Community Matron

2 days ago

Boston, United States Brigham and Women's Faulkner Hospital Full time
There may be some weekend and holiday requirements

The Diabetes Advance Practice Provider (APP) is an advanced practice registered nurse or physician assistant that has acquired specialized knowledge and skills in diabetes through completion of a nurse practitioner program, completion of a diabetes certificate program and/or work experience in the care of patients with diabetes. The APP has the credentials to function in an advance practice role and is responsible for the daily management of diabetes patients. The APP has the responsibility for assessment and management of patients including diagnostic and therapeutic interventions, and continuous implementation and evaluation of appropriate plan of care. The APP works within a team model in collaboration with attending physician colleagues, interdisciplinary team members and is responsible to the Division Chief of Endocrinology and BWFH Chief Advance Practice Provider.

Principal Duties And Responsibilities

  • In clinical care, performs in the role of Licensed Independent Practitioner and is responsible to work independently and in collaboration with other providers to maintain a panel of patients.
  • Provides direct care, counseling, and teaching to a select inpatient population
  • Works collaboratively with the Endocrinology Attending on service to provide direct care, counseling and teaching to patients with diabetes admitted to BWFH inpatient service. li>
  • Provides comprehensive diabetes education in both one-on-one as well as in group settings.
  • Provides patient instruction in the use of and administration of injectable medications, Continuous Glucose Monitoring systems (CGMs) and Insulin pump therapy.
  • Key participant in quality improvement for diabetes management and active member of Diabetes Committee
  • Performs physical examinations and provides preventative health measures appropriate to patient needs.
  • Works collaboratively with physicians and other to triage diabetes-specific clinical calls from patients and direct care appropriately.
  • Orders, interprets and evaluates appropriate lab and diagnostic tests to assess patients’ clinical problems and health care needs.
  • Arranges for appropriate plan of care and follow-up based on outcome of diagnostic, lab, and physical assessment findings.
  • Orders medications and writes prescriptions according to organizational and regulatory policies and procedures.
  • Records pertinent patient care findings in the medical record.
  • Sets priorities for appropriate and efficient management of patient care that reflects cost effective management of time, available human resources, supplies and equipment.
  • Maintains interdisciplinary approach to planning and communicating patient care information by discussing patient data with appropriate physicians and other health care professionals.
  • Utilizes available resources and methodologies to advance practice within the division and beyond, with the aim of improving the care of all patients, particularly those most at risk for adverse outcomes.
  • Incorporates the concepts of health maintenance, prevention and promotion into daily practice through patient education and counseling.
  • Demonstrates awareness of community resources and assists staff, patients, and families to effectively utilize them.
  • Performs other related duties and responsibilities with the support of the diabetes program team as required.

Skills/Competencies Required

  • Staff adheres to all C.A.R.Standards

Overview Of Skills

The APP works closely with the physician and nursing staff to develop and coordinate a plan of care designed to meet the physical, psychological and social needs of patients and their families. The mission, vision and core values of Faulkner Hospital are incorporated into all areas of practice

Medical Knowledge

Medical knowledge includes an understanding of pathophysiology, patient presentation, differential diagnosis, patient management, surgical principles, health promotion and disease prevention. The APP must demonstrate core knowledge about established and evolving biomedical and clinical sciences and the application of this knowledge to patient care in their area of practice. In addition, the APP is expected to demonstrate an investigatory and analytic thinking approach to clinical situations.

The APP Is Expected To

  • Understand etiologies, risk factors, underlying pathologic process, and epidemiology for medical conditions
  • Identify signs and symptoms of medical conditions
  • Select and interpret appropriate diagnostic or lab studies
  • Manage general medical conditions to include understanding the indications, agents and other relevant treatment modalities
  • Identify the appropriate site of care for presenting conditions, including identifying emergent cases and those requiring referral or admission
  • Identify appropriate interventions for prevention of conditions
  • Identify the appropriate methods to detect conditions in an asymptomatic individual
  • Differentiate between the normal and the abnormal in anatomic, physiological, laboratory findings and other diagnostic data
  • Appropriately use history and physical findings and diagnostic studies to formulate a differential diagnosis
  • Provide appropriate care to patients with chronic conditions.
  • Demonstrate proficiency with BWFH computer systems as needed to independently perform daily tasks such as order entry, EMAR, lab tests and results, incident reporting etc.
  • Consistently provide high quality and timely documentation including admission notes, progress notes, discharge summaries and dictations.
  • Must have knowledge of billing practices.

Physical And Mental Abilities Required

  • Ability to provide support, direction and development to staff.
  • Must be energetic, quality driven and have proven ability to develop a cohesive team of peers, dedicated to providing optimum patient care.
  • Must exercise the highest degree of professional judgment under the direct supervision and guidance of a licensed physician.
  • Must maintain a professional attitude towards patients and exercise such mature independent originality in solving problems not covered by existing guidelines, within legal limits, to meet the needs of the patients.
  • Must maintain a professional attitude towards patients at all times and an excellent and collegial working relationship with other personnel involved in patient care.
  • Must demonstrate understanding of procedures, policies and documentation required to ensure compliance with hospital standards of care.

