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Nurse Clinician Salary in Massachusetts, USA

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Vocational Nurse

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Nurse Practitioner (NP)- North Team
Mass General Brigham Healthcare at Home, Boston
Home Hospital Advanced Practice Provider (NP or PA) Part-Time 36 hour DaysNorth Team- The NORTH Team APP will primarily admit at Salem Hospital with flexibility to serve MGH and provide care to Home Hospital patients who live in the surrounding area. Job Title: Home Hospital Advanced Practice Provider 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.Shift Requirements/Working ConditionsRole is Full-time, 36 to 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.
Nurse Practitioner (MSN)/ Physician Assistant Cardiac Arrhythmia Service
Massachusetts General Hospital(MGH), Boston
Working under the general direction of a collaborating physician, the advanced practice clinician (Nurse Practitioner or Physician Assistant) provides direct care to patients in a high volume outpatient clinical service. S/he develops, implements, and evaluates a program of specialized health care for a select patient population with cardiac arrhythmia. S/he will be intimately involved in direct care and education of patients and should have experience working with arrhythmias and cardiac devices, such as implantable cardiac defibrillators, implantable loop recorders, and pacemakers. S/he promotes a collaborative relationship among various health care professionals toward continuity of patient care and efficient use of resources. S/he serves as a role model for professional medical practice in the management of patients with cardiovascular disease.The Mass General Hospital Cardiology Division commits to providing the highest quality care to our patients and their families in a respectful, efficient, and safe environment; to communicate openly and directly; and to recognize and value the contributions of every individual. We are dedicated to advancing the treatment of cardiovascular disease through research and education. We strive for innovation, work as a team, and lead by example.PRINCIPAL DUTIES AND RESPONSIBILITIES: Indicate key areas of responsibility, major job duties, special projects and key objectives for this position. These items should be evaluated throughout the year and included in the written annual evaluation.• Follows and manages patients in collaboration with an attending physician in the ambulatory setting • Performs and records the patient history and physical exam.• Performs DC Cardioversion, assists in EP lab procedures • Utilizes knowledge & training to identify, prevent or solve complex and/or recurring patient care problems.• Collaborates with health care professionals to facilitate a comprehensive plan of care and coordinate resources.• Writes orders which are in accord with current guidelines.• Orders/obtains routine laboratory and related studies• Maintains and promotes relationships with health care providers, both within the institution and outside of it.• Serves as resource to health care professionals in area(s) of expertise.• Participates in the development of formal and informal educational programs for health care professionals• Monitors patient outcomes in accordance with defined standards of patient care.• Facilitates patient movement through the health-care system and efficient use of resources through intersystem collaboration, as well as interaction with outpatient care providers within and outside our healthcare system.• Maintains the standards, required credentials, and educational requirements specific to the position.• Takes responsibilities for leadership and participation on committees and task forces of the health care system.• Maintains and updates clinical knowledge and skills based on current health care practice/research.Qualifications • Current Massachusetts licensure as a registered nurse in the expanded role (NP) or physician assistant• Current Federal & Massachusetts licensures to dispense Controlled Substances• Certification in advanced practice nursing or physician assistant• Certification in Basic Life Support• Certification in Advanced Cardiac Life SupportSKILLS/ ABILITIES/ COMPETENCIES REQUIRED: (MUST be realistic, measurable, objective, and related to the essential functions of the job.)• Fluent in verbal and written language skills• Demonstrated competence in providing cardiac care• Effective communicator with the ability to transfer knowledge (orally and in writing)• Computer skills to support administrative and clinical tasks, to include EHR & Microsoft Office applicationsEEO 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.
