Advanced Practice Professional; PA Outpatient Hemodialysis Unit Ann Arbor Dialysis Center

Advanced Practice Professional (PA) Outpatient Hemodialysis Unit Ann Arbor Dialysis Center

This role is an Advanced Practice Provider (APP) opening in the Outpatient Hemodialysis Unit at the Ann Arbor Dialysis Center. Both qualified Nurse Practitioner (NP) and Physician Assistant (PA) applicants will be considered. One 0.5 full‑time equivalent (FTE) Advanced Practice Professional will be hired for this position.

The Division of Nephrology is seeking an Advanced Practice Provider for its Outpatient Hemodialysis Unit at the Ann Arbor Dialysis Center.

• Work under the supervision of facility medical director and attending nephrologists to provide patient care in the outpatient hemodialysis unit.
• Interview new patients to obtain and document a detailed patient history and perform focused physical examinations.
• Work with nephrologists in the program to provide face‑to‑face interval assessment, evaluate the need for changes in the dialysis prescription and assist in writing weekly progress notes.
• Work cooperatively with other members of the dialysis unit team and participate in regularly scheduled Plans of Care.
• Assess and treat acute medical problems identified through ongoing interval assessment, ordering appropriate tests & procedures, and/or making appropriate referrals.
• Coordinate care with other medical providers both inside and outside of the University of Michigan.
• Monitor labs and assist in the development of patient‑specific, facility based disease management protocols.
• Advise patients of monthly lab results and provide patient education.
• Provide professional guidance to facility personnel in the implementation and maintenance of facility based protocols (e.g. anemia management, vascular access surveillance, bone disease management).
• Participate in program QA/CQI efforts.

• 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, Family Nurse Practitioner, or Adult Nurse Practitioner in the State of Michigan Graduate of an accredited nurse practitioner program.
• 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 Approved BLS, ACLS certification preferred and can be obtained within 30 days of hire.

• Current license to practice as a Physician Assistant in the State of Michigan.
• State of Michigan Controlled Substance License Required.
• 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).
• State of Michigan Controlled Substance License Required.
• Current DEA registration required.
• Current AHA Approved BLS, ACLS certification preferred and can be obtained within 30 days of hire.

• 2 years of recent experience (within the last 5 years) as an APP.
• Experience managing patients with chronic kidney disease on hemodialysis.
• Demonstrated ability to complete history and physical examinations; order appropriate diagnostic studies, synthesize information and make informed clinical decisions; develop appropriate care plans; and be responsive to patient and family preferences.
• Demonstrated excellent teaching abilities.
• Demonstrated excellent verbal and written communication skills.
• Demonstrated ability to collaborate effectively in a multidisciplinary team.
• Demonstrated ability to prioritize assignments and manage a busy work environment.
• Ability to function independently and as a team member.
• Demonstrated communication and customer service excellence with patients, family, staff and physicians.
• The provider must demonstrate a high level of critical thinking and medical knowledge by using current medical information and scientific evidence for patient care.
• Demonstrated ability to…