The APRN Team Manager (APRN TM) 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 APRN-TM 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:
1.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.
2.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.
3.Participates in the hiring, supervision and performance evaluation for team members
4.Identifies opportunities for and initiates interdisciplinary collaboration to achieve team and patient goals.
5.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.
6.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.
7.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.
8.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.
9.Establishes effective interpersonal relationships with other nurses, clinical departments, and interdisciplinary colleagues.
10. Performs other related duties and responsibilities as required.
B. Patient Care Organization
1.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.
2.Provides direct care, counseling, and teaching to patients.
3.Performs physical examinations and provides preventive health measures appropriate to patient needs.
4.Orders, interprets, and evaluates appropriate lab and diagnostic tests to assess patients' clinical problems and health care needs.
5.Arranges for appropriate plan of care and follow-up based on outcome of diagnostic, lab, and physical assessment findings. Seeks consultation as appropriate.
6.Orders medications and writes prescriptions according to organizational and regulatory policies and procedures.
7.Records pertinent patient care findings in the electronic medical record.
8.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.
9.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.
10. 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.
11. Demonstrates awareness of community and hospital resources and assists staff, patients, and families to effectively utilize them.
C. Quality Monitoring
1.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.
2.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.
3.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.
4.Translates themes uncovered through ongoing quality monitoring and evaluation into the care model and the clinical practice of the interdisciplinary team.
Working in collaboration with the Division Chief and Administrator, the General and Gastrointestinal NP Team Manager (NPTM) is valued member of the practice leadership team. (NPTM) responsibilities include both leadership and clinical practice on an interdisciplinary care team for patients receiving ambulatory care through the Department of Surgery. The NPTM will have a key role in treating patients who have, or are about to undergo the formation of a stoma. The role requires significant interdisciplinary team work in acute and community settings.
Works in collaboration with the attending physicians to:
Perform clinical assessment of patients' ostomy needs in clinic and pre and post evaluation follow up, review of patient record and history, patient/caregiver education regarding appliance management and symptoms, telephone triage, patient education around the management of dysfunctional elimination issues, urinary tract infections and other related conditions.
Ensure a seamless patient flow and positive patient experience through the outpatient clinic and across departments. Candidate will work in collaboration with the attending physicians, physician's assistants, nurses, administrative assistants and other providers internal and external to the department.
Provide extensive patient support for ongoing ostomy needs including equipment management, lifestyle education and teaching, and symptom management. Responds to clinical questions from patients and physicians in a timely manner; completes administrative tasks such as returning phone calls, updating clinic notes and completion of dictations in a timely manner; keep collaborating and referring physicians informed as appropriate.
Effectively prioritize patient care needs; understand the full range of treatment options available to each patient and have the ability to discuss these with the patient and their family/ partner.
Demonstrate empathy, knowledge and understanding of issues associated with:
Altered body image
Psycho sexual changes function/dysfunction
Social and cultural considerations
Changes in social relationships
Demonstrates knowledge of patient's nutritional requirements; assists the patient in tracking food and fluid intake.
Clinical oversight of all General Surgical Specialties Nursing roles (1-1.5 RN)
Assumes accountability for evaluation of clinical performance of Nurses under the delegation/direction of the nurse director
Participates in the selection, supervision and evaluation of staff
Serves as a mentor to surgery department staff in training, students, and house staff, educating others while continuing to learn and expand one's own knowledge base.
Behaves as a role model for fellow team members to emulate, and functions as an empathic practitioner.
Trains clinical staff on appropriate stoma related triage and protocols, leading a team based care model
Performs other duties as assigned.
Assumes responsibility for professional development by attending internal and external educational meetings, reads appropriate professional journals to maintain and enhance skills and competence.
Update clinical guidelines related to the Ostomy specialty and notify appropriate clinicians
Operations Support/Administrative Responsibilities
Supports ongoing quality initiatives and strives to learn new systems and technologies as they become available to improve patients care, documentation, and communication. Remains proficient with BWH computer systems as needed to independently perform daily tasks such as order entry, documentation of facility administered medications and incident/safety reporting.
Works closely with the billing team to maintain thorough documentation for proper reimbursement and serves as a resource for the hospital in the future for nurse practitioner billing.
Continues to provide the highest standard of patient care, while incorporating measures that improving efficiency and cost-effectiveness within the department and hospital.
Collaborates with nursing and practice leadership in setting quality standards for nursing care and in the development of relevant systems, policies and procedures.
Demonstrates ability to analyze, synthesize and apply data to drive optimal care delivery outcomes.
Oversight for TJC readiness and quality programs.
Sets standard for ensuring high quality, cleanliness of all areas/aspects of practice location and ensures that standards are in compliance with regulations regarding clinical care facilities. Regularly monitors to ensure these standards are met and implements needed change to improve and /or meet these criteria
Masters' Degree in Nursing required.
Completion of a Master's or post Masters' degree in adult or family NP program accredited by the Commission on Collegiate Nursing Education (CCNE) or the National League for Nursing Accrediting Commission (NLNAC).
Current Adult/Geriatric or Family Nurse Practitioner Certification by an accredited APRN certifying body required.
Valid prescriptive authority from both MA DPH and Federal DEA required.
Current APRN License to practice in Massachusetts Required.
CWOCN Certification preferred.
3 years recent clinical nurse practitioner experience caring for a surgical focused patient population required.
3 years clinical nursing or nurse practitioner experience caring for gastrointestinal surgery patient population required.
Stoma focused patient care experience as a nurse or nurse practitioner strongly preferred.
Management ability and experience demonstrated by direct management/ oversight or program management strongly preferred.
Clinical experience as a nurse practitioner in both acute care and ambulatory settings preferred.
Clinical nursing experience in an academic medical center preferred.
Demonstrated knowledge of working in a highly matrixed large healthcare system preferred.
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.
Brigham And Women's Hospital