NP or PA- Ambulatory MGB Cancer Institute- Malignant and Classical Hematology - Waltham- MGH

Job Summary

This position is Full time, 4-10-hr shifts, M-F only, Waltham location. With an interdisciplinary team approach, the NP or PA will promote a collaborative relationship between all providers, professional nurses and administrative staff, to ensure continuity of patient care. Focus is on the care of malignant hematology and classical hematology patients in our ambulatory clinic at MGBCI Waltham campus.

The medical oncology/classical hematology APP will provide thorough, compassionate, culturally sensitive clinical care and should demonstrate operational flexibility and strong leadership, problem-solving and communication skills in order to work effectively with other members of the team.

Responsibilities

• Performing and recording the patient history and physical examination and discussing findings with the collaborating team.
• Obtaining and coordinating laboratory results, charting of clinical findings in the EMR, orders, nursing instructions, and other required elements.
• Utilizing advanced practice knowledge to identify, prevent or solve complex and/or recurring hematology patient care problems.
• Following and managing patients (in collaboration with MD) to enhance continuity of care.
• Performing specialized procedures particular to the select medical oncology or classical hematology population mutually agreed upon with collaborating physician.
• Collaborating with staff and physicians to facilitate a comprehensive plan of care, coordinating resources and writing 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.
• Appreciating 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 medical oncology or classical hematology issues associated with therapy.
• Indications and interpretation of radiology, pathology, and laboratory results.
• Understanding the complex medical environments of cancer patients including, but not limited to, those with advanced malignancy or organ dysfunction.
• Writing orders which are in accord with current guidelines including antineoplastics.
• 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.
• 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.
• Is willing to obtain procedural proficiency for medical oncology specific procedures. Training will be provided.

Ideal Candidate

• 2+ years advanced practice and medical oncology experience is preferred.
• Prior oncology RN experience is preferred for NP applicants.
• Proficiency with Epic and EMRs preferred.
• EPIC In-basket management, telemedicine experience preferred.
• Familiarity with clinical trials preferred.

Essential Functions

• Provides direct care, counseling, and teaching to a designated patient population in the ambulatory, inpatient, operative, and/or procedural setting.
• Performs complete histories and physical examinations.
• Orders, interprets, and evaluates appropriate laboratory and diagnostic tests.
• Develops appropriate plans of care and follow-up based on the outcomes of diagnostic, laboratory, and physical examination findings.
• Consistently provides high quality and timely documentation including admission and progress notes, procedure notes, operative notes and discharge summaries.
• Performs bedside procedures as are appropriate to the patient population.
• Orders medications and writes prescriptions according to organizational and regulatory policies and procedures.