http://brigham1.botcodelocal.com Brigham and Women's Hospital RSS Jobs Null Null none Null
Responsibilities: The RN Care Coordinator (RNCC) manages a caseload of patients on a defined service and is responsible for ensuring care that supports desired clinical and financial outcomes. Coordinating the care prescribed by an interdisciplinary team, the RNCC utilizes patient assessment, care guidelines, protocols, payer regulations and response to therapies to assess the episode of illness from pre admission to post discharge. Participants in the ongoing evaluation of practice patterns and systems and supports efforts to improve quality, cost and satisfaction outcomes. Mobilizes resources to maximize efficiency of care delivery.
Requirements: R.N. required, MA license, BSN preferred. Knowledge and skills to differentiate levels of care required. Five years of previous acute care experience in related clinical specialty preferred. Two or more years experience with hospital utilization review and medical criteria sets preferred. Five years of experience with discharge planning, knowledge of community resources and patient education principles preferred. Certification in case management preferred. Previous experience in a hospital or health care setting; bilingual (English/Spanish) preferred; strong clinical assessment skills; excellent interpersonal skills including ability to work collaboratively within a team and with internal and external customers; strong organizational skill and ability to set priorities; ability to compile data from concurrent and retrospective medical record review to determine clinical appropriateness, level of care and discharge plan; ability to negotiate several aspects of care coordination simultaneously; excellent written and verbal communication skills.
Shift: Rotating Shift.
This is a Per Diem position.
EEO Statement: An EEO, AA, VEVRAA Employer ]]> 7/19/2011 0.00 Null Null none Null
Responsibilities: GENERAL SUMMARY/OVERVIEW:
The Nursing Project Manager, under the direction of the Director for Nursing Informatics, primarily coordinates the design, development, training and implementation efforts for the nursing component of electronic Acute Care Documentation (ACD). The incumbent is responsive to the overall strategic plan to integrate nursing documentation and other related clinical applications into the hospital clinical information system.

PRINCIPLES DUTIES AND RESPONSIBILITIES:
1. Promote the BWH nursing vision and emerging professional practice model through the nursing documentation transformation and workflow redesign process.
2. Manage ACD workgroups to support the effective design, implementation, training and post go live evaluation of ACD. Provide feedback to workgroup members.
3. Collaborate with others to refine functional requirements, product design decisions, configuration requirements and implementation strategies to meet the unique requirements of nursing.
4. Evaluate and gain consensus on current and future state workflows.
5. Problem-solve application and workflow issues, and work through barriers to achieve results by collaborating effectively with clinical users and the IS staff.
6. Assess nursingsandiquest; go-live readiness to ensure smooth implementation of ACD.
7. Maintain effective communication with the clinical user community to determine issues or problem areas and facilitate resolutions.
8. Identify risks, potential impacts and mitigation strategies to support a successful ACD implementation.
9. Maintain accurate project documentation to include but not limited to; minutes, status reports, issues log, cost reports, project schedule and key decisions.
10. With others, plan and support ACD hardware device placement.
11. Participate in related Department of Nursing clinical system projects.
12. Measure nursing satisfaction with technology, and the use of technology as a facilitator of best practices, patient safety, and error avoidance.
13. Participate in improvement projects and on assigned committees to provide content expertise on the literature related to the use of the ACD and other technology to meet patient safety goals, support clinician workflow, and achieve care improvements.
14. Identify information technology training needs of clinical nurses and leadership and recommend appropriate interventions.
15. Work collaboratively with all BWH and PHS Information Systems employees.
16. Participate in relevant nursing organizations to advance the state of clinical informatics through presentation and publication.
17. Actively serve as a mentor for BWH nurses in nursing informatics.
Requirements: QUALIFICATIONS:
1. Individual must have good analytical, logical thinking and problem solving skills.
2. Strong clinical background required.
3. Project management and system life-cycle management experience preferred.
4. Experience with managing process redesign preferred.
5. An understanding of the benefits of information systems that extends beyond the technology to the improvement and re-engineering of clinical processes
6. A working knowledge of HIPAA, including the security and technical requirements;
7. Current license to practice professional nursing in the State of Massachusetts.
8. Masterandiquest;s degree in Nursing from accredited college or university;

SKILLS AND ABILITIES:
1. Performs within the scope and standards of Nursing Informatics Practice.
2. Demonstrated ability to be self-directed with excellent organization, analytical and interpersonal skills.
3. Demonstrated high level of critical thinking, written and oral communication skills.
4. Exceptional planning skills; able to take large-scale initiative and break down into manageable tasks.
5. Creates and executes project work plans and revises as appropriate to meet changing needs and requirements.
6. Ability to work under pressure to meet project deadlines.
7. Demonstrated ability to work with Microsoft Project, Excel, Word, PowerPoint, Visio and Access.
8. Demonstrates understanding of maintaining security, confidentiality, and integrity of employee, patient, family, and other medical information.
9. Excellent presentation skills and conflict resolution skills required.
10. Demonstrates service excellence and positive interpersonal relations in dealing with others, including patients/families, employees, managers, medical staff, and volunteers so that productivity and positive relations are maximized.

WORKING CONDITIONS:
Works in an office/classroom
Works in a variety of patient care environments where there is potential exposure to communicable disease and hazardous materials.
Shift: Day Shift
EEO Statement: An EEO, AA, VEVRAA Employer ]]> 7/19/2011 0.00 Null Null none Null
Responsibilities: GENERAL SUMMARY/ OVERVIEW STATEMENT:
The ACD Clinical Content Program Manager, under the direction of the Director, Nursing Informatics primarily coordinates the Acute Care Documentation (ACD) Clinical Content Governance process. The incumbent is responsive to the ACD clinical content requirements of all inpatient clinicians.

PRINCIPAL DUTIES AND RESPONSIBILITIES:
1. Acute Care Documentation: Project Management

A. Measure satisfaction with the Clinical Content Governance process, and the use of technology as a facilitator of best practices, patient safety, and error avoidance.

B. Create and execute project work plans and revises as appropriate to meet changing needs and requirements.

C. Manage all clinical content requests, from request to resolution, for the Acute Care Documentation (ACD) application, Metavision (MV).

D. Partner with HIS ACD Project Specialist to ensure compliance with the Electronic Health Record, billing and quality requirements.

E. Identify risks, potential impacts and mitigation strategies to support a successful ACD Clinical Content Governance process.

F. Assign MV clinical content requests to Clinical Content Coordinator and ensure appropriate resources are available to successfully complete assigned requests.

G. Maintain accurate project documentation to include but not limited to; minutes, status reports, issues log, project schedule and key decisions.

H. With others, assess go-live readiness of new content/functionality to ensure smooth implementation.

I. Assure new or modified clinical content is evidence based.

J. Triage all requests to either a andiquest;fast trackandiquest; approach or to the andiquest;standard developmentandiquest; approach.

K. Problem-solve application and workflow issues, and work through barriers to achieve results by collaborating effectively with clinical users and the IS staff.

L. Participate in improvement projects and on assigned HIS and ACD committees as needed to meet patient safety goals, support clinician workflow, and achieve care improvements.
2. Acute Care Documentation: Development

A. Develop an agile content management structure that supports and satisfies users, mentors and leadership.

B. Develop monitoring and tracking system for content governance process.

C. Participate in any evaluation and/or purchase of a vendor content source to ensure that vendor content is integrated into the ACD content governance process.

D. With others, refine content requirements, product screen design decisions, configuration requirements and implementation strategies.
3. Acute Care Documentation: Client Relations:

A. Maintain effective communication with the clinical user community to determine issues or problem areas and facilitate resolutions.

B. Co-facilitate the ACD Joint Clinical Content Committee.

C. Coordinate all clinical content requests with appropriate MGH colleagues
Requirements: SKILLS/ ABILITIES/ COMPETENCIES REQUIRED:

Skills:

Excellent analytical, logical/critical thinking and problem solving skills
Excellent written, oral communication and conflict resolution skills
Superior goal accomplishment and process facilitation skills
Exceptional planning skills, able to take large-scale initiative and break down into manageable tasks
Expert knowledge of the intricacies of inpatient clinical care processes
Maintains expert knowledge of MV application functionality, parameter and content structure, and customization opportunities/limitations
Ability to work with Microsoft Project, Excel, Word, PowerPoint, Visio and Access

Abilities/Competencies:

Perform within the scope and standards of individual clinical discipline
Ability to be self-directed with excellent organization and interpersonal skills
Ability to work under pressure to meet project deadlines
Understanding of maintaining security, confidentiality, and integrity of employee, patient, family, and other medical information
Demonstration of service excellence and positive interpersonal relations in dealing with others, including patients/families, employees, managers, medical staff, and volunteers so that productivity and positive relations are maximized
Strong leadership across all aspects of the ACD Content Governance process

LICENSES, CERTIFICATIONS, and/or REGISTRATIONS:

Current Massachusetts licensure in a clinical discipline (including but not limited to Registered Nurse, Physician, Physical Therapist, Occupational Therapist, Speech-Language Pathologist, Licensed Independent Clinical Social Worker) is required

EDUCATION:

Masters degree (or higher) from an accredited school is required.

EXPERIENCE:

Required:

Minimum 5-7 years of clinical and/or operational experience with inpatient clinical care processes
Leadership experience in a complex healthcare system
Familiarity with policies, procedures, business operations, and government and regulatory requirements related to clinical documentation
Preferred:
Proficiency with information systems technology
Project Management, system life-cycle and process redesign management experience

WORKING CONDITIONS:
Works in an office/classroom setting in a variety of PHS geographic locations
Works in a variety of patient care environments with potential exposure to communicable disease and hazardous materials
Shift: Day Shift
EEO Statement: An EEO, AA, VEVRAA Employer ]]> 7/19/2011 0.00 Null Null none Null
Responsibilities: GENERAL SUMMARY/ OVERVIEW STATEMENT:
The Nurse Program Director is responsible for managing the transplant nurse coordination services of BWH Kidney/Pancreas and Lung Transplant Programs and providing professional development guidance to transplant coordinators in all solid organ transplant programs (Kidney/Pancreas, Lung and Heart). Oversees the nursing operations and the on-going evaluation and development of the nursing services provided by the Programs. Responsible for the direct personnel management and supervision of kidney/pancreas and lung transplant nurse coordinators. Collaborates closely with the Medical and Surgical Directors of the Transplant Programs and administrative directors to facilitate identification and resolution of issues related to the nursing clinical practices associated with the Programs. The Nurse Program Director will participate in the Transplant Quality Assurance/Process Improvement (QAPI) and compliance related activities. As a key member of the transplant administration team, the Nurse Program Director will also participate in budgeting, planning and development, marketing/outreach, Center of Excellence and other managed care contracting efforts related to the transplant programs.

PRINCIPAL DUTIES AND RESPONSIBILITIES:
Program Coordination/Patient Care Organization:

Works closely with the solid organ transplant Medical and Surgical program directors, as well as other program providers and administrative directors, to ensure high quality, effective and efficient delivery of transplant nurse coordination services.
1. Develops and implements nursing care standards of practice, nursing competencies, and directs nursing operations.
2. Analyzes nursing patient management processes and recommends/implements changes to improve quality, efficacy and timeliness of transplant nursing coordinator and program services.
3. Works with physician directors, administrators, and nursing staff to develop, maintain and update clinical procedures and protocols associated with transplant patient care policies and standards in accordance with best practices and regulatory requirements, with a focus on those policies and procedures related to the delivery of nursing transplant coordination services/care. Develops and maintains associated clinical practice manuals.
4. Evaluates effectiveness of transplant nursing care plans and associated documentation policies and procedures. Develops and implements improvement strategies as necessary.
5. Analyzes nurse coordinator staffing and makes recommendations for staffing levels and work schedules to support program goals and needs.
6. Works with administrative directors/managers to help resolve technical and operational issues, including optimization of operational flow through associated nursing and support staff task assignments.
7. Ensures transplant coordinator nursing practices are consistent with overall BWH nursing policies, procedures, staff management and development, nursing practices, and addresses nursing practice specific issues as needed.

Personnel Management:

Provides effective direction, guidance, training , on-going education, and supervision of transplant nurse coordinators in the kidney/pancreas and lung transplant programs, assuring maximum quality of care, patient satisfaction, efficient practice, effective teamwork, and adherence to procedures and standards.
1. Hires, trains, and evaluates staff, including disciplinary actions, in accordance with appropriate HR guidelines
2. Develops implements, maintains, and updates new RN staff orientation and training program.
3. Identifies strengths and weaknesses of staff and assists them in their professional growth and development.
4. Ensures that annual and other required nurse training requirements are met, including development and implementation of transplant coordinator specific nursing competency requirements.
5. Assesses and ensures adequate nurse coordinator coverage at all times. Oversees management of nurse time off. Hires, schedules and manages use of per diem help. Manages nurse coverage schedule(s).
6. Resolves nursing personnel issues/problems.
7. Oversees payroll submission for nursing staff
8. Develops and implements on-going transplant RN coordinator education program.
9. Participates in RN staff professional development for all transplant programs, including heart, with focus on transplant specific nursing practice issues.

Quality Assessment, Performance Improvement and Compliance :
1. Participates in Transplant QAPI and Compliance activities.
2. Works with clinical program leaders on QAPI and Compliance activities and may take lead role in specific QA/PI projects, related to both clinical program initiatives and the transplant related compliance requirements, include state and federal requirements, United Network for Organ Sharing (UNOS), Medicare (CMS), the regional OPO (New England Organ Bank), Joint Commission and other third party agencies.
3. Develops and implements operational processes to ensure compliance with regulatory standards impacting transplant services.
4. Assesses clinical nurse coordinator documentation to ensure that it is timely, meets standards, and evidences the quality of care provided by the nursing staff.
5. Maintains contact with internal and external referral sources to assess satisfaction with transplant program services.

Administration/Planning/Marketing/Outreach/Budget:
1. Participates in transplant program strategic planning and development of short and long term goals.
2. Participates in marketing efforts, including taking a lead role in developing and implementing program specific clinical outreach efforts (.e.g., coordination with dialysis centers for kidney transplant program).
3. Participates in clinical activities related to managed care contracting, including Center of Excellence program RFIs, site visits, and implementation of required operational processes.
4. Maintains ongoing knowledge of legislative, social and regulatory changes impacting on the health care delivery system and in particular transplantation services.
5. Assists in budget planning and monitors use of resources including staffing patterns, supplies and equipment. Integrates cost containment factors into program planning and implementation.
6. Makes recommendations for changing patterns and practices within the program.

Professional Attribute:
1. Establishes and promotes effective communications and strong professional working relationships with: members of the transplant teams; transplant and other administration staff; hospital departments, inpatient Nurse Directors on units with transplant patients, as well as with relevant outside organizations.
2. Influences institutional and nursing policies through appropriate channels (providing suggestions, participating in committees, etc.).
3. Participates in professional, institutional and community organizations relevant to transplantation.

Research:
1. Facilitates nursing and institutional research.
2. Incorporates nursing research findings in clinical practice.
Shift: Day Shift
EEO Statement: An EEO, AA, VEVRAA Employer Position Justification QUALIFICATIONS:
1. Graduate of an approved school of nursing, MSN or Masters Degree in health related field required. Current registration in Massachusetts.
2. Minimum of 5 years of progressively responsible, clinically related experience; transplant coordination experience strongly preferred.
3. Transplant coordinator certification or ability to achieve certification upon hire strongly preferred.
4. Previous nursing management experience strongly preferred.

SKILLS/ ABILITIES/ COMPETENCIES REQUIRED:
1. Demonstrated leadership and management ability.
2. Excellent organizational and time management skills.
3. Superior communication, follow-up, and interpersonal skills.
4. Strong ability to handle multiple responsibilities and to prioritize effectively
5. Must have strong initiative and ability to work independently.
6. Able to work well independently and as a member of a multi-disciplinary team.
7. Excellent ability to identify and solve problems.
8. Self-directed, creative and flexible
9. Strong presentation skills
10. Excellent clinical judgment.
11. Excellent project management and analytical skills
12. Strong computer skills
13. Understanding of CMS/UNOS/OPTIN and other transplant regulatory requirements strongly preferred.

WORKING CONDITIONS:
General outpatient clinic and office. ]]> 7/19/2011 0.00 Null Null none Null
Responsibilities: GENERAL OVERVIEW:

The Coordinator or the Lung Transplant Program is a professional nurse, registered in the Commonwealth of Massachusetts, who coordinates the medical care of lung transplant recipients in the pre, peri, and post operative settings. Receives training and demonstrates initiative, knowledge and clinical skills in assessing, planning and coordinating inpatient and/or outpatient care for patients with complex needs. Ensures continuity of patient care through educational, consultative and direct care activities. The Coordinator collaborates with the medical and nursing staffs, with various clinical and administrative departments, third parties, including referring physicians, and regulatory agencies to promote collegiality and efficacious and cost-effective care. The Coordinator is directly responsible to the Medical Director of the Lung Transplant Program.

PRINCIPAL DUTIES AND RESPONSIBILITIES:
Organization of Patient Care: Outpatient:
1. Attends Lung Transplant clinics and rounds. Assumes responsibility for initiation of clinical assessment, initial identification of problem/plan pre, peri and post-transplant.
2. Facilitates and coordinates educational programs for pre and post transplant patients/families. Works in conjunction with the Pulmonary Rehabilitation team as needed. Provides education for the patient and family, as needed, utilizing appropriate resources. Reviews, revises and initiates development of patient teaching materials with other team members.
3. Works with financial coordinator to obtain insurance approval for the lung transplant and provides medical information as requested.
4. Works with the financial coordinator, social work and other means of assistance as needed.
5. Collaborates with inpatient Nurse Coordination regarding admissions, bed availability, plan of care, flow of patient through acute care and ultimate discharge plan. Works with preferred providers and third party payers as needed.
6. Facilitates access to and efficiency of outpatient care by direct patient management in clinic setting in conjunction with attending physicians, documentation in outpatient medical record, and integration of inpatient and outpatient services.
7. Communicates patient information to the care team via appropriate documentation and team conferences; information includes pre-transplant follow-up, assessment of response to treatment after discharge and long-term effects.
8. Initiates patient contact pre-admission and post-discharge to monitor patient progress.
9. Conducts post acute patient follow-up to insure execution of follow-up care, non-acute plan of care, optimal service utilization; and the quality of care and service to patients pre-and post-transplant.
10. Manages and continually improves systems to provide information on patientsand#x2019; current level of care/changes in clinical status to Lung Transplant Team, referring physicians, financial coordinator/third party payers, UNOS and others.

Organization of Patient Care: Inpatient:

The per diem care coordinator will assist with care coordination for lung transplant recipients as outlined:
1. Conducts inpatient care coordination for all lung transplant patients, including participation in inpatient rounds, documentation in inpatient medical record, daily care facilitation and communications, utilization review and management, organizational efficiency and discharge planning.
2. Acts as liaison between members of inpatient care team, including physicians, trainees, physician assistants, etc, and outpatient care coordination team, including outpatient nurse coordinators.
3. Participates in facilitating patient progress after discharge to the outpatient coordinators by facilitating transfer of communication with patient/family, other team members, providers and agencies to the outpatient coordinators.
4. Coordinates seamless transition of care between in and out-patient care by working closely with out-patient lung transplant coordinators.
5. Works with the financial coordinator, social work and other means of assistance as needed.
6. Communicates patient information to the care team via appropriate documentation.

Quality of Care:
1. Participates in multidisciplinary patient care conferences, support group and medical management meetings.
2. Documentation is clear, complete, concise and organized in its presentation demonstrating skill in the nursing process.
3. Observes principles of infection control in nursing practice, demonstrating awareness of potential/actual risks of infection and modes of transmission.
4. Prepares reports/data for utilization of services review, QM activities, UNOS and Center of Excellence contracts.

Professional Attribute:
1. Establishes effective professional relationships with other members of the healthcare team.
2. Serves as role model and resource for other staff, providing assistance with the care coordination process, clinical skills and patient teaching.
3. Maintains communication with other transplant units/programs in order to keep abreast of current information.
4. Maintains professional relationships with appropriate professional organizations
5. Regularly incorporates new scientific findings in specific area of expertise into clinical practice. Maintains awareness of new developments in the specialized area and participates in research activities.

Participatory Management:
1. Utilizes time and materials effectively.
2. Participates in the orientation of new staff members, students and others as appropriate. Provides input into the evaluation of other staff as appropriate.
3. Adheres to hospital and departmental policies. Recommends changes in policies and procedures through appropriate channels.
4. Participates in determining and implementing goals and objectives for the transplant program, and in the periodic review of the program.
Requirements: QUALIFICATION;
1. Graduate of an approved school of nursing with current registration in Massachusetts. B.S.N. required.
2. Prior experience in the care of pulmonary/thoracic surgery patients, and/or transplant patients,
3. Knowledge of community resources and post/non-acute care providers preferred. Familiarity with discharge and resource planning preferred.
4. Membership in professional organization is recommended.

SKILLS AND ABILITIES REQUIRED
Must show evidence of the basic analytic thinking necessary to care for a group of patients. Must demonstrate strong interpersonal skills; must work closely and cooperatively with physicians and other health care professionals. Must demonstrate the ability to set priorities. Must be able to function well under stress. Excellent communication skills.

*Required to Work Weekends Per Contract.

WORKING CONI'ITIONS:

Works in a busy and sometimes stressful patient care environment. May be exposed to communicable diseases and hazardous materials. Must be able to work well dependently and in a multidisciplinary group. Must be flexible.
Shift: Day Shift.
Weekday Day Coverage.
This is a Per diem position.
EEO Statement: An EEO, AA, VEVRAA Employer ]]> 7/19/2011 0.00 Null Null none Null
Responsibilities: GENERAL SUMMARY AND OVERVIEW STATEMENT

The Nurse Director position is recognized as a key management/leadership position within the health centerand#x2019;s organization and is central to the health centerand#x2019;s mission. The Nurse Director works closely with the Executive Director and the Medical Director in managing the overall operations of the Medical Department, carrying out the core values of the organization by developing and sustaining an environment that supports excellence in clinical practice and in the care of patients. S/he partners with medical and administrative leadership to set mutual goals that advance teamwork, interdisciplinary learning and the environment of care. This is primarily an administrative position, but also includes clinical nursing responsibilities. He/she promotes the development of professional nurses and ensures consistency in the implementation of the philosophy of nursing and standards of nursing practices. Areas of responsibility include, but are not limited to, participation with the Medical Director in the development and implementation of programs, policies, and procedures; hiring, scheduling, and supervising/supporting clinical personnel; and monitoring, ordering, and overseeing clinical supplies and equipment.

