Speech Language Pathologist needed for an inpatient acute care hospital position that opens ASAP. Our hospital-based client is seeking a provider who has acute hospital experience for a 16 week assignment. To be considered you should know how to perform barium swallow studies. Schedule will be Monday - Friday 8 am - 4:30 pm, possibly including a weekend shift. EMR experience and any experience working on a specialty unit is a plus. To be considered, you will need a MI state license. Call us today for more details.<ul><li>ASAP Start Date</li><li>Monday - Friday 8 am - 4:30 pm, 40 hours guaranteed</li><li>16 weeks</li><li>Needs to know how to perform barium swallow studies</li><li>We provide complimentary housing and travel</li><li>We arrange and cover costs for licensing and malpractice</li><li>We simplify the credentialing and privileging process</li><li>We provide first-day medical insurance and 401(K)</li><li>Your personal recruiter handles every detail, 24/7</li></ul>Provider compensation offers are based on skill level, experience, and qualifications. Compensation may also be impacted by the critical nature of the need and vary by assignment. In addition to taxable hourly wage, providers may qualify to receive non-taxable daily lodging, meals, and incidental per diems not to exceed published General Services Administration (GSA) guidelines. Please speak with a recruiter for additional details and benefits.<img src="https://www.jobg8.com/Tracking.aspx?C0GW9s3P3XcRdZC2CLLYvQs" width="0" height="0" />

**Speech Language Pathologist**

Speech Language Pathologist needed for an inpatient acute care hospital position that opens ASAP. Our hospital-based client is seeking a provider who has acute hospital experience for a 16-week assignment. To be considered, you should know how to perform barium swallow studies. Schedule will be Monday - Friday 8 am - 4:30 pm, possibly including a weekend shift. EMR experience and any experience working on a specialty unit is a plus. To be considered, you will need a MI state license. Call us today for more details.

**Job Description**

- ASAP start date
- Monday - Friday 8 am - 4:30 pm, 40 hours guaranteed
- 16 weeks
- Needs to know how to perform barium swallow studies

**Benefits**

- We provide complimentary housing and travel
- We arrange and cover costs for licensing and malpractice
- We simplify the credentialing and privileging process
- We provide first-day medical insurance and 401(K)
- Your personal recruiter handles every detail, 24/7

Provider compensation offers are based on skill level, experience, and qualifications. Compensation may also be impacted by the critical nature of the need and vary by assignment. In addition to taxable hourly wage, providers may qualify to receive non-taxable daily lodging, meals, and incidental per diems not to exceed published General Services Administration (GSA) guidelines. Please speak with a recruiter for additional details and benefits.

Speech Language Pathology job in Gaylord MI

Munson OMH is looking to bring on CRNA's for their full time need starting ASAP. Monday-Friday with 6 call shifts/month. Practice Setting: Anesthesia coverage for the hospital Schedule (Shifts/Hours): 6:45a-3:15p (with .5 lunch 8hr total) and 6:45a-5:15p (with .5 lunch 10hr total)Call Preferred - 6 call shifts/month - Weekend call is Fri (3p or 7p) to Mon (7a). Mon-Thur call is 7a-7a.Call at OMH is Beeper call. If it is a weekday the provider on call will be covering a room during the day. M-F The ORs operate from 7am - 5 pm with the first cases starting at 0730. They run 2 rooms til 5 pm and 3 rooms until 3 pm during the week. There is only one call team available after 5 pm on the weekdays, holidays and weekends. Documentation System/EMR: Meditech Average Number of Surgical Cases Per Day: TBD, call coverage only Trauma Level/Designation: Trauma Level 4 Annual ER Volume: Approximately 19,000 annually Description of OR Staff: Traditional tech, RN Number of Operating Rooms: 5 OR's 2 procedure rooms Will you Accept Providers Needing to Obtain State License?: Yes Certification Requirement (BLS, ACLS, PALS, etc.): BLS and ACLS Training or Experience Required (Will You Accept New Grads?): No, we prefer experienced providers capable of servicing level 4 trauma facility with heavy general surgery and GYN, labor & delivery Patient Age Demographic (Pediatric, Adolescent, Adult, Geriatric): Primarily Adult, pediatrics are transferred out Procedures Required: General Surgical Cases ADULT, Minor Nerve Blocks, IV Regional anesthesia Procedures Required (cont.): Spinal Anesthesia, Epidural Anesthesia, Regional Anesthesia, Obstetrical Cases Certification Requirements <ul><li>Board Certified</li></ul> State License Requirements <ul><li>Michigan</li></ul> Additional License Requirements <ul><li>BLS, ACLS, Board Certified</li></ul> <img src="https://www.jobg8.com/Tracking.aspx?kW%2bUkb41TFBoL7%2fd7WBfAgl" width="0" height="0" />

