Advanced Practice Professional (Nurse Practitioner) Cardiovascular Center Clinics: Electrophysiology/ Device

About the role

The Advanced Practice Professional (APP) will provide health care and specialized health services to patients and families enrolled in the ambulatory care electrophysiology/Device settings. Under physician supervision, the APP will coordinate care of clinic patients, perform health assessments including patient history/physical examination, diagnostic tests, referrals, assign appropriate interventions, place orders, and follow up with the patients. The role also includes interpretation, documentation, billing of scheduled and alert remote monitoring data for pacemaker and implantable cardioverter defibrillator patients.

• Maintain accurate documentation regarding patient status, evaluations, and treatments to physicians, the RN/Clinical Team; streamline the patient transfer process between levels of care, including communicating specific patient needs to internal and external UMHS team members and other ambulatory care providers.
• Device program responsibilities include: Provide clinical expertise and direction to support patient medication management. Practice will be in partnership with attending EP cardiology faculty and fellows. Collaborate with other care providers/consultants to coordinate and communicate clinical care. Coordinate care between clinical care coordinators, physicians and other members of the health care continuum.
• Participate in quality assurance activities, process improvement projects (LEAN), and facilitate growth. Participate in the development of policies, procedures and protocols including standards of care. Participate in research projects. Participate in monthly meetings and case presentation related to patient population. Perform other related duties as required to assure patient safety and satisfaction. Participate in the development and presentation of educational experiences for patients, families and health care professionals including workshops, lectures, and in-service programs. Utilize Service Excellence and Patient Family Centered Care in daily practice. Abide by the standards of care and standards of practice established by University of Michigan Health System. Practice within the regulations of the Michigan Public Health Code. Serve as a preceptor for APP students.

Responsibilities

• Provide health care and specialized health services to patients and families enrolled in the ambulatory care electrophysiology/Device settings.
• Under physician supervision, coordinate care of clinic patients, perform health assessments including patient history/physical examination, diagnostic tests, referrals, assign appropriate interventions, place orders, and follow up with the patients.
• Maintain accurate documentation regarding patient status, evaluations, and treatments to physicians, the RN/Clinical Team; streamline the patient transfer process between levels of care, including communicating specific patient needs to internal and external UMHS team members and other ambulatory care providers.
• Interpret, document, and bill scheduled and alert remote monitoring data for pacemaker and implantable cardioverter defibrillator patients.
• Collaborate with other care providers/consultants to coordinate and communicate clinical care.
• Coordinate care between clinical care coordinators, physicians and other members of the health care continuum.
• Participate in quality assurance activities, process improvement projects (LEAN), and facilitate growth.
• Participate in the development of policies, procedures and protocols including standards of care.
• Participate in research projects.
• Participate in monthly meetings and case presentation related to patient population.
• Perform other related duties as required to assure patient safety and satisfaction.
• Develop and present educational experiences for patients, families and health care professionals including workshops, lectures, and in-service programs.
• Utilize Service Excellence and Patient Family Centered Care in daily practice.
• Abide by the standards of care and standards of practice established by University of Michigan Health System.
• Practice within the regulations of the Michigan Public Health Code.
• Serve as a preceptor for APP students.

Requirements

• Nurse Practitioner Requirements:
• 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, Adult Primary 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).
• Minimum of two years of recent (within the last five years) APP experience in adult cardiology.
• ADEA registration required.
• AHA BLS and ACLS required.

• Physician Assistant Requirements:
• 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).
• Minimum of two years of recent (within the last five years) APP experience in adult cardiology.
• State of Michigan Controlled Substance License Required.
• ADEA registration required.
• AHA BLS and ACLS required.

Qualifications

• One year of recent (within the last five years) APP experience caring exclusively for Electrophysiology Adult patients.
• One year of recent (within the last five years) APP ambulatory care experience.
• One year+ of recent (within the last five years) APP experience with interrogating, interpreting, and programming CIEDs (pacemakers, defibrillators), including home monitoring follow-up.
• One year+ of recent (within the last five years) APP experience reviewing echo reports, nuclear medicine studies, PFT, CXR, MRI, and rhythm monitoring (Holter?s, ZIO patches, etc.), and basic ECG interpretation.
• Recent experience providing care to patients with arrhythmias, CIEDs, syncope, heart failure and acute coronary syndromes.
• Demonstrated knowledge of adult cardiac physiology.
• Demonstrated ability to complete history and physical examination; order appropriate diagnostic studies; synthesize information and make informed clinical decisions; develop appropriate care plans; responsive to patient and family preferences and needs.
• Demonstrated ability to collaborate effectively in a multidisciplinary team as evidenced by previous experience within the last 2 years.
• Demonstrated excellent, professional verbal and written communication skills.
• Demonstrated ability to demonstrate good computer skills including computer documentation and order entry.
• Demonstrated clinical leadership skills: Chaired or participated on a committee, actively involved in professional organizations, developed protocols, etc.