This is an Advanced Practice Professional (APP) job opening.
Both qualified NP and PA applicants will be considered.

PAs are directed to apply to job # 279374 and NPs are directed to apply to job # 279373.

A total of two (2), 0.9375 FTE, Advanced Practice Professional (either NP or PA) will be hired to fill this job opening.

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.

Position Summary  
The Structural Heart APP will provide expert clinical care to patients in both the Structural Heart clinic and Cardiac Procedure Unit (CPU). The APP will work collaboratively with attending physicians, nurses, procedural teams, and multidisciplinary colleagues to provide comprehensive, high-quality care across the continuum, including pre-procedure evaluation, intra-procedure support, post-procedure management, patient education, and care coordination.
 

The APP may also participate in educational activities for healthcare professionals, quality improvement initiatives, and research-related activities.
 

Responsibilities  
The Structural Heart APP will:
Evaluate, diagnose, and treat patients with complex cardiovascular and structural heart conditions in outpatient clinic, inpatient consult, and procedural settings. 
Perform comprehensive patient assessments, including history and physical examinations, diagnostic review, and development of treatment plans. 
Assist with inpatient consults related to Structural Heart patients and procedures. 
Order, interpret, and manage laboratory studies, imaging, medications, and other diagnostic or therapeutic interventions as appropriate. 
Assess patient suitability for Structural Heart and cardiovascular procedures and assist with pre-procedure optimization. 
Obtain and document informed consent for procedures as appropriate and within scope of practice. 
Coordinate and manage patient care plans in collaboration with attending physicians, procedural teams, nursing, anesthesia, PACU, and multidisciplinary colleagues. 

Participate in Structural Heart and Cardiac Procedure Unit care, including pre-procedure, intra-procedure, and post-procedure management. 
Assist with procedural care as appropriate, including right and left heart catheterizations, coronary angiography, structural heart procedures, transcatheter valve procedures, PFO/ASD closures, mechanical circulatory support, and other advanced cardiovascular interventions under physician direction. 
Assist during Structural Heart procedures as needed. 
Assist in float of Pacemaker (temp)
Place internal jugular lines and/or assist with vascular access as appropriate based on training, privileging, and institutional guidelines. 
Participate in procedural safety processes, including mini time-outs and required verification steps. 
Assist with sedation management in accordance with institutional policies, scope of practice, and procedural needs. 
Complete procedure notes, reports, post-procedure notes, and other required documentation accurately and in a timely manner. 
Provide patient hand-off to PACU or appropriate recovery/unit teams following procedures. 
Manage acute and chronic cardiovascular conditions, including coronary artery disease, heart failure, valvular disease, atrial and ventricular arrhythmias, peripheral vascular disease, and other related conditions. 
Assist in triage and management of post-procedure complications, concerns, and follow-up needs. 
Support discharge planning and provide patient/family education regarding diagnosis, treatment options, procedures, medications, recovery, restrictions, follow-up, and ongoing care needs. 
Provide timely communication with patients, families, referring providers, and internal/external care teams. 
Collaborate with nursing, advanced practice providers, physicians, and other healthcare professionals to ensure safe transitions of care. 
Maintain complete, accurate, and timely documentation in the medical record. 
Participate in quality improvement, process improvement, and program development activities. 
Support development and maintenance of clinical protocols, procedures, and standards of care. 
Participate in educational activities and support clinical learning for staff, trainees, and colleagues. 
Participate in research projects or studies in collaboration with faculty and staff as appropriate. 
Maintain compliance with Joint Commission standards and all institutional, regulatory, and professional requirements.
 

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 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
• Current AHA BLS certification
• Current  AHA ACLS certification

PA:

• Successful completion of a Physician Assistant program accredited by Accreditation Review Commission on Education for the Physician Assistant or one of its predecessor agencies.
• Certification by the National Commission on Certification for Physician Assistants.
• Current license to practice as a Physician Assistant in the State of Michigan.
• State of Michigan Controlled Substance License Required  
• Current DEA registration required
• Current AHA BLS certification
• Current AHA ACLS certification

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 with month and year at previous positions to be fully considered for this position. 

- One or more years of full-time APP experience.  
- Experience managing complex cardiology patients, including patients with heart failure, coronary artery disease, valvular disease, arrhythmias, peripheral vascular disease, and other advanced cardiovascular conditions.  
- Five or more years of clinical experience in a cardiac ICU, catheterization lab, cardiac step-down unit, or comparable cardiovascular setting.  
- Experience in a first-assist or procedural role, including assisting with vascular access, procedural preparation, intra-procedure support, and interpretation of coronary angiography or complex coronary anatomy.  
- Demonstrated knowledge of adult cardiac physiology, particularly ECG and right-heart catheterization hemodynamic interpretation.  
- Demonstrated motivation and dedication to problem-solving and decision-making.  
- Strong analytical skills with the ability to prioritize assignments and manage a busy clinical environment.  
- Excellent computer skills, including documentation and order entry.  
- Patient- and family-centered communication style.  
- Demonstrated ability to coordinate and manage complex patient care in collaboration with multidisciplinary teams.  
- Experience advancing the education and clinical development of others through prior clinical instructional roles.
 

Physical Requirements  
Requires moderate physical effort, including lifting, pushing, and pulling up to 15 pounds or more, and standing for prolonged periods.
 

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! 

Full Time Salary range: $138,489 - $213,657 / 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

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.

Appointment: 37.5 hours per week, 12.5-hour shifts 
Shift/Hours:  Must be flexible with hours based on clinical and procedural needs.
Location: Cardiovascular Center

 If you have questions regarding this posting or would like assistance with Physician Assistant opportunities please contact Nurse and Physician Assistant Recruitment at (734) 936-5183 or e-mail UMHS_PArecruit@med.umich.edu.  For a current listing of all open PA job opportunities at Michigan Medicine, please visit www.UMHSpa.org. 

The U-M Cardiovascular Center is committed to advancing medicine and serving humanity through living and teaching our core values of Respect and Compassion, Collaboration, Innovation, and Commitment to Excellence.

Each Cardiovascular Center employee is expected to demonstrate these values in every interaction and contribute to a positive, inclusive, and respectful work environment.

This position is covered under the collective bargaining agreement between the U-M and the United Physician Assistants of Michigan Medicine (UPAMM), which contains and settles all matters with respect to wages, benefits, hours, and other terms and conditions of employment.

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.

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.

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.