Collaborative Physician Salary in Boston, MA

Home Hospital Advanced Practice Provider (NP or PA) 36 hour Days- NORTH Job Title: Home Hospital Advanced Practice Provider "The APP will primarily admit at Salem Hospital with flexibility to serve MGH and provide care to Home Hospital patients who live in the surrounding towns."General OverviewThe Home Hospital Advanced Practice Provider (HH APP) will be part of a clinical team that provides acute-level care to patients in the comfort of their own home. The MGB Home Hospital (HH) is an innovative strategic program that aims to improve the care of patients while increasing hospital capacity and reducing total costs of care. The Home Hospital Advanced Practice Provider will support the work of Home Hospital by visiting (either in person or virtually) and managing patients in their home as a direct Home Hospital provider, supported by a multidisciplinary team that includes an attending physician (who oversees the direction of care for patients enrolled), a Home Hospital nurse, a paramedic (Mobile Integrated Health), an administrative coordinator, and other allied staff as needed (e.g. home health aide, physical therapist). Upon admission to Home Hospital a patient will have an in-person visit (this can be done in the hospital or in the home). Daily Home Hospital rounds for the Home Hospital APP consist of at least one daily visit (in-person or virtual depending on patient needs and circumstances), with medical decision-making and delivery of needed care as appropriate (see specific clinical duties below). The HH APP will facilitate continuity between care settings, ensure home care and acute care protocols are seamlessly integrated in the home settings, and function as a lead clinician in the home environment.The ideal candidate for this HH APP role will be a patient-centered, proactive, flexible, and confident clinician comfortable with autonomy, multidisciplinary team collaborations, complex clinical decision-making, level-of-care triaging, and telemedicine. The role offers the potential to grow into a managerial/leadership position and/or the opportunity to broaden clinical duties.Principle Roles/Responsibilities:• Provides acute-level care in the home setting (in-person and/or virtual) as a key member of the Home Hospital treatment team (including receiving the patient at his/her/their home, establishing a treatment plan, following Home Hospital protocols where appropriate, liaising between the home and other care settings, timely clinical documentation, and responding to patient needs with the ability to triage decisions around escalation of care). Other clinical duties may include facilitating in-home diagnostics, point-of-care testing, administration of medications and other treatments, patient monitoring, clinical documentation, and other patient needs as they arise.• Collaborates with multidisciplinary Home Hospital team members and patients' longitudinal care team members around appropriate, safe, effective, equitable, and timely care delivery for Home Hospital patients.• Communicates with the patient and family about HH, incorporating patient and family values and goals in the plan of care. • Maintains a safe care environment for HH patients and leads in the practice of and reinforcement of a strong safety culture among all clinical partners involved.• Attends relevant team and other meetings related to Home Hospital and related work.• Participates with quality measurement and/or quality improvement initiatives, as appropriate, to advance the work of Home Hospital and other alternative care pathways, including advancements or innovations within the electronic health record.Qualifications QualificationsAt least 3 years of Nurse Practitioner (NP) or Physician Assistant (PA) experience strongly desired, preferably practicing in an acute hospitalsetting; academic medical center experience a plus.Current Massachusetts Licensure as a NP or PA with a Masters Degree required.MGB institutional knowledge a plus.Advanced Cardiac Life Support (ACLS) certification is required.Flexible and comfortable with a fast-paced, evolving clinical environment.Motivated, collaborative team player who also works well independently.Creative problem solver with the ability to think innovatively. Excellent oral and written communication skills.Demonstrated knowledge of quality measurement and quality improvement.Track record of proficiency in managing relationships and building networks.Previous experience with Continuous Quality Improvement efforts and development of evidence-based protocols a plus.Shift Requirements/Working ConditionsRole is Full-time, 36 hours and will include rotations for days, weekends, and holidays. There may also be a rotating overnight on-call responsibility.Local travel between patient homes within a defined 10-20 mile radius required.EEO Statement Mass General Brigham Healthcare at Home, an affiliate of Mass General Brigham, is committed to supporting patient care, research, teaching, and service to the community. We place great value on being a diverse, equitable and inclusive organization as we aim to reflect the diversity of the patients we serve. At Mass General Brigham, we believe in equal access to quality care, employment and advancement opportunities encompassing the full spectrum of human diversity: race, gender identity, sexual orientation, ability, religion, ethnicity, national origin and all the other forms of human presence and expression that make us better able to provide innovative and cutting-edge healthcare and research.

Home Hospital Advanced Practice Provider (NP or PA) full time 40 hour Days Job Title: Home Hospital Advanced Practice Provider "The APP will primarily admit at BWFH or BWH with flexibility to serve NWH and provider care to Home Hospital patients who live in the surrounding towns."General OverviewThe Home Hospital Advanced Practice Provider (HH APP) will be part of a clinical team that provides acute-level care to patients in the comfort of their own home. The MGB Home Hospital (HH) is an innovative strategic program that aims to improve the care of patients while increasing hospital capacity and reducing total costs of care. The Home Hospital Advanced Practice Provider will support the work of Home Hospital by visiting (either in person or virtually) and managing patients in their home as a direct Home Hospital provider, supported by a multidisciplinary team that includes an attending physician (who oversees the direction of care for patients enrolled), a Home Hospital nurse, a paramedic (Mobile Integrated Health), an administrative coordinator, and other allied staff as needed (e.g. home health aide, physical therapist). Upon admission to Home Hospital a patient will have an in-person visit (this can be done in the hospital or in the home). Daily Home Hospital rounds for the Home Hospital APP consist of at least one daily visit (in-person or virtual depending on patient needs and circumstances), with medical decision-making and delivery of needed care as appropriate (see specific clinical duties below). The HH APP will facilitate continuity between care settings, ensure home care and acute care protocols are seamlessly integrated in the home settings, and function as a lead clinician in the home environment.The ideal candidate for this HH APP role will be a patient-centered, proactive, flexible, and confident clinician comfortable with autonomy, multidisciplinary team collaborations, complex clinical decision-making, level-of-care triaging, and telemedicine. The role offers the potential to grow into a managerial/leadership position and/or the opportunity to broaden clinical duties.Principle Roles/Responsibilities:• Provides acute-level care in the home setting (in-person and/or virtual) as a key member of the Home Hospital treatment team (including receiving the patient at his/her/their home, establishing a treatment plan, following Home Hospital protocols where appropriate, liaising between the home and other care settings, timely clinical documentation, and responding to patient needs with the ability to triage decisions around escalation of care). Other clinical duties may include facilitating in-home diagnostics, point-of-care testing, administration of medications and other treatments, patient monitoring, clinical documentation, and other patient needs as they arise.• Collaborates with multidisciplinary Home Hospital team members and patients' longitudinal care team members around appropriate, safe, effective, equitable, and timely care delivery for Home Hospital patients.• Communicates with the patient and family about HH, incorporating patient and family values and goals in the plan of care. • Maintains a safe care environment for HH patients and leads in the practice of and reinforcement of a strong safety culture among all clinical partners involved.• Attends relevant team and other meetings related to Home Hospital and related work.• Participates with quality measurement and/or quality improvement initiatives, as appropriate, to advance the work of Home Hospital and other alternative care pathways, including advancements or innovations within the electronic health record.Qualifications QualificationsAt least 3 years of Nurse Practitioner (NP) or Physician Assistant (PA) experience strongly desired, preferably practicing in an acute hospital setting; academic medical center experience a plus.Current Massachusetts Licensure as a NP or PA with a Masters Degree required.MGB institutional knowledge a plus.Advanced Cardiac Life Support (ACLS) certification is required.Flexible and comfortable with a fast-paced, evolving clinical environment.Motivated, collaborative team player who also works well independently.Creative problem solver with the ability to think innovatively. Excellent oral and written communication skills.Demonstrated knowledge of quality measurement and quality improvement.Track record of proficiency in managing relationships and building networks.Previous experience with Continuous Quality Improvement efforts and development of evidence-based protocols a plus.Role is Full-time, 40-hours/week and will include rotations for days, weekends, and holidays. There may also be a rotating overnight on-call responsibility.Local travel between patient homes within a defined 10-20 mile radius required.EEO Statement Mass General Brigham Healthcare at Home, an affiliate of Mass General Brigham, is committed to supporting patient care, research, teaching, and service to the community. We place great value on being a diverse, equitable and inclusive organization as we aim to reflect the diversity of the patients we serve. At Mass General Brigham, we believe in equal access to quality care, employment and advancement opportunities encompassing the full spectrum of human diversity: race, gender identity, sexual orientation, ability, religion, ethnicity, national origin and all the other forms of human presence and expression that make us better able to provide innovative and cutting-edge healthcare and research.

