NP ICU Full-time
Boston Medical Center (BMC)

Nurse Practitioner, Neuro Critical Care, 40 Hours (Days/Nights)

POSITION SUMMARY:

The licensed and credentialed Nurse Practitioner (NP) provides diagnosis, treatment, consultation, and follow-up under the direction of 1 or more physicians on the inpatient service, within the ICU. The NP performs physical examinations and provides medical treatment under the supervision of the attending physician. As an expert professional, the Nurse Practitioner is responsible and accountable for the application of the nursing process, supervision of clinical practice, research involvement, consultative services, inter and intradepartmental liaison, education, leadership and patient care management across the health care continuum from acute care through discharge.

Position: Nurse Practitioner, NeuroCritical Care (40 hrs)     

Department: Neurology

Schedule: Full Time

ESSENTIAL RESPONSIBILITIES / DUTIES:

I. Clinical Practice

  • Provides direct care, counseling, and teaching to patients and families according to established collaborative protocols and standards of care.

  • Sets priorities for appropriate and efficient management of patient care that reflects cost effective management of time, available human resources, supplies, and equipment.

  • Performs physical examinations and provides preventive health measures within prescribed guidelines and appropriate to patient needs.

  • Orders, interprets, and evaluates appropriate lab and diagnostic tests to assess patient's clinical problems and health care needs.

  • Based on outcome of diagnostic, lab, and physical assessment findings, arranges for appropriate plan of care and follow-up.

  • Records pertinent patient care findings in the medical record. 

  • Maintains interdisciplinary approach to planning and communicating patient care information by discussing patient data with appropriate physicians and other health care professionals.

  • Evaluates outcomes of patient care and makes necessary revisions in care plan.

  • Seeks and provides consultative services as required.

  • Through patient education and counseling, incorporates the concepts of health maintenance, prevention, and promotion into daily practice.

  • Demonstrates awareness of community resources and assists staff, patients, and families to effectively utilize them.

  • Demonstrates the knowledge and skills necessary to provide care appropriate to the age groups of patients regularly served. 

  • Notifies supervisor when patients in age groups not regularly served present, and seeks assistance from individuals with the knowledge of the specialized needs of such patient age groups. 

II. Professional Development

  • In collaboration with appropriate physicians, assists in the development, implementation, evaluation, and revision of nurse practitioner guidelines, policies, procedures, and protocols.

  • Demonstrates leadership skills in problem solving with and directing designated personnel in assigned clinical area.

  • Maintains current knowledge of legislation that may affect the health care delivery system and the function of the nurse practitioner in the hospital setting. 

  • Serves on nursing and hospital committees when requested and refers appropriate information to various departmental and hospital committees as needed.

  • Identifies own learning needs and assumes responsibility for maintaining current knowledge and competency in clinical practice area.

  • Educates patients, families, and professionals through the development of educational materials, in-services, formal lectures, and/or publications.

III. Quality Assessment/improvement and Research

  • Consistently participates in the quality assessment/improvement program for the service.

  • Based on quality improvement finding, identifies appropriate follow-up quality improvement projects or research studies.

  • Utilizes quality improvement data and research findings to enhance patient care.

  • Participates in patient care research at a level consistent with educational background and experience.

EDUCATION:

Master's degree in nursing required.  Completion of an accredited educational program for nurse practitioners required.

CERTIFICATES, LICENSES, REGISTRATIONS REQUIRED:

  • Current license to practice as a registered nurse in the Commonwealth of Massachusetts with authorization by the Board of Registration in Nursing to practice in an expanded role.

  • Registered with the ANCC or other accrediting organization for Nurse Practitioners.

  • Registered with the State of Massachusetts and DEA for prescription writing privileges.

  • Current BLS and ACLS Certification.

EXPERIENCE:

Prior ICU experience is required. Prior experience in a Neurology setting/specialty is preferred preferred.

KNOWLEDGE AND SKILLS:

  • Expert clinical judgment and ability to be self-directive and demonstrate initiative in an expanded role.

  • Demonstrated critical thinking, problem solving and conflict resolution skills.

  • Full command (verbal and written) of the English language.

  • Demonstrated ability to apply principles of adult learning to provide effective patient and/or family education.

  • Organizational skills to set priorities and efficiently complete assigned work.

  • Effective interpersonal skills to facilitate communication with the various members of the health care team, patients and families.

  • Computer proficiency inclusive of the ability to access, enter, and interpret computerized data/information required.

  • Physical ability to meet the core job responsibilities in accordance with the practice setting demands for the patient populations regularly served.

