NP- Chelsea Healthcare Center Adult Medicine MGH

Site: The General Hospital Corporation

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The MGH Chelsea Healthcare Center Adult Medicine Practice a large academic internal medicine practice located at MGH Chelsea servicing a very diverse population in the Chelsea Community.

This is a part-time day position (16 clinical hours 4 administrative) M-F

Primary Responsibilities:
Clinical Practice: Participates in daily huddles and shares information with the team that is vital to enhance the patient office experience delivery and coordination of care and incorporates the patient as an active team member.
Provides independent direct and indirect nursing care performing physical examinations ordering diagnostic studies evaluating results and prescribing treatment as appropriate.
Follows patients appropriately within Advanced Practice Role as delineated within the state of Massachusetts and MGH.
Establish the diagnosis(es) and resolves a plan of care including order laboratory and radiology test and treatments for:
oShort term and chronic health problems
oExacerbation of health problems
Chronic disease and health promotion management
oDiscuss with patients or their delegates: end of life issues chronic disease management and educational materials regarding patients health.
oRefer patients to appropriate physicians clinics or other health care providers including community providers for management or consultation.
oWrite prescriptions according to Massachusetts Authority to Prescribe laws and consistent with the NPs and supervising physicians scope of practice.
Use the Electronic Medical Record in timely and competent manner per practice guidelines Diagnostic studies: Order interpret and communicate results
oFor health screening and monitoring purposes
oMonitor the effect of current therapy
oNeeded to investigate a new problem
Perform therapeutic measures but not limited to the following
oOrder and apply skin and wound dressing - Order and apply venous pressure dressing and compression stockings
oSuture removal Team Care

The NP will be an integral member of the team.
They will:
oWithin team care work to create and implement a system to manage the complex patients with the PCP Participate in team huddles and communicate on a regular basis with team members about patients
oAssist patients and their loved ones in management of their health
oConsult with the LICSW regarding psychological-social needs of the patient
oConnect with case managers regarding disease management especially during transitions of care
oAnswer clinical questions from support staff Educate support staff and their loved ones on health issues and behaviors that can affect patient interactions with staff and their loved ones
oUrgent/emergent or complex patient office or phone provide emergency care to stabilize patients condition as appropriate
oSeek input from onsite physician and work with them to diagnosis and treat the patient
oIndirect Work Management Responsible to follow up on labs and imaging ordered by sending letters or calling patients if results are considered critical
oWorks with all staff to ensure smooth patient flow throughout the day to improve efficiency of provider workflow Follows guidelines of practice to respond to staff questions via Clinical Messaging in EPIC Monitors patient outcomes.
oQuality Initiatives Involved in practice quality improvement initiates Recommends changes in practice as needed
oMaintains and updates knowledge and skills based on current education nursing and health care practices
oFulfills professional role through involvement in professional organization activities presentations (publications and research).
oResponds to changes in clinical practice by planning designing implementing and evaluating scientific based practice.
oDevelops new techniques guidelines protocols and standards in collaboration with other staff.
oApplies problem solving approaches to teaching guiding and solving complex clinical problems.
oIdentifies current trends in healthcare and their implications for nursing practice Responsible billing per MGH Billing Compliance Federal and State billing regulations

Qualifications
Current Registered Nurse licensure in Massachusetts as Nurse Practitioner. Family/Adult/Pediatric Nurse Practitioner Certification Required Masters degree from an accredited school of nursing as Nurse Practitioner.
Minimum of 2 years nursing experience required
Minimum of 1-year NP experience required
Preferred Bilingual: Spanish Speaking HIPAA compliant. BLS certified

Job Summary

Summary
The Nurse Practitioner (NP) is a licensed provider. The NP 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. May also perform additional duties such as precepting a small group of learners.

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.
-Orders medications and writes prescriptions according to organizational and regulatory policies and procedures.
-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.

Education
Masters Degree Nursing required

Can this role accept experience in lieu of a degree
No

Licenses and Credentials
Class D Passenger Vehicle Drivers License State License - Generic - HR Only preferred Registered Nurse RN - State License - Generic - HR Only preferred Basic Life Support BLS Certification - Data Conversion - Various Issuers preferred Nurse Practitioner NP / Advanced Practice Registered Nurse APRN State License - Generic - HR Only preferred Nurse Practitioner NP / Advanced Practice Registered Nurse APRN State License - Generic - HR Only preferred

Experience
2 years of licensed nurse practitioner experience required

Knowledge Skills and Abilities
- Skilled in taking medical histories to assess medical condition and interpret findings.
- Ability to maintain quality control standards.
- Ability to react calmly and effectively in emergency situations.
- Ability to interpret adapt and apply guidelines and procedures.
- Ability to communicate clearly and establish/maintain effective working relationships with patients medical staff and the public.

Onsite

151 Everett Avenue

20

Regular

Day (United States of America)

Pay Range

$120390.40 - $170456.00/Annual

Grade

7

At Mass General Brigham we believe in recognizing and rewarding the unique value each team member brings to our organization. Our approach to determining base pay is comprehensive and any offer extended will take into account your skills relevant experience if applicable education certifications and other essential factors. The base pay information provided offers an estimate based on the minimum job qualifications; however it does not encompass all elements contributing to your total compensation addition to competitive base pay we offer comprehensive benefits career advancement opportunities differentials premiums and bonuses as applicable and recognition programs designed to celebrate your contributions and support your professional growth. We invite you to apply and our Talent Acquisition team will provide an overview of your potential compensation and benefits package.

The General Hospital Corporation 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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