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 # 279948 and PAs are directed to apply to job # 279949

A total of one (1), 0.75 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.

The C.S. Mott Childrens Hospital is hiring a part time Advanced Practice Professional to become part of the community program Partners for Children-Little Heroes League and the hospital-based Stepping Stones Pediatric Palliative Care Consult Team.

The Partners for Children-Little Heroes League program provides home and community-based services for children with chronic complex medical conditions who receive specialty and hospital-based care at C.S. Mott Childrens Hospital. The APP will perform assessments and care management visits in the patients home, join specialty clinic appointments, and complete virtual video visits.

The hospital-based Stepping Stones Pediatric Palliative Care Program provides palliative care across the spectrum of complex, chronic, and life limiting illnesses. The program focuses on symptom management, decision support, and advanced care planning for inpatients as well as children visiting the Mott Clinics (in person and virtually).

This is a combined position, and the APP will be assigned a regular schedule with the Partners for Children and Stepping Stones Consult teams. 
 

Hospital and Community program Partners for Children-Little Heroes League.

• Under physician supervision, coordinates care of chronic, complex infants, children and adolescents to children age 25
• Specifically, role requires the APP to perform patient assessments at intervals of every two (2) weeks to two (2) months via at-home, telehealth, clinic, or in-patient visits, to gather information obtained from specialty visits, primary care visits, and hospital encounters and to create and update records that consolidate case summaries, problem lists, and medication lists
• Create and update care plans, under physician supervision. 
• Conduct and document yearly comprehensive assessments on patients
• Participate in patient/family/provider/school meetings as an advocate for the patient when needed
• Participate in bi-weekly interdisciplinary team meetings, and weekly rounds to discuss new and active patients
• Communicate assessments and care plans to the primary care provider and specialty consultants 
• Order tests and prescribe medication
• Confer with attending physicians and communicate with other care providers/consultants to coordinate clinical care
• Maintain accurate documentation regarding patient status, evaluations, and treatment
• Perform other related duties as requested by the attending physician
• Utilize new improvements and/or technologies that relate to job assignment

Pediatric Palliative Care Inpatient Consult Team 

• Provide comprehensive pediatric palliative care within a collaborative practice model under the supervision of the collaborating physician, in accordance with state regulations and hospital bylaws, across inpatient and ambulatory settings.
• Conduct in-person and virtual initial and follow-up consultations for patients from the perinatal period through young adulthood to assess symptoms, clarify patient and family goals and values, and develop care plans.
• Perform comprehensive assessments, including physical, cognitive, and psychosocial status.
• Manage complex symptoms associated with serious illness using pharmacologic and non-pharmacologic interventions.
• Assess goals of care, including advance care planning and hospice eligibility.
• Order, interpret, and recommend diagnostic tests and prescribe treatments based on clinical assessment.
• Collaborate effectively with interdisciplinary teams and other healthcare providers across care settings.
• Provide education and serve as a resource for patients, families, healthcare professionals, and learners.
• Maintain accurate, timely, and compliant clinical documentation.
• Participate in quality improvement initiatives and support the development of departmental education.
• Maintain current clinical knowledge and incorporate evidence-based practices and relevant technologies. 
• Engage in ongoing self-assessment, professional development, and maintenance of licensure and credentials, including participation in professional organizations.
• Demonstrate strong communication, organizational, and interpersonal skills.
   

Required Qualifications NP

• Current licensure to practice as a Registered Nurse and Nurse Practitioner in the State of Michigan
• National Certification as a Pediatric Acute Care Nurse Practitioner or Pediatric Primary Care Nurse Practitioner
• Certification as a Nurse Practitioner recognized by the National Council of State Boards of Nursing (NCSBN).
• Graduation from an accredited Nurse Practitioner program.
• 3 years of direct patient care experience caring for medically complex children with advanced illnesses and their families or children receiving palliative services
• Current DEA registration 
• AHA Approved BLS

Required Qualifications PA

• 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).
• 3 years of direct patient care experience caring for medically complex children with advanced illnesses and their families or children receiving palliative services
• State of Michigan Controlled Substance License Required  
• Current DEA registration 
• AHA Approved BLS 
   

NOTE: Employment is contingent upon successful completion of the credentialing and privileging process.
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
RESUME REQUIRED (for both internal & external applicants): 
You must attach a complete and accurate resume to be fully considered for this position.

• 2-years experience as a practicing Pediatric Advanced Practice Professional.  
• Experience coordinating care of complex patients with chronic illnesses.  
• Experience caring for children with high symptom burden and/or complex conditions requiring multiple consultative services.
• Advanced Practice Hospice and Palliative Care Nurse Certification and/or Palliative Care training program.
• Demonstrated ability to write and communicate clearly  
• Demonstrates personal and professional integrity; collaborative and respectful behavior; flexibility
• Excellent communication, teamwork, and interpersonal skills
• Flexibility, willingness to support team and program growth

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: $130,630 - $200,734 / 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.

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.

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.

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. 

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.