APP MANAGER - INPATIENT ONCOLOGY

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
• Completes 100 hours of continuing medical education required during each two-year period of employment, attends internal and external education meetings, reads professional journals, and seeks out opportunities to maintain and enhance skills and clinical competence
• Ensures staff APPs complete their 100 hours of CME and achieve their individual continuing medical education requirements

Billing & Compliance:

• In conjunction with APP Director works with Billing Compliance and department leadership to ensure the APPs and Supervising MDs are educated and following proper billing compliance rules and methodology

Administrative Responsibilities:

• Attends all staff meetings
• Creates and implements departmental policies regarding APP practice in conjunction with the APP Director, CLinical Director, and department leadership
• Acts as liaison between the clinical and administrative staff

Professional Development:

• Maintains and updates clinical knowledge and skills based on current Medical Oncology APP practice
• In collaboration with APP Director, completes self-assessments/guided coaching to identify own developmental level of practice and appropriate learning experience to enhance development.
• Expands demonstrated leadership abilities, administrative, and management skills as appropriate.
• Attend and engage in Advanced Practice Oncology Leadership meetings and APP Management meetings and initiatives
  • Liaises with APP Services and attends APP Leadership meetings

Education
Master's Degree Physician Assistant required

Can this role accept experience in lieu of a degree?
No

Licenses and Credentials
Physician Assistant [State License] - Generic - HR Only required

Experience
Experience as a licensed Physician Assistant 5-7 years required

Knowledge, Skills and Abilities
- Strong clinical knowledge as a Physician Assistant.
- Strong managerial presence and ability to provide & direct feedback and guidance to staff.
- Strong interpersonal communication skills.
- Ability to function effectively in a fast-paced environment.
- Results-oriented and exhibits a strong attention to detail. The Brigham and Women's Hospital, Inc. is an Equal Opportunity Employer. By embracing diverse skills, perspectives and ideas, we choose to lead. 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.