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Job Summary
STAFF NURSE- PRIMARY CARE | Full Time 40 Hours Variable Rotating Shift
COOLIDGE CORNER – BROOKLINE MA - Family Care Associates
About this job
• Nurses are integral to serving a diverse population of Adults and Pediatric patients. Job duties may include but not limited to, telephone triage, nursing visits, injections, care coordination, durable medical equipment requests and much more.
• Providing care for patients in Primary Care
• Working collaboratively to provide excellent care to patients and families in the safest environment.
• Schedule options may include four 10-hour days (not guaranteed).
About this clinic/practice team:
• At Family Care Associates Primary Care practice, our clinical team is highly collaborative, mission driven, and committed to seeking innovative ways to improve healthcare and to being more inclusive, and our Leadership is engaged and supportive.
• Clinic Location: Public transit / T accessible with some onsite and street parking available.
Community Commitment:
• Brigham Health Primary Care is committed to racial justice by building and active enforcement of policies, practices, attitudes, and actions that produce equitable access, treatment, and outcomes for all people. Our clinics are grounded in team-based, patient and family-centered care.
• We partner with communities to seek health and wellness, working to eliminate health care inequities with an expanded care team that includes behavioral health, social workers, nurses, population health coordinators, patient navigators, community health workers, community resource specialists, high-risk RN case management, and support for virtual visits.
Diverse candidates encouraged to apply. Bilingual in Spanish and English preferred.
BRIGHAM AND WOMEN’S PRIMARY CARE GENERAL SUMMARY:
-The Primary Care Registered Nurse (staff RN) is an important member of the primary care multi-disciplinary team.
-Patients, families and the health care team work best as partners with shared goals for attaining optimal health and wellness. The RN is integral to providing the support and care necessary to achieving such goals. The primary responsibility of the staff RN is to provide excellent care to patients and families.
-The role requires the provision of care that is comprehensive and compassionate, delivered to a diverse, medically and socially vulnerable population. Role responsibilities within this setting are defined below.
PRINCIPAL DUTIES AND RESPONSIBILITIES:
1 . Patient Care Organization
- May perform all duties as described in the Brigham and Women’s Registered Nurse Job Description to meet direct care requirements of the role.
- Functions effectively and safely within the scope of practice of the Registered Nurse to strengthen the practice and provide patient centered care.
- Provide culturally sensitive, patient centered care of the highest quality to patients of all backgrounds and income levels.
- Triages all urgent calls and assists with walk-ins. Sets priorities when organizing care based upon the acuity. Is aware of clinic flow and re-arranges provider schedules to accommodate the urgent care needs.
- Assesses the care needs of patients with routine and chronic illnesses. Develops implements and re-evaluates an individualized nursing plan of care (PoC).
- Within a multi-disciplinary team, assists patients with pre-existing conditions to achieve lifestyle changes that promote a healthy mind, body, and spirit.
- Uses a variety of modalities to engage patients including nurse visits, telephonic and electronic communication (Gateway/Telehealth).
- Operating from a Human Caring framework, the RN implements a wide range of interventions/skills including coaching, education, counseling, motivational interviewing, referral and advocacy to services and resources as appropriate to promote health and wellness.
- Responsible for evaluation and documentation of disease management impact. Works closely with the clinical team and family to promote self-management and ensure a cycle of continuous refinement of PoC which includes education for the patient and family, utilizing appropriate resources.
- Demonstrates knowledge of community resources and assists staff, patients, and families to effectively utilize them.
- Ensures effective coordination of care across the care continuum. Works with Partners, Brigham Health and Community partners including; home care, outpatient clinics, emergency/urgent care and hospital settings.
- Knowledge base should include basic health teaching, family planning education, and how to care for common pediatric/ adult illnesses.
- Facilitates the advanced care planning process, assisting patients and families to consider options and goals for future healthcare decisions. Documents advanced care goals in the EHR.
2. Team Based Care
- Serves as a resource person to other members of the team around the care needs of patients and provides support to other members of the clinical and administrative team in an accessible, open manner. Willing to educate and mentor clinical support staff as needed. Is able to delegate safely and effectively to support staff tasks that are within scope of practice.
- Coordinates care across members of the team in accordance with patient care needs, team member capabilities and qualifications, utilizing team members strategically to provide safe and effective care at the top of licensure, education and training.
- valuates effectiveness of care given by the multi-disciplinary care team, identifies problems and guides members toward solutions promoting health. Facilitates the improvement of the patient’s ability to self-manage prevention and behavioral health issues and placing emphasis on transitional care, prevention, and wellness.
- Communicates effectively and clearly with members of the care team regarding patient status and needs.
3. BWH Professional Practice Model Qualities:
- BWH Primary Care Registered Nurses practice from a Human Caring framework using the Caritas Processes and demonstrating the tenants of the Professional Practice Model:
- Nurses as Authentic Leaders
- True Collaboration
- Meaningful Recognition, participates in peer feedback.
- Scholarship
- Relationship Based Care
- Outcome Focused Measures
4. Participatory Management of Fiscal Responsibilities
- Utilizes time and materials in an effective and economical manner.
- Provides suggestions which support the delivery of cost-effective healthcare to patients and families.
- Assesses patient’s acuity accurately when making decisions regarding clinical bookings, appropriate level of service and staffing.
- Is familiar with accountable care regulations and demands.
Other:
This employee may be asked to cross-cover (may be in-person or virtual) other Primary Care practices as staffing needs dictate. Cross-coverage needs will be identified and discussed with local and regional leadership.
To qualify you must have:
Education:
Experience:
1. Recent (within 3 years) Ambulatory Care experience required (surgical/procedural excluded).
2. Triage experience required in Primary Care, Urgent Care, or Community Health nursing.
3. At least 3 months recent telephone triage required.
4. Nursing experience with Pediatric patient populations required.
5. Recent Primary Care experience preferred.
Language Skills:
Other:
SKILLS AND ABILITIES:
Must meet all skills and abilities requirements on the BWH RN job description and additionally:
Clinical knowledge and expertise include basic health teaching, knowledge of advanced care directives, care for common illnesses.
Experience with adult populations required.
Demonstrated knowledge of hospital-based and community-based care.
Excellent communication skills, professionalism and organization required, demonstrates patience, compassion.
Excellent analytical, judgmental, and interpersonal skills and demonstrated ability to work effectively with patients, families and co-workers.
Technical dexterity, in addition to Epic, must possess a demonstrated abi