**CRNA**

Munson OMH is looking to bring on CRNAs for their full-time need starting ASAP. This position requires Monday-Friday availability with 6 call shifts per month.

**Job Description**

- Anesthesia coverage for the hospital
- Schedule: 6:45 AM - 3:15 PM (with a 30-minute lunch for an 8-hour total) and 6:45 AM - 5:15 PM (with a 30-minute lunch for a 10-hour total)
- Call preferred: 6 call shifts per month; weekend call is Friday (3 PM or 7 PM) to Monday (7 AM). Monday-Thursday call is from 7 AM to 7 AM.
- Call at OMH is beeper call. If it is a weekday, the provider on call will be covering a room during the day. Monday to Friday, the ORs operate from 7 AM to 5 PM with the first cases starting at 7:30 AM. They run 2 rooms until 5 PM and 3 rooms until 3 PM during the week. There is only one call team available after 5 PM on weekdays, holidays, and weekends.
- Documentation System/EMR: Meditech
- Average Number of Surgical Cases Per Day: TBD, call coverage only
- Trauma Level/Designation: Trauma Level 4
- Annual ER Volume: Approximately 19,000 annually
- Description of OR Staff: Traditional tech, RN
- Number of Operating Rooms: 5 ORs, 2 procedure rooms
- Will you accept providers needing to obtain state license?: Yes
- Certification Requirement: BLS and ACLS
- Training or Experience Required: No, we prefer experienced providers capable of servicing a level 4 trauma facility with heavy general surgery and GYN, labor & delivery
- Patient Age Demographic: Primarily adult; pediatrics are transferred out
- Procedures Required: General surgical cases (adult), minor nerve blocks, IV regional anesthesia, spinal anesthesia, epidural anesthesia, regional anesthesia, obstetrical cases

**Requirements**

- Board Certified
- Michigan state license
- BLS and ACLS certification



Locum- CRNA

A facility near Boyne City, MI, is seeking a board-certified Physiatrist for a locum tenens opportunity starting in December 2024 and running through September 2025. This position focuses on inpatient care and provides an excellent opportunity for a PM&R physician who is local to the area. The role does not involve outpatient duties, making it ideal for those who prefer a specialized focus.Position Details:<ul><li>Location: Near Boyne City, MI</li><li>Type: Locum Tenens</li><li>Specialty: Physiatry (PM&R)</li><li>Shift: 24-hour coverage (5 pm to 8 am)<ul><li>Start Date: December 9, 2024</li><li>End Date: September 1, 2025</li></ul></li><li>Weekend Requirements: Yes, 24-hour on-call shifts on weekends</li><li>On-Call Requirements: Evening and night call from 5 pm to 8 am</li></ul>Job Responsibilities:<ul><li>Inpatient care with a focus on stroke recovery, amputations, and rehabilitation.</li><li>No outpatient duties required.</li><li>Inpatient requirement includes three notes per week.</li><li>Daily face-to-face acute consultations as needed.</li><li>Pre-admission screening review, discharge summaries, and weekly care plan documentation.</li><li>Clinical staffing and care plan meetings with support from a full-time NP.</li><li>Manage narcotic prescriptions and complete insurance peer-to-peer reviews when necessary.</li></ul>Support & Environment:<ul><li>14-bed inpatient unit with support from a full-time Nurse Practitioner (NP).</li><li>Hospitalists can provide call coverage if a consulting model is preferred.</li><li>Electronic Health Record (EHR): Cerner.</li><li>No outpatient duties, strictly inpatient care.</li></ul>Required Qualifications:<ul><li>Board Certified in Physiatry (no board eligibility).</li><li>Active Michigan medical license (required at the time of submission).</li><li>BLS certification (required).</li><li>Local candidates onlyno exceptions.</li><li>Clean background for fast credentialing (required).</li></ul>Compensation & Reimbursement:<ul><li>On Call Rate: 24-hour rate includes 9 hours of patient contact.</li><li>Call Back Rate: Applied after 9 hours of patient contact.</li><li>Holiday On Call Rate: 24-hour rate includes holiday coverage.</li><li>Weekend Call Rate: 24-hour coverage for Saturdays and Sundays.</li><li>Orientation Rate: Paid at half the hourly rate.</li></ul>Additional Information:<ul><li>This position requires clocking in and out using the Kronos systemno timesheets will be approved.</li><li>Malpractice insurance must be included in the rates.</li><li>No reimbursement for medical staff fees.</li></ul>Presentation Requirements:<ul><li>Updated CV (including locum tenens history).</li><li>Providers contact information.</li><li>Availability for the scheduled dates.</li><li>NPI and/or Michigan License Number.</li><li>Malpractice history and background documentation.</li><li>References (if available).</li></ul>If you're interested in this unique locum tenens opportunity in Northern Michigan, apply today! Reference Job ID . HDAJOBS MDSTAFF<img src="https://www.jobg8.com/Tracking.aspx?pBgz1dVZuscBTELHJBPBKwr" width="0" height="0" />

