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Job description
When you join the growing BILH team, you're not just taking a job, you're making a difference in people's lives.
nThe Lahey Clinic's mission statement as approved by the Board of Governors and the Board of trustees is as follows:
nLahey Clinic, as one of the world's premier health care organizations, will:
n· Provide superior health care leading to the best outcome for every patient.
n· Exceed each day our patient's high expectations for service.
n· Advance medicine through research and the education's of tomorrow's health care leaders.
nJob Description:
nPrincipal Duties and Responsibilities:
nFunction
nnReceive and triage telephone request for information, appointments and/or medication renewals. Make
n nappropriate and timely decision regarding the patient's compliant and/or request utilizing clinical knowledge and
nskill to extract pertinent data.
nnIdentify, coordinate and delegate as necessary, appropriate health care professional to facilitate delivery of
n ncare. Provide appropriate and timely communication with the attending physician.
nnnProvides thorough and accurate documentation in the medical record by documentation of all pertinent data, therapeutic interventions, patient responses and any medical/surgical procedures.
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nnPerform routine bedside procedures and order tests and procedures as indicated.
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nnCommunicate immediately to attending physicians any gross abnormalities in patient lab levels or test results.
n
nnRound on Hepatobiliary and Liver Transplant patients on a daily basis as assigned by the attending surgeons
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n nand in coordination with the Transplant Fellow and Surgical resident.
nnnAdmission history and physical exams; discharge summaries
n
nnManages and communicates information through various processes which include but are not limited to the use
n
n nof computers, telephone systems, direct and indirect observations and documents in the medical record.
nnActively involve the patient and family as appropriate in implementing the plan of care. Prioritize care needs
n nand ensures the appropriate availability and accessibility of treatment for the patient.
nnDevelop and initiate the plan of care by collaborating with physician, other health care professionals and
n nfamily members. Provides counseling and education to both the patient and the family. Ensures treatment plan
nis individualized based on the patient and family's level of understanding.
nnnParticipates in grand rounds as necessary to assure continuity of quality care.
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nnDocuments as indicated in the department database.
n
nnComplete history and physicals, daily notes and discharges summaries on assigned impatients. Differentiates
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n nnormal results from abnormal findings.
nnObtain detailed history and performs baseline and interval health examinations. Completes medical histories,
n nphysical assessment and differentiates normal results from abnormal findings. Identify wellness and risk
nfactors; communicating relevant data via dictation and/or provide complete, accurate written documentation in
nthe patient's medical record.
nnnCollaboratively perform biopsies or line placements as indicated by the attending and the needs of the patients.
n
nnDuring the admissions process, develop and initiate the plan of care by collaborating with physicians and other
n
n nhealthcare professionals and family members.
nnComplete history and physicals, daily notes and discharges summaries on assigned inpatients. Differentiates
n nnormal results from abnormal findings.
nnnAssist in the maintenance of the Cardiothoracic Computer Database by appropriate data entry.
n
nnPerform routine health examinatins through baseline histories, review of symptoms and complete medical
n
n nhistories and physical examinatins. Differentiate normal results from abnormal findings.
nnnCompletes a quarterly review with the supervising physician on a timely basis.
n
nnEnsures summaries include complete examinations, office visits, telephone conversations and testing requests
n
nnUtilize physical assessment skills on an ongoing basis to identify, communicate and document patient
n
n nproblems. Recognizes changes in mental and physical condition. Implement appropriate action based on
nassessment to ensure patient safety, well being and satisfaction.
nnFormulates desired outcomes specific to the individual patient problem/diagnosis and specifies interventions as
n nappropriate. Prescribe, in collaboration with or at the direction of the attending physician, medications specific
nto the patients' diagnosis and level of medication tolerance and in accordance with Lahey Clinic policies and
nprocedures.
nnObtain detailed history and performs comprehensive physical examinations. Completes medical histories,
n nphysical assessment and differentiates normal results from abnormal findings. Identify wellness and risk
nfactors: communicating relevent data via dictation and/or provide complete, accurate written documentation in
nthe patients medical record. Obtains consents for total joint surgery and implements the study materials.
nnFollow through on achievement or failure of obtaining the desired outcomes and provide timely communication
n nto attending physician.
nnnEnsures treatment plan is individualized based on the patient and family needs.
n
nnComplies with all policies and procedures as set forth by Lahey Clinic and all state and federal regulations.
n
nnEnsures summaries include complete examinations, office visits, telephone conversations and testing request.
n
nnAssist in the operating room as requested.