Nurse Practitioner (MSN)/ Physician Assistant Cardiac Arrhythmia Service
Massachusetts General Hospital(MGH), Boston
Working under the general direction of a collaborating physician, the advanced practice clinician (Nurse Practitioner or Physician Assistant) provides direct care to patients in a high volume outpatient clinical service. S/he develops, implements, and evaluates a program of specialized health care for a select patient population with cardiac arrhythmia. S/he will be intimately involved in direct care and education of patients, and should have experience working with arrhythmias and cardiac devices, such as implantable cardiac defibrillators, implantable loop recorders, and pacemakers. S/he promotes a collaborative relationship among various health care professionals toward continuity of patient care and efficient use of resources. S/he serves as a role model for professional medical practice in the management of patients with cardiovascular disease.The Mass General Hospital Cardiology Division commits to providing the highest quality care to our patients and their families in a respectful, efficient, and safe environment; to communicate openly and directly; and to recognize and value the contributions of every individual. We are dedicated to advancing the treatment of cardiovascular disease through research and education. We strive for innovation, work as a team, and lead by example.• Follows and manages patients in collaboration with an attending physician in the outpatient clinic setting • Performs and records the patient history and physical exam.• Utilizes knowledge & training to identify, prevent or solve complex and/or recurring patient care problems.• Collaborates with health care professionals to facilitate a comprehensive plan of care and coordinate resources.• Writes orders which are in accord with current guidelines.• Orders/obtains routine laboratory and related studies• Maintains and promotes relationships with health care providers, both within the institution and outside of it.• Serves as resource to health care professionals in area(s) of expertise.• Participates in the development of formal and informal educational programs for health care professionals• Monitors patient outcomes in accordance with defined standards of patient care.• Facilitates patient movement through the health-care system and efficient use of resources through intrasystem collaboration, as well as interaction with outpatient care providers within and outside our healthcare system.• Maintains the standards, required credentials, and educational requirements specific to the position.• Takes responsibilities for leadership and participation on committees and task forces of the health care system.• Maintains and updates clinical knowledge and skills based on current health care practice/researchQualifications • Current Massachusetts licensure as a registered nurse in the expanded role (NP) or physician assistant• Current Federal & Massachusetts licensures to dispense Controlled Substances• Certification in advanced practice nursing or physician assistant• Certification in Basic Life Support• Certification in Advanced Cardiac Life SupportSKILLS/ ABILITIES/ COMPETENCIES REQUIRED: (MUST be realistic, measurable, objective, and related to the essential functions of the job.)• Fluent in verbal and written language skills• Demonstrated competence in providing cardiac care• Effective communicator with the ability to transfer knowledge (orally and in writing)• Computer skills to support administrative and clinical tasks, to include EHR & Microsoft Office applicationsEEO 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.
Nurse Practitioner (NP)- South Team
Mass General Brigham Healthcare at Home, Boston
Home Hospital Advanced Practice Provider (NP or PA) Job Title: Home Hospital Advanced Practice Provider 24 Hour Days- South RegionPart-time positions availableGeneral 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). Daily Home Hospital rounds for the Home Hospital APP consist of at least one daily visit (in-person initially, subsequent visits 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/theirs/zirs 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 At 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.Shift Requirements/Working ConditionsRole is Full-time, 24 hours/week and will include rotations for days, weekends, and holidays. There is also 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.
