Senior Physician Assistant

Steward Health Care is the largest private, tax-paying physician-led health care network in the United States. Headquartered in Dallas, Texas, Steward operates 35 hospitals in the United States and the country of Malta that regularly receive top awards for quality and safety. The company employs approximately 42,000 health care professionals. The Steward network includes multiple urgent care centers and skilled nursing facilities, substantial behavioral health services, over 7,900 beds under management, and approximately 2.2 million full risk covered lives through the company's managed care and health insurance services.

Steward Medical Group (SMG), Inc. is Steward's multi-specialty group practice with over 4,500 employees including over 1,800 physicians and advanced practitioners. SMG operates approximately 450 practice locations throughout Massachusetts, Southern New Hampshire, Rhode Island, Pennsylvania, Ohio, Florida, Utah, Arizona, Texas, Louisiana and Arkansas, and provides more than 4 million patient encounters per year.

Summary:

The Cardiology Nurse Practitioner (NP) or Physician Assistant (PA) provides care to patients with acute and chronic cardiovascular conditions including patients undergoing Electrophysiology (EP) procedures and patients admitted to inpatient and observation level of care. The Cardiology NP or PA practice is consistent with established advanced practice guidelines and in accordance with a collaborative practice agreement with a medical staff cardiologist. The Cardiology NP or PA utilizes advanced knowledge to identify, prevent, or solve complex and/or recurring patient care problems. In collaboration with the physician, the NP or PA follows and manages patients enhancing many aspects of patient care including core measures, patient throughput, and efficient coordination of care after discharge. In addition to direct patient assessment and treatment, the Cardiology NP or PA provides consultative services, inter and intradepartmental liaison, education, and clinical performance improvement leadership.
The Cardiology NP or PA will incorporate both independent decision-making abilities and collaborate with the physicians, interdisciplinary care team, and leadership to provide expert care to the patients.

Responsibilities:

• Support efficient management of inpatient and observation patients with known/potential cardiac diagnoses.
• Assure that all cardiac observation patients are seen twice daily
  • Assist in arranging for inpatient diagnostic testing and in triaging for the ambulatory site those tests that are not essential for a safe discharge plan
  • Assist with initial and follow up cardiology EP consult visits under the supervision/ direction of the attending Electrophysiologist
• Assist with the admission and discharge of outpatients presenting for EP procedures
  • Responsibilities include:
    • Admission History and Physicals
    • Ordering and Interpreting Lab and Diagnostic Studies
    • Initiating emergency measures
    • Discharge summary
    • Discharge planning
    • EP pre-procedure assessment
    • EP assessment for Moderate sedation
    • Management of EP access site issues
    • Patient teaching
    • Provide targeted educational materials and appropriate patient teach-back activities
    • Assure timely outpatient follow up for cardiac EP patients at high risk for readmission
• Demonstrate flexibility to cover staffing as needed.
• Analyze pertinent clinical data, communicate findings and document information appropriately.
• Collaborates with interdisciplinary care team to facilitate a comprehensive plan of care and coordination of resources

Qualifications:

• Requirements include: Completion of Masters program in Adult Acute Care NP or Adult Primary Care NP or for PA Completion of Masters program licensed via NCCPA
• Board certification required from the American Academy of Nurse Practitioners or American Credentialing Center or Physician Assistant Credentialing
• MA state license
• Cardiology/EP/PV Lab experience
• 3 years+ of previous experience working in a dedicated cardiology practice or hospital setting.
• Must meet all requirements to be admitted to the Medical Staff at SEMC
• Secure privileges to perform exercise stress tests in the hospital (studies to be interpreted by cardiologists)
• Full command (verbal and written) of the English language
• Knowledge of medical terminology and critical care operations
• Demonstrate clinical expertise in creating and maintaining a sterile field
• Computer skills versatile enough to work on multiple platforms
• Ability to work in tandem with other NPs or PAs, Doctor, other clinical staff and administration
• Ability to maintain records and files
• Ability to stand for a long period of time
• Ability to maintain confidentiality

Additional Information

Steward Medical Group is taking additional necessary preparations to ensure patients can receive compassionate care in safe, carefully managed environment with confidence and without fear.

Our Safe and Ready program consists of a rigorous [three-point] standard ensuring patient safety, confidence and convenience.

1. Any COVID-19 related care takes place in designated areas away from other patients and their families.
2. A stringent cleaning policy has been implemented throughout our facilities.
3. A strictly controlled visitor and mask policy is required for patient and colleague safety.