Mass General Brigham logo
Mass General Brigham
Boston, Massachusetts

NP or PA First Assist- Plastic Surgery- Per Diem-MGH

Nurse PractitionerIncludes weekendsPer Diem Physician-Supervised State

Listed compensation

$65.25-$83.59/hr

The week · per this posting · Monday – Friday

Weekend work is also flagged as required; confirm which days and how often.

Ask the employer about call expectations, nights and shift pattern and time off.

Posted 1h ago · Verified live

Job Description

Site: Mass General Brigham Incorporated

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.

Job Summary

This position is per diem, M-F

Under the supervision and direction of the Division Chief, Sr. Administrative Manager and APP director, Advanced Practice Provider (APP) will support the Division of Plastic and Reconstructive Surgery at the Massachusetts General Hospital and satellite surgical locations. The APP will provide patient care within the operating rooms as first assist, and the outpatient office setting of the surgical practices.

In addition, the APP will coordinate and perform patient assessments, treatment, patient education, and assist in the follow-up. The APP will obtain patient histories, perform comprehensive physical examinations to evaluate plastic surgery patients, arrange diagnostic procedures, coordinate consultations, implement treatment plans, communicate with referring physicians, and provide patient and family education.

Principal Duties and Responsibilities

Provides and coordinates care of plastic surgery patients at the surgical practices in Boston, Waltham, and Danvers. Provides sound APP practice using advanced knowledge of clinical patient care. Effectively communicates with patients, families, providers, and staff.

Participates in projects, programs, and other activities to support clinical practice and practice operations. Maintains necessary licensure and completes continuing education to ensure performance of all responsibilities.

Plastic Surgery First Assistant Duties

  • Serves (directly or once trained) as first assistant to surgeons during plastic surgery operations/procedures performed in the operating rooms at the afore mentioned hospitals and surgical centers.
  • Preoperative patient management in collaboration with the surgeon.
  • Postoperative patient management in collaboration with other health care providers in the immediate postoperative period and beyond

Clinical Practice

  • Evaluates follow-up patients, and pre- and post-operative patients.
  • Reviews and interprets diagnostic data.
  • Order necessary diagnostic tests, consultations and procedures as requested by the attending surgeon.
  • Conducts examination, preoperative teaching, post-operative evaluation and management, and follow-up.
  • Performs simple skin biopsies, cyst aspirations, incisions, and drains.
  • Removes drains, sutures, staples etc.
  • Completes disability paperwork for patients.
  • Fills out visiting nursing paperwork for patients.
  • Prescribes medications.
  • Completes and submits billing for services in a timely and accurate manner.
  • Serves as an information resource for patients.
  • Coordinates interface between inpatient and outpatient care.

Ideal Candidate Will Have

  • Current Physician Assistant or Nurse Practitioner licensure in Massachusetts 3-5 years’ experience (preferred) in the Advanced Practice role, particularly in either breast oncology, plastic and reconstructive surgery or general surgery arena
  • Surgical PA certification or CAPRNFA certified (Certified Advanced Practice Registered Nurse First Assist)
  • Current Massachusetts Controlled Substance Certificate and DEA license
  • Qualified in all basic and advanced cardiac life support standards as established by the American Heart Association

Summary

The Nurse Practitioner (NP) is a licensed provider. The NP is responsible for assessing and managing various patient populations, including those with medical and/or surgical conditions, as well as providing diagnostic and therapeutic interventions, developing appropriate plans of care, and conducting ongoing evaluations.

Does this position require Patient Care? Yes

Essential Functions

  • Provides direct care, counseling, and education to a designated patient population in ambulatory, inpatient, operative, and/or procedural settings.
  • 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.
  • Consistently provides high-quality and timely documentation, including admission and progress notes, procedure notes, operative notes, and discharge summaries.
  • Performs bedside procedures as are appropriate to the patient population.
  • Orders medications and writes prescriptions in accordance with organizational and regulatory policies and procedures.

Qualifications

  • Education
  • Master's Degree Nursing or Physician Assistant required

Can this role accept experience in lieu of a degree?

No

Licenses and Credentials

  • Registered Nurse [RN - MA License]
  • Advanced Practice Registered Nurse [APRN] [MA License] or
  • Physician Assistant [MA License]

Experience

Experience as a Nurse Practitioner or Physician Assistant 0-1 year preferred

Knowledge, Skills and Abilities

  • 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.

Additional Job Details (if applicable)

Remote Type

Onsite

Work Location: 102 Endicott Street

Scheduled Weekly Hours

0

Employee Type

Per Diem

Work Shift

Day (United States of America)

Pay Range

  • $65.25 - $83.59/Hourly
  • Grade
  • 7

At Mass General Brigham, we believe in recognizing and rewarding the unique value each team member brings to our organization.

