Team Nurse-Internal Medicine-Lexington

When you join the growing BILH team, you're not just taking a job, you’re making a difference in people’s lives.

Reporting directly to the Practice Manager and Senior Director of Nursing, the Team Nurse RN position is responsible for performing the duties of a RN in an outpatient primary care or family medicine practice and serves as a clinical resource for the medical practice. The Team Nurse RN provides high quality, direct patient care in a team based model to our Beth Israel Deaconess HealthCare ( BIDHC) patients. The Team Nurse RN is responsible for enhancing the safety, effectiveness and efficiency of patient care through the support and delegation of clinical and administrative functions as appropriate to the Medical Assistant (MA) staff. Responsible for educating and training our MA team and patients with both general and focused health education for preventive, chronic and episodic health care issues. Assumes responsibility, in collaboration with primary care providers to coordinate patient-centered care, support transitions between levels of care and counsels, educates and supports patients in improving health status.

Job Description:

Primary Responsibilities: 
1.    Coordinate and facilitate quality clinical management of a broad based outpatient population across the continuum of care. Collaborates with providers to identify needs for preventive care, evidence-based chronic disease management and care coordination. Provides general and specific healthcare education.  Works directly with patients to identify and monitor self-management goals. (essential) 
2.    Collaborates care with community based providers. Follows up on ED visits and inpatient discharges. Assists providers with exams, treatments and procedures as needed. (essential) 
3.    Provides skilled telephonic triage and assessment, education, collaboration and coordination of healthcare and community resources. 
Performs a direct patient care role.  Nursing visits include : Annual Wellness Visits (AWVs) and Chronic Care Management (CCM) of our 
BIDHC patients. (essential) 
4.    Responsible for INR management and teaching for those patients on Coumadin using a standardized protocol. (essential) 
5.    Administers vaccines and medications by parenteral, oral, rectal or nasal route by orders of the prescribing provider and by the Medication Administration policy guidelines established by BIDHC . Provides patient education as appropriate for the administered medication. (essential) 
6.    Performs a wide range of nursing activities as needed under the direction of the provider such as wound care, point of care testing etc. Accurately documents all aspects of patient care in the Electronic Health Record in a timely basis. Schedules tests and referrals for specialty care on order of provider. (essential) 
7.    Monitors and ensures follow up of all abnormal test and imaging results under the direction of the provider. (essential) 
8.    Oversees the inventory and ordering management of clinical supplies and equipment as necessary. Ensures safe, accurate and clinically appropriate collection, storage and processing of all biologic specimens. (essential) 
9.    Provides oversight, delegation and acts as a resource to unlicensed staff including MAs, Certified Nursing Assistants and Nursing 
Students. Provides on-going education and training to practice staff. Updates clinical knowledge and skills though consultation, review of 
literature and formal and informal education including CEUs. Maintains compliance with organizational mandatory annual training. (essential) 10.    The Team Nurse RN will ensure that PHI (Patient Health Information) will only be used for the purposes of patient TPO (treatment, payment and operations).   The Team Nurse RN will ensure patient safety practices to prevent/eliminate risk of patient harm. Adverse patient events and near misses will be promptly reported to the BIDHC Risk Management Dept. (essential)
 
Required Qualifications: 
1.    Graduate from an accredited Nursing Program required. Bachelor's degree preferred. 
2.    License Registered Nurse in Massachusetts required and Certificate 1 Basic Life Support required. 
3.    1-3 years related work experience required. Will consider new graduate RN’s. 
4.    CPR Certification 
5.    Strong interpersonal skills. Strong patient communication and patient education skills. 
6.    Advanced skills with Microsoft applications which may include Outlook, Word, Excel, PowerPoint or Access and other web-based applications. May produce complex documents, perform analysis and maintain databases.
 
Competencies: 
1.    Decision Making: Ability to make decisions that are guided by general instructions and practices requiring some interpretation. May make recommendations for solving problems of moderate complexity and importance. 
2.    Problem Solving: Ability to address problems that are varied, requiring analysis or interpretation of the situation using direct observation, knowledge and skills based on general precedents. 
3.    Independence of Action: Ability to follow precedents and procedures. May set priorities and organize work within general guidelines. Seeks assistance when confronted with difficult and/or unpredictable situations. Work progress is monitored by supervisor/manager. 
4.    Written Communications: Ability to communicate clearly and effectively in written English with internal and external customers. 
5.    Oral Communications: Ability to comprehend and converse in English to communicate effectively with medical center staff, patients, families and external customers. 
6.    Knowledge: Ability to demonstrate full working knowledge of standard concepts, practices, procedures and policies with the ability to use them in varied situations. 
7.    Team Work: Ability to work collaboratively in small teams to improve the operations of immediate work group by offering ideas, identifying issues, and respecting team members. 
8.    Customer Service: Ability to provide a high level of customer service to patients, visitors, staff and external customers in a professional, service-oriented, respectful manner using skills in active listening and problem solving. Ability to remain calm in stressful situations.
 
Age based Competencies: Employees in this job must be competent to provide patient care to the following age groups: Young adult: 16-30 years, Middle Age: 30 - 60 years, Elderly: 60 - over.
 
Social/Environmental Requirements: 
1.    Work requires periods of close attention to work with out interruption. Concentrated effort of up to 4 hours without break may be required. 
2.    Work requires constant response to changing circumstances and using new information to adjust approach and to quickly respond to new needs. 
3.    Potential exposure to adverse environmental conditions
•    Daily:  Protective equipment required(Respirator, earplugs, mask, gloves, eyewear etc.), Potential exposure to infectious diseases and/or airborne pathogens, Potential exposure to infectious diseases and/or bloodborne pathogens.
4.    Health Care Status:  HCW1: Regular, day-to-day contact; both face-to-face and hands-on (having close contact within three feet for at least five minutes). Examples: physicians, clinical nurses, phlebotomist, medical assistants, PFT tech, and x-ray tech.- Health Care Worker Status may vary by department
 
Sensory Requirements: 
Close work (paperwork, visual examination), Color vision/perception, Visual monotony, Visual clarity > 20 feet, Visual clarity <3 feet, Hot/Cold, Sharp/Dull, Smell, Conversation, Monitoring Equipment, Telephone.
 
Physical Requirements:
•    Medium work: Exerting up to 50 pounds of force occasionally and or up to 20 pounds of force frequently. Job is physical in nature and employee needs to stand and/or move around through the majority of their shift.
•    This job requires constant sitting, walking, Endurance-working up to 3-4 hours without a break, frequent standing, bending neck, bending waist, Power Grasping using one hand, Fine Manipulation using both hands, Pushing/Pulling using both hands, Keyboard use, Reaching-above shoulder height, Reaching-below shoulder height. There may be occasional Push a wheelchair or wheeled bed containing a patient weighing up to 250 pounds, with assistance. Rarely there may be Pull up and/or reposition patient weighing up to 100 pounds without assistance, Pull up and/or reposition patient weighing up to 250 pounds with assistance.
 

Pay Range:

$32.24 - $55.32

The pay range listed for this position is the base hourly wage 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.  Compensation may exceed the base hourly rate depending on shift differentials, call pay, premium pay, overtime pay, and other additional pay practices, as applicable to the position and in accordance with the 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