The physician assistant (PA) is a licensed provider who has acquired a broad range of knowledge and skills through the successful completion of a physician assistant program. The PA is responsible for the assessment and management of various populations of patients, medical and/or surgical, including diagnostic and therapeutic interventions, development of appropriate plans of care and ongoing evaluation. The physician assistant works under the supervision of an attending physician and reports directly to the department administrator or chief physician assistant administratively. The PA will perform in accordance with all state and federal regulations and institutional policies including but not limited to the BWH PA Scope of Practice, Prescriptive Guidelines, approved clinical privileges, and BWH PA policy.Principle Clinical Duties and Responsibilities:Provides direct care, counseling, and teaching to a designated patient population in the ambulatory, inpatient, operative, and/or procedural settingPerforms complete histories and physical examinations Orders, interprets, and evaluates appropriate laboratory and diagnostic testsDevelops appropriate plans of care and follow-up based on the outcomes of diagnostic, laboratory, and physical examination findingsOrders medications and writes prescriptions according to organizational and regulatory policies and proceduresConsistently provides high quality and timely documentation including admission and progress notes, procedure notes, operative notes and discharge summariesPerforms bedside procedures as are appropriate to the patient populationIn some settings, the PA may first assist in the operating room or procedural areasPractices cost effective medicine in an efficient manner, maximizing available resourcesDiscusses patient data with other physicians and professionals as appropriate in a multidisciplinary settingDemonstrates expert clinical judgment skills to function in an independent roleAdditional duties and responsibilities as required by the department/divisionNon-Clinical Duties and Responsibilities: Demonstrates professional collaborative and consultative relationships with other providersFollows all designated prescriptive practices and monitoring requirements with the designated supervising physician and administrative reportParticipates in departmental and organizational committees and programs as appropriate and attends all required meetings, in-services, and professional trainingsMaintains superior interpersonal and communication skills as a member of the healthcare team in order to collaborate effectively with patients, families, staff, and community health workersRemains actively involved in continuing education with a commitment to self and departmental growthAdheres to all established safety policies, procedures, and precautions; identifies potential or actual unsafe situations in the environment and takes measures to rectify the situationDemonstrates understanding of procedures, policies, and documentation required to ensure compliance with hospital standards of careAdditional duties and responsibilities as required by the department/divisionQualifications QUALIFICATIONS: The appropriate candidate will have successfully completed a graduate level physician assistant program (Masters degree) accredited by the Accreditation and Review Committee for Physician Assistants (ARC-PA) or such other accrediting agency as may qualify a graduate to sit for the NCCPA certifying examinationBS/MS joint programs and those candidates with a BS and PA certificate are eligible, but ONLY for those who graduated BEFORE 1995Certification by the National Commission on Certification of Physician Assistants (NCCPA) must be obtained prior to first day of employmentMust hold a current valid license or be eligible for licensure as a physician assistant in the Commonwealth of MassachusettsMust have or eligible for, and maintain, a current DEA registration and Massachusetts Controlled Substance RegistrationMust complete 100 hours of CME according to national and state regulations during each two year period of employmentMust complete the BWH Professionalism Program within three months of date of hireMust complete the BWH Procedural Sedation Training if deemed necessarySKILLS/ ABILITIES/ COMPETENCIES REQUIRED: Must have the ability to work in a high stress, dynamic, busy clinical setting with changing organizational climateMust have the ability to be self-directive and to demonstrate initiative in addressing the responsibilities of the positionMust have the ability to utilize appropriate problem-solving and conflict resolution skillsMust be energetic and quality driven and have a proven ability to be a productive member of a team dedicated to providing optimal patient careMust be proficient with BWH computer systems as needed to independently perform daily tasks (EMR, Epic preferred)Must maintain the highest degree of professional judgment under the supervision and guidance of a licensed physicianWORKING CONDITIONS: Work settings may include ambulatory clinics and treatment rooms, inpatient areas, intensive care units, operating rooms, and/or procedural areas. There may be loud noises, noxious odors, and temperature extremes. A large portion of the workday may be spent either standing or walking and the position may require heavy lifting of equipment and patients. The PA may be exposed to radiation, potentially infectious bodily fluids, and sharp instruments such as needles and scalpels. Knowledge of Universal Precautions and proper use of surgical sharp instruments may be required. The consequences of contamination from bodily fluids or from being stuck with a sharp instrument include the possibility of physical harm to the employee or others. BWH is a fast paced, dynamic environment with a very large and complex patient volume; exposure to stress in the workplace is expected.EEO Statement Brigham and Women's Hospital is an Affirmative Action Employer. By embracing diverse skills, perspectives and ideas, we choose to lead. All qualified applicants will receive consideration for employment without regard to race, color, religious creed, national origin, sex, age, gender identity, disability, sexual orientation, military service, genetic information, and/or other status protected under law. We will ensure that all individuals with a disability are provided a reasonable accommodation to participate in the job application or interview process, to perform essential job functions, and to receive other benefits and privileges of employment.

GENERAL SUMMARY/ OVERVIEW STATEMENT: The Ambulatory Physician Assistant (PA) in Pulmonary and Critical Care Medicine is an advanced practice provider responsible for assisting physicians practicing in the BWH Lung Center caring for patients with Interstitial Lung Disease. The PA is a licensed provider who has acquired a broad range of knowledge and skills through the successful completion of a physician assistant program. The practitioner has responsibility for assessment and management of patients, including diagnostic and therapeutic interventions, implementation, and evaluation of an appropriate plan of care, and ongoing evaluation. The PA works in collaboration with the attending physicians and is responsible to both the Ambulatory Director and department administrator or chief physician assistant administratively. The PA participates and assists with management, coordination, and transition of care of the patient in the outpatient setting.In this role, the PA sees ambulatory patients independently. The PA is expected to have three and a half (3.5), four (4) hour clinic sessions per weekThe PA will perform in accordance with all state and federal regulations and institutional policies including but not limited to the BWH PA Scope of Practice, Prescriptive Guidelines, approved clinical privileges, and BWH PA policy.PRINCIPAL DUTIES AND RESPONSIBILITIES: Principle Clinical Duties and Responsibilities -ILD:Provides direct care, counseling, and teaching to a designated patient population in the Pulmonary ambulatory practice.Performs complete histories and physical examinations.Orders, interprets, and evaluates appropriate laboratory and diagnostic tests.Develops appropriate plans of care and follow-up based on the outcomes of diagnostic, laboratory, and physical examination findings in collaboration with supervising physician.Records pertinent patient care findings in the medical record.Orders medications and writes prescriptions according to organizational and regulatory policies and procedures.Communicates any abnormal findings to attending physician.Assists with triage of patient communications related to clinical status. Communicates acute clinical issues to attending physician, as appropriate.Serves as a resource to the health care team for patient care issues.Consistently provides high quality and timely documentation for both new and established patients in the ambulatory practice. Performs procedures