Background:
The Children’s Hospital of Michigan Pediatric Palliative Care Team was established in 2007 as one of the first of its kind in the nation. We define the goal of our team as the prevention and treatment of physical, social, emotional and spiritual suffering in both patients and their caregivers. The team offers a broad range of services to families affected by serious childhood illness that includes prenatal consultation and counseling, inpatient consultation, outpatient consultation in both clinic and home settings, primary care services for medically complex
individuals, and support for bereaved families. Since its inception, the team has provided services to approximately 1200 families. The team completes approximately 100 new patient consultations per year. At any given time the team follows approximately 250 patients at a variety of levels of care, including a daily inpatient census of 15-20 and comprehensive primary care services for approximately 100 patients. The Pediatric Palliative Care Team proudly offers
families 24/7/365 on-call availability. The team’s strengths are the provision of continuity to medically complex patients, excellent communication with families and between providers, and advocacy for family and patient values and priorities.
Purpose:
The Pediatric Palliative Care Nurse Practitioner (PPCNP) is an advanced practice nurse, who utilizes advanced knowledge and clinical expertise in providing both acute and primary health care services to individuals, families, groups and communities across the spectrum of complex, chronic, life-threatening and life-limiting illnesses. The PPCNP is expected to be passionate about improving care for this patient population and driven to expand knowledge and expertise
in the field of Pediatric Palliative Care. The PPCNP will be expected to have excellent skills in inter-team, multidisciplinary collaboration. The purpose of the PPCNP will be to work as a valued and equal member of the Palliative Care Team towards goals of expanding and improving care for patients, education and awareness of palliative care services for medical professionals and the community at large, and quality improvement and research initiatives. 

? Demonstration of interest in hospice and palliative care.
Essential Responsibilities and Duties:
Under the limited direction of the attending physician or designee,
1. Participate in initial and follow-up consultation for children from the perinatal period through young adulthood to elicit sources of discomfort, parental and patient values, and determine plan of care that supports the assessment.
2. Collaborate with an interdisciplinary team on new and active patients.
3. Maintain accurate and timely documentation regarding patient status, evaluations, treatment, and plan of care.
4. Coordinate care of chronically ill, medically complex infants, children, adolescents, and young adults with complex and life limiting conditions.
5. Order tests and prescribe medications based on assessments.
6. Utilize new improvements and/or technologies that relate to job
assignment.
7. Establish relationships with professionals in other healthcare and
community organizations to develop strong partnerships that support
improved patient outcomes and the health of the community served.
8. Participate in education and outreach to promote staff and community
development regarding palliative care.
9. Contributes to and assists with the sustainability and expansion of the
Palliative Care Program.
10. Takes a leadership role in continuing established palliative care events and
programs and creating new events and programs, including writing and
submitting grants for funding.
Working Conditions:
1. Occasionally lift and/or move up to 25 pounds with or without assistance.
2. Able to complete duties under stress, deadlines, and while attending to
multiple duties simultaneously.
3. Prolonged computer related exposure, as well as sitting and standing at
workstations for long periods of time.
4. Noise level in the work environment is usually moderate.
5. Bending, sitting, and standing frequently throughout the day.
6. Occasionally travel off-site for home visits, meetings, conferences,
seminars, and training. 
Work Schedule:
? 8 hrs/day M-F with broad flexibility
? Limited overnight and weekend call coverage
EXEMPT STATUS: This position is exempt from overtime pay provisions of the Federal Fair
Labor Standards Act.
Reasonable accommodations may be made to enable individuals with disabilities
to perform the essential functions.

All employment decisions are made based on an individual’s qualification for a particular job. Consistent with the principles of equal employment opportunity and are administered without regard to race, color, religion, sex, age, national origin, disability, height, weight, marital status, genetic information covered veteran status, sexual orientation or any category protected by
applicable law. Internal Candidates Must Apply to Human Resources by: Submitting an email of interest with
a resume before or on April 5, 2021.
How to Apply:
Email Resume/Application to: Human Resources Department
Contact Information: Contact Email: lpanoff@dmc.org
EOE M/F/VET/DISABLED