**Physiatrist**

A facility near Boyne City, MI, is seeking a board-certified Physiatrist for a locum tenens opportunity starting in December 2024 and running through September 2025. This position focuses on inpatient care and provides an excellent opportunity for a PM&R physician who is local to the area. The role does not involve outpatient duties, making it ideal for those who prefer a specialized focus.

**Job Description**

- Inpatient care with a focus on stroke recovery, amputations, and rehabilitation.
- No outpatient duties required.
- Inpatient requirement includes three notes per week.
- Daily face-to-face acute consultations as needed.
- Pre-admission screening review, discharge summaries, and weekly care plan documentation.
- Clinical staffing and care plan meetings with support from a full-time Nurse Practitioner (NP).
- Manage narcotic prescriptions and complete insurance peer-to-peer reviews when necessary.

**Position Details**

- Location: Near Boyne City, MI
- Type: Locum Tenens
- Specialty: Physiatry (PM&R)
- Shift: 24-hour coverage (5 pm to 8 am)
  - Start Date: December 9, 2024
  - End Date: September 1, 2025
- Weekend Requirements: Yes, 24-hour on-call shifts on weekends
- On-Call Requirements: Evening and night call from 5 pm to 8 am

**Support & Environment**

- 14-bed inpatient unit with support from a full-time Nurse Practitioner (NP).
- Hospitalists can provide call coverage if a consulting model is preferred.
- Electronic Health Record (EHR): Cerner.
- No outpatient duties, strictly inpatient care.

**Requirements**

- Board Certified in Physiatry (no board eligibility).
- Active Michigan medical license (required at the time of submission).
- BLS certification (required).
- Local candidates only—no exceptions.
- Clean background for fast credentialing (required).

**Compensation & Reimbursement**

- On Call Rate: 24-hour rate includes 9 hours of patient contact.
- Call Back Rate: Applied after 9 hours of patient contact.
- Holiday On Call Rate: 24-hour rate includes holiday coverage.
- Weekend Call Rate: 24-hour coverage for Saturdays and Sundays.
- Orientation Rate: Paid at half the hourly rate.

**Additional Information**

- This position requires clocking in and out using the Kronos system—no timesheets will be approved.
- Malpractice insurance must be included in the rates.
- No reimbursement for medical staff fees.

**Presentation Requirements**

- Updated CV (including locum tenens history).
- Provider's contact information.
- Availability for the scheduled dates.
- NPI and/or Michigan License Number.
- Malpractice history and background documentation.
- References (if available).

