Advanced Practice Professional (Physician Assistant) Structural Heart

Responsibilities

The Structural Heart APP will:

• Evaluate, diagnose, and treat patients with complex cardiovascular and structural heart conditions in outpatient clinic, inpatient consult, and procedural settings.
• Perform comprehensive patient assessments, including history and physical examinations, diagnostic review, and development of treatment plans.
• Absorb inpatient consults related to Structural Heart patients and procedures.
• Order, interpret, and manage laboratory studies, imaging, medications, and other diagnostic or therapeutic interventions as appropriate.
• Assess patient suitability for Structural Heart and cardiovascular procedures and assist with pre-procedure optimization.
• Obtain and document informed consent for procedures as appropriate and within scope of practice.
• Cookordinate and manage patient care plans in collaboration with attending physicians, procedural teams, nursing, anesthesia, PACU, and multidisciplinary colleagues.
• Participate in Structural Heart and Cardiac Procedure Unit care, including pre-procedure, intra-procedure, and post-procedure management.
• Assist with procedural care as appropriate, including right and left heart catheterizations, coronary angiography, structural heart procedures, transcatheter valve procedures, PFO/ASD closures, mechanical circulatory support, and other advanced cardiovascular interventions under physician direction.
• Assist during Structural Heart procedures as needed.
• Assist in float of Pacemaker (temp)
• Place internal jugular lines and/or assist with vascular access as appropriate based on training, privileging, and institutional guidelines.
• Participate in procedural safety processes, including mini time-outs and required verification steps.
• Assist with sedation management in accordance with institutional policies, scope of practice, and procedural needs.
• Complete procedure notes, reports, post-procedure notes, and other required documentation accurately and in a timely manner.
• Provide patient hand-off to PACU or appropriate recovery/unit teams following procedures.
• Manage acute and chronic cardiovascular conditions, including coronary artery disease, heart failure, valvular disease, atrial and ventricular arrhythmias, peripheral vascular disease, and other related conditions.
• Assist in triage and management of post-procedure complications, concerns, and follow-up needs.
• Support discharge planning and provide patient/family education regarding diagnosis, treatment options, procedures, medications, recovery, restrictions, follow-up, and ongoing care needs.
• Provide timely communication with patients, families, referring providers, and internal/external care teams.
• Collaborate with nursing, advanced practice providers, physicians, and other healthcare professionals to ensure safe transitions of care.
• Maintain complete, accurate, and timely documentation in the medical record.
• Participate in quality improvement, process improvement, and program development activities.
• Support development and maintenance of clinical protocols, procedures, and standards of care.
• Participate in educational activities and support clinical learning for staff, trainees, and colleagues.
• Participate in research projects or studies in collaboration with faculty and staff as appropriate.

Required Qualifications

• NP: 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 or Acute 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). Current DEA registration required. Current AHA BLS certification. Current AHA ACLS certification.
• PA: Successful completion of a Physician Assistant program accredited by Accreditation Review Commission on Education for the Physician Assistant or one of its predecessor agencies. Certification by the National Commission on Certification for Physician Assistants. Current license to practice as a Physician Assistant in the State of Michigan. State of Michigan Controlled Substance License Required. Current DEA registration required. Current AHA BLS certification. Current AHA ACLS certification.

Desired Qualifications

• One or more years of full-time APP experience.
• Experience managing complex cardiology patients, including patients with heart failure, coronary artery disease, valvular disease, arrhythmias, peripheral vascular disease, and other advanced cardiovascular conditions.
• Five or more years of clinical experience in a cardiac ICU, catheterization lab, cardiac step-down unit, or comparable cardiovascular setting.
• Experience in a first-assist or procedural role, including assisting with vascular access, procedural preparation, intra-procedure support, and interpretation of coronary angiography or complex coronary anatomy.
• Demonstrated knowledge of adult cardiac physiology, particularly ECG and right-heart catheterization hemodynamic interpretation.
• Demonstrated motivation and dedication to problem-solving and decision-making.
• Strong analytical skills with the ability to prioritize assignments and manage a busy clinical environment.
• Excellent computer skills, including documentation and order entry.
• Patient- and family-centered communication style.
• Demonstrated ability to coordinate and manage complex patient care in collaboration with multidisciplinary teams.
• Experience advancing the education and clinical development of others through prior clinical instructional roles.

Physical Requirements

• Requires moderate physical effort, including lifting, pushing, and pulling up to 15 pounds or more, and standing for prolonged periods.

Benefits

• Flexible Health, Dental, and Vision Plans
• Retail 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

Modes of Work

• 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.

Work Schedule

• Appointment: 12.5 hour shifts, 1st and 3rd week of the month: 2 shifts worked, 2nd and 4th week of the month: 3 shifts worked
• Shift/Hours: Must be flexible with hours based on clinical and procedural needs.

Location

• Cardiovascular Center

Additional Information

• The U-M Cardiovascular Center is committed to advancing medicine and serving humanity through living and teaching our core values of Respect and Compassion, Collaboration, Innovation, and Commitment to Excellence.
• Each Cardiovascular Center employee is expected to demonstrate these values in every interaction and contribute to a positive, inclusive, and respectful work environment.