Equal Opportunity Employer/Disabled/Veterans

According to the FTC, there has been a rise in employment offer scams. Our current job openings are listed on our website and applications are received only through our website. We do not ask or require downloads of any applications, or “apps” job offers are not extended over text messages or social media platforms. We do not ask individuals to purchase equipment for or prior to employment. 

Share this job

Share to FB Share to LinkedIn Share to Twitter

Related Jobs

Kennedy Community Health Center

Internal Medicine Physician - Primary Care

$210,000 - $230,000 / year
Are you looking for a meaningful career caring for our communities most vulnerable populations? The Edward M. Kennedy Community Health Center is one of the largest community health centers in Massachusetts serving Worcester, Framingham, Milford and the surrounding communities. We are a thriving and growing organization, and our team is expanding across sites to support this growth. As an employer of choice, the Health Center prides itself on its inclusive workplace environment which fosters teamwork, accountability and respect and supports the growth and development of each employee. We are an equal opportunity employer and embrace the richness of the diversity of our staff and community. You are a good fit for our team if you’re passionate about helping people live healthier lives and enjoy working in a supportive, team-based environment. Summary The Internal Medicine Physician is a member of the clinical practice team and works collaboratively with other staff members to provide high quality patient care according to the PCMH model. The Internal Physician will lead the care for their own diverse panel of patients. This Provider will manage chronic diseases and treat acute conditions in patients across the adult life span. Internal Medicine Physicians at Kennedy Community Health will have the opportunity to work in partnership with the numerous other disciplines offered at the health center including mental and behavioral health, pharmacy, Medication Assisted Treatment (MAT) program, Reproductive Health, Dental and Optometry. Essential Duties & Responsibilities Provides medical care to patients with acute medical problems, chronic illnesses, or requesting preventive health services. Examines patients, formulates diagnostic plans, and orders diagnostic testing. Interprets examination findings and test results and implements treatment plans. Provides medical care and performs procedures within the scope of reproductive/pregnancy health including IUD and Nexplanon insertions and removals, cervical examinations, and when appropriate providing prenatal care to pregnant patients. Determines the need for consultation and assists in medical care and treatment provided by other specialists. Participates in other care procedures according to training and demonstrated ability. Prescribes and assesses effectiveness of pharmaceuticals, other medications and treatment regimens as appropriate for patient’s medical conditions. Meets the Health Center’s annual productivity goal. Maintains and updates Electronic Health Records (EHR) in a systematic format and completes required documentation within 48 hours. Participate in after hours and Weekend call on a rotating basis according to the schedule assigned by the Medical Director. Required Qualifications Graduate of an accredited medical school (M.D., or D.O.). MA Board of Registration to practice medicine. Completion of an Internal Medicine Residency program. Board Certification in Internal Medicine (ABMS) within 1 year of Residency completion. Benefits $210,000-$230,000/yr All pay rates are subject to experience, licensure or certification, and location Generous time off package including 4 weeks of paid vacation, 11 paid holidays, 3 personal days, 5 sick days and 3 extended sick days. 32 hours of clinical time and 8 hours of administrative time that can be completed remotely Qualifies for the Federal and State Loan Repayment Programs Health Insurance plans starting on day-1 of employment. Employer pays 80% of medical insurance premiums Dental Insurance and Vision Insurance options Short-Term and Long-Term Disability paid 100% by employer Competitive Retirement Plan with company match CME Reimbursement
Kennedy Community Health Center

Advanced Practice Provider Trainer (NP or PA)

