New

Regional Advanced Practice Provider Geriatric Resources

Mass General Brigham Community Physicians
United States, Massachusetts, Somerville
399 Revolution Drive (Show on map)
Jul 18, 2025
The Opportunity Mass General Brigham's Population Health team is committed to enhancing the health care experience for older adults through personalized, home-based care that supports independence, functionality, and quality of life. We develop innovative programs that deliver care where and when it is needed most. This patient-centered model ensures that care is tailored to the unique needs of each individual. By leveraging interdisciplinary collaboration and proactive care management, our value-based care models address the complex needs of older adults. This is an exciting opportunity to join the Mass General Brigham Population Health department as a Nurse Practitioner within the GRACE (Geriatric Resources for Assessment and Care of Elders) program. The GRACE Nurse Practitioner will provide home-based geriatric assessment and care management for older adults aligned with Mass General Brigham's Primary Care Providers. This role is designed to proactively support vulnerable older adults, ensuring comprehensive, coordinated care that aligns with their goals and preferences. As part of this initiative, the GRACE Nurse Practitioner will play a key role in: 1) Conducting in-home geriatric assessments in collaboration with a GRACE Social Worker. 2) Developing and implementing individualized care plans using GRACE care protocols. 3) Engaging patients and caregivers in health education, chronic disease management, and goals-of-care discussions. 4) Coordinating care with primary care providers and the GRACE interdisciplinary team to optimize outcomes and reduce unnecessary hospital utilization. This role is an essential part of Mass General Brigham's commitment to improving care delivery for high-risk older adults through proactive, patient-centered management. The GRACE Nurse Practitioner will build strong, lasting relationships with patients-offering culturally responsive care, continuity, and education to help manage complex health conditions and promote maximum functioning. We are seeking a full-time, 40-hour Nurse Practitioner with weekly schedules consisting of 36 hours of clinical, patient-facing time, and 4 hours of administrative time. This will be a hybrid role with the expectation that the Nurse Practitioner will conduct home visits in the Boston/Boston metro area up to 2 days per week and work remotely for the remainder of the week. Potential Primary Care clinics include: Key components of GRACE Team Care include: - In-home assessments by a nurse practitioner and social worker team. - Individualized care plans developed using GRACE protocols. - Collaborative care planning with primary care physicians. - Ongoing home-based care management and coordination. - Weekly interdisciplinary team meetings including a geriatrician, pharmacist, and mental health liaison. As an independent practitioner, the GRACE Nurse Practitioner exercises clinical judgment and autonomy in evaluating medical and functional statuses, planning treatments, and applying nursing ethics to complex geriatric care scenarios. What You'll Bring Master's Degree Nursing required Registered Nurse [RN - MA State License required] Preferred Nurse Practitioner [NP] / Advanced Practice Registered Nurse [APRN] [MA State License] Experience as a nurse practitioner 0-1 year preferred Physician Assistant candidate can also be considered, MA state license required Master's Degree Physician Assistant required Physician Assistant [State License] Experience as a licensed Physician Assistant preferred Skills for Success Skilled in taking medical histories to assess medical condition and interpret findings. Ability to maintain quality control standards. Ability to react calmly and effectively in emergency situations. Ability to interpret, adapt and apply guidelines and procedures. Ability to communicate clearly and establish/maintain effective working relationships with patients, medical staff and the public. Working Model M-F Eastern Business Hours required Hybrid role requires regional coverage for APP's assigned region Region will be determined based on candidate preference and business needs Regions include North, South, East and West of Boston, MA Includes in home patient visits for evaluation for care plan, patient home will be within 45 miles of practices within the region Ideally Provider will have estimated 10 home visits per week, travel includes 4-5 days per week and MGB sites. Formal structured training program for 60-90 days prior to patient home visits Mass General Brigham Community Physicians, 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.