as are appropriate to the patient population.Practices cost effective medicine in an efficient manner, maximizing available resources.Discusses patient data with other physicians and professionals as appropriate in a multidisciplinary setting.Demonstrates expert clinical judgment skills to function in an independent role.Incorporates the concepts of health maintenance, prevention, and promotion into daily practice through patient education and counseling. Works collaboratively and functions as an effective member of the health care team.Demonstrates awareness of community resources and assists staff, patients, and families to effectively utilize them.Participates in Divisional and Hospital initiatives such as virtual patient evaluation and meaningful use of the electronic medical record.Practices at main campus in The Lung Center, as well as, at satellite locations, as appropriate.Serve as a patient advocate and use teamwork to achieve excellent patient outcomes.Participate as a learner and/or teacher in educational activities including participation in any CME and non-CME courses run by the Division of Pulmonary and Critical Care Medicine.Additional duties and responsibilities as required by the department/division.CoordinationFacilitates continuity of care and transition of care via multiple platforms including but not limited to communication with referring providers and consultants. Demonstrates appropriate collaborative and consultative relationships with other providers within the institution and community. Ensures patient charts are complete before their first appointment and that patients are knowledgeable about next steps in care and future appointments.Collaborates with Patient Program Manager to follow patient progress to ensure they are on the correct path and track patient throughout the patient journey.Non-Clinical Duties and Responsibilities:Demonstrates professional collaborative and consultative relationships with other providers.Follows all designated prescriptive practices and monitoring requirements with the designated supervising physician and administrative report.Participates in departmental and organizational quality improvement initiatives, as appropriate.Participates in departmental and organizational committees and programs as appropriate and attends all required meetings, in-services, and professional trainings.Maintains superior interpersonal and communication skills as a member of the healthcare team to collaborate effectively with patients, families, staff, and community health workers.Remains actively involved in continuing education with a commitment to self and departmental growth.Adheres to all established safety policies, procedures, and precautions; identifies potential or actual unsafe situations in the environment and takes measures to rectify the situation.Demonstrates understanding of procedures, policies, and documentation required to ensure compliance with hospital standards of care.Contribute to the development, design, and writing of research studies, grant proposals, and IRB protocols, and recruit patients for clinical trials.Additional duties and responsibilities as required by the department/division.Education and PlanningEducationActs as preceptor for staff as requested.Acts as an educational resource for other trainees including medical students, residents and fellows, as well as nursing and other members of the ambulatory team. Participates in orientation of new staff. Participates in Departmental and organization continuing education programs.Identifies own learning needs and updates clinical knowledge and skills through formal and informal education and review of current literature. Educates lay and/or professional groups through lectures, papers, publications, and educational materials. Remains actively involved in continuing education with a commitment to self and departmental growth.PlanningDevelops annual objectives and reviews with PA Director and collaborating MD at time of performance review and at appropriate intervals. Completes annual credentialing process through the PA credentialing program.Assists in determining, evaluating, and/or implementing clinical area goals and objectives.Maintains interdisciplinary approach for planning and communicating information for patient care and operation of practice. Maintains current knowledge of legislation that may affect the health care delivery system.The PA shall participate in selected organizational committees, councils, and initiatives (may also add those outside BWH such as AAPA, PAEA, MAPA, etc.).For all positions that include direct patient care, indicate with an "X" the age(s) of all patient populations servedNo Direct Patient Care All age groupsAdolescence (13 to 17 years)XNeonates (birth to 1 month)Young Adult (18 to 25 years)XInfant (1 month to1year)Adult (26 to 54 years)XEarly Childhood (12 months to 5 years)Senior Adult (55 to 64 years) XLate Childhood (6 to 12 years)Geriatric (65 years and up)XQualifications QUALIFICATIONS: The appropriate candidate will have successfully completed a graduate level physician assistant program (Master's degree) accredited by the Accreditation and Review Committee for Physician Assistants (ARC-PA) or such other accrediting agency as may qualify a graduate to sit for the NCCPA certifying examination.BS/MS joint programs and those candidates with a BS and PA certificate are eligible, but ONLY for those who graduated BEFORE 1995.Certification by the National Commission on Certification of Physician Assistants (NCCPA) must be obtained prior to first day of employment.Must hold a current valid license or be eligible for licensure as a physician assistant in the Commonwealth of Massachusetts.Must have or eligible for, and maintain, a current DEA registration and Massachusetts Controlled Substance Registration.Must complete 100 hours of CME according to national and state regulations during each two-year period of employment.Must complete the BWH Professionalism Program within three months of date of hire.Must complete the BWH Procedural Sedation Training if deemed necessary.WORKING CONDITIONS: Describe the conditions in which the work is performed.Work settings will include ambulatory clinics. There may be loud noises, noxious odors, and temperature extremes. A large portion of the workday may be spent either standing or walking and the position may require heavy lifting of equipment and patients. The PA may be exposed to radiation, potentially infectious bodily fluids, and sharp instruments such as needles and scalpels. Knowledge of Universal Precautions and proper use of surgical sharp instruments may be required. The consequences of contamination from bodily fluids or from being stuck with a sharp instrument include the possibility of physical harm to the employee or others. BWH is a fast paced, dynamic environment with a very large and complex patient volume; exposure to stress in the workplace is expected.While the PA can expect a relatively predictable work schedule planned in advance whenever possible, scheduling variations may occur in order to cover clinical needs as they become apparent to the department/division/clinic. The PA may be asked to pick up additional shifts, work variable hours, and/or provide backup coverage as needed.SKILLS/ ABILITIES/ COMPETENCIES REQUIRED: (MUST be realistic, neither overstated nor understated, and related to the essential functions of the job.)Must have the ability to work in a high stress, dynamic, busy clinical setting with changing organizational climate. Must have the ability to be self-directive and to demonstrate initiative in addressing the responsibilities of the position. Must have the ability to utilize appropriate problem-solving and conflict resolution skills. Must be energetic and quality driven and have a proven ability to be a productive member of a team dedicated to providing optimal patient care. Must be proficient with BWH computer systems as needed to independently perform daily tasks (EMR, Epic preferred). Must maintain the highest degree of professional judgment under the supervision and guidance of a licensed physician. SUPERVISORY RESPONSIBILITY: The Physician Assistant I does not have any supervisory responsibility.FISCAL RESPONSIBILITY: The Physician Assistant I does not have any fiscal responsibility.EEO Statement Brigham and Women's Hospital is an Affirmative Action Employer. By embracing diverse skills, perspectives and ideas, we choose to lead. All qualified applicants will receive consideration for employment without regard to race, color, religious creed, national origin, sex, age, gender identity, disability, sexual orientation, military service, genetic information, and/or other status protected under law. We will ensure that all individuals with a disability are provided a reasonable accommodation to participate in the job application or interview process, to perform essential job functions, and to receive other benefits and privileges of employment.

