UMass Memorial Health Care
Nurse Practitioner/ Physician Assistant - Hospital Medicine
UMass Memorial Health Care, Worcester, Massachusetts, us, 01601
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Everyone Is a Caregiver
At UMass Memorial Health, everyone is a caregiver - regardless of their title or responsibilities. Exceptional patient care, academic excellence and leading-edge research make UMass Memorial the premier health system of Central Massachusetts, and a place where we can help you build the career you deserve. We are more than 16,000 employees, working together as one health system in a relentless pursuit of healing for our patients, community and each other. And everyone, in their own unique way, plays an important part, every day.
I. Position Summary:
The overnight APP is a core member of the UMass Memorial Medical Center (UMMMC) Hospital at Home (HAH) and Hospital Medicine (HM) clinical teams and plays a central role in admitting patients from the UMMMC University and Memorial campus emergency departments and med/surge floors to the UMMMC HAH and HM programs during the late evening admitting hours and cross-covering patients on the UMMMC HAH and HM teams overnight. The overnight APP supervises UMMMC HAH admitting processes, supports HAH nursing/paramedic teams, performs "tuck-in" video visits for patients newly admitted into the HAH program and provides cross-cover services overnight for the HAH and HM program. To this end, the overnight HAH/HM APP will work closely as a highly collaborative liaison between the HAH patient acquisition team, HAH care team and HM care team to identify appropriate HAH candidates and admit them safely into the program.
II. Major Clinical Responsibilities:
1. After initial onboarding program with in-depth exposure to HAH and HM care teams and processes, the overnight HAH/HM APP will work 12 hour shifts overnight located on campus at UMMMC
2. The overnight HAH/HM APP supports all HAH patient acquisition efforts and HAH admitting processes during evening admitting hours and provides cross-cover overnight for UMMMC HAH and HM services.
* a. Shift starts at 7:30 pm with hand-off from HAH/HM daytime provider teams. * b. Shift ends at 7:30 am with hand-off back to HAH/HM daytime provider teams. * c. Full-time is defined as 156 shifts per year (avg three shifts per week) * d. For the HAH program * i. Completes in-person H&Ps per night for UMMMC HAH patients being admitted to the HAH program supervised by the HM TCT physician * ii. Completes virtual admission "tuck-in visits" per night for UMMMC HAH patients transferred from UNV/MEM campuses to the home in the evening with "tuck-in" video visits prioritizing ongoing acute medical management, medication reconciliation, social determinant identification and safety planning supervised by the HAH physician * iii. Provides virtual cross-cover overnight for HAH patients * iv. Assist with screening already admitted patients in brick/mortar hospital for transfer to HAH that evening or following day * e. For the HM program * i. Provides in-person cross-cover for HM patients at UMMMC campus
3. Serves as key contributor in identify opportunities to improve HAH/HM admitting processes and ongoing care.
4. Flexible, creative and open to adjustments/changes in role in mutually beneficial way for patients, APP, HAH and HM care teams to optimize care delivery with service maturation
5. Highly collaborative caregiver closely partnering with physician and nursing team with excellent verbal and written communication skills
6. Joins regularly scheduled HAH and HM team meetings and every other week HAH provider team meetings.
All responsibilities are essential job functions.
III. Position Qualifications:
License/Certification/Education:
Required:
1. NP or PA Degree.
2. NP or PA licensure in the State of Massachusetts.
3. BLS and ACLS certification
Experience/Skill:
Required:
1. Minimum of two years of clinical experience as provider in acute inpatient floor or emergency department settings with acutely ill inpatients
2. Ability to pro-actively and creatively manage a panel of inpatient-level acutely ill patients using combination of remote monitoring tools and in-home rapid response capabilities facilitated by UMMMC HAH nurses and MIH paramedics and supported by UMMMC HAH hospitalist and leadership team
3. Ability to pro-actively reach out and secure specialist expertise as appropriate
4. Comfort with ECG and mobile x-ray interpretation
5. Comfort with bringing clarity to ambiguity in the home environment
6. Comfort with telehealth or growth mindset to learn telehealth
7. Comfort with caring for a vulnerable patient population and holistically balancing risks of brick/mortar hospitalization and risks of home hospitalization to provide second-to-non-quality care in the home.
All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability or protected veteran status.
We're striving to make respect a part of everything we do at UMass Memorial Health - for our patients, our community and each other. Our six Standards of Respect are: Acknowledge, Listen, Communicate, Be Responsive, Be a Team Player and Be Kind. If you share these Standards of Respect, we hope you will join our team and help us make respect our standard for everyone, every day.
As an equal opportunity and affirmative action employer, UMass Memorial Health recognizes the power of a diverse community and encourages applications from individuals with varied experiences, perspectives and backgrounds. All qualified applicants will receive consideration for employment without regard to race, color, religion, gender, sexual orientation, national origin, age, disability, gender identity and expression, protected veteran status or other status protected by law.
If you are unable to submit an application because of incompatible assistive technology or a disability, please contact us at talentacquisition@umassmemorial.org. We will make every effort to respond to your request for disability assistance as soon as possible.