The Nursing Director also establishes and maintains collaborative relationships with all disciplines and departments within the health center necessary to create optimal patient outcomes and a professional practice environment. The Nursing Director is a key member of the health center team and works across the enterprise to improve service excellence, operational efficiency, quality and safety and overall financial performance.and#x2019;

PRINCIPAL DUTIES AND RESPONSIBILITIES
1. Supervises and manages staff. Interviews, hires, trains, orients, assigns work to, evaluates performance of, and, if necessary, disciplines and recommends discharge of subordinates.
2. Provides Medical Department leadership with the Medical Director by establishing goals, monitoring performance, and developing policies and procedures.
3. Manages operations of Medical Department Services and oversees adequate staffing, equipment, and supplies. Monitors patient and workflow. Makes changes to improve patient access and satisfaction and provider/staff efficiency and effectiveness.
4. Directs clinical care in the Medical Department. In doing this, he/she ensures services are of high quality, in accordance with applicable laws, regulations, hospital standards, and principles of professional ethics.
5. Supervises the patient appointment system for all clinical services provided by the health center. Responsible for patient reception and appointment making. Also responsible for daily operations, policies, and procedures.
6. Ensure compliance with Hospital, State, Federal, and JCAHO regulations.
7. Is an active member of Brigham and Womenand#x2019;s Hospital nursing organization, and acts as liaison between the Brookside Community Health Center Medical Department and community, city, and state organizations around nursing issues.
8. Directs the Medical Department Performance Improvement Program. Develops goals, implements projects, monitors progress of, initiates appropriate changes in, writes reports regularly for, and participates in the center-wide Quality Assurance committee.
9. Works as a member of the health center Management Team. Contributes to the development of health center goals. Participates in project work. Keeps Program Directors and health center Executive Director informed of key issues, current regulatory and compliance issues.
10. Directs grant activities, seeks grant support for programs, writes proposals, obtains funding, monitors grant committees, and submits reports
Requirements: QUALIFICATIONS
1. Current nursing registration in the Commonwealth of Massachusetts.
2. Masters Degree in Nursing or related field.
3. Previous leadership experience with demonstrated management ability
4. Bilingual in Spanish and English.
5. Family Nurse Practitioner preferred

SKILLS AND ABILITIES REQUIRED
1. Must have demonstrated clinical competence in nursing practice
2. Must possess analytical abilities necessary to organize, to supervise and to evaluate the work of others; to develop and to administer policies, procedures, budgets, and utilize current concepts of nursing practice.
3. Must possess interpersonal skills sufficient to provide effective leadership to staff, and to interact with patients, visitors, physicians, other clinical disciplines and a variety of hospital departments.
4. Must possess both management and leadership skills to be effective with multiple levels of staff.
5. Must demonstrate clinical knowledge in nursing practice in area of responsibility

WORKING CONDITIONS:
Working Conditions
Works in a variety of patient care environments where there is potential exposure to communicable disease, and hazardous materials.
Shift: Day Shift.
Occasional Saturday Mornings Required.
EEO Statement: An EEO, AA, VEVRAA Employer ]]> 7/19/2011 0.00 Null Null none Null
Responsibilities: GENERAL SUMMARY/ OVERVIEW STATEMENT:
The RN Care Coordinator (RNCC) manages a caseload of patients on a defined service and is responsible for ensuring care that supports desired clinical and financial outcomes. Has the skills and knowledge specific to the unique needs of assigned patients. Coordinating the care prescribed by an interdisciplinary team, the RNCC utilizes patient assessment, care guidelines, protocols, payer regulations and response to therapies to assess the episode of illness from pre admission to post discharge. Participates in the ongoing evaluation of practice patterns and systems and supports efforts to improve quality, cost and satisfaction outcomes. Mobilizes resources to maximize efficiency of care delivery.

PRINCIPAL DUTIES AND RESPONSIBILITIES:
Principle Responsibilities

A. Care Facilitation

Coordinates and insures implementation of the plan of care, utilizing case management principles.
1. Prior to or within 24-48 hours of admission the RNCC, by interview of the patient/family, discussion with physician team and/or attending MD and other team members, develops a provisional treatment program and tentative discharge date.
2. Reviews daily treatment plan with physicians, nurses and patient / families to insure
interdisciplinary communication and coordination is occurring.
3. Participates with nursing staff and physicians in patient care rounds to contribute to plan of care and monitor and report patient progress.
4. Collaborates with other departments to expedite sequencing and scheduling of
interventions, consults, treatments and ancillary services.
5. Provides for daily continuity with patients to assure patient needs related to discharge
are met.
6. Incorporates knowledge of utilization management principles and payer contracts into patient plans of care. Keeps physicians and nurses informed of implications.
7. Presents alternatives to inpatient stay to attending MD, team and patient / family based on
assessed patient level of care and insurance benefits.
8. Seeks assistance and/or consultation from Care Coordination leadership with plans
for outlier and potential or actual resource intensive patients.
9. Interacts with internal and external health care providers to facilitate patient care
including post discharge services.
10. Contributes to the development, implementation and monitoring of practice guidelines.
11. Identifies attending, resident and nurse learning needs related to case management and
works with service leaders to develop educational plan.

B. Discharge Planning

Coordinates and executes the discharge planning process for patients, ensuring each patient has a discharge plan.
1. Assesses continuing care needs in conjunction with other caregivers.
2. Coordinates and schedules interdisciplinary meetings with the patient and family
regarding discharge needs and plan as appropriate.
3. Assures patient education consistent with discharge plan has occurred.
4. Identifies service, treatment and funding options for post-hospital care.
5. Promotes interdisciplinary patient/family communications and documentation that facilitate discharge planning striving to finalize plans the day prior to discharge.
6. Performs patient/family follow-up after discharge to monitor and support desired
outcomes.
7. Initiates contact with home health agencies and extended care facilities to insure prompt
and effective transition of care.


C. Utilization Management

Collaborates with appropriate individuals, departments, and payers to insure appropriateness of admission, continued days of stay, and reimbursement.
1. Identifies patients who are likely to have unmet insurance and resource needs and communicates with and/or makes referrals to other members of the health care team and other appropriate departments.
2. Communicates as needed with third party payers regarding patientand#x2019;s progress with treatment plan.
3. Identifies need for and issues Medicare notices of non-coverage, providing appropriate documentation of the process and communication to patient/family and other members of the health care team.
4. Utilizing industry accepted utilization and/or medical management criteria (MCAP) identifies, monitors and reports variances from established treatment plan, including appropriateness of admission, continued stay, delays in treatment, and discharge plan.
5. Conducts documented utilization reviews to insurers or intermediaries.
6. Identifies SNF and AND days for Medicare and Medicaid patients.
7. Initiates actions concurrently to reduce and/or eliminate inappropriate hospital admissions and days, and system delays.
8. Works with payers and physicians to concurrently address level of care concerns effecting
claims and reimbursement.
9. Contributes to utilization and practice improvement efforts by reviewing reports with colleagues and providing feedback on utilization trends and payer issues.
10. Serves as the primary patient information source to third party payers.
Requirements: QUALIFICATIONS:
R.N. required, MA license, BSN preferred.
Knowledge and skills to differentiate levels of care required.
Five years of previous acute care experience in related clinical specialty preferred
Two or more years experience with hospital utilization review and medical criteria sets preferred
Five years of experience with discharge planning, knowledge of community resources and patient education principles preferred as a case manager.
Certification in case management preferred

SKILLS/ ABILITIES/ COMPETENCIES REQUIRED:
Previous experience in a hospital or health care setting; bilingual (English/Spanish) preferred; strong clinical assessment skills; excellent interpersonal skills including ability to work collaboratively and cooperatively within a team and with internal and external customers; strong organizational skill and ability to set priorities; ability to compile data from concurrent and retrospective medical record review to determine clinical appropriateness, able to demonstrate the ability to meet a patientand#x2019;s needs based on their clinical diagnosis, level of care and discharge plan; ability to negotiate several aspects of care coordination simultaneously; excellent written and verbal communication skills

WORKING CONDITIONS:
Works in a busy and at times stressful hospital and office environment. Must be flexible and able to work well independently
Shift: Rotating Shift.
This is a Per diem position.

*Required to Work Weekends Per Contract.
EEO Statement: An EEO, AA, VEVRAA Employer ]]> 7/19/2011 0.00 Null Null none Null
Responsibilities: GENERAL SUMMARY/ OVERVIEW STATEMENT:
The RN Care Coordinator (RNCC) manages a caseload of patients on a defined service and is responsible for ensuring care that supports desired clinical and financial outcomes. Has the skills and knowledge specific to the unique needs of assigned patients. Coordinating the care prescribed by an interdisciplinary team, the RNCC utilizes patient assessment, care guidelines, protocols, payer regulations and response to therapies to assess the episode of illness from pre admission to post discharge. Participates in the ongoing evaluation of practice patterns and systems and supports efforts to improve quality, cost and satisfaction outcomes. Mobilizes resources to maximize efficiency of care delivery.

PRINCIPAL DUTIES AND RESPONSIBILITIES:
Principle Responsibilities

A. Care Facilitation

Coordinates and insures implementation of the plan of care, utilizing case management principles.
1. Prior to or within 24-48 hours of admission the RNCC, by interview of the patient/family, discussion with physician team and/or attending MD and other team members, develops a provisional treatment program and tentative discharge date.
2. Reviews daily treatment plan with physicians, nurses and patient / families to insure
interdisciplinary communication and coordination is occurring.
3. Participates with nursing staff and physicians in patient care rounds to contribute to plan of care and monitor and report patient progress.
4. Collaborates with other departments to expedite sequencing and scheduling of
interventions, consults, treatments and ancillary services.
5. Provides for daily continuity with patients to assure patient needs related to discharge
are met.
6. Incorporates knowledge of utilization management principles and payer contracts into patient plans of care. Keeps physicians and nurses informed of implications.
7. Presents alternatives to inpatient stay to attending MD, team and patient / family based on
assessed patient level of care and insurance benefits.
8. Seeks assistance and/or consultation from Care Coordination leadership with plans
for outlier and potential or actual resource intensive patients.
9. Interacts with internal and external health care providers to facilitate patient care
including post discharge services.
10. Contributes to the development, implementation and monitoring of practice guidelines.
11. Identifies attending, resident and nurse learning needs related to case management and
works with service leaders to develop educational plan.

B. Discharge Planning

Coordinates and executes the discharge planning process for patients, ensuring each patient has a discharge plan.
1. Assesses continuing care needs in conjunction with other caregivers.
2. Coordinates and schedules interdisciplinary meetings with the patient and family
regarding discharge needs and plan as appropriate.
3. Assures patient education consistent with discharge plan has occurred.
4. Identifies service, treatment and funding options for post-hospital care.
5. Promotes interdisciplinary patient/family communications and documentation that facilitate discharge planning striving to finalize plans the day prior to discharge.
6. Performs patient/family follow-up after discharge to monitor and support desired
outcomes.
7. Initiates contact with home health agencies and extended care facilities to insure prompt
and effective transition of care.


C. Utilization Management

Collaborates with appropriate individuals, departments, and payers to insure appropriateness of admission, continued days of stay, and reimbursement.
1. Identifies patients who are likely to have unmet insurance and resource needs and communicates with and/or makes referrals to other members of the health care team and other appropriate departments.
2. Communicates as needed with third party payers regarding patientand#x2019;s progress with treatment plan.
3. Identifies need for and issues Medicare notices of non-coverage, providing appropriate documentation of the process and communication to patient/family and other members of the health care team.
4. Utilizing industry accepted utilization and/or medical management criteria (MCAP) identifies, monitors and reports variances from established treatment plan, including appropriateness of admission, continued stay, delays in treatment, and discharge plan.
5. Conducts documented utilization reviews to insurers or intermediaries.
6. Identifies SNF and AND days for Medicare and Medicaid patients.
7. Initiates actions concurrently to reduce and/or eliminate inappropriate hospital admissions and days, and system delays.
8. Works with payers and physicians to concurrently address level of care concerns effecting
claims and reimbursement.
9. Contributes to utilization and practice improvement efforts by reviewing reports with colleagues and providing feedback on utilization trends and payer issues.
10. Serves as the primary patient information source to third party payers.
Requirements: QUALIFICATIONS:
R.N. required, MA license, BSN preferred.
Knowledge and skills to differentiate levels of care required.
Five years of previous acute care experience in related clinical specialty preferred
Two or more years experience with hospital utilization review and medical criteria sets preferred
Five years of experience with discharge planning, knowledge of community resources and patient education principles preferred as a case manager.
Certification in case management preferred

SKILLS/ ABILITIES/ COMPETENCIES REQUIRED:
Previous experience in a hospital or health care setting; bilingual (English/Spanish) preferred; strong clinical assessment skills; excellent interpersonal skills including ability to work collaboratively and cooperatively within a team and with internal and external customers; strong organizational skill and ability to set priorities; ability to compile data from concurrent and retrospective medical record review to determine clinical appropriateness, able to demonstrate the ability to meet a patientand#x2019;s needs based on their clinical diagnosis, level of care and discharge plan; ability to negotiate several aspects of care coordination simultaneously; excellent written and verbal communication skills

WORKING CONDITIONS:
Works in a busy and at times stressful hospital and office environment. Must be flexible and able to work well independently
Shift: Rotating Shift.
This is a Per diem position.

*Required to Work Weekends Per Contract.
EEO Statement: An EEO, AA, VEVRAA Employer ]]> 7/19/2011 0.00 Null Null none Null
Responsibilities: GENERAL SUMMARY/ OVERVIEW STATEMENT:
The RN Care Coordinator (RNCC) manages a caseload of patients on a defined service and is responsible for ensuring care that supports desired clinical and financial outcomes. Has the skills and knowledge specific to the unique needs of assigned patients. Coordinating the care prescribed by an interdisciplinary team, the RNCC utilizes patient assessment, care guidelines, protocols, payer regulations and response to therapies to assess the episode of illness from pre admission to post discharge. Participates in the ongoing evaluation of practice patterns and systems and supports efforts to improve quality, cost and satisfaction outcomes. Mobilizes resources to maximize efficiency of care delivery.

PRINCIPAL DUTIES AND RESPONSIBILITIES:
Principle Responsibilities

A. Care Facilitation

Coordinates and insures implementation of the plan of care, utilizing case management principles.
1. Prior to or within 24-48 hours of admission the RNCC, by interview of the patient/family, discussion with physician team and/or attending MD and other team members, develops a provisional treatment program and tentative discharge date.
2. Reviews daily treatment plan with physicians, nurses and patient / families to insure
interdisciplinary communication and coordination is occurring.
3. Participates with nursing staff and physicians in patient care rounds to contribute to plan of care and monitor and report patient progress.
4. Collaborates with other departments to expedite sequencing and scheduling of
interventions, consults, treatments and ancillary services.
5. Provides for daily continuity with patients to assure patient needs related to discharge
are met.
6. Incorporates knowledge of utilization management principles and payer contracts into patient plans of care. Keeps physicians and nurses informed of implications.
7. Presents alternatives to inpatient stay to attending MD, team and patient / family based on
assessed patient level of care and insurance benefits.
8. Seeks assistance and/or consultation from Care Coordination leadership with plans
for outlier and potential or actual resource intensive patients.
9. Interacts with internal and external health care providers to facilitate patient care
including post discharge services.
10. Contributes to the development, implementation and monitoring of practice guidelines.
11. Identifies attending, resident and nurse learning needs related to case management and
works with service leaders to develop educational plan.

B. Discharge Planning

Coordinates and executes the discharge planning process for patients, ensuring each patient has a discharge plan.
1. Assesses continuing care needs in conjunction with other caregivers.
2. Coordinates and schedules interdisciplinary meetings with the patient and family
regarding discharge needs and plan as appropriate.
3. Assures patient education consistent with discharge plan has occurred.
4. Identifies service, treatment and funding options for post-hospital care.
5. Promotes interdisciplinary patient/family communications and documentation that facilitate discharge planning striving to finalize plans the day prior to discharge.
6. Performs patient/family follow-up after discharge to monitor and support desired
outcomes.
7. Initiates contact with home health agencies and extended care facilities to insure prompt
and effective transition of care.


C. Utilization Management

Collaborates with appropriate individuals, departments, and payers to insure appropriateness of admission, continued days of stay, and reimbursement.
1. Identifies patients who are likely to have unmet insurance and resource needs and communicates with and/or makes referrals to other members of the health care team and other appropriate departments.
2. Communicates as needed with third party payers regarding patientand#x2019;s progress with treatment plan.
3. Identifies need for and issues Medicare notices of non-coverage, providing appropriate documentation of the process and communication to patient/family and other members of the health care team.
4. Utilizing industry accepted utilization and/or medical management criteria (MCAP) identifies, monitors and reports variances from established treatment plan, including appropriateness of admission, continued stay, delays in treatment, and discharge plan.
5. Conducts documented utilization reviews to insurers or intermediaries.
6. Identifies SNF and AND days for Medicare and Medicaid patients.
7. Initiates actions concurrently to reduce and/or eliminate inappropriate hospital admissions and days, and system delays.
8. Works with payers and physicians to concurrently address level of care concerns effecting
claims and reimbursement.
9. Contributes to utilization and practice improvement efforts by reviewing reports with colleagues and providing feedback on utilization trends and payer issues.
10. Serves as the primary patient information source to third party payers.
Requirements: QUALIFICATIONS:
R.N. required, MA license, BSN preferred.
Knowledge and skills to differentiate levels of care required.
Five years of previous acute care experience in related clinical specialty preferred
Two or more years experience with hospital utilization review and medical criteria sets preferred
Five years of experience with discharge planning, knowledge of community resources and patient education principles preferred as a case manager.
Certification in case management preferred

SKILLS/ ABILITIES/ COMPETENCIES REQUIRED:
Previous experience in a hospital or health care setting; bilingual (English/Spanish) preferred; strong clinical assessment skills; excellent interpersonal skills including ability to work collaboratively and cooperatively within a team and with internal and external customers; strong organizational skill and ability to set priorities; ability to compile data from concurrent and retrospective medical record review to determine clinical appropriateness, able to demonstrate the ability to meet a patientand#x2019;s needs based on their clinical diagnosis, level of care and discharge plan; ability to negotiate several aspects of care coordination simultaneously; excellent written and verbal communication skills

WORKING CONDITIONS:
Works in a busy and at times stressful hospital and office environment. Must be flexible and able to work well independently
Shift: Rotating Shift.
This is a Per diem position.

*Required to Work Weekends Per Contract.
EEO Statement: An EEO, AA, VEVRAA Employer ]]> 7/19/2011 0.00 Null Null none Null
Responsibilities: GENERAL SUMMARY/ OVERVIEW STATEMENT:
.
The Licensed Practical Nurse will perform all nursing functions necessary for the complete care and efficient management of patients through the ambulatory facility, including teaching and assisting patients with needs or problems relevant to their visit to the physician and assisting physicians and other non-licensed clinical staff with procedures, treatments and/or instructions to the patients.

PRINCIPAL DUTIES AND RESPONSIBILITIES:
1) Responsibilities to Patients:

and#x2022; Accurately performs all nursing functions necessary in the ambulatory practice including the administration of medications and injections and other procedures that require a nursing license.
and#x2022; Assesses patient telephone calls and accurately relays information to appropriate physician and authorizes (under the supervision of the physician) prescription refill.
and#x2022; Will accurately provide medical information or instruction to the patient, as directed by physician.
and#x2022; Accurately records all patient data and maintains all necessary records or files pertaining to the patient.
and#x2022; Informs patients of any existing procedure or appointment delays and provides approximate waiting time.
and#x2022; Assists all patients in a way which gives the overall perception of BPG as a premier healthcare provider by being courteous, efficient, helpful and professional.
and#x2022; Treats all patients with dignity, compassion and respect.
2) Responsibilities to Physicians:

and#x2022; Appropriately prepares patient for examinations or procedures.
and#x2022; Assists physician during examinations, procedures and care of patient.
and#x2022; Assists physicians in the acquisition and proper use of all equipment relating to the care of the patient.
and#x2022; Obtains pertinent and accurate information from the patient and communicates this information, in a professional manner to the physician.
and#x2022; Accurately communicates the physician's instructions to the patient.
and#x2022; Follows office protocol and physician direction when calling prescriptions to pharmacies, as well as with all other practice procedures
and#x2022; Performs urine dipsticks and guaiac testing according to protocol.
and#x2022; Maintains a professional relationship with the physician.
3) Equipment and Supplies:

and#x2022; Keeps all patient-care and procedure equipment clean and in good working order and reports equipment problems to supervisor.
and#x2022; Keeps inventory of necessary supplies and equipment: notifies supervisor when items are needed.
and#x2022; Properly stocks patient-care area and makes cost effective use of supplies, equipment and other resources.
and#x2022; Keeps all patient-care areas and work areas neat and clean.
and#x2022; Accurately utilizes all equipment and supplies.
4) Teamwork:

and#x2022; Promotes collaborative work relationships and influences others to work collaboratively.
and#x2022; Bases decisions and actions on understanding the perspective of others.
and#x2022; Is a role model to others in service standards.
and#x2022; Interacts professionally with fellow employees and other ancillary departments.
and#x2022; Is supportive of fellow employees and uses initiative in helping others.
and#x2022; Is an effective TEAM PLAYER !
5) Responsibilities to the Supervisory Staff:

and#x2022; Follows instructions of and assists supervisory staff as required.
and#x2022; Maintains good communication with and reports problems to supervisor.
and#x2022; Performs all duties and tasks as requested by the supervisor, to ensure the efficient overall performance of the facility.
and#x2022; Attends all required staff meetings.
and#x2022; Performs annual competencies.
Requirements: QUALIFICATIONS:
and#x2022; Graduate of an approved school of practical nursing.
and#x2022; Current Licensure in the Commonwealth of Massachusetts.
and#x2022; Must maintain annual competencies related to practice protocol.
and#x2022; Must attend mandatory annual in-services.
and#x2022; Maintains current licensure by completing educational requirements needed for renewal.

SKILLS/ ABILITIES/ COMPETENCIES REQUIRED:
and#x2022; Must understand the overall goals and systems of the practice
and#x2022; Communicate effectively with a socially diverse group of patients visiting their physicians for problems that may be life threatening and coping with anxiety and stress often created by such situations
and#x2022; Communicate well with a large group of physicians in a fast-paced and demanding environment
and#x2022; Respect the strict confidentiality of medical records and information.
and#x2022; Must demonstrate excellent customer service skills.
and#x2022; Must possess a solid understanding of ambulatory patient care, be organized and multi-tasking, and have excellent communication skills.
and#x2022; Must possess excellent learning skills.

WORKING CONDITIONS:
Work is performed in an office environment and ambulatory patient-care setting.
Shift: Day Shift.
EEO Statement: An EEO, AA, VEVRAA Employer ]]> 7/19/2011 0.00 Null Null none Null
Responsibilities: GENERAL SUMMARY/ OVERVIEW STATEMENT:
The Nurse Practitioner is an advanced practice registered nurse who has acquired specialized knowledge and skills through completion of a nurse practitioner program. The practitioner has the credentials to function in an expanded nursing role and is responsible for the daily management of selected patients. The practitioner has responsibility for assessment and management of patients including diagnostic and therapeutic interventions, and continuous implementation and evaluation of an appropriate plan of care. The Nurse Practitioner works under the supervision of the attending physician and is responsible to the Nurse Manager or Nursing Director for the area.

PRINCIPAL DUTIES AND RESPONSIBILITIES:
A. Patient Care Organization:
1. Provides direct care, counseling, and teaching to a select patient population.
2. Performs physical examinations and provides preventive health measures appropriate to patient needs.
3. Orders, interprets, and evaluates appropriate lab and diagnostic tests to assess patientsand#x2019; clinical problems and health care needs.
4. Arranges for appropriate plan of care and follow-up based on outcome of diagnostic, lab, and physical assessment findings.
5. Performs laboratory tests appropriate for specific patient population.
6. Orders medications and writes prescriptions according to organizational and regulatory policies and procedures.
7. Records pertinent patient care findings in the medical record.
8. Sets priorities for appropriate and efficient management of patient care that reflects cost effective management of time, available human resources, supplies and equipment
9. Maintains interdisciplinary approach to planning and communicating patient care information by discussing patient data with appropriate physicians and other health care professionals.
10. Incorporates the concepts of health maintenance, prevention, and promotion into daily practice through patient education and counseling.
11. Demonstrates awareness of community resources and assists staff, patients, and families to effectively utilize them.

B. Quality of Care:
1. Assists in the development, implementation and revision of nurse practitioner
guidelines and monitoring requirements for prescription writing in collaboration
with their designated physician and Nursing Manager or Nursing Director.
2. Evaluates outcomes of own patientsand#x2019; care and makes necessary revisions in care plans.
3. Seeks and provides consultative services as required.
4. Participates in departmental and organization quality improvement program.
5. Utilizes quality improvement data and research findings to enhance patient care.

C. Coordination:
1. Demonstrates appropriate collaborative and consultative relationships with other providers within the institution and community.
2. Serves on Nursing and Hospital Committees and assumes responsibility for disseminating and communicating information to staff.

D. Budget:
1. Participates in setting productivity metrics and in cost effective management of personnel, time, supplies, and equipment in his/her area.
2. Collaborates with the Nurse Manager/Practice Manager/Director in the recommendation of appropriate staffing patterns for their clinical areas.