Physician / Psychiatry / Michigan / Locum tenens / Locum - Physician - Physiatry (PM&R) in MI Job

Locum Tenens Opportunity: General Medicine Physician Near Frederic, MI We are seeking experienced General Medicine Physicians for a locum tenens opportunity near Frederic, MI. This position is perfect for providers looking for a flexible, PRN-based role where they can contribute to the health and well-being of veterans. The role involves conducting Compensation & Pension (C&P) exams and Separation Health Assessments, offering an excellent opportunity to utilize your clinical skills in a meaningful and impactful way. Position Overview: <ul><li>Profession: Physician</li><li>Specialty: General Medicine</li><li>Start Date: ASAP</li><li>End Date: Ongoing</li><li>Shift Type: Days (PRN - as needed basis)</li></ul> Key Responsibilities: <ul><li>Conduct Non-Treatment Exams:<ul><li>Perform one-time C&P exams and Separation Health Assessments primarily through interviews and limited physical assessments.</li><li>Assessments may include range of motion testing, muscle strength testing, and other relevant evaluations.</li><li>Ensure the completion of all evaluations within 48 hours of exam completion, with no narrative report requiredonly standardized forms.</li></ul></li><li>Option for Flexible Coverage:<ul><li>Two options are available: Travel to perform exams at a leased facility or schedule veterans within your own practice.</li><li>Work half days (4 hours) or full days (8 hours) based on your availability and preference.</li></ul></li><li>No Prescribing or Treatment:<ul><li>This role is focused solely on assessments, with no requirement for prescribing or ongoing treatment, making it ideal for physicians looking for a non-clinical role.</li></ul></li></ul> Support & Training: <ul><li>Quick Credentialing & Onboarding:<ul><li>Streamlined processes to get you started quickly and efficiently.</li></ul></li><li>Training Provided:<ul><li>Comprehensive training will be provided for all Reporting/Disability Benefits Questionnaires (DBQs) and the use of the provider portal.</li></ul></li><li>Use of Personal Equipment:<ul><li>Physicians must have their own laptop (no Macs) for completing evaluations and reporting.</li></ul></li></ul> Required Expertise: <ul><li>Specialized Knowledge:<ul><li>Familiarity with Musculoskeletal, Diabetes, and Cardiology is essential.</li><li>Proficiency in METs testing and the ability to evaluate and diagnose respiratory, cardiovascular, and neurological conditions are required.</li></ul></li><li>Certification Requirements:<ul><li>Board Certified or Board Eligible.</li><li>DMA certification is available, offering CME credits upon completion (required if not already certified).</li></ul></li></ul> Additional Information: <ul><li>Follow-Up Administrative Work:<ul><li>Regular administrative tasks such as addendums, medical opinions, and diagnostic readings are part of the role.</li></ul></li><li>Patient Volume:<ul><li>This is a PRN role with the flexibility to work as needed, making it ideal for providers who want to maintain a balanced lifestyle while contributing to veteran care.</li></ul></li></ul>This locum tenens position is an excellent opportunity for General Medicine Physicians looking for a flexible, impactful role that allows them to support veterans in a non-treatment capacity.Job ID: j-241563 HDAJOBS MDSTAFF<img src="https://www.jobg8.com/Tracking.aspx?YcLt330jF%2fmB4ZLlJstApwb" width="0" height="0" />

**General Medicine Physician**

We are seeking experienced General Medicine Physicians for a locum tenens opportunity near Frederic, MI. This position is perfect for providers looking for a flexible, PRN-based role where they can contribute to the health and well-being of veterans. The role involves conducting Compensation & Pension (C&P) exams and Separation Health Assessments, offering an excellent opportunity to utilize your clinical skills in a meaningful and impactful way.

**Job Description**

- Conduct non-treatment exams:
  - Perform one-time C&P exams and Separation Health Assessments primarily through interviews and limited physical assessments.
  - Assessments may include range of motion testing, muscle strength testing, and other relevant evaluations.
  - Ensure the completion of all evaluations within 48 hours of exam completion, with no narrative report required—only standardized forms.

- Option for flexible coverage:
  - Two options are available: travel to perform exams at a leased facility or schedule veterans within your own practice.
  - Work half days (4 hours) or full days (8 hours) based on your availability and preference.

- No prescribing or treatment:
  - This role is focused solely on assessments, with no requirement for prescribing or ongoing treatment, making it ideal for physicians looking for a non-clinical role.

**Support & Training**

- Quick credentialing & onboarding:
  - Streamlined processes to get you started quickly and efficiently.

- Training provided:
  - Comprehensive training will be provided for all Reporting/Disability Benefits Questionnaires (DBQs) and the use of the provider portal.

- Use of personal equipment:
  - Physicians must have their own laptop (no Macs) for completing evaluations and reporting.

