Lead Advanced Practice Clinician

CLASSIFICATION/STATUS: Exempt, Full-time

Immediate Supervisor: Medical Director

Supervisory Responsibilities: None

Salary: Band H $120,000 – $146,000/ year

WHO YOU ARE:

YOUR ROLE & IMPACT

The Lead Advanced Practice Clinician functions as a clinical leader and clinical team member, delivering care to a panel of patients for whom s/he has responsibility for the planning, implementation, coordination, and evaluation of care-related outcomes. As a clinical leader, the Lead APC will provide clinical advocacy and mentorship for all CRCH Nurse Practitioners and Physician Assistants. The Lead APC will work in partnership with the patient care team and other practice leaders to ensure effective delivery of care, and will actively support the achievement of patient, departmental, and organizational goals.

YOUR RESPONSIBILITIES

• In collaboration with the leadership team, the Lead APC will develop, advise, and support the Nurse Practitioners\’ and Physician Assistants\’ quality and safety of patient care within each interdisciplinary team, which may also include Nurse Practitioner and Physician Assistant students who are essential to the care delivery model.
• Coordinate care and patient care needs in conjunction with a variety of providers, including licensed independent providers acting in consultation, population managers, care managers, and other staff members.
• Identify opportunities for and initiate interdisciplinary collaboration to achieve team and patient goals.
• Utilize available resources and methodologies to advance practice within the department and beyond, with the aim of improving the care of all patients, particularly those most at risk for adverse outcomes.
• Collaborate with the other members of the team, appreciating and valuing their contributions, and encouraging all to \”work at the top of his/her license, role, education, and training\” to ensure effective care and service to patients, and efficient use of resources.
• Establish effective interpersonal relationships with other MAs, nurses, clinical departments, and interdisciplinary colleagues.
• Assist with coordinating and scheduling didactics for NPs/PAs (required for new/recent graduates; optional for NPs/PAs with 2+ years of practice experience).
• Perform weekly to bi-weekly one-on-one check-ins for new PA/NP graduates; perform monthly one-on-one check-ins as PAs/NPs become more comfortable and seasoned within their roles.
• Lead monthly PA/NP team meetings to review organizational, structural, and procedural issues, changes, and best practices within the clinic, including taking minutes and following up on action items.
• Collaborate and participate in Medical Department and team meetings including Medical Department leadership meetings.
• Regularly participate as a Provider Champion for the C3 Program, and attend all relevant meetings.
• Assist medical leadership with monitoring and addressing variances in productivity, hours, attendance and performance of NP and PA teams.
• Assist in on-the-ground troubleshooting, management of patient flow, and handling of patient care issues during clinic as needed (sometimes in the moment). Serve as a clinical and leadership resource for providers and other care team members.
• Advocate for NPs/PAs to ensure scheduling, expectations, and administrative responsibilities are being managed appropriately, and escalate organizational issues accordingly.
• Perform other related duties and responsibilities as required by the Medical Director or designee.

Patient Care Organization

• Act as direct care provider and work both independently and in collaboration with other providers to maintain a panel of patients.
• Provide direct care, counseling, and teaching to patients, perform physical examinations, and provide preventative health measures appropriate to patient needs.
• Order, interpret, and evaluate appropriate lab and diagnostic tests to assess patients\’ clinical problems and health care needs.
• Arrange for appropriate plan of care and follow-up based on outcome of diagnostic, lab, and physical assessment findings; seek consultation as appropriate.
• Order medications and write prescriptions according to organizational and regulatory policies and procedures.
• Record pertinent patient care findings in the electronic medical record system.
• Set priorities for appropriate and efficient management of patient care that reflects evidence-based practice and cost-effective management of time, available human resources, supplies, and equipment.
• Maintain an interdisciplinary approach to planning and communicating patient care information by discussing patient data with appropriate providers, the clinical team, and other health care professionals.
• Incorporate the concepts of health maintenance, prevention, and promotion into daily practice through patient education and counseling. Assist patients and families in self-care management through the provision of information, tools, and resources.
• Demonstrate awareness of community and hospital resources and assist staff, patients, and families to effectively utilize them.

Quality Monitoring

• Engage in regular performance improvement activities, use performance and patient outcome data for continuous quality improvement, and contribute to developing structure, processes, and systems to improve the care and disease management of patients.
• Monitor and address safety reports through a compassionate and systematic lens.
• Collaborate with physicians, physician assistants, and the interdisciplinary team to refine team goals and objectives and further ensure ongoing continuous improvements to the care delivery model.
• Analyze, interpret, and present team-based care results to various audiences as appropriate, including senior organizational leaders, departmental and practice leaders, nursing leadership, colleagues, and staff.
• Translate themes uncovered through ongoing quality monitoring and evaluation of the care model and the clinical practice of the interdisciplinary team.
• Participate and collaborate on population health efforts for pediatric and adult medicine to meet targets, and incorporate the role of Social Determinants of Health in Population Health.
• Lead, implement, and oversee NP prescription audits and new provider quality chart audits to ensure quality NP care.

YOUR QUALIFICATIONS & COMPETENCIES

• Current registration in nursing in the Commonwealth of Massachusetts required.
• MSN, DNP, or PhD required.
• National NP Certification required.
• Current nursing licensure in the Commonwealth of Massachusetts, APRN license to practice in Massachusetts required.
• At least five years of current NP experience in primary care at a community health center required, (current meaning within the last six months).
• Demonstrated knowledge of community-based care required.
• At least three years of informal (or formal) current leadership experience required (current meaning within the last six months).
• Experience working in a large complex health care organization required.
• Must have experience working with a complex, diverse patient population with extensive social determinants of health and behavioral health needs.
• Must have ability to work with a variety of information systems and databases: MS Word, Excel, PowerPoint, and Epic.
• Knowledge of – and commitment to – the principles of team-based care with an awareness of local, regional, and national trends in care redesign and transformation required.
• Spanish fluency preferred.
• Must maintain one standing evening session per week and 1-2 Saturday sessions per quarter.
• Must maintain a patient volume and/or panel size consistent with CRCH\’s business objectives, prorated based upon the percent of clinical hours worked if less than full time; must retain responsibility for the coordination and supervision of clinical aspects of health care provided to these patients.
• Must participate in CRCH\’s Quality Assurance Program and keep responsibility for the quality of the comprehensive, primary, preventative, family-oriented care provided.
• Must participate in the continuity of care of patients utilizing other health care facilities approved by CRCH for referrals, emergency room services, specialty referrals, and in-patient services in a cost-effective manner.
• Must participate, as requested, in recruitment, onboarding, and clinical oversight of clinical staff.
• Must participate in 24-hour and weekend on-call system as required by needs of CRCH and as scheduled by CRCH in conjunction with other providers. On call responsibilities are not prorated for providers working less than a full time schedule.
• When required, must be willing to participate in coverage for scheduled sessions during other providers\’ vacation, emergency, personal, or family leaves.
• Must have a willingness to work flexible hours to meet the organization\’s needs/demands.
• Willingness to support training needs for students, internships and preceptorship, as requested.
• Must have excellent communication skills, particularly with people from diverse cultures, with the ability to understand the community, population, and patients we serve.
• Must have experience in diverse cultures, with strong commitment to promoting Diversity, Equity, and Inclusion and reducing inequities.
• Must believe in the work we do at CRCH . click apply for full job details

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