APP MANAGER - INPATIENT ONCOLOGY

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.

 

Why MGB Cancer Institute?
Mass General Brigham Cancer Institute harnesses the incredible expertise of two world-renowned academic medical centers – Massachusetts General Hospital and Brigham and Women's Hospital, and our system of community hospitals and healthcare centers. Our experts drive breakthroughs every day and raise the bar for patient outcomes, as we enhance our facilities to provide next-generation spaces for our patients and care teams.
Together, we are one against cancer.
https://partnershealthcare.sharepoint.com/sites/VitalsCancer
How will APPs contribute to the mission of MGB CI?
APPs continue to advance the mission of MGBCI by standing together as one team against cancer. APPs care for patients at all phases of their cancer journey and in many settings. They remain critical partners in ensuring access to care and support at all levels of need. APPs care for patients in the ambulatory and inpatient settings. As core members of the multidisciplinary team for decades, the APP teams are key in supporting access, care delivery, and innovation associated with growth across our expanding programs and new spaces.
The APP role at MGBCI empowers advanced practice providers to work at the top of their license, with robust support for professional development at every career stage. APPs can practice in both inpatient and ambulatory settings—across our academic medical centers and community sites—and choose to focus broadly or subspecialize.
Key features include:
• Structured onboarding and mentorship for new and experienced APPs
• Mobility across inpatient, ambulatory, and community settings, as well as specialties
• Access to professional development through CME, tuition support, and regular educational events such as Oncology APP Education Series and Grand Rounds
• Clear advancement pathways within the APP career framework, including leadership roles that enable Oncology APPs to thrive on a clinical, academic, or leadership pathway throughout their career.
• A collaborative, interdisciplinary environment that values and recognizes APP contributions
Together, we leverage the strengths of our academic medical centers and foster a community of excellence, supporting APPs as they advance cancer care across our system.

 

Job Summary

Summary
Provides direct management to typically a small to medium-sized team of advanced practice providers or other allied health professionals while continuing to spend the majority of time providing direct patient care as a Physician Assistant.
Does this position require Patient Care? Yes
Essential Functions: Performs all essential functions of a Physician Assistant, providing direct patient care.
-Directly oversees and is accountable for the performance of a team of APPs and/or other direct reports.
-Hires, performs, manages, and completes performance appraisals for a team of APPs and/or other direct reports.
-Orients, trains, and schedules staff.
-Assists with quality assurance programs as needed to help implement quality improvement efforts.
-Ensures continuing education and teaching for APPs.
-Acts as liaison between the hospital, physician and nursing staffs, and other APPs.
-Ensures APPs are following proper billing compliance rules and methodology.

 

Under the supervision of the BWH Inpatient Oncology Director of Advanced Practice Providers the Inpatient Oncology APP Manager is accountable for the delivery of consistent high-quality, advanced patient care and supporting the development of the Inpatient Oncology APP staff. Drawing on a broad understanding of clinical and hospital practices and policies, the APP Manager will continually assess clinical issues including scope of practice guidelines and APP practice protocols.

Further, the APP Manager will work to encourage full integration of the APP staff in Inpatient Oncology, as well as with clinical and non-clinical staff throughout the hospital. Designed for those APPs who have both advanced clinical skills and demonstrated administrative experience to promote the service and help guide its strategic direction in concert with department leadership.  The APP Manager position requires 5+ years of experience and demonstrated progressive leadership responsibility that will become part of the performance evaluation process; one must complete a formal interview process to receive an offer for this position. The APP Manager 1 has a solid line reporting structure to the APP Director and the Clinical Director.

Principal duties and responsibilities

Clinical (% FTE):

• Provides direct care, counseling, and teaching to a designated patient population in the ambulatory, inpatient, operative, and/or procedural 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 admission and progress notes, procedure notes, and discharge summaries
• Performs bedside procedures as are appropriate to the patient population
• Practices evidenced-based medicine while maximizing available resources
• Discusses patient data with other physicians and professionals as appropriate in a multidisciplinary setting
• Demonstrates expert clinical judgment and skills
• Additional duties and responsibilities as required by the department/division

Non-Clinical Duties and Responsibilities (% FTE):

Management Responsibilities:

• Partners with APP Director to evaluate, modify, and implement Inpatient Oncology APP practice models aligned with departmental strategy
  • Maintains organization, collegiality, and professionalism among the staff APPs
  • In conjunction with APP Director, teaches, assists, and councils the staff APPs to ensure overall compliance with hospital, state, and federal regulations
  • In partnership with the APP Director, screens, interviews and hires new staff applicants as needed
  • Completes periodic performance evaluations of the staff APPs in conjunction with Supervising MD and APP Director, including 90 day review upon hire, FPPE/OPPE per the Joint Commission standards and annual merit reviews
  • Oversees APP II, APP III, Lead APP project work
• Participates in departmental projects as requested including but not limited to quality and safety, education, clinical operations, and process improvement

Staffing:

• Works with the APP Director to maintain appropriate staffing of APPs within the service by assessing needs and delegating coverage with department leadership
• Works with the APP Director to organize and manage components of the hiring process, with input from the Clinical Director

• Ensures all components of credentialing and CME for staff APPs are up to date
• Works with APP Director to develop and implement orientation procedures and training of APPs
• Prepares annual salary review and documentation for each APP’s merit raise determination in conjunction with supervising MD and department leadership

• Works with the department to ensure annual HealthStream training completion of all staff APPs

Scheduling:

• Manages/oversees schedules to ensure staffing is delegated appropriately and distributed/posted in the department/division
• Manages daily operations, weekly assignments, sick call coverage
• Assists APP Director with scheduling conflicts and organizes time off for the staff APP, including managing sick call coverage

Quality:

• Assists with quality assurance initiatives to systematically improve care and advance departmental/hospital goals
• Review safety reports
• Monitor dashboards for quality improvement and quality assurance measures
• Attends QA meetings as requested

Education & Training:

• Collaborates with BWH Hospital Medicine APP Fellowship and APP Services to oversee student program including onboarding, orientation, scheduling, and evaluations
• Provides mentorship and preceptorship to APP students selected from accredited APP programs
• Oversees APP shadowing program

Continuing Education, Research and Quality Assurance:

• Oversees continuing medical education lectures and skill-based learning for the APP group
• Works with APP Director to organize the orientation and training of new staff APPs, and ensures performance and competency goals are met in collaboration with the APP Director and Clinical Director
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