NP or PA for High Risk Breast Clinic at Partner's Healthcare in Boston, Massachusetts

Job Description:

Site: The General Hospital Corporation


At Mass General Brigham, we know it takes a surprising range of talented professionals to advance our mission-from doctors, nurses, business people and tech experts, to dedicated researchers and systems analysts. As a not-for-profit organization, Mass General Brigham is committed to supporting patient care, research, teaching, and service to the community. We place great value on being a diverse, equitable and inclusive organization as we aim to reflect the diversity of the patients we serve.


At Mass General Brigham, we believe a diverse set of backgrounds and lived experiences makes us stronger by challenging our assumptions with new perspectives that can drive revolutionary discoveries in medical innovations in research and patient care. Therefore, we invite and welcome applicants from traditionally underrepresented groups in healthcare - people of color, people with disabilities, LGBTQ community, and/or gender expansive, first and second-generation immigrants, veterans, and people from different socioeconomic backgrounds - to apply.



Job Summary
High-risk breast cancer clinic advanced practice provider Join a supportive Advanced Practice Team in a role supporting the Massachusetts General Hospital Cancer Center at Wentworth-Douglass Hospital. Wentworth-Douglass Hospital is committed to supporting patient care, research, teaching and service to the community. We place great value on being a diverse, equitable and inclusive organization as we aim to reflect the diversity of the patients we serve. Wentworth-Douglass Hospital remains among the nation's top hospitals for patient experience and it is world-class as one of the largest acute care hospitals in the Seacoast region of New Hampshire and Southern Maine. At Wentworth-Douglass, we value people who contribute to patient-centered care that enhances community health; we recognize and appreciate those who share our values and transform our patients' lives. We invite you to explore opportunities, cultivate community wellness and professional growth. This practice specializes in the care of patients at high risk for breast cancer. This team has a demonstrated history of providing exquisite, evidence-based patient care. We are looking for an Advanced Practice Provider (NP or PA) to advance and improve clinical services for this clinic and other medical and specialty oncology services. This is a fantastic opportunity for an APP to work in this invigorating and collaborative environment. The high-risk breast cancer APP will provide direct care to outpatients. This high-risk breast clinic is designed to offer personalized risk assessment, strategies to reduce risk, and surveillance for all people, as appropriate, who have a higher risk for developing breast cancer. The high-risk breast clinic is a foundational component of the comprehensive care of breast cancer and provides a centralized home for patients throughout their risk journey. With an interdisciplinary team approach, this provider will promote a collaborative relationship between providers, professional nurses, and administrative staff, to ensure continuity of patient care in the evaluation and potential management of their disease and related issues as well as to develop expertise in the field. Within this role, the advanced practice provider will be responsible for a panel of patients. Other responsibilities include caring for patients throughout their continuum of care and fostering collaboration with other professionals within the hospital and clinics to facilitate patient care. The high-risk breast cancer APP develops, implements, and evaluates a plan of specialized health care for this oncology patient population throughout their journey. Promotes a professional and collaborative relationship and effort between the advanced practice team, medical staff, professional nursing staff, and administrative staff. Strives to provide and to ensure continuity of care for patients, while being efficient in use of resources. This provider serves as a role model for professional advance practice and participates in the professional development of the team through teaching, committee involvement or quality and safety initiatives to name a few. In addition to clinical skills, this person should possess strong leadership and communication skills and be able to work effectively with other members of the team. Primary Responsibilities: The high-risk breast cancer NP/PA provides direct care to this patient population in collaboration with the attending physicians and other respective departments and teams. The NP/PA will be responsible for: - Managing care for patients at high risk for breast cancer based on personal risk factors and/or family history including ordering breast imaging, performing clinical breast exams, and managing chemoprophylaxis - Performs pre- and post-test genetic counseling for individuals with a family history concerning for hereditary cancer syndrome or known familial gene mutation - Orders genetic testing related to hereditary cancer syndromes - Offers clinical consultation, physical examination, and coordination of ongoing surveillance for patients with hereditary cancer syndromes including those with mutations in BRCA1/2, PALB2, CHEK2, amongst others, and those with a history of high-risk benign breast lesions - Performs breast cancer risk assessment and develops personalized breast cancer surveillance plans - Provides patient and peer education regarding hereditary cancer syndromes - Coordinates with radiology, general surgery, plastic surgery, gynecologic oncology, and primary care/OB-GYN to provide comprehensive care for patients at high risk for cancer - Performs and records the patient history and physical examination and discusses findings with the collaborating team. Obtaining and coordinating laboratory results, charting of clinical findings in the EMR, orders, nursing instructions, and other required elements. - Utilizes advanced practice knowledge to identify, prevent or solve complex patient care problems.- Follows and manages patients (in collaboration with MD) enhancing continuity of care. - Performs (oversees/assures completion of) specialized procedures particular to the select oncology population mutually agreed upon with collaborating physician. - Collaborates with staff and physicians to facilitate a comprehensive plan of care and coordinate resources and write appropriate orders improving access to care, establishing goals for the delivery of care to patients, participating in clinical research, and managing communications between physicians, patients, family, and staff. - Appreciates complex medication interactions. - Ensuring appropriate diagnostic procedures occur in a timely matter 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. - Educating patients regarding a variety of issues associated with chemoprophylaxis. - Indications and interpretation of radiology, pathology, and laboratory results. - Understands the complex medical environments of cancer patients - Maintains and practices in accord with practice guidelines per state and hospital regulations. - Provides consultation to both nurses and physicians and serves as a resource to staff in area(s) of expertise. - Serves on appropriate intra- and inter-departmental committees. - Collaborates with staff and other health care professionals to meet staff and patient educational needs. - Participates in the development of formal and informal educational programs for nursing and support staff. - Monitors patient outcomes in accordance with defined standards of patient care. - Identifies system-wide factors contributing to undesirable outcomes, such as complications and over utilization of services. - Supports and conducts research efforts to advance knowledge and to promote research-based practice. - Evaluates own practice and program effectiveness. - Identifies pertinent patient care and health delivery problems for investigation. - Evaluates current research findings for clinical specialty and determines applicability to practice. - Assists nursing and medical colleagues in research efforts. - Encouraged to conduct research. - Responsible for own professional growth and maintenance of required credentials. - Maintains the standards and educational requirements specific to the position and licensure. - Identifies own learning needs and goals. - Takes responsibilities for leadership and participation on committees and task forces within patient care services and the hospital. - Maintains and updates clinical knowledge and skills based on current health care practice/research. We offer an outstanding benefits packages to eligible employees including... - Medical, Dental and Vision insurance - Tuition Reimbursement - Generous paid time off - Subsidized MBTA pass (50% discount) - Resources for childcare and emergency backup care - Hospital paid retirement plan and tax-sheltered annuity plan - Employee "Perks" - enjoy discounts on tickets and passes for everything from ski resorts to museums to sporting events. You contribute to our success. Every role has an impact on our patients' lives, and you can make a difference. We are looking for someone as dedicated as you to be a part of our team. About Mass General Hospital Mass General Hospital is a world-renowned hospital that provides the highest quality care to patients. We are a leader in medical research and education, and we are committed to delivering our employees with a rewarding and fulfilling career.



