Nurse Practitioner/Physician Assistant, Urgent Care

Reports to: Clinical Leader, Urgent Care

About the role

The Urgent Care Nurse Practitioner or Physician Assistant provides direct patient care to MIT Health patients. This role assesses patient’s health status through interview and physical exam and synthesizes clinical information to formulate health status, diagnosis, development of plan of care and treatment, implementation of treatment plan, and evaluation of follow-up strategies according to age-specific plans of care. The work is performed in accordance with MIT Health Policies as well as State and Federal rules, regulations, and standard of care. The Nurse Practitioner provides health education, supportive counseling, and clinical outreach to the MIT community in collaboration with other individuals or services at MIT Health and across the MIT Community.

Responsibilities

• Functions independently to perform age-appropriate history and physical exam of patients, including infants through geriatric population.
• Assesses health status through interview, physical exam, and review of the medical record as evidenced by documentation in the medical record and presentation.
• Demonstrates assessment skills for common episodic complaints such as infections, musculoskeletal problems, chest pain, headache, abdominal pain, dermatologic problems, mental health concerns, ophthalmologic disorders, respiratory disorders, GI problems, GU problems, GYN complaints, and minor surgical problems. Includes treatment of anaphylaxis, chemical, and radiation exposure.
• Triages emergencies and coordinates transfer of patients to the emergency room when needed.
• Performs phlebotomy, initiates IVs, and performs minor surgical procedures, including suturing minor lacerations, simple I&D of cysts and abscesses, etc.
• Synthesizes clinical information to differentiate between normal and abnormal findings as documented in the medical record and case presentation.
• Uses clinical judgment and consultation with physicians to identify health problems and treatment strategies.
• Formulates and directs appropriate treatment, including prescription writing, emphasizing a comprehensive approach to individual and family needs.
• Orders and interprets diagnostic and therapeutic tests relative to patient’s age-specific needs.
• Prescribes appropriate pharmacologic and non-pharmacologic treatment modalities.
• Implements interventions to support patient physiologic stability and assists with procedural care in accordance with regulations.
• Monitors patient compliance with opioid medication through periodic toxicity screening, communication with referring providers, and opioid risk assessment questionnaires.
• Conducts telephone encounters and written correspondence for follow-up, patient education, and triage as necessary.
• Documents legibly and in a timely manner the subjective and objective data, clinical impressions, and plan of care.
• Monitors the effectiveness of interventions.
• Performs other duties as assigned.

Requirements

• Master’s Degree in Nursing and Graduate of an accredited Family Nurse Practitioner Program or Physician Assistant Program.
• Current Advanced Practice Registered Nurse (APRN) Certification or Physician Assistant National Certifying Examination (PANCE).
• Current provider card in Basic Life Support (BLS).
• Advanced Cardiac Life Support (ACLS) preferred.
• MA Board authorization to practice as an Advanced Practice Nurse or MA Physician Assistant license.
• Valid prescriptive authority from both the MA DPH-DCP and Federal DEA.

Skills

• Written Communications: Ability to summarize and communicate moderately complex information in varied written formats to internal and external customers.
• Oral Communications: Ability to comprehend and communicate complex verbal information in English to staff, patients, families, and external customers.
• Knowledge: Ability to demonstrate in-depth knowledge of concepts, practices, and policies with the ability to use them in complex varied situations.
• Team Work: Ability to collaborate with PAs, Medical Assistants, Physicians, and administrative staff to ensure optimal clinical care. Must attend monthly Clinical meetings.
• Customer Service: Ability to provide a high level of customer service and staff training to meet standards and expectations. Resolves service issues in a timely and respectful manner. Responds to patient phone calls within 24 hours (received during normal business hours).

Schedule

The NP/PA will work three 12-hour shifts, or two 12-hour shifts plus two 6-hour shifts. Weekends on rotation, and holidays.

Pay

$125,000 - $150,000 annually, final salary determined by MIT’s compensation team based on the skills and experience of the person hired.