PA/NP - Cardiovascular ICU (C), PRN - Regional

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GENERAL SUMMARY:

Under the general guidance of the medical director, the Nurse Practitioner/Physician Assistant will evaluate, diagnose, and treat patients with diseases and adverse health conditions following the written guidelines approved by the department.

We are seeking a highly skilled Physician Assistant (PA) or Nurse Practitioner (NP) to join our Cardiothoracic Critical Care Team within the Cardiovascular Surgery Service Line. This role provides comprehensive patient care from admission through discharge, with a focus on perioperative management in the Cardiac Surgical ICU. The APP will manage ventilators, sedation, hemodynamics, and diagnostics, and coordinate care with multidisciplinary teams. Clinical expertise in managing complex conditions such as shock, sepsis, respiratory failure, heart and renal failure, arrhythmias, and post-operative cardiac patients is essential.

Responsibilities may include advanced procedures such as central and arterial line placement, pulmonary artery catheter placement, and point-of-care ultrasound. Additionally, the APP may sit on committees and participate in Quality and Process Improvement Initiatives.  This is a 24/7 service requiring rotation through days, nights, weekends, and holidays, with regional cross-coverage at other hospital sites.

ESSENTIAL DUTIES:                 

• Assesses the physical and psychosocial status of clients by means of interview, health history, physical examination, and diagnostic studies.
• Recognizes deviations from normal in the physical assessment. Works in collaboration with a physician in formulating treatment plans for health problems and follow-up.
• Writes prescriptions for medication, blood products based upon laboratory results, routine diagnostic and follow-up studies, therapeutic measures, and post-discharge care in accordance with written practice protocols.
• Determines eligibility of patients for entry into clinical trials based on findings.
• Requests written consultation from physicians and other healthcare professionals to ensure appropriate and quality patient care.
• Interprets and evaluates findings of studies/tests.
• Relays appropriate information regarding patient care to the collaborating physician.
• Administers therapeutic measures and obtains specimens as prescribed.
• Evaluates the quality of care provided and recommends changes for improvement.
• Initiates appropriate actions to facilitate the implementation of therapeutic plans that are consistent with the continuing healthcare needs of the client.
• Dictates follow-up letters to referring physicians with summaries of treatment, response, and plan.
• Maintains provision of preventive health services (e.g. screening, risks assessment, immunizations, PAP smears, self-breast exam).
• Dictates or writes patient history, admissions, care plans, progress, and discharge notes.
• Interacts with program assistants and data managers for optimal patient care.
• Assists in the management of family dynamics and coping mechanisms during acute and chronic phases of patient care.
• Conducts or participates in daily multidisciplinary rounds and ensures appropriate and quality care for assigned patient.
• Provides on-call coverage.
• Performs patient triage and determines the urgency of physician's evaluation.
• Provides symptom management for side effects related to oncologic treatment.

STANDARD QUALIFICATIONS

Education / Training: 

• Master's Degree in Nursing OR a Masters in Physician Assistant studies

Work Experience:

• 1 to 3 years’ experience as an Advanced Practice nurse in a specialty clinical setting is required.
• Acute Care strongly preferred

Certification, Licensure, Registration:

• State of Michigan Nurse Practitioner/Physician Assistant license required
• AHA/ARC BLS certification required

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How Corewell Health cares for you

• Comprehensive benefits package to meet your financial, health, and work/life balance goals. Learn more here.
• On-demand pay program powered by Payactiv
• Discounts directory with deals on the things that matter to you, like restaurants, phone plans, spas, and more!
• Optional identity theft protection, home and auto insurance
• Traditional and Roth retirement options with service contribution and match savings
• Eligibility for benefits is determined by employment type and status

Primary Location

SITE - Troy Hospital - 44201 Dequindre Rd - Troy

Department Name

CV Surgery APP Surgical - Royal Oak Hosp

Employment Type

Part time

Shift

Weekly Scheduled Hours

0.04

Hours of Work

Variable

Days Worked

Variable

Weekend Frequency

Variable weekends

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Corewell Health is committed to providing a safe environment for our team members, patients, visitors, and community. We require a drug-free workplace and require team members to comply with the MMR, Varicella, Tdap, and Influenza vaccine requirement if in an on-site or hybrid workplace category. We are committed to supporting prospective team members who require reasonable accommodations to participate in the job application process, to perform the essential functions of a job, or to enjoy equal benefits and privileges of employment due to a disability, pregnancy, or sincerely held religious belief.

Corewell Health grants equal employment opportunity to all qualified persons without regard to race, color, national origin, sex, disability, age, religion, genetic information, marital status, height, weight, gender, pregnancy, sexual orientation, gender identity or expression, veteran status, or any other legally protected category.

An interconnected, collaborative culture where all are encouraged to bring their whole selves to work, is vital to the health of our organization. As a health system, we advocate for equity as we care for our patients, our communities, and each other. From workshops that develop cultural intelligence, to our inclusion resource groups for people to find community and empowerment at work, we are dedicated to ongoing resources that advance our values of diversity, equity, and inclusion in all that we do. We invite those that share in our commitment to join our team.

You may request assistance in completing the application process by calling 616.486.7447.