MGBCI Ambulatory Solid Tumor Oncology NP

Site: The Brigham and Womens Hospital, Inc.

Mass General Brigham relies on a wide range of professionals, including doctors, nurses, business people, tech experts, researchers, and systems analysts to advance our mission. As a not-for-profit, we support patient care, research, teaching, and community service, striving to provide exceptional care. We believe that high-performing teams drive groundbreaking medical discoveries and invite all applicants to join us and experience what it means to be part of Mass General Brigham.

The solid tumor hematology oncology NP provides comprehensive ambulatory care to one or more disease-specific medical oncology patient populations. With an interdisciplinary team approach, this provider promotes a collaborative relationship between all providers, professional nurses, and administrative staff, to ensure continuity of patient care and efficient use of resources. The NP is responsible for the assessment and management of solid tumor medical oncology patients, including diagnostic and therapeutic interventions and development and implementation of appropriate plans of care across the trajectory of illness for patients.

In addition to providing direct and indirect patient care, the hematology oncology APP serves as a role model for professional advanced practice and participates in the professional development of the team through teaching, committee involvement, or quality and safety initiatives. The hematology oncology APP will provide thorough, compassionate, culturally sensitive clinical care and should demonstrate operational flexibility and strong leadership, problem-solving, and communication skills in order to work effectively with other members of the team.

Responsibilities:

• Performs comprehensive histories and physical examinations.
• Completes high-quality and timely documentation.
• Participates in scheduled encounters, maintains capacity for urgent care for the evaluation for complex symptom evaluation and management and improves access for newly diagnosed hematology oncology patients.
• Orders, interprets, and evaluates appropriate laboratory and diagnostic tests.
• Ensures appropriate diagnostic procedures occur in a timely manner through careful coordination with other services such as radiology, facilitating various clinic appointments, communicating with patients regarding test results, and providing coverage for the team.
• Performs (oversees/assures completion of) specialized procedures particular to the select medical oncology population mutually agreed upon with collaborating physician.
• Follows and manages patients (in collaboration with MD) enhancing continuity of care across the trajectory of illness.
• Develops appropriate plans of care and follow-up based on the outcomes of diagnostic, laboratory, and physical examination findings across the trajectory of illness.
• Facilitates patient movement through the system and efficient use of resources through interdepartmental collaboration.
• Facilitates and co-manages communications between physicians, patients, family, and staff.
• Orders medications and writes prescriptions, inclusive of standard of care antineoplastics and oncologic investigational new drugs according to organizational and regulatory policies and procedures.
• Participates in research efforts to advance knowledge and to promote research-based practice.
• Appreciates the complex medical environments of cancer patients, including, but not limited to, those with advanced malignancy or organ dysfunction and the risk for complex drug interactions.
• Maintains and updates clinical knowledge and skills based on current health care practice/research.

EXPERIENCE/QUALIFICATIONS:

• Minimum 3 years current nurse practitioner experience caring for an Oncology focused patient population required.
• Experience in breast, GI, and thoracic malignancies is strongly preferred.
• Minimum 1 year experience signing antineoplastic orders required.
• Clinical Nurse Practitioner experience in an ambulatory practice managing an oncology focused patient population required.
• Oncology Nursing Board Certification strongly preferred.
• Prior oncology RN experience administering antineoplastics is strongly preferred.
• Proficiency with Epic and EMRs strongly preferred.
• EPIC Inbasket management, telemedicine experience strongly preferred.
• Familiarity with clinical trials strongly preferred.

SKILLS & COMPETENCIES REQUIRED:

• Demonstrated competence in specialized area.
• Ability to effectively communicate clinical information, care plans, etc. to medical and lay audiences; able to educate patients and their families regarding routine and complex medical information.
• Skilled in creating appropriate documentation and use of electronic medical records to consistently provide high-quality and timely documentation, including progress notes, sign-off notes, and discharge planning.
• Strong organizational and time management skills.
• Ability to work independently as well as a member of a team; can effectively influence and lead as necessary.
• Effectively uses analytical skills and problem-solving techniques in both clinical and operational matters. Is willing to obtain procedural proficiency for medical oncology specific procedures. Training will be provided.

SUPERVISORY RESPONSIBILITY:

• No direct reports; may indirectly provide leadership and guidance to less seasoned and new staff.

FISCAL RESPONSIBILITY:

• No direct budgetary responsibility
• Demonstrates fiscal responsibility by effectively using Mass General Brigham resources

WORKING CONDITIONS:

• Ambulatory Clinic Setting within BWH
• This is a full-time, 40h position (four 10-hour work days, weekdays only).