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nnReview of the plan of care on an ongoing basis and revise the plan as necessary per patients progress or lack
n
n nthere of. In conjunction with the attending physician, research medical protocols to determine an appropriate
nchange in care plan.
nnnProvides complete and accurate documentation in the patient's medical record.
n
nnAnticipates potential emergency situations and perform appropriate treatment/intervention measures.
n
n nPerform a variety of routine procedures to expedite patients' response to plan of care.
nnnAll documentation is completed in a timely manner per Lahey Clinic policy.
n
nnDetermine and order necessary laboratory and diagnostic tests. Perform and interpret various diagnostic tests
n
n nincluding blood tests, MRI, CT scans, EKGs etc. Assists patients in areas other than the primary specialty including, but not limited to, recognizing the patients' mental and physical conditions and initiates appropriate assistance from other health care professionals.
nnnIdentify and manage specified acute illness i.e., URI, UTI, vaginitis, etc.
n
nnOperating room participation, including: saphenous vein harvesting; wound closure; first and second assisting
n
n non cardiac; pulmonary; and esophageal procedures.
nnnDetermine and order necessary lab and diagnostic tests.
n
nnFormulates desired outcomes specific to the individual patient problem/diagnosis and specifies interventions as
n
n nappropriate.
nnnOrder and adjust medications in conjunction with attending physicians.
n
nnManages and communicates information through various processes which include but are not limited to use of
n
n ncomputers, telephone systems, direct and indirect observation and documents in the medical record.
nnAnticipate and intervene potential problems/complications before they occur and initiates protocols and
n ntherapeutic measures in collaboration with the physician and according to established standards of practice.
nnnIdentify and manage urgent care i.e., superficial wounds and laceratins, burns, sprains, minor fractures, etc.
n
nnPerioperative technical procedures, including but not limited to:changing of pulmonary artery, central venous
n
n npressure, triple lumen, and double lumen catheters
nb) removal of chest tubes
nc) insertion and changing of arterial lines
nd) removal of intra aortic balloon pumps
ne) removal of temporary epicardial pacing wires
nf) insertion of nasogastric tubes
ng) emergency endotracheal intubation
nnMeets all guidelines for continuing educaton/recertification for continued practice in the Orthopaedic Surgery
n nDepartment.
nnPostoperative patient care (ICU, Step-down unit, and floor)
n nThese duties would include, but are not limited to:
na) Recognition of disturbance in the normal postoperative course recovery following open heart, pulmonary,
nand esophageal surgery
nb) Recognition and management of postoperative hemodynamic abnormalities including hypertension and
nhypotension. This would include the interpretation of hypodynamic data and the use of pressor and inotropic
nagents.
nc) Recognition and management of arrhythmias, including the use of anti-arrhythmic drugs and the use of an
nexternal cardioverter/defibrillator.
nd) The use of an external pacemaker and epicardial pacing wires.
ne) Acquisition of information for daily rounds, as determined by the attending surgical staff, and presentation of
nthis data on each patient.
nf) Writing of daily progress notes and orders, under supervision of Chief Resident and/or attending staff
ng) Arrange inter service consultation
nnnReview test results and act in an expedious manner to correct any abnormal findings.
n
nnPrescribe, in collaboration with or at the direction of the attending physician, medications specific to the
n
n npatient's diagnosis and level of medication tolerance.
nnnMonitor and manage stabilized patients with chronic diseases i.e., hypertension, diabetes, thyroid, etc.
n
nnReview plan of care on an ongoing basis and revise the plan as necessary per patient's progress or lack
n
n nthereof. In conjunction with the attending physician, research medical protocols to determine an appropriate
nchange in care plan.
nnMake appropriate and timely decisions regarding patient complaint and or request utilizing clinical knowlege
n nand skill to extract pertinent date.
nnnRespond to and assist in the treatment of patients requiring emergency care.
n
nnWrite prescriptions and medication orders; dispense sample medications and administer injections and
n
n nimmunizations under established guidelines.
nnnInitiates appropriate assistance from other healthcare professionals as required.
n
nnActively involve the patient and family as appropriate in the implementing of the plan of care. Prioritizes care
n
n nneeds and ensures the appropriate availability and accessibility of treatment for the patient.