Everyone Is a Caregiver
At UMass Memorial Health, everyone is a caregiver - regardless of their title or responsibilities. Exceptional patient care, academic excellence and leading-edge research make UMass Memorial the premier health system of Central Massachusetts, and a place where we can help you build the career you deserve. We are more than 16,000 employees, working together as one health system in a relentless pursuit of healing for our patients, community and each other. And everyone, in their own unique way, plays an important part, every day.
I. Position Summary:
The overnight APP is a core member of the UMass Memorial Medical Center (UMMMC) Hospital at Home (HAH) and Hospital Medicine (HM) clinical teams and plays a central role in admitting patients from the UMMMC University and Memorial campus emergency departments and med/surge floors to the UMMMC HAH and HM programs during the late evening admitting hours and cross-covering patients on the UMMMC HAH and HM teams overnight. The overnight APP supervises UMMMC HAH admitting processes, supports HAH nursing/paramedic teams, performs "tuck-in" video visits for patients newly admitted into the HAH program and provides cross-cover services overnight for the HAH and HM program. To this end, the overnight HAH/HM APP will work closely as a highly collaborative liaison between the HAH patient acquisition team, HAH care team and HM care team to identify appropriate HAH candidates and admit them safely into the program.
II. Major Clinical Responsibilities:
1. After initial onboarding program with in-depth exposure to HAH and HM care teams and processes, the overnight HAH/HM APP will work 12 hour shifts overnight located on campus at UMMMC
2. The overnight HAH/HM APP supports all HAH patient acquisition efforts and HAH admitting processes during evening admitting hours and provides cross-cover overnight for UMMMC HAH and HM services.
* a. Shift starts at 7:30 pm with hand-off from HAH/HM daytime provider teams. * b. Shift ends at 7:30 am with hand-off back to HAH/HM daytime provider teams. * c. Full-time is defined as 156 shifts per year (avg three shifts per week) * d. For the HAH program * i. Completes in-person H&Ps per night for UMMMC HAH patients being admitted to the HAH program supervised by the HM TCT physician * ii. Completes virtual admission "tuck-in visits" per night for UMMMC HAH patients transferred from UNV/MEM campuses to the home in the evening with "tuck-in" video visits prioritizing ongoing acute medical management, medication reconciliation, social determinant identification and safety planning supervised by the HAH physician * iii. Provides virtual cross-cover overnight for HAH patients * iv. Assist with screening already admitted patients in brick/mortar hospital for transfer to HAH that evening or following day * e. For the HM program * i. Provides in-person cross-cover for HM patients at UMMMC campus
3. Serves as key contributor in identify opportunities to improve HAH/HM admitting processes and ongoing care.
4. Flexible, creative and open to adjustments/changes in role in mutually beneficial way for patients, APP, HAH and HM care teams to optimize care delivery with service maturation
5. Highly collaborative caregiver closely partnering with physician and nursing team with excellent verbal and written communication skills
6. Joins regularly scheduled HAH and HM team meetings and every other week HAH provider team meetings.
All responsibilities are essential job functions.
III. Position Qualifications:
License/Certification/Education:
Required:
1. NP or PA Degree.
2. NP or PA licensure in the State of Massachusetts.
3. BLS and ACLS certification
Experience/Skill:
Required:
1. Minimum of two years of clinical experience as provider in acute inpatient floor or emergency department settings with acutely ill inpatients
2. Ability to pro-actively and creatively manage a panel of inpatient-level acutely ill patients using combination of remote monitoring tools and in-home rapid response capabilities facilitated by UMMMC HAH nurses and MIH paramedics and supported by UMMMC HAH hospitalist and leadership team
3. Ability to pro-actively reach out and secure specialist expertise as appropriate
4. Comfort with ECG and mobile x-ray interpretation
5. Comfort with bringing clarity to ambiguity in the home environment
6. Comfort with telehealth or growth mindset to learn telehealth
7. Comfort with caring for a vulnerable patient population and holistically balancing risks of brick/mortar hospitalization and risks of home hospitalization to provide second-to-non-quality care in the home.
All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability or protected veteran status.
We're striving to make respect a part of everything we do at UMass Memorial Health - for our patients, our community and each other. Our six Standards of Respect are: Acknowledge, Listen, Communicate, Be Responsive, Be a Team Player and Be Kind. If you share these Standards of Respect, we hope you will join our team and help us make respect our standard for everyone, every day.
As an equal opportunity and affirmative action employer, UMass Memorial Health recognizes the power of a diverse community and encourages applications from individuals with varied experiences, perspectives and backgrounds. All qualified applicants will receive consideration for employment without regard to race, color, religion, gender, sexual orientation, national origin, age, disability, gender identity and expression, protected veteran status or other status protected by law.
If you are unable to submit an application because of incompatible assistive technology or a disability, please contact us at talentacquisition@umassmemorial.org. We will make every effort to respond to your request for disability assistance as soon as possible.