Site: Brigham and Women's Physicians Organization, Inc.

 

At Mass General Brigham, we know it takes a surprising range of talented professionals to advance our mission—from doctors, nurses, business people and tech experts, to dedicated researchers and systems analysts. As a not-for-profit organization, Mass General Brigham is committed to supporting patient care, research, teaching, and service to the community.  We place great value on being a diverse, equitable and inclusive organization as we aim to reflect the diversity of the patients we serve.

At Mass General Brigham, we believe a diverse set of backgrounds and lived experiences makes us stronger by challenging our assumptions with new perspectives that can drive revolutionary discoveries in medical innovations in research and patient care. Therefore, we invite and welcome applicants from traditionally underrepresented groups in healthcare — people of color, people with disabilities, LGBTQ community, and/or gender expansive, first and second-generation immigrants, veterans, and people from different socioeconomic backgrounds – to apply.

 

Full time Inpatient Renal APP

 

Job Summary

The Nephrology APP will be a core member of the BWFH Department of Medicine and key constituent of the Nephrology Division, BWFH nephrology consult team, and Brigham Interventional Nephrology. The nature and scope of practice of the APP for Nephrology is to assess, diagnose and treat health problems of patients across the continuum of care, in collaboration with the Nephrology attendings on service. The practice will encompass inpatient care for patients with CKD and ESRD. Candidates for the position should have a strong interest in acute care nephrology and, ideally, experience and training in clinical nephrology.

The nephrology APP will report to the BWFH Chief of Nephrology, and will have a dotted line to the APP leadership at BWFH. The nephrology APP will work very closely with all BWFH nephrology attending physicians to develop the necessary clinical skills in a highly collaborative and supportive environment.

 

Qualifications

The APP works closely with the nephrology physicians, inpatient physicians and advanced practice professionals, residents 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. Strong interpersonal, organizational and communication skills are required. Knowledge of current literature and a commitment to continued learning are also required. The mission, vision and core values of the Brigham and Women’s/Faulkner Hospital (BWFH) are incorporated into all areas of practice. The BWFH nephrology APP will also be an integral partner with the other BWFH advanced practice professionals.  

As a member of the BWFH Nephrology Division, the PA/NP shall be responsible for the following duties:

 inpatient nephrologyconsults and follow up visits, primarily seing patients with AKI/CKD/ESRD and assist with their renal replacement therapies (hemodialysis, peritoneal dialysis, CRRT)Write dialysis/Peritoneal dialysis or CRRT OrdersPerform Inpatient PICC consultsOther duties as needed.

General Duties
Work collaboratively and function as an efficient member of the BWFH nephrology division

Assist in the coordination of care for patients with the primary care teams and other sub-specialists involved in the care of patientsProvide education to patients and familiesDocument in the medical record as appropriate and communicate observations and findings to the attending physiciansMonitor environment of care and comply with regulatory agency standardsEnsure that their clinical practice is consistent with advance practice policies, procedures and standardsParticipate in QA/QI projects as appropriate

SKILLS/COMPETENCIES REQUIRED:   

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

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 PA/NP 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 and surgical 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

▪ 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 consult

   notes and progress notes.

                                                                                                           

Physical and mental abilities required

Must be energetic, quality driven and have proven ability to be a productive member of 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: 

For PA’s

Must have successfully completed a Graduate Level, accredited Physician Assistant Program approved by AMA Board of Approval and Certification of PA programs.Must have 4 years of college level education and baccalaureate degree or equivalent. (BS/MS joint programs are also acceptable; BS with PA certificates are acceptable for graduates before 1995).Board Certification by the National Commission on Certification of PA/NPs is required.     

For APRN’s

Completion of a master’s or post master’s degree in acute care, adult or family NP program accredited by the Commission on Collegiate Nursing Education (CCNE) or the National League for Nursing Accrediting Commission (NLNAC)Current certification by the American Nurses Credentialing Center or an equivalent body.Current active licensure to practice in the expanded role in the state of Massachusetts.

LICENSES, CERTIFICATIONS, and/or REGISTRATIONS

NCCPA/NP certifiedLicense as a Physician Assistant in MassachusettsMaintain current DEA and Massachusetts Controlled Substance LicensesComplete 100 hours of CME according to national and state regulations during each 2 year period of employment.NP must have current Massachusetts Registered Nurse Licensure/ Advanced PracticeNP Certification in Basic Life Support for Healthcare Providers required   NP must maintain updated continuing education requirement for certification and licensureMaintain current ACLS certificationComplete BWFH Professionalism Program within 3 months of date of hire.Complete BWFH Procedural Sedation Training, if determined necessary.

EXPERIENCE:

One year of relevant  experience as a APP in this specialty, would be ideal but is not necessary.Other previous hands-on patient care experience may be considered at the discretion of the Medical Directors.

WORKING CONDITIONS:

The APP position on the team can be quite challenging, requiring both teamwork and individual initiative. A high level of patient care is required while working quickly and often multi-tasking. The APP schedule may require long workdays while maintaining a goal of 40 hours/week on average.

 

Additional Job Details (if applicable)

Physical RequirementsStanding Frequently (34-66%) Walking Frequently (34-66%) Sitting Occasionally (3-33%) Lifting Frequently (34-66%) 35lbs+ (w/assisted device) Carrying Frequently (34-66%) 20lbs - 35lbs Pushing Occasionally (3-33%) Pulling Occasionally (3-33%) Climbing Rarely (Less than 2%) Balancing Frequently (34-66%) Stooping Occasionally (3-33%) Kneeling Occasionally (3-33%) Crouching Occasionally (3-33%) Crawling Rarely (Less than 2%) Reaching Frequently (34-66%) Gross Manipulation (Handling) Frequently (34-66%) Fine Manipulation (Fingering) Frequently (34-66%) Feeling Constantly (67-100%) Foot Use Rarely (Less than 2%) Vision - Far Constantly (67-100%) Vision - Near Constantly (67-100%) Talking Constantly (67-100%) Hearing Constantly (67-100%)

 

Remote Type

Onsite

 

Work Location

1153 Centre Street

 

Scheduled Weekly Hours

40

 

Employee Type

Regular

 

Work Shift

Day (United States of America)

 

EEO Statement:

Brigham and Women's Physicians Organization, Inc. 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.

 

Mass General Brigham Competency Framework

At Mass General Brigham, our competency framework defines what effective leadership “looks like” by specifying which behaviors are most critical for successful performance at each job level. The framework is comprised of ten competencies (half People-Focused, half Performance-Focused) and are defined by observable and measurable skills and behaviors that contribute to workplace effectiveness and career success. These competencies are used to evaluate performance, make hiring decisions, identify development needs, mobilize employees across our system, and establish a strong talent pipeline.