Assesses patient health by interviewing patients and performing physical examination (including obtaining, updating, and studying medical histories). Develops a problem list, differential diagnosis and treatment. Recommends options and courses of action for patient care. Composes visit letter and routes to Attending Physician. Determines abnormal conditions by administering or ordering diagnostic test, such as X-rays and laboratory studies and by interpreting test results. Answers patient phone calls with initial input from attending MD or other APP staff. Implements physician directives. Completes prior authorizations Performs therapeutic procedures by administering injections and immunizations, suturing, and managing wounds and infections. Protects patients and employees by adhering to infection-control policies and protocols. Complies with federal, state, and local legal and professional requirements by studying existing and new legislation; anticipating future legislation; and enforcing adherence to requirements and advising management on needed actions. Participates in continuing education, quality assessment, medical rounds, conferences and research studies. Keeps abreast of advances in patient care. IF on the in-patient service:Rounds with team,Evaluates patients and writes note for attending signature,Assists with hospital to home transition -discharge planning.

About the Unit: Our 22-bed MICU at Boston Children's Hospital is dedicated to providing exceptional care for patients spanning the age continuum. We manage a wide range of diagnoses, including respiratory failure & complex respiratory disease progression, septic shock, heart failure, diabetic ketoacidosis, metabolic crises, post-lung transplant care, and patients with chronic medical complexity. Join a compassionate and highly skilled team that values personalized care and the power of multidisciplinary collaboration to deliver the best outcomes for our patients and their families. We are a close-knit group committed to empowering autonomous practice in our nurse practitioners to actively participate in bedside care and make crucial management decisions.The Nurse Practitioner or Physician Assistant will be responsible for :Providing front-line care and coordination for complex, critically ill patients in the MICU, including assessment, diagnosis, pharmacological and non-pharmacological interventions, bedside procedures, and family-centered care.Collaborating and consulting with acute care providers and interdisciplinary team members on all assigned inpatients during daily rounds. Managing assigned patients throughout the course of the day.Participating in ongoing research and quality improvement initiatives.Facilitating patient/family and multidisciplinary team education.To qualify, you must have:A minimum of 2 years of Pediatric ICU experience.1-2 years of Pediatric acute care NP or PA experience is preferred; new graduates will also be considered with previous ICU experience.A graduate degree from an accredited Nurse Practitioner or Physician Assistant program.Certified Family or Pediatric Nurse Practitioner (FNP or PNP).PALS preferredAvailability to work 40 hours per week, rotating day/night shifts, and a maximum of every third weekend. *Sign-on bonus of $5,000.00 (for people who have not worked at BCH in the past 2 years.)Boston Children’s Hospital offers competitive compensation and unmatched benefits including flexible schedules, affordable health, vision and dental insurance, childcare and student loan subsidies, generous levels of time off, 403(b) Retirement Savings plan, Pension, Tuition and certain License and Certification Reimbursement, cell phone plan discounts and discounted rates on T-passes. Experience the benefits of passion and teamwork.

General Summary: The Structural Heart Program within the Department of Cardiology at Boston Children’s Hospital is seeking an experienced Physician Assistant to join our team as a primary point of contact across the continuum of care for patients, families, and their care team to facilitate referral management, triage coordination, provide patient education, pre, and post-procedural follow-up for our patients undergoing procedures within the Structural Heart Program. There is potential for participation in interventional procedures for qualified and interested candidates. We are looking for an individual to excel at facilitating multidisciplinary clinical collaboration and communication to develop treatment plans and optimize patient outcomes.This Structural Heart Program Physician Assistant or Nurse Practitioner will be responsible for and experience: Facilitates collaboration with members of the multidisciplinary team and consulting services to provide comprehensive care for optimal patient outcomes.• Collaborates with the Cath Lab Attending physician and surgeon to plan and conduct patient assessment, medical history, physical exams, and diagnose health problems.• Sees patients in clinic and via telehealth independently and/or with interventionalist; facilitates complete diagnostic assessment and provide verbal and written education.• Potential for interventional procedural involvement and assistance, if qualified.• Active participation in Structural Heart Program meetings including presentation of clinical information, plan development, communication, and continued management and modification of care plan.• Participation in program development and evaluation, ongoing research, and quality improvement initiatives in the Structural Heart Program.• Offer consultation and education to all staff, patients, and families.• Coordination of complex discharge and follow-up planning needs.• Working collaboratively in a patient-centered environment.• The PA may need to see patients at other BCH satellite clinic locations (Waltham)• Applicants interested in participating in procedures will be required to meet Fluoroscopic Requirements for PAs in Massachusetts before being granted privilegesTo qualify, you must have:• A graduate degree from an accredited Physician Assistant or NP program.• A minimum of 1 year in either surgical/interventional, cardiac, or ICU experience.• Possess leadership, critical thinking skills and adaptability• Communication skills to work collaboratively with medical and procedural colleagues, staff and trainees.• A current license from the Commonwealth of Massachusetts to practice as a Physician Assistant or Nurse Practitioner.Schedule: (4) 10 hour shifts

