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Job Summary

Manages, directs, and coordinates the clinical advanced practice provider (APP) team, to include Physician Assistants (PA) and Advance Practice Nurses (APN) within the Division of Hospital Medicine team. Administrative Effort (50%) 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 clinical operations. Develops, implements, and monitors patient care and revenue-generating departmental programs for APP teams. Clinical Effort (50%). Commits to gain exposure in designated units (Medical Short Stay Unit, Medicine Faculty Hospitalists, Medicine Hematology co-managed service, Medicine Procedure Service, and internal medicine resident ward services) as a staff provider or through shadowing.

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 shift as required by the service.

About Hospital Medicine 
The Division of Hospital Medicine is a rapidly growing, dynamic, and evolving group within the Department of Internal Medicine. The Division cares for complex internal medicine patients that have needs ranging from observation/short stay and planned procedures, to general and moderate care including those positive for (or patients under investigation for) COVID-19. Clinicians in the Division care for patients with a wide range of illnesses and system-based problems, ranging from hematological malignancies to cardiovascular, gastrointestinal, pulmonary, and multi-system disease. Advanced practice providers (APPs) work in close collaboration with hospitalist attending physicians and resident trainees to assist with triaging patients, complete history and physicals and other daily documentation, evaluate and manage patients who are admitted or need admission, and determine diagnostic and treatment plans.  

 

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.

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.

What Benefits can you Look Forward to?

  • Excellent medical, dental and vision coverage effective on your very first day
  • 2:1 Match on retirement savings

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 Hospital Medicine faculty and administration by acting as a liaison among staff.
  • Schedule staff. Coordinate work for APPs across Hospital Medicine services including training and orientation. Resolve scheduling and possible cross coverage issues as they arise with individual APP's. Maintain a central schedule resource that includes paid time off and CME.
  • Plan, review, and manage the administrative and operational activities of Hospital Medicine APPs related to productivity, quality assurance and regulatory compliance.
  • Direct the recruiting, interview, selection, and orientation process for Hospital Medicine APP positions.
  • Develop/revise job descriptions for Hospital Medicine APPs.
  • 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 MSSU operational and process issues as the impact/affect APPs.
  • Coordinate the development of section/department policies and procedures for APPs.
  • Plan and direct educational activities for APPs within Hospital Medicine.
  • Facilitate and conduct planning, coordinating, and evaluating Hospital Medicine quality assurance and patient safety activities as they relate to APPs.
  • Participate as clinical leader on the management team for Hospital Medicine. 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 section/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 Hospital Medicine.
  • 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 director.
  • Provide direct patient care for a percentage of appointment appropriate for the team and approved by the Associate Division Chief for Clinical Affairs.

The APP Manager will have a primary reporting relationship to the Associate Division Chief for Clinical Affairs for clinical operation issues and to the Division of Hospital Medicine Administrator for administrative issues. When on clinical duty, the APP Manager will receive direction from the assigned physician. Administrative supervision is exercised over APPs working within Hospital Medicine. The APP Manager will function as a liaison with the Health System Chief Physician Assistant and Director of Advanced Practice Nursing.

Required Qualifications*

Physician Assistant Candidate:

  • Current license to practice as a Physician Assistant in the State of Michigan.
  • Satisfactory completion of a physician assistant program accredited by ARC-PA or one of its predecessor agencies. 
  • Certification by the National Commission on Certification for Physician Assistants (NCCPA).
  • State of Michigan Controlled Substance License Required  
  • Current DEA registration required
  • ACLS certification
  • Five years APP clinical experience in specialty relevant to practice area. 
  • Minimum of 3 years of supervisory experience in a healthcare or hospital setting.

Nurse Practitioner Candidate:

  • 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 required
  • ACLS certification
  • Five years APP clinical experience in specialty relevant to practice area. 
  • Minimum of 3 years of supervisory experience in a healthcare or hospital setting

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.

Desired Qualifications*

  • 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.

Work Schedule

This is a 1.0 FTE, 40-hour position and includes off shifts, weekend, and holidays shift as required by the service.

Union Affiliation

This position is not included under the collective bargaining agreement between the U-M and the Michigan Nurses Association and the U-M Professional Nurse Council or the United Physician Assistants of Michigan Medicine unions.

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. 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.

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.

Selection Process

Michigan Medicine 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 Department of Nursing, like 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 Statement

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

 

U-M COVID-19 Vaccination Policy

COVID-19 vaccinations are now required for all University of Michigan students, faculty and staff across all three campuses, including Michigan Medicine.  This includes those working or learning remotely.  More information on this policy is available on the Campus Blueprint website or the U-M Dearborn and U-M Flint websites.