E. Personnel Management:
1. Participates in selection process of new employees in group or team practice as requested.
2. Provides input into evaluation of other staff as appropriate.

F. Education:
1. Acts as preceptor for nursing students and staff as requested.
2. Participates in orientation of new staff.
3. Participates in Departmental and organization continuing education programs.
4. Identifies own learning needs and updates clinical knowledge and skills through formal and informal education and review of current literature.
5. Educates lay and/or professional groups through lectures, papers, publications, and educational materials.

G. Planning:
1. Develops annual objectives and reviews with Nurse Manager and /or Nursing
Director and collaborating M.D. at time of performance review and at
appropriate intervals. Completes annual credentialing process through the
Nursing Department credentialing program.
2. Assists in determining, evaluating, and/or implementing clinical area goals and objectives.
3. Maintains interdisciplinary approach for planning and communicating information for patient care and operation of practice.
4. Maintains current knowledge of legislation that may affect the health care delivery system.

H. Research:
1. Participates in nursing research at a level consistent with educational background and experience.
2. Maintains understanding of current research of others in related clinical areas through review of relevant publications.
3. Participates in grant writing as appropriate.
Requirements: QUALIFICATIONS:
Education:
Mastersand#x2019; Degree in Nursing required. Satisfactory completion of an approved formal education program which has as its objective the preparation of professional nurses to practice as nurse practitioners.

Experience:
Prior experience as a nurse practitioner strongly preferred in a peri-operative setting.

Other:
ANA or other appropriate nursing certification in area of practice and authorization by the Massachusetts Board of Registration in Nursing to practice in the expanded role. DEA for prescription writing.

SKILLS/ ABILITIES/ COMPETENCIES REQUIRED:
1. Expert clinical judgment skills to function in the independent role.
2. Excellent interpersonal relationship and communication skills in order to collaborate with patientsand#x2019; families, staff and community health workers.
3. Ability to work with frequent stress resulting from busy clinical settings and changing organizational climate.
4. Ability to be self-directive and demonstrate initiative in addressing responsibilities of position.
5. Ability to utilize appropriate problem solving and conflict resolution skills.

WORKING CONDITIONS:
1. Works in a variety of patient care environments where there may be exposure to communicable disease, and hazardous materials.
Shift: Day Shift.
This is a Per diem position.

Required to Work Weekends Per Contract.
EEO Statement: An EEO, AA, VEVRAA Employer ]]> 7/19/2011 0.00 Null Null none Null
Responsibilities: Registered in Massachusetts who is responsible and accountable for a specified group of patients. Demonstrates initiative, knowledge and clinical skills in caring for the patient with complex needs. Demonstrates the ability to effectively manage patients by assuming full responsibility for assessment, planning, implementation and evaluation of patient care. The RN is directly responsible to a designated nurse director, or supervisor.
Requirements: *Recent OR experience preferred.*

Required to Work Weekends Per Contract.
Shift: Rotating Shift.

10 hour rotating shifts.
EEO Statement: An EEO, AA, VEVRAA Employer ]]> 7/19/2011 0.00 Null Null none Null
Responsibilities: GENERAL SUMMARY/ OVERVIEW STATEMENT:
A Certified Registered Nurse Anesthetist (CRNA) is responsible for the pre-operative, intra-operative, and immediate post-operative care of the patient requiring anesthesia for surgical, medical, therapeutic or diagnostic procedures. This care includes, but is not limited to, pre-operative assessments, anesthetic care plans, assembly and care of specialized equipment; application, insertion and interpretation of data from anesthetic monitors; airway management; delivery of general, regional anesthesia, and monitored anesthetic care; induction, maintenance, and emergence of the patient; care of the patient in the immediate post-operative setting; and post-operative assessments in collaboration with a physician member of the Department of Anesthesiology. These services are rendered in the main operating rooms, Labor and Delivery, and designated and#x201c;Out of ORand#x201d; anesthesia locations (i.e. Radiology, MRT, etc.)
CRNAs also fulfill a teaching function for the Student Registered Nurse Anesthetists that rotate to the BWH from Northeastern University for their clinical experience. Clinical research may be available as an adjunct for the CRNA who is interested in that area of practice, depending on protocols available, but is not a department requirement nor is it usually sponsored by the anesthesia department.
All CRNAs must comply with federal, state, hospital, and departmental guidelines as they pertain to the delivery of anesthesia care at the Brigham and Womenand#x2019;s Hospital.
Requirements: QUALIFICATIONS:
Basic qualifications for the CRNA applicant for clinical privileges shall include:

1 . State licensure as a registered professional nurse. Compliance with Massachusetts regulatory requirements regulating advanced practice for nurse anesthesia.
2. Graduation from a program of Nurse Anesthesia education accredited by the Council on Accreditation of Nurse Anesthesia Educational Programs or its predecessor.
3. Certification by the Council on Certification or recertification by the Council on Recertification or their respective predecessors.
4. Basic Life Support (BLS) and Advanced Cardiac Life Support (ACLS) certification.

SKILLS/ ABILITIES/ COMPETENCIES REQUIRED:
Clinical Responsibilities:

The following list of anesthesia and related services should be utilized to delineate the clinical responsibilities of the individual who can demonstrate new or continued competency. More clinical responsibilities may be added as additional education and experience is obtained by the individual practitioner.

and#x2022; Preanesthesia assessment
and#x2022; Requesting laboratory/diagnostic studies
and#x2022; Preanesthetic medication
and#x2022; General anesthesia and adjuvant drugs
and#x2022; Regional anesthesia techniques
and#x2022; Sedation techniques
and#x2022; Cardiopulmonary resuscitation management
and#x2022; Invasive and noninvasive monitoring
and#x2022; Airway management techniques
and#x2022; Mechanical ventilation/oxygen therapy
and#x2022; Fluid, electrolyte, acid-base management
and#x2022; Blood, blood products, plasma expanders
and#x2022; Peripheral intravenous/arterial catheter placement
and#x2022; Central venous catheter placement
and#x2022; Pulmonary artery catheter placement
and#x2022; Acute and chronic pain therapy
and#x2022; Post anesthesia care/discharge

WORKING CONDITIONS:
Anesthesia care is given in the main operating rooms of the BWH, or its affiliating institutions, as well as several designated and#x201c;Out of ORand#x201d; locations, which are, for example, Radiology, Cardiac Cath Lab, CT, MRI, MRT, Endoscopy, Angiography, among others. These locations are often geographically far from the main ORs.
In these environments, work proceeds in an atmosphere that includes many forms of electrical, mechanical, gas driven, and radiation and laser emitting equipment. The environment can be warm, cold, dimly lit and crowded as well as spacious and well lit.
Shift: Day Shift.
EEO Statement: An EEO, AA, VEVRAA Employer Additional Information About Brigham and Womens/Mass General Health Care Center:

Brigham and Womens/Mass General Health Care Center is a comprehensive, community-based, multi-specialty ambulatory care center located in Patriot Place, a retail lifestyle center located adjacent to Gillette Stadium in Foxborough, Massachusetts. The Center offers a wide range of ambulatory services including Day Surgery, Primary Care, Medical and Surgical specialties as well as comprehensive ancillary services: Pharmacy, Clinical Laboratory Services, Phlebotomy, and a wide range of Diagnostic Imaging services. This deep breadth of patient services under one roof requires that each of our team members embody the willingness and ability to work across departments in order to provide an integrated patient experience.

While the Center's location is 25 miles from the main campus of BWH, it is an expectation that the Center's services offered will comply with the standards of care found at our main campus. In addition, all physicians practicing at the Center will be fully credentialed at BWH and will provide the same excellence of care that makes the BWH nationally recognized for clinical excellence. The clinical staff of the Center are BWH employees and must demonstrate the same high level of competence and professionalism found at the main campus. Travel to main campus may be required for professional development or business reasons.

Expectations for all Brigham and Women's / Mass General Health Care Center Employees:
Each employee is responsible for understanding the importance of and contributing to creating an environment that puts Patients First. To that end, all Center employees are expected to:

Work in an efficient manner
Practice safe patient care
Practice multi-disciplinary cross-coverage duties as needed
Work effectively in a team environment
Demonstrate a consistently high level of professionalism
Provide excellent, consistent customer service
Be flexible
Be willing to participate in changes to improve the Patient First environment.

These eight expectations are key to the Center's success and are core competencies required by all Center employees, regardless of role. ]]> 7/19/2011 0.00 Null Null none Null
Responsibilities: GENERAL SUMMARY:
Brigham and Women's Advanced Primary Care Associates, South Huntington is an internal medicine practice opening in early summer 2011. Our goal is to create an environment that maximally fosters healing relationships between patients and their health care team, while supporting an outstanding educational experience for future members of that healthcare team. The practice will test innovative models of primary care delivery. It will be continually improving in a way that is accessible to being evaluated and disseminated. The practice will be certifiable at the highest level as a Patient-centered Medical Home.

Every team in the practice will have an LPN to assess and educate patients about acute and chronic medical problems and to coach patients and their families around how to best self manage their health.

PRINCIPAL DUTIES AND RESPONSIBILITIES:
and#x2022; Provide phone and e-mail advice to patients and their families
and#x2022; Knowledge of appropriate information to obtain for common medical complaints
and#x2022; Ability to take an accurate and complete medical history
and#x2022; Problem solving skills
and#x2022; Ability to recognize emergencies and respond appropriately
and#x2022; Ability to communicate findings concisely and accurately to physicians, nurse practitioners, physician assistants and registered nurses both verbally and in writing
and#x2022; Ability to communicate back to patients medical advice, including evaluating patientand#x2019;s understanding of and ability to follow advice
and#x2022; Support patients and their families in self management of chronic disease
and#x2022; Provide education, counseling, and coaching of patients
and#x2022; Actively and efficiently manage the flow of patients through the office
and#x2022; Pre-visit chart preparation and information gathering to optimize the visit
and#x2022; Room patients
and#x2022; Assist providers with medical histories, including medications
1. Including documenting in electronic health record
and#x2022; Check vital signs
and#x2022; Update computerized reminders
and#x2022; Assess patients, document those assessments, review with providers, and educate patients per providerand#x2019;s instructions
and#x2022; Perform point of care testing and immunizations
and#x2022; Participation in proactive population management of chronic disease by generating e-mails and letters and calling patients
and#x2022; Communication of test results to patients
and#x2022; Participate in shared medical appointments
and#x2022; Participate in the education of students and residents
and#x2022; Participate in process improvement groups
and#x2022; Evening hours once a week, and Saturday AM hours once a month
and#x2022; Occasional home and/or community visits
and#x2022; Assist co-workers in their duties (within the limitations of training and scope of practice)
and#x2022; All other duties as prescribed
Requirements: QUALIFICATIONS:
and#x2022; Graduation from an accredited school of practical nursing
and#x2022; Current licensure as a practical nurse in the Commonwealth of Massachusetts
and#x2022; At least 3 years of clinical experience as an LPN
and#x2022; Ambulatory care experience a plus, but not required
and#x2022; Primary care experience a plus, but not required

SKILLS/ABILITIES/COMPETENCIES:

and#x2022; Customer focused and patient-centered
and#x2022; Enjoys being part of a diverse team
and#x2022; Ability to multi-task
and#x2022; Comfortable with change
and#x2022; Spanish language skills strongly preferred but not required
and#x2022; Experience with motivational interviewing a plus, but not required. Willingness to learn motivational interviewing techniques required

Knowledge and understanding of:

and#x2022; Physiology and pathophysiology of common chronic disease states
and#x2022; Symptoms of acute medical problems and appropriate protocols for advice and triage
and#x2022; Medical terminology
and#x2022; Pharmacology

Basic knowledge and understanding of the pathophysiology and competency in the performance of the following clinical tasks:

and#x2022; Electrocardiogram
and#x2022; Oxygen saturation
and#x2022; Basic wound care
and#x2022; POC testing (andamp; quality control)

Blood glucose testing
Urinalysis
Stool guiaic

and#x2022; Vital signs, both manual and automatic, including the performance of orthostatic vital signs
and#x2022; Removal of staples and sutures
and#x2022; Prepare for and chaperone pelvic examinations
and#x2022; Assist with sterile procedures
and#x2022; Specimen labeling
and#x2022; Correct medical waste management practices
and#x2022; Venipuncture
and#x2022; Uncomplicated ear irrigation
and#x2022; Administration of common medication and immunizations

Basic knowledge and understanding of the medical assistants role in patient safety and quality:

and#x2022; Falls prevention
and#x2022; Patient transfers
and#x2022; Communication and patient hand-offs

Normal ranges of signs and symptoms / when to alert the MD:

and#x2022; Hand-washing
and#x2022; Modifications for obese patients
and#x2022; Patients with disabilities
and#x2022; Infection control
and#x2022; Proper use of personal protective equipment
and#x2022; Role in medical emergencies
and#x2022; Quality and pay for performance
and#x2022; Joint commission compliance

National patient safety goals:

and#x2022; Patient outcomes
and#x2022; Health literacy

Information technology:

and#x2022; Documenting patient interactions
and#x2022; Electronic medical record (LMR)
and#x2022; Prescription refill process
and#x2022; Clinical messaging
and#x2022; Patient gateway
and#x2022; Percipio

Basic knowledge of office operations and standards:

and#x2022; Front desk cross-training
and#x2022; Basic understanding of office procedures including filing, copying, scanning, printing, and faxing.
and#x2022; Phone skills: Ability to use phone system- answer and screen calls, put on hold.
and#x2022; Verbal skills: Ability to answer questions and give information as appropriate, and communicate in a professional, courteous, clear and concise manner.
and#x2022; Writing skills: Basic use of email, ability to take accurate and complete messages.
and#x2022; Organization skills: Ability to manage work processes in a neat and orderly way and to sort and alphabetize. Ability to follow instructions.
and#x2022; System skills: Basic computer literacy and understanding of office systems, ability to type and enter data.

Knowledgeable and compliant with all hospital, State and Federal requirements (where applicable to job performance), including policy and procedures with The Joint Commission and HIPAA.
Shift: Day Shift.
Occasional Weekends and Evening Coverage Required.
EEO Statement: An EEO, AA, VEVRAA Employer ]]> 7/19/2011 0.00 Null Null none Null
Responsibilities: GENERAL SUMMARY/ OVERVIEW STATEMENT:
The Nurse Practitioner is an advanced practice registered nurse who has acquired specialized knowledge and skills through completion of a nurse practitioner program. The practitioner has the credentials to function in an expanded nursing role and is responsible for the daily management of selected patients. The practitioner has responsibility for assessment and management of patients including diagnostic and therapeutic interventions, and continuous implementation and evaluation of an appropriate plan of care. The Nurse Practitioner works under the supervision of the attending physician and is responsible to the Nurse Manager or Nursing Director for the area.

PRINCIPAL DUTIES AND RESPONSIBILITIES:
A. Patient Care Organization:
1. Provides direct care, counseling, and teaching to a select patient population.
2. Performs physical examinations and provides preventive health measures appropriate to patient needs.
3. Orders, interprets, and evaluates appropriate lab and diagnostic tests to assess patientsand#x2019; clinical problems and health care needs.
4. Arranges for appropriate plan of care and follow-up based on outcome of diagnostic, lab, and physical assessment findings.
5. Performs laboratory tests appropriate for specific patient population.
6. Orders medications and writes prescriptions according to organizational and regulatory policies and procedures.
7. Records pertinent patient care findings in the medical record.
8. Sets priorities for appropriate and efficient management of patient care that reflects cost effective management of time, available human resources, supplies and equipment
9. Maintains interdisciplinary approach to planning and communicating patient care information by discussing patient data with appropriate physicians and other health care professionals.
10. Incorporates the concepts of health maintenance, prevention, and promotion into daily practice through patient education and counseling.
11. Demonstrates awareness of community resources and assists staff, patients, and families to effectively utilize them.

B. Quality of Care:
1. Assists in the development, implementation and revision of nurse practitioner
guidelines and monitoring requirements for prescription writing in collaboration
with their designated physician and Nursing Manager or Nursing Director.
2. Evaluates outcomes of own patientsand#x2019; care and makes necessary revisions in care plans.
3. Seeks and provides consultative services as required.
4. Participates in departmental and organization quality improvement program.
5. Utilizes quality improvement data and research findings to enhance patient care.

C. Coordination:
1. Demonstrates appropriate collaborative and consultative relationships with other providers within the institution and community.
2. Serves on Nursing and Hospital Committees and assumes responsibility for disseminating and communicating information to staff.

D. Budget:
1. Participates in setting productivity metrics and in cost effective management of personnel, time, supplies, and equipment in his/her area.
2. Collaborates with the Nurse Manager/Practice Manager/Director in the recommendation of appropriate staffing patterns for their clinical areas.

E. Personnel Management:
1. Participates in selection process of new employees in group or team practice as requested.
2. Provides input into evaluation of other staff as appropriate.

F. Education:
1. Acts as preceptor for nursing students and staff as requested.
2. Participates in orientation of new staff.
3. Participates in Departmental and organization continuing education programs.
4. Identifies own learning needs and updates clinical knowledge and skills through formal and informal education and review of current literature.
5. Educates lay and/or professional groups through lectures, papers, publications, and educational materials.

G. Planning:
1. Develops annual objectives and reviews with Nurse Manager and /or Nursing
Director and collaborating M.D. at time of performance review and at
appropriate intervals. Completes annual credentialing process through the
Nursing Department credentialing program.
2. Assists in determining, evaluating, and/or implementing clinical area goals and objectives.
3. Maintains interdisciplinary approach for planning and communicating information for patient care and operation of practice.
4. Maintains current knowledge of legislation that may affect the health care delivery system.

H. Research:
1. Participates in nursing research at a level consistent with educational background and experience.
2. Maintains understanding of current research of others in related clinical areas through review of relevant publications.
3. Participates in grant writing as appropriate.
Requirements: QUALIFICATIONS:
Education:
Mastersand#x2019; Degree in Nursing required. Satisfactory completion of an approved formal education program which has as its objective the preparation of professional nurses to practice as nurse practitioners.

Experience:
Prior experience as a nurse practitioner strongly preferred in a peri-operative setting.

Other:
ANA or other appropriate nursing certification in area of practice and authorization by the Massachusetts Board of Registration in Nursing to practice in the expanded role. DEA for prescription writing.

SKILLS/ ABILITIES/ COMPETENCIES REQUIRED:
1. Expert clinical judgment skills to function in the independent role.
2. Excellent interpersonal relationship and communication skills in order to collaborate with patientsand#x2019; families, staff and community health workers.
3. Ability to work with frequent stress resulting from busy clinical settings and changing organizational climate.
4. Ability to be self-directive and demonstrate initiative in addressing responsibilities of position.
5. Ability to utilize appropriate problem solving and conflict resolution skills.

WORKING CONDITIONS:
1. Works in a variety of patient care environments where there may be exposure to communicable disease, and hazardous materials.
Shift: Rotating Shift.

Required To Work Weekends Per Contract.
EEO Statement: An EEO, AA, VEVRAA Employer Additional Information
DEPARTMENT SPECIFIC DUTIES AND RESPONSIBILITIES:
1. Assist in Cardiovascular Wellness clinical program development
2. Management and follow-up of community-based screening programs

a. Perform blood pressure
b. Finger sticks, blood draws
c. Counseling
3. Management of the daily Cardiovascular Wellness outpatient schedule in collaboration with Cardiovascular Medicine physicians and practice administrators at multiple locations at hospital and in community
4. Phone triage:

a. Gather patient relevant information
b. Determine appropriate triage and/or consult with Cardiovascular Medicine physicians for appropriate plan.
c. Communicate plans to patient as appropriate
5. Office and Hospital/Health Center Consultations and Visits

a. Assist physician in obtaining clinical information including historical information, laboratory data, other diagnostic reports, and relevant procedural reports
b. Measure the ankle: brachial index if appropriate
c. Perform other cardiovascular nursing functions as appropriate
d. Complete necessary requisitions for tests and procedures
6. Prescription renewals/prior authorization

a. Renews prescriptions after physician authorization as per office protocol.
7. Obtain and review all out-patient laboratory results; becomes proficient in use of LMR results manager. Contact patients with results and arrange follow up testing as appropriate
8. Fill out Disability/FMLA forms.
9. Make post hospital discharge and outpatient follow up phone calls; review and reconcile medication
10. Participate in and make follow up calls related to screenings and health fairs
11. Travel to various locations associated with BWH screenings, community outreach and events, including Health Centers, community-based organizations and others to be determined.


DEPARTMENT SPECIFIC QUALIFICATIONS:
1. As per Nurse Practitioner job description
2. At least 5 years of cardiac or vascular nursing experience preferred
3. Previous out-patient experience preferred
4. Bilingual Spanish/English or Hatian Creole/English required
5. Community health background preferred
Rotating position and#x2013;weekends and evenings may be assigned per contract. ]]> 7/19/2011 0.00 Null Null none Null
Responsibilities: GENERAL OVERVIEW:

The Assistant Nurse Director (AND) is an important member of the unit-based leadership team in large clinical practice environments to extend leadership presence and provide clinical support.
Under the leadership/direction of the nurse director, the assistant nurse director is a representative of the Department of Nursing and supports the nurse director in translating the vision and values of the department at the unit-level for the purpose of meeting the needs of patients and families and in creating a therapeutic, healing patient/family centered practice environment.
The assistant nurse director helps to develop the very best staff, assists with assessing clinical patterns within populations, and facilitates mobilization/allocation of resources to meet the immediate needs of patients and families. The AND may perform leadership functions as developmentally appropriate under the mentorship and coaching of the nurse director and may be assigned the management of specific projects.

PRINCIPAL DUTIES AND RESPONSIBILITIES:
A. Professional Practice Environment
1. Provides support in the environment to facilitate excellent nursing practice
2. Promotes and supports the Department of Nursing vision as well as unit-based mission, values, and goals
3. Facilitates true collaboration and effective communication and respect for diverse perspectives through role-modeling and coaching clinical staff and members of the interprofessional team
4. Participates in daily rounds with clinical staff for the purpose of clinical consultation, coaching, and problem-solving

B. Personnel Management
1. Manages day to day staffing based on unit-based guidelines approved by the nurse director
2. Manages resources in a changing environment by allocating resources to respond to dynamic changes in patient census and acuity
3. Provides guidance to clinical staff on patient assignments with continuity of care and knowing the patient as a core value in addition to facilitating the development of clinical staff
4. Participates in scheduling and approving requests from clinical staff under the direction of the nurse director
5. Participates in the investigation and administration of corrective action under the direction of the nurse director/nurse administrator
6. Provides nurse director with recommendation for corrective action and performance improvement plans
7. Provides nurse director with recommendations for evaluations for clinical staff
8. Provides support to staff in clinical support roles under the direction of the nurse director
9. Performs evaluations of support staff under the direction of the nurse director
10. Develops education and training for support staff and works with nurse director to integrate these groups into the larger interprofessional team

C. Clinical Leadership
1. Functions as a clinical expert emulating the vision and mission of the Department of Nursing
2. Interprets policies and procedures for staff members
3. Implements and monitors unit-based standards
4. Facilitates and expedites patient flow to ensure that patients and families receive appropriate and timely care

D. Professional Development
Self
1. Participates in self-performance appraisal in ongoing manner.
2. Seeks feedback from his/her respective nurse director and other colleagues
3. Shares strengths and areas to be developed with others
4. Identifies opportunities to continue to develop leaderships skills and expertise
Staff
5. Understands stages of nursing practice development
6. Provides developmentally appropriate coaching and clinical consultation to clinical staff
7. Supports all staff in identifying and participating in professional developmental activities

E. Project Management
1. Provides leadership and participates in unit-based projects under the direction of the nurse director
2. Promotes and assists with the implementation of clinical practice changes and quality initiatives on the patient care unit
3. Engages clinical staff in the implementation and evaluation of clinical practice changes on the patient care unit

F. Patients and Families
1. Facilitates all patients and families feeling known by clinical staff
2. Guides clinical staff in the development of a plan of care that is culturally sensitive and honors the uniqueness of each patient and family
3. Provides coaching and mentoring with clinical staff to facilitate the development of partnerships with patients and families
4. Provides consultation to clinical staff in the management of challenging patients and families
5. Participates in family meetings with the nurse director
6. Facilitates family meetings in the nurse directorand#x2019;s absence in consultation with executive director/nurse administrator or available leadership
Requirements: QUALIFICATIONS:
1. Current nursing licensure in the Commonwealth of Massachusetts
2. Masterand#x2019;s Degree in Nursing

SKILLS AND ABILITIES REQUIRED:
1. Demonstrates clinical expertise in assigned area
2. Demonstrates ability to utilize management concepts in the direct supervision of nursing and non-nursing personnel
3. Demonstrates effective decision-making ability and provides leadership to nursing and non-nursing personnel
4. Demonstrates effective interpersonal communication skills

*3-5 years recent OR management experience preferred.
*CNOR preferred.

