**Employment Type:** Full time **Shift:** Night Shift **Description:** **Position Purpose** The Overnight Surgical Specialty NP/PA provides health care services under the direction of collaborating ENT surgeons, Urology surgeons, and Plastic surgeons and under the direction of the Clinical Director of Advanced Practice Providers (APP). Under the direction of the surgeon and APP Director, the NP/PA is responsible for coordinating the health care plan for the assigned patient population by collaborating with consulting physicians and health care professionals. The NP/PA carries out physician orders and maintains the continuum of care through the coordination and integration of all phases of patient care, guided by progress notes, consults, care plans, critical pathways, managed care guidelines, best practice protocols, evidenced based care, and the utilization review processes. In partnership with the supervising physician the NP/PA evaluates care based on quality and core measures, access and cost effectiveness. The NP/PA contributes to excellence in patient care by focusing on age specific, developmental and spiritual needs and serving as a role model in patient care, consulting, teaching, and leadership. **Shifts Available:** Nights **Status available:** Full-time **Required Qualifications:** **NP Education** : Master’s Degree in clinical nursing from an accredited Nurse Practitioner Program with emphasis on area of certification/licensure. **NP Licensure** : Current Registered Nurse and Nurse Practitioner license in the State of Michigan. Certification as an Acute Care Nurse Practitioner from the appropriate certifying board. **PA Education:** Requires graduation from an ARC-PA accredited PA program. **PA Licensure:** Current License/Certification as Physician Assistant with the State of Michigan. BLS/ACLS/PALS certification Required **Required Skills and Abilities** + Interpersonal skills necessary to initiate and maintain collegial relationships with coworkers and therapeutic relationships with patients and families. + Analytic skills necessary to perform principal duties and responsibilities of job description. + Ability to concentrate and pay close attention to detail for up to eighty percent of work time when planning and performing professional nursing care. + Ability to walk and stand continuously for 50% of time, ability to sit for 50% of time **Experience** Two to three years related experience. **What you will do:** Clinical care for ENT, Urology and Plastic Surgery patients: + Formulates and implements medical and nursing plans of care for acute management of all ENT, Urology, and Plastic surgery (inpatient, emergency department, and consult) patients with collaborating physicians. + Assists with evaluation and triage of emergency room patients. + Performs procedures such as cystoscopy or suturing as indicated and under the direction of the collaborating physicians. + Provides direct clinical services for ENT, Urology, and Plastic Surgery patients according to established protocols, using evidence-based practice and clinical practice standards, under the supervision of the collaborating physicians. + Orders appropriate diagnostic and laboratory data under the direction of the supervising physician and communicates results to physicians and other health care providers. + Assesses changes in patient status and institutes routine and emergency interventions to stabilize patients under the direction of the supervising physician and APP team. + Documents plan of care and patient progress in medical records and narrative summaries. + Evaluates and documents patient outcomes and revises the plan under the direction of collaborating physicians in association with other specialty consultants. + Helps facilitate discharge planning along with patients, families, other members of the health care team and referral agencies. Collaborative role with other disciplines: + Acts as the daily central liaison to all health care team members for patient care concerns. + Coordinates speech, physical and occupational therapies. + Participates in patient care conferences and peer quality review with collaborating physician, consulting medical teams, and other health care disciplines. Education Focus: + Explains the purpose, preparation and potential effects of the procedure to patients and their families. + Provides pre-operative teaching and discharge planning to patients and families. + Designs, instructs, and reviews information and programs pertinent to inpatient and outpatient ENT, Urology, and Plastic Surgery patient population. + Participates on hospital, nursing and medical committees as designated. + Serves as a hospital resource to staff, patients, and families. + Develops and implements a personal continuing education program to maintain current knowledge of neurospine care and associated medical concerns. ​ **Total Rewards and Benefits:** + Competitive compensation, **DAILYPAY** + Benefits effective Day One! No waiting periods. + Full benefits package including Medical, Dental, Vision, PTO, Life Insurance, Short and Long-term Disability + Retirement savings plan with employer match and contributions + Opportunity for growth and advancement throughout SJMHS and Trinity Health + Tuition Reimbursement Click Here (https://www.stjoeshealth.org/careers/current-openings/benefits) to learn more about the benefits, culture and career development opportunities available to you at Trinity Health Michigan. **Our Commitment to Diversity and Inclusion** Trinity Health is one of the largest not-for-profit, Catholic healthcare systems in the nation. Built on the foundation of our Mission and Core Values, we integrate diversity, equity, and inclusion in all that we do. Our colleagues have different lived experiences, customs, abilities, and talents. Together, we become our best selves. A diverse and inclusive workforce provides the most accessible and equitable care for those we serve. Trinity Health is an Equal Opportunity Employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability, status as a protected veteran, or any other status protected by law. Our Commitment to Diversity and Inclusion Trinity Health is a family of 115,000 colleagues and nearly 26,000 physicians and clinicians across 25 states. Because we serve diverse populations, our colleagues are trained to recognize the cultural beliefs, values, traditions, language preferences, and health practices of the communities that we serve and to apply that knowledge to produce positive health outcomes. We also recognize that each of us has a different way of thinking and perceiving our world and that these differences often lead to innovative solutions. Our dedication to diversity includes a unified workforce (through training and education, recruitment, retention, and development), commitment and accountability, communication, community partnerships, and supplier diversity. EOE including disability/veteran