Our approach to determining base pay is comprehensive, and any offer extended will take into account your skills, relevant experience if applicable, education, certifications and other essential factors.

The base pay information provided offers an estimate based on the minimum job qualifications; however, it does not encompass all elements contributing to your total compensation package.

In addition to competitive base pay, we offer comprehensive benefits, career advancement opportunities, differentials, premiums and bonuses as applicable and recognition programs designed to celebrate your contributions and support your professional growth.

We invite you to apply, and our Talent Acquisition team will provide an overview of your potential compensation and benefits package.

EEO Statement

0100 Mass General Brigham Incorporated is an Equal Opportunity Employer.

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.

To ensure reasonable accommodation for individuals protected by Section 503 of the Rehabilitation Act of 1973, the Vietnam Veteran’s Readjustment Act of 1974, and Title I of the Americans with Disabilities Act of 1990, applicants who require accommodation in the job application process may contact Human Resources at (857)-282-7642.

Mass General Brigham Competency Framework

At Mass General Brigham, our competency framework defines what effective leadership “looks like” by specifying which behaviors are most critical for successful performance at each job level.

The framework is comprised of ten competencies (half People-Focused, half Performance-Focused) and are defined by observable and measurable skills and behaviors that contribute to workplace effectiveness and career success.

These competencies are used to evaluate performance, make hiring decisions, identify development needs, mobilize employees across our system, and establish a strong talent pipeline.

Key Responsibilities

The Advanced Practice Provider will serve as a first assistant in plastic surgery operations and manage patient care in both preoperative and postoperative settings. Responsibilities include performing physical examinations, ordering diagnostic tests, implementing treatment plans, and providing patient education.

Qualifications

Education
Master's degree (postgraduate degree)
Experience
2+ years of experience

Certifications

ACLS

Key Skills

Patient assessmentSurgical assistancePreoperative managementPostoperative managementDiagnostic interpretationMedication prescriptionClinical documentation

Surgery — Nurse Practitioner Career Context

Of the 40 active Surgery listings this role was benchmarked against, 28% are remote, 45% have no call, 78% require no weekends.

Surgery pay on WeekdayDoc is up 3.2% vs. the prior quarter (through Sep 2026).

The cost-of-living index for Massachusetts is 105.8 (US average = 100; BEA Regional Price Parities (2024)), so the posted ~$155k midpoint carries the purchasing power of roughly $146k in an average-cost state. 63.2% of Massachusetts clinicians report burnout symptoms in WeekdayDoc's Burnout Index (2026-01 data).

Top contract/1099 Nurse Practitioner Jobs

39 matches · ranked by pay

Salary Distribution16 jobs

8
<$170k
4
$170k-195k
2
$195k-220k
2
$220k-245k

Annual compensation range

Benefits & Perks13 jobs

401k / retirement match
100%
CME allowance
38% this job
Loan repayment
31%
Sign-on bonus
23%
PSLF eligible
15%

Share of similar jobs offering each benefit

#1

Physician Assistant or Nurse Practitioner PRNPer Diem

SynergenX Health Holdings · Downers Grove, Illinois

$65-$400/hr
#2

Remote Psychiatric Mental Health Nurse Practitioner (PMHNP) - Arizona

Prosper Health · Arizona

$140 per hour
#3

Nurse Practitioner - Addiction Medicine

$120 per hour
#4

APP Critical Care Per-diem (Physician Assistant or Nurse Practitioner)

$64-$115.38/hr
+ 37 more · ranked by pay

Work-life snapshot

median 3.9this job 3.9
Better work-life than 50% of Surgery (NP) listings

Listing-based score, 0–10, across 329 comparable listings. Shaded area = the share scoring below this one.

  • On-site
  • Includes weekends

Living in Boston

Typical 3-bedroom home value
$813k
Typical market rent
$3,338/mo
Residents’ average commute
30 min
Metro price indexU.S. average = 100
108.3
State income tax
Up to 5%
Sources & methodology

Sources: Zillow home values (Aug 2026), Zillow market rents (Aug 2026), U.S. Census ACS 2024 five-year.

BEA 2024 · Boston-Cambridge-Newton, MA-NH metro prices. Housing figures are city-level.

City-level figures. Not a cost-of-living guarantee.

Mass General Brigham logo

About Mass General Brigham

Hospitals and Health Care
Somerville, Massachusetts
10,000+ employees

Benefits & Perks

Collaborative Practice Agreement Required
Comprehensive Benefits Package
Career Advancement Opportunities
Differentials and Premiums