Nurse Practitioner, Primary Care/Community Health

NURSE PRACTITIONER (M.S.)/ Full Time, 40 Hours/ Rotating Variable/ BWH Boston- Southern Jamaica Plain Health Center

Southern Jamaica Plain Health Center (SJPHC) is a comprehensive, multi-disciplinary, community health center licensed by Brigham and Women's Hospital (BWH). SJPHC serves a diverse population of over 11,000 individual patients and provides 68,000 clinical visits across four clinical departments (Medical, Pediatrics, Behavioral Health, Women's Health, and Family Medicine) each year, as well as provides access to specialty services (Cardiology, Podiatry, Gastroenterology, Neurology, Nutrition, Diabetology, and Nephrology). SJPHC has a racial justice and public health mission, to address the overall health and well-being of the residents of Jamaica Plain and its surrounding communities with a commitment to engaging in practices that promote racial justice, equity, and the elimination of all oppressive systems.

• The Southern Jamaica Plain Unpanelled Pediatric Nurse Practitioner is an advanced practice registered nurse who has acquired specialized knowledge and skills through the completion of a nurse practitioner program.

• The practitioner has the credentials to function in an expanded nursing role and is responsible for conducting in-person and virtual primary care visits including but not limited to urgent care, follow-up, problem-oriented, physical exams/well-child checks for ages 0-22 yrs.

• This NP will not be responsible for a panel of patients (i.e. not a PCP) yet will be collaborating with primary care pediatricians to assist with patient access and in basket management as needed (reviewing results, renewing prescriptions, consulting with the RN team, etc.).

• The practitioner has responsibility for assessment and management of patients including diagnostic and therapeutic interventions, and continuous implementation and evaluation of an appropriate plan of care.

• The Nurse Practitioner's collaborating physician is a board-certified pediatrician and this NP reports to the Nurse Director and has support from the Medical Director.

GENERAL OVERVIEW

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 assessment and management of patients including diagnostic and therapeutic interventions, and continuous implementation and evaluation of an appropriate plan of care. The Nurse Practitioner works with her/his 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.

PRINCIPAL DUTIES AND RESPONSIBILITIES

A. Patient Care Organization

• Provides direct care, counseling, and teaching to a select patient population.

• Provide in-basket support to department providers and clinical team during time off / vacation/leaves.

• 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.

• Performs laboratory tests appropriate for specific patient population.

• Orders medications and writes prescriptions according to organizational and regulatory policies and procedures.

• Records pertinent patient care findings in the medical record.

• Sets priorities for appropriate and efficient management of patient care that reflects cost effective management of time, available human resources, supplies and equipment.

• Maintains interdisciplinary approach to planning and communicating patient care information by discussing patient data with appropriate physicians and other health care professionals.

• Incorporates the concepts of health maintenance, prevention, and promotion into daily practice through patient education and counseling.

• Demonstrates awareness of community resources and assists staff, patients, and families to effectively utilize them.

B. Quality of Care

• 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.

• Evaluates outcomes of own patients' care and makes necessary revisions in care plans.

• Seeks and provides consultative services as required.

• Participates in departmental and organization quality improvement program.

• Utilizes quality improvement data and research findings to enhance patient care.

C. Coordination

• Demonstrates appropriate collaborative and consultative relationships with other providers within the institution and community.

• Serves on Nursing and Hospital Committees and assumes responsibility for disseminating and communicating information to staff.

• Attends SJP and department-specific meetings.

D. Budget

• Participates in setting productivity metrics and in cost effective management of personnel, time, supplies, and equipment in his/her area.

• Collaborates with the Nursing Director/Practice Manager/Executive Nursing Director in the recommendation of appropriate staffing patterns for their clinical areas.

E. Personnel Management

• Participates in selection process of new employees in group or team practice as requested.

• Provides input into evaluation of other staff as appropriate.

F. Education

• Acts as preceptor for nursing students and staff as requested.

• Participates in orientation of new staff.

• Participates in Departmental and organization continuing education programs.

• Identifies own learning needs and updates clinical knowledge and skills through formal and informal education and review of current literature.

G. Planning

• 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.

• Assists in determining, evaluating, and/or implementing clinical area goals and objectives.

• Maintains interdisciplinary approach for planning and communicating information for patient care and operation of practice.

• Maintains current knowledge of legislation that may affect the health care delivery system.

H. Research

• Maintains understanding of current research of others in related clinical areas through review of relevant publications.

• Participates in grant writing as appropriate.

Education:

• Master's in Nursing (MSN) (or) DNP (or) PhD Degree in Nursing required.

• Completion of a Master's or post Masters' degree in Family Nurse Practitioner (FNP) or Pediatric Nurse Practitioner (PNP) program accredited by the Commission on Collegiate Nursing Education (CCNE) or the National League for Nursing Accrediting Commission (NLNAC) required.

• Satisfactory completion of an approved formal education program which has as its objective the preparation of professional nurses to practice as nurse practitioner.

• Valid prescriptive authority from both MA DPH and Federal DEA required.

• Current APRN License to practice in Massachusetts Required

Experience:

• Minimum 3 years' recent experience as a Nurse Practitioner in a Primary Care setting required.

• Clinical experience managing both acute and chronic disease states and primary prevention required.

• Significant experience (>50% of primary care patients) with providing care to patients ages 0-22 required.

• Demonstrated experience working within an interdisciplinary care-team model required.

• Bilingual English/Spanish strongly preferred.