APRN (NURSE PRACTITIONER) - TEAM MANAGER / 40 HOURS / DAY SHIFT / BWH- ENDOCRINE

Brigham & Women's Hospital(BWH) - Boston, MA (30+ days ago)4.2


The Nurse Practitioner Team Manager (NPTM) functions as a clinical leader and clinical team member delivering care to a panel of patients for whom s/he has responsibility for the planning, implementation, coordination and evaluation of care related outcomes. As a clinical leader, the NPTM is responsible for the management and oversight for the clinical practice of the inter-professional team (team) which may include nurses, medical assistants, and others who are integral to the care of patients at the site. Works in partnership with the patient care team and other practice leaders to ensure effective delivery of care and actively supports the achievement of patient, departmental and organizational goals.

PRINCIPAL DUTIES AND RESPONSIBILITIES:
A. Leadership

In collaboration with the leadership team, develops, leads and manages the clinical practice, quality and safety of patient care of an interdisciplinary team which may include registered nurses, licensed practical nurses, medical assistants and others who are essential to the care delivery model.

Responsible for coordinating care and meeting patient care needs in conjunction with a variety of providers including; licensed independent providers acting in consultation, population managers, care managers, and others.

Participates in the hiring, supervision and performance evaluation for team members

Identifies opportunities for and initiates interdisciplinary collaboration to achieve team and patient goals.

Utilizes available resources and methodologies to advance practice within the department and beyond, with the aim of improving the care of all patients, particularly those most at risk for adverse outcomes.

In keeping with the mission of an academic medical center, seeks opportunities to disseminate clinical knowledge and nursing practice development through publication in scholarly journals and participation in professional meetings.

Leads and/or participates in departmental, hospital and/or system-level committees and task forces as a representative of the department, practice and the Department of Nursing as requested.

Accountable for collaborating with the other members of the team, appreciating and valuing their contributions, and encouraging all to “work at the top of his/her license/role, education and training” for effective care and service to patients in the context of efficient use of resources.

Establishes effective interpersonal relationships with other nurses, clinical departments, and interdisciplinary colleagues.

Performs other related duties and responsibilities as required.

B. Patient Care Organization

Performs in the role of direct care provider and is responsible to work both independently and in collaboration with other providers to maintain a panel of patients.

Provides direct care, counseling, and teaching to patients.

Performs physical examinations and provides preventive health measures appropriate to patient needs.

Orders, interprets, and evaluates appropriate lab and diagnostic tests to assess patients’ clinical problems

and health care needs.

Arranges for appropriate plan of care and follow-up based on outcome of diagnostic, lab, and physical

assessment findings. Seeks consultation as appropriate.

Orders medications and writes prescriptions according to organizational and regulatory policies and

procedures.

Records pertinent patient care findings in the electronic medical record.

Sets priorities for appropriate and efficient management of patient care that reflects evidence based practice

and cost effective management of time, available human resources, supplies and equipment.

Maintains an interdisciplinary approach to planning and communicating patient care information by

discussing patient data with appropriate providers, the clinical team and other health care professionals.

Incorporates the concepts of health maintenance, prevention, and promotion into daily practice through

patient education and counseling. Assists patients and families in self-care management through the

provision of information, tools and resources.

Demonstrates awareness of community and hospital resources and assists staff, patients, and families to effectively

utilize them.

C. Quality Monitoring

Engages in regular performance improvement activities. Uses performance and patient outcome data for

continuous quality improvement. Contributes to developing structure, processes and systems to improve

the care and disease management of patients.

Collaborates with physicians, physician assistants and the interdisciplinary team to refine team goals and

objectives and further ensures ongoing continuous improvements to the care delivery model.

Analyzes, interprets and presents team based care results to various audiences as appropriate including

senior organizational leaders, departmental and practice leaders, nursing leadership, colleagues, and staff.

Translates themes uncovered through ongoing quality monitoring and evaluation into the care model and the clinical practice of the interdisciplinary team.

