduate of an accredited Nurse Practitioner program.
  • Certification as a Nurse Practitioner recognized by the National Council of State Boards of Nursing (NCSBN).

Additional Information

The APP Manager will have a primary reporting relationship to the Section Head, Adult Cardiac Surgery for clinical operation issues and to the FCVC Director of Clinical Operations for administrative issues and to the FCVC Director of Nursing for nursing practice issues. When on clinical duty, the APP Manager will receive direction from the assigned physician. Administrative supervision is exercised over APPs working within the unit and the administrative assistant.  The APP Manager will function as a liaison with the Health System Chief Physician Assistant and Director of Advanced Practice Nursing.

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.

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.

Application Deadline

Job openings are posted for a minimum of seven calendar days. This job may be removed from posting boards and filled anytime after the minimum posting period has ended.

U-M EEO/AA Statement

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