Advanced Practice Professional (NP or PA) Adult Inpatient Bone Marrow Stem Cell Transplant and Cellular Therapy and the Outpatient Migration Program

University of Michigan Health; Ann Arbor (MI); On-site; USD 136,000 - 209,000; Full time

Benefits offered by this job

Flexible Health, Dental, and Vision

2:1 Retirement Matching

Group Term Life Insurance

Long Term Disability

Generous Time Off

Annual Professional Development Funds

Paid Maternity/Parental Leave

Tuition Support Program

Wellness Plans

Work/Life Resources

Job summary

Michigan Medicine seeks an experienced NP/PA to rotate between Adult Inpatient Bone Marrow/Stem Cell Transplantation and Cellular Therapy and the Outpatient Migration Program. You will provide expert care for adults with malignant hematologic disorders under a multidisciplinary team.

Responsibilities include history/physical exams, daily patient reviews, adherence to CPGs, and education of patients, families, and staff. Strong BMT/CT experience preferred.

Qualifications

• Graduate of an accredited nurse practitioner program.
• Nurse Practitioner certification recognized by NCSBN.
• Current RN license in Michigan.
• DEA registration is required.
• BLS and ACLS certifications are required.

Responsibilities

• Rotate between BMT/CT and Outpatient Migration Program.
• Provide care and manage adult patients with malignant hematologic disorders.
• Perform history/physical exams and patient evaluations 1-2x daily.
• Order per Clinical Practice Guidelines; admissions and discharges.
• Educate patients, families, and nursing staff; coordinate referrals.
• Recognize and treat sepsis, GVHD, CRS, IEC-EC, ICANS, and cytopenias.
• Perform bone marrow procedures and review tests.
• Participate in clinical trials and transition of care between settings.

Skills

Inpatient care

Telemetry interpretation

ACLS certification

Sepsis recognition

BMT/CT experience

Education

Graduate of an accredited nurse practitioner program

Nurse Practitioner certification recognized by NCSBN

Michigan RN license

DEA registration

BLS/ACLS certifications

Job description

Why 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 worlds 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!

Full Time Salary range: $135,855 - $208,763 / year

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
  

Responsibilities

This position will rotate between Adult Inpatient Bone Marrow/Stem Cell Transplantation and Cellular Therapy (BMT/CT) and the Outpatient Migration Program
Provide care and direct management of adult patients with malignant myeloid and lymphoid hematological disorders with a focus on BMT/CT under a collaborative agreement with BMT physicians and participation with the multidisciplinary team
Manage complex patients including: performing history/ physical examination and patient evaluation 1-2x/day, orders per Clinical Practice Guideline (CPG) in supportive care treatment regimens, admission of patients, discharges, consults, patient and family education, collaboration and referrals with other health care providers, and provision of education to nursing staff, students, and the community.
Ability to recognize and appropriately treat: sepsis, chemotherapy toxicities; graft versus host disease (GVHD), cytokine release syndrome (CRS), immune effector cell-associated enterocolitis (IEC-EC), immune effector cell-associated neurotoxicity syndrome (ICANS), cardiac myopathies with arrhythmias, and profound cytopenias requiring daily transfusions.
Perform procedures such as bone marrow aspiration/biopsy, bone marrow harvest as 2nd assist, lumbar puncture, and skin biopsies for diagnostic and therapeutic indications.
Review laboratory and radiographic tests results and interface with faculty and patients regarding results and plan of care.
Participate in clinical trial research through clinically assessing patients and consenting of patients for clinical trial participation as well as participating in clinical trials.
Facilitate transition of care and function as a liaison between the inpatient and outpatient settings and between staff to ensure continuity of care.
Participate in workshops and CME activities pertinent to BMT. Attendance at programmatic meetings at Michigan Medicine and occasionally attend regional or national meetings.

Work Schedule

1.0 FTE

Shift: Day shift, weekday and weekend coverage
Variable shift-length
Hours: 40 hrs a week

Required Qualifications

NP Requirements:

• Current specialty certification to practice as an Adult-Gerontology Acute Care Nurse Practitioner.
• Current specialty certification to practice as a FNP, AGPCNP, or ANP with 4 years experience as an inpatient BMT APP in the similar clinical environment with the same acuity and patient population within the past 6 years.
• Current licensure to practice as a Registered Nurse 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).
• Current DEA registration required
• AHA Approved BLS
• AHA Approved ACLS
• 1-2 years expertise in the management of acutely ill patients including Telemetry, EKG interpretation and Acute Cardiac Life Support (ACLS) at the Advanced Practice level.
• BMT APP experience required will consider those with Heme-Onc or Hospitalist experience only.

PA Requirements:

• 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 requiredAHA Approved BLS
• AHA Approved ACLS
• 1-2 years expertise in the management of acutely ill patients including Telemetry, EKG interpretation and Acute Cardiac Life Support (ACLS) at the Advanced Practice level.
• BMT APP experience required will consider those with Heme-Onc or Hospitalist experience only.

Desired Qualifications

• Clinical experience in cellular and gene therapy as an APP is highly desired.
• Excellent communication and interpersonal skills as measured by references and interviews.
• Demonstrated ability to work effectively in a team environment.
• Ability to work independently with minimal supervision.
• Commitment to clinical and translational research.
• The ability to function independently.
• Demonstrated leadership in work setting and other professional activities.