Nurse Practitioner/Physician Assistant, OB/GYN

Mass General Brigham•Newton, WA

2d•Onsite

About The Position

Newton-Wellesley Hospital is launching a new 24/7 Midwifery and Gynecology advanced practice provider (APP) coverage model and is seeking Nurse Practitioners and Physician Assistants to help establish and grow the service. The role provides comprehensive inpatient women's health coverage across labor and delivery, postpartum, gynecology, and related services in a dynamic clinical environment. APPs collaborate with physicians, certified nurse-midwives, nurses, and other care team members to deliver patient-centered care and support strong clinical outcomes. The APP assesses, diagnoses, treats, and manages Women's Health patients; provides direct care; coordinates treatment plans and transitions of care; and participates in quality, safety, and performance improvement initiatives. Core clinical work includes admissions and evaluations, obstetric and gynecologic triage, treatment planning, ordering and interpreting diagnostic studies, and documentation. 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 and procedures, departmental clinical practice guidelines, Massachusetts regulations, and applicable professional standards. The NP practices under medical supervision, collaborates with other disciplines, and provides care within approved practice guidelines. The posting also lists employee health responsibilities, including preplacement physical examinations, episodic care for employee illnesses and injuries, counseling and referrals, management of work-related injuries, return-to-work coordination, and employee wellness and safety education. The department will discuss schedule preferences during interviews and consider them in light of operational needs. The program is expanding toward full 24/7 coverage, with potential 12-hour day or night shifts and weekend and holiday work. Full-time and part-time staffing models are available. 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.

Requirements

Nurse Practitioner candidates must hold a Nurse Practitioner state license.
A Master's Degree in Nursing is required for the Nurse Practitioner role; a Bachelor's Degree in Nursing is preferred, and a nursing certificate or diploma is required.
Three years of clinical experience are required.
Must practice in accordance with applicable practice guidelines, approved clinical practice guidelines, hospital policies, and Massachusetts regulations.
Knowledge of the special needs and behaviors of infant, child, adolescent, adult, and older adult patients.
Ability to perform patient-care responsibilities involving possible exposure to communicable diseases and hazardous materials such as blood and body fluids.
For Nurse Practitioners hired without first-assist certification, obtain first-assist certification within one year of employment.

Nice To Haves

Previous first-assist experience is preferred.
Experienced Women's Health APP experience is welcomed.
Highly experienced Labor & Delivery or Women's Health Registered Nurses seeking to transition into advanced practice are encouraged to apply.
Motivated new graduates are welcome.

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, and evaluate treatment plans.
Order and interpret diagnostic studies and issue prescriptions and orders in accordance with applicable guidelines.
Document care in accordance with organizational standards and document consultations, including the consulted physician's name.
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 the Medical Director or designee when practice is not supported by a written protocol.
Review prescribing practices with the supervising physician at least quarterly and conduct monthly reviews for compliance with practice guidelines.
Respect patient privacy and maintain confidentiality.
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.
Identify employee work or life stresses, provide counseling within scope, and arrange appropriate referrals.
Manage and evaluate employees with work-related injuries, communicate progress, and coordinate timely return to work.
Communicate relevant information to Human Resources and the claims service company for required reporting.
Recommend modified duty and return-to-work plans and distribute materials promoting employee wellness and safety.