Qualifications


Master's Degree in Nursing or completion of NCCPA program Current licensure in the State of New Hampshire as a registered NP/PA Current certification as a nurse practitioner in appropriate specialty to care for adult patients. 2 years of progressive clinical advanced practice experience preferred; prior hematology/oncology experience preferred. Proficiency with Epic and EMRs preferred. Specialized training and education in Cancer Risk Assessment and Genetics (such as the City of Hope Intensive Course in Genetic Cancer Risk Assessment and/or NCBC Cancer Genetic Risk Assessment Certification and/or ANCC Advanced Genetics Nursing Certification (AGN-BC) and/or willingness to obtain certification. 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 and care plans. 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.



Additional Job Details (if applicable)


Additional Job Description



Remote Type


Hybrid



Work Location


55 Fruit Street



Scheduled Weekly Hours


40



Employee Type


Regular



Work Shift


Day (United States of America)



EEO Statement:


The General Hospital Corporation 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.



Mass General Brigham Competency Framework


At Mass General Brigham, our competency framework defines what effective leadership "looks like" by specifying which behaviors are most critical for successful performance at each job level. The framework is comprised of ten competencies (half People-Focused, half Performance-Focused) and are defined by observable and measurable skills and behaviors that contribute to workplace effectiveness and career success. These competencies are used to evaluate performance, make hiring decisions, identify development needs, mobilize employees across our system, and establish a strong talent pipeline.