GENERAL SUMMARY/ OVERVIEW STATEMENT: The physician assistant (PA) is a licensed provider who has acquired a broad range of knowledge and skills through the successful completion of a physician assistant program. The PA is responsible for the assessment and management of various populations of patients, medical and/or surgical, including diagnostic and therapeutic interventions, development of appropriate plans of care and ongoing evaluation. The physician assistant works under the supervision of an attending physician and reports directly to the department administrator or chief physician assistant administratively. The PA will perform in accordance with all state and federal regulations and institutional policies including but not limited to the BWH PA Scope of Practice, Prescriptive Guidelines, approved clinical privileges, and BWH PA policy.The PA will support our benign urology team in the areas of reconstructive urology, female urology and stones. The patient panel will include transgender individuals undergoing gender confirming surgery and the individual in this role will be part of multidisciplinary team caring for these patients. This is an ambulatory position with anticipated schedule of 4 ten hour shifts M-F. No nights or weekends. Work locations will include BWH Main Campus, Brigham and Women's Faulkner Hospital, and Brigham and Women's Foxboro location. PRINCIPAL DUTIES AND RESPONSIBILITIES: Principle Clinical Duties and Responsibilities:Provides direct care, counseling, and teaching to a designated patient population in the ambulatory, inpatient, operative, and/or procedural settingPerforms complete histories and physical examinations Orders, interprets, and evaluates appropriate laboratory and diagnostic testsDevelops appropriate plans of care and follow-up based on the outcomes of diagnostic, laboratory, and physical examination findingsOrders medications and writes prescriptions according to organizational and regulatory policies and proceduresConsistently provides high quality and timely documentation including admission and progress notes, procedure notes, operative notes and discharge summariesPerforms bedside procedures as are appropriate to the patient populationIn some settings, the PA may first assist in the operating room or procedural areasPractices cost effective medicine in an efficient manner, maximizing available resourcesDiscusses patient data with other physicians and professionals as appropriate in a multidisciplinary settingDemonstrates expert clinical judgment skills to function in an independent roleAdditional duties and responsibilities as required by the department/divisionNon-Clinical Duties and Responsibilities:Demonstrates professional collaborative and consultative relationships with other providersFollows all designated prescriptive practices and monitoring requirements with the designated supervising physician and administrative reportParticipates in departmental and organizational committees and programs as appropriate and attends all required meetings, in-services, and professional trainingsMaintains superior interpersonal and communication skills as a member of the healthcare team in order to collaborate effectively with patients, families, staff, and community health workersRemains actively involved in continuing education with a commitment to self and departmental growthAdheres to all established safety policies, procedures, and precautions; identifies potential or actual unsafe situations in the environment and takes measures to rectify the situationDemonstrates understanding of procedures, policies, and documentation required to ensure compliance with hospital standards of careAdditional duties and responsibilities as required by the department/divisionFor all positions that include direct patient care, indicate with an "X" the age(s) of all patient populations servedNo Direct Patient Care All age groupsAdolescence (13 to 17 years)Neonates (birth to 1 month)Young Adult (18 to 25 years)xInfant (1 month to1year)Adult (26 to 54 years)xEarly Childhood (12 months to 5 years)Senior Adult (55 to 64 years) xLate Childhood (6 to 12 years)Geriatric (65 years and up)xQualifications QUALIFICATIONS: The appropriate candidate will have successfully completed a graduate level physician assistant program (Masters degree) accredited by the Accreditation and Review Committee for Physician Assistants (ARC-PA) or such other accrediting agency as may qualify a graduate to sit for the NCCPA certifying examinationMaster's in PA studies preferred, Bachelor's in PA studies accepted in rare circumstances with multiple years of highly relevant clinical experience.BS/MS joint programs and those candidates with a BS and PA certificate are eligible, but ONLY for those who graduated BEFORE 1995Certification by the National Commission on Certification of Physician Assistants (NCCPA) must be obtained prior to first day of employmentMust hold a current valid license or be eligible for licensure as a physician assistant in the Commonwealth of MassachusettsMust have or eligible for, and maintain, a current DEA registration and Massachusetts Controlled Substance RegistrationMust complete 100 hours of CME according to national and state regulations during each two year period of employmentMust complete the BWH Professionalism Program within three months of date of hireMust complete the BWH Procedural Sedation Training if deemed necessarySKILLS/ ABILITIES/ COMPETENCIES REQUIRED: The PA shall demonstrate the following clinical knowledge, skills and competencies: Clinical skills and knowledge as well as professionalism of the PA candidate are assessed by a surgical attending under the direction of the Division Chief.If a candidate does not pass the competency assessment, surgical attendings will provide feedback on additional development needs. Re-assessment is possible after 6 months of focused development. The attending physician(s) performing the assessment will complete a competency assessment (designed by dept/division). The candidate is responsible to provide example cases, which he or she has cared for patients with the most common diagnosis.Physical and mental abilities required:Must be energetic, quality driven and have proven ability to be a productive member of a cohesive team of peers, dedicated to providing optimum patient care.Must exercise the highest degree of professional judgment under the direct supervision and guidance of a licensed physician.Must maintain a professional attitude towards patients and exercise such mature independent originality in solving problems not covered by existing guidelines, within legal limits, to meet the needs of the patients.Must maintain a professional attitude towards patients at all times and an excellent and collegial working relationship with other personnel involved in patient care.Must demonstrate understanding of procedures, policies and documentation required to ensure compliance with hospital standards of care.The PA shall demonstrate the following professional knowledge and skills:Proficient with BWH computer systems as needed to independently perform daily tasks such as order entry, EMAR, lab tests and results, incident reporting, BICS, etc.Consistently provide high quality and timely documentation, including admission notes, progress notes, discharge summaries and dictation.The PA shall demonstrate appropriate direct patient care:Must have broad knowledge of the medical environment, surgical practices, and performance goals of BWH and the division of urology.Must exercise the highest degree of professional judgment under the direction and guidance of a licensed physician.Must be able to accept instruction and guidance and assume responsibility in complex teamwork concept.Must be able to administer such care and treatment and exercise such independent originality in solving problems to meet the needs of patients.EEO Statement Brigham and Women's Hospital is an Affirmative Action Employer. By embracing diverse skills, perspectives and ideas, we choose to lead. All qualified applicants will receive consideration for employment without regard to race, color, religious creed, national origin, sex, age, gender identity, disability, sexual orientation, military service, genetic information, and/or other status protected under law. We will ensure that all individuals with a disability are provided a reasonable accommodation to participate in the job application or interview process, to perform essential job functions, and to receive other benefits and privileges of employment.

GENERAL SUMMARY/ OVERVIEW STATEMENT:Under the supervision and direction of the Physician Chief of the Hand and Arm Service, immediate supervising physician, APP Clinical Director, and the Administrative Manager, the Physician Assistant (PA) is responsible for the care of the orthopaedic hand and arm population in the outpatient setting. The PA coordinates all aspects of care to enhance the patient/family surgical experience, which includes preop optimization, intraop first assist, postop care, symptom management and surveillance. The PA will conduct independent clinics for new, established, postop and add-on/urgent visits, as well as assist surgeons in their high-volume clinics. The PA will practice in accordance with the rules, regulations and standards issued by the state and federal governing boards, including the American Academy of Physician Assistants (PAs) and the National Commission on Certification of PAs.PRINCIPAL DUTIES AND RESPONSIBILITIES: Provides direct care, counseling, and teaching for the orthopedic hand and arm patient population.Functions independently in own clinic (15-20 pts/day), and manages/coordinates all aspects of patient care.Assists supervising physician with overall management of his/her patients, including organization/workflow of clinics and all non-revenue generating tasks associated with patient care, and assists other surgeons in the service when necessary.Assists APP colleagues with clinic coverage during vacations, sick or FMLA absences. Performs complete histories and physical examinations on new, established, preop, and postop patients. Handles urgent add-on or walk-in patient visits. Orders, interprets, and evaluates appropriate laboratory and diagnostic tests.Develops appropriate plans of care and follow-up based on the outcomes of diagnostic, laboratory, and physical examination findings.Consults with supervising physician/other orthopaedic hand and arm surgeons regarding abnormal findings outside PA scope of practice. Prescribes medications and narcotics as necessary according to organizational and state/federal regulatory policies and procedures.Initiates consultations and referrals for patients.Obtains preoperative surgical consents; confirms laterality and abides by all hospital consent guidelines. Performs surgical optimization/education for patient and family, reinforcing the surgical plan presented by the attending physician.Orders necessary preop diagnostic tests (MRSA/MSSA for implants), labs, imaging, consultations, and procedures as indicated or requested by the attending physician to prevent delay/cancellation of the surgical procedure, which also includes obtaining medical clearance and instruction regarding medications (anticoagulation/DMARDs/ DM) prior to surgery from PCP or specialists. Provides symptom management for hand and arm patients; surgical and nonoperative.Manages high volume of patient calls, Patient Gateway messages, emails and completes all outpatient clinical forms (FMLA, insurance disability, hardship needs). Obtains prior authorizations for surgery, scans, medications, or DME when peer-to-peer calls are necessary (insurance MD-PA calls). Consistently provides high quality and timely documentation of clinic visits (within 72 hrs), admission note from office, outpatient progress notes, procedure notes, and e-mail/phone conversations.Contributes to patient presentation in clinic, weekly indications conference, and multi-disciplinary meeting/conferences as necessary. Identifies patients appropriate for division research studies and obtains consents after completion of Insight training. May conduct independent research and/or quality improvement studies.Practices cost effective medicine in an efficient manner, maximizing available resources.Discusses patient data with other physicians and professionals as appropriate in a multidisciplinary setting.Maintains communication with all inpatient staff, if necessary (APPs, case management, OT/PT, consults if necessary), off-site staff (Danvers, Waltham, Boston) and