WORKING CONDITIONS:
1. Works in a variety of patient care environments where there is an exposure to communicable disease and hazardous material
Shift: Rotating Shift.
10 hour shifts
EEO Statement: An EEO, AA, VEVRAA Employer ]]> 7/19/2011 0.00 Null Null none Null
Responsibilities: GENERAL SUMMARY/OVERVIEW STATEMENT:

The Licensed Practical Nurse will participate in nursing functions within scope of practice and consistent with their training and education. Nursing functions will provide clinical support of patients through the primary care facility, including clinical patient flow, implementation of medical or advanced practice provider orders, medication administration, focused patient assessments, medical administrative tasks, basic patient education, and quality assurance projects.

Brigham and Womenand#x2019;s Hospital is committed to putting every Patient First. Every employee plays a role in providing a positive impact on patients and the care they receive at Brigham and Womenand#x2019;s Hospital. Our service will be distinguished by the delivery of high-quality and safe patient care, respect and dignity in all interactions with patients, families and colleagues and by customer service excellence.

All employees are expected to embrace this commitment and demonstrate behavioral competencies in the following areas:
People: Focus on serving the community through collaboration and respect
Self Management: Accountability, professionalism and commitment to growth and development
Organization: A commitment to quality, service and exceptional performance

Meeting these expectations is the key to the success of your department and the organization.

General expectations for the position:
and#x2022; Addendum A - BWH Behavioral Competencies
and#x2022; Addendum B - Job Specific Tasks and Responsibilities
and#x2022; Addendum C and#x2013; Job Specific Skills and Competencies

PRINCIPAL DUTIES AND RESPONSIBILITIES:
1) BWH Behavioral Competencies (required of all employees) (see addendum A)
2) LPN Principal Duties and Responsibilities (see addendum B and check all that apply)
and#x2022; Administer Medications and Vaccinations
and#x2022; Telephone Support
and#x2022; and#x201c;Walk-inandquot; Patient Screenings
and#x2022; Patient Education and Teaching (i.e. early onset asthma, diabetes, etc.)
and#x2022; Medical Services Support
and#x2022; Primary Care Clinical Tasks (includes all MA tasks)
and#x2022; Perform Medical Administrative Support (phone, office tasks)
and#x2022; Prevention and Outreach
and#x2022; Quality Assurance
Requirements: QUALIFICATIONS:
and#x2022; Graduate of an approved school of practical nursing.
and#x2022; Current Licensure in the Commonwealth of Massachusetts.
and#x2022; Must maintain annual competencies related to practice protocol.
and#x2022; Maintains current licensure by completing educational requirements needed for renewal.

SKILLS/ ABILITIES/ COMPETENCIES REQUIRED:
(See addendum C and check all that apply.)
and#x2022; Basic Knowledge of Patient Safety
and#x2022; Basic Knowledge Primary Care Medical Purview
and#x2022; Competent in Primary Care Clinical Tasks
and#x2022; Basic Knowledge of Patient Education
and#x2022; Basic Knowledge of Medical Waste Management Practices
and#x2022; Basic Knowledge of Quality Initiatives
and#x2022; Basic Knowledge of Information Technology
and#x2022; Basic Knowledge of Office Operations and Standards

WORKING CONDITIONS:
and#x2022; Work is performed in an office environment and primary care clinical setting.
Shift: Day Shift
EEO Statement: An EEO, AA, VEVRAA Employer Additional Information LPN Job Description
Addendum A

BWH Behavioral Competencies (required of all employees)
1. People: Focus on serving the community through collaboration and respect

Inclusiveness
and#x2022; Work effectively with others who have diverse perspectives, talents, roles, backgrounds and/or styles
and#x2022; Contribute to a positive team environment where differences are respected, supported and are free from stereotyping and offensive comments
and#x2022; Be professional when approached about behaviors that might be perceived as disrespectful

Open Communication
and#x2022; Practice active and attentive listening skills
and#x2022; Foster and maintain an environment that respects open dialogue, differences of opinion, as well as diverse communication styles
and#x2022; Ensure that information is shared in a clear, accurate, and timely manner using the appropriate communication method for your audience
and#x2022; Express oneself clearly and professionally in your verbal, non-verbal, written, and electronic communication

Building Collaborative Relationships
and#x2022; Take initiative to support others and build productive relationships that will lead to a cohesive workplace
and#x2022; Interact effectively with other team members, departments and customers to accomplish organizational goals

Organizational Awareness:
and#x2022; Support and respect BWHand#x2019;s mission, vision, values and history
and#x2022; Understand and recognize how your individual role and department impacts the organization
2. Self Management: Accountability, professionalism and commitment to growth and development

Embracing Change
and#x2022; Support and positively participate in organizational and/or job specific changes
and#x2022; Initiate appropriate action when change is needed
and#x2022; Be flexible and open to new ideas
and#x2022; Adapt to shifting priorities

Learning Oriented
and#x2022; Demonstrate openness to learning from successes and failures
and#x2022; Recognize and participate in learning opportunities
and#x2022; Seek and share best practices

Professionalism
and#x2022; Adhere to BWHand#x2019;s Code of Conduct and policies and procedures
and#x2022; Align behavior with the organizational mission and values
and#x2022; Practice respect for self and others, even in difficult situations (i.e. when providing and receiving feedback)
and#x2022; Demonstrate responsibility, reliability, and trustworthiness
3. Organization: A commitment to quality, service and exceptional performance

Quality Focus
and#x2022; Align job performance with quality and safety standards (e.g. The Joint Commission, BWH and department specific standards)
and#x2022; Adhere to established policies, procedures, and protocols
and#x2022; Take action to prevent errors
and#x2022; Identify and report adverse events, errors and incidents

Efficiency and Performance Improvement
and#x2022; Participate in process and performance improvement by identifying, analyzing, and enhancing existing processes to achieve better outcomes
and#x2022; Maximize available resources to achieve performance measures; reduce waste, rework, and work-arounds consistent with oneand#x2019;s role

Problem Solving
and#x2022; Recognize actual and potential problems and take appropriate action towards a solution, according to oneand#x2019;s role
and#x2022; Offer assistance, as needed, when a potential problem situation is observed
and#x2022; Use good judgment to keep manager informed of problems or issues, following department practice

Service Excellence
and#x2022; Apply the organizational service standards consistently to present a positive image of BWH to colleagues, health providers, patients, families, and visitors:
and#x2022; Engage with positive greetings and active listening
and#x2022; Empathize by expressing understanding
and#x2022; Educate throughout the information exchange
and#x2022; Enlist thoughts and ideas from others
and#x2022; End interactions professionally, which includes a clear resolution or next steps

Administrative Support Competency: (required of all Administrative Support employees)
Information Gathering
and#x2022; Identify specific information needed to clarify a situation or to make a decision
and#x2022; Probe skillfully to get at the facts

Addendum B
Check all that apply.

PRINCIPAL DUTIES AND RESPONSIBILITIES andiquest;

Administer Medications and Vaccinations
and#x2022; Per medical order, administer medication and vaccinations (oral and injectable) x
and#x2022; Familiar with Vaccinations x
and#x2022; Vaccine Information Statements x

Telephone Support
and#x2022; Via phone, participate in data collection and assessment of patient symptoms to triage acuity of medical symptoms per BWH Policy x
and#x2022; Provide phone advice per BWH Policy x
and#x2022; Schedule patients x
and#x2022; Coordinate medical telephone patient care and needs x

and#x201c;Walk-inandquot; Patient Screenings
and#x2022; Participates in and#x201c;in-personand#x201d; assessment of patient symptoms and triage acuity of medical symptoms x

Patient Education and Teaching (i.e. early onset asthma, diabetes, etc.)
and#x2022; Provide educational information (review pamphlet in clinic visits) x

Medical Services Support
and#x2022; Pre-visit communication (telephone, Patient Gateway and/or in-person meeting) with Provider-selected patients x
and#x2022; Follow-up Communication (telephone, Patient Gateway and/or in-person meeting) with patients following chronic disease x
and#x2022; Follow-up telephone calls to Provider-selected and#x201c;no-showand#x201d; patients
and#x2022; Follow telephone calls to provider-selected calls to patients who called the on-call doctor or had ED visits over the weekend x
and#x2022; Introduce, explain and obtain patient signature on narcotic contracts x
and#x2022; Assist with MHCP and health proxy completion x

F. Primary Care Clinical Tasks (includes all MA tasks)
and#x2022; Rooming patients and patient flow
and#x2022; Stocking exam rooms
and#x2022; Vital signs, both manual and automatic, including the performance of orthostatic vital signs x
and#x2022; Electrocardiogram x
and#x2022; O2 administration x
and#x2022; Uncomplicated ear irrigation x
and#x2022; Prepare for and chaperone pelvic examinations x
and#x2022; Clinical Screenings (Spirometry, Peak Flow Meter, EKG) x
and#x2022; Basic wound care, dressing changes, removal of staples and sutures x
and#x2022; Prepare for and chaperone pelvic examinations x
and#x2022; Specimen labeling, preparation of specimens for laboratory analysis x
and#x2022; Assist with sterile procedures x
and#x2022; Point of Care testing (i.e. Blood glucose testing, Urinalysis, Stool guiac) x
and#x2022; Inventory and exam room stocking
and#x2022; Phlebotomy x
and#x2022; Medication Reconciliation x
and#x2022; Clinic and#x201c;Leadand#x201d; (i.e. go-to person who is accountable for completing team tasks) x

Perform Medical Administrative Support (phone, office tasks)
and#x2022; Complete forms and letters x
and#x2022; Faxing, scanning, answering phones
and#x2022; Medical supply coordination and inventory x
and#x2022; New Patients: Enter elements from paper record into LMR; designate documents to be scanned; send, follow-up with, receive and enter info into LMR from provider-developed NP form x
and#x2022; Prescription Reauthorizations x
and#x2022; Prior Auths x

Prevention and Outreach
and#x2022; Community outreach (i.e. identifying smokers in the practice and creating an initiative to get those folks in a smoking cessation program) x

Quality Assurance
and#x2022; Pay for Performance x
and#x2022; Manage Quality Nursing Initiative (reporting hand washing and two ID's for patients) x
and#x2022; Leadership in JCAHO compliance/readiness x
and#x2022; Perform Annual Competency for Medical Staff (i.e. phlebotomy, safety procedures, hand washing, equipment cleaning and maintenance) x
and#x2022; Oversee patients who need tests such as paps, mammograms, colonoscopies (i.e. ticklers and reach out to)



Addendum C
Check all that apply.

SKILLS/ ABILITIES/ COMPETENCIES REQUIRED andiquest;
Basic Knowledge of Patient Safety
and#x2022; Falls prevention x
and#x2022; Patient transfers x
and#x2022; Communication and patient hand-offs x
and#x2022; Normal ranges of signs and symptoms / when to alert the MD x
and#x2022; Infection control in Primary Care x
and#x2022; Modifications for obese patients x
and#x2022; Patients with disabilities x
and#x2022; Role in medical emergencies x
and#x2022; Proper use of personal protective equipment x
and#x2022; Role in medical emergencies x
and#x2022; DPH and HIPPA safety regulations x
and#x2022; BWH Nursing policy and procedures x

Basic Knowledge Primary Care Medical Purview
and#x2022; Physiology and pathophysiology of common chronic disease states x
and#x2022; Symptoms of acute medical problems and appropriate protocols for advice and triage x
and#x2022; Normal ranges of signs and symptoms/when to alert the MD x
and#x2022; Medical terminology x
and#x2022; Pharmacology x

Clinical Competencies
and#x2022; Medication administration (injections and oral) x
and#x2022; Rooming patients and patient flow
and#x2022; Medication reconciliation x
and#x2022; Stocking exam rooms
and#x2022; Vital Signs (Temperature, Pulse, Respirations, Blood Pressure (manual, auto, orthostatic Blood Pressure), Height, Weight) x
and#x2022; Point of Care Testing (Urinalysis, Pregnancy Test, Strep A, Glucose) x
and#x2022; Ear irrigation x
and#x2022; Clinical screenings (Spirometry, Peak Flow Meter, EKG) x
and#x2022; Wound care, dressing changes, removal of staples and sutures x
and#x2022; Phlebotomy x
and#x2022; Assist MD with procedures (PAP, wound care, staple removal) x
and#x2022; 02 administration x
and#x2022; Specimen Labeling x

Basic Knowledge of Patient Education
and#x2022; Interviewing and listening skills
and#x2022; If not experienced, willingness to learn Motivational Interviewing skills x
and#x2022; Nursing educational methods x
and#x2022; Vaccine Information Statements (VIS) x
x
Basic Knowledge of Office Operations and Standards
and#x2022; Basic understanding of office procedures including filing, copying, scanning, printing, and faxing. x
and#x2022; Ability to use phone system (i.e. answer, put on hold, transfer calls) x
and#x2022; Ability to answer questions and give information as appropriate. x
and#x2022; Ability to take accurate and complete messages. x
and#x2022; Ability to manage work processes in a neat and orderly way and to sort and alphabetize. x

Basic Knowledge of Office Operations and Standards
and#x2022; Basic understanding of office procedures including filing, copying, scanning, printing, and faxing.
and#x2022; Ability to use phone system (i.e. answer, put on hold, transfer calls)
and#x2022; Ability to answer questions and give information as appropriate.
and#x2022; Ability to take accurate and complete messages.
and#x2022; Ability to manage work processes in a neat and orderly way and to sort and alphabetize.

Basic Knowledge of Information Technology
and#x2022; Basic computer literacy and understanding of office systems, ability to type and enter data. x
and#x2022; Proficient written communication and spelling. x
and#x2022; Experience with email. x
and#x2022; Experience electronic medical records (EMR) x

Basic Knowledge of Medical Waste Management Practices
and#x2022; Appropriate disposal of waste products x

Basic Knowledge of Quality Initiatives
and#x2022; Developed and participated in customer service initiatives (i.e. enhance customer experience) x
and#x2022; Ability to develop, implement and assess quality improvement efforts x
and#x2022; Pay for Performance x
and#x2022; Quality Nursing Initiative (reporting hand washing and two ID's for patients) x
and#x2022; Leadership in JCAHO compliance/readiness x
and#x2022; Developed and participated in patient prevention projects (i.e. oversee patients who need tests such as paps, mammograms, colonoscopies (i.e. ticklers and reach out to) x ]]> 7/19/2011 0.00 Null Null none Null
Responsibilities: GENERAL SUMMARY/ OVERVIEW STATEMENT:
.
The Licensed Practical Nurse will perform all nursing functions necessary for the complete care and efficient management of patients through the ambulatory facility, including teaching and assisting patients with needs or problems relevant to their visit to the physician and assisting physicians and other non-licensed clinical staff with procedures, treatments and/or instructions to the patients.

PRINCIPAL DUTIES AND RESPONSIBILITIES:
1) Responsibilities to Patients:

and#x2022; Accurately performs all nursing functions necessary in the ambulatory practice including the administration of medications and injections and other procedures that require a nursing license.
and#x2022; Assesses patient telephone calls and accurately relays information to appropriate physician and authorizes (under the supervision of the physician) prescription refill.
and#x2022; Will accurately provide medical information or instruction to the patient, as directed by physician.
and#x2022; Accurately records all patient data and maintains all necessary records or files pertaining to the patient.
and#x2022; Informs patients of any existing procedure or appointment delays and provides approximate waiting time.
and#x2022; Assists all patients in a way which gives the overall perception of BPG as a premier healthcare provider by being courteous, efficient, helpful and professional.
and#x2022; Treats all patients with dignity, compassion and respect.
2) Responsibilities to Physicians:

and#x2022; Appropriately prepares patient for examinations or procedures.
and#x2022; Assists physician during examinations, procedures and care of patient.
and#x2022; Assists physicians in the acquisition and proper use of all equipment relating to the care of the patient.
and#x2022; Obtains pertinent and accurate information from the patient and communicates this information, in a professional manner to the physician.
and#x2022; Accurately communicates the physician's instructions to the patient.
and#x2022; Follows office protocol and physician direction when calling prescriptions to pharmacies, as well as with all other practice procedures
and#x2022; Performs urine dipsticks and guaiac testing according to protocol.
and#x2022; Maintains a professional relationship with the physician.
3) Equipment and Supplies:

and#x2022; Keeps all patient-care and procedure equipment clean and in good working order and reports equipment problems to supervisor.
and#x2022; Keeps inventory of necessary supplies and equipment: notifies supervisor when items are needed.
and#x2022; Properly stocks patient-care area and makes cost effective use of supplies, equipment and other resources.
and#x2022; Keeps all patient-care areas and work areas neat and clean.
and#x2022; Accurately utilizes all equipment and supplies.
4) Teamwork:

and#x2022; Promotes collaborative work relationships and influences others to work collaboratively.
and#x2022; Bases decisions and actions on understanding the perspective of others.
and#x2022; Is a role model to others in service standards.
and#x2022; Interacts professionally with fellow employees and other ancillary departments.
and#x2022; Is supportive of fellow employees and uses initiative in helping others.
and#x2022; Is an effective TEAM PLAYER !
5) Responsibilities to the Supervisory Staff:

and#x2022; Follows instructions of and assists supervisory staff as required.
and#x2022; Maintains good communication with and reports problems to supervisor.
and#x2022; Performs all duties and tasks as requested by the supervisor, to ensure the efficient overall performance of the facility.
and#x2022; Attends all required staff meetings.
and#x2022; Performs annual competencies.
Requirements: QUALIFICATIONS:
and#x2022; Graduate of an approved school of practical nursing.
and#x2022; Current Licensure in the Commonwealth of Massachusetts.
and#x2022; Must maintain annual competencies related to practice protocol.
and#x2022; Must attend mandatory annual in-services.
and#x2022; Maintains current licensure by completing educational requirements needed for renewal.

SKILLS/ ABILITIES/ COMPETENCIES REQUIRED:
and#x2022; Must understand the overall goals and systems of the practice
and#x2022; Communicate effectively with a socially diverse group of patients visiting their physicians for problems that may be life threatening and coping with anxiety and stress often created by such situations
and#x2022; Communicate well with a large group of physicians in a fast-paced and demanding environment
and#x2022; Respect the strict confidentiality of medical records and information.
and#x2022; Must demonstrate excellent customer service skills.
and#x2022; Must possess a solid understanding of ambulatory patient care, be organized and multi-tasking, and have excellent communication skills.
and#x2022; Must possess excellent learning skills.

WORKING CONDITIONS:
Work is performed in an office environment and ambulatory patient-care setting.
Shift: Day Shift.
EEO Statement: An EEO, AA, VEVRAA Employer ]]> 7/19/2011 0.00 Null Null none Null
Responsibilities: Registered in Massachusetts who is responsible and accountable for a specified group of patients. Demonstrates initiative, knowledge and clinical skills in caring for the patient with complex needs. Demonstrates the ability to effectively manage patients by assuming full responsibility for assessment, planning, implementation and evaluation of patient care. The RN is directly responsible to a designated nurse director, or supervisor.
Requirements: *OR experience preferred.
*CNOR preferred.
*Bachelor's required for newly licensed RN's. Bachelor's preferred for all other applicants.

Required to Work Weekends Per Contract.
Shift: Variable Rotating Shift.
10 hour rotating shifts.
EEO Statement: An EEO, AA, VEVRAA Employer ]]> 7/19/2011 0.00 Null Null none Null
Responsibilities: Registered in Massachusetts who is responsible and accountable for a specified group of patients. Demonstrates initiative, knowledge and clinical skills in caring for the patient with complex needs. Demonstrates the ability to effectively manage patients by assuming full responsibility for assessment, planning, implementation and evaluation of patient care. The RN is directly responsible to a designated nurse director, or supervisor.
Requirements: *OR experience preferred.
*CNOR preferred.
*Bachelor's required for newly licensed RN's. Bachelor's preferred for all other applicants.

Required to Work Weekends Per Contract.
Shift: Variable Rotating Shift.
10 hour rotating shifts.
EEO Statement: An EEO, AA, VEVRAA Employer ]]> 7/19/2011 0.00 Null Null none Null
Responsibilities: Registered in Massachusetts who is responsible and accountable for a specified group of patients. Demonstrates initiative, knowledge and clinical skills in caring for the patient with complex needs. Demonstrates the ability to effectively manage patients by assuming full responsibility for assessment, planning, implementation and evaluation of patient care. The RN is directly responsible to a designated nurse director, or supervisor.
Requirements: *OR experience preferred.
*CNOR preferred.
*Bachelor's required for newly licensed RN's. Bachelor's preferred for all other applicants.

Required to Work Weekends Per Contract.
Shift: Variable Rotating Shift.
10 hour rotating shifts.
EEO Statement: An EEO, AA, VEVRAA Employer ]]> 7/19/2011 0.00 Null Null none Null
Responsibilities: GENERAL OVERVIEW
The Nurse-Midwifery Program Director is responsible for the development, implementation and evaluation of the BWH Nurse-Midwifery Practice. The Nurse-Midwifery Program Director collaborates with Chief of Obstetrics, Executive Nursing Director of Women's and Newborn Health, and senior management to maintain the goal of providing excellent client care. She/he is directly responsible to Chief, Obstetrics and the Executive Director, Women's and Newborn Health.

The Nurse-Midwifery Program Director communicates with and serves as the nurse-midwifery liaison to BWH community health care centers.

PRINCIPAL DUTIES AND RESPONSIBILITIES
Client Care

and#x2022; Collaborates in the development of philosophy, goals, objectives and programming for the midwifery practice.

and#x2022; Develops and implements a practice which provides effective and efficient patient focused care to women and childbearing families.

Standards of Care

and#x2022; Implements standards for nurse midwifery care/management which facilitate high quality care as set forth by BWH and the American College of Nurse-Midwifery (ACNM).

and#x2022; Develops, implements and monitors quality assurance and peer review programs.

and#x2022; Assures group adherence to competency criteria and continued education requirements set forth by ACNM.

and#x2022; Oversees the updating of policies/procedures, chart review and prescriptive review activities.

Coordination

and#x2022; Represents midwifery with the Ob/Gyn leadership triad team (RN, MD, Administrator) and works collaboratively to meet the goals of the Department of Ob/Gyn and Nursing.

and#x2022; Collaborates with clinical faculty and clinical area staff in providing and evaluating teaching activities.

and#x2022; Collaborates with appropriate agencies and groups within the community and health centers to promote quality client care.

and#x2022; Participates in and provides leadership to appropriate BWH committees.

and#x2022; Seeks and participates in research funding opportunities.

Management

and#x2022; Develops, reviews and revises clinical guidelines as appropriate.

and#x2022; Recruits, hires, evaluates and supervises practice of nurse midwives in compliance with BWH employee policy. Assumes primary responsibility for disciplinary action of staff members, as indicated by the BWH evaluation process.

and#x2022; Establishes timely and effective communication with the midwifery staff to inform them of important issues and trends.

and#x2022; Plans orientation program for new nurse midwives and oversees their performance during the probationary period.

and#x2022; Reviews midwifery responsibilities, job expectations, and job satisfaction and works with individual midwives to meet career goals.

and#x2022; Promotes and encourages professional staff development.

and#x2022; Maintains a clinical practice as a nurse-midwife in the BWH midwifery practice.

and#x2022; Establishes and promotes goals of midwifery practice.