Education

  • Must have successfully completed a Graduate Level, accredited Physician Assistant Program approved by AMA Board of Approval and Certification of PA programs.

  • Community Matron

    3 weeks ago

    Boston, United States Boston Medical Center Full time

    In this position, the Nurse Practitioner will work within the Community Behavioral Health Center (CBHC) to provide care for patients experiencing urgent psychiatric needs as well as maintaining a panel of patients receiving ongoing ambulatory care through the CBHC's multidisciplinary team. As an expert professional, the Nurse Practitioner is responsible and...

  • Community Matron

    2 days ago

    Boston, United States Brigham and Women's Hospital Full time

    PRIMARY CARE-LONGWOOD/ TRANSITIONS CLINIC/ 40 HOUR ROTATING/ BWH BOSTON T he Nurse Practitioner in this role will be dedicated to helping address the healthcare needs of some of our most vulnerable patients. This unique opportunity will allow the time and resources needed to provide care to a subset of our Brigham and Women’s patients while being embedded...

  • Community Matron

    2 days ago

    Boston, United States Massachusetts General Hospital Full time

    h3>Job DescriptionThe Mass General Hospital Division of Palliative Care & Geriatric Medicine is seeking a Per Diem Nurse Practitioner or Physician Assistant to join the Geriatric Medicine Service as a member of its outpatient and inpatient care team in support of our innovative and exciting clinical program expansion.The Geriatric Medicine Service delivers...

  • Community Matron

    2 days ago

    Boston, United States Brigham and Women's Hospital Full time

    ALLERGY CLINICAL IMMUNOLOGY, FULL TIME/ 40 HOURS, ROTATING SHIFT BWHAbout This Job The Allergy and Clinical Immunology Nurse Practitioner (NP) is an expert Practitioner in allergy and immunology care, executing position responsibilities that demonstrate leadership, experience, and creative approaches to management of complex patient care. The NP is a key...

  • Community Matron

    2 days ago

    Boston, United States Boston Medical Center (BMC) Full time

    Nurse Practitioner (full and part-time), collaboration with resident physicians Join today and help us achieve our Vision 2030 which is a long-term goal to make Boston the healthiest urban population in the world.Boston University Chobanian & Avedisian School of Medicine (BUCASM), Section of Internal Medicine at Boston Medical Center (BMC) is hiring Nurse...

  • Care Home Matron

    2 days ago

    Boston, United States Massachusetts General Hospital Full time

    h3>Job DescriptionThe Amyotrophic Lateral Sclerosis (ALS) House Call Program is an extension of the ALS multidisciplinary clinic at the Healey Center for ALS at Massachusetts General Hospital that is also heavily focused on research both clinical and observational. In 2017, through the establishment of the ALS House Call Program, Mass General was able to...

  • Care Home Matron

    2 days ago

    Boston, United States Harbor Health Services, Inc. Full time

    h3>Job DescriptionHarbor Health Services is an innovative, growing, mission-based organization that lives, serves and collaborates with our community members to achieve our mission to help individuals reach their full potential through access to local, affordable services that promote health. Harbor provides medical, behavioral health, dental, and support...

  • 2nd Shift Matron

    2 days ago

    Boston, United States Harbor Health Services, Inc. Full time

    h3>Job DescriptionHarbor Health Services is an innovative, growing, mission-based organization that lives, serves and collaborates with our community members to achieve our mission to help individuals reach their full potential through access to local, affordable services that promote health. br> The Harbor Health Elder Service Plan, a PACE (Program for...

  • Care Home Matron

    2 days ago

    Boston, United States Mass General Brigham Healthcare at Home Full time

    Job DescriptionHome Hospital Advanced Practice Provider (NP or PA) FULL TIME 40 hour Days- Newton Wellesley Primary Job Title: Home Hospital Advanced Practice ProviderGeneral OverviewThe Home Hospital Advanced Practice Provider (HH APP) will be part of a clinical team that provides acute-level care to patients in the comfort of their own home. The MGB Home...

  • Weekend Matron

    1 month ago

    Boston, MA, United States Boston Children's Hospital Full time

    Covering the entire general surgery service including: transplant, general surgery, CAIR, colorectal, EAT, bariatric and trauma. Clinical leadership, assessment and collaborative management of inpatient surgical patients aged newborn to young adult. Includes: interpretation of diagnostic tests, performance of therapeutic procedures, quality improvement...

  • 2nd Shift Matron

    4 weeks ago

    South Boston, United States US Acute Care Solutions Full time

    Emergency Medicine - APP (Physician Assistant / Nurse Practitioner) Hospital Details Sentara Healthcare is committed to delivering a distinctive combination of cutting-edge technology along with the Caring Tradition, and the promise of personalized care tailored to the needs of each individual patient 192 beds The medical staff consists of more than 100...