- The APP will primarily be working at Henry Ford Detroit Hospital and Henry Ford West Bloomfield in the ambulatory outpatient setting.
- The shift is M-F, 8.5-hour shifts. Includes occasional rotating weekend shifts and occasional rotating holiday coverage
- Provides inpatient and/or outpatient medical care.
- Takes patient history, performs physical examination, orders, and interprets tests, makes diagnoses, and institutes appropriate treatment programs. Works in collaboration with staff physicians, house officers, nurses, and other medical care team members to ensure that patient outcomes are achieved safely and efficiently.
- Specific procedures are individually credentialed as indicated by training and experience.
As part of the interdisciplinary palliative medicine team, provides comprehensive palliative medicine consultation to patients with serious illness in the outpatient setting. Provides comprehensive palliative care assessments, pain and symptom management, assistance with clarifying goals of care, and counseling to patients with serious illness and their families.
ABILITIES/ SKILLS
1. Performs comprehensive assessments of physical, psychological, and spiritual concerns in patients with serious illness and their families.
2. Facilitates advance care planning conversations and assists with advance directive completion for patients with serious illness.
3. Manages pain and non-pain symptoms in patients with serious illness.
4. Manages opioid analgesics for refractory pain related to serious illness.
5. Works with the interdisciplinary team to facilitate care discussions for patients with serious illness.
6. Recognizes and utilizes opportunities for health counseling with patients and families. Works with the interdisciplinary team to meet the emotional needs of the patient and family/caregiver.
7. Provides education on concepts related to hospice and palliative care to other clinicians, healthcare administrators, and patients/families.
8. Completes, maintains, and submits accurate and relevant clinical notes regarding patient's condition, care provided, symptom management changes/recommendations, and advance care planning/goals of care discussion documentation.
9. For NPs: Currently certified as Hospice and Palliative Nurse (CHPN) or Advanced Certified Hospice and Palliative Nurse (ACHPN) from the Hospice and Palliative Nurses Association (HPNA) OR obtains certification within 2 years of hire.
10. Participates in continuing medical education related to palliative medicine.
11. Experience as a Palliative Medicine APP (NP or PA) preferred. Will consider applicants with experience as an APP, especially clinic experience.
12. Experience practicing and billing independently is preferred as patients will be seen independently in visits and not concurrently with a Physician.
EDUCATION/EXPERIENCE REQUIRED/CERTIFICATIONS/LICENSURES REQUIRED:
- Master's degree in nursing
- Current certification as a Certified Nurse Practitioner -OR- Must be a Masters prepared Physician Assistant who has graduated from an AMA approved Physician Assistant program.
- Current BLS or ACLS as required. Current ATLS/PALS provider status as required by department.
- Experience as a Palliative Medicine APP (NP or PA) preferred.
- For NPs: Currently certified as Hospice and Palliative Nurse (CHPN) or Advanced Certified Hospice and Palliative Nurse (ACHPN) from the Hospice and Palliative Nurses Association (HPNA) OR obtains certification within 2 years of hire.
- DEA licensure is a plus, but will be required upon hire.