all involved in the transition of patient care (skilled facility, VNA, PCP, referring physicians). Demonstrates excellent interpersonal and communication skills to provide quality patient/family centric care. Demonstrates expert clinical judgment skills to function in an independent role.Performs other responsibilities required by the Hand and arm service (injections).Demonstrates professional collaborative and consultative relationships with all orthopedic hand and arm service staff and other multidisciplinary providers.Participates in departmental and organizational committees and programs as appropriate and attends all required departmental meetings, in-services, and professional trainings.Remains actively involved in continuing education with a commitment to self and departmental growth.Adheres to all established safety policies, clinical policy and procedures, and infection control precautions; identifies potential or actual unsafe situations in the environment and takes measures to rectify the situation. Documents and complies with hospital standards of care. SKILLS/ ABILITIES/ COMPETENCIES REQUIRED: Able to work in a high stress, dynamic, fluid, outpatient clinical setting with a changing organizational climate and high-volume clinics.Has the ability to travel to all off-site locations (Waltham, Danvers, Boston) to support the overall function of the Hand and Arm service. Is self-directed, proactive and demonstrates initiative in addressing the responsibilities of the position.Demonstrates problem-solving and conflict resolution skills.Has excellent interpersonal and communications skills to care for the hand and arm population; provide patient-family centric care and interact with multidisciplinary providers involved in the specialized care of hand and arm patients. Demonstrates an energetic, positive drive to be a productive member of a team dedicated to providing optimal patient care.Proficient with electronic medical record systems to independently perform daily clinical tasks (Epic preferred).Holds self and colleagues accountable to learn, develop and achieve the best and highest quality results.Treats all colleagues with respect.Maintains the highest degree of professional judgment under the collaborating supervising physician, director of APPs and administrative manager.WORKING CONDITIONS: Work may require contact with needles and other sharp instruments or division specific technology. Prolonged standing and fast-paced environment can be expected. Will require travel to off-site facilities (Boston, Danvers, Waltham).Qualifications QUALIFICATIONS: • The appropriate candidate will have successfully completed a graduate level physician assistant program (Master's degree), accredited by the Accreditation and Review Committee for Physician Assistants (ARC-PA) or such other accrediting agency as may qualify a graduate to sit for the NCCPA certifying examination.• Certification by the National Commission on Certification of Physician Assistants (NCCPA) must be obtained prior to first day of employment.• Must hold a current valid license or be eligible for licensure as a physician assistant in the Commonwealth of Massachusetts.• Must have or eligible for, and maintain, a current DEA registration and Massachusetts Controlled Substance Registration.• Must complete 100 hours of CME according to national and state regulations during each two-year period of employment. • In addition, PA must demonstrate continued competence by passing a re-certification exam every ten years.EEO Statement Massachusetts General Hospital is an Affirmative Action Employer. By embracing diverse skills, perspectives and ideas, we choose to lead. All qualified applicants will receive consideration for employment without regard to race, color, religious creed, national origin, sex, age, gender identity, disability, sexual orientation, military service, genetic information, and/or other status protected under law. We will ensure that all individuals with a disability are provided a reasonable accommodation to participate in the job application or interview process, to perform essential job functions, and to receive other benefits and privileges of employment.

JOB INFORMATION Job Description Name: Physician Assistant JOB SUMMARY (Describe below the primary purpose and function of this job) The Physician Assistant (PA) is a licensed provider.The PA is responsible for the assessment and management of various populations of patients, medical and/or surgical, including diagnostic and therapeutic interventions, development of appropriate plans of care and ongoing evaluation. GENERAL SUMMARY/ OVERVIEW STATEMENT: The physician assistant (PA) is a licensed provider who has acquired a broad range of knowledge and skills through the successful completion of a physician assistant program. The PA is responsible for the assessment and management of various populations of patients, medical and/or surgical, including diagnostic and therapeutic interventions, development of appropriate plans of care and ongoing evaluation. The physician assistant works under the supervision of an attending physician and reports directly to the Chief Physician Assistant or Associate Physician Assistant or their designee administratively. The PA will perform in accordance with all state and federal regulations and institutional policies including but not limited to the BWH PA Scope of Practice, Prescriptive Guidelines, approved clinical privileges, and BWH PA policy.PRINCIPAL DUTIES AND RESPONSIBILITIES: Principle Clinical Duties and Responsibilities:Provides direct care, counseling, and teaching to a designated patient population in the inpatient, operative, and/or procedural settingPerforms complete histories and physical examinations Orders, interprets, and evaluates appropriate laboratory and diagnostic testsDevelops appropriate plans of care and follow-up based on the outcomes of diagnostic, laboratory, and physical examination findingsOrders medications and writes prescriptions according to organizational and regulatory policies and proceduresConsistently provides high quality and timely documentation including admission and progress notes, procedure notes, operative notes and discharge summariesPerforms bedside procedures as are appropriate to the patient populationIn some settings, the PA may first assist in the operating room or procedural areasPractices cost effective medicine in an efficient manner, maximizing available resourcesDiscusses patient data with other physicians and professionals as appropriate in a multidisciplinary settingDemonstrates expert clinical judgment skills to function in an independent roleAdditional duties and responsibilities as required by the department/divisionNon-Clinical Duties and Responsibilities:Demonstrates professional collaborative and consultative relationships with other providersFollows all designated prescriptive practices and monitoring requirements with the designated supervising physician and administrative reportParticipates in departmental and organizational committees and programs as appropriate and attends all required meetings, in-services, and professional trainingsMaintains superior interpersonal and communication skills as a member of the healthcare team in order to collaborate effectively with patients, families, staff, and community health workersRemains actively involved in continuing education with a commitment to self and departmental growthAdheres to all established safety policies, procedures, and precautions; identifies potential or actual unsafe situations in the environment and takes measures to rectify the situationDemonstrates understanding of procedures, policies, and documentation required to ensure compliance with hospital standards of careAdditional duties and responsibilities as required by the department/divisionFor all positions that include direct patient care, indicate with an "X" the age(s) of all patient populations servedNo Direct Patient Care All age groupsAdolescence (13 to 17 years)XNeonates (birth to 1 month)Young Adult (18 to 25 years)Infant (1 month to1year)Adult (26 to 54 years)Early Childhood (12 months to 5 years)Senior Adult (55 to 64 years) Late Childhood (6 to 12 years)Geriatric (65 years and up)Qualifications GENERAL SUMMARY/ OVERVIEW STATEMENT: The physician assistant (PA) is a licensed provider who has acquired a broad range of knowledge and skills through the successful completion of a physician assistant program. The PA is responsible for the assessment and management of various populations of patients, medical and/or surgical, including diagnostic and therapeutic interventions, development of appropriate plans of care and ongoing evaluation. The physician assistant works under the supervision of an attending physician and reports directly to the Chief Physician Assistant or Associate Physician Assistant or their designee administratively. The PA will perform in accordance with all state and federal regulations and institutional policies including but not limited to the BWH PA Scope of Practice, Prescriptive Guidelines, approved clinical privileges, and BWH PA policy.PRINCIPAL DUTIES AND RESPONSIBILITIES: Principle Clinical Duties and Responsibilities:Provides direct care, counseling, and teaching to a designated patient population in the inpatient, operative, and/or procedural settingPerforms complete histories and physical examinations Orders, interprets, and evaluates appropriate laboratory and diagnostic testsDevelops appropriate plans of care and follow-up based on the outcomes of diagnostic, laboratory, and physical examination findingsOrders medications and writes prescriptions according to organizational and regulatory policies and proceduresConsistently provides high quality and timely documentation including admission and progress notes, procedure notes, operative notes and discharge summariesPerforms bedside procedures as are appropriate to the patient populationIn some settings, the PA may first assist in the operating room or procedural areasPractices cost effective medicine in an efficient manner, maximizing available resourcesDiscusses patient data with other physicians and professionals as appropriate in a multidisciplinary settingDemonstrates expert clinical judgment skills to function in an independent roleAdditional duties and responsibilities as required by the department/divisionNon-Clinical Duties and Responsibilities:Demonstrates professional collaborative and consultative relationships with other providersFollows all designated prescriptive practices and monitoring requirements with the designated supervising physician and administrative reportParticipates in departmental and organizational committees and programs as appropriate and attends all required meetings, in-services, and professional trainingsMaintains superior interpersonal and communication skills as a member of the healthcare team in order to collaborate effectively with patients, families, staff, and community health workersRemains actively involved in continuing education with a commitment to self and departmental growthAdheres to all established safety policies, procedures, and precautions; identifies potential or actual unsafe situations in the environment and takes measures to rectify the situationDemonstrates understanding of procedures, policies, and documentation required to ensure compliance with hospital standards of careAdditional duties and responsibilities as required by the department/divisionFor all positions that include direct patient care, indicate with an "X" the age(s) of all patient populations servedNo Direct Patient Care All age groupsAdolescence (13 to 17 years)XNeonates (birth to 1 month)Young Adult (18 to 25 years)Infant (1 month to1year)Adult (26 to 54 years)Early Childhood (12 months to 5 years)Senior Adult (55 to 64 years) Late Childhood (6 to 12 years)Geriatric (65 years and up)EEO Statement Brigham and Women's Hospital is an Affirmative Action Employer. By embracing diverse skills, perspectives and ideas, we choose to lead. All qualified applicants will receive consideration for employment without regard to race, color, religious creed, national origin, sex, age, gender identity, disability, sexual orientation, military service, genetic information, and/or other status protected under law. We will ensure that all individuals with a disability are provided a reasonable accommodation to participate in the job application or interview process, to perform essential job functions, and to receive other benefits and privileges of employment.

