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The Home Hospital Advanced Practice Provider (HH APP) will be part of a clinical team that provides acute-level care to patients in the comfort of their own home. The MGB Home Hospital (HH) is an innovative strategic program that aims to improve the care of patients while increasing hospital capacity and reducing total costs of care.
The Home Hospital Advanced Practice Provider will support the work of Home Hospital by visiting (either in person or virtually) and managing patients in their home as a direct HH provider, supported by a multidisciplinary team that includes an attending physician (who oversees the direction of care for patients enrolled), a HH nurse, a paramedic (Mobile Integrated Health), an administrative coordinator, and other allied staff as needed (e.g. home health aide, physical therapist). Daily HH rounds for the HH APP consist of at least one daily visit (in-person initially, subsequent visits in-person or virtual depending on patient needs and circumstances), with medical decision-making and delivery of needed care as appropriate (see specific clinical duties below). The HH APP will facilitate continuity between care settings, ensure home care and acute care protocols are seamlessly integrated in the home settings, and function as a lead clinician in the home environment.
The ideal candidate for this HH APP role will be a patient-centered, proactive, flexible, and confident clinician comfortable with autonomy, multidisciplinary team collaborations, complex clinical decision-making, level-of-care triaging, and telemedicine. The role offers the potential to grow into a managerial/leadership position and/or the opportunity to broaden clinical duties.
Principle Roles/Responsibilities:
Qualifications
At least 3 years of Nurse Practitioner (NP) or Physician Assistant (PA) experience strongly desired, preferably practicing in an acute hospital setting; academic medical center experience a plus.
Current Massachusetts Licensure as a NP or PA with a Masters Degree required.
MGB institutional knowledge a plus.
Advanced Cardiac Life Support (ACLS) certification is required.
Flexible and comfortable with a fast-paced, evolving clinical environment.
Motivated, collaborative team player who also works well independently.
Creative problem solver with the ability to think innovatively.
Excellent oral and written communication skills.
Demonstrated knowledge of quality measurement and quality improvement.
Track record of proficiency in managing relationships and building networks.
Previous experience with Continuous Quality Improvement efforts and development of evidence-based protocols a plus.
Shift Requirements/Working Conditions
Role is For Night Shift Hours
Full-time, 36-hours/week – 12 hour shifts – flexibility to consider those interested in Part-time hours and will include rotations for weekends, and holidays. There is also a rotating on-call responsibility possible.
Local travel between patient homes within a defined 10-20 mile radius required.
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