PRN Critical Care Nurse Practitioner

Job Description

The Critical Care APP is a member of the Pulmonary Medicine team with the primary responsibility of managing patients with acute, critical, and chronic illness and disease in the intensive care setting. The Critical Care APP has a specialized skill set and knowledge about caring for critically complex patients, i.e., Neuro, Medical and Surgical. In this position, the APP will work under direction of the Manager, Pulmonary & Critical Care and collaboratively with a matrix reporting relationship to the Pulmonary Clinical Director. The APP will also work collaboratively with all Critical Care Physicians, the Neurocritical Care Director, and Surgical Services Clinical Director.  

Ready to make a difference? Position Duties Include:

• This position is PRN and requires both day shift and night shift. Shifts are 7-7.  
• Provide in house overnight coverage for ICU patients and new admissions with supporting physician. No on-call requirements.
• Supports the Mission, Vision, and Values of Munson Healthcare. 
  • Manages complex acute, critical, and chronically-ill adult patients at risk for urgent and emergent conditions, using both physiologically and technologically derived data, to manage physiologic instability and risk for potential life-threatening conditions. 
  • Obtains medical histories, performs physical exam, and develops assessment and plan.  
• Collaborates, as appropriate, with others to diagnose and manage acute and chronic and/or multi-system health problems including, but not limited to: Acute Respiratory Distress Syndrome, pneumonia, Sepsis, Diabetic Ketoacidosis, Stroke (both hemorrhagic and ischemic), Acute Abdomen and Traumas.   
• Identifies the presence of comorbidities and the potential for rapid physiologic deterioration or life-threatening instability. 
• Collaborates with intraprofessional and interprofessional team to achieve optimal patient outcomes during acute, critical and/or complex chronic illness including daily rounding with the interdisciplinary team.  
• Employs interventions, both pharmacologic and nonpharmacologic, to regain and maintain physiological and psychological stability.  
• Performs diagnostic and therapeutic interventions including but not limited to: Interpretation of EKG and imaging studies, Laboratory and Radiologic Studies, Respiratory support, Hemodynamic monitoring, Lumbar puncture, Wound debridement and Closure, central line, arterial line, hemodialysis catheters, chest tubes, thoracentesis/paracentesis, and suture removal.
• Implements interventions to support the patient with a rapidly deteriorating physiologic condition based on Advanced Cardiac Life Support and Fundamentals of Critical Care Support.  
• Collaborates with the patient, family, and others to provide palliative and end-of-life care options.  
• Provide Consult Services in coordination with a partnering (in the case of a Physician Assistant) or supervising (in the case of a Nurse Practitioner) physician.   
• Provides care coordination, which includes managing a variety of ancillary services, pre-operative plans, discharge planning, provider referrals and medical devices such as insulin pumps, defibrillators, and pacemakers.  
• Maintains patient health records according to established standards and guidelines. 
• Provides clinical direction to nursing staff regarding the continued care of patients. 
• Performs other duties and responsibilities as assigned. 
• Perform daily rounds with multidisciplinary team. 
• Consult services and work under a supervising physician.  

EHR

• Oracle Health

Find more than your next job. Find your community.  

• We’re northern Michigan’s largest healthcare system and we are deeply rooted in the communities we serve. That means that our patients are often our family, friends and neighbors – and it’s special to be able to care for them. And as one of the top healthcare systems to work for in Michigan by Forbes (America’s Best Employers by State 2022), we’re committed to your ongoing growth and development. 
• After work, you’ll find things to do in every season – beaches, outdoor recreation, unique restaurants, world-class wineries, arts and entertainment.  
• As a non-profit healthcare system, Munson Healthcare provides $65 million in health care programs and education, as well as free discounted and unreimbursed services.  

Munson Healthcare by the Numbers:

• 8 hospitals
• 694 licensed acute care beds
• 212 licensed long-term care beds
• 7,500 employees
• 1,000 physicians
• 63 specialties
• 540,000 residents
• We cover 14,667 square miles – about the size of Vermont and Delaware combined.
• Munson Healthcare Home Health and Munson Healthcare Hospice serve 29 counties.  

  Why Choose Munson Healthcare: 

• Balance – Get out on the water, in the woods, on the trails or around town  
• Opportunity – Be a part of northern Michigan’s leading healthcare team with opportunities for personal and professional growth throughout the healthcare system 
• Flexibility – A career that can change as your life changes  
• Teamwork – Our people make Munson Healthcare a great place to work!    

About Traverse City, Michigan   

Nestled on the shores of Lake Michigan’s Grand Traverse Bay, Traverse City is a vibrant, four-season resort community renowned for its stunning natural beauty, cultural attractions, and exceptional quality of life. Highlights include:   

• Outdoor Recreation: Endless opportunities for skiing, hiking, biking, boating, and golfing in a region surrounded by pristine lakes, forests, and trails.   
• Cultural Hub: Home to the National Cherry Festival, vibrant arts scenes, award-winning wineries, and a burgeoning culinary landscape.   
• Top-Rated Schools: Excellent public and private schools, making it an ideal place for families.   
• Accessibility: Convenient regional airport with direct flights to major cities, ensuring easy travel for professional and personal needs.

Traverse City, Michigan 

We are an Equal Opportunity Employer  

Munson Healthcare grants equal employment opportunity to all qualified persons without regard to race, color, national origin, sex, disability, age, religion, genetic information, marital status, height, weight, gender, pregnancy, sexual orientation, gender identity or expression, veteran status, or any other legally protected category. 

Qualifications

Nurse Practitioner: 

• Master of Science in Nursing or Doctor of Nursing Practice degree from an accredited (CCNE) Nursing Program 
• Certification as an Acute Care Nurse Practitioner or Family Nurse Practitioner with further acute care education or training 
• Current Unencumbered Nursing and Specialty Nurse Practitioner License in the State of Michigan  

Physician’s Assistant:   

• Master of Science in Physician Assistant Studies degree from an accredited (ARC-PA) Program 
• Certification as a Physician Assistant by the American Academy of Physician Assistants (AAPA) 
• Current Unencumbered Physician Assistant license in the State of Michigan 

Provider ICU experience required.

Additional Information

All your information will be kept confidential according to EEO guidelines.

Munson Healthcare requires all employees be vaccinated or have lab confirmed immunity for Measles, Mumps, Rubella and Varicella. MHC also requires all employees to receive a flu vaccine during the flu season in the year that they are hired and annually thereafter, or receive an approved medical or religious exemption.