Nurse Practitioner (NP) or Physician Assistant (PA) to function in the inpatient Complex Care Service (CCS) at Boston Children’s Hospital. CCS is a long-standing and nationally-regarded inpatient service in Pediatric Hospital Medicine within the Division of General Pediatrics that serves hospitalized children with medical complexity, who have complex chronic conditions and functional limitations. Common reasons for admission to CCS include infections (aspiration pneumonia, pyelonephritis), chronic condition exacerbations (epilepsy, digestive dysmotility), and post-operative recovery following surgery (baclofen pump placement, gastrostomy, spinal fusion, etc). This role will provide patient evaluation, assessment and facilitate care for the patients on the CCS service and will implement interventions tailored to improve systems for patient care and enhance patient safety in regards to this patient population. The CCS NP/PA will work collaboratively with supervising physicians, pediatric trainees (residents and fellows), and the entire nursing team to promote optimal clinical care. This NP/PA will act as a clinical resource, facilitating staff educational opportunities. Setting is a fast paced, collaborative environment with many opportunities for learning. Requirements include completion of a master’s degree program in Nursing or Physician Assistant. Clinical experience with children with medical complexity is preferred.This Nurse Practitioner / Physician Assistant will be responsible for:Evaluating, assessing and facilitating care for the medical and surgical patients with medical complexity admitted to the Complex Care Service.Help implement interventions tailored to improve systems for patient care and enhance patient safety in our patient population.Work collaboratively with supervising physicians and the entire nursing and medical team to promote optimal clinical care.Act as a clinical resource and help facilitate staff educational opportunities.Integrate with learning, quality improvement, and/or research initiatives36 hours/week position, 50% day/night, and every 4th weekend rotation; 12 hour shifts.6 month temporary coverageTo qualify, you must have:A minimum of 2+ years inpatient pediatric experience with preference for those with experience in caring for higher acuity or higher complexity patients and those with 5+ inpatient pediatric nursing or PA experience1+ year of pediatric NP/PA experience preferredPrior work with children with medical complexity as NP or PA is preferredWill consider new graduate nurse practitioner with recent 2+ years of pediatric inpatient RN experience at Boston Children's Hospital.A Master of Science in Nursing or Master of Science in Physician Assistant, either with MA Licensure.

Brief OverviewWe are expanding our Advanced Practice Provider team in a state of the art 42 bed Cardiac Intensive Care Unit in a brand-new Heart Center here at Boston Children’s Hospital. We are looking for diverse and motivated individuals to join our team here in Boston. When you join our team you will work with a supportive group of Advanced Practice Providers, Attending Physicians and Fellows. You will be responsible for taking care of Pre and Post-operative highly acute cardiac patients, along with children who have cardiac medical needs in the intensive care unit. We have an extensive Orientation Program to prepare you for taking care of these critically ill patients and to thrive here at Boston Children’s. Come join a supportive, multidisciplinary and collaborative team that puts the patient and families first through exceptional care and the latest Pediatric Cardiac Research.This Pediatric Nurse Practitioner/Physician Assistant in the CICU will be responsible for:Providing care to infants, children, and adults with congenital and acquired heart disease.Caring for patients with both acute and chronic cardiac disease.Collaborating with the CICU Attending physician, to conduct patient assessment, medical history, physical exams, and diagnose health and developmental problems.Participating in CICU medical rounds, including presentation of clinical information, plan development and continued management and modification of the plan for patients throughout the shift.Pre and Post-Op care of critically ill cardiac patients that involves management of ventilators, inotropic support, ECMO, CVVH, emergency situations and sedation titration.Procedures such as Intubation and Central lines, will be taught in both Simulation and during real-time, hands-on events.Extensive Orientation Program with a designated preceptor, simulation and didactic classes along with hands-on experience. Access to in-person and Zoom lectures by Heart Center experts as well as electronic recordings on OpenPediatrics.Participation in ongoing research and committees in the CICU.Offer consultation and education to all staff, patients and families.To qualify, you must have:A graduate degree from an accredited Nurse Practitioner or Physician Assistant program.A minimum of 2 years of critical care RN, NP or PA experience.Possess a solid medical knowledge base for cardiopulmonary critical care medicine with an interest in congenital cardiac anomalies.Possess critical thinking skills and adaptability on a busy cardiac intensive care unit.Communication skills to work collaboratively with medical and surgical colleagues, staff and trainees.A current license from the Commonwealth of Massachusetts to practice as a Nurse Practitioner or Physician Assistant.40 hours, up to 50% rotation to nights after an orientation period with rotation of up to every 3rd weekend and some holidays.Option for permanent night position available after an orientation period with rotation of up to every 3rd weekend and some holidays*Sign-on bonus of $5,000.00 (for people who have not worked at BCH in the past 2 years.)Boston Children’s Hospital offers competitive compensation and unmatched benefits including flexible schedules, affordable health, vision and dental insurance, childcare and student loan subsidies, generous levels of time off, 403(b) Retirement Savings plan, Pension, Tuition and certain License and Certification Reimbursement, cell phone plan discounts and discounted rates on T-passes. Experience the benefits of passion and teamwork.