Site: The General Hospital Corporation

 

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.

 

Employee reduced hours (taking on leadership role)

 

Job Summary

The advanced practice nurse develops, implements, and evaluates a program of specialized health care for patients with heart failure, including hospitalized patients and patients under evaluation in the Emergency Department. S/he participates in the initial evaluation and management of patients. S/he promotes a collaborative relationship among various health care professionals who participate in the care of heart failure patients while deploying efficient use of resources. S/he serves as a role model for professional nursing practice in the management of heart failure patients.
This provider will also see follow up and post discharge Heart failure patients in the ambulatory practice.
This hybrid role will involve 50% inpatient service and 50% outpatient clinic with flexibility to meet the needs of the service.

 

Qualifications

Provides direct care to a select population in collaboration with the physician.

Performs and records the patient history and physical exam and discusses findings with the physician.Utilizes advanced provider knowledge to identify, prevent or solve complex and/or recurring patient care problems that negatively impact the health outcomes of patients with heart failure.Follows and manages patients (in collaboration with MD) enhancing continuity of care.Performs medically delegated aspects of patient care according to practice guidelines.

Provides consultation to both nurses and physicians.

Serves as resource to health care professionals in area(s) of expertise.Serves on appropriate intra and interdepartmental committees.

Participates in the development of formal and informal educational programs for appropriate health care professionals

Monitors patient outcomes in accordance with defined standards of patient care.

Collaborates with administrative, nursing and medical staffs to plan, implement and evaluate pertinent change in practice and health care delivery.Identifies system-wide factors contributing to undesirable outcomes, such as complications, readmission and overutilization.Facilitates patient movement through the health-care system and efficient use of resources through intrasystem collaboration, as well as interaction with outpatient care providers within and outside our healthcare system.

Supports research efforts to advance knowledge and to promote research-based practice.

Responsible for own professional growth and maintenance of required credentials.

Maintains the standards and educational requirements specific to the position and licensure.Maintains and updates clinical knowledge and skills based on current health care practice/research.

Specific Responsibilities in Heart Failure Patient Management:

Performs patient evaluations as part of a rapid response team that evaluated patients in the emergency department, inpatient setting, and post-hospital dischargeOrders/obtains routine laboratory and related studiesDiscusses with the collaborating physicians and orders diagnostic studies related to identifying the etiology of heart failure and/or the complications of heart failure, including renal dysfunction, hepatic dysfunction, malnourishment, and metabolic derangements.Continues previous medication as appropriateDiscusses needed change in medications/orders with collaborating physicianEducates patients regarding positive health behaviors that promote optimal clinical outcomes.  This includes compliance with medication, the use of a flexible diuretic program, and adherence to a diet appropriate for the avoidance of fluid overload.Assists with the development and deployment of practices, including patient education, that avoid hospitalizations and readmissions.Collaborates with physician, case manager, and where appropriate, clinical nurses, social work and nutritionists for needed health care services.   Assists in the development of the MGH heart failure program.Promotes a customer service orientation in relationships with outside health care providers.

Specific Responsibilities in Heart Failure/Cardiac Transplant Patient Management:

Performs patient history and physical examOrders/obtains routine laboratory and related studiesDiscusses with the collaborating physicians and orders diagnostic studies related to the management of immunosuppression, the control of infections that occur in the immunocompromised host, and the assessment and management of accelerated graft vascular disease.Collaborates with physician, case manager, and where appropriate, clinical nurses for needed health care services.Assists in the development of the MGH cardiac transplant program.  This may include educating healthcare providers at referring institutions as to the indications for and benefits from cardiac transplantation.Identifies patients appropriate for ongoing research programs within the heart failure program

Specific Responsibilities in Evaluation of Cardiac Disease in non-Cardiac Transplant Recipients:

Performs patient history and physical examOrders/obtains routine laboratory and related studiesDiscusses with the collaborating physicians and orders diagnostic studies related to the identification of risk factors for the presence of cardiac disease or the management of known cardiac disease in patients with severe pulmonary, hepatic, renal, or hematologic disease. Designs diagnostic and treatment plans for these patients that consider both the risk of transplant surgery and the need for subsequent immunosuppression.Collaborates with physician, case manager, and where appropriate, clinical nurses for needed health care services.Maintains and promotes relationships with transplant health care providers, both within the institution and outside of it, regarding the care of heart transplant recipients and candidates.

Outpatient APP Role: 

The APP works collaboratively with Heart failure Program Leadership, Physicians, RNs and PSCs as a provider in the HF outpatient clinic.  The APP practices in accord with practitioner guidelines per state and hospital regulationsManages follow up patients in collaboration with the Collaborating MD enhancing continuity of care. Ensures timely appointments and facilitates access to care for patientsPerforms and records the patient history and physical examUtilizes knowledge & training to identify, prevent or solve complex and/or recurring patient care problems.Orders appropriate procedures and testing particular to the select patient population according to guidelines.Performs medically delegated aspects of patient care according to practice guidelines.Collaborates with health care professionals within other cardiology sub specialties and outside of cardiology to facilitate a comprehensive plan of care and coordinate resources.Monitors patient outcomes in accordance with defined standards of patient care.

Clinical Responsibilities:

The APP will perform independent patient visits both planned follow up care and urgent care as wellThis will include Virtual Telemedicine visits in addition to in person follow up and urgent visits.  . The schedule will include 5 sessions with possible additional follow up or urgent patients as needed to meet the needs of patients and the clinic.  With allotted administrative time including (but not limited to) in basket follow up, returning patient phone calls, completing documentation, Rx refills. The APP participates in cross coverage of clinics and in basket when colleagues are away

Education
Master's Degree Nursing required

Can this role accept experience in lieu of a degree?
No

Licenses and Credentials
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

Experience
2 years of licensed nurse practitioner experience required

Knowledge, Skills and Abilities
- 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.

 

Additional Job Details (if applicable)

Physical Requirements

Standing Frequently (34-66%)Walking Frequently (34-66%)Sitting Occasionally (3-33%)Lifting Frequently (34-66%) 35lbs+ (w/assisted device)Carrying Frequently (34-66%) 20lbs - 35lbsPushing 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

90 Blossom Street

 

Scheduled Weekly Hours

40

 

Employee Type

Regular

 

Work Shift

Day (United States of America)

 

EEO Statement:

The General Hospital Corporation 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.