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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 Adult Cardiovascular #1 Advanced Practice Provider (APP) Manager is responsible for the direct managerial oversight of a clinical advanced practice provider (APP) team to include inpatient/outpatient Physician Assistants (PA) and Nurse Practitioners (NP) within the Department of Cardiac Surgery, including the cardiovascular ICU and step-down teams. Oversees operations of the teams including clinical practice, staffing, staff development, strategic planning, quality assurance, and administration of activities and personnel that span inpatient and outpatient clinical operations. Develops, implements, and monitors patient care and revenue-generating departmental programs for APP teams while committing to work in their designated department/service regularly as a staff provider. The APP manager will foster a positive work environment for APPs and ensure a high-quality of service provided to patients, while exemplifying the Michigan Medicine values of caring, innovation, inclusion, integrity and teamwork.

Note: This is a 40-hour position and may include off shifts, weekends, and holidays as required by the service. This position will provide leadership to all APPs within designated areas and potential for expansion of role to include other APP teams as determined by needs of the APP structure and determined by APP Directors.

• Manage, direct, and coordinate clinical advanced practice provider (APP) to include Physician Assistants (PA) and Nurse Practitioners (NPs) across all designated areas teams; additional teams if assigned in the future.
• Responsible for operational and tactical planning, contributing to strategic plans, implementing and assessing techniques to promote and improve the quality, safety, and continuity of patient care.
• Ensure financial integrity and planning for area of responsibility by regularly reviewing billing practices and monitoring metrics such as reimbursement, productivity, and utilization.
• Ensure APP compliance with institutional policies and procedures and adherence to federal and state regulations at the local level.
• Partner with local physician leadership to optimize models of care resulting in top of license function.
• Facilitate and promote open channels of communication between APPs and department/section leadership including attending faculty, house officers, and interdisciplinary staff.
• Support the coordination of APP recruitment, orientation, onboarding, and scheduling of clinical coverage.
• Manage the performance of all APPs in area of responsibility by conducting formal performance evaluations, including providing coaching and mentoring opportunities, developing improvement plans, and coordinating disciplinary processes as needed. This includes distribution and collection of feedback from interdisciplinary teams which may include faculty, residents, and peers.
• Organize, promote, and direct continuing education and staff development programs to encourage continued learning and professional growth.
• Attend continuing education offerings and staff development programs, review literature, and collaborate with other professionals.
• Act as central oversight for CE/CME policy including review and approval of CE/CME related expenses consistent with the policy within the department/section.
• Assist with the development of clinically relevant peer review and quality metrics. May assist with individual chart reviews as required for ongoing professional evaluation.
• Advise with the development of a focused professional practice evaluation (FPPE) in collaboration with local physician leadership.
• Identify opportunities and facilitate experiences for APP students within service line or team, as applicable.

This position is a 20% clinical and 80% administrative appointment.

SUPERVISION RECEIVED: The APP Manager will have dual reporting to the relevant clinical grouping APP Director for administrative purposes. When on clinical duty, the APP Manager will collaborate with the assigned physician.

SUPERVISION EXERCISED: Administrative supervision is exercised over APPs within the assigned areas. For concerns related to nursing practice, the APP Manager will also consult with the appropriate NP leadership. For concerns related to PA practice, the APP Manager will also consult with the appropriate PA leadership.

PHYSICAL REQUIREMENTS: This position requires moderate standing/walking, as well as lifting, positioning, pushing, and/or transferring of patients. This description is intended to indicate the kinds of tasks and levels of work difficulty that will be required of positions that will be given this title and shall not be construed as declaring what the specific duties and responsibilities of any particular position shall be. It is not intended to limit or in any way modify the right of any supervisor to assign, direct, and control the work of employees under his supervision. The use of a particular expression or illustration describing duties shall not be held to exclude other duties not mentioned that are of a similar kind or level of difficulty.

Physician Assistant Candidate:

• 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).
• State of Michigan Controlled Substance License Required
• Current DEA registration required
• BLS required (ACLS may be required dependent on delineation of additional privileges not included in core privileges)
• Five years APP clinical experience in specialty relevant to practice area.
• 1 year formal leadership experience or 2 years progressive leadership experience in leading teams, work units, departments

Nurse Practitioner Candidate:

• Current licensure to practice as a Registered Nurse and Nurse Practitioner specialty certification in the State of Michigan.
• Current specialty certification to practice as Nurse Practitioner.
• Graduate of an accredited Nurse Practitioner program.
• Current DEA registration required.
• BLS required (ACLS may be required dependent on delineation of additional privileges not included in core privileges)
• Five years APP clinical experience in specialty relevant to practice area.
• 1 year formal leadership experience or 2 years progressive leadership experience in leading teams, work units, departments.

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.

• Have in-depth knowledge of Advanced Practice and Physician Assistant work, state and federal regulations, and credentialing.
• Considerable knowledge of University and departmental policies, procedures and regulations is desired.
• Demonstrated ability to assess, interpret and analyze clinical information independently and collaboratively.
• Strong knowledge of management and leadership principles and practices.
• Demonstrated leadership skills and ability to perform as role model to APP team.
• Excellent communication and interpersonal skills; ability to work independently with minimal supervision and demonstrated maximum collaboration in a team environment and matrix organization.
• Able to collaborate in a manner that fosters teambuilding and to provide visionary direction for team members.
• Demonstrated ability to work effectively with administrators, physicians, peers, and all members of the health care team.
• Demonstrated ability to initiate and effectively lead a change management process using continuous improvement frameworks.

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.

What Benefits can you Look Forward to?

• Excellent medical, dental and vision coverage effective on your very first day
• 2:1 Match on retirement savings

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 .

1.0 FTE

This is a 40-hour position and may include off shifts, weekends, and holidays as required by the service.

This position is a 20% clinical and 80% administrative appointment.

This position is not included under the collective bargaining agreement between the U-M and the Michigan Nurses Association and the U-M Professional Nurse Council or the United Physician Assistants of Michigan Medicine unions.

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.