$125,000 - $130,000 / year
Are you looking for a meaningful career caring for our communities most vulnerable populations? The Edward M. Kennedy Community Health Center is one of the largest community health centers in Massachusetts serving Worcester, Framingham, Milford and the surrounding communities. We are a thriving and growing organization, and our team is expanding across sites to support this growth. As an employer of choice, our inclusive workplace environment fosters teamwork, accountability and respect and supports the growth and development of each employee. We are an equal opportunity employer and embrace the richness of the cultures of our staff and community. You are a good fit for our team if you’re passionate about helping people live healthier lives and enjoy working in a supportive, team-based environment. Job Summary : The Advanced Practice Provider Trainer is a member of the clinical practice team and works collaboratively with the fellow team members in providing patient care. This role is responsible for training and evaluating 2 – 3 new, hired in the last two years, Advanced Practice Providers, nurse practitioners and/or physician who are not participating in the NP Residency program. As part of the team-based approach to care, the Trainer participates in coordinating care for individual patients, supports patients and families in self-management, through evidenced-based approaches as may be appropriate, engages in health center projects that are aimed at specific patient population needs, and utilizes effective and appropriate communication strategies, such as health literacy approaches when working with patients. Essential Functions: Mentoring/Training: (approximately 20 hrs.) 1. Supervise, train and evaluate new Advanced Practice Providers (NP and/or PA). 2. Perform chart reviews based on an established schedule. a. All charts for the first month of a new hire’s employment. b. Up to 10 chart reviews for each month following. 3. Coordinate MAVEN Services which include: a. Coordinate CME educational sessions with site medical directors b. Meet with APP assigned MAVEN mentor at designated times to begin after new APPs 3rd month of employment 4. Observe and shadow APP 5. Evaluate APP based on accepted competencies which will include: a. History taking b. Physical exam skills c. Analyzing data d. Management/ plan formation e. Procedures f. Problem solving hazards and biases g. Medical practice and principles 6. Provide constructive feedback to APP for the course of two years and possibly longer as the APP develops into the role. 7. Support organizational compliance and training requirements and work with APPs to complete any required or newly required trainings. 8. Participate in Administrative Projects as assigned by the Medical Director. Clinical: (approximately 20 hrs.) 1. Provide direct medical care for four sessions per week , complete clinical administrative work four hours per week. 2. Adhere to established protocols, responds to medical emergencies within the facility assigned. 3. Assists/instructs other health care employees in the management of client care. 4. Make referrals to health care professionals, specialists, other clinics and community agencies. Experience and Skills: .Current and unrestricted APP (Nurse Practitioner or Physician Assistant) license in Massachusetts · Board Certified in Family Medicine preferred, (Board Certified with ABMS) · Knowledge of Quality Improvement Principles and Practice · Knowledge of clinical problems and barriers to access of vulnerable patient populations · Minimum 3 years’ experience working with Electronic Health Records (EHR). · Excellent communication and problem-solving skills. · Management experience within an ambulatory setting. Benefits $125,000-$130,000 + yearly bonus incentive All pay rates are subject to experience, licensure or certification, and location Generous time off package including 4 weeks of paid vacation, 11 paid holidays, 3 personal days, 5 sick days and 3 extended sick days. 32 hours of clinical time and 8 hours of administrative time that can be completed remotely Qualifies for the Federal and State Loan Repayment Programs Health Insurance plans starting on day-1 of employment. Employer pays 80% of medical insurance premiums Dental Insurance and Vision Insurance options Short-Term and Long-Term Disability paid 100% by employer Competitive Retirement Plan with company match CME Reimbursement Visa Sponsorship Offered
CareSource

instED Virtual Medical Control Physician-POOL (Part Time - $120.83 per hour/Remote/Massachusetts - Eastern Time)

$120.83 / hour
Job Summary: Reporting to the Chief Medical Officer of instED, the Virtual Medical Control (VMC) Physician provides medical decision making, including all elements of diagnostics, treatment, and disposition, to patients seen by instED's Mobile Integrated Healthcare service. The VMC serves as the clinician of record, prescribes short-term treatments, documents the encounter in instED's medical record, and relays any essential follow-up needs to the care team via the instED Clinical Resource Center (CRC) team. Essential Functions: Provide patient-centered, high-quality acute care in place to individuals with complex medical needs per clinical protocols. Work closely with mobile integrated healthcare clinicians (paramedics and EMTs) and other instED team members. Participate in biannual performance reviews. Participate in scheduled operational or clinical meetings, based on schedule availability, to remain up to date on programmatic and company activities and implications for clinical practice. Collaborate with other VMCs, and with CRC team members as needed, primarily around managing visit volumes and clinical questions. Provide clinical and operational feedback to management team to improve care delivery. Collaborate with referring Care Partners and Primary Care Providers. Document visit within the EMR in a complete, accurate, and timely manner. Documentation should include relevant data, medical decision making, and follow-up needs. Attend required onboarding, training, and online compliance education courses. Protect patient confidentiality. Provide clinical care to patients via various telehealth technologies (telephonic, video, direct messaging). Maintain necessary professional licenses and credentials needed for independent practice. Obtain licensure in additional states as instED grows. Perform any other job related duties as requested. Education and Experience: Medical Doctor (MD) or Doctor of Osteopathic Medicine (DO) required Three (3) years of experience as an attending physician in acute care and/or inpatient medicine required Experience caring for medically and socially complex patients required Experience working collaboratively with a variety of professionals required Experience providing non-face-to-face care, especially in telephone or virtual care required Adaptability to change in systems and workflows required Innovative, team-player, and expert communicator required Competencies, Knowledge and Skills: Ability to virtually/remotely assess medically complex patients Ability to provide person-centered, medically and clinically appropriate care options to patients Willingness to learn best practice in delivering home-based care Comfort with remote care delivery model and technology Comfort with shared decision making and patient-centered consideration of risk Ability to virtually/remotely assess medically complex patients Ability to work in a team-based care delivery model Strong written and verbal communication skills Comfort with Health IT and EHR systems. Experience working with EMS professionals (paramedics/EMTs) desired Ability to speak/read/write English fluently Licensure and Certification: Active Board Certification in Internal Medicine, Family Medicine, or Emergency Medicine MD/DO required Current licensure or ability to obtain active licensure in states instED is operational required Current DEA registration required MA Health Enrollment (if licensed in Massachusetts) required Working Conditions: General office environment; may be required to sit or stand for extended periods of time Travel is not typically required Compensation Range: $195,200.00 - $341,600.00 CareSource takes into consideration a combination of a candidate’s education, training, and experience as well as the position’s scope and complexity, the discretion and latitude required for the role, and other external and internal data when establishing a salary level. In addition to base compensation, you may qualify for a bonus tied to company and individual performance. We are highly invested in every employee’s total well-being and offer a substantial and comprehensive total rewards package. Compensation Type (hourly/salary): Hourly Organization Level Competencies Fostering a Collaborative Workplace Culture Cultivate Partnerships Develop Self and Others Drive Execution Influence Others Pursue Personal Excellence Understand the Business This job description is not all inclusive. CareSource reserves the right to amend this job description at any time. CareSource is an Equal Opportunity Employer. We are dedicated to fostering an environment of belonging that welcomes and supports individuals of all backgrounds.
Emerson Hospital

