Surgical Advanced Practice Provider- South (Per Diem)
 Mass General Brigham Healthcare at Home | |
 United States, Massachusetts, Newton | |
| 75-95 Wells Avenue (Show on map) | |
 Jan 21, 2025 | |
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The Physician Assistant (PA) or Nurse Practitioner is a licensed provider. They are 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. Does this position require Patient Care? Yes
Essential Functions: 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. The Surgical Home Hospital Advanced Practice Provider (HH APP) will be part of a clinical team that provides acute-level care to surgical (operative and non-operative) patients in the comfort of their own home. The MGB (Mass General Brigham) Home Hospital (HH) is an innovative strategic service line aiming to improve patient care by shifting it out of hospitals and into the home-based environment, increasing hospital capacity and reducing total costs of care. The Surgical Home Hospital Advanced Practice Provider will support the work of the Surgical Home Hospital by evaluating (either in person or virtually) and managing patients in their home as a direct Surgical Home Hospital provider, supported by a multidisciplinary team that includes an Attending Surgeon (who oversees the direction of care for patients enrolled), a Home Hospital nurse, a paramedic (Mobile Integrated Health), an administrative coordinator, and other allied staff as needed (e.g. home health aide, physical therapist). The Surgical Home Hospital APP will work with the inpatient surgery teams at all five participating MGB Hospitals (MGH, BWH, Salem, Faulkner, NWH) to identify patients (both operative and non-operative) admitted to the hospital-based Surgery Service or in the Emergency Department who can be admitted to the Surgical Home Hospital service. The Surgical HH APP will screen for appropriate patients, communicate with the hospital-based Surgery teams about appropriate patients, consent patients for admission, and subsequently manage patients on the Surgical Home Hospital Service. These patients may be in the Emergency Department and deemed appropriate for direct admission to Surgical Home Hospital, admitted to the Surgery inpatient service and deemed appropriate for transfer to the Surgical HH Service &/or be elective surgery patients who in the pre-operative setting were identified as appropriate for transfer to HH in the postop setting. Upon admission to the Surgical Home Hospital service, the Surgical HH APP will see the patient either in the brick & mortar hospital, in person in the patient's home or virtually. The Surgical HH APP will be responsible for placing admission or transfer orders to the Surgical HH Service. Daily Surgery HH rounds will consist of at least one daily patient encounter (in-person or virtual depending on patient needs and clinical course), with medical decision-making and delivery of needed care as appropriate (see specific clinical duties below). The Surgical HH APP will facilitate continuity between care settings, ensure home-based and acute care protocols are seamlessly integrated in the home settings, and function as the responding clinician in the home environment. The ideal candidate for this Surgical HH APP role will be a patient-centered, proactive, flexible, experienced, and confident clinician comfortable with autonomy. Must collaborate well with multidisciplinary teams and able to make complex clinical decisions as well as be comfortable with level-of-care triaging, and telemedicine. The role offers the potential to broaden clinical duties as the Surgical HH Service expands. This may include involvement with the research & development team creating surgical HH pathways and protocols. Principle Roles/Responsibilities: Qualifications * Role is per diem. The per diem requirement is 6 shifts in a 12 week block. Physical Requirements Local travel between patients' homes will be required. Clean driving record required.
Mass General Brigham Home Care, Inc. is an Equal Opportunity 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. | |