nnnProvide post operative and post procedure care by removing sutures as indicated and performing wound care.
n
nnMake referrals to outside health care specialists and provide halth care management for HMO and PPO
n
n nmembers; initiate written referrals to insurance companies as necessary.
nnnEducate and actively involve patient and family members in post surgical care.
n
nnAssist with completion and/or review completed forms i.e.; office visit and lab encounter forms, insurance and disability, worker's compensation, etc. and provide necessary signatures. Provide direction to medical records staff regarding completion of forms and APS release.
n
nnIdentify, coordinate and delegate, as necessary, appropriate healthcare professionals to facilitate the delivery of
n
n ncare.
nnTeach and counsel patients in preventive health care i.e.; basic nutrition, specialized diets, obesity, smoking,
n nexercise, sexuality, etc.
nnAssist discharged hospital patients with home treatment preparation and provide education to family members
n nresponsible for providing home patient care.
nnFollow through on an achievement or lack thereof based on outcome evaluation. Provide appropriate and
n ntimely communication with attending physician.
nnPerform minor surgical procedures and provide follow-care i.e.; suturing/suture removal, dressing changes,etc.
n nin accordance with past training
nnPerform routine procedures i.e., collections of specimens for culture and vaginal or microscopic examination
n nincluding PAP smears as well as blood, urine and stool specimens.
nnProvides thorough and accurate documentation in the medical record by documenting all pertinent data,
n ntherapeutic interventions, patient responses and any medical/surgical procedures.
nnnEnsure summaries include complete examinations, office vistits, telephone conversations and testing requests.
n
nnPerform and interpret a variety of diagnostic tests including but not limited to timed vital capacity, audiograms,
n
n npulmonary function tests, tympanometry, visual acuity, electrocardiograms, and skin test.
nnManages and communicates information through various processes which include but are not limited to the use
n nof computers, telephone systems, direct and indirect observations and documents in the medical record.
nnnConduct house calls as deemed necessary
n
nnCommunicate relevant patient data via dictation and/or provide complete written documentation in the medical
n
n nrecords including summaries of examinations, office visits, progress notes, telephone conversations,
nprocedures and tests; maintain patient confidentiality.
nnnAdhere to patient care standards as defined by collaborating physician and Medical Director.
n
nnAttend regularly scheduled provider meetings and serve on committees in order to develop and assist with
n
n nplanning, developing, implementing and monitoring new or revised clinical programs within group practice.
nnParticipate in ongoing educational programs for NP's or PA's; maintain professional development through
n norganizational and community resources, conferences, workshops, etc.; maintain BCLS certification.
nnnMaintain collaborative working relationships with all levels of staff.
n
nnProvide on-call coverage on designated weekends and holidays, based on a rotation; treat acute care patients
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n nin the office and triage in collaboration with on-call physician.
nnMaintain established departmental policies and procedures, objectives, quality assurance program, safety
n nenvironmental and infection control standards.
nGuiding Principles: Indicate the departments expected standards regarding respect, caring, teamwork excellence, and commitment to personal best.
nSize and Scope of Position: Indicate the quantitative measures that apply to this section.
nMinimum Qualifications:
nnnEducation: Bachelor's degree.
n
nnLicensure, Certification, Registration:Appropriate license.
n
nnSkills:
n
nnExperience:
n
nnPreferred Qualifications:
n
n nPay Range:
n$99,840.00 USD - $161,250.00 USD
nThe pay range listed for this position is the annual base salary range the organization reasonably and in good faith expects to pay for this position at this time. Actual compensation is determined based on several factors, that may include seniority, education, training, relevant experience, relevant certifications, geography of work location, job responsibilities, or other applicable factors permissible by law.
nAs a health care organization, we have a responsibility to do everything in our power to care for and protect our patients, our colleagues and our communities. Beth Israel Lahey Health requires that all staff be vaccinated against influenza (flu) as a condition of employment.
nMore than 35,000 people working together. Nurses, doctors, technicians, therapists, researchers, teachers and more, making a difference in patients' lives. Your skill and compassion can make us even stronger.
nEqual Opportunity Employer/Veterans/Disabled
Worksite address
burlington, MA, 01805, US
Who can apply
Review the original listing for work authorization, qualifications and employer requirements.