NURSE PRACTITIONER, DIABETES

DIABETES PROGRAM NP, Full Time, 40 Hours, Rotating Shift, BWH BOSTON NURSE PRACTITIONER M.S.

GENERAL SUMMARY/ OVERVIEW STATEMENT:

The Diabetes Nurse Practitioner is an advanced practice registered nurse who has acquired specialized knowledge and skills in diabetes through completion of a nurse practitioner program, completion of a diabetes certificate program and/or work experience in the care of patients with diabetes. The practitioner has the credentials to function in an expanded nursing role and is responsible for the daily management of diabetes patients. The practitioner has the responsibility for assessment and management of patients including diagnostic and therapeutic interventions, and continuous implementation and evaluation of appropriate plan of care. The nurse practitioner works with their collaborating physician in accordance with mutually developed practice guidelines, members of the care team and is responsible to the Nursing Director or Executive Nursing Director for the area for specific to the discipline of nursing. After-hours coverage and some weekend coverage will be required.

Nursing at Brigham and Women's Hospital is known for their excellent clinical practice and for keeping patients and their families at the center of all they do. We understand that great care is shaped by relationships with patients and their families. That's why we're committed to knowing our patients on a deeper level - not just as patients, but as individuals - to ensure that they, and their families, feel known and cared for. As BWH, we proudly work together with a spirit of inquiry and a deep commitment to providing the highest quality, evidence-informed and theory-guided care in an inclusive environment. We work each day to achieve our vision - to provide excellent care to patients and families, with the best staff, in the safest environment. Just as we have been able to reinvent health care, we have also transformed health care careers. Whether measured in terms of lives saved, awards earned, or the personal satisfaction of stretching your talents - a career with BWH is unlike any other in the health care field. Here you'll find a workplace where collaboration and teamwork are the norm, not the exception - physicians, nurses, technicians, staff and management form a close-knit bond, based on mutual respect and devotion to our patients. If you want an enormously fulfilling career, there's no better place to be.

PRINCIPAL DUTIES AND RESPONSIBILITIES:

1. In clinical care, performs in the role of Licensed Independent Practitioner and is responsible to work independently and in collaboration with other providers to maintain a panel of patients.
2. Provides direct care, counseling, and teaching to a select patient population in both the ambulatory and inpatient settings as needed.
3. Works collaboratively with the Diabetes Management Services (DMS) team members to provide direct care, counseling and teaching to patients with diabetes admitted to BWH inpatient service. Requires candidate to be on site for all inpatient management.
4. Provides comprehensive diabetes education in both one-on-one as well as in group settings, which may include travel among various primary care and specialty clinic sites.
5. May be required to participate diabetes based clinical trials, specifically recruiting, enrolling and monitoring patients for the duration of their participation in trial.
6. Provides patient instruction in the use of and administration of injectable medications, Continuous Glucose Monitoring systems (CGMs) and Insulin pump therapy.
7. Performs physical examinations and provides preventative health measures appropriate to patient needs.
8. Works collaboratively with physicians and other to triage diabetes-specific clinical calls from patients and direct care appropriately.
9. Orders, interprets and evaluates appropriate lab and diagnostic tests to assess patients' clinical problems and health care needs.
10. Arranges for appropriate plan of care and follow-up based on outcome of diagnostic, lab, and physical assessment findings.
11. Performs laboratory tests appropriate for specific patient population.
12. Orders medications and writes prescriptions according to organizational and regulatory policies and procedures.
13. Records pertinent patient care findings in the medical record.
14. Sets priorities for appropriates and efficient management of patient care that reflects cost effective management of time, available human resources, supplies and equipment.
15. Maintains interdisciplinary approach to planning and communicating patient care information by discussing patient data with appropriate physicians and other health care professionals.
16. Utilizes available resources and methodologies to advance practice within the division and beyond, with the aim of improving the care of all patients, particularly those most at risk for adverse outcomes.
17. Incorporates the concepts of health maintenance, prevention and promotion into daily practice through patient education and counseling.
18. Demonstrates awareness of community resources and assists staff, patients, and families to effectively utilize them.
19. Performs other related duties and responsibilities with the support of the diabetes program team as required.

At the Brigham, we place great value on being a diverse and inclusive community. Brigham Health and the Department of Nursing are dedicated to diversity, equity and inclusion as we aim to reflect the diversity of the patients in our local community. We have a dedicated focus on equity. Thus, we believe in equal access to quality care, employment and advancement opportunities encompassing the full spectrum or human diversity: race, gender, sexual orientation, religion, ethnicity, national origin and all the other forms of human presence and expression that make us better able to provide innovative and cutting-edge healthcare and research.

QUALIFICATIONS

1. Masters' (or) DNP (or) PhD Degree in Nursing required. Completion of a Master's or post Masters' degree in adult or family NP program accredited by the Commission on Collegiate Nursing Education (CCNE) or the National League for Nursing Accrediting Commission (NLNAC).
   
2. APRN license to practice in Massachusetts required.
   
3. National Certification: Family or Adult-Gero Nurse Practitioner required.
   
4. Certified Diabetes Care and Education Specialist (CDCES) or Board Certification in Advanced Diabetes Management (BCADM) required.
   
5. Two years of direct Diabetes management experience as an NP required.
   
6. Experience in Research preferred.
   
7. Bi-lingual strongly preferred, Spanish or Haitian Creole preferred second languages.
   
8. Experience in Motivational Interviewing preferred.
   
9. Demonstrated knowledge of hospital-based and community-based care-strongly prefer both.
10. Experience working in large complex health care organizations preferred.
    
11. Experience working with a diverse patient population preferred.
    
12. Ability to work with a variety of information systems and databases: MS Word, PowerPoint, Access, and Electronic Health Record.
    
13. Knowledge of and-commitment to the principles of team-based care and aware of local, regional and national trends in chronic disease care redesign and transformation.

SKILLS AND ABILITIES REQUIRED

• Expert clinical judgement skills to function in the independent role
• Strong organizational skills
• Excellent interpersonal relationship and communication skills to collaborate with patients' families, staff, and community health workers
• Must possess the ability to function clinically both as an autonomous provider and as a member of an interdisciplinary team
• Ability to work collaboratively with a variety of clinical and administrative staff forming strong partnerships
• Ability to function at the highest level professionally and clinically
• Ability to work with frequent stress resulting from busy clinical settings and changing organizational climate
• Ability to be self-directive and demonstrate initiative in addressing responsibilities of position
• Ability to utilize appropriate problem solving and conflict resolution skills

WORKING CONDITIONS

• Fast paced clinical, in-patient and ambulatory, settings
• Frequent, daily use of computer, telephone, fax machine
• Occasional early or late meetings
• Internal and external presentations