PA Neurology: Sleep Division

Site: The Brigham and Women''s Hospital, Inc.

Mass General Brigham relies on a wide range of professionals, including doctors, nurses, business people, tech experts, researchers, and systems analysts to advance our mission. As a not-for-profit, we support patient care, research, teaching, and community service, striving to provide exceptional care. We believe that high-performing teams drive groundbreaking medical discoveries and invite all applicants to join us and experience what it means to be part of Mass General Brigham.

Job Summary

Neurology Responsibilities:

• Performs patient histories and physicals and Neurology exams, documents information accurately in the patient medical record in a timely fashion
• Examines and evaluates patients and assists in development of their treatment plan with physicians; recommends and/or enters orders as needed to support high-quality patient care management
• Manage ongoing care for movement disorder patients, including medication adjustments, symptom management, and coordination of ancillary services.
• Educate patients and families about disease processes, treatment options, and self-management strategies.
• Stays up to date on the latest literature in Neurology care
• Maintains active PA licensure, MCSR/DEA licensure, and BLS/ACLS certification Performs other duties as assigned.

APP Responsibilities specifically within the Sleep Disorders clinic:

• The APP will primarily be responsible for follow-up care for established sleep medicine patients. Typical visits will include reviewing sleep study results for patients newly diagnosed with OSA, discussing treatment options, and managing follow-up for patients who are stable on PAP therapy but require compliance visits to maintain insurance coverage for PAP supplies and consumables.
• The APP will also follow stable patients with insomnia, hypersomnia, restless legs syndrome, and parasomnias who are receiving pharmacologic treatment, particularly controlled substances. These patients require regular longitudinal follow-up, at minimum every 6 months, to monitor treatment efficacy, side effects, safety, adherence, and appropriate medication use. The modes will incorporate best practices for monitoring, ensure opioid prescription protocols are followed and that state and that our practices are compliant with state and national guidelines. For example, opioid protocols require a visit every 4 months, but currently our sleep physicians at BWFH have a 6-8 month wait time for a follow up visit. In these cases, a patient can be seen for some of the follow up visits by an APP for adequate safety.

Principal Duties and Responsibilities:

• Provides direct care, counseling, and teaching to a designated patient population in the outpatient setting
• Performs complete histories and physical examinations
• Orders, interprets, and evaluates appropriate laboratory and diagnostic tests
• Develops appropriate plans of care and follow-up based on the outcomes of diagnostic, laboratory, and physical examination findings
• Orders medications and writes prescriptions according to organizational and regulatory policies and procedures
• Consistently provides high quality and timely documentation including consult H&Ps, progress notes, and procedure notes
• Practices cost effective medicine in an efficient manner, maximizing available resources
• Discusses patient data with other physicians and professionals as appropriate in a multidisciplinary setting
• Demonstrates expert clinical judgment skills to function in an independent role
• Efficiently responds to in-basket requests/messages from patients and other providers.
• Additional duties and responsibilities as required by the department/division

Non-Clinical Duties and Responsibilities:

• Demonstrates professional collaborative and consultative relationships with other providers
• Participates in departmental and organizational committees and programs as appropriate and attends all required meetings, in-services, and professional trainings
• Maintains superior interpersonal and communication skills as a member of the healthcare team to collaborate effectively with patients, families, staff, and community health workers
• Remains actively involved in continuing education with a commitment to self and departmental growth
• Adheres to all established safety policies, procedures, and precautions; identifies potential or actual unsafe situations in the environment and takes measures to rectify the situation
• Demonstrates understanding of procedures, policies, and documentation required to ensure compliance with hospital standards of care
• Additional duties and responsibilities as required by the department/division

Academic Responsibilities:

• Attend appropriate Neurology seminars, conferences, lectures, and other forums to support continuing medical education as approved by the Division leadership
• Provides teaching to medical students and physician assistant students and other health care personnel as appropriate
• Participates in quality improvement efforts and research efforts as directed by the service leadership
• Partakes in PA and Neurology Resident teaching opportunities through discussion of clinical cases and other educational sessions
• Participates in the PA student education program in Neurology
• Participates PA grand rounds and or other educational forums on the topic of neurology
• Communicates openly with supervising physicians and Department/Division leadership to improve patient, family, and care team satisfaction
• Performs other duties as assigned

Brigham and Women's Hospital is committed to supporting patient care, research, teaching, and service to the community. We place great value on being a diverse, equitable and inclusive organization as we aim to reflect the diversity of the patients we serve. At Mass General Brigham, we believe in equal access to quality care, employment and advancement opportunities encompassing the full spectrum of human diversity: race, gender identity, sexual orientation, ability, 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.