Home Hospital Advanced Practice Provider (NP or PA) full time 40 hour Days Job Title: Home Hospital Advanced Practice Provider "The APP will primarily admit at NWH and provider care to Home Hospital patients who live in the surrounding towns."General OverviewThe Home Hospital Advanced Practice Provider (HH APP) will be part of a clinical team that provides acute-level care to patients in the comfort of their own home. The MGB Home Hospital (HH) is an innovative strategic program that aims to improve the care of patients while increasing hospital capacity and reducing total costs of care. The Home Hospital Advanced Practice Provider will support the work of Home Hospital by visiting (either in person or virtually) and managing patients in their home as a direct Home Hospital provider, supported by a multidisciplinary team that includes an attending physician (who oversees the direction of care for patients enrolled), a Home Hospital nurse, a paramedic (Mobile Integrated Health), an administrative coordinator, and other allied staff as needed (e.g. home health aide, physical therapist). Upon admission to Home Hospital a patient will have an in-person visit (this can be done in the hospital or in the home). Daily Home Hospital rounds for the Home Hospital APP consist of at least one daily visit (in-person or virtual depending on patient needs and circumstances), with medical decision-making and delivery of needed care as appropriate (see specific clinical duties below). The HH APP will facilitate continuity between care settings, ensure home care and acute care protocols are seamlessly integrated in the home settings, and function as a lead clinician in the home environment.The ideal candidate for this HH APP role will be a patient-centered, proactive, flexible, and confident clinician comfortable with autonomy, multidisciplinary team collaborations, complex clinical decision-making, level-of-care triaging, and telemedicine. The role offers the potential to grow into a managerial/leadership position and/or the opportunity to broaden clinical duties.Principle Roles/Responsibilities:• Provides acute-level care in the home setting (in-person and/or virtual) as a key member of the Home Hospital treatment team (including receiving the patient at his/her/their home, establishing a treatment plan, following Home Hospital protocols where appropriate, liaising between the home and other care settings, timely clinical documentation, and responding to patient needs with the ability to triage decisions around escalation of care). Other clinical duties may include facilitating in-home diagnostics, point-of-care testing, administration of medications and other treatments, patient monitoring, clinical documentation, and other patient needs as they arise.• Collaborates with multidisciplinary Home Hospital team members and patients' longitudinal care team members around appropriate, safe, effective, equitable, and timely care delivery for Home Hospital patients.• Communicates with the patient and family about HH, incorporating patient and family values and goals in the plan of care. • Maintains a safe care environment for HH patients and leads in the practice of and reinforcement of a strong safety culture among all clinical partners involved.• Attends relevant team and other meetings related to Home Hospital and related work.• Participates with quality measurement and/or quality improvement initiatives, as appropriate, to advance the work of Home Hospital and other alternative care pathways, including advancements or innovations within the electronic health record.Qualifications QualificationsAt least 3 years of Nurse Practitioner (NP) or Physician Assistant (PA) experience strongly desired, preferably practicing in an acute hospital setting; academic medical center experience a plus.Current Massachusetts Licensure as a NP or PA with a Masters Degree required.MGB institutional knowledge a plus.Advanced Cardiac Life Support (ACLS) certification is required.Flexible and comfortable with a fast-paced, evolving clinical environment.Motivated, collaborative team player who also works well independently.Creative problem solver with the ability to think innovatively. Excellent oral and written communication skills.Demonstrated knowledge of quality measurement and quality improvement.Track record of proficiency in managing relationships and building networks.Previous experience with Continuous Quality Improvement efforts and development of evidence-based protocols a plus.Role is Full-time, 40-hours/week and will include rotations for days, weekends, and holidays. There may also be a rotating overnight on-call responsibility.Local travel between patient homes within a defined 10-20 mile radius required.EEO Statement Mass General Brigham Healthcare at Home, an affiliate of Mass General Brigham, is committed to supporting patient care, research, teaching, and service to the community. We place great value on being a diverse, equitable and inclusive organization as we aim to reflect the diversity of the patients we serve. At Mass General Brigham, we believe in equal access to quality care, employment and advancement opportunities encompassing the full spectrum of human diversity: race, gender identity, sexual orientation, ability, religion, ethnicity, national origin and all the other forms of human presence and expression that make us better able to provide innovative and cutting-edge healthcare and research.