Financial Plan

and#x2022; Plans and develops budget as appropriate for midwifery practice.

and#x2022; Monitors allocations and resources available.
Requirements: QUALIFICATIONS
Education

Graduate of an American College of Nurse-Midwifery (ACNM) accredited program for nurse-midwifery. Master's in Nursing or related field. Bachelor of Science in Nursing required.

Licensure

Current Massachusetts license as RN with authorization to practice in expanded role of Nurse-Midwife.

Certification

National certification by the American College of Nurse-Midwives.

Experience

Minimum 3-years practice in all aspects of nurse-midwifery including experience in a teaching hospital as faculty and/or clinical preceptor. Demonstrated leadership/managerial capabilities in midwifery practice.

SUPERVISORY RESPONSIBILITIES
Staff nurse-midwives.
Shift: Day Shift
EEO Statement: An EEO, AA, VEVRAA Employer ]]> 7/19/2011 0.00 Null Null none Null
Responsibilities: GENERAL OVERVIEW:

The Assistant Nurse Director (AND) is an important member of the unit-based leadership team in large clinical practice environments to extend leadership presence and provide clinical support.
Under the leadership/direction of the nurse director, the assistant nurse director is a representative of the Department of Nursing and supports the nurse director in translating the vision and values of the department at the unit-level for the purpose of meeting the needs of patients and families and in creating a therapeutic, healing patient/family centered practice environment.
The assistant nurse director helps to develop the very best staff, assists with assessing clinical patterns within populations, and facilitates mobilization/allocation of resources to meet the immediate needs of patients and families. The AND may perform leadership functions as developmentally appropriate under the mentorship and coaching of the nurse director and may be assigned the management of specific projects.

PRINCIPAL DUTIES AND RESPONSIBILITIES:
A. Professional Practice Environment
1. Provides support in the environment to facilitate excellent nursing practice
2. Promotes and supports the Department of Nursing vision as well as unit-based mission, values, and goals
3. Facilitates true collaboration and effective communication and respect for diverse perspectives through role-modeling and coaching clinical staff and members of the interprofessional team
4. Participates in daily rounds with clinical staff for the purpose of clinical consultation, coaching, and problem-solving

B. Personnel Management
1. Manages day to day staffing based on unit-based guidelines approved by the nurse director
2. Manages resources in a changing environment by allocating resources to respond to dynamic changes in patient census and acuity
3. Provides guidance to clinical staff on patient assignments with continuity of care and knowing the patient as a core value in addition to facilitating the development of clinical staff
4. Participates in scheduling and approving requests from clinical staff under the direction of the nurse director
5. Participates in the investigation and administration of corrective action under the direction of the nurse director/nurse administrator
6. Provides nurse director with recommendation for corrective action and performance improvement plans
7. Provides nurse director with recommendations for evaluations for clinical staff
8. Provides support to staff in clinical support roles under the direction of the nurse director
9. Performs evaluations of support staff under the direction of the nurse director
10. Develops education and training for support staff and works with nurse director to integrate these groups into the larger interprofessional team

C. Clinical Leadership
1. Functions as a clinical expert emulating the vision and mission of the Department of Nursing
2. Interprets policies and procedures for staff members
3. Implements and monitors unit-based standards
4. Facilitates and expedites patient flow to ensure that patients and families receive appropriate and timely care

D. Professional Development
Self
1. Participates in self-performance appraisal in ongoing manner.
2. Seeks feedback from his/her respective nurse director and other colleagues
3. Shares strengths and areas to be developed with others
4. Identifies opportunities to continue to develop leaderships skills and expertise
Staff
5. Understands stages of nursing practice development
6. Provides developmentally appropriate coaching and clinical consultation to clinical staff
7. Supports all staff in identifying and participating in professional developmental activities

E. Project Management
1. Provides leadership and participates in unit-based projects under the direction of the nurse director
2. Promotes and assists with the implementation of clinical practice changes and quality initiatives on the patient care unit
3. Engages clinical staff in the implementation and evaluation of clinical practice changes on the patient care unit

F. Patients and Families
1. Facilitates all patients and families feeling known by clinical staff
2. Guides clinical staff in the development of a plan of care that is culturally sensitive and honors the uniqueness of each patient and family
3. Provides coaching and mentoring with clinical staff to facilitate the development of partnerships with patients and families
4. Provides consultation to clinical staff in the management of challenging patients and families
5. Participates in family meetings with the nurse director
6. Facilitates family meetings in the nurse directorand#x2019;s absence in consultation with executive director/nurse administrator or available leadership
Requirements: QUALIFICATIONS:
1. Current nursing licensure in the Commonwealth of Massachusetts
2. Masterand#x2019;s Degree in Nursing

SKILLS AND ABILITIES REQUIRED:
1. Demonstrates clinical expertise in assigned area
2. Demonstrates ability to utilize management concepts in the direct supervision of nursing and non-nursing personnel
3. Demonstrates effective decision-making ability and provides leadership to nursing and non-nursing personnel
4. Demonstrates effective interpersonal communication skills

*3-5 years recent OR management experience preferred.
*CNOR preferred.

WORKING CONDITIONS:
1. Works in a variety of patient care environments where there is an exposure to communicable disease and hazardous material
Shift: Rotating Shift.
10 hour shifts
EEO Statement: An EEO, AA, VEVRAA Employer ]]> 7/19/2011 0.00 Null Null none Null
Responsibilities: Registered in Massachusetts who is responsible and accountable for a specified group of patients. Demonstrates initiative, knowledge and clinical skills in caring for the patient with complex needs. Demonstrates the ability to effectively manage patients by assuming full responsibility for assessment, planning, implementation and evaluation of patient care. The RN is directly responsible to a designated nurse director, or supervisor.
Requirements: Required to Work Weekends Per Contract.
Shift: Variable Rotating Shift
EEO Statement: An EEO, AA, VEVRAA Employer ]]> 7/19/2011 0.00 Null Null none Null
Responsibilities: Registered in Massachusetts who is responsible and accountable for a specified group of patients. Demonstrates initiative, knowledge and clinical skills in caring for the patient with complex needs. Demonstrates the ability to effectively manage patients by assuming full responsibility for assessment, planning, implementation and evaluation of patient care. The RN is directly responsible to a designated nurse director, or supervisor
Requirements: Required to Work Weekends Per contract.
Shift: Variable Night Shift.
EEO Statement: An EEO, AA, VEVRAA Employer ]]> 7/19/2011 0.00 Null Null none Null
Responsibilities: Registered in Massachusetts who is responsible and accountable for a specified group of patients. Demonstrates initiative, knowledge and clinical skills in caring for the patient with complex needs. Demonstrates the ability to effectively manage patients by assuming full responsibility for assessment, planning, implementation and evaluation of patient care. The RN is directly responsible to a designated nurse director, or supervisor.
Requirements: Required to Work Weekends per Contract.
Shift: Variable Rotating Shift
EEO Statement: An EEO, AA, VEVRAA Employer ]]> 7/19/2011 0.00 Null Null none Null
Responsibilities: GENERAL OVERVIEW:

The Nurse Practitioner is an advanced practice registered nurse who has acquired
specialized knowledge and skills through completion of a nurse practitioner program.
The practitioner has the credentials to function in an expanded nursing role and is
responsible for the daily management of selected patients. The practitioner has
responsibility for assessment and management of patients including diagnostic and
therapeutic interventions, and continuous implementation and evaluation of an
appropriate plan of care. The Nurse Practitioner works with her/his collaborating
physician in accordance with mutually developed practice guidelines, members of the
care team and is responsible to the Nursing Director or Executive Nursing Director for
the area for issues specific to the discipline of nursing.

PRINCIPAL DUTIES AND RESONSIBILITIES:

A. Patient Care Organization:
1. Provides direct care, counseling, and teaching to a select patient population.
2. Performs physical examinations and provides preventive health measures
appropriate to patient needs.
3. Orders, interprets, and evaluates appropriate lab and diagnostic tests to assess
patientsand#x2019; clinical problems and health care needs.
4. Arranges for appropriate plan of care and follow-up based on outcome of
diagnostic, lab, and physical assessment findings.
5. Performs laboratory tests appropriate for specific patient population.
6. Orders medications and writes prescriptions according to organizational and
regulatory policies and procedures.
7. Records pertinent patient care findings in the medical record.
8. Sets priorities for appropriate and efficient management of patient care that
reflects cost effective management of time, available human resources,
supplies and equipment
9. Maintains interdisciplinary approach to planning and communicating patient
care information by discussing patient data with appropriate physicians and
other health care professionals.
10. Incorporates the concepts of health maintenance, prevention, and promotion
into daily practice through patient education and counseling.
11. Demonstrates awareness of community resources and assists staff, patients,
and families to effectively utilize them.

B. Quality of Care:
1. Assists in the development, implementation and revision of nurse practitioner
guidelines and monitoring requirements for prescription writing in
collaboration with their designated physician and Nursing Director or
Executive Nursing Director .
2. Evaluates outcomes of own patientsand#x2019; care and makes necessary revisions in
care plans.
3. Seeks and provides consultative services as required.
4. Participates in departmental and organization quality improvement program.
5. Utilizes quality improvement data and research findings to enhance patient
care.

C. Coordination:
1. Demonstrates appropriate collaborative and consultative relationships with
other providers within the institution and community.
2. Serves on Nursing and Hospital Committees and assumes responsibility for
disseminating and communicating information to staff.

D. Budget:
1. Participates in setting productivity metrics and in cost effective management
of personnel, time, supplies, and equipment in his/her area.
2. Collaborates with the Nursing Director/Practice Manager/Executive Nursing
Director in the recommendation of appropriate staffing patterns for their
clinical areas.

E. Personnel Management:
1. Participates in selection process of new employees in group or team practice
as requested.
2. Provides input into evaluation of other staff as appropriate.

F. Education:
1. Acts as preceptor for nursing students and staff as requested.
2. Participates in orientation of new staff.
3. Participates in Departmental and organization continuing education programs.
4. Identifies own learning needs and updates clinical knowledge and skills
through formal and informal education and review of current literature.
5. Educates lay and/or professional groups through lectures, papers,
publications, and educational materials.

G. Planning:
1. Develops annual objectives and reviews with Nursing Director or Executive
Nursing Director and collaborating M.D. at time of performance review and at
appropriate intervals. Completes annual credentialing process through the
Nursing Department credentialing program.
2. Assists in determining, evaluating, and/or implementing clinical area goals
and objectives.
3. Maintains interdisciplinary approach for planning and communicating
information for patient care and operation of practice.
4. Maintains current knowledge of legislation that may affect the health care
delivery system.

H. Research:
1. Participates in nursing research at a level consistent with educational
background and experience.
2. Maintains understanding of current research of others in related clinical areas
through review of relevant publications.
3. Participates in grant writing as appropriate.
Requirements: QUALIFICATIONS:
Education:

Mastersand#x2019; Degree in Nursing required. Satisfactory completion of an
approved formal education program which has as its objective the
preparation of professional nurses to practice as nurse practitioners.

Experience:

Prior experience as a nurse practitioner preferred.

Other:

ANA or other appropriate nursing certification in area of practice
and authorization by the Massachusetts Board of Registration in
Nursing to practice in the expanded role. DEA for prescription
writing.

Skills and Abilities Required:
1. Expert clinical judgement skills to function in the independent role.
2. Excellent interpersonal relationship and communication skills in order to
collaborate with patientsand#x2019; families, staff and community health workers.
3. Ability to work with frequent stress resulting from busy clinical settings and
changing organizational climate.
4. Ability to be self-directive and demonstrate initiative in addressing
responsibilities of position.
5. Ability to utilize appropriate problem solving and conflict resolution skills.

Working Conditions:
1. Works in a variety of patient care environments where there may be exposure
to communicable disease, and hazardous materials.
Shift: Day Shift.

Required To Work Weekends Per Contract.
EEO Statement: An EEO, AA, VEVRAA Employer Additional Information ADDENDUM NP Job Description:
Division of Infectious Disease:

GENERAL SUMMARY/ OVERVIEW STATEMENT:
The Nurse Practitioner (NP) for the division of Infectious Disease, working with collaborating physician Lindsey Baden, MD will carry out the recruitment/retention and implementation of outpatient and inpatient research study protocols, while providing competent and compassionate care. The NP works in partnership with the program(s) attending physicians on the various research protocols, manages the nursing care needs of subjects/patients and collaborates with many physicians, clinicians, nurses, research assistants, and other support staff in implementation and execution of clinical trials. Strong interpersonal, organizational and communication skills are required.

Description of the Practice:

Infectious Disease is very active division that is fully integrated within a large and growing research and clinical program This is largely a federally funded grant (research) position. In addition to primary research responsibilities other specific responsibilities include: performing physical exams, phlebotomy, ordering blood tests, interpreting laboratory data and administering authorized study products. He/she also partakes in screening, enrolling and retention of a cohort(s) of research study subjects/patients. The Nurse Practitioner must maintain and expedite completion of source records (i.e. clinic note) to the highest research standards. He/she will act as a primary research coordinator for some, or all of the research study protocols in the department, including those protocols in the HIV Vaccine Trials Network (HVTN), other vaccine programs, and Infectious Disease/Oncology programs.

The NP will routinely work together with the physicians, research assistants, data managers, laboratory personnel, and the research manager. Effective interactions with external representatives (i.e. monitors) of the various program sponsors will also be required. He/she must be able to consistently ensure adherence to hospital/department policies and established APN procedures/ standard practices.

SPECIFIC PRINCIPAL DUTIES AND RESPONSIBILITIES:
1. Performs physical examinations, phlebotomy, 1st review of laboratory results and administers authorized study products.
2. Schedules and implements all assigned clinical activities and procedures, ensuring efficient workflow, time management and adequate care/treatment of research subjects/patients.
3. Ensures that assigned activities are carried out in accordance with the established research protocol and within acceptable clinical procedure and safety standards.
4. Assists in the plan and carries out recruitment, screening, enrollment, and retention of research subjects/patients. Also instruct subjects/patients on treatment methods and protocol requirements.
5. Monitors and records subject/patient response to treatment, maintains complete source documentation, and communicates study data and results to investigator(s)/research manager.
6. Completes and is accountable for the collection, processing, and recording of clinical data and laboratory results, as required by established protocol.
7. Participates in the planning and development of research protocols in accordance with research parameters set out by the principal investigator.
8. May serve as mentor/trainer for other clinicians and/or support staff engaged in research activities.
9. Performs miscellaneous job-related duties as assigned.

Requirements:

QUALIFICATIONS:
1. Research experience preferred. CRC or CCRP certification a plus.

2 . HIV/AIDS and/or infectious disease and/or oncology experience preferred.

SKILLS/ ABILITIES/ COMPETENCIES REQUIRED:
Experience in observing, assessing, and recording symptoms, reactions, and progress of research subjects/patients.

Ability to recruit/retain, evaluate, and instruct research subjects/volunteers.

Certified (IATA) to prepare and process laboratory samples using established protocols.

Proficiency in meeting quality, safety, and infection control standards.

Expertise in design and implementation of systems necessary to collect, maintain, and assess recorded data.

Strong interpersonal/communication skills and the ability to work effectively with a wide range of constituencies in a diverse community. Previous demonstrated ability to work collaboratively with the team.

Capable in the use of personal computers and related software application.

Organization and coordination skills a must. Records maintenance skills required.

Knowledge of the principles, regulations and guidance in conducting clinical research.

Aptitude in accreditation and certification requirements and professional standards.

WORKING CONDITIONS:
The NP will conduct research activities in the outpatient/inpatient setting of the Division of Infectious Disease, BWH/DFCI.

New hires to the Division of Infectious Disease will share office space with other clinicians and research assistants, in a typical hospital/clinic environment. ]]> 7/19/2011 0.00 Null Null none Null
Responsibilities: GENERAL SUMMARY/ OVERVIEW STATEMENT:
Responsible for all technical LPN functions necessary for the complete and efficient management of patients through the Ambulatory facility. Responsibilities include assisting patients with needs or problems relevant to their visits and assisting physicians with procedures, treatment and/or instructions to patients. Reports to the Mohs Program director for clinical competencies.

PRINCIPAL DUTIES AND RESPONSIBILITIES:
and#x2022; Performs all functions including assisting with the processing and disposition of patients, facilitating patient flow, assisting with procedures and applying wound dressing.
and#x2022; Accurately performs patient intake and patient/room preparation duties, using two patient identifiers.
and#x2022; Keep physicians and patients up to date on patient volume and waiting times during sessions.
and#x2022; Responsible for taking vital signs before and after each procedure or as necessary.
and#x2022; Responsible for drawing and injecting local anesthetic.
and#x2022; Responsible for procedure set-up and physician assistance for all invasive procedures, using sterile technique. Procedures include Mohs surgery and excisions.
and#x2022; Duties include transporting specimens and patients as needed.
and#x2022; Performs triage functions handling patient phone calls and patients who present to the Mohs Practice without an appointment. Calls pharmacies with appropriate medication prescriptions and renewals as directed by the physician. Performs and documents all triage interaction and prescription renewals in the LMR and in accordance with BWH and Department procedures.
and#x2022; Assists with patient education including informed consent, wound care, and medication instructions.
and#x2022; Cleans and prepares instruments for sterilization process following department protocol.
and#x2022; Follows infection control and regulatory compliance guidelines.
and#x2022; Responsible for ordering and stocking clinical supplies and patient education materials.
and#x2022; Performs other duties and tasks as requested by Supervisor or designee
Requirements: QUALIFICATIONS:
and#x2022; Graduate of an LPN program, current Massachusetts Licensure as a Licensed Practical Nurse.
and#x2022; Must be certified in Basic Life Support or willing to become certified within 3 months.
and#x2022; Experience with autoclaving preferred.

SKILLS/ ABILITIES/ COMPETENCIES REQUIRED:
and#x2022; Must have necessary analytical, judgmental and interpersonal skills to deal effectively with patients, families and co-workers.
and#x2022; Communicates with physicians to determine medical assisting and nursing needs and to solve problems regarding issues.
and#x2022; Ability to handle sensitive information.
and#x2022; Strong customer service and interpersonal skills.
and#x2022; Ability to stand and move about for extended periods.
and#x2022; Ability to work in close contact with patients (witness medical concerns).
and#x2022; Ability to establish and maintain good relationships with fellow employees.
and#x2022; Must demonstrate ability to work as a team member.
and#x2022; Willingness to cover for other employees as the need arises.
and#x2022; Assists patients in a manner that promotes the perception that the staff is courteous, efficient, and interested in their health care.
and#x2022; Treats all patients with dignity and professionalism.

WORKING CONDITIONS:
and#x2022; Hospital based ambulatory practice. Normal patient environments where there are some exposures to communicable diseases, unpleasant odors, needle and blood products.
Shift: Day Shift
EEO Statement: An EEO, AA, VEVRAA Employer ]]> 7/19/2011 0.00 Null Null none Null
Responsibilities: Registered in Massachusetts who is responsible and accountable for a specified group of patients. Demonstrates initiative, knowledge and clinical skills in caring for the patient with complex needs. Demonstrates the ability to effectively manage patients by assuming full responsibility for assessment, planning, implementation and evaluation of patient care. The RN is directly responsible to a designated nurse director, or supervisor.
Requirements: Required to Work Weekends per Contract.
Shift: Variable Rotating Shift
EEO Statement: An EEO, AA, VEVRAA Employer ]]> 7/19/2011 0.00 Null Null none Null
Responsibilities: Registered in Massachusetts who is responsible and accountable for a specified group of patients. Demonstrates initiative, knowledge and clinical skills in caring for the patient with complex needs. Demonstrates the ability to effectively manage patients by assuming full responsibility for assessment, planning, implementation and evaluation of patient care. The RN is directly responsible to a designated nurse director, or supervisor.
Requirements: Required to Work Weekends per Contract.
Shift: Variable Rotating Shift
EEO Statement: An EEO, AA, VEVRAA Employer ]]> 7/19/2011 0.00 Null Null none Null
Responsibilities: Registered in Massachusetts who is responsible and accountable for a specified group of patients. Demonstrates initiative, knowledge and clinical skills in caring for the patient with complex needs. Demonstrates the ability to effectively manage patients by assuming full responsibility for assessment, planning, implementation and evaluation of patient care. The RN is directly responsible to a designated nurse director, or supervisor
Requirements: 3-5 years of Med. Surg experience with knowledge of Telemetry, Recent Oncology experience and knowledge of Chemotherapy Administration is preferred.
Shift: Variable Night Shift.

Weekend Coverage.

Required to Work Weekends per Contract.
EEO Statement: An EEO, AA, VEVRAA Employer ]]> 7/19/2011 0.00 Null Null none Null
Responsibilities: Registered in Massachusetts who is responsible and accountable for a specified group of patients. Demonstrates initiative, knowledge and clinical skills in caring for the patient with complex needs. Demonstrates the ability to effectively manage patients by assuming full responsibility for assessment, planning, implementation and evaluation of patient care. The RN is directly responsible to a designated nurse director, or supervisor
Requirements: 3-5 years of Med. Surg experience with knowledge of Telemetry, Recent Oncology experience and knowledge of Chemotherapy Administration is preferred.
Shift: Variable Night Shift.

Weekend Coverage.

Required to Work Weekends per Contract.
EEO Statement: An EEO, AA, VEVRAA Employer ]]> 7/19/2011 0.00 Null Null none Null
Responsibilities: Registered in Massachusetts who is responsible and accountable for a specified group of patients. Demonstrates initiative, knowledge and clinical skills in caring for the patient with complex needs. Demonstrates the ability to effectively manage patients by assuming full responsibility for assessment, planning, implementation and evaluation of patient care. The RN is directly responsible to a designated nurse director, or supervisor.
Requirements: Recent Orthopedic experience preferred.

Required to Work Weekends per Contract.
Shift: Night Shift.
4-8 hour shifts.
EEO Statement: An EEO, AA, VEVRAA Employer ]]> 7/19/2011 0.00 Null Null none Null
Responsibilities: Registered in Massachusetts who is responsible and accountable for a specified group of patients. Demonstrates initiative, knowledge and clinical skills in caring for the patient with complex needs. Demonstrates the ability to effectively manage patients by assuming full responsibility for assessment, planning, implementation and evaluation of patient care. The RN is directly responsible to a designated nurse director, or supervisor.
Requirements: Current ICU experience strongly preferred.

Required to Work Weekends per Contract.
Shift: Variable Night Shift
EEO Statement: An EEO, AA, VEVRAA Employer ]]> 7/19/2011 0.00 Null Null none Null
Responsibilities: The RN Care Coordinator (RNCC) manages a caseload of patients on a defined service and is responsible for ensuring care that supports desired clinical and financial outcomes. Coordinating the care prescribed by an interdisciplinary team, the RNCC utilizes patient assessment, care guidelines, protocols, payer regulations and response to therapies to assess the episode of illness from pre admission to post discharge. Participants in the ongoing evaluation of practice patterns and systems and supports efforts to improve quality, cost and satisfaction outcomes. Mobilizes resources to maximize efficiency of care delivery.
Requirements: R.N. required, MA license, BSN preferred. Knowledge and skills to differentiate levels of care required. Five years of previous acute care experience in related clinical specialty preferred. Two or more years experience with hospital utilization review and medical criteria sets preferred. Five years of experience with discharge planning, knowledge of community resources and patient education principles preferred. Certification in case management preferred. Previous experience in a hospital or health care setting; bilingual (English/Spanish) preferred; strong clinical assessment skills; excellent interpersonal skills including ability to work collaboratively within a team and with internal and external customers; strong organizational skill and ability to set priorities; ability to compile data from concurrent and retrospective medical record review to determine clinical appropriateness, level of care and discharge plan; ability to negotiate several aspects of care coordination simultaneously; excellent written and verbal communication skills.
Shift: Rotating Shift.
This is a Per Diem position.
EEO Statement: An EEO, AA, VEVRAA Employer ]]> 7/19/2011 0.00 Null Null none Null
Responsibilities: GENERAL SUMMARY/OVERVIEW:
The Nursing Project Manager, under the direction of the Director for Nursing Informatics, primarily coordinates the design, development, training and implementation efforts for the nursing component of electronic Acute Care Documentation (ACD). The incumbent is responsive to the overall strategic plan to integrate nursing documentation and other related clinical applications into the hospital clinical information system.

