APP - Neurocritical Care/Neuro IR

We are seeking a motivated Advanced Practice Provider (APP) with an interest in Neurocritical Care and Neuroendovascular services to join our Neurosciences team at Trinity Health Ann Arbor Hospital. Our hospital is a 500+ bed Level 1 trauma center, recognized by the Joint Commission as a Thrombectomy-capable Stroke Center. We serve as a community teaching medical center for South Washtenaw County, Michigan, specifically the Ann Arbor and Ypsilanti areas.

Full Time: 1.0 FTE
Schedule: Varies
Location: Ann Arbor, MI
Specialty: Neurocritical Care and Neuro IR

Requirements

Master’s degree in physician assistant or nursing (Requirement for NPs: AGACNP or ACNP)
Minimum 2 years of graduate level inpatient experience required
Neurocritical Care and/or Neuro IR experience strongly preferred
State of Michigan Licensure - maintain active and in good standing throughout employment or eligible to obtain
American Heart Association BLS - maintain active and in good standing throughout employment
American Heart Association ACLS - maintain active and in good standing throughout employment
Neurocritical care society ENLS certification and NIHSS before starting clinical work and maintained throughout employment.

Knowledge, Skills, and Abilities

Available to work weekends and holidays with varying schedules.
Able to interpret, adapt, and react calmly under stressful conditions.
Able to recognize subtle changes in the patient’s condition and to adapt care based on those changes.
Strong interpersonal, communication, collaboration, and conflict resolution skills.
Able to work independently and collaboratively with other disciplines using discretion and independent judgment.
Able to relate cooperatively and constructively with patients, families, and co-workers.
Able to maintain the confidentiality of sensitive information.
Ability to problem solve, formulate a plan of care, and evaluate the patient's response to care.
Able to communicate within a multidisciplinary team approach to modify a neurological plan of care to attain expected outcomes.

The Team

Our team consists of four neurointensivists, three neurointerventional neurologists, and eight current APPs, along with a dedicated neurocritical care pharmacist and various levels of learners. Our APPs are vital to our team; they are skilled clinicians, proficient in procedural skills, and exceptional educators. They actively engage in education across multiple levels and disciplines and participate in research and quality improvement initiatives.

The position includes a 2–3-month onboarding process before the APP can work independently, regardless of prior critical care experience. The ideal candidate will provide clinical services for 12 shifts per month, with each shift lasting 13 hours. Shifts will be scheduled from 6 a.m. to 7 p.m. for day shifts and from 6 p.m. to 7 a.m. for night shifts. This position requires a mix of day and night shifts and includes holidays and weekends, which will be evenly distributed among the ICU APPs.

Duties & Responsibilities

A typical day may include:

Patient Care & Assessment

Conduct daily rounds, review patient history, medications, and neurological status.
Develop, oversee, and document individualized plans of care for neurocritical and neurointerventional patients.
Order, monitor, and adjust medications and treatments; interpret diagnostic tests.
Ensure accurate and timely documentation, including follow-ups.

Collaboration & Communication

Work closely with physicians, APPs, nurses, and the interdisciplinary team to optimize patient outcomes.
Serve as a patient advocate and provide support, education, and updates to patients and families.
Participate in hand-offs and communicate effectively during shift changes or patient reassignments.

Education & Mentorship

Mentor APPs, medical students, and residents; provide feedback and guidance.
Educate patients, families, and staff on care plans, procedures, and best practices.

Quality & Safety

Monitor patient outcomes and program metrics, particularly in stroke and neurocritical care.
Participate in quality improvement and research initiatives.
Ensure safe medication administration and follow infection control standards.

On-Call Coverage

Provide coverage for neurocritical care and neurointerventional services during day and night shifts.
Communicate with attending physicians to ensure continuity of care.

Clinical Expertise

Maintain competency in designated neurosurgical and neurological procedures.
Collaborate with the team to evaluate and adjust care for critically ill patients.

Why Work with Us?

Comprehensive Care – Provide primary care services to patients of all ages.
Work-Life Balance and Advanced Digital Tools – Epic and MyChart
Supportive Team Environment – Collaborate with skilled physicians, nurse practitioners, and a dedicated support staff.
Prioritizing Internal Growth and Advancement - We are committed to promoting from within, offering abundant opportunities for career advancement and fostering a culture that empowers employees to thrive
Competitive Compensation and Benefits Package:
- Competitive salary + incentives
- Health, dental, and vision insurance
- Retirement savings plans (403b & 457)
- Public Service Loan Forgiveness eligibility
- Short- & long-term disability coverage
- Malpractice insurance with tail coverage

About Trinity Health IHA Medical Group

Established in 1994, Trinity Health IHA Medical Group is one of the largest multi-specialty medical groups in Michigan delivering more than one million patient visits each year, practicing based on the guiding principle: our family caring for yours. Led by physicians, Trinity Health IHA Medical Group is committed to providing the best care, with the best outcomes for every patient, and exceptional work experience for every provider and employee. Recognized as Metro Detroit’s Top Physician Group by Consumer Reports magazine, Trinity Health IHA Medical Group offers patients from infancy through senior years, access to convenient, quality health care with extended office hours and urgent care services, online patient diagnosis, treatment, and appointment access tools. Trinity Health IHA Medical Group is based in Ann Arbor and employs more than 3,000 staff, including nearly 1,000 providers consisting of physicians, nurse practitioners, physician assistants, care managers, and midwives in more than 150 practice locations across Southeast Michigan.

Here are a few facts about Trinity Health IHA Medical Group to help you understand our impact on the communities we serve in Washtenaw, Livingston, Lenawee, Oakland, and western Wayne Counties:

Office Locations: More than 190
Active Patients: 500,000+
Babies Delivered: 5,612 in FY25
Physicians: 900+
Certified Nurse Practitioners, Certified Physician Assistants & Certified Nurse-Midwives: 370+
Board Certified/Eligible Physicians: 100%
Hospital Affiliations: Trinity Health Ann Arbor, Trinity Health Chelsea, Trinity Health Livingston, Trinity Health Oakland, Trinity Health Livonia, Michigan Medicine
Support Staff: More than 2,800

MISSION STATEMENT

Trinity Health IHA Medical Group exists to meet community needs through the provision of personalized, high-quality health and medical services to its patients in a manner which results in high levels of patient satisfaction with clinical quality, services, accessibility, and value.

Our Values –CARES:

Commitment - We strive to provide quality care.
Advocacy - We are dedicated to advocating for our patients.
Respect - We believe that mutual respect is the foundation of a trusting relationship.
Efficiency - We are committed to delivering quality care, advocating for our patients, and fostering respectful relationships while also ensuring care is provided efficiently and cost-effectively.
Service - We prioritize service excellence for both our internal and external customers.

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