Lead Critical Care Nurse Practitioner / Physician Assistant

$133,120 - $240,000 / year

When you join the growing BILH team, you're not just taking a job, you’re making a difference in people’s lives.

Beth Israel Deaconess Medical Center is committed to delivering exceptional patient-centered care with compassion, clinical excellence, innovation, and teamwork—advancing health and improving outcomes for patients, families, and our communities.

This Lead Advanced Practice Provider (Nurse Practitioner/Physician Assistant) position provides direct patient care through comprehensive assessment, physical diagnosis, and therapeutic management of high-acuity critically ill patients in the ICU setting. The Lead APP will work collaboratively with an interdisciplinary team, including faculty, fellows, residents, nursing staff, and APP colleagues, to develop, implement, and coordinate individualized plans of care informed by current clinical guidelines, best practices, and patient-centered goals.

The successful applicant will have prior ICU experience and demonstrated competence managing complex, critically ill patients in a high-acuity environment.

In addition to clinical care, the Lead APP will work closely with the Clinical Manager to support key operational and professional practice initiatives across the ICU APP team. This includes shared responsibility for scheduling practices, helping to promote equitable, efficient, and sustainable staffing across coverage areas.

The Lead APP will also play an important role in ICU APP onboarding, education, and professional development, helping to orient new hires, support peer mentoring, and contribute to the ongoing development of APP practice within critical care.

In partnership with ICU leadership, the Lead APP will assist with quality improvement and clinical excellence initiatives, supporting projects aimed at improving patient care, team performance, workflow efficiency, and adherence to best practices.

This role is within the Department of Anesthesia in Critical Care, providing coverage across both the Neuro ICU and Medical ICU. Off-hour, weekend, and holiday coverage is required.

Required Qualifications Physician Assistant:

Master's degree required in Physician Assistant.
License required: Physician Assistant License, and Certificate 1 required: Basic Life Support
3-5 years related work experience required.
ARC-PA, NCCPA
American Heart Association - Basic Life Support Certificate & ACLS
Valid prescriptive authority from both the MA DPH-DCP and Federal DEA
Experience with computer systems required, including web based applications and some Microsoft Office applications which may include Outlook, Word, Excel, PowerPoint or Access.

Job Description:

Primary Responsibilities:

Performs and documents histories and physical examinations. Orders and interprets diagnostic tests. Writes orders for medications and treatments according to licensure guidelines. Assesses patient response to treatments. (essential)
Participates in patient rounds and case conferences. Maintains and follows patient care protocols. Works in collaboration with nursing, intensivists, neurosurgeons, neurologists, fellows and house staff in educating patients and families. (essential)
Continually updates clinical knowledge and skills through consultation, formal and informal education, and review of current literature for self and other mid level providers. (essential)
Works with team of healthcare providers to improve the quality of care given to patients. Meets regularly with the Clinical Manager to plan and facilitate patient care improvements. Ensures that evidence based practice is followed for the particular patient population. (essential)
Initiates program development projects that may include networking, marketing, data collection, quality metrics and adherence to state and national guidelines. (essential)
Attends collaborative meetings. Participates in recruitment, hiring and evaluation of other mid level providers. Acts as a resource to mid -levels, RNs, physicians. (essential)

Required Qualifications:

Master's degree in Nursing required.
License Nurse Practitioner License required.
5-8 years related work experience required.
Advanced skills with Microsoft applications which may include Outlook, Word, Excel, PowerPoint or Access and other web-based applications. May produce complex documents, perform analysis and maintain databases.

Competencies:

Decision Making: Ability to make decisions that are guided by precedents, policies and objectives. Regularly makes decisions and recommendations on issues affecting a department or functional area.

Problem Solving: Ability to address problems that are highly varied, complex and often non-recurring, requiring staff input, innovative, creative, and Lean diagnostic techniques to resolve issues.

Independence of Action: Ability to set goals and determines how to accomplish defined results with some guidelines. Manager/Director provides broad guidance and overall direction.

Written Communications: Ability to summarize and communicate in English moderately complex information in varied written formats to internal and external customers.

Oral Communications: Ability to comprehend and communicate complex verbal information in English to medical center staff, patients, families and external customers.

Knowledge: Ability to demonstrate in-depth knowledge of concepts, practices and policies with the ability to use them in complex varied situations.

Team Work: Ability to act as a team leader for small projects or work groups, creating a collaborative and respectful team environment and improving workflows. Results may impact the operations of one or more departments.

Customer Service: Ability to provide a high level of customer service and staff training to meet customer service standards and expectations for the assigned unit(s). Resolves service issues in the assigned unit(s) in a timely and respectful manner.

Age based Competencies: Employees in this job must be competent to provide patient care to the following age groups: Young adult: 16-30 years, Middle Age: 30 - 60 years, Elderly: 60 - over.

Social/Environmental Requirements:

Work requires close attention to task for work to be accurately completed. Intermittent breaks during the work day do not compromise the work.

Work is varied every day and the employee needs to be adaptable to respond to these changes and use independent judgment and manage priorities.

No substantial exposure to adverse environmental conditions

Health Care Status: HCW1: Regular, day-to-day contact; both face-to-face and hands-on (having close contact within three feet for at least five minutes). Examples: physicians, clinical nurses, phlebotomist, medical assistants, PFT tech, and x-ray tech.- Health Care Worker Status may vary by department

Sensory Requirements:

Close work (paperwork, visual examination), Color vision/perception, Visual clarity > 20 feet, Visual clarity <3 feet, Hot/Cold, Sharp/Dull, Smell, Conversation, Monitoring Equipment, Telephone.

Physical Requirements:

Light work: Exerting up to 20 pounds of force frequently to move objects. Some elements of the job are sedentary, but the employee will be required to stand for periods of time or move throughout the hospital campus

This job requires frequent sitting, walking, standing, bending neck, bending waist, twisting neck, twisting waist, Power Grasping using both hands, Fine Manipulation using both hands, Keyboard use. There may be occasional Reaching-above shoulder height, Lifting and carrying items weighing up to 50 lbs, Lifting and carrying items weighing up to 75 lbs, Lifting and carrying items weighing up to or more than 100 lbs, Pushing items weighing up to 25 lbs. Rarely there may be Pushing/Pulling using both hands, Reaching-below shoulder height.

Pay Range:

$133,120.00 USD - $240,000.00 USD

The pay range listed for this position is the annual base salary range the organization reasonably and in good faith expects to pay for this position at this time. Actual compensation is determined based on several factors, that may include seniority, education, training, relevant experience, relevant certifications, geography of work location, job responsibilities, or other applicable factors permissible by law.

As a health care organization, we have a responsibility to do everything in our power to care for and protect our patients, our colleagues and our communities. Beth Israel Lahey Health requires that all staff be vaccinated against influenza (flu) as a condition of employment.

More than 35,000 people working together. Nurses, doctors, technicians, therapists, researchers, teachers and more, making a difference in patients' lives. Your skill and compassion can make us even stronger.

Equal Opportunity Employer/Veterans/Disabled

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