Develops implements and evaluates a program of specialized health care for a select patient population. Promotes a collaborative relationship and effort between the medical staff and professional nurses toward continuity of patient care and efficient use of resources. Serves as a role model for professional nursing practice.Provides direct care to a select patient population in collaboration with the physician. Performs and records the patient history and physical exam and discusses findings with the physician. Utilizes advanced nursing knowledge to identify prevent or solve complex and/or recurring patient care problems. Follows and manages patients (in collaboration with MD) enhancing continuity of care. Performs (oversees/assures completion of) specialized procedures particular to the select population mutually agreed upon with collaborating physician. Performs medically delegated aspects of patient care as agreed upon by nursing and medical administrators according to practice guidelines. Collaborates with unit staff and physicians to facilitate a comprehensive plan of care and coordinate resources. Writes orders which are in accord with current guidelines. Maintains and practices in accord with practitioner guidelines per state and hospital regulationsProvides consultation to both nurses and physicians. 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 the unitbased nursing staff. Develops educational programs within area of expertise. Collaborates with unit staff Clinical Educators Clinical Nurse Specialists Staff Specialists and other health care professionals to meet staff and patient educational needs.Monitors patient outcomes in accordance with defined standards of patient care. Collaborates with Practice leadership clinical nurses and medical staff to plan implement and evaluate pertinent change in practice and health care delivery. Identifies systemwide 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 researchbased 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 unit practice. Assists nursing and medical colleagues in research efforts. Conducts own research.Responsible for own professional growth and maintenance of required credentials. Maintains the standards and educational requirements specific to the position and licensure. Identifies own learning needs and goals. Takes responsibilities for leadership and participation on committees and task forces of the DON and the hospital. Maintains and updates clinical knowledge and skills based on current health care practice/research.Current licensure in the Commonwealth of Massachusetts as a registered nurse in the expanded roleMasters Degree in Nursing.3 years experience as Nurse Practitioner strongly preferredDemonstrated competence in Adult Internal Medicine Massachusetts General Hospital is an Equal Opportunity Employer. By embracing diverse skills perspectives and ideas we choose to lead. Applications fromprotected veterans and individuals with disabilities are strongly encouraged.