Advanced Practice Provider (NP/PA) - Inpatient - Neuro ICU, Neurohospitalist

Position Description:

The Medical College of Wisconsin's Department of Neurology is seeking a Nurse Practitioner or Physician Assistant to support both the Neuro ICU and Neurohospitalist Inpatient Services located in Milwaukee, Wisconsin at Froedtert Hospital.

The Advanced Practice Provider (APP) works as a member of a multidisciplinary health care team who will contribute to excellence in program administration, patient care, patient safety, research, quality improvement, and teaching.

This Neurology Department is fortunate to have several fellowship trained Neurologists specializing in stroke and both neurointensive and neurointerventional care, who can provide state-of-the-art treatments. The clinical expertise assembled in the Department of Neurology had resulted in JCAHO certification of Froedtert Hospital as the first Primary Stroke Center in Wisconsin in 2004.

The Ideal Candidate will have a passion for working with medically complex patients and bring prior experience as an APP/RN working with patients of the Neurological services, critical care or other high acuity hospital work who wants to be part of a thriving and collaborative academic practice at the Medical College of Wisconsin (MCW).

In this role you will:

• Support the Neuro Critical Care and Neurohospitalist services by collaborating with a large team of Attending Physicians, Resident and Fellow Physicians, APPs, medical students, and APP students to admit, develop treatment plans, monitor effectiveness of care, interpret diagnostic results, employ pharmacological and non-pharmacological treatment plans, and discharge patients with complex primary neurologic problems. Primary patient population includes stroke (hemorrhagic, ischemic, and aneurysmal), traumatic brain injury, seizure/status epilepticus, spinal cord injury, meningoencephalitis, and post op neurologic surgery.
• Practice autonomously with Attending Physician oversight on both the Neuro Critical Care and Neurohospitalist services to provide comprehensive care through management of multiple acute medical problems, performance of bedside procedures, attention to detail regarding diagnostic results and formulation of treatment plans and coordinate complex disposition to promote continuity of care across the continuum of care.
• Facilitates and communicates with patients, family, and staff to promote closed loop communication, inclusivity, and enhance care plan knowledge.
• Work within a multi-disciplinary care team including comprised of Attending Physicians, Resident and Fellow Physicians, APP students and fellows, and medical students.
• Complete comprehensive Grand Rounds on the Neuro Critical Care Service to develop patient care plans and attend didactic lectures to further clinical expertise.

Core Advanced Practice Provider Responsibilities:

• Perform comprehensive history and physical exams, identify normal and abnormal findings, including physical, cognitive, and psychosocial status.
• Participate in Neuro ICU Grand Rounds and work within a multiprofessional team comprised of medical students, APP students, APP fellows, Resident and Fellow Physicians and Attending Physicians.
• Order, perform, and interpret screening and diagnostic procedures and tests, and appropriately communicate and document information.
• Write accurate and timely consult notes, progress notes, procedure notes, and/or admission and transfer orders.
• Develop pharmaceutical and non-pharmaceutical treatment plans.
• Monitor effectiveness of plan of care.
• Educate patients and their families on disease and treatment plans.
• Conduct family meetings to discuss prognostication, review care plan, and coordinate patient disposition.
• Perform procedures as trained and obtain appropriate privileging and credentialing in critical care-specific bedside procedures including arterial line and central line placement, lumbar puncture, bedside bronchoscopy, and bedside POCUS.
• Document within the Electronic Medical Record (EMR) and complete other necessary documents including Healthcare Power of Attorney activation, procedure consent, and FMLA authorization.
• Collaborate with and consult with additional provider teams to expand upon diagnostic workup and therapeutic intervention.
• Educate, counsel, and assist patients and families regarding current health problems, health maintenance activities and preventive behaviors.
• Perform discharges for patients on both the Neuro ICU and Neurohospitalist service, assess medical criteria for progression beyond inpatient care, coordinate appropriate follow-up appointments, and refine medications in preparation for prescription on discharge.
• Attend Care Coordination Rounds (CCRs) to participate in interdisciplinary discussions with therapies, Social Work, Registered Dieticians, and unit nurses to determine a patient's disposition, medical barriers, and equipment needs for discharge.
• Complete required training and maintain key regulatory requirements, including those of the privileged institution, CMS, and the Joint Commission.
• Participate in required classes throughout the onboarding process including MCP Orientation, completion of Froedtert Learning Center modules, Fundamentals of Critical Care Society (FCCS) courses, Mechanical Ventilation course, ECG 1 and 2 courses, Central Line Course, Lumbar Puncture Course, Suture Course, BLS/ACLS renewal, Empathy training, and Virtual Critical Care Rounds (VCCR).
• Acquire information on the most current development and trends in the Physician Assistant or Nurse Practitioner field, through participation in continuing education events including educational programs, in-services, professional associates, and current literature.
• Opportunity to attend or participate in APP and Attending and Fellow Physician-led didactic lectures hosted by the NICU and other neighboring ICUs.