GENERAL SUMMARY/ OVERVIEW STATEMENT: The physician assistant (PA) is a licensed provider who has acquired a broad range of knowledge and skills through the successful completion of a physician assistant program. The PA is responsible for the assessment and management of various populations of patients, medical and/or surgical, including diagnostic and therapeutic interventions, development of appropriate plans of care and ongoing evaluation. The physician assistant works under the supervision of an attending physician and reports directly to the department administrator or chief physician assistant administratively. The PA will perform in accordance with all state and federal regulations and institutional policies including but not limited to the BWH PA Scope of Practice, Prescriptive Guidelines, approved clinical privileges, and BWH PA policy.PRINCIPAL DUTIES AND RESPONSIBILITIES:Principle Clinical Duties and Responsibilities:Provides direct care, counseling, and teaching to a designated patient population in the ambulatory, inpatient, operative, and/or procedural settingPerforms complete histories and physical examinations Orders, interprets, and evaluates appropriate laboratory and diagnostic testsDevelops appropriate plans of care and follow-up based on the outcomes of diagnostic, laboratory, and physical examination findingsOrders medications and writes prescriptions according to organizational and regulatory policies and proceduresConsistently provides high quality and timely documentation including admission and progress notes, procedure notes, operative notes and discharge summariesPerforms bedside procedures as are appropriate to the patient populationIn some settings, the PA may first assist in the operating room or procedural areasPractices cost effective medicine in an efficient manner, maximizing available resourcesDiscusses patient data with other physicians and professionals as appropriate in a multidisciplinary settingDemonstrates expert clinical judgment skills to function in an independent roleAdditional duties and responsibilities as required by the department/divisionNon-Clinical Duties and Responsibilities:Demonstrates professional collaborative and consultative relationships with other providersFollows all designated prescriptive practices and monitoring requirements with the designated supervising physician and administrative reportParticipates in departmental and organizational committees and programs as appropriate and attends all required meetings, in-services, and professional trainingsMaintains superior interpersonal and communication skills as a member of the healthcare team in order to collaborate effectively with patients, families, staff, and community health workersRemains actively involved in continuing education with a commitment to self and departmental growthAdheres to all established safety policies, procedures, and precautions; identifies potential or actual unsafe situations in the environment and takes measures to rectify the situationDemonstrates understanding of procedures, policies, and documentation required to ensure compliance with hospital standards of careAdditional duties and responsibilities as required by the department/divisionADDENDUM: Document any additional skills, abilities, criteria, requirements, and/or details pertinent to this role. The PA will participate inpatient care as part of the inpatient team for the Department of Neurosurgery at South Shore Hospital. All patient responsibilities as outlined above are expected and may also include:Rounding with the neurosurgical team (Attending physicians and PAs)Performing inpatient and emergency room consultation and follow-upCollecting clinical data for studies and performing procedures that may include, but are not limited to: Staple/suture removal/placementWound care/packingLumbar drain placement/removalLumbar puncturesNGT placementCentral line placementArterial line placementSpine braces/cervical collar placement and removalDraping and patient positioning. The PA will serve as first-call for ED and inpatient consultations, appropriately triaging and calling the neurosurgeon on-call as appropriate. The PA may serve as OR first assist with neurosurgeon.While the PA can expect a relatively predictable work schedule planned in advance whenever possible, scheduling variations may occur in order to cover clinical needs as they become apparent to the department/clinic. 4 day work week, shifts may include weekend rotation.Maintains ACLS certification.The PA I shall be capable of independently orienting, onboarding, and/or training new hire PAs within the department/division.The PA I shall be actively involved in ongoing quality improvement and patient safety initiatives.SUPERVISORY RESPONSIBILITY: The Physician Assistant I does not have any supervisory responsibility.FISCAL RESPONSIBILITY: The Physician Assistant I does not have any fiscal responsibility.Diversity Statement: As a not-for-profit organization, Mass General Brigham is committed to supporting patient care, research, teaching, and service to the community. We place great value on being a diverse, equitable and inclusive organization as we aim to reflect the diversity of the patients we serve. At Mass General Brigham, we believe in equal access to quality care, employment and advancement opportunities encompassing the full spectrum of human diversity: race, gender, sexual orientation, ability, religion, ethnicity, national origin and all the other forms of human presence and expression that make us better able to provide innovative and cutting-edge healthcare and research.For all positions that include direct patient care, indicate with an "X" the age(s) of all patient populations servedNo Direct Patient Care All age groupsAdolescence (13 to 17 years)XNeonates (birth to 1 month)Young Adult (18 to 25 years)XInfant (1 month to1year)Adult (26 to 54 years)XEarly Childhood (12 months to 5 years)Senior Adult (55 to 64 years) XLate Childhood (6 to 12 years)Geriatric (65 years and up)XPHYSICAL/ENVIRONMENTAL REQUIREMENTS OF JOBIndicate requirements and frequency by placing an "X" in the appropriate box.Work Environment:ActivityAmount of Time SpentNone1 - 25%25 - 50%50 - 75%Over 75% Outdoor weather conditionsXExtreme cold (non weather)XWork in high place(s)XWork in confined space(s)XRisk of electrical shockXRisk of radiation exposureXExposure to blood borne pathogensXFlammable/explosive gasesXToxic / caustic chemicalsXDust or other irritantsXGrease or oilsXHazardous specimens XExposure to lab animalsXInfectious / contagious diseaseXCleaning agents/chemicalsXHot equipmentXNoisy equipmentXHumid or wet conditions (non -weather)XOtherLifting/Carry Requirements of this jobLifting requiredMinimalCarrying requiredMinimalNumber of poundsAmount of Time1 - 25%25 - 50%50 - 75%Over 75% LiftCarryLiftCarryLiftCarryLiftCarryUp to 10 poundsXXUp to 25 poundsXXUp to 50 poundsXXUp to 100 poundsOver 100 poundsPush/Pull Requirements of this job:Pushing requiredMinimalPulling requiredMinimalNumber of poundsAmount of Time1 - 25%25 - 50%50 - 75%Over 75% PushPullPushPullPushPullPushPullUp to 10 poundsUp to 25 poundsUp to 50 poundsUp to 100 poundsOver 100 poundsXX Physical Activity requirements of this job: ActivityAmount of Time SpentNone1 - 25%25 - 50%50 - 75%Over 75% Stand XWalkXSitXUse of hands requiring fine motor skills and sense of touchXMove / rotate / bend wrist(s)XType / use keyboard or other data entry deviceXReach with hands & armsXClimb stairsXClimb ladder or other equipmentXDrive / operate motor vehicleXBalanceXStoop, kneel, crouch, bend, crawlXSpeakXHearXTaste XSmellXOtherVision Requirements of this job:Vision RequirementRequiredNot RequiredClose visionXDistance visionXColor visionXPeripheral visionXDepth perceptionXAbility to adjust focusXOtherSafety equipment used while performing this job: Safety eye glassesXGownsXFilter lens (welding/soldering)ScrubsXFace shieldsBootsEar plugs or MufflersHard hatSurgical mask / dust maskXCoverallsSelf contained breathing apparatus (SCBA)GlovesXOtherLevel of noise typical in this work environment:Very quietQuietModerateXLoudVery loudQualifications QUALIFICATIONS: The appropriate candidate will have successfully completed a graduate level physician assistant program (Master's degree) accredited by the Accreditation and Review Committee for Physician Assistants (ARC-PA) or such other accrediting agency as may qualify a graduate to sit for the NCCPA certifying examinationBS/MS joint programs and those candidates with a BS and PA certificate are eligible, but ONLY for those who graduated BEFORE 1995Certification by the National Commission on Certification of Physician Assistants (NCCPA) must be obtained prior to first day of employmentMust hold a current valid license or be eligible for licensure as a physician assistant in the Commonwealth of MassachusettsMust have or eligible for, and maintain, a current DEA registration and Massachusetts Controlled Substance RegistrationMust complete 100 hours of CME according to national and state regulations during each two year period of employmentMust complete the BWH Professionalism Program within three months of date of hireMust complete the BWH Procedural Sedation Training if deemed necessarySKILLS/ ABILITIES/ COMPETENCIES REQUIRED: Must have the ability to work in a high stress, dynamic, busy clinical setting with changing organizational climateMust have the ability to be self-directive and to demonstrate initiative in addressing the responsibilities of the positionMust have the ability to utilize appropriate problem-solving and conflict resolution skillsMust be energetic and quality driven and have a proven ability to be a productive member of a team dedicated to providing optimal patient careMust be proficient with BWH computer systems as needed to independently perform daily tasks (EMR, Epic preferred)Must maintain the highest degree of professional judgment under the supervision and guidance of a licensed physicianWORKING CONDITIONS: Work settings may include ambulatory clinics and treatment rooms, inpatient areas, intensive care units, operating rooms, and/or procedural areas. There may be loud noises, noxious odors, and temperature extremes. A large portion of the workday may be spent either standing or walking and the position may require heavy lifting of equipment and patients. The PA may be exposed to radiation, potentially infectious bodily fluids, and sharp instruments such as needles and scalpels. Knowledge of Universal Precautions and proper use of surgical sharp instruments may be required. The consequences of contamination from bodily fluids or from being stuck with a sharp instrument include the possibility of physical harm to the employee or others. BWH is a fast paced, dynamic environment with a very large and complex patient volume; exposure to stress in the workplace is expected.EEO Statement Brigham and Women's Hospital is an Affirmative Action Employer. By embracing diverse skills, perspectives and ideas, we choose to lead. All qualified applicants will receive consideration for employment without regard to race, color, religious creed, national origin, sex, age, gender identity, disability, sexual orientation, military service, genetic information, and/or other status protected under law. We will ensure that all individuals with a disability are provided a reasonable accommodation to participate in the job application or interview process, to perform essential job functions, and to receive other benefits and privileges of employment.

