Advanced Practice Professional (Nurse Practitioner) Rheumatology

Advanced Practice Professional (APP) Job Opening

Both qualified Nurse Practitioners (NP) and Physician Assistants (PA) applicants will be considered. NPs are directed to apply to job # 284217 and PAs are directed to apply to job # 284218. A total of one (1), 1.0 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.

Job Summary

The Rheumatology service is a team of physicians and Advanced Practice Providers (APPs) that provide care to an array of medically complex patient populations at every acuity level from general care to intensive care, with the largest patient population at the moderate care level. The Rheumatology service cares for a vast array of conditions, including gout, rheumatoid arthritis, lupus, antiphospholipid syndrome, scleroderma, vasculitis, Sjogren's syndrome, psoriatic arthritis, ankylosing spondylitis, and myositis. With over 40 faculty members and clinical practitioners providing inpatient and outpatient care, our Division is one of the largest locally and in the country. At present, the Rheumatology service practices out of five ACUs located at the Taubman Center, Briarwood Medical Associates, Brighton Center for Specialty Care, Northville, and the Ypsilanti Health Center. We are actively seeking compassionate, enthusiastic, and patient oriented individuals who will share in the goal of creating the ideal experience for our patients, families and employees. This position will support the Scleroderma and general autoimmunity patient populations at Taubman Medical Center and Briarwood Medical Associates.

Duties Will Include But Are Not Limited To

• Perform detailed history and physical, formulate initial assessment and plan
• Ability to perform arthrocentesis and conduct synovial fluid analysis
• Appropriately order, collect, and interpret reports from diagnostic lab testing, radiographic procedures, and other clinical studies as medically necessary
• Prescribe medications and enter other orders related to patient care
• Provide expert and complex clinical care to adult patients in the Internal Medicine Rheumatology Outpatient Clinic as a team member collaborating with physicians, medical assistants, LPNs and RNs as well as other Physician Assistants and Nurse Practitioners
• Exercise autonomy in medical decision-making and provide diagnostic and therapeutic services to new and established rheumatology patients
• Manage patients with complex, acute, and chronic rheumatic diseases
• Perform consults on new patient, and return visits
• Assess, diagnose, and treat health problems for patients with rheumatic diseases
• Accurately bill for completed services
• Perform health assessments, including patient history, physical examinations, diagnostic tests and appropriate interventions or referrals.
• Document patient care and progress and maintain complete and detailed patient records
• Provide patient education. Manage immunosuppression and opportunistic infections in rheumatic 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
• 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
• Participate in quality assurance activities including quality improvement projects, peer evaluations and support research initiatives including screening patients for clinical trial eligibility
• 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

Required Qualifications

NP:

• Current licensure to practice as a Registered Nurse and Nurse Practitioner specialty certification in the State of Michigan
• Graduate of an accredited Nurse Practitioner program
• Certification as a Nurse Practitioner recognized by the National Council of State Boards of Nursing (NCSBN).
• Current certification as a Family Nurse Practitioner FNP, Adult Nurse Practitioner ANP, or Adult Gerontology Nurse Practitioner AGACNP.
• Current DEA registration required
• AHA Approved BLS
• ACLS required (separate AHA approved BLS also required unless ACLS was completed through the UMHS Simulation Center)
• Two years of APP experience managing patients with Rheumatologic and autoimmune conditions

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
• AHA Approved BLS
• ACLS required (separate AHA approved BLS also required unless ACLS was completed through the UMHS Simulation Center)
• Two years of APP experience managing patients with Rheumatologic and autoimmune conditions

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. Desired Qualifications:

• Advanced Practice Provider Experience with managing patients with Scleroderma
• Experience ordering and monitoring immunosuppressive therapies for the treatment of rheumatic diseases
• Experience with managing patients with Scleroderma
• Experience working in an outpatient setting (clinic, physician's office) caring for adults whose primary diagnosis being treated is a rheumatic disease
• High standard of professionalism and integrity
• Demonstrated high level of critical thinking and medical knowledge by using current medical information and scientific evidence for patient care
• Demonstrated expertise in procedures (e.g. joint aspiration and injection)
• Progressive expertise in the management of patients at the Advanced Practice level
• Experience with a multidisciplinary team approach to patient care
• Demonstrated ability to coordinate and collaborate on clinical care ideas across multiple patient care services and to communicate assertively as a patient advocate
• Ability to work with minimal supervision and function independently
• Ability to prioritize assignments and manage a busy work environment
• Excellent communication and interpersonal skills as measured by references and interviews
• Demonstrated excellent verbal and written communication skills, organization and problem solving skills
• Commitment to clinical and translational research
• Demonstrated ability to work effectively in a team environment
• Experience with Epic electronic health record software platform
• Demonstrated high level of motivation to learn and to participate in activities to improve patient care
• Must reflect a professional appearance and demeanor and possess excellent customer service skills
• Demonstrated history of continual learning and professional growth
• Demonstrated clinical leadership and experience with coordinating and managing complex and multifaceted projects
• Demonstrated leadership in work setting and other professional activities
• Demonstrated excellent attendance and punctuality
• Experience presenting workshops, lectures, and in-service programs in rheumatic diseases
• Excellent computing skills
• ACR membership

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