Intraoperative Advanced Practice Provider (APP) – All Services (Including Robotics)

Trinity Health; Livonia (MI); On-site; USD 120,000 - 190,000; Full time

Job summary

Trinity Health Livonia in Michigan seeks an Intraoperative Advanced Practice Provider (NP or PA) to deliver expert intraoperative care across diverse surgical specialties, including robotic-assisted procedures. This full-time position integrates with the OR team to ensure safe, efficient outcomes and high-quality care.

The role supports anesthesia, assists with patient positioning, line placement, and operative documentation, and adapts to varying surgeon preferences and technologies to optimize

Qualifications

• Master’s degree in clinical nursing from an accredited Acute Care NP program (ACNP).
• ARC-PA accredited PA program graduation.
• Current Registered Nurse license and Acute Care Nurse Practitioner license in Michigan.
• Current License/Certification as Physician Assistant in Michigan.
• Surgical Scrub experience is strongly preferred.

Responsibilities

• Serve as first or second assist across all surgical specialties, including open, laparoscopic, and robotic-assisted procedures.
• Provide robotic support, including docking/undocking assistance, instrument exchange, and troubleshooting with the surgical team.
• Perform surgical assisting tasks such as tissue handling, retraction, exposure, suturing, hemostasis, and wound closure.
• Maintain sterile technique and perioperative safety protocols.
• Perform intraoperative procedures within scope (e.g., line placement, device insertion).
• Adapt to varying surgeon preferences and technologies across service lines.
• Collaborate with surgeons, anesthesia, and OR staff to optimize workflow and turnaround times.
• Ensure instruments and robotic equipment readiness for cases.
• Assist with patient positioning, site verification, and time-out processes.
• Respond to intraoperative changes in patient condition in coordination with anesthesia.
• Support regulatory and quality standards and accurate intraoperative documentation.
• Contribute to OR efficiency initiatives and throughput.

Education

Master’s degree in clinical nursing from an accredited Acute Care NP program

ARC-PA accredited PA program graduate

Current RN and Acute Care NP license in Michigan

Current PA license/credential in Michigan

Surgical scrub experience (preferred)

Job description

Employment Type: Full time Shift: Rotating Shift Description: Trinity Health Livonia is a beautiful full-service, 304-bed level II trauma acute care hospital, located in Livonia, MI, that provides comprehensive care, including a 24-hour emergency department, general medicine, inpatient and outpatient surgery, physical medicine and rehabilitation, intensive care unit, cancer, cardiology, geriatrics and birthing and women's health. Through several major expansions in the hospital, programs and services, Trinity Health Livonia continues to offer the latest in quality health and medical services. Trinity Health Livonia has received numerous awards recognizing excellence in clinical outcomes, patient safety, financial performance and efficiency. The hospital has 8 Operating Rooms, 3 are dedicated to Robotics.

Job Summary

The Intraoperative Advanced Practice Provider (Nurse Practitioner or Physician Assistant) delivers comprehensive surgical support across all service lines, including robotic-assisted procedures. This role functions as an integral member of the operating room team, providing expert intraoperative care, adapting to a wide variety of surgical specialties, and ensuring safe, efficient, and high-quality procedural outcomes.

Key Responsibilities

• Serve as first or second assist across all surgical specialties, including open, laparoscopic, and robotic-assisted procedures
• Provide robotic support, including docking/undocking assistance, instrument exchange, and troubleshooting in collaboration with the surgical team
• Perform surgical assisting tasks such as tissue handling, retraction, exposure, suturing, hemostasis, and wound closure
• Maintain strict adherence to sterile technique and perioperative safety protocols
• Perform intraoperative procedures within scope (e.g., line placement, device insertion, graft harvesting where applicable)
• Rapidly adapt to varying surgeon preferences, procedures, and technologies across service lines
• Collaborate with surgeons, anesthesia, and OR staff to optimize workflow, case progression, and turnaround times
• Anticipate operative needs and ensure appropriate instruments, supplies, and robotic equipment readiness
• Assist with patient positioning, site verification, and surgical time-out processes
• Recognize and respond to intraoperative changes in patient condition in coordination with anesthesia
• Ensure accurate intraoperative documentation and compliance with regulatory and quality standards
• Support OR efficiency initiatives, including throughput and schedule adherence
• Preop/PACU order entry
• Postoperative rounding as requested

REQUIRED EDUCATION, EXPERIENCE AND CERTIFICATION/LICENSURE

• Education: NP Education: Master’s degree in clinical nursing from an accredited Acute Care Nurse Practitioner Program with emphasis on area of certification/licensure.
• Education: PA Education: Requires graduation from an ARC-PA accredited PA program.
• Certification/Licensure: NP Certification/Licensure: Current Registered Nurse and Acute Care Nurse Practitioner license in the State of Michigan.
• Certification/Licensure: PA Certification/Licensure: Current License/Certification as Physician Assistant with the State of Michigan.
• Experience: Surgical Scrub experience is strongly preferred.

Our Commitment

Rooted in our Mission and Core Values, we honor the dignity of every person and recognize the unique perspectives, experiences, and talents each colleague brings. By finding common ground and embracing our differences, we grow stronger together and deliver more compassionate, person-centered care.

We are an Equal Opportunity Employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability, veteran status, or any other status protected by federal, state, or local law.

Trinity Health is one of the largest not-for-profit, faith-based health care systems in the nation. Together, we’re 121,000 colleagues and nearly 36,500 physicians and clinicians caring for diverse communities across 27 states. Nationally recognized for care and experience, our system includes 101 hospitals, 126 continuing care locations, the second largest PACE program in the country, 136 urgent care locations, and many other health and well-being services. Based in Livonia, Michigan, in fiscal year 2023, we invested $1.5 billion in our communities through charity care and other community benefit programs. For more information, visit http://www.trinity-health.org. You can also follow Trinity Health on LinkedIn.