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Job Summary
The Access RN will lead critical system-wide coordination efforts by adopting a system mindset and leveraging their clinical expertise, situational awareness, and knowledge of MGB hospital capabilities to efficiently and effectively match patients with the right site of care. This centralized role aims to ensure timely access to care, reduce transfer delays, balance patient flow, activate standardized transfer pathways, and foster close collaboration with the multidisciplinary MGB PTAC team and site-based clinical and operational leaders.
Essential Functions
-Closely coordinates with hospital bed management teams in the MGB Capacity Center to support patient movement and placement across the system.
-Elicits patient information from the referring MD and the outside facility nurse to allow appropriate patient triage and placement. Follows admission using the Transfer matrix and alternative pathways based on bed availability in collaboration with patient access services to appropriate beds based on bed availability and triage information. Collaborates with off-shift nurse administrators regarding ED, procedures, and inpatient arrivals.
-Monitors the notification process for inpatient responding clinicians, appropriate documents, including data collection, IPASS expect notes, transfer modules, emails, code activations, and reporting to senior leadership. Access nurses notify the team and inpatient service of admissions via email to attending physicians; expect a note to be placed for house staff, and collaborate with the referring physician to callback for specific information.
-Serves as a department representative and consults with appropriate administrators, patient care unit leadership, procedural unit leadership, and access services during the extreme census—updates physicians and transferring facilities on bed availability. Attend daily huddles and represent the PTAC.
-Responsible for making critical decisions on directing patients to the appropriate care pathway across various diagnoses, clinical scenarios, and operationally challenging situations.
-Identifies patients who are safe and appropriate for standardized transfer pathways that avoid the ED and/or reduce the load on inpatient bed capacity at MGB hospitals. Coordinate these transfers with hospital-based and other MGB asset-based physicians, nurses, and capacity leaders.
Education
- Associate's Degree Nursing required
- Bachelor's Degree Nursing preferred
Licenses and Credentials
- Registered Nurse license required
Experience
- 3+ years of experience required in adult critical care and or emergency department
Knowledge, Skills and Abilities
- Must work well independently, have sound decision-making skills, and have flexibility to assist in times of emergency or increased need.
- Responsible for contributing to a calm, organized, appreciative, and learning-oriented atmosphere.
- Proactively seeks out feedback and communicates development goals.
Additional Job Details (if applicable)
Onsite
399 Revolution Drive
36
Regular
Rotating (United States of America)
Pay Range
$70,345.60 - $136,333.60/Annual
Grade
6NTEMP
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.
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.