Advanced Practice Provider (Nurse Practitioner or Physician Assistant) - Hospitalist Services (Per Diem)

Beth Israel Lahey Health; Boston (MA); On-site; USD 88,000 - 120,000; Full time

Job summary

New England Baptist Hospital seeks an NP/PA to provide consultative medical support to orthopedic and other surgical patients across the hospital. You will perform initial consultations on high-risk post-operative patients and conduct daily follow-ups as medically indicated.

Responsibilities include rounding with hospitalist teams, documenting thoroughly, coordinating discharge with Case Manager, and supporting perioperative medical conditions. A strong acute-care background is essential.

Qualifications

• Graduate of an accredited Physician Assistant or Nurse Practitioner Program.
• Current licensure to practice in the Commonwealth of Massachusetts.
• NCCPA certification or Certification as Adult/Family NP.
• 2–4 years of acute care inpatient experience, preferably in complex medical patients.
• Current DEA license.
• Current American Heart Association BLS and ACLS certification.

Responsibilities

• Assist Orthopedic Surgeons in surgery and follow OR policies.
• Round on orthopedic patients; perform H&Ps; order tests and write prescriptions within license.
• Coordinate discharge planning with Case Manager and physicians.
• Daily rounding and clinical documentation of patient status and plan of care.
• Participate in education, research and development of clinical pathways and protocols.
• Support inpatient pain management program and respond to orthopedic consults.
• Educate medical staff and students; assist in continuing education events.

Skills

Acute care

Clinical rounding

Patient communication

Education

Master’s Degree in PA or NP

Tools

NCCPA certification

DEA license

BLS

ACLS

Job description

When you join the growing BILH team, you're not just taking a job, you’re making a difference in people’s lives. This position can accommodate both NP and PA candidates. This is a per diem position, with varying shifts available. Must be available a minimum of 16 hours per month, with options to work upwards of 1 shift per week. Job details: The NP/PA will provide consultative medical support to orthopedic and other surgical patients throughout the hospital. Responsibilities include performing initial consultation on high-risk post-operative patients in the orthopedic and spine services. Daily follow-up of these patients is required as determined by the patients’ medical status. Hospitalist NPs and PAs are expected to work closely with the orthopedic/surgical teams to coordinate patient care. This includes daily rounding, full assessment of medical conditions, reviewing accuracy of medications, management or perioperative medical conditions, daily documentation, and coordination of discharge with case manager and attending physician. The hospital is staffed, 24 hours a day, by a hospitalist physician who provides assistance and clinical supervision. Communication with patients’ PCPs is required when changes to patients’ medication profile are instituted and to arrange for follow-up of any post-operative complication. New England Baptist Hospital is a center of excellence for orthopedic surgery, and a large number of the post-operative orthopedic population has multiple co-morbidities. Therefore, a thorough and detail-oriented approach to patient care is essential, and a strong acute-care medical background is required.

EDUCATION, LICENSE, CERTIFCATION REQUIRED

• Graduate of an accredited Physician Assistant or Nurse Practitioner Program
• Current licensure to practice in the Commonwealth of Massachusetts
• Certification by the National Commission on Certification of Physician Assistants (NCCPA) or Certification to practice as Adult or Family Nurse Practitioner
• A minimum of 2 to 4 years of acute care inpatient experience is required, preferably in the management of complex medical patients.
• Current DEA license
• Current American Heart Association BLS and ACLS certification

Job Description

ESSENTIAL DUTIES & RESPONSIBILITIES (including but not limited to)

• Assists Orthopedic Surgeons in surgery: Responsible for knowledge of and adherence to all policies and procedures of the NEBH Operating Room. Participates in those surgeries assigned by the Orthopedic Service physicians, the chief PA and the Chief Resident.
• Coordinates and provides clinical support for the NEBH Orthopedic Surgeons: Rounds on Orthopedic patients. Performs Histories and Physicals, as needed. Initiates appropriate laboratory tests, diagnostic studies, and writes prescriptions within parameters of license. Makes accurate identification of problems/diagnoses based on correct interpretation of findings. Communicates with primary physician the plan of care being initiated or discontinued. Assists patients in meeting health needs by identifying existing or potential problems, exploring available alternatives and providing support to the patient to make an informed decision regarding health care. Acts as a liaison between Medical Staff and patients, and between Medical Staff and other allied health professionals. Maintains current, accurate, medical record documentation including discharge summary page 1’s. Participates in the Physician Assistant and orthopedic department Improvement initiatives, Education and Research Programs. Assists with the development/expansion of protocols, clinical pathways and physician orders. Works closely with Case Manager in identifying individual patient variances from established protocols throughout the course of care.
• Assists with the implementation of an inpatient pain management program: Evaluates on a daily basis the effectiveness of the pain plan in meeting the patient’s needs with the pain management team.
• Responds to calls for orthopedic consultation from all areas, including nursing units, the Ambulatory Care, PACU and Bond Center.
• Education/Research: Participates in the training and education of Physician Assistants and medical students. Attends grand rounds in Orthopedics weekly. Assists attending physicians with research and presentations as time allows. Attends daily morning lectures in orthopedics as time permits. Collaborates with interdisciplinary team for the development of educational materials for patients and allied health professionals. Assists in the development of continuing education conferences for health professionals.
• Plans time away from work appropriately: Arrives and leaves at appropriate times based on OR schedule and patient load on floors. Uses unplanned earned time appropriately (Based on full time hours. Standards are pro-rated for part-time employees based on agreed hours).
• Performs other related duties as required.
• Participates in annual safety review.

QUALIFICATIONS

Nurse Practitioner License, license and certified in the Commonwealth of MA Basic Life Support certification required preferred by AHA/RC Advanced Cardiovascular Life Support certification required preferred by AHA/RC

EDUCATION

Master’s Degree required Graduate of an accredited PA program or masters prepared in an accredited Nurse Practitioner Program

MINIMUM EXPERIENCE

1-3 years of experience

OTHER REQUIREMENTS

Consistently promote a culture of Wellbeing, Empathy, Collaboration, Accountability, Respect, and Equity as outlined in the organization's WE CARE values.

Pay Range

Pay Range: $64.19 - $87.29 The pay range listed for this position is the base hourly wage 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. Compensation may exceed the base hourly rate depending on shift differentials, call pay, premium pay, overtime pay, and other additional pay practices, as applicable to the position and in accordance with the law.

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 At Beth Israel Lahey Health, we are driving the change in health care that Massachusetts wants and needs. Our culture promotes continuous learning, growth, innovation and a sense of belonging. We make it a priority to offer comprehensive compensation and benefits and help you achieve a healthy and balanced life. While you're busy caring for and supporting our patients, we take care of you.