The Advanced Practitioner Provider will be joining a team of Physical Medicine and Rehabilitation providers in acute and post-acute care locations within the Mary Free Bed system. Clinical responsibilities include the independent assessment and management of illnesses, injuries, and other conditions that result in functional impairment. The APP will work collaboratively with their clinical team and supervising provider(s), along with interdisciplinary teams in the acute and post-acute setting, to help direct patients along an optimal clinical and rehabilitative continuum of care. The APP will actively engage with patients, as well as their family/caregivers, to provide necessary clinical education, support, and forecasting of patients’ functional recovery and ongoing expectations.  The APP will help guide patients throughout their acute and post-acute clinical course while contributing to the management of their acute medical needs, optimizing efficient throughput and resource utilization along the continuum of care, and positioning patients to maximize their functional recovery.  

 

Essential Job Responsibilities                                                                   

Clinical Required:  Provide patient care, treatment, and services within the scope of their license, certification or registration and as required by Federal and State laws and regulations.   Functions in the role of Advanced Practitioner Provider to provide coordinated comprehensive care delivery in the inpatient setting.  Writes orders/prescriptions for standard formulary medications, laboratory studies, radiographic studies and consultations, coordinating the scheduling of new patients, diagnostic evaluations, follow-up exams, laboratory tests, referrals to home care, social services, and other community agencies, etc., in order to ensure continuity of care and coordination of services for patients. Provide services in the inpatient setting which may include, but are not limited to: Completing patient follow up visits, and occasionally new consult encounters, in the acute care and long term acute care hospital settings. This will be completed at the direction of the APP’s supervising physician, though also with the APP’s own initiative to see patients requiring follow up. Providing comprehensive Physiatric medical care to patients encountered in the inpatient setting. These clinical areas of expertise may include: pain management, wound care, orthotic/prosthetic evaluations or recommendations, spasticity management, brain injury management, spinal cord injury management, musculoskeletal related complaints – as well as other conditions common to PM&R practice settings. Collaborating with the supervising physician and Mary Free Bed clinical liaisons, as well as acute care interdisciplinary teams, on a daily basis. These communications will assist in determining which patients require follow up, and will contribute to safe, efficient, and appropriate timing and decision making for patients transitioning from acute to post acute levels of care. The APP will assist in development and application of a virtual consult service. This will be designed to serve patients in rural and outlying communities, and to expand patients’ access to appropriate post-acute levels of rehabilitative care. Within the acute care setting, maintainance and growth of the PM&R consult and follow up service depends upon excellent communication and positive working relationships with acute care teams. The APP will be asked to intermittently round with acute care teams on a rotating basis. This may include, but is not limited to: Neuro/Medical ICU, Trauma Surgery, Neurology, Neurosurgery, LTACH medical and specialty teams.   May be asked to participate in acute floor/LTACH team conferences to review the medical and functional progress of patients within a post-acute setting. Documents in the medical record and dictates information as appropriate.  Demonstrates competence in navigating and appropriate documentation in electronic medical record.  Assesses the educational needs of the patients, significant others, health care team, and the community.  Develops, implements, evaluates and revises teaching strategies and educational programs specific to the patient’s medical and psychosocial needs. Measures the outcomes of care and evaluates services across the continuum of outpatient services.  Makes recommendations to improve the quality of patient care provided and utilizes the scientific method to research clinical problems. Maintains knowledge of current trends and developments in the field by reading appropriate books, journals and other literature and attending related conferences, seminars and other related activities. Maintains the professional competence, knowledge, and skills necessary for all responsibilities. Completes required training and education, including department specific requirements. Ensures that services are provided in accordance with state and federal regulations, organizational policy, and accreditation/compliance requirements. Performs such individual assignments as management may direct.  Establishes and maintains effective working relationships within the organization.  Provides information to senior levels of management on the implication of policies and procedures being formulated and recommends specific action.   Acts as a patient advocate, crossing multidisciplinary lines to meet patient needs.  Communicates, collaborates, networks with and acts as a consultant to other members of the health care team within and outside Mary Free Bed Rehabilitation Hospital.  Acts as a consult in area of expertise. Serves as a resource for patients, families, team members, and community for information related to patient populations served. Participates in program development and service recovery as needed. Embrace Diversity, Equity and Inclusion, by:

Treating everyone with dignity and respect

Opening more doors to opportunities for underrepresented cultures

Growing talent and people

Evaluating and eliminating disparities

Taking action against injustices, bias and racism

Honoring our differences and how to collaborate

Educating staff, patients and the communities we care for

Restoring Hope and Freedom, together

 

Customer Service Responsibilities                                                                                               

Demonstrate excellent customer service and standards of behaviors as well as encourages, coaches, and monitors the same in team members. This individual should consistently promote teamwork and direct communication with co-workers and deal discretely and sensitively with confidential information. 

 

Responsibilities in Quality Improvement                                                                         

Contribute by identifying problems and seeking solutions. Promote patient/family satisfaction where possible; participates in departmental efforts to monitor and report customer service.

 

Essential Job Qualifications                                                                                                          

Certified and licensed as a Nurse Practitioner (NP) by the State of Michigan. Master’s Degree in Nursing Requirement Prior experience in a rehabilitation related role or practice setting Current Basic Life Support (BLS) certification

 

Preferred Job Qualifications                                                                                                          

Previous experience as a NP specifically within physical medicine and rehabilitation Previous experience functioning in a collaborative role Excellent problem solving and initiative Excellent organizational and time management skills Excellent verbal and written communication skills Previous experience in quality improvement and research

 

Physical Requirements for Essential Job Qualification

Levels:

None (No specific requirements) Occasionally (Less than 1/3) Frequently (1/3 to 2/3) Majority (More than 2/3)

 

 

Remain in a stationary position: Occasionally

Traverse or move around work location: Occasionally

Use keyboard:  Occasionally

Operate or use department specific equipment:  Occasionally

Ascend/Descend equipment or ladder: None

Position self to accomplish the Essential Functions of the role: Occasionally

Receive and communicate information and ideas for understanding: Majority

Transport, position, and/or exert force:

Up to 10 pounds:   Frequently

Up to 25 pounds: Frequently

Up to 50 pounds: Occasionally

Up to 75 pounds:  Occasionally

More than 100 pounds: Occasionally

Other weight: Up to___ pounds  _____

       Other:  _____

 

The above statements are intended to describe the general nature and level of work being performed by employees in this classification.  If you require a reasonable accommodation to perform the essential functions of this position, you must request accommodation in writing, within 182 days after you know or should know of the need for accommodation.

 

Mary Free Bed is an equal opportunity employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, gender, national origin, age, genetic information, veteran status, disability or other legally protected characteristic.