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Site: The General Hospital Corporation 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 The Amyotrophic Lateral Sclerosis (ALS) House Call Program is an extension of the ALS multidisciplinary clinic at the Healey Center for ALS at Massachusetts General Hospital that is also heavily focused on research both clinical and observational. In 2017, through the establishment of the ALS House Call Program, Mass General was able to take a step forward and provide highly specialized care in our patient’s homes, reducing medical isolation and opening new channels of communication. The House call program Advanced Practice Provider (APP) provides individualized care at home in coordination with the ALS clinic providers. Under the supervision of the Associate Clinic Director, the ALS House Call APP will work with the ALS clinic team by performing home visits predominantly (but not limited to) the South Shore and Cape Cod regions. In addition, the ALS House Call APP will work closely with the Neurological Clinical Research Institute (NCRI) and ALS Clinic leadership to develop, assess, and implement novel care delivery techniques, including technology-based mobile health solutions, and to more fully integrate ALS care into patients’ lives. The APP will also take the lead in ensuring continuity of care for patients who are unable to travel to the MGH clinic and interact with community and home health providers to more fully integrate care and improve patients’ experience. The position requires a high degree of innovation. The ideal candidate is flexible, independent, and willing to participate in multiple activities while providing support to patients by working with the team. Candidates must have strong communication skills and the ability to converse comfortably with patients and their caregivers. Qualifications PRINCIPAL DUTIES AND RESPONSIBILITIES: Provides clinical home visits with homebound patients predominantly in (but not limited to) the South Shore and Cape Cod regions Collaborates with the provider (s) to provide targeted healthcare services to patients with motor neuron disease. Performs physical examinations and preventive health measures Develops and implements disease-specific patient management plans, records progress notes, and assists in the provision of continuity of care Assesses, instructs, and counsels patients regarding compliance with treatments. Orders, interprets and evaluates diagnostic tests to identify and assess patient’s clinical problems and health care needs. Records physical findings, and formulates plan and prognosis, based on patient’s condition. Prescribes or recommends medications or other forms of treatment such as physical therapy or related therapeutic procedures. Provide home gastrostomy tube exchanges Perform Slow Vital Capacity and Maximal Inspiratory Pressure procedures in the home Complete ALSFRS-R in the home as requested by the primary team Conduct Serious Illness Conversations for advanced care planning and complete the MOLST form to reflect the patient’s wishes Maintains accurate and timely notes in the electronic medical record. Assists physician with comprehensive care Self-directed and purposeful in seeking the necessary knowledge and skills to develop and maintain competency within the specialty of Neurology. Performs other duties as assigned. Work alongside a patient services coordinator to fully implement the House Call program for both house call visits and virtual visits Develop and maintain a tracking system to determine program effectiveness, with support from internal data management and IS. Develop and implement systems to standardize Telehealth and Homebound patient care. Explore innovative care models and novel mobile health technology for patients from their homes, reducing the burden on patients to come into MGH, while also increasing clinical care. Collaborates with outside facilities and clinical staff for certain patients, and also provides general information about caring for ALS patients. This may include hospitals, PCP’s, VNAs, Hospice, and private help. Explore innovative ways to disseminate patient and community education materials as a means to enhance continuity of care. Provide support and assistance with challenging patient/physician situations Actively participate in network development initiatives and communicate initiatives back to access team for relationship building within MGH affiliate networks. Participate as requested in MGH and MGB quality initiatives. Participate in various hospital and system committees as assigned. Meets routinely with NCRI and ALS clinic leadership to report on activities, patient satisfaction, problems, and recommendations. In collaboration with the director of the Division of ALS and the associate clinic director, prepares quarterly and annual reports on the house call program to the funding support entities that support the ALS House Call Program. SKILLS/ABILITIES/COMPETENCIES REQUIRED: Professional knowledge: Clinical, healthcare knowledge to enable effective interactions and communications with patients, caregivers, clinicians, and healthcare administrators. Time Management: Exceptional organizational skills and ability to prioritize effectively and complete tasks; Flexibility to handle multiple tasks and deadline pressures. Highly motivated, independent, innovative, and capable of performing in a complex environment Strong sense of initiative and perseverance to carry through to completion of tasks; Demonstrates forthrightness and integrity. Ability to identify issues/projects and initiate plans to address asking for direction when appropriate Ability to develop a common vision for diverse communities, communicate effectively, and take ownership and responsibility for activities. Interpersonal/communication: Excellent interpersonal, written, and oral communication, and public speaking skills; Good command of the English language, including medical and scientific terminology. Information Systems/Technology Skills: Exceptional computer skills (including operating systems, databases, electronic mail, Internet, spreadsheets, and other office management systems) Ability to maintain databases and associated analysis and reporting. Quality Assurance: Skills to work efficiently and effectively and strive to do so in all aspects of the position. Critical Thinking/Decision Making: Ability to appropriately evaluate all aspects of a situation and to independently make appropriate and timely decisions. Personnel Management: Ability to coordinate among diverse populations. Discretion and Confidentiality: Ability to handle sensitive and confidential matters discreetly and to ensure confidentiality guidelines are maintained by staff. Safety/Compliance: Knowledge in aspects of safety applicable to the position; Knowledge of and compliance with institutional, JCAHO, HIPAA, and other regulatory bodies’ standards. Additional Job Details (if applicable) LICENSES Current licensure in the Commonwealth of Massachusetts in the APP role EDUCATION: Master’s Degree required EXPERIENCE: Previous experience as an APP required; Neurology or Palliative experience preferred WORKING CONDITIONS: Can be split 20-30 hours over 2-4 days Must be able to and have the means to regularly travel by car for clinical home visits in Massachusetts Must have internet access, work laptop will be provided. Remote Type Hybrid Work Location 165 Cambridge Street Scheduled Weekly Hours 24 Employee Type Regular Work Shift Day (United States of America) Pay Range $120,390.40 - $170,456.00/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: The General Hospital Corporation 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. Combat disease. Hold a hand. Help people. Impact the world. Mass General Brigham is a passionate, welcoming community where minds meet caring hearts. Come be a part of the world’s most powerful force in medicine, where every role is important in changing lives. Are you ready? Our history includes New England hospitals founded over 200 years ago, some of the first and most prestigious hospitals in the world. Built on the legacy of two leading academic medical centers, we’re more than a system—we’re leaders in the practice of medicine. Mass General Brigham is committed to serving the community. We are dedicated to enhancing patient care, teaching and research, and taking a leadership role as an integrated health care system. We recognize that increasing value and continuously improving quality are essential to maintaining excellence.