How to Apply
This is an Advanced Practice Professional (APP) job opening.
Both qualified NP and PA applicants will be considered.
PAs are directed to apply to job # 139848 and NPs are directed to apply to job # 139847
A total of one(1), 1.0 FTE, Advanced Practice Professional (either NP or PA) will be hired to fill this job opening.
The Michigan Medicine Stroke Program is seeking a highly motivated NP/PA to join our busy team in a full-time position. Our program is certified as a Comprehensive Stroke Center with a highly effective leadership team. Our stroke program has seven vascular neurologists who see stroke patients in both the inpatient and outpatient setting, and we have an established telestroke relationship with several affiliate hospitals. This full-time position will consist of
- Four half-days of outpatient clinic seeing patients who have recently been discharged from the hospital after a stroke
- Triaging and seeing patients who are referred to our clinic in need of an expedited stroke evaluation
- Chart review and quality metric extraction related to our growing telestroke operations
- Facilitation of feedback regarding transfer-in and telestroke patient outcomes to referring hospitals and providers
- Leadership and coordination of processes related to the stroke inpatient-to-outpatient transition with the specific goals of improving patient satisfaction and reducing re-admission rates
- This Advanced Practice Provider will provide health care and specialized health services to patients and families enrolled in the Comprehensive Stroke Program in Cardiovascular Medicine at the CVC Clinic.
- Under physician supervision, the Advanced Practice Provider will coordinate care of clinic patient’s, perform consultations, pre-op evaluation and history, and follow up with the patients.
- Will also provide clinical expertise and direction to support patient medication management.
- Will collaborate with other care providers/consultants to coordinate and communicate clinical care
- Maintain accurate documentation regarding patient status, evaluations, and treatments to physicians, the RN/Clinical Team; streamline the patient transfer process between levels of care, including communicating specific patient needs to internal and external Michigan Medicine team members and other ambulatory care providers.
- Participate in quality assurance activities including Lean Projects with the Comprehensive Stroke clinical team as necessary.
- Perform other related duties as required to assure patient safety and satisfaction.
- Participate in the development and presentation of educational experiences for patients, families and health care professionals.
- Utilize Service Excellence and Patient Family Centered Care in daily practice.
- Abide by the standards of care and standards of practice established by Michigan Medicine.
- Practice within the regulations of the Michigan Public Health Code.
- Participates in the quality improvement for transitions of care.
Characteristic Duties and Responsibilities
- Tele-stroke quality and feedback MidMichigan, Metro, St Joe’s Ann Arbor and Hurley. The APP will generate a spreadsheet and individual case reports for U of M treating physicians to improve best practices and encourage continued participation. Feedback letters for each case will be generated for partner organizations to be sent out by Dr. McDermott. Metric: The APP will be responsible for 100% of these cases.
- Triage and seeing urgent clinic referrals especially from partner organizations. Metric: 50% of urgent stroke clinic referrals will be seen within 72 hours and >90% will be seen within 5 business days.
- Coordination of inpatient to outpatient to long-term management of the stroke patient. As we begin to examine the transitions of care process for stroke and anticipate this becoming a major JC indicator, we need to evaluate the needs and available resources for stroke patients who are discharged from University Hospital and return to the community. The goals are to maximize patient satisfaction, reduce ED and re-admissions and comply with anticipated rigorous JC evaluation. The APP will lead the effort to establish resources and unmet needs. Metric: a completed report within 12 months of hire.
- Medical/nursing Relationship Manager for stroke partnerships around the State. As the demand for our services expand there is increasing need for a Relationship Manager to record, track and ensure ongoing success in our operations. Examples include improving the speed and efficiency of transfers from ST Joe’s Ann Arbor to University Hospital for acute endovascular care, and sharing protocols for primary and comprehensive stroke center certification with MidMichigan and Metro. Metric: >80% positive evaluation by U of M and partner organizations on the value and contribution of the APP to these processes.
- Current license to practice as a Registered Nurse in Michigan.
- Current specialty certification as a Nurse Practitioner in the State of Michigan.
- Graduate of Accredited Nurse Practitioner program as an Adult Gerontology Acute or Primary Care NP, Adult NP, or Acute NP
- Certification as a Nurse Practitioner recognized by the National Council of State Boards of Nursing (NCSBN).
- Current license and DEA 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.
- At least 2-5 years’ recent experience in a leadership role as a Registered Nurse and/or Advanced Practice Provider caring for Adult cardiology patients and/or care of stroke patients.
- Demonstrated ability to work collaboratively and effectively with a multidisciplinary team.
- Demonstrated experience with and knowledge of current medical, surgical and pharmaceutical treatment modalities of the post-stroke patients.
- Ability to function independently and partner with team members to create ideal patient outcomes.
- Demonstrated commitment to patient and family centered care.
- Current ACLS credential.
- Demonstrated high level of critical thinking.
- Demonstrated high level of motivation to learn and participate in activities to provide outstanding patient care, improve stroke patients experience with the inpatient-to-outpatient transition, and serve the needs of our affiliate hospitals and partnerships.
- Must reflect a professional appearance and demeanor and possess excellent customer service skills.
- Demonstrated excellent verbal and written communication skills
- Recent demonstrated expertise performing H&P’s.
NOTE: Employment is contingent upon successful completion of the credentialing and privileging process.
NOTE: Required qualifications must be met by the candidate in order to be interviewed and considered for the position.
RESUME REQUIRED (for both internal & external applicants):
You must attach a complete and accurate resume to be fully considered for this position.
- Previous experience caring for Comprehensive Stroke Patients.
- Previous experience in an ambulatory cardiology clinic
- Demonstrated clinical leadership and experience with coordinating and managing complex and multifaceted projects.
- Previous experience in the development of evidence based clinical protocols.
- Previous experience in professional presentations and group education.
- Previous participation in clinical research.
- Experience in program development, quality improvement, research and regulatory readiness program planning.
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 UMHS_PArecruit@med.umich.edu. For a current listing of all open PA job opportunities at UMHS, please visit www.UMHSpa.org.
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.
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.
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.