D. Job specific tasks

Thyroid

Seeing patients with hypothyroidism to monitor responses to treatment and adjust doses of thyroid hormone.

Conducting virtual visits with pregnant patients with hypothyroidism during each trimester to monitor responses to treatment and adjust doses of thyroid hormone.

Seeing patients with hyperthyroidism who have been treated with radioactive iodine to monitor post-treatment changes in thyroid hormone levels.

Seeing patients with low risk thyroid cancer to review imaging studies and blood tests checked to monitor for recurrence.

Assessing thyroid ultrasound results to determine which patients with nodular thyroid disease require initial or repeat fine needle aspiration biopsies.

Bone and Mineral Metabolism

Seeing patients with osteoporosis who have started treatment with bisphosphonates to assess adherence and check for side effects.

Conducting virtual visits with patients with osteoporosis treated with bisphosphonates and other antiresorptive agents to monitor status, assess adherence, and check for side effects.

Seeing patients with primary hyperparathyroidism who have undergone parathyroidectomy to monitor post-treatment changes in calcium and PTH levels.

Adrenal

Seeing patients with primary adrenal insufficiency treated with stable glucocorticoid and mineralocorticoid replacement to monitor responses to treatment.

Seeing patients with steroid-induced adrenal insufficiency to monitor status while tapering glucocorticoids.

Hypertension

Seeing patients with hypertension for blood pressure checks after antihypertensive regimens have been modified or adjusted.

Reproductive

Seeing patients who have started estrogen replacement therapy for vasomotor symptoms of menopause to monitor status and check for side effects.

Qualifications

MSN required, DNP preferred.

APRN license to practice in Massachusetts required

National Certification: Family or Adult-Gero Nurse Practitioner Certification required

Certified Diabetes Educator preferred

3 or more years of Primary care, Diabetes or Chronic Disease Management Nurse Practitioner experience strongly preferred

3 or more years of clinical experience in hospital or community-based practice setting – strongly prefer both

1 or more years of clinical research experience preferred

Demonstrated knowledge of hospital-based and community-based care – strongly prefer both

Experience working in a large complex health care organizations.

Experience working with a diverse patient population

Ability to work with a variety of information systems and databases: MS Word, PowerPoint, Access, and

electronic health record.

Knowledge of – and commitment to – the principles of team-based care and aware of local, regional, and

national trends in chronic disease care redesign and transformation.

SKILLS AND ABILITIES REQUIRED:
Expert clinical knowledge, leadership and technical skills to achieve all aspects of the role.

Strong organizational skills with demonstrated managerial ability

Project management ability and skills

Ability to manage meetings to encourage participation and achieve results

Excellent written and oral communication/presentation skills

Demonstrated effectiveness as a team leader, member and facilitator

Ability to manage time and resources effectively to meet program deadlines and objectives

Problem-solving ability, data management and analysis

Ability to perform in fast-paces office, clinical and patient home settings.

Demonstrates knowledge of evidence based practice and assures clinical practice within the program is

evidence-based.

Must possess the ability to function clinically both as an autonomous provider and as a member of an

interdisciplinary team.

Demonstrated ability to work collaboratively with a variety of clinical and administrative staff forming

strong partnerships.

Ability to function at the highest level professionally and clinically, must possess excellent interpersonal

skills.

EEO Statement
Brigham and Women’s Hospital is an Equal Opportunity Employer. All qualified applicants will receive consideration for employment without regard to race, sex, color, religion, national origin, sexual orientation, protected veteran status, or on the basis of disability.

Primary Location
: MA-Boston-BWH Longwood Medical Area
Work Locations
:
BWH Longwood Medical Area
75 Francis Street
Boston 02115
Job
: Nursing-Management
Organization
: Brigham & Women's Hospital(BWH)
Schedule
: Full-time
Standard Hours : 40
Shift
: Day Job
Employee Status
: Regular
Recruiting Department : BWH Nursing / Patient Care Services
Job Posting
: Apr 20, 2018