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Location
BMH Bronson Methodist Hospital

Title
APP Neurosurgery

PA-C or NP - Neurosurgery
Bronson Methodist Hospital
Kalamazoo, Michigan

Bronson Neuroscience Center has an exciting opportunity in southwest Michigan for a goal oriented, energetic Physician Assistant or Nurse Practitioner. This full-time position will be working with the Neurosurgery division, supporting both our Kalamazoo and Battle Creek locations.

The Neuroscience surgery division currently consists of 5 Neurosurgeons, 1 Neuroendovascular Surgeon, 3 Physiatrists and 7 APPs. This position is very diverse, with a mix of inpatient rounding, outpatient clinic, and surgical assisting, with no required night call coverage. This position is team focused and provides inpatient rounding coverage on a weekend rotation.

The ideal candidate will have a desire for providing personalized, evidence-based, care at the highest level. We are looking for someone who is a good team-player, eager to learn, has great communications skills, and a passion for supporting neurosurgical patients.

Position overview:

• Assists in the delivery of medical care to the patient by reviewing and monitoring treatment and therapy plans in the inpatient and outpatient settings.

• Obtains medical and personal histories, performs physical exams, orders appropriate laboratory, diagnostic and radiographic tests and interprets results.
• Educates patients and families regarding the plan of care.
• Works in conjunction with multidisciplinary team for the management of neurosurgical and neuroendovascular patients.
• Assists surgeon in the operating room on spinal and cranial cases.
• Supports all neurosurgeons and neuroendovascular surgeons on a rotating basis.

Requirements:

• Minimum 1 - 2 years' experience as an APP is preferred but not required. Experience in neurosurgery, other surgery specialty, or neurology is preferred.
• Must be able to practice independently with strong clinical decision making; communicate clearly with patients and caregivers and be able to navigate well through the EMR (Epic).
• Is able to work both autonomously and in a team environment.
• Graduate of accredited PA/NP program with unrestricted license to practice as a PA/NP in the state of Michigan.
• Be able to support surgeons as OR first assist.

Successful completion of a Physician Assistant program
Licensure as Physician Assistant and state DEA license to prescribe medications
Current prescriptive authority and collaborative agreement with oversight physician(s) should also be in place
Must maintain all requirements for medical staff privileges
• Ability to utilize word processing, spreadsheet, presentation programs, and other software relevant to the job
• Regularly communicates clearly and effectively both verbally and in writing (Utilizing SBAR technique)
• Communicates with internal customers such as, physicians, multi-disciplinary team, finance, management and external customers such as, patients, third party payers, community agencies on a daily basis and often simultaneously
Work which produces high levels of mental/visual fatigue, e.g., interactive and repetitive or small detailed work requiring alertness and concentration for sustained periods of time, the operation of and full attention to a personal computer or CRT between 40 and 70 percent of the time.
The job produces some physical demands. Typical of jobs that include regular walking, standing, stooping, bending, sitting, and some lifting of light weight objects.
• Concurrent Clinical Management
• Coordinates care with the multi-disciplinary team to facilitate implementation of patients' progress towards outcomes, which includes discharge or transfer of care. Acts as a clinical resource for the multi-disciplinary team. This is accomplished by:
o Assertive coordination among the multi-disciplinary team
o Identifying common patient complications and utilizes appropriate preventative measures.
o Assisting in the development and integration of quality measures/evidence into clinical practice.

Utilization Review:
• Performs an initial comprehensive assessment of the patient to determine if the patient requires a higher intensity of service and requires transfer to a hospital setting. This is accomplished by:
o Applying knowledge of regulatory and third party payor criteria.
o Utilization Management
o Facilitating timely discharges/transfers to the appropriate level of care.

Clinical Management
• Evaluate and appropriately manage patients.
• Evaluate lab, EKG, imaging studies
• Complete appropriate documentation necessary to support:
• Billing
• Medical care
• Orders
• Progress Notes
• Be available for any nursing questions or to evaluated status changes for patients

Shift
First Shift

Time Type
Full time

Scheduled Weekly Hours
40

Cost Center
8820 Bronson Neurosurgery (BMH)