NP Primary Care

2 months ago

Chelsea, United States Massachusetts General Hospital(MGH) Full time

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.

  • Integrates theoretical knowledge base and clinical expertise in decision making.
  • Advocates for patients, their significant others, coworkers, the community, and the nursing profession.
  • Consistently demonstrates accountability.
  • Champions collaborative practice with coworkers and other disciplines and departments.
  • Consistently demonstrates compassion to internal and external customers.
  • Exemplifies a professional behavior.
  • Provides clear and direct verbal and written communication.
  • Efficiently facilitates group processes of decision-making and conflict management for patient, loved ones, and staff.
  • Is compassionate and respectful.
  • Advocates for patient's choices.
Quality

Recognizes patient as ultimate consumer of services.

Protects and maintains patient confidentiality.

Consistently produces work that meets practice standards.

Performs job accurately, in a timely fashion.

Maintains accurate documentation of information required for position.

Is aware of practice goals and is a proactive participant in helping achieve them.

Communication

Provides and receives feedback in a detailed, positive, respectful manner.

Responds to patients and colleagues in a timely manner.

Uses agreed upon methods of practice communication as decided by individual practice guidelines.

Communicates any unexpected tardiness, changes or adjustments in schedule as decided by practice policy.

Primary Responsibilities

Clinical Practice

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 guideline

Diagnostic studies: Order, interpret and communicate result
  • 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
Team Care

The NP will be an integral member of the team. They will:

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 patient

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 one

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

Indirect Work Management

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.

Quality Initiative

Involved in practice quality improvement initiate

Recommends changes in practice as needed

Professional Development

Maintains and updates knowledge and skills based on current education, nursing, and health care practice

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 regulation

We offer an outstanding benefits packages to eligible employees including...
  • Medical, Dental and Vision insurance
  • Tuition Reimbursement
  • Generous paid time off
  • Subsidized MBTA pass (50% discount)
  • Resources for childcare and emergency backup care
  • Hospital paid retirement plan and tax-sheltered annuity plan
  • Employee "Perks" - enjoy discounts on tickets and passes for everything from ski resorts to museums to sporting events.


You contribute to our success Every role has an impact on our patients' lives, and you can make a difference. We are looking for someone as dedicated as you to be a part of our team

About Mass General Hospital

Mass General Hospital is a world-renowned hospital that provides the highest quality care to patients. We are a leader in medical research and education, and we are committed to delivering our employees with a rewarding and fulfilling career.

Qualifications

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

Preferred Bilingual: Spanish Speaking

HIPAA compliant.

BLS certified

EEO Statement

Massachusetts General Hospital is an Affirmative Action Employer. By embracing diverse skills, perspectives and ideas, we choose to lead. All qualified applicants will receive consideration for employment without regard to race, color, religious creed, national origin, sex, age, gender identity, disability, sexual orientation, military service, genetic information, and/or other status protected under law. We will ensure that all individuals with a disability are provided a reasonable accommodation to participate in the job application or interview process, to perform essential job functions, and to receive other benefits and privileges of employment.

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