**Requirements**

- Specialized knowledge:
  - Familiarity with musculoskeletal, diabetes, and cardiology is essential.
  - Proficiency in METs testing and the ability to evaluate and diagnose respiratory, cardiovascular, and neurological conditions are required.

- Certification requirements:
  - Board certified or board eligible.
  - DMA certification is available, offering CME credits upon completion (required if not already certified).

**Additional Information**

- Follow-up administrative work:
  - Regular administrative tasks such as addendums, medical opinions, and diagnostic readings are part of the role.

- Patient volume:
  - This is a PRN role with the flexibility to work as needed, making it ideal for providers who want to maintain a balanced lifestyle while contributing to veteran care.

This locum tenens position is an excellent opportunity for General Medicine Physicians looking for a flexible, impactful role that allows them to support veterans in a non-treatment capacity.

Physician / Internal Medicine / Michigan / Locum tenens / Locums General Medicine Job in Michigan Job

Cross Country Locums is seeking CRNA's for North Central Michigan <ul> <li> To begin as soon as credentialed-ongoing </li> <li> Mon-Fri 8 or 10hr shifts, some call </li> <li> Cases are General, OB/GYN, minor nerve blocks, Regionals, Spinals and Epidurals </li> <li> EMR is Meditech </li></ul> Posted Date: 2024-06-23<img src="https://www.jobg8.com/Tracking.aspx?9oUTlKZ647V%2fb85gZauE2gx" width="0" height="0" />

**CRNA**

Cross Country Locums is seeking CRNAs for North Central Michigan. 

**Job Description**

- To begin as soon as credentialed - ongoing
- Monday to Friday 8 or 10-hour shifts, some call
- Cases are General, OB/GYN, minor nerve blocks, Regionals, Spinals, and Epidurals
- EMR is Meditech

Certified Registered Nurse Anesthetist (CRNA)

Locums Opportunity for Psychiatrist in MichiganCoverage dates: 9/1/2022 - 12/31/2023Shift Description: 7 days on/7 days off. Each day is 7AM-5PMWeekend Requirements: Call is 5PM-7AM and primarily via phone. During the 7 day shift - the psychiatrist covers call on the Saturday night that (s)he is scheduled and another weekday night during his/her schedule.On Call Requirements: provider covers 2 nights of call. Call is 5pm-7AM and is primarily by phoneThe ideal candidate must be Board Certified with active MI licenseLocated near Waters, MIIf you are interested in hearing more about this opportunity, please call or text MD Staff at . You can also reach us through email at . Please reference Job ID .<img src="https://www.jobg8.com/Tracking.aspx?SNolCGObua9gtM6q9l%2fICgh" width="0" height="0" />

**Psychiatrist**

Join our team for a locums opportunity for a Psychiatrist in Michigan. This position offers a flexible schedule with a 7 days on/7 days off rotation, providing an excellent work-life balance.

**Job Description**

- Coverage dates: 9/1/2022 - 12/31/2023
- Shift Description: 7 days on/7 days off. Each day is 7 AM - 5 PM
- Weekend Requirements: Call is from 5 PM - 7 AM and primarily via phone. During the 7-day shift, the psychiatrist covers call on the Saturday night that they are scheduled and another weekday night during their schedule.
- On Call Requirements: Provider covers 2 nights of call. Call is from 5 PM - 7 AM and is primarily by phone.

**Requirements**

- The ideal candidate must be Board Certified with an active Michigan license.

**Community Overview**

Located near Waters, MI, this area offers a serene environment ideal for both work and relaxation.

Physician / Psychiatry / Michigan / Locum Tenens / Locums Psychiatry Job in Michigan Job

Locum opportunity for an Emergency Medicine physician in MichiganCoverage dates: 6/1/2022 - OngoingNo call coverage.The candidate must have 2 years of recent ED experience.The candidate must also have clean malpractice/background.MI license and DEA are also required.Located near Frederic,MI.If you are interested in hearing more about this opportunity, please call or text MD Staff at . You can also reach us through email at . Please reference Job ID # j-70391.<img src="https://www.jobg8.com/Tracking.aspx?UZyDM7gxfRsg05fRqrGiXQt" width="0" height="0" />

**Emergency Medicine Physician**

Locum opportunity for an Emergency Medicine physician in Michigan. This position offers coverage dates from 6/1/2022 and is ongoing. There is no call coverage required.

