Advanced Practice Professional (Physician Assistant) Critical Care Medicine Service

Michigan Medicine; Ann Arbor (MI); Hybrid; USD 140,000 - 215,000; Full time

Benefits offered by this job

Flexible Health, Dental & Vision Plans

Retirement Savings with 2:1 Matching

Paid Maternity & Parental Leave

Tuition Support Program

Wellness Plans

Job summary

Michigan Medicine seeks experienced ICU/critical care Advanced Practice Professionals to join the Critical Care Medicine service. The team provides care for complex cardiopulmonary and multi‑organ cases with APPs as primary providers under physician supervision.

Expect rigorous credentialing, collaborative practice, and opportunities for teaching and research. The role supports advanced practice providers across NP/PA tracks, with flexible work modes and a strong benefits package.

Qualifications

• Current specialty certification to practice as an Adult‑Gerontology Acute Care Nurse Practitioner with two or more years experience as an APP caring for ICU level patients.
• Current specialty certification to practice as a FNP, AGPCNP, or ANP with 4 years experience as an APP in the ICU clinical environment within the past 6 years.
• Graduate of an accredited Nurse Practitioner program.
• Certification as a Nurse Practitioner recognized by the NCSBN.
• Current DEA registration.
• ACLS required (BLS also required unless ACLS via UMHS Simulation Center).
• Two or more years experience as an APP caring for ICU level patients.

Responsibilities

• Perform initial assessments of ICU general care patients and consults.
• Conduct detailed history and physical, formulate plan, and present cases to medical staff.
• Order, collect, and interpret diagnostic reports and procedures.
• Prescribe medications and orders related to patient care.
• Manage mechanical ventilation and related therapies.
• Coordinate patient transfers and discharge planning with care teams.
• Participate in quality improvement projects and research initiatives.

Skills

Adult-Gerontology Acute Care NP

Nurse Practitioner

Physician Assistant

ICU Critical Care

ACLS certification

DEA registration

Credentialing & Privileging

Education

Graduate of an accredited NP program

ARC-PA accreditation (PA program)

Job description

Job Summary

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.

Opportunity

The Critical Care Medicine (MCM) service is a team of attending physicians, house officers, and advanced practice providers (APPs) that provide care to an array of medically complex patient populations at the intensive care acuity level. The MCM team cares for patients with a wide variety of underlying medical conditions who have developed cardiopulmonary instability or multiorgan injury/failure requiring an intensive care unit (ICU). The MCM team comprised of attending physicians and house officers is well established within the institution and has recently expanded to include advanced practice providers that deliver high-quality and evidence-based care as primary providers under the supervision of a pulmonary critical care attending. We are now further expanding the APP effort on the team.

Responsibilities*

Duties Will Include But Are Not Limited To

• Perform initial assessments of ICU general care patients, which may include consults
• Perform detailed history and physical, formulate initial assessment and plan, and present patient cases and any pertinent data to medical staff.
• Appropriately order, collect, and interpret reports from diagnostic lab testing, radiographic procedures, and other clinical studies.
• Prescribe medications and enter other orders related to patient care.
• Perform various diagnostic, therapeutic, and procedural clinical interventions, based on privileges such as central lines, arterial lines, chest tube removals, tracheostomy removal, decisions to extubate patients, thoracentesis, paracentesis, bedside ultrasound
• Manage mechanical ventilation, non-invasive ventilation, heated hi-flow nasal canula for respiratory failure
• Manage hypotension with fluids, blood products, albumin, vasopressors
• Manage antibiotics and antifungals
• Manage Gastrointestinal bleeding and liver failure patients
• Manage renal failure patients requiring dialysis and continuous renal replacement therapy
• Manage immunosuppression and opportunistic infections in transplant patients.
• Manage chest tubes, including decision to place, administering thrombolytics, placement on suction or water seal or clamp, decision to remove chest tube.
• Run ACLS codes for cardiac arrest
• DC cardioversions for cardiac arrhythmias with hemodynamics instability
• Initiate transplant evaluations for end stage lung and end stage liver patients
• Assist attending physicians in orientation of new medical trainees to the service, such as resident physicians or medical students; assist in the training of new advanced practice providers to the service; assist in maintaining continuity of care throughout the hospital stay.
• Communicate appropriately with attending physicians, consultants, and other members of the patient care team in order to coordinate and provide clinical care.
• Maintain accurate and thorough documentation regarding patient status, evaluations, and treatments.
• Streamline the patient transfer process between levels of care, including writing discharge orders and summaries and communicating specific patient needs to internal and external care centers or team members, as well as ambulatory care providers as needed.
• Participate in quality assurance activities including quality improvement projects, peer evaluations and support research initiatives involving the ICU patients.
• Assist in the development of patient‑specific, facility‑based disease management protocols; perform other related duties as required to assure patient safety and satisfaction; and utilize new improvements and/or technologies that relate to job assignments.

Organizational Relationships And Practice Environment

• Advance Practice Professionals (APPs) will receive medical supervision from the Medicine Pulmonary Service Chief.
• Advance Practice Professionals (APPs) will receive administrative supervision from the APP Manager.

Required Qualifications*

• Current specialty certification to practice as an Adult‑Gerontology Acute Care Nurse Practitioner with Two or more years experience as an APP caring for ICU level patients

OR

• Current specialty certification to practice as a FNP, AGPCNP, or ANP with 4 years experience as an APP in the ICU clinical environment with the same acuity and patient population-within the past 6 years.
• 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 required (separate AHA approved BLS also required unless ACLS was completed through the UMHS Simulation Center)
• Experience rounding on an inpatient service for a minimum of 8 months and caring for acutely ill patients.
• Two or more years experience as an APP caring for ICU level patients

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
• ACLS required (separate AHA approved BLS also required unless ACLS was completed through the UMHS Simulation Center)
• Experience rounding on an inpatient service for a minimum of 8 months and caring for acutely ill patients.
• Two or more years experience as an APP caring for ICU level patients

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

RESUME REQUIRED (for Both Internal & External Applicants)

You must attach a complete and accurate resume to be fully considered for this position.

Desired Qualifications*

• Demonstrated expertise in procedures (i.e. central line placement; thoracentesis
• APP experience with Critical Care Medicine Patients
• Demonstrated ability to coordinate clinical care ideas across multiple patient care services and to communicate as a patient advocate.
• Ability to prioritize assignments and manage a busy work environment

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 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: $140,112 - $215,305 / 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
• Medical Malpractice Insurance
• Paid Maternity and Parental Leave
• Tuition Support Program
• Wellness Plans
• Work/Life Resources

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: 40 hours per week

Shift: 12.5 hour shifts, day and night rotations

Location: University Hospital

Union Affiliation

This position is covered under the collective bargaining agreement between the U‑M and the United Physician Assistants of Michigan Medicine, 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 Physician Assistant opportunities please contact Nurse and Physician Assistant Recruitment at [phone] or e-mail [email protected]. For a current listing of all open PA job opportunities at Michigan Medicine, please visit www.UMHSpa.org.

Application Deadline

Job openings are posted for a minimum of seven calendar days. The review and selection process may begin as early as the eighth day after posting. This opening 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.