GENERAL SUMMARY: Exciting opportunity to join our established and growing Medical Weight Management program at Brigham and Women's Hospital with a focus on health equity and high-quality patient care. Schedule: Hybrid schedule with on site and remote daysThe Center for Weight Management and Wellness (CWMW) physician assistant (PA) will be an integral part of the interdisciplinary team approach for overall care and evaluation of patients seeking care at the Center for Weight Management and Wellness medical weight management program. Under direction of the supervising physician(s), the PA will be involved in all aspects of patient care. Responsibilities will include evaluation of new and return weight management patients primarily in the outpatient setting, including their long-term follow-up. The PA will be responsible for triaging patient issues/concerns via telephone/EPIC messaging system. The PA will support interim/between-visit patient needs, including supporting the process of patients obtaining prescription medications, confirming referrals for diagnostic or therapeutic interventions have been scheduled, conducts/participates in group visits or any other aspect of follow-up essential for the care of CWMW patients. The PA may be engaged in seeing patients at the Brigham and Women's Hospital campus and Brigham and Women's Faulkner Hospital campus, with the possibility of additional Brigham Health locations as the service is in an active expansion phase. PRINCIPAL DUTIES AND RESPONSIBILITIES: In this role, the PA II sees ambulatory patients independently. The PA II is expected to have eight (8) four (4) hour clinic sessions per week. While the PA can expect a relatively predictable daytime (four days at 10 hours per day) work schedule planned whenever possible, scheduling variations may occur in order to cover clinical needs as they become apparent to the department/division/clinic. The PA may be asked to take call, pick up additional shifts, work variable hours, and/or provide backup coverage as needed.Usual responsibilities include the following:Provides direct care, counseling, and teaching to patients seeking weight management in the ambulatory settingConsistently provides high quality and timely electronic documentation of all patient interactionsPerforms complete histories and physical examinations Evaluates CWMW patients for undiagnosed medical conditions/co-morbidities related to their obesity or affecting their participation in weight management treatment options.Orders, interprets, and evaluates laboratory and diagnostic testsEvaluates CWMW patients to establish candidacy for a broad range of weight management interventions - including medical nutritional management, lifestyle interventions, prescription medications, endoluminal procedures, bariatric surgery, investigational options under study in our institution, and others. Diagnoses and treats any complications of their weight management intervention(s) in conjunction with attending physician.Develops plans of care and follow-up based on the outcomes of diagnostic, laboratory, and physical examination findingsEvaluates for and initiates consults with specialists on an as-need basis.Triages patient calls/questions related to their CWMW care.Orders medications and writes prescriptions according to organizational and regulatory policies and proceduresCoordinates follow-up care, such as prescriptions, medication prior authorizations, referrals, and paperwork when needed.Provide accurate billing charges for services provided.Practices cost effective medicine in an efficient manner, maximizing available resourcesDiscusses patient data with other physicians and interdisciplinary team members Demonstrates expert clinical judgment skills to function in an independent roleDemonstrates the highest level of professionalism and respect in addressing patients (and their families) struggling with obesity and weight-related health issuesParticipate as an active member of the CWMW team. This will include identifying areas in need of improvement and collaborating with other members to achieve a solution.Additional duties and responsibilities as required by the department/divisionAt the heart of Boston's Longwood Medical and Academic area, Brigham and Women's Hospital, a U.S. News & World Report top ranked hospital, offers physician assistants (PA) a robust and supportive community to practice. PAs will join a dedicated team that benefits from established PA leadership with a PA Services department which offers opportunities for dedicated PA onboarding and orientation, continuing medical education, simulation-based training opportunities, health and wellness events, and peer mentoring. The success of the PA program at Brigham and Women's Hospital centers around exceptional patient care, dedication to teaching and education, participation in research, and opportunities for professional growth and development. Whether you are interested in clinical medicine, research, education, administration, or innovation, you will find opportunities to reach your goals at Brigham and Women's Hospital. As part of the Mass General Brigham Healthcare System, PAs will have access to world class health insurance, tuition reimbursement, competitive retirement options, CME benefits, access to affiliated childcare, exclusive discounts and rewards, and more in the Boston area and beyond, and opportunities to work collaboratively with other Harvard Medical School-affiliated hospitals. The physician assistant II (PA) is a licensed provider who has acquired a broad range of knowledge and advanced clinical skills and must have at least two years of experience practicing as a PA. The PA is responsible for the assessment and management of various populations of patients, medical and/or surgical, including diagnostic and therapeutic interventions, development of appropriate plans of care and ongoing evaluation. The physician assistant works under the supervision of an attending physician and reports directly to the department administrator or chief physician assistant. The PA II position entails those responsibilities defined by the department/division that will become part of the performance evaluation process.The PA II will perform in accordance with all state and federal regulations and institutional policies including but not limited to the BWH PA Scope of Practice, Prescriptive Practice Guidelines, approved clinical privileges, and BWH PA policy.Primary Work Environment(s): check all that apply Ambulatory/Inpatient/ResearchNon-Clinical Duties and Responsibilities:Demonstrates professional collaborative and consultative relationships with other providersFollows all prescriptive practices and monitoring requirementsParticipates in departmental and organizational committees and programs as appropriate and attends all required meetings, in-services, and professional trainingsMaintains superior interpersonal and communication skills as a member of the healthcare team in order to collaborate effectively with patients, families, staff, and community health workersRemains actively involved in continuing education with a commitment to self and departmental growthAdheres to all established safety policies, procedures, and precautions; identifies potential or actual unsafe situations in the environment. Takes appropriate action and files safety reports as needed for system improvementDemonstrates understanding of procedures, policies, and documentation required to ensure compliance with hospital standards of careSuccessfully attends and completes the BWH PA onboarding program within six months of employmentAdditional duties and responsibilities as required by the department/divisionADDITIONAL DUTIES AND RESPONSIBILITIES OF THE PA II: Precepts PA students and participates in student education on an ongoing basisIndependently orients, onboards, and/or trains new hire PAs within the department/divisionParticipates in PA Services and/or hospital committee/council work as appropriateParticipates in ongoing quality improvement and patient safety initiatives within the department/divisionAssumes responsibility for actively engaging in the ongoing professional development and clinical education opportunities, both within and outside of the department/divisionWORKING CONDITIONS:Work settings will include ambulatory clinics, but could at some point include treatment rooms, inpatient areas, intensive care units, operating rooms, and/or procedural areas. There may be loud noises, noxious odors, and temperature extremes. A large portion of the workday may be spent either standing or walking and the position may require heavy lifting of equipment and patients. The PA may be exposed to radiation, potentially infectious bodily fluids, and sharp instruments such as needles and scalpels. Knowledge of Universal Precautions and proper use of surgical sharp instruments may be required. The consequences of contamination from bodily fluids or from being stuck with a sharp instrument include the possibility of physical harm to the employee or others. BWH is a fast paced, dynamic environment with a very large and complex patient volume; exposure to stress in the workplace is expected.SUPERVISORY RESPONSIBILITY: The Physician Assistant II does not have any supervisory responsibility.FISCAL RESPONSIBILITY: The Physician Assistant II does not have any fiscal responsibility.Qualifications QUALIFICATIONS: The appropriate candidate will have successfully completed a physician assistant program accredited by the Accreditation and Review Committee for Physician Assistants (ARC-PA)The candidate will have at least four years of experience practicing as a licensed PAThe ideal candidate will have directly related specialty experienceMust obtain and maintain the following, prior to obtaining initial clinical appointment:Certification by the National Commission on Certification of Physician Assistants (NCCPA)Licensure as a physician assistant in the Commonwealth of MassachusettsDrug Enforcement Agency (DEA) registrationMassachusetts Controlled Substance Registration (MCSR)SKILLS/ ABILITIES/ COMPETENCIES REQUIRED:Must have the ability to work in a high stress, dynamic, busy clinical setting with changing organizational climateMust have the ability to be self-directive and to demonstrate initiative in addressing the responsibilities of the positionMust have the ability to utilize appropriate problem-solving and conflict resolution skillsMust be energetic and quality driven and have a proven ability to be a productive member of a team dedicated to providing optimal patient careMust demonstrate proficiency with BWH computer systems as needed to independently perform daily tasks EEO Statement Brigham and Women's Hospital is an Affirmative Action Employer. By embracing diverse skills, perspectives and ideas, we choose to lead. All qualified applicants will receive consideration for employment without regard to race, color, religious creed, national origin, sex, age, gender identity, disability, sexual orientation, military service, genetic information, and/or other status protected under law. We will ensure that all individuals with a disability are provided a reasonable accommodation to participate in the job application or interview process, to perform essential job functions, and to receive other benefits and privileges of employment.