GENERAL SUMMARY/ OVERVIEW STATEMENT: The physician assistant (PA) is a licensed provider who has acquired a broad range of knowledge and skills through the successful completion of a physician assistant program. The PA is responsible for the assessment and management of various populations of neurology patients, including diagnostic and therapeutic interventions, development of appropriate plans of care and ongoing evaluation. The physician assistant works under the supervision of an attending physician and reports directly to the department chief physician assistant administratively. The PA will perform in accordance with all state and federal regulations and institutional policies including but not limited to the BWH PA Scope of Practice, Prescriptive Guidelines, approved clinical privileges, and BWH PA policy.

The MGB Sleep Disorders PA will do 8 sessions as full time which will be broken up between clinic sessions and administrative sessions. This 40-hour position will be M-F and locations will rotate between MGH, BWFH, and SSH. There are options for virtual visits.

Qualifications

Education

Master's Degree Physician Assistant required

Can this role accept experience in lieu of a degree?

No

Licenses and Credentials

Physician Assistant Massachusetts State License

Experience

Experience as a licensed Physician Assistant preferred but not required.

Knowledge, Skills and Abilities

• Skilled in taking medical histories to assess medical condition and interpret findings.
• Ability to maintain quality control standards.
• Ability to react calmly and effectively in emergency situations.
• Ability to interpret, adapt and apply guidelines and procedures.
• Ability to communicate clearly and establish/maintain effective working relationships with patients, medical staff and the public.

Additional Job Details (if applicable)

QUALIFICATIONS: The appropriate candidate will have successfully completed a graduate level physician assistant program (master's degree) accredited by the Accreditation and Review Committee for Physician Assistants (ARC-PA). Certification by the National Commission on Certification of Physician Assistants (NCCPA) must be obtained prior to first day of employment. The PA must hold a current valid license or be eligible for licensure as a physician assistant in the Commonwealth of Massachusetts. The PA must maintain a current DEA registration and Massachusetts Controlled Substance Registration and must complete 100 hours of CME according to national and state regulations during each two-year period of employment.

Remote Type

Onsite

Work Location

1153 Centre Street

Scheduled Weekly Hours

40

Employee Type

Regular

Work Shift

Day (United States of America)

Pay Range

$126,838.40 - $173,867.20/Annual

Grade

7

At Mass General Brigham, we believe in recognizing and rewarding the unique value each team member brings to our organization. Our approach to determining base pay is comprehensive, and any offer extended will take into account your skills, relevant experience if applicable, education, certifications and other essential factors. The base pay information provided offers an estimate based on the minimum job qualifications; however, it does not encompass all elements contributing to your total compensation package. In addition to competitive base pay, we offer comprehensive benefits, career advancement opportunities, differentials, premiums and bonuses as applicable and recognition programs designed to celebrate your contributions and support your professional growth. We invite you to apply, and our Talent Acquisition team will provide an overview of your potential compensation and benefits package.

EEO Statement:

2200 The Brigham and Women''s Hospital, Inc. is an Equal Opportunity Employer. All qualified applicants will receive consideration for employment without regard to race, color, religious creed, national origin, sex, age, gender identity, disability, sexual orientation, military service, genetic information, and/or other status protected under law. We will ensure that all individuals with a disability are provided a reasonable accommodation to participate in the job application or interview process, to perform essential job functions, and to receive other benefits and privileges of employment. To ensure reasonable accommodation for individuals protected by Section 503 of the Rehabilitation Act of 1973, the Vietnam Veteran's Readjustment Act of 1974, and Title I of the Americans with Disabilities Act of 1990, applicants who require accommodation in the job application process may contact Human Resources at (857)-282-7642.

Mass General Brigham Competency Framework

At Mass General Brigham, our competency framework defines what effective leadership "looks like" by specifying which behaviors are most critical for successful performance at each job level. The framework is comprised of ten competencies (half People-Focused, half Performance-Focused) and are defined by observable and measurable skills and behaviors that contribute to workplace effectiveness and career success. These competencies are used to evaluate performance, make hiring decisions, identify development needs, mobilize employees across our system, and establish a strong talent pipeline.