APP (Nurse Practitioner and PA) Nocturnist or Weekender
Mass General Brigham

A great opportunity for APPs (Nurse Practitioners and Physician Assistants) to earn up to $20,000 a year being a part of our Nocturnist/Weekender program. As a Nurse Practitioner or Physician Assistant in this program you will be eligible for a special bonus incentive depending on the number of hours worked on evening, nights, and weekends at non-union Mass General Brigham locations.

The APP (Nurse Practitioner or Physician Assistant) is a licensed Advanced Practice Provider who has acquired a broad range of knowledge and skills through the successful completion of a Physician Assistant program. The APP is responsible for the assessment and management of various populations of patients, medical and/or surgical, including diagnostic and therapeutic interventions, development of appropriate plans of care and ongoing evaluation. The physician assistant works under the supervision of an attending physician and reports directly to the department administrator or chief physician assistant administratively.

Principle Clinical Duties and Responsibilities for the Nurse Practitioner (NP) or Physician Assistant (PA):

• Provides direct care, counseling, and teaching to a designated patient population in the ambulatory, inpatient, operative, and/or procedural setting
• Performs complete histories and physical examinations
• Orders, interprets, and evaluates appropriate laboratory and diagnostic tests
• Develops appropriate plans of care and follow-up based on the outcomes of diagnostic, laboratory, and physical examination findings

• Orders medications and writes prescriptions according to organizational and regulatory policies and procedures
• Consistently provides high quality and timely documentation including admission and progress notes, procedure notes, operative notes and discharge summaries
• Performs bedside procedures as are appropriate to the patient population
• In some settings, the PA may first assist in the operating room or procedural areas
• Practices cost effective medicine in an efficient manner, maximizing available resources

• Discusses patient data with other physicians and professionals as appropriate in a multidisciplinary setting
• Demonstrates expert clinical judgment skills to function in an independent role
• Additional duties and responsibilities as required by the department/division

Non-Clinical Duties and Responsibilities for the Nurse Practitioner (NP) or Physician Assistant (PA):

• Demonstrates professional collaborative and consultative relationships with other providers
• Follows all designated prescriptive practices and monitoring requirements with the designated supervising physician and administrative report
• Participates in departmental and organizational committees and programs as appropriate and attends all required meetings, in-services, and professional trainings
• Maintains superior interpersonal and communication skills as a member of the healthcare team in order to collaborate effectively with patients, families, staff, and community health workers
• Remains actively involved in continuing education with a commitment to self and departmental growth

• Adheres to all established safety policies, procedures, and precautions; identifies potential or actual unsafe situations in the environment and takes measures to rectify the situation
• Demonstrates understanding of procedures, policies, and documentation required to ensure compliance with hospital standards of care
• Additional duties and responsibilities as required by the department/division

Qualifications
Qualifications for the Nurse Practitioner (NP) or Physician Assistant (PA):

• Either Nurse Practitioner (NP) or Physician Assistant (PA) master's degree required
• BS/MS joint programs and those candidates with a BS and PA certificate are eligible, but ONLY for those who graduated BEFORE 1995

• Fully Credentialed by MGB by start date
• Must hold a current valid license or be eligible for licensure as a PA or NP in the Commonwealth of Massachusetts
• Must have or eligible for, and maintain, a current DEA registration and Massachusetts Controlled Substance Registration

Skills/Abilities/Competencies REQUIRED for the Nurse Practitioner (NP) or Physician Assistant (PA):

• Must have the ability to work in a high stress, dynamic, busy clinical setting with changing organizational climate
• Must have the ability to be self-directive and to demonstrate initiative in addressing the responsibilities of the position

• Must have the ability to utilize appropriate problem-solving and conflict resolution skills
• Must be energetic and quality driven and have a proven ability to be a productive member of a team dedicated to providing optimal patient care
• Must be proficient with computer systems as needed to independently perform daily tasks (EMR, Epic preferred)
• Must maintain the highest degree of professional judgment under the supervision and guidance of a licensed physician

Working Conditioners for the Nurse Practitioner (NP) or Physician Assistant (PA):

Work settings may include ambulatory clinics and treatment rooms, inpatient areas, intensive care units, operating rooms, and/or procedural areas. There may be loud noises, noxious odors, and temperature extremes. A large portion of the workday may be spent either standing or walking and the position may require heavy lifting of equipment and patients.

EEO Statement
Mass General Brigham is an Affirmative Action Employer. By embracing diverse skills, perspectives and ideas, we choose to lead. All qualified applicants will receive consideration for employment without regard to race, color, religious creed, national origin, sex, age, gender identity, disability, sexual orientation, military service, genetic information, and/or other status protected under law. We will ensure that all individuals with a disability are provided a reasonable accommodation to participate in the job application or interview process, to perform essential job functions, and to receive other benefits and privileges of employment.

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