PRINCIPLES DUTIES AND RESPONSIBILITIES:
1. Promote the BWH nursing vision and emerging professional practice model through the nursing documentation transformation and workflow redesign process.
2. Manage ACD workgroups to support the effective design, implementation, training and post go live evaluation of ACD. Provide feedback to workgroup members.
3. Collaborate with others to refine functional requirements, product design decisions, configuration requirements and implementation strategies to meet the unique requirements of nursing.
4. Evaluate and gain consensus on current and future state workflows.
5. Problem-solve application and workflow issues, and work through barriers to achieve results by collaborating effectively with clinical users and the IS staff.
6. Assess nursingsandiquest; go-live readiness to ensure smooth implementation of ACD.
7. Maintain effective communication with the clinical user community to determine issues or problem areas and facilitate resolutions.
8. Identify risks, potential impacts and mitigation strategies to support a successful ACD implementation.
9. Maintain accurate project documentation to include but not limited to; minutes, status reports, issues log, cost reports, project schedule and key decisions.
10. With others, plan and support ACD hardware device placement.
11. Participate in related Department of Nursing clinical system projects.
12. Measure nursing satisfaction with technology, and the use of technology as a facilitator of best practices, patient safety, and error avoidance.
13. Participate in improvement projects and on assigned committees to provide content expertise on the literature related to the use of the ACD and other technology to meet patient safety goals, support clinician workflow, and achieve care improvements.
14. Identify information technology training needs of clinical nurses and leadership and recommend appropriate interventions.
15. Work collaboratively with all BWH and PHS Information Systems employees.
16. Participate in relevant nursing organizations to advance the state of clinical informatics through presentation and publication.
17. Actively serve as a mentor for BWH nurses in nursing informatics.
Requirements: QUALIFICATIONS:
1. Individual must have good analytical, logical thinking and problem solving skills.
2. Strong clinical background required.
3. Project management and system life-cycle management experience preferred.
4. Experience with managing process redesign preferred.
5. An understanding of the benefits of information systems that extends beyond the technology to the improvement and re-engineering of clinical processes
6. A working knowledge of HIPAA, including the security and technical requirements;
7. Current license to practice professional nursing in the State of Massachusetts.
8. Masterandiquest;s degree in Nursing from accredited college or university;

SKILLS AND ABILITIES:
1. Performs within the scope and standards of Nursing Informatics Practice.
2. Demonstrated ability to be self-directed with excellent organization, analytical and interpersonal skills.
3. Demonstrated high level of critical thinking, written and oral communication skills.
4. Exceptional planning skills; able to take large-scale initiative and break down into manageable tasks.
5. Creates and executes project work plans and revises as appropriate to meet changing needs and requirements.
6. Ability to work under pressure to meet project deadlines.
7. Demonstrated ability to work with Microsoft Project, Excel, Word, PowerPoint, Visio and Access.
8. Demonstrates understanding of maintaining security, confidentiality, and integrity of employee, patient, family, and other medical information.
9. Excellent presentation skills and conflict resolution skills required.
10. Demonstrates service excellence and positive interpersonal relations in dealing with others, including patients/families, employees, managers, medical staff, and volunteers so that productivity and positive relations are maximized.

WORKING CONDITIONS:
Works in an office/classroom
Works in a variety of patient care environments where there is potential exposure to communicable disease and hazardous materials.
Shift: Day Shift
EEO Statement: An EEO, AA, VEVRAA Employer ]]> 7/19/2011 0.00 Null Null none Null
Responsibilities: GENERAL SUMMARY/ OVERVIEW STATEMENT:
The ACD Clinical Content Program Manager, under the direction of the Director, Nursing Informatics primarily coordinates the Acute Care Documentation (ACD) Clinical Content Governance process. The incumbent is responsive to the ACD clinical content requirements of all inpatient clinicians.

PRINCIPAL DUTIES AND RESPONSIBILITIES:
1. Acute Care Documentation: Project Management

A. Measure satisfaction with the Clinical Content Governance process, and the use of technology as a facilitator of best practices, patient safety, and error avoidance.

B. Create and execute project work plans and revises as appropriate to meet changing needs and requirements.

C. Manage all clinical content requests, from request to resolution, for the Acute Care Documentation (ACD) application, Metavision (MV).

D. Partner with HIS ACD Project Specialist to ensure compliance with the Electronic Health Record, billing and quality requirements.

E. Identify risks, potential impacts and mitigation strategies to support a successful ACD Clinical Content Governance process.

F. Assign MV clinical content requests to Clinical Content Coordinator and ensure appropriate resources are available to successfully complete assigned requests.

G. Maintain accurate project documentation to include but not limited to; minutes, status reports, issues log, project schedule and key decisions.

H. With others, assess go-live readiness of new content/functionality to ensure smooth implementation.

I. Assure new or modified clinical content is evidence based.

J. Triage all requests to either a andiquest;fast trackandiquest; approach or to the andiquest;standard developmentandiquest; approach.

K. Problem-solve application and workflow issues, and work through barriers to achieve results by collaborating effectively with clinical users and the IS staff.

L. Participate in improvement projects and on assigned HIS and ACD committees as needed to meet patient safety goals, support clinician workflow, and achieve care improvements.
2. Acute Care Documentation: Development

A. Develop an agile content management structure that supports and satisfies users, mentors and leadership.

B. Develop monitoring and tracking system for content governance process.

C. Participate in any evaluation and/or purchase of a vendor content source to ensure that vendor content is integrated into the ACD content governance process.

D. With others, refine content requirements, product screen design decisions, configuration requirements and implementation strategies.
3. Acute Care Documentation: Client Relations:

A. Maintain effective communication with the clinical user community to determine issues or problem areas and facilitate resolutions.

B. Co-facilitate the ACD Joint Clinical Content Committee.

C. Coordinate all clinical content requests with appropriate MGH colleagues
Requirements: SKILLS/ ABILITIES/ COMPETENCIES REQUIRED:

Skills:

Excellent analytical, logical/critical thinking and problem solving skills
Excellent written, oral communication and conflict resolution skills
Superior goal accomplishment and process facilitation skills
Exceptional planning skills, able to take large-scale initiative and break down into manageable tasks
Expert knowledge of the intricacies of inpatient clinical care processes
Maintains expert knowledge of MV application functionality, parameter and content structure, and customization opportunities/limitations
Ability to work with Microsoft Project, Excel, Word, PowerPoint, Visio and Access

Abilities/Competencies:

Perform within the scope and standards of individual clinical discipline
Ability to be self-directed with excellent organization and interpersonal skills
Ability to work under pressure to meet project deadlines
Understanding of maintaining security, confidentiality, and integrity of employee, patient, family, and other medical information
Demonstration of service excellence and positive interpersonal relations in dealing with others, including patients/families, employees, managers, medical staff, and volunteers so that productivity and positive relations are maximized
Strong leadership across all aspects of the ACD Content Governance process

LICENSES, CERTIFICATIONS, and/or REGISTRATIONS:

Current Massachusetts licensure in a clinical discipline (including but not limited to Registered Nurse, Physician, Physical Therapist, Occupational Therapist, Speech-Language Pathologist, Licensed Independent Clinical Social Worker) is required

EDUCATION:

Masters degree (or higher) from an accredited school is required.

EXPERIENCE:

Required:

Minimum 5-7 years of clinical and/or operational experience with inpatient clinical care processes
Leadership experience in a complex healthcare system
Familiarity with policies, procedures, business operations, and government and regulatory requirements related to clinical documentation
Preferred:
Proficiency with information systems technology
Project Management, system life-cycle and process redesign management experience

WORKING CONDITIONS:
Works in an office/classroom setting in a variety of PHS geographic locations
Works in a variety of patient care environments with potential exposure to communicable disease and hazardous materials
Shift: Day Shift
EEO Statement: An EEO, AA, VEVRAA Employer ]]> 7/19/2011 0.00 Null Null none Null
Responsibilities: GENERAL SUMMARY/ OVERVIEW STATEMENT:
The Nurse Program Director is responsible for managing the transplant nurse coordination services of BWH Kidney/Pancreas and Lung Transplant Programs and providing professional development guidance to transplant coordinators in all solid organ transplant programs (Kidney/Pancreas, Lung and Heart). Oversees the nursing operations and the on-going evaluation and development of the nursing services provided by the Programs. Responsible for the direct personnel management and supervision of kidney/pancreas and lung transplant nurse coordinators. Collaborates closely with the Medical and Surgical Directors of the Transplant Programs and administrative directors to facilitate identification and resolution of issues related to the nursing clinical practices associated with the Programs. The Nurse Program Director will participate in the Transplant Quality Assurance/Process Improvement (QAPI) and compliance related activities. As a key member of the transplant administration team, the Nurse Program Director will also participate in budgeting, planning and development, marketing/outreach, Center of Excellence and other managed care contracting efforts related to the transplant programs.

PRINCIPAL DUTIES AND RESPONSIBILITIES:
Program Coordination/Patient Care Organization:

Works closely with the solid organ transplant Medical and Surgical program directors, as well as other program providers and administrative directors, to ensure high quality, effective and efficient delivery of transplant nurse coordination services.
1. Develops and implements nursing care standards of practice, nursing competencies, and directs nursing operations.
2. Analyzes nursing patient management processes and recommends/implements changes to improve quality, efficacy and timeliness of transplant nursing coordinator and program services.
3. Works with physician directors, administrators, and nursing staff to develop, maintain and update clinical procedures and protocols associated with transplant patient care policies and standards in accordance with best practices and regulatory requirements, with a focus on those policies and procedures related to the delivery of nursing transplant coordination services/care. Develops and maintains associated clinical practice manuals.
4. Evaluates effectiveness of transplant nursing care plans and associated documentation policies and procedures. Develops and implements improvement strategies as necessary.
5. Analyzes nurse coordinator staffing and makes recommendations for staffing levels and work schedules to support program goals and needs.
6. Works with administrative directors/managers to help resolve technical and operational issues, including optimization of operational flow through associated nursing and support staff task assignments.
7. Ensures transplant coordinator nursing practices are consistent with overall BWH nursing policies, procedures, staff management and development, nursing practices, and addresses nursing practice specific issues as needed.

Personnel Management:

Provides effective direction, guidance, training , on-going education, and supervision of transplant nurse coordinators in the kidney/pancreas and lung transplant programs, assuring maximum quality of care, patient satisfaction, efficient practice, effective teamwork, and adherence to procedures and standards.
1. Hires, trains, and evaluates staff, including disciplinary actions, in accordance with appropriate HR guidelines
2. Develops implements, maintains, and updates new RN staff orientation and training program.
3. Identifies strengths and weaknesses of staff and assists them in their professional growth and development.
4. Ensures that annual and other required nurse training requirements are met, including development and implementation of transplant coordinator specific nursing competency requirements.
5. Assesses and ensures adequate nurse coordinator coverage at all times. Oversees management of nurse time off. Hires, schedules and manages use of per diem help. Manages nurse coverage schedule(s).
6. Resolves nursing personnel issues/problems.
7. Oversees payroll submission for nursing staff
8. Develops and implements on-going transplant RN coordinator education program.
9. Participates in RN staff professional development for all transplant programs, including heart, with focus on transplant specific nursing practice issues.

Quality Assessment, Performance Improvement and Compliance :
1. Participates in Transplant QAPI and Compliance activities.
2. Works with clinical program leaders on QAPI and Compliance activities and may take lead role in specific QA/PI projects, related to both clinical program initiatives and the transplant related compliance requirements, include state and federal requirements, United Network for Organ Sharing (UNOS), Medicare (CMS), the regional OPO (New England Organ Bank), Joint Commission and other third party agencies.
3. Develops and implements operational processes to ensure compliance with regulatory standards impacting transplant services.
4. Assesses clinical nurse coordinator documentation to ensure that it is timely, meets standards, and evidences the quality of care provided by the nursing staff.
5. Maintains contact with internal and external referral sources to assess satisfaction with transplant program services.

Administration/Planning/Marketing/Outreach/Budget:
1. Participates in transplant program strategic planning and development of short and long term goals.
2. Participates in marketing efforts, including taking a lead role in developing and implementing program specific clinical outreach efforts (.e.g., coordination with dialysis centers for kidney transplant program).
3. Participates in clinical activities related to managed care contracting, including Center of Excellence program RFIs, site visits, and implementation of required operational processes.
4. Maintains ongoing knowledge of legislative, social and regulatory changes impacting on the health care delivery system and in particular transplantation services.
5. Assists in budget planning and monitors use of resources including staffing patterns, supplies and equipment. Integrates cost containment factors into program planning and implementation.
6. Makes recommendations for changing patterns and practices within the program.

Professional Attribute:
1. Establishes and promotes effective communications and strong professional working relationships with: members of the transplant teams; transplant and other administration staff; hospital departments, inpatient Nurse Directors on units with transplant patients, as well as with relevant outside organizations.
2. Influences institutional and nursing policies through appropriate channels (providing suggestions, participating in committees, etc.).
3. Participates in professional, institutional and community organizations relevant to transplantation.

Research:
1. Facilitates nursing and institutional research.
2. Incorporates nursing research findings in clinical practice.
Shift: Day Shift
EEO Statement: An EEO, AA, VEVRAA Employer Position Justification QUALIFICATIONS:
1. Graduate of an approved school of nursing, MSN or Masters Degree in health related field required. Current registration in Massachusetts.
2. Minimum of 5 years of progressively responsible, clinically related experience; transplant coordination experience strongly preferred.
3. Transplant coordinator certification or ability to achieve certification upon hire strongly preferred.
4. Previous nursing management experience strongly preferred.

SKILLS/ ABILITIES/ COMPETENCIES REQUIRED:
1. Demonstrated leadership and management ability.
2. Excellent organizational and time management skills.
3. Superior communication, follow-up, and interpersonal skills.
4. Strong ability to handle multiple responsibilities and to prioritize effectively
5. Must have strong initiative and ability to work independently.
6. Able to work well independently and as a member of a multi-disciplinary team.
7. Excellent ability to identify and solve problems.
8. Self-directed, creative and flexible
9. Strong presentation skills
10. Excellent clinical judgment.
11. Excellent project management and analytical skills
12. Strong computer skills
13. Understanding of CMS/UNOS/OPTIN and other transplant regulatory requirements strongly preferred.

WORKING CONDITIONS:
General outpatient clinic and office. ]]> 7/19/2011 0.00 Null Null none Null
Responsibilities: GENERAL OVERVIEW:

The Coordinator or the Lung Transplant Program is a professional nurse, registered in the Commonwealth of Massachusetts, who coordinates the medical care of lung transplant recipients in the pre, peri, and post operative settings. Receives training and demonstrates initiative, knowledge and clinical skills in assessing, planning and coordinating inpatient and/or outpatient care for patients with complex needs. Ensures continuity of patient care through educational, consultative and direct care activities. The Coordinator collaborates with the medical and nursing staffs, with various clinical and administrative departments, third parties, including referring physicians, and regulatory agencies to promote collegiality and efficacious and cost-effective care. The Coordinator is directly responsible to the Medical Director of the Lung Transplant Program.

PRINCIPAL DUTIES AND RESPONSIBILITIES:
Organization of Patient Care: Outpatient:
1. Attends Lung Transplant clinics and rounds. Assumes responsibility for initiation of clinical assessment, initial identification of problem/plan pre, peri and post-transplant.
2. Facilitates and coordinates educational programs for pre and post transplant patients/families. Works in conjunction with the Pulmonary Rehabilitation team as needed. Provides education for the patient and family, as needed, utilizing appropriate resources. Reviews, revises and initiates development of patient teaching materials with other team members.
3. Works with financial coordinator to obtain insurance approval for the lung transplant and provides medical information as requested.
4. Works with the financial coordinator, social work and other means of assistance as needed.
5. Collaborates with inpatient Nurse Coordination regarding admissions, bed availability, plan of care, flow of patient through acute care and ultimate discharge plan. Works with preferred providers and third party payers as needed.
6. Facilitates access to and efficiency of outpatient care by direct patient management in clinic setting in conjunction with attending physicians, documentation in outpatient medical record, and integration of inpatient and outpatient services.
7. Communicates patient information to the care team via appropriate documentation and team conferences; information includes pre-transplant follow-up, assessment of response to treatment after discharge and long-term effects.
8. Initiates patient contact pre-admission and post-discharge to monitor patient progress.
9. Conducts post acute patient follow-up to insure execution of follow-up care, non-acute plan of care, optimal service utilization; and the quality of care and service to patients pre-and post-transplant.
10. Manages and continually improves systems to provide information on patientsand#x2019; current level of care/changes in clinical status to Lung Transplant Team, referring physicians, financial coordinator/third party payers, UNOS and others.

Organization of Patient Care: Inpatient:

The per diem care coordinator will assist with care coordination for lung transplant recipients as outlined:
1. Conducts inpatient care coordination for all lung transplant patients, including participation in inpatient rounds, documentation in inpatient medical record, daily care facilitation and communications, utilization review and management, organizational efficiency and discharge planning.
2. Acts as liaison between members of inpatient care team, including physicians, trainees, physician assistants, etc, and outpatient care coordination team, including outpatient nurse coordinators.
3. Participates in facilitating patient progress after discharge to the outpatient coordinators by facilitating transfer of communication with patient/family, other team members, providers and agencies to the outpatient coordinators.
4. Coordinates seamless transition of care between in and out-patient care by working closely with out-patient lung transplant coordinators.
5. Works with the financial coordinator, social work and other means of assistance as needed.
6. Communicates patient information to the care team via appropriate documentation.

Quality of Care:
1. Participates in multidisciplinary patient care conferences, support group and medical management meetings.
2. Documentation is clear, complete, concise and organized in its presentation demonstrating skill in the nursing process.
3. Observes principles of infection control in nursing practice, demonstrating awareness of potential/actual risks of infection and modes of transmission.
4. Prepares reports/data for utilization of services review, QM activities, UNOS and Center of Excellence contracts.

Professional Attribute:
1. Establishes effective professional relationships with other members of the healthcare team.
2. Serves as role model and resource for other staff, providing assistance with the care coordination process, clinical skills and patient teaching.
3. Maintains communication with other transplant units/programs in order to keep abreast of current information.
4. Maintains professional relationships with appropriate professional organizations
5. Regularly incorporates new scientific findings in specific area of expertise into clinical practice. Maintains awareness of new developments in the specialized area and participates in research activities.

Participatory Management:
1. Utilizes time and materials effectively.
2. Participates in the orientation of new staff members, students and others as appropriate. Provides input into the evaluation of other staff as appropriate.
3. Adheres to hospital and departmental policies. Recommends changes in policies and procedures through appropriate channels.
4. Participates in determining and implementing goals and objectives for the transplant program, and in the periodic review of the program.
Requirements: QUALIFICATION;
1. Graduate of an approved school of nursing with current registration in Massachusetts. B.S.N. required.
2. Prior experience in the care of pulmonary/thoracic surgery patients, and/or transplant patients,
3. Knowledge of community resources and post/non-acute care providers preferred. Familiarity with discharge and resource planning preferred.
4. Membership in professional organization is recommended.

SKILLS AND ABILITIES REQUIRED
Must show evidence of the basic analytic thinking necessary to care for a group of patients. Must demonstrate strong interpersonal skills; must work closely and cooperatively with physicians and other health care professionals. Must demonstrate the ability to set priorities. Must be able to function well under stress. Excellent communication skills.

*Required to Work Weekends Per Contract.

WORKING CONI'ITIONS:

Works in a busy and sometimes stressful patient care environment. May be exposed to communicable diseases and hazardous materials. Must be able to work well dependently and in a multidisciplinary group. Must be flexible.
Shift: Day Shift.
Weekday Day Coverage.
This is a Per diem position.
EEO Statement: An EEO, AA, VEVRAA Employer ]]> 7/19/2011 0.00 Null Null none Null
Responsibilities: GENERAL SUMMARY AND OVERVIEW STATEMENT

The Nurse Director position is recognized as a key management/leadership position within the health centerand#x2019;s organization and is central to the health centerand#x2019;s mission. The Nurse Director works closely with the Executive Director and the Medical Director in managing the overall operations of the Medical Department, carrying out the core values of the organization by developing and sustaining an environment that supports excellence in clinical practice and in the care of patients. S/he partners with medical and administrative leadership to set mutual goals that advance teamwork, interdisciplinary learning and the environment of care. This is primarily an administrative position, but also includes clinical nursing responsibilities. He/she promotes the development of professional nurses and ensures consistency in the implementation of the philosophy of nursing and standards of nursing practices. Areas of responsibility include, but are not limited to, participation with the Medical Director in the development and implementation of programs, policies, and procedures; hiring, scheduling, and supervising/supporting clinical personnel; and monitoring, ordering, and overseeing clinical supplies and equipment.

The Nursing Director also establishes and maintains collaborative relationships with all disciplines and departments within the health center necessary to create optimal patient outcomes and a professional practice environment. The Nursing Director is a key member of the health center team and works across the enterprise to improve service excellence, operational efficiency, quality and safety and overall financial performance.and#x2019;

PRINCIPAL DUTIES AND RESPONSIBILITIES
1. Supervises and manages staff. Interviews, hires, trains, orients, assigns work to, evaluates performance of, and, if necessary, disciplines and recommends discharge of subordinates.
2. Provides Medical Department leadership with the Medical Director by establishing goals, monitoring performance, and developing policies and procedures.
3. Manages operations of Medical Department Services and oversees adequate staffing, equipment, and supplies. Monitors patient and workflow. Makes changes to improve patient access and satisfaction and provider/staff efficiency and effectiveness.
4. Directs clinical care in the Medical Department. In doing this, he/she ensures services are of high quality, in accordance with applicable laws, regulations, hospital standards, and principles of professional ethics.
5. Supervises the patient appointment system for all clinical services provided by the health center. Responsible for patient reception and appointment making. Also responsible for daily operations, policies, and procedures.
6. Ensure compliance with Hospital, State, Federal, and JCAHO regulations.
7. Is an active member of Brigham and Womenand#x2019;s Hospital nursing organization, and acts as liaison between the Brookside Community Health Center Medical Department and community, city, and state organizations around nursing issues.
8. Directs the Medical Department Performance Improvement Program. Develops goals, implements projects, monitors progress of, initiates appropriate changes in, writes reports regularly for, and participates in the center-wide Quality Assurance committee.
9. Works as a member of the health center Management Team. Contributes to the development of health center goals. Participates in project work. Keeps Program Directors and health center Executive Director informed of key issues, current regulatory and compliance issues.
10. Directs grant activities, seeks grant support for programs, writes proposals, obtains funding, monitors grant committees, and submits reports
Requirements: QUALIFICATIONS
1. Current nursing registration in the Commonwealth of Massachusetts.
2. Masters Degree in Nursing or related field.
3. Previous leadership experience with demonstrated management ability
4. Bilingual in Spanish and English.
5. Family Nurse Practitioner preferred

SKILLS AND ABILITIES REQUIRED
1. Must have demonstrated clinical competence in nursing practice
2. Must possess analytical abilities necessary to organize, to supervise and to evaluate the work of others; to develop and to administer policies, procedures, budgets, and utilize current concepts of nursing practice.
3. Must possess interpersonal skills sufficient to provide effective leadership to staff, and to interact with patients, visitors, physicians, other clinical disciplines and a variety of hospital departments.
4. Must possess both management and leadership skills to be effective with multiple levels of staff.
5. Must demonstrate clinical knowledge in nursing practice in area of responsibility

WORKING CONDITIONS:
Working Conditions
Works in a variety of patient care environments where there is potential exposure to communicable disease, and hazardous materials.
Shift: Day Shift.
Occasional Saturday Mornings Required.
EEO Statement: An EEO, AA, VEVRAA Employer ]]> 7/19/2011 0.00 Null Null none Null
Responsibilities: GENERAL SUMMARY/ OVERVIEW STATEMENT:
The RN Care Coordinator (RNCC) manages a caseload of patients on a defined service and is responsible for ensuring care that supports desired clinical and financial outcomes. Has the skills and knowledge specific to the unique needs of assigned patients. Coordinating the care prescribed by an interdisciplinary team, the RNCC utilizes patient assessment, care guidelines, protocols, payer regulations and response to therapies to assess the episode of illness from pre admission to post discharge. Participates in the ongoing evaluation of practice patterns and systems and supports efforts to improve quality, cost and satisfaction outcomes. Mobilizes resources to maximize efficiency of care delivery.

