Nurse Practitioner/Physician Assistant, OB/GYN

Mass General Brigham•Newton, MA

4d•Onsite

About The Position

Newton-Wellesley Hospital is launching a new 24/7 Midwifery and Gynecology advanced practice provider coverage model. Nurse Practitioners and Physician Assistants will provide comprehensive inpatient women's health care across labor and delivery, postpartum, gynecology, and related services, working with physicians, certified nurse-midwives, nurses, and other members of a multidisciplinary team. The role helps establish and grow the service while delivering patient-centered care and supporting clinical quality, safety, and outcomes. The APP assesses, diagnoses, treats, and manages patients within the Women's Health service. Duties include direct patient care, coordination of treatment plans and transitions of care, admissions and evaluations, triage of obstetric and gynecologic patients, ordering and interpreting diagnostic studies, and documenting care according to organizational standards. The APP may assist with cesarean sections and other procedures consistent with licensure, credentialing, and scope of practice. For Nurse Practitioners, practice is governed by hospital policies, departmental clinical practice guidelines, Massachusetts regulations, and applicable professional standards. The Nurse Practitioner practices under medical supervision, consults with the Medical Director or designee when a written protocol does not support a practice, and works collaboratively with nursing staff and other health care disciplines. The posting also describes employee-health responsibilities, including preplacement physical examinations, episodic care for employee illnesses and injuries, referrals and counseling within scope, evaluation of work-related injuries, return-to-work coordination, and wellness and safety education. Schedule preferences will be discussed during interviews and considered alongside departmental needs. The program is expanding toward full 24/7 coverage, with possible 12-hour day and night shifts, weekends, and holidays. Full-time and part-time staffing models are considered. Experienced Women's Health APPs and motivated new graduates are welcome. Nurse Practitioners hired without first-assist certification are expected to obtain it within one year of employment. Nurse Practitioner positions are represented by the Massachusetts Nurses Association collective bargaining unit.

Requirements

For the Nurse Practitioner role, a nursing certificate or diploma and a Master's Degree in Nursing are required; a Bachelor's Degree in Nursing is preferred.
Nurse Practitioner state license is required.
Three years of clinical experience are required.
Knowledge of the special needs and behaviors of infant, child, adolescent, adult, and older adult patients.
Ability to practice according to applicable practice guidelines, clinical protocols, and scope of licensure.
Ability to provide patient care that may involve exposure to communicable diseases and hazardous materials, including blood and body fluids.

Nice To Haves

Previous first-assist experience is preferred but not required.
Experienced Women's Health APPs are welcome to apply.
For Nurse Practitioner candidates, highly experienced Labor & Delivery or Women's Health Registered Nurses seeking to transition into advanced practice are encouraged to apply.

Responsibilities

Assess, diagnose, treat, and manage patients within the Women's Health service.
Perform patient admissions and evaluations and triage obstetric and gynecologic patients.
Develop, implement, assess, and evaluate treatment plans.
Order and interpret diagnostic studies and issue prescriptions and orders for tests and therapeutics pursuant to applicable guidelines.
Document care and consultation recommendations in accordance with organizational standards and practice guidelines.
Coordinate treatment plans and transitions of care and collaborate with physicians, certified nurse-midwives, nurses, and other disciplines.
Assist with cesarean sections and other procedures consistent with licensure, credentialing, and scope of practice.
Consult with the Medical Director or designee when practice is not supported by a written protocol, and document the consultation.
Review prescribing practices with the supervising physician at least quarterly and conduct monthly reviews for compliance with practice guidelines.
Participate in reviewing and updating clinical practice guidelines and department policies.
Conduct employee preplacement physical examinations and provide episodic care for employee illnesses and injuries.
Counsel employees within scope, identify work or life stresses, and make appropriate referrals.
Manage and evaluate employees with work-related injuries, communicate progress, and coordinate appropriate care and return-to-work plans.
Communicate necessary information to Human Resources and the claims service company for reporting to the Massachusetts Industrial Accident Board.
Recommend modified duty and return-to-work plans to managers or supervisors.
Implement wellness and safety programs and distribute informational materials.
Respect patient privacy and maintain confidentiality.