NP- Chelsea Healthcare Center Adult Medicine - MGH

Mass General Brigham•Chelsea, MA

2d•Onsite

About The Position

Site: The General Hospital Corporation Mass General Brigham relies on a wide range of professionals, including doctors, nurses, business people, tech experts, researchers, and systems analysts to advance our mission. As a not-for-profit, we support patient care, research, teaching, and community service, striving to provide exceptional care. We believe that high-performing teams drive groundbreaking medical discoveries and invite all applicants to join us and experience what it means to be part of Mass General Brigham. 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 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.

Requirements

Current Registered Nurse licensure in Massachusetts as Nurse Practitioner. Family/Adult/Pediatric Nurse Practitioner Certification Required
Master’s degree from an accredited school of nursing as Nurse Practitioner.
Minimum of 2 years nursing experience required
Minimum of 1-year NP experience required
HIPAA compliant.
BLS certified
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.

Nice To Haves

Preferred Bilingual: Spanish Speaking
Class D Passenger Vehicle Driver's 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

Responsibilities

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:
Short term and chronic health problems
Exacerbation of health problems
Chronic disease and health promotion management
Discuss with patients or their delegates: end of life issues, chronic disease management, and educational materials regarding patient’s health.
Refer patients to appropriate physicians, clinics, or other health care providers, including community providers for management or consultation.
Write prescriptions according to Massachusetts Authority to Prescribe laws and consistent with the NP's and supervising physician’s scope of practice.
Use the Electronic Medical Record in timely and competent manner per practice guidelines
Diagnostic studies: Order, interpret and communicate results
For health screening and monitoring purposes
Monitor the effect of current therapy
Needed to investigate a new problem
Perform therapeutic measures but not limited to, the following
Order and apply skin and wound dressing - Order and apply venous pressure dressing and compression stockings
Suture removal
Within 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
Assist patients and their loved ones in management of their health
Consult with the LICSW regarding psychological-social needs of the patient
Connect with case managers regarding disease management especially during transitions of care
Answer 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
Urgent/emergent or complex patient problems. In office or phone provide emergency care to stabilize patient's condition as appropriate
Seek input from onsite physician and work with them to diagnosis and treat the patient
Responsible to follow up on labs and imaging ordered by sending letters or calling patients if results are considered critical
Works 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.
Involved in practice quality improvement initiates Recommends changes in practice as needed
Maintains and updates knowledge and skills based on current education, nursing, and health care practices
Fulfills professional role through involvement in professional organization activities, presentations, (publications, and research).
Responds to changes in clinical practice by planning, designing, implementing, and evaluating scientific based practice.
Develops new techniques, guidelines, protocols, and standards in collaboration with other staff.
Applies problem solving approaches to teaching, guiding, and solving complex clinical problems.
Identifies current trends in healthcare and their implications for nursing practice Responsible billing per MGH Billing Compliance, Federal and State billing regulations
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.