Advanced Practice Provider (NP) (PA) - Home Hospital South Team

Site: Mass General Brigham Home Care Inc.

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Why Join Mass General Brigham Home Hospital

We believe that patients shouldnt have to choose between exceptional care and the comfort of home. At Mass General Brigham Home Hospital eligible patients receive expert hospital-level care from trusted providerssafely and conveniently right where they live.

If you are driven excited about innovation and looking for a true connection with patients in their home... this position is for you!

The 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 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.

Shift Requirements/Working Conditions
Role isFull-time 36 to 40-hours/week and will include rotations for days weekends and holidays.

Local travel between patient homes within a defined 10-20 mile radius required.

Job Summary

The Advanced Practice Provider is a licensed provider. The APP 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. Does this position require Patient Care Yes
Essential Functions -Provides direct care counseling and teaching to a designated patient population in the ambulatory inpatient operative and/or procedural setting
-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
-Consistently provides high quality and timely documentation including admission and progress notes procedure notes operative notes and discharge summaries
-Performs bedside procedures as are appropriate to the patient population
-Orders medications and writes prescriptions according to organizational and regulatory policies and procedures

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

• 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.

Hybrid

75-95 Wells Ave

40

Regular

Day (United States of America)

Mass General Brigham Home Care Inc. is an Equal Opportunity Employer. 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. To ensure reasonable accommodation for individuals protected by Section 503 of the Rehabilitation Act of 1973 the Vietnam Veterans Readjustment Act of 1974 and Title I of the Americans with Disabilities Act of 1990 applicants who require accommodation in the job application process may contact Human Resources at .

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