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Massachusetts General Physicians’ Organization

Advanced Practice Provider- North Team- Weekends ONLY

Massachusetts General Physicians’ Organization, Boston, Massachusetts, us, 02298


MEDICINE- Home Hospital Advanced Practice Provider (NP or PA) 24-hour DaysJob Title:

Medical Home Hospital Advanced Practice Provider“The APP will primarily admit at MGH or Salem and provide care to Home Hospital patients who live in the surrounding towns.”General OverviewThe Medical Home Hospital Advanced Practice Provider (HH APP) will be part of a clinical team that provides acute-level care to patients in the comfort of their own home. The MGB (Mass General Brigham) Home Hospital (HH) is an innovative strategic service line aiming to improve patient care by shifting it out of hospitals and into the home-based environment, increasing hospital capacity and reducing total costs of care.The Medical Home Hospital Advanced Practice Provider will support the work of the Home Hospital by evaluating (either in person or virtually) and managing patients in their home as a direct Medical Home Hospital provider, supported by a multidisciplinary team that includes an Attending Medical Provider, a Home Hospital nurse, a paramedic (Mobile Integrated Health), an administrative coordinator, and other allied staff as needed. The Medical Home Hospital APP will work with the inpatient and emergency teams at all five participating MGB Hospitals (MGH, BWH, Salem, Faulkner, NWH) to identify patients who qualify for an admission or transfer to Home Hospital service.The HH APP will screen for appropriate patients, communicate with the hospital-based primary teams about appropriate patients, consent patients for admission, and subsequently manage patients on the Medical Home Hospital Service. These patients may originate in the Emergency Department and deemed appropriate for direct admission to Home Hospital or be admitted to the brick and mortar inpatient services and deemed appropriate for transfer to the Home Hospital Service.Patients who are admitted to the Home Hospital service will be seen by an admitting HH APP either in the brick & mortar hospital, in person in the patient’s home or virtually. The HH APP will be responsible for placing admission or transfer orders to the Home Hospital Service. Daily HH APP rounds will consist of at least one daily patient encounter (in-person or virtual depending on patient needs and clinical course), with medical decision-making and delivery of needed care as appropriate.The ideal candidate for this HH APP role will be a patient-centered, proactive, flexible, experienced, and confident clinician comfortable with autonomy. Must collaborate well with multidisciplinary teams and be able to make complex clinical decisions as well as be comfortable with level-of-care triaging and telemedicine. The role offers the potential to broaden clinical duties as the HH Program expands to other Service lines.Responsibilities:Provide acute-level care of medical patients in the home setting (in-person and/or virtual) as a key member of the Home Hospital treatment team.Establish treatment plans, follow Home Hospital protocols, act as a liaison between the home and other care settings, ensure timely clinical documentation, and respond to patient needs.Facilitate in-home diagnostics, point-of-care testing, administration of medications and other treatments, remote patient monitoring, clinical documentation, drain management, wound management, and interpretation of diagnostic imaging & laboratory data.Work with the Home Hospital team members to identify appropriate patients for transfer/admission to the Medical HH service and complete the admission process.Establish relationships with inpatient teams to foster seamless transition of care to the HH Service line.Communicate with the patient and family about Home Hospital and care plan progression.Maintain a safe care environment for HH patients and lead in the practice of and reinforcement of a strong safety culture among all clinical partners.Qualifications:At least 3 years of Nurse Practitioner (NP) or Physician Assistant (PA) experience with a minimum of 2 years of Acute Care Inpatient &/or Emergency experience, preferably practicing in an acute hospital setting.Current Massachusetts Licensure as a NP or PA with a Master’s Degree required.Advanced Cardiac Life Support (ACLS) certification is required.Flexible and comfortable with a fast-paced, evolving clinical environment & autonomy.Motivated, collaborative team player who also works well independently.Excellent oral and written communication skills.Familiarity with EPIC and TEAMs a plus.Demonstrated knowledge of quality measurement and quality improvement.Shift Requirements/Working Conditions:Role is Part Time, 24 hours, 12hr shifts 7A-7P. Local travel between patient homes within a defined 10-20 mile radius required.Mass General Brigham Healthcare at Home, an affiliate of 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.Primary Location

Home Hospital South, 75 Francis St, Boston 02115Job Organization

Mass General Brigham Healthcare at HomeSchedule

Part-time, Standard Hours: 24Shift

Day JobEmployee Status

RegularRecruiting Department

HH Advanced Clinical Practice

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