Nurse Practitioner (MSN)/ Physician Assistant Cardiac Arrhythmia Service outpatient
Massachusetts General Hospital(MGH), Boston
Working under the general direction of a collaborating physician, the advanced practice clinician (Nurse Practitioner or Physician Assistant) provides direct care to patients in a high volume outpatient clinical service. S/he develops, implements, and evaluates a program of specialized health care for a select patient population with cardiac arrhythmia. S/he will be intimately involved in direct care and education of patients, and should have experience working with arrhythmias and cardiac devices, such as implantable cardiac defibrillators, implantable loop recorders, and pacemakers. S/he promotes a collaborative relationship among various health care professionals toward continuity of patient care and efficient use of resources. S/he serves as a role model for professional medical practice in the management of patients with cardiovascular disease.The Mass General Hospital Cardiology Division commits to providing the highest quality care to our patients and their families in a respectful, efficient, and safe environment; to communicate openly and directly; and to recognize and value the contributions of every individual. We are dedicated to advancing the treatment of cardiovascular disease through research and education. We strive for innovation, work as a team, and lead by example.• Follows and manages patients in collaboration with an attending physician in the outpatient clinic setting • Performs and records the patient history and physical exam.• Utilizes knowledge & training to identify, prevent or solve complex and/or recurring patient care problems.• Collaborates with health care professionals to facilitate a comprehensive plan of care and coordinate resources.• Writes orders which are in accord with current guidelines.• Orders/obtains routine laboratory and related studies• Maintains and promotes relationships with health care providers, both within the institution and outside of it.• Serves as resource to health care professionals in area(s) of expertise.• Participates in the development of formal and informal educational programs for health care professionals• Monitors patient outcomes in accordance with defined standards of patient care.• Facilitates patient movement through the health-care system and efficient use of resources through intrasystem collaboration, as well as interaction with outpatient care providers within and outside our healthcare system.• Maintains the standards, required credentials, and educational requirements specific to the position.• Takes responsibilities for leadership and participation on committees and task forces of the health care system.• Maintains and updates clinical knowledge and skills based on current health care practice/researchQualifications • Current Massachusetts licensure as a registered nurse in the expanded role (NP) or physician assistant• Current Federal & Massachusetts licensures to dispense Controlled Substances• Certification in advanced practice nursing or physician assistant• Certification in Basic Life Support• Certification in Advanced Cardiac Life SupportEEO 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.
Nurse Practitioner II Or Physician Assistant Inpatient service
Massachusetts General Hospital(MGH), Boston
Working under the general direction of a collaborating physician, the advanced practice clinician (Nurse Practitioner or Physician Assistant) provides direct care to patients in a high volume Inpatient clinical service. S/he develops, implements, and evaluates a program of specialized health care for a select patient population with cardiac arrhythmia. S/he will be intimately involved in direct care and education of patients, and should have experience working with arrhythmias and cardiac devices, such as implantable cardiac defibrillators, implantable loop recorders, and pacemakers. S/he promotes a collaborative relationship among various health care professionals toward continuity of patient care and efficient use of resources. S/he serves as a role model for professional medical practice in the management of patients with cardiovascular disease.The Mass General Hospital Cardiology Division commits to providing the highest quality care to our patients and their families in a respectful, efficient, and safe environment; to communicate openly and directly; and to recognize and value the contributions of every individual. We are dedicated to advancing the treatment of cardiovascular disease through research and education. We strive for innovation, work as a team, and lead by example.About Mass General HospitalMass General Hospital is a world-renowned hospital that provides the highest quality care to patients. We are a leader in medical research and education, and we are committed to providing our employees with a rewarding and fulfilling career.Our culture is one of collaboration, innovation, and diversity. We believe that by working together, we can achieve great things. We are also committed to providing our employees with a work-life balance that allows them to thrive both professionally and personally.If you are looking for a challenging and rewarding career in medicine, then Mass General Hospital is the place for you. We offer a variety of career opportunities, so you can find a position that fits your interests and skills. We also offer several benefits, so you can be sure that you are well-compensated for your hard work.Qualifications • Current Massachusetts licensure as a registered nurse in the expanded role (NP) or physician assistant• Current Federal & Massachusetts licensures to dispense Controlled Substances• Certification in advanced practice nursing or physician assistant• Certification in Basic Life Support• Certification in Advanced Cardiac Life Support
Nurse Practitioner (NP)- North Team
Mass General Brigham Healthcare at Home, Boston
Home Hospital Advanced Practice Provider (NP or PA)40 hour Days 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 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.Shift Requirements/Working ConditionsRole is PT , 36 -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.
