Beth Israel Lahey Health·Needham, Massachusetts
The APP is responsible for the assessment, admission, stabilization, and ongoing management of ICU patients under the direction of the Intensivist. They collaborate with physicians, perform diagnostic procedures, and ensure effective communication with the healthcare team.
When you join the growing BILH team, you're not just taking a job, you’re making a difference in people’s lives.
Beth Israel Deaconess Hospital-Needham is a rapidly growing community hospital serving the southwest and MetroWest suburbs of Boston. As part of the world-class Beth Israel Lahey Health system and closely affiliated with Beth Israel Deaconess Medical Center in Boston, we combine the personalized experience of community-based care with access to leading academic medicine, clinical expertise, and innovative treatment approaches.
We are committed to advancing the future of healthcare through strategic investments in our facilities, technology, and clinical programs. Our key priorities include expanding our hospital footprint, enhancing clinical spaces, growing specialized services, and implementing innovative solutions that improve patient outcomes and transform care delivery across our community.
Job Description: Make an Impact in Critical Care
Join a collaborative, patient-centered critical care team where your clinical expertise directly impacts patient outcomes. As an Advanced Practice Provider (APP) in the Intensive Care Unit, you will work closely with Intensivists, surgeons, hospitalists, nurses, and multidisciplinary care teams to deliver exceptional care to critically ill patients.
Reporting to the Medical Director of the ICU, you will play a key role in the assessment, admission, stabilization, treatment, and ongoing management of patients in the ICU. This position offers the opportunity to practice at the top of your license while developing your skills in a fast-paced and highly collaborative environment.
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· Partner with physicians to complete pre-admission histories and physical examinations.
· Ensure all required diagnostic testing is completed prior to admission.
· Assess, evaluate, and document patient progress throughout the course of care.
· Coordinate treatment plans and review patient care management issues with the Intensivist.
· Consult appropriate resources and specialists when needed.
Clinical Procedures & Diagnostics
· Review laboratory and diagnostic test results and develop clinical interpretations.
· Perform diagnostic and therapeutic procedures, including: o Central venous line insertion and removal
o Arterial line insertion
o Nasogastric and enteral feeding tube placement
o Bladder catheterization
o Phlebotomy and IV insertion
o Electrocardiograms (EKGs)
· Enter orders for ICU admissions and ongoing patient care.
· Conduct daily patient rounds independently and/or alongside Intensivists and surgical teams.
· Communicate findings to attending physicians and document care activities in the electronic medical record (EMR).
· Monitor patient status and participate in treatment plan adjustments as appropriate.
· Prepare patients for discharge and complete required documentation.
· Participate in discharge planning conferences as needed.
· Coordinate referrals and ensure continuity of care across care settings.
· Communicate hospital summaries to referring physicians when appropriate.
Patient & Family Support
· Educate, counsel, and support patients and families throughout the care journey.
· Provide emotional, psychological, and informational support.
· Advocate for patient needs and communicate effectively with the care team.
Collaboration & Quality Improvement
· Build strong relationships across departments and disciplines.
· Participate in quality improvement and quality assurance initiatives designed to enhance patient outcomes and operational excellence.
· Bachelor's degree in any field of study and completion of either a 2-year PA or NP Program required.
· License Nurse Practitioner License required., or Registration Physician Assistant License required ·
Certificate 1 Basic Life Support required.
Certificate 1 Advanced Cardiac Life Support required. · 0-1 years related work experience required. · Demonstrated analytical abilities and strong interpretative skills for integrating information from the patient history, physical exam and diagnostic data to be able to formulate a differential diagnosis and subsequent treatment plan for patients in both elective and emergent situations. · Experience with computer systems required, including web based applications and some Microsoft Office applications which may include Outlook, Word, Excel, PowerPoint or Access.
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· Prior experience in an ICU setting.
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Ability to make decisions that are guided by precedents, policies and objectives. Regularly makes decisions and recommendations on issues affecting a department or functional area.
Ability to address problems that are highly varied, complex and often non-recurring, requiring staff input, innovative, creative, and Lean diagnostic techniques to resolve issues.
Independence of Action
Ability to set goals and determine how to accomplish defined results with some guidelines. Manager/Director provides broad guidance and overall direction.
Ability to summarize and communicate moderately complex information in English through a variety of written formats for internal and external audiences.
Ability to comprehend and communicate complex verbal information in English to medical center staff, patients, families, and external customers.
Ability to demonstrate in-depth knowledge of concepts, practices, and policies and apply them effectively in complex and varied situations.
Ability to lead small projects or work groups, foster a collaborative and respectful team environment, and improve workflows. Results may impact the operations of one or more departments.
Ability to provide a high level of customer service and staff training that supports departmental standards and expectations. Resolves service-related issues in a timely and respectful manner.
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Age-Based Competencies: Employees in this role must be competent to provide patient care to the following age groups:
· Young Adult: 16-30 years
· Middle Age: 30-60 years
· Elderly: 60+ years
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Exerting up to 100 pounds of force occasionally and/or up to 50 pounds of force frequently. This role is physically demanding and requires prolonged periods of standing, walking, and movement throughout the workday.
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$105,300.00 USD - $171,900.00 USD
The pay range listed for this position is the annual base salary range the organization reasonably and in good faith expects to pay for this position at this time. Actual compensation is determined based on several factors, that may include seniority, education, training, relevant experience, relevant certifications, geography of work location, job responsibilities, or other applicable factors permissible by law.
As a health care organization, we have a responsibility to do everything in our power to care for and protect our patients, our colleagues and our communities. Beth israel lahey health requires that all staff be vaccinated against influenza (Flu) as a condition of employment.
More than 35,000 people working together. Nurses, doctors, technicians, therapists, researchers, teachers and more, making a difference in patients' lives. Your skill and compassion can make us even stronger.
Market context
Physician roles in Massachusetts are often tied to active clinical, research, and trial-focused environments, so demand tends to favor candidates who can work across patient care and research-related activities. These positions can be competitive because employers may look for a blend of education, years of related experience, prior clinical trial exposure, and certifications. Review the AI-summarized requirements and benefits here to quickly compare fit against the original job description, and be ready to highlight any research or trial experience in your application.
