Advanced Practice Professional; Physician Assistant Structural Heart

Advanced Practice Professional (Physician Assistant) Structural Heart

We are hiring an Advanced Practice Professional (APP) for the Structural Heart Clinic and Cardiac Procedure Unit (CPU) at Michigan Medicine. Both Physician Assistants (PA) and Nurse Practitioners (NP) are eligible.

• Provide expert clinical care to patients with complex cardiovascular and structural heart conditions in outpatient, inpatient consult, and procedural settings.
• Perform comprehensive patient assessments, including history, physical examination, diagnostic review, and development of treatment plans.
• Assist with inpatient consults related to Structural Heart patients and procedures.
• Order, interpret, and manage laboratory studies, imaging, medications, and other diagnostic or therapeutic interventions.
• 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.
• Coordinate and manage patient care plans in collaboration with attending physicians, procedural teams, nursing, anesthesia, PACU, and multidisciplinary colleagues.
• Participate in pre‑procedure, intra‑procedure, and post‑procedure management, 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 with procedural care as needed, including vascular access, sedation management, and procedural safety processes.
• Complete procedure notes, reports, post‑procedure notes, and other required documentation accurately and promptly.
• 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, 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.
• 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.
• Maintain compliance with Joint Commission standards and all institutional, regulatory, and professional requirements.

• Current licensure to practice as a Registered Nurse and Nurse Practitioner specialty certification in Michigan.
• Specialty certification as Adult‑Gerontology Acute Care Nurse Practitioner or Acute Care Nurse Practitioner.
• Graduate of an accredited Nurse Practitioner program.
• Certification recognized by the National Council of State Boards of Nursing (NCSBN).
• Current DEA registration.
• Current AHA BLS certification.
• Current AHA ACLS certification.

• Successful completion of an accredited Physician Assistant program.
• Certification by the National Commission on Certification for Physician Assistants.
• Current license to practice as a Physician Assistant in Michigan.
• State of Michigan Controlled Substance License.
• Current DEA registration.
• Current AHA BLS certification.
• Current AHA ACLS certification.

Employment is contingent upon successful completion of the credentialing and privileging process. Candidates must meet all the required qualifications prior to their start date.

• One or more years of full‑time APP experience.
• Experience managing complex cardiology patients, including heart failure, coronary artery disease, valvular disease, arrhythmias, peripheral vascular disease.
• Five or more years of clinical experience in a cardiac…