Highland Hospital logo
Highland Hospital
Rochester Hills, Michigan

Physician Asst/NP Lead

Physician AssistantFull-Time

Listed compensation

$109k-$153k

The week · per this posting · weekdays assumed

Ask the employer about the work setting, call expectations, weekend coverage and time off.

Posted 1mo ago · Verified live

Job Description

Highland Hospital is seeking a Full-Time Advance Practice Provider Lead for our ICU team. The Physician Assistant or Nurse Practitioner that take this role will be tasked w/ both clinical and administrative responsbilities for the Advance Practice team in the ICU.

Some Duties Include But Are Not Limited To

Provides comprehensive care with an emphasis on health promotion and education.

This includes identification, management, and/or referral of health problems in collaboration with various health care specialists. All assessments and medical planning of care are accomplished under the direction of the patient's attending physician. Directly evaluates the care being delivered in a clinical setting and investigates and reports on quality assurance issues. Acts as a resource to all team members, coordinating orientation and educational/student preceptorship.

Performs routine clinical duties as outlined in the APP (NP/PA) job description for the department. This includes providing direct and indirect clinical management of patient care; administering direct and indirect patient care in accordance with established protocols and collaborating with a variety of healthcare professionals being recognized as first-line resources to the attending physicians regarding changes in a patient’s condition.

  • Evaluates the quality of care provided by self and others. Oversees other APPs and directly evaluates the care being delivered in a clinical setting and investigates and reports on quality assurance issues.
  • Collaborates with physician and management to develop, implement, and evaluate patient care standards and programs, clinical standards and policies.
  • Acts as a resource to all team members, including serving as the primary clinical resource and mentor for department’s APP staff.
  • Manages APP work schedule for clinical site. May complete biweekly payroll.
  • Participates in the interview and recruitment process for new APP positions.

Assists with credentialing process, onboarding, and orientation of new hires.

  • Coordinates orientation and educational/student preceptorship. Provides clinical mentorship for new APPs in the department.
  • Ensures all assigned staff remain compliant with mandatory education, licensure, certifications and other required credentials.
  • Contributes to the annual performance evaluations of department APPs.

Delivers performance evaluations and ensures submittal to HR.

  • Identifies lack of competency in APP performance and establishes a plan which includes goals, interventions and measures.
  • Reviews and approves planned and unplanned absences among assigned staff.
  • Participates on committees and at meetings as necessary.

Salary Range

$109,000.00 - $153,000.00 annually

The referenced pay range represents the minimum and maximum compensation for this job. Individual annual salaries/hourly rates will be set within the job’s compensation range, and will be determined by considering factors including, but not limited to, market data, education, experience, qualifications, expertise of the individual, and internal equity considerations.

Job Requirements

Education – Fulfilled the educational requirements to be a licensed PA or NP in NYS Experience (minimum required) – prefer 5 years License/Certification Required – For Nurse Practitioners: Certified Registered Nurse Practitioner in New York State For Physician Assistants: Physician Assistant license and current national certification required.

Skills (to include equipment, software, etc.) - computer competency required (Microsoft Office, Excel, PowerPoint), medical terminology

Key Responsibilities

The Lead APP will manage both clinical patient care in the ICU and administrative duties, including staff scheduling, performance evaluations, and quality assurance. They will serve as a primary clinical resource and mentor for the department's APP staff while collaborating with physicians to develop patient care standards.

Requirements

Candidates must be licensed as a Physician Assistant or Nurse Practitioner in New York State with current national certification. A minimum of 5 years of experience is preferred, along with strong computer competency and clinical leadership skills.

Qualifications

Education
Professional certificate or licensure
Experience
5+ years of experience

Key Skills

Staff supervisionPerformance evaluation

Critical Care Medicine — Physician Assistant Career Context

Of the 50 active Physician Assistant listings this role was benchmarked against, 10% are remote, 68% have no call, 74% require no weekends.

Physician Assistant pay on WeekdayDoc is up 2.6% vs. the prior quarter (through Oct 2026).

Physician Assistant by the numbers
MeasureThis jobMarket
Listed pay$109k–$153kPhysician Assistant median $126k (middle half $110k–$155k)42 comparable listings, Nov 2026
Cost-of-living adjusted pay~$136k in purchasing powerMichigan index 96.2 (US = 100)BEA Regional Price Parities (2024)
Physician Assistant listings in Michigan133 active4,692 nationallylive on WeekdayDoc, Nov 2026
Work settingon-sitepeers: 10% remote · 68% no call · 74% no weekends50 benchmarked listings
Sign-on & loan repaymentnot statedMichigan Physician Assistant listings: 19% state a sign-on bonus · 2% offer loan repayment133 active listings, Nov 2026
New Critical Care Medicine listings99 in the last 30 days88 the 30 days before (+13%)U.S., first seen on WeekdayDoc, Nov 2026
Physician Assistant pay trend+2.6% vs prior quarter—through Oct 2026
Sources: WeekdayDoc live listing index, BEA Regional Price Parities (2024); as of Nov 2026. Same values as the Weekday Verdict and Market Insights on this page.

Top Physician Assistant Jobs

44 matches · ranked by pay

Salary Distribution

44 jobs · 37 employers
15
<$145k
13
$145k-165k
6
$165k-185k
6
$185k-205k
4
$205k+

Annual compensation range

Benefits & Perks

43 jobs · 37 employers
401k / retirement match
81%
CME allowance
53%
Sign-on bonus
44%
Loan repayment
26%
Relocation assistance
16%

Share of similar jobs offering each benefit

#1

Outpatient Advanced Practice Provider (APP), Nurse Practitioner or Physician Assistant/Associates

Oregon Health & Science University · Portland, Oregon

$172k-$229k
#2

Advanced Practice Provider (APP), Nurse Practitioner or Physician Assistant/Associate

Oregon Health & Science University · Beaverton, Oregon

$172k-$229k
#3

NP/PA Family Medicine Full-Time (Float) Opening in San Diego, CA

$155k-$217k
#4

Clinic Director - Physician Assistant (PA-C) or Nurse Practitioner (NP)

$210k
+ 42 more · ranked by pay

Work-life snapshot

median 1.5this job 1.5
Better work-life than 50% of Critical Care Medicine (PA) listings

Listing-based score, 0–10, across 39 comparable listings. Shaded area = the share scoring below this one.

Highland Hospital logo

About Highland Hospital

Hospitals and Health Care
Rochester, New York
1,001-5,000 employees

Benefits & Perks

Collaborative Practice Agreement Required

Living in Rochester Hills

Typical 3-bedroom home value
$401k≈ 3.7× annual pay
Typical market rent
$1,772/mo≈ 20% of gross pay
Residents’ average commute
24 min
Metro price indexU.S. average = 100
100.3
State income tax
Up to 4.3%
Sources & methodology

Sources: Zillow home values (Sep 2026), Zillow market rents (Sep 2026), U.S. Census ACS 2024 five-year.

BEA 2024 · Detroit-Warren-Dearborn, MI metro prices. Housing figures are city-level.

Ratios use this listing’s gross annual pay. Not a cost-of-living guarantee.