NP or PA- Ambulatory MGB Cancer Institute- Malignant and Classical Hematology - Waltham- MGH

Mass General Brigham•Waltham, MA

1d•Onsite

About The Position

The Nurse Practitioner or Physician Assistant provides ambulatory care for patients with malignant and classical hematologic conditions at the Mass General Brigham Cancer Institute’s Waltham campus. Working with an interdisciplinary team, the APP promotes collaboration among providers, nurses, and administrative staff to support continuity of care. The role includes direct and indirect patient care, patient education, care coordination, clinical consultation, and participation in team development, research, quality and safety initiatives, and professional practice activities. The APP assesses and manages patients by taking histories and performing physical examinations; ordering, interpreting, and evaluating laboratory and diagnostic tests; developing and evaluating plans of care; documenting clinical findings; ordering medications and writing prescriptions in accordance with organizational policies and current guidelines, including for antineoplastics; and coordinating timely diagnostic procedures, appointments, and follow-up. The APP manages patients in collaboration with physicians, communicates with patients and families about care and test results, and helps coordinate resources and improve access to care. The role calls for clinical expertise in complex hematology and oncology care, including understanding medication interactions and the medical needs of patients with advanced malignancy or organ dysfunction. The APP also provides consultation and education to staff, participates in committees and research efforts, monitors patient outcomes, evaluates practice effectiveness, and maintains professional knowledge, licensure, and credentials. Training will be provided for medical oncology-specific procedures as needed. This is a full-time onsite role at 52 Second Avenue in Waltham, scheduled for 40 hours per week in four 10-hour shifts, Monday through Friday. The listed work shift is day shift.

Requirements

Master’s degree in Nursing or a Master’s degree as a Physician Assistant; experience cannot substitute for the degree.
Massachusetts Nurse Practitioner/Advanced Practice Registered Nurse or Physician Assistant credential is preferred; Massachusetts Registered Nurse credential is also listed as preferred.
Experience as a nurse practitioner or physician assistant: 1–2 years preferred.
Ability to take medical histories, assess medical conditions, 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 and maintain effective working relationships with patients, medical staff, and the public.
Ability to provide clinical care for patients with complex malignant or classical hematologic conditions.

Nice To Haves

Two or more years of advanced practice and medical oncology experience.
Prior oncology registered-nurse experience for Nurse Practitioner applicants.
Proficiency with Epic and other electronic medical records.
Epic In-Basket management experience.
Telemedicine experience.
Familiarity with clinical trials.

Responsibilities

Perform and document patient histories and physical examinations, and discuss findings with the collaborating team.
Obtain and coordinate laboratory results and document clinical findings, orders, nursing instructions, and other required information in the electronic medical record.
Use advanced practice knowledge to identify, prevent, or address complex and recurring hematology patient-care problems.
Follow and manage patients in collaboration with physicians to support continuity of care.
Perform or oversee specialized procedures agreed upon with the collaborating physician for the relevant oncology or hematology population.
Collaborate with staff and physicians to develop comprehensive care plans, coordinate resources, write appropriate orders, improve access to care, and establish patient-care goals.
Participate in clinical research and manage communications among physicians, patients, families, and staff.
Coordinate timely diagnostic procedures and services, including radiology; facilitate clinic appointments; communicate test results; and provide team coverage.
Educate patients about medical oncology and classical hematology issues associated with therapy.
Interpret radiology, pathology, laboratory, and other diagnostic findings and recognize complex medication interactions.
Write medication and other orders in accordance with current guidelines, including antineoplastic orders.
Provide consultation to nurses and physicians and serve as a staff resource in areas of expertise.
Participate in appropriate intra- and interdepartmental committees and task forces.
Help develop formal and informal educational programs for nursing and support staff.
Monitor patient outcomes against defined standards and identify system factors contributing to undesirable outcomes, complications, or overuse of services.
Support and conduct research to advance knowledge and promote research-based practice; assist nursing and medical colleagues with research efforts.
Evaluate personal practice and program effectiveness and identify patient-care or health-delivery problems for investigation.
Review current research findings in the clinical specialty and determine their applicability to practice.
Maintain required credentials, licensure, clinical knowledge, and skills; identify learning needs and professional-development goals.
Obtain procedural proficiency for medical oncology-specific procedures as needed; training is provided.
Provide direct care, counseling, and teaching; develop plans of care and follow-up; document care; perform appropriate bedside procedures; and prescribe medications in accordance with organizational and regulatory policies.