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Nurse Practitioner (NP) for MGH Colorectal Surgery Program

Employer
Massachusetts General Hospital
Location
Boston, MA
Closing date
Oct 2, 2022

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Profession
Nurse Practitioner
Specialty
Nursing, Surgery
Job DescriptionUnder the supervision and direction of the directors of the Colorectal Surgery Program and Pelvic Floor Disorder Service (and Chief of Gastrointestinal and Oncologic Surgery) and in accordance with the rules and regulations of the State of Massachusetts governing advanced practice provider (APP) practice, the APP will be responsible for the care of patients assigned to the MGH colorectal program including the Center for Pelvic Floor Disorders, in the Division of Gastrointestinal and Oncologic Surgery. The APP will coordinate and assist in assessment and management of patients in the colorectal surgery center including preoperative assessments, treatment of pelvic floor patients, and performing outpatient anorectal procedures including anorectal manometry, biofeedback therapy, high resolution anoscopy, anal ultrasounds, and hemorrhoidal banding, The APP will obtain patient histories, perform comprehensive physical examinations on patients, perform therapeutic procedures, coordinate tests and consultations, implement treatment plans, communicate with referring physicians, and perform patient education. The incumbent is responsible to maintaining state licensure in good standing.

The management of colorectal surgery patients, including pelvic floor patients, in the outpatient setting in conjunction with the supervising surgeon and senior surgical resident / fellow. Includes clinical management of adult patients with benign colorectal and pelvic floor disease in the outpatient setting in conjunction with the MGH Colorectal Surgery Program physicians.

Initial Visits to Colorectal Program:
  • Obtains a detailed, accurate medical history and performs a comprehensive physical examination.
  • Coordinates consultations/testing for patients with either GI Medicine or Surgery.
  • Treats patients with initial medical management
  • Assists in patient education.
  • Coordinates distribution of charts of anorectal physiology patients to the physicians involved in their interpretation.
  • Performs minor anorectal procedures including:
  • Anorectal manometry
  • Anal ultrasound
  • High Resolution anoscopy (HRA)
  • Hemorrhoid banding
  • I and D of perianal abscess
  • Excision of thrombosed hemorrhoids
  • Anal and perianal biopsies
Subsequent to the Visit to the MGH Colorectal Program:
  • Reviews the final interpretation of studies and communicates significant finding to the physician.
  • Follows up on any other tests that were ordered after the visit (e.g. blood tests, stress tests), and communicates results of outpatient testing to the patients.
  • Participate and present patients to Center for Pelvic Floor Disorder Conference as appropriate
Preoperative:
  • Assists in preoperative evaluation and education., obtaining a detailed accurate history and conducting a
comprehensive physical examination.
  • Reviews diagnostic data.
  • May order necessary diagnostic tests, consultations and procedures as requested by the attending surgeon.
  • Prescribes medications / medication refills while adhering to hospital policies for medication administration as
necessary.

Other Duties:
  • Travels between multiple outpatient sites of service for care and management of patients.
  • Receives routine clinical questions or updates from patients, whether by phone or through patient portal
  • Promotes efficient utilization of anorectal and pelvic floor physiology procedure supplies.
  • Participates as requested in MGH and MGB quality initiatives.
  • Participates in various hospital and system committees as assigned.
  • Insures timely and accurate submission of all charge related documentation for clinical services provided.
  • Meets routinely with Colorectal Program physicians, DHC Colorectal Intake Coordinator, PFDC physicians and leadership to report on activities, referral patterns, customer satisfaction, problems, and recommendations.
  • Meets routinely with supervisors to review statistics, progress and overall performance of the program.
Educational:
  • Develops and implements routine patient instructions for benign colorectal disease, anorectal disease, and pelvic floor testing.
  • Participates in General Surgery/Department of Surgery educational meetings
  • Assists in clinical research related to colorectal surgery and pelvic floor disorders
  • Pursues independent learning opportunities.
  • Completes continuing education in relevant fields to maintain professional licensure
  • Completes the necessary hours of continuing medical education during each 2-year period of employment. Attends internal and external education meetings and reads appropriate professional journals in order to maintain and enhance skills and clinical competence. Is encouraged to advance his/her medical and technical skills as appropriate to deliver optimum patient care.

QUALIFICATIONS:
  • Certified as a Nurse Practitioner or Physician's Assistant
  • Current Licensed/Registered NP or PA in Massachusetts
  • Qualified in all basic and advanced cardiac life support standards as established by the American Heart Association.
  • Ideal candidate would have 3-5 years experience in the Advanced Practice role, particularly in the full-service gastroenterology or colorectal arena. Must be a highly motivated individual who will work in a collaborative manner with physicians and other clinicians.


Qualifications
QUALIFICATIONS:
  • Certified as a Nurse Practitioner or Physician's Assistant
  • Current Licensed/Registered NP or PA in Massachusetts
  • Qualified in all basic and advanced cardiac life support standards as established by the American Heart Association.
  • Ideal candidate would have 3-5 years experience in the Advanced Practice role, particularly in the full-service gastroenterology or colorectal arena. Must be a highly motivated individual who will work in a collaborative manner with physicians and other clinicians.
  • Must be able to work at multiple clinical locations.

SKILLS/ ABILITIES/ COMPETENCIES REQUIRED:

  • Maturity, self-confidence, and ability to develop a new and comprehensive program to support the management of benign colorectal disease.
  • Time Management: Exceptional organizational skills and ability to prioritize effectively and complete tasks; Flexibility to handle multiple tasks and deadline pressures.
  • Leadership: Highly motivated, independent and capable of performing in a complex environment; Strong sense of initiative and perseverance to carry through to completion of tasks; Demonstrates forthrightness and integrity. Ability to identify issues/projects and initiate plans to address asking for direction when appropriate; Ability to communicate effectively, sell ideas, and take ownership and responsibility for activities.
  • Interpersonal/communication: Excellent interpersonal, written and oral communication, and public speaking skills; Good command of English language, including medical and scientific terminology.
  • Information Systems/Technology Skills: Exceptional computer skills (including operating systems, word processing, database, electronic mail, Internet, spreadsheets, and other office management systems); Ability to maintain database and run associated analysis and reporting as needed to track growth of referrals.
  • Quality Assurance: Skills to work efficiently and effectively and strive to do so in all aspects of position; Effective project management skills and attention to detail.
  • Critical Thinking/Decision Making: Ability to appropriately evaluate all aspects of a situation and to independently make appropriate and timely decisions.
  • Discretion and Confidentiality: Ability to handle sensitive and confidential matters discreetly.
  • Safety/Compliance: Knowledge in aspects of safety applicable to position; Knowledge of and compliance with institutional, JCAHO, HIPAA, and other regulatory bodies' standards.
  • Diagnose and treat health problems; obtain patient histories, perform comprehensive physical examinations,
perform simple diagnostic tests / procedures and prescribe medications.
  • Knowledge and compliance with all hospital, State and Federal regulatory requirements, including hospital
Policy and procedures (where applicable to the performance of the job), JCAHO and HIPAA.

EEO Statement
Massachusetts General Hospital is an Equal Opportunity Employer. By embracing diverse skills, perspectives and ideas, we choose to lead. Applications from protected veterans and individuals with disabilities are strongly encouraged. Partner's Healthcare is acting as an Employment Agency in relation to this vacancy.

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