PRINCIPAL DUTIES AND RESPONSIBILITIES:
Principle Responsibilities

A. Care Facilitation

Coordinates and insures implementation of the plan of care, utilizing case management principles.
1. Prior to or within 24-48 hours of admission the RNCC, by interview of the patient/family, discussion with physician team and/or attending MD and other team members, develops a provisional treatment program and tentative discharge date.
2. Reviews daily treatment plan with physicians, nurses and patient / families to insure
interdisciplinary communication and coordination is occurring.
3. Participates with nursing staff and physicians in patient care rounds to contribute to plan of care and monitor and report patient progress.
4. Collaborates with other departments to expedite sequencing and scheduling of
interventions, consults, treatments and ancillary services.
5. Provides for daily continuity with patients to assure patient needs related to discharge
are met.
6. Incorporates knowledge of utilization management principles and payer contracts into patient plans of care. Keeps physicians and nurses informed of implications.
7. Presents alternatives to inpatient stay to attending MD, team and patient / family based on
assessed patient level of care and insurance benefits.
8. Seeks assistance and/or consultation from Care Coordination leadership with plans
for outlier and potential or actual resource intensive patients.
9. Interacts with internal and external health care providers to facilitate patient care
including post discharge services.
10. Contributes to the development, implementation and monitoring of practice guidelines.
11. Identifies attending, resident and nurse learning needs related to case management and
works with service leaders to develop educational plan.

B. Discharge Planning

Coordinates and executes the discharge planning process for patients, ensuring each patient has a discharge plan.
1. Assesses continuing care needs in conjunction with other caregivers.
2. Coordinates and schedules interdisciplinary meetings with the patient and family
regarding discharge needs and plan as appropriate.
3. Assures patient education consistent with discharge plan has occurred.
4. Identifies service, treatment and funding options for post-hospital care.
5. Promotes interdisciplinary patient/family communications and documentation that facilitate discharge planning striving to finalize plans the day prior to discharge.
6. Performs patient/family follow-up after discharge to monitor and support desired
outcomes.
7. Initiates contact with home health agencies and extended care facilities to insure prompt
and effective transition of care.


C. Utilization Management

Collaborates with appropriate individuals, departments, and payers to insure appropriateness of admission, continued days of stay, and reimbursement.
1. Identifies patients who are likely to have unmet insurance and resource needs and communicates with and/or makes referrals to other members of the health care team and other appropriate departments.
2. Communicates as needed with third party payers regarding patientand#x2019;s progress with treatment plan.
3. Identifies need for and issues Medicare notices of non-coverage, providing appropriate documentation of the process and communication to patient/family and other members of the health care team.
4. Utilizing industry accepted utilization and/or medical management criteria (MCAP) identifies, monitors and reports variances from established treatment plan, including appropriateness of admission, continued stay, delays in treatment, and discharge plan.
5. Conducts documented utilization reviews to insurers or intermediaries.
6. Identifies SNF and AND days for Medicare and Medicaid patients.
7. Initiates actions concurrently to reduce and/or eliminate inappropriate hospital admissions and days, and system delays.
8. Works with payers and physicians to concurrently address level of care concerns effecting
claims and reimbursement.
9. Contributes to utilization and practice improvement efforts by reviewing reports with colleagues and providing feedback on utilization trends and payer issues.
10. Serves as the primary patient information source to third party payers.
Requirements: QUALIFICATIONS:
R.N. required, MA license, BSN preferred.
Knowledge and skills to differentiate levels of care required.
Five years of previous acute care experience in related clinical specialty preferred
Two or more years experience with hospital utilization review and medical criteria sets preferred
Five years of experience with discharge planning, knowledge of community resources and patient education principles preferred as a case manager.
Certification in case management preferred

SKILLS/ ABILITIES/ COMPETENCIES REQUIRED:
Previous experience in a hospital or health care setting; bilingual (English/Spanish) preferred; strong clinical assessment skills; excellent interpersonal skills including ability to work collaboratively and cooperatively within a team and with internal and external customers; strong organizational skill and ability to set priorities; ability to compile data from concurrent and retrospective medical record review to determine clinical appropriateness, able to demonstrate the ability to meet a patientand#x2019;s needs based on their clinical diagnosis, level of care and discharge plan; ability to negotiate several aspects of care coordination simultaneously; excellent written and verbal communication skills

WORKING CONDITIONS:
Works in a busy and at times stressful hospital and office environment. Must be flexible and able to work well independently
Shift: Rotating Shift.
This is a Per diem position.

*Required to Work Weekends Per Contract.
EEO Statement: An EEO, AA, VEVRAA Employer ]]> 7/19/2011 0.00 Null Null none Null
Responsibilities: GENERAL SUMMARY/ OVERVIEW STATEMENT:
The RN Care Coordinator (RNCC) manages a caseload of patients on a defined service and is responsible for ensuring care that supports desired clinical and financial outcomes. Has the skills and knowledge specific to the unique needs of assigned patients. Coordinating the care prescribed by an interdisciplinary team, the RNCC utilizes patient assessment, care guidelines, protocols, payer regulations and response to therapies to assess the episode of illness from pre admission to post discharge. Participates in the ongoing evaluation of practice patterns and systems and supports efforts to improve quality, cost and satisfaction outcomes. Mobilizes resources to maximize efficiency of care delivery.

PRINCIPAL DUTIES AND RESPONSIBILITIES:
Principle Responsibilities

A. Care Facilitation

Coordinates and insures implementation of the plan of care, utilizing case management principles.
1. Prior to or within 24-48 hours of admission the RNCC, by interview of the patient/family, discussion with physician team and/or attending MD and other team members, develops a provisional treatment program and tentative discharge date.
2. Reviews daily treatment plan with physicians, nurses and patient / families to insure
interdisciplinary communication and coordination is occurring.
3. Participates with nursing staff and physicians in patient care rounds to contribute to plan of care and monitor and report patient progress.
4. Collaborates with other departments to expedite sequencing and scheduling of
interventions, consults, treatments and ancillary services.
5. Provides for daily continuity with patients to assure patient needs related to discharge
are met.
6. Incorporates knowledge of utilization management principles and payer contracts into patient plans of care. Keeps physicians and nurses informed of implications.
7. Presents alternatives to inpatient stay to attending MD, team and patient / family based on
assessed patient level of care and insurance benefits.
8. Seeks assistance and/or consultation from Care Coordination leadership with plans
for outlier and potential or actual resource intensive patients.
9. Interacts with internal and external health care providers to facilitate patient care
including post discharge services.
10. Contributes to the development, implementation and monitoring of practice guidelines.
11. Identifies attending, resident and nurse learning needs related to case management and
works with service leaders to develop educational plan.

B. Discharge Planning

Coordinates and executes the discharge planning process for patients, ensuring each patient has a discharge plan.
1. Assesses continuing care needs in conjunction with other caregivers.
2. Coordinates and schedules interdisciplinary meetings with the patient and family
regarding discharge needs and plan as appropriate.
3. Assures patient education consistent with discharge plan has occurred.
4. Identifies service, treatment and funding options for post-hospital care.
5. Promotes interdisciplinary patient/family communications and documentation that facilitate discharge planning striving to finalize plans the day prior to discharge.
6. Performs patient/family follow-up after discharge to monitor and support desired
outcomes.
7. Initiates contact with home health agencies and extended care facilities to insure prompt
and effective transition of care.


C. Utilization Management

Collaborates with appropriate individuals, departments, and payers to insure appropriateness of admission, continued days of stay, and reimbursement.
1. Identifies patients who are likely to have unmet insurance and resource needs and communicates with and/or makes referrals to other members of the health care team and other appropriate departments.
2. Communicates as needed with third party payers regarding patientand#x2019;s progress with treatment plan.
3. Identifies need for and issues Medicare notices of non-coverage, providing appropriate documentation of the process and communication to patient/family and other members of the health care team.
4. Utilizing industry accepted utilization and/or medical management criteria (MCAP) identifies, monitors and reports variances from established treatment plan, including appropriateness of admission, continued stay, delays in treatment, and discharge plan.
5. Conducts documented utilization reviews to insurers or intermediaries.
6. Identifies SNF and AND days for Medicare and Medicaid patients.
7. Initiates actions concurrently to reduce and/or eliminate inappropriate hospital admissions and days, and system delays.
8. Works with payers and physicians to concurrently address level of care concerns effecting
claims and reimbursement.
9. Contributes to utilization and practice improvement efforts by reviewing reports with colleagues and providing feedback on utilization trends and payer issues.
10. Serves as the primary patient information source to third party payers.
Requirements: QUALIFICATIONS:
R.N. required, MA license, BSN preferred.
Knowledge and skills to differentiate levels of care required.
Five years of previous acute care experience in related clinical specialty preferred
Two or more years experience with hospital utilization review and medical criteria sets preferred
Five years of experience with discharge planning, knowledge of community resources and patient education principles preferred as a case manager.
Certification in case management preferred

SKILLS/ ABILITIES/ COMPETENCIES REQUIRED:
Previous experience in a hospital or health care setting; bilingual (English/Spanish) preferred; strong clinical assessment skills; excellent interpersonal skills including ability to work collaboratively and cooperatively within a team and with internal and external customers; strong organizational skill and ability to set priorities; ability to compile data from concurrent and retrospective medical record review to determine clinical appropriateness, able to demonstrate the ability to meet a patientand#x2019;s needs based on their clinical diagnosis, level of care and discharge plan; ability to negotiate several aspects of care coordination simultaneously; excellent written and verbal communication skills

WORKING CONDITIONS:
Works in a busy and at times stressful hospital and office environment. Must be flexible and able to work well independently
Shift: Rotating Shift.
This is a Per diem position.

*Required to Work Weekends Per Contract.
EEO Statement: An EEO, AA, VEVRAA Employer ]]> 7/19/2011 0.00 Null Null none Null
Responsibilities: GENERAL SUMMARY/ OVERVIEW STATEMENT:
The RN Care Coordinator (RNCC) manages a caseload of patients on a defined service and is responsible for ensuring care that supports desired clinical and financial outcomes. Has the skills and knowledge specific to the unique needs of assigned patients. Coordinating the care prescribed by an interdisciplinary team, the RNCC utilizes patient assessment, care guidelines, protocols, payer regulations and response to therapies to assess the episode of illness from pre admission to post discharge. Participates in the ongoing evaluation of practice patterns and systems and supports efforts to improve quality, cost and satisfaction outcomes. Mobilizes resources to maximize efficiency of care delivery.

PRINCIPAL DUTIES AND RESPONSIBILITIES:
Principle Responsibilities

A. Care Facilitation

Coordinates and insures implementation of the plan of care, utilizing case management principles.
1. Prior to or within 24-48 hours of admission the RNCC, by interview of the patient/family, discussion with physician team and/or attending MD and other team members, develops a provisional treatment program and tentative discharge date.
2. Reviews daily treatment plan with physicians, nurses and patient / families to insure
interdisciplinary communication and coordination is occurring.
3. Participates with nursing staff and physicians in patient care rounds to contribute to plan of care and monitor and report patient progress.
4. Collaborates with other departments to expedite sequencing and scheduling of
interventions, consults, treatments and ancillary services.
5. Provides for daily continuity with patients to assure patient needs related to discharge
are met.
6. Incorporates knowledge of utilization management principles and payer contracts into patient plans of care. Keeps physicians and nurses informed of implications.
7. Presents alternatives to inpatient stay to attending MD, team and patient / family based on
assessed patient level of care and insurance benefits.
8. Seeks assistance and/or consultation from Care Coordination leadership with plans
for outlier and potential or actual resource intensive patients.
9. Interacts with internal and external health care providers to facilitate patient care
including post discharge services.
10. Contributes to the development, implementation and monitoring of practice guidelines.
11. Identifies attending, resident and nurse learning needs related to case management and
works with service leaders to develop educational plan.

B. Discharge Planning

Coordinates and executes the discharge planning process for patients, ensuring each patient has a discharge plan.
1. Assesses continuing care needs in conjunction with other caregivers.
2. Coordinates and schedules interdisciplinary meetings with the patient and family
regarding discharge needs and plan as appropriate.
3. Assures patient education consistent with discharge plan has occurred.
4. Identifies service, treatment and funding options for post-hospital care.
5. Promotes interdisciplinary patient/family communications and documentation that facilitate discharge planning striving to finalize plans the day prior to discharge.
6. Performs patient/family follow-up after discharge to monitor and support desired
outcomes.
7. Initiates contact with home health agencies and extended care facilities to insure prompt
and effective transition of care.


C. Utilization Management

Collaborates with appropriate individuals, departments, and payers to insure appropriateness of admission, continued days of stay, and reimbursement.
1. Identifies patients who are likely to have unmet insurance and resource needs and communicates with and/or makes referrals to other members of the health care team and other appropriate departments.
2. Communicates as needed with third party payers regarding patientand#x2019;s progress with treatment plan.
3. Identifies need for and issues Medicare notices of non-coverage, providing appropriate documentation of the process and communication to patient/family and other members of the health care team.
4. Utilizing industry accepted utilization and/or medical management criteria (MCAP) identifies, monitors and reports variances from established treatment plan, including appropriateness of admission, continued stay, delays in treatment, and discharge plan.
5. Conducts documented utilization reviews to insurers or intermediaries.
6. Identifies SNF and AND days for Medicare and Medicaid patients.
7. Initiates actions concurrently to reduce and/or eliminate inappropriate hospital admissions and days, and system delays.
8. Works with payers and physicians to concurrently address level of care concerns effecting
claims and reimbursement.
9. Contributes to utilization and practice improvement efforts by reviewing reports with colleagues and providing feedback on utilization trends and payer issues.
10. Serves as the primary patient information source to third party payers.
Requirements: QUALIFICATIONS:
R.N. required, MA license, BSN preferred.
Knowledge and skills to differentiate levels of care required.
Five years of previous acute care experience in related clinical specialty preferred
Two or more years experience with hospital utilization review and medical criteria sets preferred
Five years of experience with discharge planning, knowledge of community resources and patient education principles preferred as a case manager.
Certification in case management preferred

SKILLS/ ABILITIES/ COMPETENCIES REQUIRED:
Previous experience in a hospital or health care setting; bilingual (English/Spanish) preferred; strong clinical assessment skills; excellent interpersonal skills including ability to work collaboratively and cooperatively within a team and with internal and external customers; strong organizational skill and ability to set priorities; ability to compile data from concurrent and retrospective medical record review to determine clinical appropriateness, able to demonstrate the ability to meet a patientand#x2019;s needs based on their clinical diagnosis, level of care and discharge plan; ability to negotiate several aspects of care coordination simultaneously; excellent written and verbal communication skills

WORKING CONDITIONS:
Works in a busy and at times stressful hospital and office environment. Must be flexible and able to work well independently
Shift: Rotating Shift.
This is a Per diem position.

*Required to Work Weekends Per Contract.
EEO Statement: An EEO, AA, VEVRAA Employer ]]> 7/19/2011 0.00 Null Null none Null
Responsibilities: GENERAL SUMMARY/ OVERVIEW STATEMENT:
.
The Licensed Practical Nurse will perform all nursing functions necessary for the complete care and efficient management of patients through the ambulatory facility, including teaching and assisting patients with needs or problems relevant to their visit to the physician and assisting physicians and other non-licensed clinical staff with procedures, treatments and/or instructions to the patients.

PRINCIPAL DUTIES AND RESPONSIBILITIES:
1) Responsibilities to Patients:

and#x2022; Accurately performs all nursing functions necessary in the ambulatory practice including the administration of medications and injections and other procedures that require a nursing license.
and#x2022; Assesses patient telephone calls and accurately relays information to appropriate physician and authorizes (under the supervision of the physician) prescription refill.
and#x2022; Will accurately provide medical information or instruction to the patient, as directed by physician.
and#x2022; Accurately records all patient data and maintains all necessary records or files pertaining to the patient.
and#x2022; Informs patients of any existing procedure or appointment delays and provides approximate waiting time.
and#x2022; Assists all patients in a way which gives the overall perception of BPG as a premier healthcare provider by being courteous, efficient, helpful and professional.
and#x2022; Treats all patients with dignity, compassion and respect.
2) Responsibilities to Physicians:

and#x2022; Appropriately prepares patient for examinations or procedures.
and#x2022; Assists physician during examinations, procedures and care of patient.
and#x2022; Assists physicians in the acquisition and proper use of all equipment relating to the care of the patient.
and#x2022; Obtains pertinent and accurate information from the patient and communicates this information, in a professional manner to the physician.
and#x2022; Accurately communicates the physician's instructions to the patient.
and#x2022; Follows office protocol and physician direction when calling prescriptions to pharmacies, as well as with all other practice procedures
and#x2022; Performs urine dipsticks and guaiac testing according to protocol.
and#x2022; Maintains a professional relationship with the physician.
3) Equipment and Supplies:

and#x2022; Keeps all patient-care and procedure equipment clean and in good working order and reports equipment problems to supervisor.
and#x2022; Keeps inventory of necessary supplies and equipment: notifies supervisor when items are needed.
and#x2022; Properly stocks patient-care area and makes cost effective use of supplies, equipment and other resources.
and#x2022; Keeps all patient-care areas and work areas neat and clean.
and#x2022; Accurately utilizes all equipment and supplies.
4) Teamwork:

and#x2022; Promotes collaborative work relationships and influences others to work collaboratively.
and#x2022; Bases decisions and actions on understanding the perspective of others.
and#x2022; Is a role model to others in service standards.
and#x2022; Interacts professionally with fellow employees and other ancillary departments.
and#x2022; Is supportive of fellow employees and uses initiative in helping others.
and#x2022; Is an effective TEAM PLAYER !
5) Responsibilities to the Supervisory Staff:

and#x2022; Follows instructions of and assists supervisory staff as required.
and#x2022; Maintains good communication with and reports problems to supervisor.
and#x2022; Performs all duties and tasks as requested by the supervisor, to ensure the efficient overall performance of the facility.
and#x2022; Attends all required staff meetings.
and#x2022; Performs annual competencies.
Requirements: QUALIFICATIONS:
and#x2022; Graduate of an approved school of practical nursing.
and#x2022; Current Licensure in the Commonwealth of Massachusetts.
and#x2022; Must maintain annual competencies related to practice protocol.
and#x2022; Must attend mandatory annual in-services.
and#x2022; Maintains current licensure by completing educational requirements needed for renewal.

SKILLS/ ABILITIES/ COMPETENCIES REQUIRED:
and#x2022; Must understand the overall goals and systems of the practice
and#x2022; Communicate effectively with a socially diverse group of patients visiting their physicians for problems that may be life threatening and coping with anxiety and stress often created by such situations
and#x2022; Communicate well with a large group of physicians in a fast-paced and demanding environment
and#x2022; Respect the strict confidentiality of medical records and information.
and#x2022; Must demonstrate excellent customer service skills.
and#x2022; Must possess a solid understanding of ambulatory patient care, be organized and multi-tasking, and have excellent communication skills.
and#x2022; Must possess excellent learning skills.

WORKING CONDITIONS:
Work is performed in an office environment and ambulatory patient-care setting.
Shift: Day Shift.
EEO Statement: An EEO, AA, VEVRAA Employer ]]> 7/19/2011 0.00 Null Null none Null
Responsibilities: GENERAL SUMMARY/ OVERVIEW STATEMENT:
The Nurse Practitioner is an advanced practice registered nurse who has acquired specialized knowledge and skills through completion of a nurse practitioner program. The practitioner has the credentials to function in an expanded nursing role and is responsible for the daily management of selected patients. The practitioner has responsibility for assessment and management of patients including diagnostic and therapeutic interventions, and continuous implementation and evaluation of an appropriate plan of care. The Nurse Practitioner works under the supervision of the attending physician and is responsible to the Nurse Manager or Nursing Director for the area.

PRINCIPAL DUTIES AND RESPONSIBILITIES:
A. Patient Care Organization:
1. Provides direct care, counseling, and teaching to a select patient population.
2. Performs physical examinations and provides preventive health measures appropriate to patient needs.
3. Orders, interprets, and evaluates appropriate lab and diagnostic tests to assess patientsand#x2019; clinical problems and health care needs.
4. Arranges for appropriate plan of care and follow-up based on outcome of diagnostic, lab, and physical assessment findings.
5. Performs laboratory tests appropriate for specific patient population.
6. Orders medications and writes prescriptions according to organizational and regulatory policies and procedures.
7. Records pertinent patient care findings in the medical record.
8. Sets priorities for appropriate and efficient management of patient care that reflects cost effective management of time, available human resources, supplies and equipment
9. Maintains interdisciplinary approach to planning and communicating patient care information by discussing patient data with appropriate physicians and other health care professionals.
10. Incorporates the concepts of health maintenance, prevention, and promotion into daily practice through patient education and counseling.
11. Demonstrates awareness of community resources and assists staff, patients, and families to effectively utilize them.

B. Quality of Care:
1. Assists in the development, implementation and revision of nurse practitioner
guidelines and monitoring requirements for prescription writing in collaboration
with their designated physician and Nursing Manager or Nursing Director.
2. Evaluates outcomes of own patientsand#x2019; care and makes necessary revisions in care plans.
3. Seeks and provides consultative services as required.
4. Participates in departmental and organization quality improvement program.
5. Utilizes quality improvement data and research findings to enhance patient care.

C. Coordination:
1. Demonstrates appropriate collaborative and consultative relationships with other providers within the institution and community.
2. Serves on Nursing and Hospital Committees and assumes responsibility for disseminating and communicating information to staff.

D. Budget:
1. Participates in setting productivity metrics and in cost effective management of personnel, time, supplies, and equipment in his/her area.
2. Collaborates with the Nurse Manager/Practice Manager/Director in the recommendation of appropriate staffing patterns for their clinical areas.

E. Personnel Management:
1. Participates in selection process of new employees in group or team practice as requested.
2. Provides input into evaluation of other staff as appropriate.

F. Education:
1. Acts as preceptor for nursing students and staff as requested.
2. Participates in orientation of new staff.
3. Participates in Departmental and organization continuing education programs.
4. Identifies own learning needs and updates clinical knowledge and skills through formal and informal education and review of current literature.
5. Educates lay and/or professional groups through lectures, papers, publications, and educational materials.

G. Planning:
1. Develops annual objectives and reviews with Nurse Manager and /or Nursing
Director and collaborating M.D. at time of performance review and at
appropriate intervals. Completes annual credentialing process through the
Nursing Department credentialing program.
2. Assists in determining, evaluating, and/or implementing clinical area goals and objectives.
3. Maintains interdisciplinary approach for planning and communicating information for patient care and operation of practice.
4. Maintains current knowledge of legislation that may affect the health care delivery system.

H. Research:
1. Participates in nursing research at a level consistent with educational background and experience.
2. Maintains understanding of current research of others in related clinical areas through review of relevant publications.
3. Participates in grant writing as appropriate.
Requirements: QUALIFICATIONS:
Education:
Mastersand#x2019; Degree in Nursing required. Satisfactory completion of an approved formal education program which has as its objective the preparation of professional nurses to practice as nurse practitioners.

