Site: The Brigham and Women's 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.

PER DIEM/ ROTATING SHIFT/ BWH Diabetes Program

General Summary/ Overview Statement

The Diabetes Nurse Practitioner is an advanced practice registered nurse who has acquired specialized knowledge and skills in diabetes through completion of a nurse practitioner program, completion of a diabetes certificate program and/ or work experience in the care of patients with diabetes. The practitioner has the credentials to function in an expanded nursing role and is responsible for the daily management of diabetes patients. The practitioner has the responsibility for assessment and management of patients including diagnostic and therapeutic interventions, and continuous implementation and evaluation of 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 specific to the discipline of nursing. After-hours coverage and some weekend coverage will be required.

Principal Duties And Responsibilities

• In clinical care, performs in the role of Licensed Independent Practitioner and is responsible to work independently and in collaboration with other providers to maintain a panel of patients.
• Provides direct care, counseling, and teaching to a select patient population in both the ambulatory and inpatient settings as needed.
• Works collaboratively with the Diabetes Management Services (DMS) team members to provide direct care, counseling and teaching to patients with diabetes admitted to BWH inpatient service. Requires candidate to be on site for all inpatient management.
• Provides comprehensive diabetes education in both one-on-one as well as in group settings, which may include travel among various primary care and specialty clinic sites.
• May be required to participate diabetes based clinical trials, specifically recruiting, enrolling and monitoring patients for the duration of their participation in trial.
• Provides patient instruction in the use of and administration of injectable medications, Continuous Glucose Monitoring systems (CGMs) and Insulin pump therapy.
• Performs physical examinations and provides preventative health measures appropriate to patient needs.
• Works collaboratively with physicians and other to triage diabetes-specific clinical calls from patients and direct care appropriately.
• 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 appropriates 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.
• Utilizes available resources and methodologies to advance practice within the division and beyond, with the aim of improving the care of all patients, particularly those most at risk for adverse outcomes.
• 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.
• Performs other related duties and responsibilities with the support of the diabetes program team as required.
  
  

Summary

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

Patient Care Organization

• Provides direct care, counseling, and teaching to a select patient population.
• 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.
• 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.
• 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.
• Budget
• Participates in setting productivity metrics and in cost-effective management of personnel, time, supplies, and equipment in their area.
• Collaborates with the Nursing Director/Practice Manager/Executive Nursing Director in the recommendation of appropriate staffing patterns for their clinical areas.
• 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.
• 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.
• Educates lay and/or professional groups through lectures, papers, publications, and educational materials.
• 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.
• Identifies and integrates patient population and/or disease state in programmatic goals and objectives.
• Research
• Participates in nursing research at a level consistent with educational background and experience.
• Maintains understanding of current research of others in related clinical areas through review of relevant publications.
• Participates in grant writing as appropriate.
• Supervisory Responsibilities
• May assume responsibility for providing direction to designated personnel.
  
  

Qualifications

• 1. Minimum 1 year current experience caring for diabetes focused patient population required.
• 2. Management of diabetes in the inpatient setting required.
• 3. Certified Diabetes Care and Education Specialist (CDCES) or Board Certification in Advanced Diabetes Management (BCADM) required or to be completed within 2 years of start date.
• 4. Bi-lingual preferred, Spanish or Haitian Creole preferred second languages.
• 5. Experience in Motivational Interviewing preferred.
• 6. Demonstrated knowledge of hospital-based and community-based care—strongly prefer both.
• 7. Experience working in large complex health care organizations.
• 8. Experience working with a diverse patient population.
• 9. Ability to work with a variety of information systems and databases: MS Word, PowerPoint, Access, and Electronic Health Record.
• 10. Knowledge of and commitment to the principles of team-based care and aware of local, regional and national trends in chronic disease care redesign and transformation.
  
  

Knowledge, Skills And Abilities

• Expert clinical judgment skills to function in the independent role.
• Excellent interpersonal relationship and communication skills in order to collaborate with patients’ families, staff and community health workers.
• Ability to work with frequent stress resulting from busy clinical settings and changing organizational climate.
• Ability to be self-directive and demonstrate initiative in addressing responsibilities of position.
• Ability to utilize appropriate problem solving and conflict resolution skills.
  
  

Additional Job Details (if Applicable)

Remote Type

Onsite

Work Location

221 Longwood Avenue

Scheduled Weekly Hours

0

Employee Type

Per Diem

Work Shift

Rotating (United States of America)

Pay Range

$50.70 - $134.78/Hourly

Grade

MNA2221Z

At Mass General Brigham, we believe in recognizing and rewarding the unique value each team member brings to our organization. Our approach to determining base pay is comprehensive, and any offer extended will take into account your skills, relevant experience if applicable, education, certifications and other essential factors. The base pay information provided offers an estimate based on the minimum job qualifications; however, it does not encompass all elements contributing to your total compensation package. In addition to competitive base pay, we offer comprehensive benefits, career advancement opportunities, differentials, premiums and bonuses as applicable and recognition programs designed to celebrate your contributions and support your professional growth. We invite you to apply, and our Talent Acquisition team will provide an overview of your potential compensation and benefits package.

EEO Statement

The Brigham and Women's Hospital, Inc. is an Equal Opportunity Employer. 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. To ensure reasonable accommodation for individuals protected by Section 503 of the Rehabilitation Act of 1973, the Vietnam Veteran’s Readjustment Act of 1974, and Title I of the Americans with Disabilities Act of 1990, applicants who require accommodation in the job application process may contact Human Resources at 899-909-0010.

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.