Physician Assistant/Nurse Practitioner - APP

We have the great privilege of helping patients and families re-build their lives. It's extraordinarily meaningful work and the reason we greet the day with optimism and anticipation. When patients "Ask for Mary," they experience a culture that has been sculpted for more than a century. Our hallmark is to carefully listen to patients and innovatively serve them. This is true of every employee, from support staff and leadership to clinicians and care providers.

Mary Free Bed is a not-for-profit, nationally accredited rehabilitation hospital serving thousands of children and adults each year through inpatient, outpatient, sub-acute rehabilitation, orthotics and prosthetics and home and community programs. With the most comprehensive rehabilitation services in Michigan and an exclusive focus on rehabilitation, Mary Free Bed physicians, nurses and therapists help our patients achieve outstanding clinical outcomes.The growing Mary Free Bed Network provides patients throughout the state with access to our unique standard of care

Mission Statement

Restoring hope and freedom through rehabilitation.

Employment Value Proposition

At Mary Free Bed, we take pride in our values-based culture:

• Focus on Patient Care. A selfless drive to serve and heal connects all MFB employees.
• Clinical Variety and Challenge. An inter-disciplinary approach and a top team of professionals create ever-changing opportunities and activities.
• Family Culture. We offer the stability of a large organization while nurturing the family/team atmosphere of a small organization.
• Trust in Each Other. Each employee knows that co-workers can be trusted to make the right decision for our family, patients, staff, and community.
• A Proud Tradition. Years of dedicated, quality service to our patients and community have yielded a reputation that fills our employees with pride.

Age Specific Responsibility

Must be able to demonstrate the knowledge and skills necessary to provide care appropriate to the age of the patients served in assigned department. Must demonstrate knowledge of the principles of growth and development over the life span and possess the ability to assess data reflective of the patient's status and interpret the appropriate information needed to identify each patient's requirements relative to age-specific needs and to provide the care needed as described in the department's policies and procedures.

Summary

As an employee of the Mary Free Bed Medical Group (MFBMG), and working as a representative of this physician group, the MFBMG APP works in coordination with the physicians within the MFBMG to:

• Provide timely response to acute care hospital consultations
• Screen patients for appropriateness of inpatient admission to Mary Free Bed Rehabilitation Hospital using the MFB admission criteria
• Communicate with the consulting physician and report the decision of the physician to the patient, family members, and the discharge planner from the referring hospital
• Complete admission assessments, history and physical documentation, and admission orders for new admissions for physicians within the MFBMG, within approved PA protocols.
• Assist with daily physician rounding, patient/family education and collaborating with the nursing and therapy staff to respond to patient care needs when these occur.
• Assist with discharge planning and completion of discharge summaries in collaboration with the physician.

Essential Job Responsibilities

• Staff will provide patient care, treatment, and services within the scope of their license, certification or registration and as required by law and regulation.
• For MFBMG Consults: Assures the timely and efficient response to consultations for the rehabilitation physician. Obtains and prepares relevant information for the physician to review. Communicates the decision of the MFBMG physician to the patient, family, and discharge planner from the referring hospital in a clear and positive manner. Working with the MFBMG physician, completes medical record documentation in accordance with referring hospital's policies and procedures.
• Develops and maintains effective working relationships with all referral's sources, MFB employees, consulting physicians, and MFBMG physicians and staff. Facilitates professional communication with each employee of the referring hospital, MFB, and the MFBMG. Demonstrates excellent customer service standards and behaviors. Encourages, coaches, and monitors teamwork and direct communication with co-workers. Deals discreetly and sensitively with confidential information.
• Monitors customer satisfaction and facilitates problem solving with the MFBMG physicians, patients and families, and referral sources. Encourages a culture of personal accountability, solution-seeking behavior, mutual respect, open communication, openness to change, enthusiasm, and pride.
• Maintains knowledge of current trends and developments in the field of PM&R 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.
• For MFB inpatients: Performs admission or consultation assessment (H&P) for new patients, including an assessment of the patient and the medical records from the referring hospital. Completes a history and physical within a timely manner, and as directed by the attending physician, writes admission orders under approved protocols after reconciling the medication transfer records from the referring hospital. Completes required regulatory documentation in accordance with MFB policies, in collaboration with the responsible physician. Pursuant to the Michigan Public Health Code Administrative Rules 338.2304/338.2406 writes controlled substance (Schedule II-V) via the following routes for administration: IM, SQ, and PO for in-patients if the admitting/designated physician has given proper authorization to do so.
• As directed by the MFBMG physicians, assists with daily patient rounding and assists with medical care within approved protocols. Writes medication orders within approved protocols or in collaboration with the responsible physician. Completes required regulatory documentation in accordance with MFB policies, in collaboration with the responsible physician.
• As directed by the MFBMG physicians, assists with discharge planning for patients, and completes discharge orders and writes prescriptions according to approved protocols and within the restrictions of the MFB privileges. Completes the discharge summary in collaboration with the attending physician.
• Ensures that services are provided in accordance with state and federal regulations, organizational policy, and accreditation compliance requirements.
• Performs 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 actions.
• Participates in program development and service recovery as needed.

We'll embrace all people by:

• Treating everyone with dignity and respect.
• Opening more doors to opportunity for others to succeed.
• Growing talent and people.
• Ensuring a welcoming experience for all we serve, regardless of origin, race, religion, disability, sexual orientation or socioeconomic status.
• Taking action against discrimination.
• Honoring our differences and how we 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

• Master's Degree in area of clinical practice (PA or NP)
• Certified and licensed as a Physician's Assistant (PA) or Nurse Practitioner (NP) by the State of Michigan
• Maintenance of CPR Certification
• A minimum of 3 years of relevant clinical experience
• Time management and organizational skills
• Effective written and verbal communication skills
• Able to respond to a highly variable workload including flexibility of work hours
• Able to maintain effective communication with multiple physicians and referral hospital employees.
• Excellent computer skills with specific ability to use Microsoft Office Products, Electronic Medical Record, other applications as necessary
• Reliable transportation and ability to access area Hospitals daily

Preferred Job Qualifications

• Significant rehabilitation and acute care experience as a Physician's Assistant
• Knowledge of Inpatient Hospital billing requirements
• Experience & Knowledge of Medicare Admission requirements

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: Majority

Traverse or move around work location: Majority

Use keyboard: None

Operate or use department specific equipment: None

Ascend/Descend equipment or ladder: None

Position self to accomplish the Essential Functions of the role: None

Receive and communicate information and ideas for understanding: None

Transport, position, and/or exert force:

Up to 10 pounds: _____

Up to 25 pounds: _____

Up to 50 pounds: Occasionally

Up to 75 pounds: _____

More than 100 pounds: _____

Other weight: Up to___ pounds _____

Other: None

Consistent with the Americans with Disabilities Act (ADA), it is the policy of Mary Free Bed Rehabilitation Hospital to provide reasonable accommodation when requested by a qualified applicant or employee with a disability, unless such accommodation would cause an undue hardship. The policy regarding requests for reasonable accommodation applies to all aspects of employment, including the application process. If reasonable accommodation is needed, please contact the Talent Acquisition team at recruitment@maryfreebed.com.

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.