• This position is in the subacute rehab unit of Marlboro Hills skilled nursing facility. Patients are typically post-hospital-discharge and will be in the facility a few weeks and then discharged to their home. Candidates must enjoy and be comfortable interacting with elderly patients and their families. Patients often have social-work complications in addition to their medical issues.

• Prior SNF experience as an RN or NP preferred, but not required.

• CRMA often has multiple openings for Nurse Practitioners or Physician Assistants. We have 20+ locations in 10 Metrowest towns.  Both part-time and full-time.

• CRMA doesn’t distinguish between NPs and PAs. If you see a listing for an NP, we would interview PAs for the same position.

• NPs/PAs must be licensed in Massachusetts, have current DEA #s, and have a valid Medicare provider #. We also prefer candidates who already have BCBS and Fallon provider #s. If you don’t have provider #s, it may delay your start date.

Principle Duties and Responsibilities:
• Under the general supervision of one or more CRMA physicians, NPs perform direct patient care through assessment, diagnosis, and treatment of acute and chronic conditions within the scope of the Advanced Practice Nurse as described by the American Nurses Association. The NP’s supervising physician will not be onsite most days and thus must be prepared to work independently.

• Obtains and records medical histories. Performs and records physical examinations and assessments of patients in this ambulatory setting.

• Orders appropriate diagnostic tests and consults according to established Charles River Medical Associates guidelines.
• Review findings and treatment plan with supervising physician as deemed necessary by Nurse Practitioner based on complexity of care to be delivered, the individual, Nurse Practitioner’s knowledge base pertaining to that care, scope of Advanced Nurse Practice and/or agreed upon by the Nurse Practitioner/Physician team.
• The Nurse Practitioner, with legal prescriptive authority, may prescribe medications in accordance with an agreement defined by the supervising physician and the Nurse Practitioner. Medications are prescribed within the boundaries of accepted practice. If a situation is beyond these limits, the Nurse Practitioner will seek consultation with the collaborating physician. These prescribing guidelines will be reviewed by the physician and Nurse Practitioner as needed.
• The Nurse Practitioner will participate in professional meetings, committees, seminars, and other continuing education to keep abreast of changes in professional practice to enhance professional growth, and to meet professional standards.
• The Nurse Practitioner shall be expected to participate in Facility-based quality assurance and regulatory oversight committees. The NP shall participate in daily team meetings with Facility staff.