Job Information
Tufts Medicine NP-Clinical Leader in Boston, Massachusetts
Job Profile Summary
These roles focus on providing high-quality patient care and promoting wellness. APCs work collaboratively with physicians and other healthcare professionals to diagnose and treat a variety of acute and chronic conditions. In addition, this role focuses on conducting comprehensive patient assessments, ordering and interpreting diagnostic tests, developing and implementing treatment plans for acute and chronic illness, providing education to patients and families about preventive care, treatment options, and self-care techniques, and evaluation of therapeutic response to the treatment plan and with adjustment of interventions developed as needed. A professional individual contributor role that may direct the work of other lower level professionals or manage processes and programs. The majority of time is spent overseeing the design, implementation or delivery of processes, programs and policies using specialized knowledge and skills typically acquired through advanced education. A specialist level role that is a recognized subject matter expert in job area typically obtained through advanced education and work experience. Typically manages large projects or processes with limited oversight from manager, coaches, reviews and delegates work to lower level professionals, resolving difficult and often complex problems.
Job Overview
This position is responsible for the direction of Nurse Practitioners, including arrangement of schedules, staffing during vacations, direction of orientation programs, formulation of in-service training programs and staff development. Acts as a liaison between adult and pediatric patients and families and physicians. Performs the clinical responsibilities of a staff. Provides continuity of care for adult and pediatric patients during the course of fulfilling the tasks of a staff. Participates in committees and task forces as directed by the Division Chief.
Job Description
Minimum Qualifications :
Master’s degree in Nursing (MSN).
Registered Nurse (RN) license.
Advanced Practice Registered Nurse (APRN) license.
Basic Life Support (BLS) certification.
Ten (10) years' minimum experience in psychiatry.
Five (5) years' experience in community psychiatry.
Experience with transitioning patients and clinic team from community clinic to hospital/telehealth without disruption in care.
Duties and Responsibilities : The duties and responsibilities listed below are intended to describe the general nature of work and are not intended to be an all-inclusive list. Other duties and responsibilities may be assigned.
Orients and trains new nurse practitioners, coordinates schedules and vacation coverage.
Develops, refines and updates job descriptions; develops behavioral objectives and performs initial evaluation of students.
Prepares educational lectures on adult and pediatric topics for nursing and other ancillary personnel.
Serves on hospital committees as designated by the Division Chief; reviews and updates division protocols for adult and pediatric patient care for approval by the Division Chief.
Directs and supervises assigned personnel including performance evaluations, scheduling, orientation, and training. Makes recommendations on employee hires, transfers, promotions, salary changes, discipline, terminations, and similar actions. Addresses grievances and other personnel problems within position responsibilities. Provides effective direction, guidance, and leadership over the staff for effective teamwork and motivation.
Develops, recommends, and manages budgets for the areas managed. Coordinates the assignment of tasks for the efficient utilization of available resources.
Maintains credentialling and licensure for staff.
Oversees schedules and approvals for payroll reporting, dues and membership for staff.
Obtains a detailed medical history and performs a comprehensive physical examination on adult and pediatric patients.
Performs preoperative preparation of adult and pediatric patients and reinforces information presented by the attending physician to the patient and/or family as necessary. Coordinates necessary tests, consultations, and procedures as indicated or requested by the attending physician.
First or second assists on routine and complex adult and pediatric surgical procedures as necessary. Positions and preps patients, performs operative assistance as requested, transcribes operative notes and postoperative orders in accordance with service protocols, accompanies patients to recovery room or intensive care units.
Performs bedside diagnostic and therapeutic invasive procedures on adult and pediatric patients as indicated or directed by the attending surgeon, including but not limited to thoracentesis, tube thoracostomy, central venous lines, Swan-Ganz catheter insertion, wound debridement, and endotracheal intubation.
Performs basic and advanced cardiac life support procedures as necessary and directs these efforts until the arrival of a senior physician.
Prepares adult and pediatric patients for discharge, including patient and family discharge teaching, continuing care and rehabilitation arrangements, writing discharge prescriptions, and confirming primary care or referring physician follow-up.
Prescribes pre and postoperative medications for adult and pediatric patients in accordance with service policies and/or attending physician’s instructions.
Under the direction of the attending surgeon, executes a wide range of management plans for adult and pediatric patients.
Cares for adult and pediatric patients of the surgical services in the emergency department and outpatient clinics.
Dictates formal discharge summaries of adult and pediatric patients for the attending surgeon’s review and signature.
Participates in the education of students and residents assigned to the surgical services.
Maintains collaborative team relationships with peers and colleagues in order to effectively contribute to the working group’s achievement of goals, and to help foster a positive work environment.
Physical Requirements :
Prolonged, extensive, or considerable standing / walking
Lifts, positions, pushes and / or transfers patients
Considerable reaching, stooping, bending, kneeling, crouching
Regularly exposed to the risk of blood borne diseases
Contact with patients under wide variety of circumstances
Subject to varying and unpredictable situations
Handles emergency and crisis situations
Day / rotator or permanent off shift position schedule
Skills & Abilities:
Possesses the ability to care for critically ill adult and pediatric patients with a broad range of medical problems.
Effective Interpersonal skills needed for interacting with physicians, staff, patients and their families, and so forth.
Excellent analytical skills needed for evaluating patients and coordinating treatment plans.
Possesses the maturity, self-confidence, and ability to follow complex patient management plans as directed by the attending surgeon.
Possesses the ability to supervise and coordinate the activities staff.
Possesses a high level of verbal and written communication skills in order to develop and implement educational programs, evaluate staff, and treat patients.
Tufts Medicine is a leading integrated health system bringing together the best of academic and community healthcare to deliver exceptional, connected and accessible care experiences to consumers across Massachusetts. Comprised of Tufts Medical Center, Lowell General Hospital, MelroseWakefield Hospital, Lawrence Memorial Hospital of Medford, Care at Home - an expansive home care network, and large integrated physician network. We are an equal opportunity employer and value diversity and inclusion at Tufts Medicine. Tufts Medicine does not discriminate on the basis of race, color, religion, sex, sexual orientation, age, disability, genetic information, veteran status, national origin, gender identity and/or expression, marital status or any other characteristic protected by federal, state or local law. We will ensure that individuals with disabilities are provided 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. Please contact us to request accommodation by emailing us at careers@tuftsmedicine.org .