The above statements are intended to describe the general nature and level of work being performed by most people assigned to this job. They are not intended to be an exhaustive list of all responsibilities, duties, and requirements. Scheduling flexibility is required to accommodate changing business needs.

Learn more about: Froedtert Hospital MCW Neurology MCW APPs

Application review will begin immediately and continue until the position is filled.

All interactions will remain confidential, and no inquiries will be made without the consent of the applicant. Formal applications are preferred but nominations and applications, including current Resume/CV and optional a cover letter stating reasons for interest in the role, should be included in a formal application or may be submitted to: Emily Roth, APP Recruiter - emroth@mcw.edu

Medical College of Wisconsin

At the core of everything we do at the Medical College of Wisconsin (MCW) is the pursuit of new knowledge and the power of academic medicine. Bringing together the world's top scientists and clinicians, inspired students, and invested communities, we are driven to solve the most complex challenges in health and society. MCW is home to a diverse group of thought leaders collaborating to build a healthier world and a continuous cycle of life-changing knowledge. MCW has approximately 1,600 full-time and part-time faculty and approximately 3,445 full-time employees.

Milwaukee

Milwaukee, the largest city in Wisconsin, is on Lake Michigan's western shore. A metropolitan area with more than 1.5 million people (about the population of West Virginia), Milwaukee is an affordable, comfortable place to live, work, and play, big enough to be exciting and uncongested enough to get around easily. Milwaukee's many neighborhoods have incredible charm, accommodating a variety of lifestyles, from high-rise apartments to small farms. Nestled along a magnificent bluff overlooking Lake Michigan, Milwaukee's downtown is home to botanical gardens, museums, a theater district, the world champion Milwaukee Bucks, the Milwaukee Brewers, and many fine restaurants. The lake and its harbors are skirted by scenic parklands and provide first-class opportunities for recreation, including hiking, cycling, boating, and more. A recent study ranked Milwaukee as the 15th most walkable of the 50 largest US cities.

Preferred Schedule:

Schedule: Flexible schedule; 12 shifts per 28-day block. Day shifts are 12-13 hours in duration and night shifts are 14 hours, divided amongst Neuro ICU and Neurohospitalist services. Average of four nights per 28-day block, remainder of shifts are days split between Neuro ICU and Neurohospitalist services. Additionally, shifts include 1-2 weekends per block and 2-3 Holidays per year on rotation. Alternative FTE and schedule positions available upon further discussion. Please note that schedule requirements are subject to change to best fit the needs of the APP cohort.

Position Requirements:

Preferred Experience: Preference for experience in Neurology or Critical Care in an inpatient setting.

*No experience required - open to training newer providers

Preferred Schedule:

Position Requirements:

Minimum Education:

Advanced Practice Nurse: Master's Degree or higher in Nursing
Physician Assistant: Bachelor's Degree or higher in Physician Assistant Studies

Minimum Requirements: *or eligible

Advanced Practice Nurse Physician Assistant
Advanced Practice Nurse Practitioner Wisconsin Physician Assistant License
Wisconsin RN License Certification by NCCPA
Wisconsin Advanced Practice Nurse Prescriber License AHA ACLS, AHA BLS, DEA
Adult, Geriatric or Acute Care certification
AHA ACLS, AHA BLS, DEA

NIH Stroke Scale certification preferred

MCW as an Equal Opportunity Employer and Commitment to Non-Discrimination


The Medical College of Wisconsin (MCW) is an Equal Opportunity Employer. We are committed to fostering an inclusive community of outstanding faculty, staff, and students, as well as ensuring equal educational opportunity, employment, and access to services, programs, and activities, without regard to an individual's race, color, national origin, religion, age, disability, sex, gender identity/expression, sexual orientation, marital status, pregnancy, predisposing genetic characteristic, or military status. Employees, students, applicants, or other members of the MCW community (including but not limited to vendors, visitors, and guests) may not be subjected to harassment that is prohibited by law or treated adversely or retaliated against based upon a protected characteristic.

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