Nurse Practitioner (MSN)
Massachusetts General Hospital(MGH), Boston
Working under the general direction of a collaborating physician, the advanced practice clinician (Nurse Practitioner or Physician Assistant) provides direct care to patients in a high volume clinical service. S/he develops, implements, and evaluates a program of specialized health care for a select patient population with cardiology diagnoses. S/he will be intimately involved in direct care in the form of Cardiology Consultation both urgent and non urgent for patients admitted to the Hospital. The APP will see patients throughout the hospital who need input and evaluation for various Cardiovascular issues including heart failure, arrythmias, chest pain, shortness of breath, those patients in need of preoperative clearance prior to non cardiac surgery. Responds to urgent requests for consultation and assists in expediting patients to the cath lab and other procedures in collaboration with the attending physician. The APP will work collaboratively with various members of the health care team in various specialties. S/he serves as a role model for professional medical practice in the management of patients with cardiovascular disease.The Mass General Hospital Cardiology Division commits to providing the highest quality care to our patients and their families in a respectful, efficient, and safe environment; to communicate openly and directly; and to recognize and value the contributions of every individual. We are dedicated to advancing the treatment of cardiovascular disease through research and education. We strive for innovation, work as a team, and lead by example.PRINCIPAL DUTIES AND RESPONSIBILITIES: Indicate key areas of responsibility, major job duties, special projects and key objectives for this position. These items should be evaluated throughout the year and included in the written annual evaluation.• Follows and manages patients in collaboration with an attending physician in the Inpatient setting (Specifically the Cardiovascular medicine consult service ). • Performs and records the patient history and physical exam.• Performs Cardiology consults for patients in need in the Emergency Department and throughout the hospital. • Utilizes knowledge & training to identify, prevent or solve complex and/or recurring patient care problems.• Collaborates with health care professionals in other sub specialties to facilitate a comprehensive plan of care and coordinate resources.• Writes orders which are in accord with current guidelines.• Orders/obtains routine laboratory and related studies• Maintains and promotes relationships with health care providers, both within the institution and outside of it.• Serves as resource to health care professionals in area(s) of expertise.• Participates in the development of formal and informal educational programs for health care professionals• Monitors patient outcomes in accordance with defined standards of patient care.• Facilitates patient movement through the health-care system and efficient use of resources through intrasystem collaboration, as well as interaction with outpatient care providers within and outside our healthcare system.• Maintains the standards, required credentials, and educational requirements specific to the position.• Takes responsibilities for leadership and participation on committees and task forces of the health care system.• Maintains and updates clinical knowledge and skills based on current health care practice/research.Qualifications • Current Massachusetts licensure as a registered nurse in the expanded role (NP) or physician assistant• Current Federal & Massachusetts licensures to dispense Controlled Substances• Certification in advanced practice nursing or physician assistant• Certification in Basic Life Support• Certification in Advanced Cardiac Life Support• APP experience in Cardiology preferredWORKING CONDITIONS: Describe the conditions in which the work is performed.Work is performed in a licensed hospital setting. The work may require the lifting of heavy objects and patients, as well as exposure to potentially infective material. Work requires contact with needles and other sharp instruments, monitoring devices, and other state-of-the-art equipment. Prolonged standing can be expected. Walking to and from the patient care units can be expected.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.