Job Summary:

The Nurse Practitioner is an advanced practice registered nurse who has acquired specialized knowledge and skills through completion of a nurse practitioner program. The practitioner has the credentials to function in an expanded nursing role and is responsible for the daily management of selected patients. The practitioner has responsibility for the assessment and management of patients, including diagnostic and therapeutic interventions, and the continuous implementation and evaluation of an appropriate plan of care. The Nurse Practitioner works with their collaborating physician in accordance with mutually developed practice guidelines, members of the care team, and is responsible to the Nursing Director or Executive Nursing Director for the area for issues specific to the discipline of nursing.

Satisfactory completion of an approved formal education program that has as its objective the preparation of professional nurses to practice as nurse practitioners. ANA or other appropriate nursing certification in the area of practice and authorization by the Massachusetts Board of Registration in Nursing to practice in the expanded role. DEA for prescription writing.

Working Conditions:

• Works in a variety of patient care environments where there may be exposure to communicable disease and hazardous materials.
• APRN national certification required.

Does this position require Patient Care?

Yes

Essential Functions:

1. Provides direct care, counseling, and teaching to a select patient population.
2. Performs physical examinations and provides preventive health measures appropriate to patient needs.
3. Orders, interprets, and evaluates appropriate lab and diagnostic tests to assess patients clinical problems and health care needs.
4. Arranges for appropriate plan of care and follow-up based on outcome of diagnostic, lab, and physical assessment findings.
5. Performs laboratory tests appropriate for specific patient population.
6. Orders medications and writes prescriptions according to organizational and regulatory policies and procedures.
7. Records pertinent patient care findings in the medical record.
8. Sets priorities for appropriate and efficient management of patient care that reflects cost-effective management of time, available human resources, supplies, and equipment.
9. Maintains interdisciplinary approach to planning and communicating patient care information by discussing patient data with appropriate physicians and other health care professionals.
10. Incorporates the concepts of health maintenance, prevention, and promotion into daily practice through patient education and counseling.
11. Demonstrates awareness of community resources and assists staff, patients, and families to effectively utilize them.

• Quality of Care

  1. Assists in the development, implementation, and revision of nurse practitioner guidelines and monitoring requirements for prescription writing in collaboration with their designated physician and Nursing Director or Executive Nursing Director.
  2. Evaluates outcomes of own patients care and makes necessary revisions in care plans.
  3. Seeks and provides consultative services as required.
  4. Participates in departmental and organization quality improvement program.
  5. Utilizes quality improvement data and research findings to enhance patient care.

• Coordination

  1. Demonstrates appropriate collaborative and consultative relationships with other providers within the institution and community.
  2. Serves on Nursing and Hospital Committees and assumes responsibility for disseminating and communicating information to staff.

• Budget

  1. Participates in setting productivity metrics and in cost-effective management of personnel, time, supplies, and equipment in their area.
  2. Collaborates with the Nursing Director/Practice Manager/Executive Nursing Director in the recommendation of appropriate staffing patterns for their clinical areas.

• Personnel Management

  1. Participates in selection process of new employees in group or team practice as requested.
  2. Provides input into evaluation of other staff as appropriate.

• Education

  1. Acts as preceptor for nursing students and staff as requested.
  2. Participates in orientation of new staff.
  3. Participates in Departmental and organization continuing education programs.
  4. Identifies own learning needs and updates clinical knowledge and skills through formal and informal education and review of current literature.
  5. Educates lay and/or professional groups through lectures, papers, publications, and educational materials.

• Planning

  1. Develops annual objectives and reviews with Nursing Director or Executive Nursing Director and collaborating M.D. at time of performance review and at appropriate intervals. Completes annual credentialing process through the Nursing Department credentialing program.
  2. Assists in determining, evaluating, and/or implementing clinical area goals and objectives.
  3. Maintains interdisciplinary approach for planning and communicating information for patient care and operation of practice.
  4. Maintains current knowledge of legislation that may affect the health care delivery system.
  5. Identifies and integrates patient population and/or disease state in programmatic goals and objectives.

• Research

  1. Participates in nursing research at a level consistent with educational background and experience.
  2. Maintains understanding of current research of others in related clinical areas through review of relevant publications.
  3. Participates in grant writing as appropriate.

• Supervisory Responsibilities

  1. May assume responsibility for providing direction to designated personnel.

Qualifications:

Education:

• Masters Degree Nursing required

Can this role accept experience in lieu of a degree?

• No

Licenses and Credentials:

• Nurse Practitioner [NP - State License] - Generic - HR Only required or Anesthetist, Certified Registered Nurse [CRNA - State License] - Generic - HR Only required or Certified Midwife [CM] - American Midwifery Certification Board (AMCB) required or Certified Nurse-Midwife [CNM] - American Midwifery Certification Board (AMCB