Nurse Practitioner

Job Summary Reporting to the Director of Hospital Medicine, provides daily evaluation and management to inpatients. This work will be in collaboration with the hospitalist service physician or surgical attending physician, and any physician specialists involved with each patient. The supervising physician of record will be one of the hospitalist physicians for purposes of establishing a collaboration agreement for licensure and prescribing status as well as periodic performance reviews. A second supervising physician may be established for surgical cases. Day-to-day nurse practitioner patient care supervision may be delegated to any one of the on-site hospitalist physicians or surgeons, as applicable. The degree of autonomy of the nurse practitioner’s daily practice will depend on the details of each particular case and the preferences and skills of the NP. The NP will always have access to an on-site hospitalist for help with clinical evaluation, decision-making and logistical back-up. The NP works in accordance with Hospital privileges. Minimum Qualifications Education Completion of a Bachelor’s Degree and an accredited Nurse Practitioner Program. Experience Acute-Care Nursing Practitioner Diploma or Adult Nurse Practitioner graduate with 2 years of acute care or inpatient experience. Licensure and/or Certification Current licensure as nurse practitioner in the Commonwealth of Massachusetts required. National certification with recertification as required every six years. ACLS certification required. BLS Healthcare provider required. Must be able to attain and maintain privileges at Emerson Hospital as Hospitalist Nurse Practitioner Skills Strong clinical, analytical, and organizational skills. Ability to work as a team. Excellent computer skills. Ability to read, write, and communication in English. Excellent customer service skills. Ability to maintain confidential information.
Emerson Hospital

Nurse Practitioner

Job Summary Reporting to the Director of Hospital Medicine, provides daily evaluation and management to inpatients. This work will be in collaboration with the hospitalist service physician or surgical attending physician, and any physician specialists involved with each patient. The supervising physician of record will be one of the hospitalist physicians for purposes of establishing a collaboration agreement for licensure and prescribing status as well as periodic performance reviews. A second supervising physician may be established for surgical cases. Day-to-day nurse practitioner patient care supervision may be delegated to any one of the on-site hospitalist physicians or surgeons, as applicable. The degree of autonomy of the nurse practitioner’s daily practice will depend on the details of each particular case and the preferences and skills of the NP. The NP will always have access to an on-site hospitalist for help with clinical evaluation, decision-making and logistical back-up. The NP works in accordance with Hospital privileges. Minimum Qualifications Education Completion of a Bachelor’s Degree and an accredited Nurse Practitioner Program. Experience Acute-Care Nursing Practitioner Diploma or Adult Nurse Practitioner graduate with 2 years of acute care or inpatient experience. Licensure and/or Certification Current licensure as nurse practitioner in the Commonwealth of Massachusetts required. National certification with recertification as required every six years. ACLS certification required. BLS Healthcare provider required. Must be able to attain and maintain privileges at Emerson Hospital as Hospitalist Nurse Practitioner Skills Strong clinical, analytical, and organizational skills. Ability to work as a team. Excellent computer skills. Ability to read, write, and communication in English. Excellent customer service skills. Ability to maintain confidential information.