**Job Description**

- The candidate must have 2 years of recent ED experience.
- The candidate must also have a clean malpractice/background.
- MI license and DEA are required.

**Community Overview**

Located near Frederic, MI.

Physician / Emergency Medicine / Michigan / Locum Tenens / Locums Emergency Medicine Job in Michigan Job

Urgent need for a Palliative Care physician to join a Locum practice inCoverage dates: ASAP - Ongoing7-on, 7-off schedule, beginning Tuesday 8 AM through the following Tuesday 8 AM. 7-on schedule requires 24-hour call coverage of hospice service. The full 7-day stretch may be flexible (fewer days in a row) based on availability.24-hour call, 7 days in-a-row, covering a home hospice care service, covering an inpatient palliative medicine consult service, and outpatient palliative medicine clinic.Call Ratio: Average number of calls/pages between 7PM and 7AM is one. Average number of calls/pages between 7AM and 7PM is 10.Located near Waters,MI.If you are interested in hearing more about this opportunity, please call or text MD Staff at . You can also reach us through email at . Please reference Job ID # j-70622.<img src="https://www.jobg8.com/Tracking.aspx?0KUoOrworiXuG0ldnyJeZAw" width="0" height="0" />

**Palliative Care Physician**

Urgent need for a Palliative Care physician to join a locum practice. 

**Job Description**

- Coverage dates: ASAP - Ongoing
- 7-on, 7-off schedule, beginning Tuesday 8 AM through the following Tuesday 8 AM
- 7-on schedule requires 24-hour call coverage of hospice service
- The full 7-day stretch may be flexible (fewer days in a row) based on availability
- 24-hour call, 7 days in-a-row, covering a home hospice care service, covering an inpatient palliative medicine consult service, and outpatient palliative medicine clinic
- Call Ratio: Average number of calls/pages between 7 PM and 7 AM is one. Average number of calls/pages between 7 AM and 7 PM is 10
- Located near Waters, MI

Physician / Palliative Medicine / Michigan / Locum Tenens / Locums Palliative Care Job in Michigan Job

Immediate need for an Endocrinologist for a locum practice in MichiganCoverage dates: ASAP - OngoingSchedule is Monday-Friday, 8am-5pm. Weekends will be rotated.Practice Setting: Ambulatory outpatient hospital based specialty clinic.No procedures - staff performs POC testing.Located near Waters,MIIf you are interested in hearing more about this opportunity, please call or text MD Staff at . You can also reach us through email at . Please reference Job ID # j-64619.<img src="https://www.jobg8.com/Tracking.aspx?UZyDM7gxfRue%2bozh%2fWFBYwt" width="0" height="0" />

**Endocrinologist**

Immediate need for an Endocrinologist for a locum practice in Michigan. This position offers a Monday-Friday schedule from 8 am to 5 pm, with weekends rotated. 

**Job Description**

- Provide care in an ambulatory outpatient hospital-based specialty clinic
- No procedures required; staff performs point-of-care testing

**Community Overview**

Located near Waters, MI, this area offers a serene environment with access to local amenities and outdoor activities.

Physician / Endocrinology / Michigan / Locum Tenens / Locums Endocrinology Job in Michigan Job

Locums opportunity for an Endocrinology & Metabolism physician in MichiganCoverage dates: ASAP-OngoingShift Description: M-F, 8 am -5pm.Practice Setting: Ambulatory outpatient hospital based specialty clinic. No procedures - staff performs POC testing.An active MI license is required. ACLS and BLS required.Located near Waters,MIIf you are interested in hearing more about this opportunity, please call or text MD Staff at . You can also reach us through email at . Please reference Job ID # j-57257.<img src="https://www.jobg8.com/Tracking.aspx?gB58Zs13DEOf%2fCJaW4EtjQj" width="0" height="0" />

**Endocrinology & Metabolism Physician**

Locums opportunity for an Endocrinology & Metabolism physician in Michigan. This position offers coverage dates from ASAP to ongoing.

**Job Description**

- Shift Description: M-F, 8 am - 5 pm
- Practice Setting: Ambulatory outpatient hospital-based specialty clinic. No procedures - staff performs POC testing.

**Requirements**

- An active MI license is required
- ACLS and BLS required

**Community Overview**

Located near Waters, MI.

Healthcare Jobs in Gaylord, Michigan