Nurse Practitioner (NP) - Outpatient Psychiatry
Massachusetts General Hospital(MGH), Boston
GENERAL SUMMARY/ OVERVIEW STATEMENT:The Outpatient Psychiatry Department at Massachusetts General Hospital is seeking a full-time Psychiatric Nurse Practitioner to provide clinical services embedded within a team-based care treatment team. The team will consist of a psychiatrist, a psychologist, a nurse practitioner, a social worker, and a medical assistant. The team will function within a general psychiatry outpatient clinic, serving the mental health needs of patients under the care of MGH primary care physicians. The Psychiatric Nurse Practitioner (NP) develops, implements and evaluates a program of specialized health care for the patients serviced including performing diagnostic evaluations and medication management. The Psych NP promotes a collaborative relationship and effort between members of the team, continuity of patient care and efficient use of resources. The Psych NP serves as a role model for professional nursing practicPRINCIPAL DUTIES AND RESPONSIBILITIES:Provides direct care to a select patient population in collaboration with the physician.Performs and records the patient history and physical exam Reviews findings with the collaborating physician as appropriate Consults medical providers as appropriate. Utilizes advanced practice knowledge to identify, prevent or solve complex and/or recurring patient care problems. Follows and manages patients (in collaboration with TOP team) enhancing continuity of care. Performs (oversees/assures completion of) specialized procedures particular to the select population mutually agreed upon with collaborating physician and as per department guidelines. Performs medically delegated aspects of patient care as agreed upon by nursing and medical administrators according to practice guidelines. Collaborates with office staff and physicians to facilitate a comprehensive plan of care and coordinate resources. Writes orders which are in accord with current clinical and hospital guidelines and policies. Maintains and practices in accord with Psych NP guidelines per state and hospital regulations.Participates in shared pager coverage model for nights and weekends along with other Psychiatric Advanced Nurse Practitioners across the Department Provides consultation to other clinicians on the team, as well as to those within the department.Serves as a resource to staff in area(s) of expertise. Serves on appropriate intra and interdepartmental committees. Participates in the development of formal and informal educational programs for office based clinical support staff.Develops educational programs within area of expertise. Collaborates with team members, office staff, administrators and departmental colleagues to meet staff and patient educational needs. Monitors patient outcomes in accordance with defined standards of patient care.Collaborates with interdisciplinary team members to plan, implement and evaluate pertinent change in practice and health care delivery. Identifies system-wide factors contributing to undesirable outcomes, such as complications, increased length of stay and over utilization of services. Facilitates patient movement through the system and efficient use of resources through interdepartmental collaboration. Supports research efforts to advance knowledge and to promote evidence based practice.Evaluates own practice and program effectiveness.Identifies pertinent nursing and health delivery problems for investigation. Evaluates current research findings for clinical specialty and determines applicability to practice. Assists nursing and medical colleagues in research efforts. Responsible for own professional growth and maintenance of required credentials.Maintains the standards and educational requirements specific to the position,certification and licensure. Identifies own learning needs and goals. Takes responsibilities for leadership and participation on committees and task forces within the department and the hospital. Maintains and updates clinical knowledge and skills based on current health care practice/research.SKILLS/ ABILITIES/ COMPETENCIES REQUIRED:Relying on advanced training in psychodynamics, pathophysiology, physical assessment, pharmacology, treatment intervention, the psych NP provides an assessment and assistance with establishing comprehensive plans that address a broad range of concerns for the patient with psychiatric disorders: 1) Complete biopsychosocial and psychopharmacological evaluations 2) Develop treatment plans based on assessments and provide appropriate treatment 3) Maintain working relationship with patient and/or family while maintaining appropriate professional boundaries 4) Maintain effective working relationships with collaborative leadership teams and interdisciplinary health care teams and appropriate community providers 5) Document in the medical record according to departmental policies and procedures A qualified candidate must demonstrate strong interpersonal communication, conflict resolution and organizational skills.WORKING CONDITIONS:Provision of episodic, consultative, and recurring care to adult patients (including geriatric and those with substance use disorder) in the outpatient psychiatry clinic located in the Wang building and via telehealth platforms.Qualifications Valid Massachusetts RN licensure in good standing Master's degree in Nursing Valid Massachusetts Psychiatric Nurse Practitioner licensure in good standing. Buprenorphine Waiver required (or willingness to acquire waiver in first 90 days). Current federal and state controlled substance certification/registration or eligibility. Previous Psych NP experience preferred Previous psychiatric nursing experience required.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.
Nurse Practitioner (NP) - West Team
Mass General Brigham Healthcare at Home, Boston
Home Hospital Advanced Practice Provider (NP or PA) FULL TIME 40 hour Days- Newton Wellesley Primary Job Title: Home Hospital Advanced Practice Provider 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.Shift Requirements/Working ConditionsRole is Full-time, 36 to 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.