Advanced Practice Professional (NP) Pain and Opioid Taper Clinic- Burlington Building

How to Apply

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 # 285060, PAs are directed to apply to job # 285061.

A total of one(1), 0.2 FTE, Advanced Practice Professional (either NP or PA) will be hired to fill this job opening.

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.

Responsibilities*

Essential Duties and Responsibilities (Clinical Scope)

• Complex Chronic Pain & Opioid Tapering: Evaluate and manage patients with complex spinal and musculoskeletal conditions. Formulate, execute, and monitor individualized medically supervised opioid tapering schedules for patients transitioning away from high-dose opioid therapy, incorporating multimodal non-opioid pharmacotherapy, interventional options, and physical rehabilitation modalities.
• Co-Occurring Opioid Use Disorder (OUD) Management: Diagnose and treat OUD in the context of chronic pain management. Initiate, maintain, and monitor Medications for Opioid Use Disorder (MOUD), specifically buprenorphine, in an outpatient pain clinic setting. 
• Multidisciplinary Care Coordination: Collaborate seamlessly within the Michigan Medicine Back and Pain Center's multidisciplinary framework, coordinating care closely with pain medicine physicians, pain psychologists, and addiction medicine specialists to provide holistic patient care. 
• Clinical Safety and Compliance: Perform comprehensive substance use risk assessments, issue patient education on harm reduction and overdose prevention (including naloxone prescribing), and strictly utilize the Michigan Automated Prescription System (MAPS) in accordance with legal and institutional guidelines
• Expectations for this position would include providing direct care to patients in the Back and Pain Center, to provide support to the physicians in the clinic, and contribute to the overall continuity of patients' care.
• This clinician would provide clinical leadership in practice, staff development and research.  Participate in student, physician, and staff education and participate in ongoing quality improvement initiatives.
• Candidate would be expected to work with clinical staff for scheduling and triage issues as well as supporting clinic nurses in the provision of patient care as needed with the service.

Required Qualifications*

NP

• 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 or Adult Gerontology Primary Care Nurse Practitioner or Family 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 
• MATE Act Compliance: Documentation of compliance with the federal MATE Act training requirement (completion of the one-time, 8-hour education mandate on managing substance use disorders).

PA:

• Current license to practice as a Physician Assistant in the State of Michigan.
• 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).
• State of Michigan Controlled Substance License Required  
• Current DEA registration required
• MATE Act Compliance: Documentation of compliance with the federal MATE Act training requirement (completion of the one-time, 8-hour education mandate on managing substance use disorders).

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 to be fully considered for this position.

Desired Qualifications*

• Specialized Clinical Expertise: Minimum of 5 years of APP experience in pain medicine, and addiction medicine, with demonstrated proficiency in managing complex patients with co-occurring chronic pain and substance use disorders (SUD).
• Controlled Substance Stewardship: Extensive clinical experience managing, auditing, and safely adjusting complex regimens involving controlled substances, including the prescribing and monitoring of high-risk medication classes such as opioids, sedatives (benzodiazepines, muscle relaxants) and gabapentinoids.
• Behavioral Health Integration: Proven competence partnering with pain psychologists, clinical social workers, to co-manage the psychosocial components of chronic pain, substance use, and sedative/opioid tapering anxiety.
• Interdisciplinary Case Reviews: Active experience presenting to, or leading, interdisciplinary case review panels to collaboratively solve complex, high-riskk patient cases involving multi-substance dependency, refractory pain, or high-dose polypharmacy.
• Dual-Purpose Pharmacology: Proven competency in utilizing buprenorphine formulations (e.g. Belbuca, Suboxone, Butrans) for the dual management of severe chronic pain and concurrent opioid use disorder.
• Polypharmacy Risk Mitigation: Exceptional skill in identifying and mitigating the safety risks associated with polypharmacy, including managing drug-drug interactions, utilizing advanced urine drug testing interpretation, and navigating patient safety concerns related to concurrent opioid and sedative use.
• De-escalation & Tapering Protocols: Demonstrated success in leading compassionate, evidence-based medication de-escalation, structuring cross-tapering schedules for sedatives, and implementing personalized opioid taper plans for complex or refractory patient populations.
• Experience practicing within a APP clinic model of independent patient visits.
• Experience performing clinical assessment, patient triage, and reviewing diagnostic tests.
• Demonstrated organizational/time management skills.
• Demonstrated clinical leadership.
• Demonstrated ability to direct nursing practice, prioritize, problem solve and delegate effectively and efficiently.
• Demonstrated excellent verbal and written communication skills.
• Demonstrated ability to develop and maintain collaborative practice.

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: $135,855 - $208,763 / year for full-time (1.0 FTE) appointment

What 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
• $2500 Annual Professional Development Funds (0.5 FTE Appointment or above)
• Paid Release Time for Professional Education Activities
• Paid Maternity and Parental Leave
• Tuition Support Program(at supervisor discretion/budget)
• Wellness Plans
• Work/Life Resources

Nursing Specific Info

Employment is contingent upon successful completion of the credentialing and privileging process.

Nursing Specific Info

Required qualifications must be met by the candidate in order to be interviewed and considered for the position. 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.

Modes of Work

Positions 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 the work modes.

Work Schedule

Hours/Week:  8
Shift/Hours/Days: Monday through Friday, specific shifts/ hours to be determined upon hire 
Location: Pain and Opioid Taper Clinic- Burlington Building 

Union Affiliation

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.

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.

Contact Information

If you have questions regarding this posting or would like assistance with Advanced Practice Nursing opportunities please contact Nurse and Physician Assistant Recruitment at (734) 936-5183 or e-mail [email protected]. For a current listing of all open APRN job opportunities at Michigan Medicine, please visit www.UMnursing.org.

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 Statement

The University of Michigan is an Equal Opportunity Employer. We are committed to providing an environment of mutual respect where equal employment opportunities are available to all applicants, including protected veterans and individuals with disabilities.