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Highland Hospital
Rochester Hills, Michigan

Lead NP / Physician Assistant

Physician AssistantFull-Time

Listed compensation

$109k-$153k

Listing transparency2 of 6 stated

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

Employment & setting
Full-Time
Call expectations
Not specified
Weekends
Not specified
Posted 3h ago · Verified live

Job Description

Job Description

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.
* Assists in ensuring 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

$109,336.40 - $153,358.40 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 NP/PA provides comprehensive patient care, manages clinical standards, and oversees the performance and scheduling of other APP staff. They also act as a primary clinical resource, mentor, and coordinator for student preceptorships within the department.

Requirements

Candidates must hold the necessary educational requirements and licensure to practice as a PA or NP in New York State. A minimum of 5 years of experience is preferred, along with proficiency in Microsoft Office and medical terminology.

Qualifications

Education
Professional certificate or licensure
Experience
5+ years of experience

Key Skills

Staff mentorshipPerformance evaluation

Family Medicine — Physician Assistant Career Context

Of the 50 active Family Medicine listings this role was benchmarked against, 6% are remote, 58% have no call, 64% require no weekends.

Family Medicine pay on WeekdayDoc is down 15.5% vs. the prior quarter (through Aug 2026).

The cost-of-living index for Michigan is 96.2 (US average = 100; BEA Regional Price Parities (2024)), so the posted ~$131k midpoint carries the purchasing power of roughly $137k in an average-cost state. 61.8% of Michigan clinicians report burnout symptoms in WeekdayDoc's Burnout Index (2026-01 data).

Top Physician Assistant Jobs

30 matches · ranked by pay

Salary Distribution30 jobs · 24 employers

9
<$145k
7
$145k-165k
7
$165k-185k
5
$185k-205k
2
$205k+

Annual compensation range

Benefits & Perks27 jobs · 24 employers

401k / retirement match
89%
CME allowance
74%
Sign-on bonus
63%
Relocation assistance
22%
Loan repayment
11%

Share of similar jobs offering each benefit

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#3

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#4

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+ 28 more · ranked by pay

Work-life snapshot

3.0/ 10
Listing-based score

Living in Rochester Hills

Typical 3-bedroom home value
$404k
Typical market rent
$1,812/mo
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 (Aug 2026), Zillow market rents (Aug 2026), U.S. Census ACS 2024 five-year.

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

City-level figures. Not a cost-of-living guarantee.

Highland Hospital logo

About Highland Hospital

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

Benefits & Perks

Collaborative Practice Agreement Required