Experience:
Prior experience as a nurse practitioner strongly preferred in a peri-operative setting.

Other:
ANA or other appropriate nursing certification in area of practice and authorization by the Massachusetts Board of Registration in Nursing to practice in the expanded role. DEA for prescription writing.

SKILLS/ ABILITIES/ COMPETENCIES REQUIRED:
1. Expert clinical judgment skills to function in the independent role.
2. Excellent interpersonal relationship and communication skills in order to collaborate with patientsand#x2019; families, staff and community health workers.
3. Ability to work with frequent stress resulting from busy clinical settings and changing organizational climate.
4. Ability to be self-directive and demonstrate initiative in addressing responsibilities of position.
5. Ability to utilize appropriate problem solving and conflict resolution skills.

WORKING CONDITIONS:
1. Works in a variety of patient care environments where there may be exposure to communicable disease, and hazardous materials.
Shift: Day Shift.
This is a Per diem position.

Required to Work Weekends Per Contract.
EEO Statement: An EEO, AA, VEVRAA Employer ]]> 7/19/2011 0.00 Null Null none Null
Responsibilities: Registered in Massachusetts who is responsible and accountable for a specified group of patients. Demonstrates initiative, knowledge and clinical skills in caring for the patient with complex needs. Demonstrates the ability to effectively manage patients by assuming full responsibility for assessment, planning, implementation and evaluation of patient care. The RN is directly responsible to a designated nurse director, or supervisor.
Requirements: *Recent OR experience preferred.*

Required to Work Weekends Per Contract.
Shift: Rotating Shift.

10 hour rotating shifts.
EEO Statement: An EEO, AA, VEVRAA Employer ]]> 7/19/2011 0.00 Null Null none Null
Responsibilities: GENERAL SUMMARY/ OVERVIEW STATEMENT:
A Certified Registered Nurse Anesthetist (CRNA) is responsible for the pre-operative, intra-operative, and immediate post-operative care of the patient requiring anesthesia for surgical, medical, therapeutic or diagnostic procedures. This care includes, but is not limited to, pre-operative assessments, anesthetic care plans, assembly and care of specialized equipment; application, insertion and interpretation of data from anesthetic monitors; airway management; delivery of general, regional anesthesia, and monitored anesthetic care; induction, maintenance, and emergence of the patient; care of the patient in the immediate post-operative setting; and post-operative assessments in collaboration with a physician member of the Department of Anesthesiology. These services are rendered in the main operating rooms, Labor and Delivery, and designated and#x201c;Out of ORand#x201d; anesthesia locations (i.e. Radiology, MRT, etc.)
CRNAs also fulfill a teaching function for the Student Registered Nurse Anesthetists that rotate to the BWH from Northeastern University for their clinical experience. Clinical research may be available as an adjunct for the CRNA who is interested in that area of practice, depending on protocols available, but is not a department requirement nor is it usually sponsored by the anesthesia department.
All CRNAs must comply with federal, state, hospital, and departmental guidelines as they pertain to the delivery of anesthesia care at the Brigham and Womenand#x2019;s Hospital.
Requirements: QUALIFICATIONS:
Basic qualifications for the CRNA applicant for clinical privileges shall include:

1 . State licensure as a registered professional nurse. Compliance with Massachusetts regulatory requirements regulating advanced practice for nurse anesthesia.
2. Graduation from a program of Nurse Anesthesia education accredited by the Council on Accreditation of Nurse Anesthesia Educational Programs or its predecessor.
3. Certification by the Council on Certification or recertification by the Council on Recertification or their respective predecessors.
4. Basic Life Support (BLS) and Advanced Cardiac Life Support (ACLS) certification.

SKILLS/ ABILITIES/ COMPETENCIES REQUIRED:
Clinical Responsibilities:

The following list of anesthesia and related services should be utilized to delineate the clinical responsibilities of the individual who can demonstrate new or continued competency. More clinical responsibilities may be added as additional education and experience is obtained by the individual practitioner.

and#x2022; Preanesthesia assessment
and#x2022; Requesting laboratory/diagnostic studies
and#x2022; Preanesthetic medication
and#x2022; General anesthesia and adjuvant drugs
and#x2022; Regional anesthesia techniques
and#x2022; Sedation techniques
and#x2022; Cardiopulmonary resuscitation management
and#x2022; Invasive and noninvasive monitoring
and#x2022; Airway management techniques
and#x2022; Mechanical ventilation/oxygen therapy
and#x2022; Fluid, electrolyte, acid-base management
and#x2022; Blood, blood products, plasma expanders
and#x2022; Peripheral intravenous/arterial catheter placement
and#x2022; Central venous catheter placement
and#x2022; Pulmonary artery catheter placement
and#x2022; Acute and chronic pain therapy
and#x2022; Post anesthesia care/discharge

WORKING CONDITIONS:
Anesthesia care is given in the main operating rooms of the BWH, or its affiliating institutions, as well as several designated and#x201c;Out of ORand#x201d; locations, which are, for example, Radiology, Cardiac Cath Lab, CT, MRI, MRT, Endoscopy, Angiography, among others. These locations are often geographically far from the main ORs.
In these environments, work proceeds in an atmosphere that includes many forms of electrical, mechanical, gas driven, and radiation and laser emitting equipment. The environment can be warm, cold, dimly lit and crowded as well as spacious and well lit.
Shift: Day Shift.
EEO Statement: An EEO, AA, VEVRAA Employer Additional Information About Brigham and Womens/Mass General Health Care Center:

Brigham and Womens/Mass General Health Care Center is a comprehensive, community-based, multi-specialty ambulatory care center located in Patriot Place, a retail lifestyle center located adjacent to Gillette Stadium in Foxborough, Massachusetts. The Center offers a wide range of ambulatory services including Day Surgery, Primary Care, Medical and Surgical specialties as well as comprehensive ancillary services: Pharmacy, Clinical Laboratory Services, Phlebotomy, and a wide range of Diagnostic Imaging services. This deep breadth of patient services under one roof requires that each of our team members embody the willingness and ability to work across departments in order to provide an integrated patient experience.

While the Center's location is 25 miles from the main campus of BWH, it is an expectation that the Center's services offered will comply with the standards of care found at our main campus. In addition, all physicians practicing at the Center will be fully credentialed at BWH and will provide the same excellence of care that makes the BWH nationally recognized for clinical excellence. The clinical staff of the Center are BWH employees and must demonstrate the same high level of competence and professionalism found at the main campus. Travel to main campus may be required for professional development or business reasons.

Expectations for all Brigham and Women's / Mass General Health Care Center Employees:
Each employee is responsible for understanding the importance of and contributing to creating an environment that puts Patients First. To that end, all Center employees are expected to:

Work in an efficient manner
Practice safe patient care
Practice multi-disciplinary cross-coverage duties as needed
Work effectively in a team environment
Demonstrate a consistently high level of professionalism
Provide excellent, consistent customer service
Be flexible
Be willing to participate in changes to improve the Patient First environment.

These eight expectations are key to the Center's success and are core competencies required by all Center employees, regardless of role. ]]> 7/19/2011 0.00 Null Null none Null
Responsibilities: GENERAL SUMMARY:
Brigham and Women's Advanced Primary Care Associates, South Huntington is an internal medicine practice opening in early summer 2011. Our goal is to create an environment that maximally fosters healing relationships between patients and their health care team, while supporting an outstanding educational experience for future members of that healthcare team. The practice will test innovative models of primary care delivery. It will be continually improving in a way that is accessible to being evaluated and disseminated. The practice will be certifiable at the highest level as a Patient-centered Medical Home.

Every team in the practice will have an LPN to assess and educate patients about acute and chronic medical problems and to coach patients and their families around how to best self manage their health.

PRINCIPAL DUTIES AND RESPONSIBILITIES:
and#x2022; Provide phone and e-mail advice to patients and their families
and#x2022; Knowledge of appropriate information to obtain for common medical complaints
and#x2022; Ability to take an accurate and complete medical history
and#x2022; Problem solving skills
and#x2022; Ability to recognize emergencies and respond appropriately
and#x2022; Ability to communicate findings concisely and accurately to physicians, nurse practitioners, physician assistants and registered nurses both verbally and in writing
and#x2022; Ability to communicate back to patients medical advice, including evaluating patientand#x2019;s understanding of and ability to follow advice
and#x2022; Support patients and their families in self management of chronic disease
and#x2022; Provide education, counseling, and coaching of patients
and#x2022; Actively and efficiently manage the flow of patients through the office
and#x2022; Pre-visit chart preparation and information gathering to optimize the visit
and#x2022; Room patients
and#x2022; Assist providers with medical histories, including medications
1. Including documenting in electronic health record
and#x2022; Check vital signs
and#x2022; Update computerized reminders
and#x2022; Assess patients, document those assessments, review with providers, and educate patients per providerand#x2019;s instructions
and#x2022; Perform point of care testing and immunizations
and#x2022; Participation in proactive population management of chronic disease by generating e-mails and letters and calling patients
and#x2022; Communication of test results to patients
and#x2022; Participate in shared medical appointments
and#x2022; Participate in the education of students and residents
and#x2022; Participate in process improvement groups
and#x2022; Evening hours once a week, and Saturday AM hours once a month
and#x2022; Occasional home and/or community visits
and#x2022; Assist co-workers in their duties (within the limitations of training and scope of practice)
and#x2022; All other duties as prescribed
Requirements: QUALIFICATIONS:
and#x2022; Graduation from an accredited school of practical nursing
and#x2022; Current licensure as a practical nurse in the Commonwealth of Massachusetts
and#x2022; At least 3 years of clinical experience as an LPN
and#x2022; Ambulatory care experience a plus, but not required
and#x2022; Primary care experience a plus, but not required

SKILLS/ABILITIES/COMPETENCIES:

and#x2022; Customer focused and patient-centered
and#x2022; Enjoys being part of a diverse team
and#x2022; Ability to multi-task
and#x2022; Comfortable with change
and#x2022; Spanish language skills strongly preferred but not required
and#x2022; Experience with motivational interviewing a plus, but not required. Willingness to learn motivational interviewing techniques required

Knowledge and understanding of:

and#x2022; Physiology and pathophysiology of common chronic disease states
and#x2022; Symptoms of acute medical problems and appropriate protocols for advice and triage
and#x2022; Medical terminology
and#x2022; Pharmacology

Basic knowledge and understanding of the pathophysiology and competency in the performance of the following clinical tasks:

and#x2022; Electrocardiogram
and#x2022; Oxygen saturation
and#x2022; Basic wound care
and#x2022; POC testing (andamp; quality control)

Blood glucose testing
Urinalysis
Stool guiaic

and#x2022; Vital signs, both manual and automatic, including the performance of orthostatic vital signs
and#x2022; Removal of staples and sutures
and#x2022; Prepare for and chaperone pelvic examinations
and#x2022; Assist with sterile procedures
and#x2022; Specimen labeling
and#x2022; Correct medical waste management practices
and#x2022; Venipuncture
and#x2022; Uncomplicated ear irrigation
and#x2022; Administration of common medication and immunizations

Basic knowledge and understanding of the medical assistants role in patient safety and quality:

and#x2022; Falls prevention
and#x2022; Patient transfers
and#x2022; Communication and patient hand-offs

Normal ranges of signs and symptoms / when to alert the MD:

and#x2022; Hand-washing
and#x2022; Modifications for obese patients
and#x2022; Patients with disabilities
and#x2022; Infection control
and#x2022; Proper use of personal protective equipment
and#x2022; Role in medical emergencies
and#x2022; Quality and pay for performance
and#x2022; Joint commission compliance

National patient safety goals:

and#x2022; Patient outcomes
and#x2022; Health literacy

Information technology:

and#x2022; Documenting patient interactions
and#x2022; Electronic medical record (LMR)
and#x2022; Prescription refill process
and#x2022; Clinical messaging
and#x2022; Patient gateway
and#x2022; Percipio

Basic knowledge of office operations and standards:

and#x2022; Front desk cross-training
and#x2022; Basic understanding of office procedures including filing, copying, scanning, printing, and faxing.
and#x2022; Phone skills: Ability to use phone system- answer and screen calls, put on hold.
and#x2022; Verbal skills: Ability to answer questions and give information as appropriate, and communicate in a professional, courteous, clear and concise manner.
and#x2022; Writing skills: Basic use of email, ability to take accurate and complete messages.
and#x2022; Organization skills: Ability to manage work processes in a neat and orderly way and to sort and alphabetize. Ability to follow instructions.
and#x2022; System skills: Basic computer literacy and understanding of office systems, ability to type and enter data.

Knowledgeable and compliant with all hospital, State and Federal requirements (where applicable to job performance), including policy and procedures with The Joint Commission and HIPAA.
Shift: Day Shift.
Occasional Weekends and Evening Coverage Required.
EEO Statement: An EEO, AA, VEVRAA Employer ]]> 7/19/2011 0.00 Null Null none Null
Responsibilities: GENERAL OVERVIEW:

The Assistant Nurse Director (AND) is an important member of the unit-based leadership team in large clinical practice environments to extend leadership presence and provide clinical support.
Under the leadership/direction of the nurse director, the assistant nurse director is a representative of the Department of Nursing and supports the nurse director in translating the vision and values of the department at the unit-level for the purpose of meeting the needs of patients and families and in creating a therapeutic, healing patient/family centered practice environment.
The assistant nurse director helps to develop the very best staff, assists with assessing clinical patterns within populations, and facilitates mobilization/allocation of resources to meet the immediate needs of patients and families. The AND may perform leadership functions as developmentally appropriate under the mentorship and coaching of the nurse director and may be assigned the management of specific projects.

PRINCIPAL DUTIES AND RESPONSIBILITIES:
A. Professional Practice Environment
1. Provides support in the environment to facilitate excellent nursing practice
2. Promotes and supports the Department of Nursing vision as well as unit-based mission, values, and goals
3. Facilitates true collaboration and effective communication and respect for diverse perspectives through role-modeling and coaching clinical staff and members of the interprofessional team
4. Participates in daily rounds with clinical staff for the purpose of clinical consultation, coaching, and problem-solving

B. Personnel Management
1. Manages day to day staffing based on unit-based guidelines approved by the nurse director
2. Manages resources in a changing environment by allocating resources to respond to dynamic changes in patient census and acuity
3. Provides guidance to clinical staff on patient assignments with continuity of care and knowing the patient as a core value in addition to facilitating the development of clinical staff
4. Participates in scheduling and approving requests from clinical staff under the direction of the nurse director
5. Participates in the investigation and administration of corrective action under the direction of the nurse director/nurse administrator
6. Provides nurse director with recommendation for corrective action and performance improvement plans
7. Provides nurse director with recommendations for evaluations for clinical staff
8. Provides support to staff in clinical support roles under the direction of the nurse director
9. Performs evaluations of support staff under the direction of the nurse director
10. Develops education and training for support staff and works with nurse director to integrate these groups into the larger interprofessional team

C. Clinical Leadership
1. Functions as a clinical expert emulating the vision and mission of the Department of Nursing
2. Interprets policies and procedures for staff members
3. Implements and monitors unit-based standards
4. Facilitates and expedites patient flow to ensure that patients and families receive appropriate and timely care

D. Professional Development
Self
1. Participates in self-performance appraisal in ongoing manner.
2. Seeks feedback from his/her respective nurse director and other colleagues
3. Shares strengths and areas to be developed with others
4. Identifies opportunities to continue to develop leaderships skills and expertise
Staff
5. Understands stages of nursing practice development
6. Provides developmentally appropriate coaching and clinical consultation to clinical staff
7. Supports all staff in identifying and participating in professional developmental activities

E. Project Management
1. Provides leadership and participates in unit-based projects under the direction of the nurse director
2. Promotes and assists with the implementation of clinical practice changes and quality initiatives on the patient care unit
3. Engages clinical staff in the implementation and evaluation of clinical practice changes on the patient care unit

F. Patients and Families
1. Facilitates all patients and families feeling known by clinical staff
2. Guides clinical staff in the development of a plan of care that is culturally sensitive and honors the uniqueness of each patient and family
3. Provides coaching and mentoring with clinical staff to facilitate the development of partnerships with patients and families
4. Provides consultation to clinical staff in the management of challenging patients and families
5. Participates in family meetings with the nurse director
6. Facilitates family meetings in the nurse directorand#x2019;s absence in consultation with executive director/nurse administrator or available leadership
Requirements: QUALIFICATIONS:
1. Current nursing licensure in the Commonwealth of Massachusetts
2. Masterand#x2019;s Degree in Nursing

SKILLS AND ABILITIES REQUIRED:
1. Demonstrates clinical expertise in assigned area
2. Demonstrates ability to utilize management concepts in the direct supervision of nursing and non-nursing personnel
3. Demonstrates effective decision-making ability and provides leadership to nursing and non-nursing personnel
4. Demonstrates effective interpersonal communication skills

*3-5 years recent OR management experience preferred.
*CNOR preferred.

WORKING CONDITIONS:
1. Works in a variety of patient care environments where there is an exposure to communicable disease and hazardous material
Shift: Rotating Shift.
10 hour shifts
EEO Statement: An EEO, AA, VEVRAA Employer ]]> 7/19/2011 0.00 Null Null none Null
Responsibilities: GENERAL SUMMARY/OVERVIEW STATEMENT:

The Licensed Practical Nurse will participate in nursing functions within scope of practice and consistent with their training and education. Nursing functions will provide clinical support of patients through the primary care facility, including clinical patient flow, implementation of medical or advanced practice provider orders, medication administration, focused patient assessments, medical administrative tasks, basic patient education, and quality assurance projects.

Brigham and Womenand#x2019;s Hospital is committed to putting every Patient First. Every employee plays a role in providing a positive impact on patients and the care they receive at Brigham and Womenand#x2019;s Hospital. Our service will be distinguished by the delivery of high-quality and safe patient care, respect and dignity in all interactions with patients, families and colleagues and by customer service excellence.

All employees are expected to embrace this commitment and demonstrate behavioral competencies in the following areas:
People: Focus on serving the community through collaboration and respect
Self Management: Accountability, professionalism and commitment to growth and development
Organization: A commitment to quality, service and exceptional performance

Meeting these expectations is the key to the success of your department and the organization.

General expectations for the position:
and#x2022; Addendum A - BWH Behavioral Competencies
and#x2022; Addendum B - Job Specific Tasks and Responsibilities
and#x2022; Addendum C and#x2013; Job Specific Skills and Competencies

PRINCIPAL DUTIES AND RESPONSIBILITIES:
1) BWH Behavioral Competencies (required of all employees) (see addendum A)
2) LPN Principal Duties and Responsibilities (see addendum B and check all that apply)
and#x2022; Administer Medications and Vaccinations
and#x2022; Telephone Support
and#x2022; and#x201c;Walk-inandquot; Patient Screenings
and#x2022; Patient Education and Teaching (i.e. early onset asthma, diabetes, etc.)
and#x2022; Medical Services Support
and#x2022; Primary Care Clinical Tasks (includes all MA tasks)
and#x2022; Perform Medical Administrative Support (phone, office tasks)
and#x2022; Prevention and Outreach
and#x2022; Quality Assurance
Requirements: QUALIFICATIONS:
and#x2022; Graduate of an approved school of practical nursing.
and#x2022; Current Licensure in the Commonwealth of Massachusetts.
and#x2022; Must maintain annual competencies related to practice protocol.
and#x2022; Maintains current licensure by completing educational requirements needed for renewal.

SKILLS/ ABILITIES/ COMPETENCIES REQUIRED:
(See addendum C and check all that apply.)
and#x2022; Basic Knowledge of Patient Safety
and#x2022; Basic Knowledge Primary Care Medical Purview
and#x2022; Competent in Primary Care Clinical Tasks
and#x2022; Basic Knowledge of Patient Education
and#x2022; Basic Knowledge of Medical Waste Management Practices
and#x2022; Basic Knowledge of Quality Initiatives
and#x2022; Basic Knowledge of Information Technology
and#x2022; Basic Knowledge of Office Operations and Standards

WORKING CONDITIONS:
and#x2022; Work is performed in an office environment and primary care clinical setting.
Shift: Day Shift
EEO Statement: An EEO, AA, VEVRAA Employer Additional Information LPN Job Description
Addendum A

BWH Behavioral Competencies (required of all employees)
1. People: Focus on serving the community through collaboration and respect

Inclusiveness
and#x2022; Work effectively with others who have diverse perspectives, talents, roles, backgrounds and/or styles
and#x2022; Contribute to a positive team environment where differences are respected, supported and are free from stereotyping and offensive comments
and#x2022; Be professional when approached about behaviors that might be perceived as disrespectful

Open Communication
and#x2022; Practice active and attentive listening skills
and#x2022; Foster and maintain an environment that respects open dialogue, differences of opinion, as well as diverse communication styles
and#x2022; Ensure that information is shared in a clear, accurate, and timely manner using the appropriate communication method for your audience
and#x2022; Express oneself clearly and professionally in your verbal, non-verbal, written, and electronic communication

Building Collaborative Relationships
and#x2022; Take initiative to support others and build productive relationships that will lead to a cohesive workplace
and#x2022; Interact effectively with other team members, departments and customers to accomplish organizational goals

Organizational Awareness:
and#x2022; Support and respect BWHand#x2019;s mission, vision, values and history
and#x2022; Understand and recognize how your individual role and department impacts the organization
2. Self Management: Accountability, professionalism and commitment to growth and development

Embracing Change
and#x2022; Support and positively participate in organizational and/or job specific changes
and#x2022; Initiate appropriate action when change is needed
and#x2022; Be flexible and open to new ideas
and#x2022; Adapt to shifting priorities

Learning Oriented
and#x2022; Demonstrate openness to learning from successes and failures
and#x2022; Recognize and participate in learning opportunities
and#x2022; Seek and share best practices

Professionalism
and#x2022; Adhere to BWHand#x2019;s Code of Conduct and policies and procedures
and#x2022; Align behavior with the organizational mission and values
and#x2022; Practice respect for self and others, even in difficult situations (i.e. when providing and receiving feedback)
and#x2022; Demonstrate responsibility, reliability, and trustworthiness
3. Organization: A commitment to quality, service and exceptional performance

Quality Focus
and#x2022; Align job performance with quality and safety standards (e.g. The Joint Commission, BWH and department specific standards)
and#x2022; Adhere to established policies, procedures, and protocols
and#x2022; Take action to prevent errors
and#x2022; Identify and report adverse events, errors and incidents

Efficiency and Performance Improvement
and#x2022; Participate in process and performance improvement by identifying, analyzing, and enhancing existing processes to achieve better outcomes
and#x2022; Maximize available resources to achieve performance measures; reduce waste, rework, and work-arounds consistent with oneand#x2019;s role

Problem Solving
and#x2022; Recognize actual and potential problems and take appropriate action towards a solution, according to oneand#x2019;s role
and#x2022; Offer assistance, as needed, when a potential problem situation is observed
and#x2022; Use good judgment to keep manager informed of problems or issues, following department practice

Service Excellence
and#x2022; Apply the organizational service standards consistently to present a positive image of BWH to colleagues, health providers, patients, families, and visitors:
and#x2022; Engage with positive greetings and active listening
and#x2022; Empathize by expressing understanding
and#x2022; Educate throughout the information exchange
and#x2022; Enlist thoughts and ideas from others
and#x2022; End interactions professionally, which includes a clear resolution or next steps

Administrative Support Competency: (required of all Administrative Support employees)
Information Gathering
and#x2022; Identify specific information needed to clarify a situation or to make a decision
and#x2022; Probe skillfully to get at the facts

Addendum B
Check all that apply.

PRINCIPAL DUTIES AND RESPONSIBILITIES andiquest;

Administer Medications and Vaccinations
and#x2022; Per medical order, administer medication and vaccinations (oral and injectable) x
and#x2022; Familiar with Vaccinations x
and#x2022; Vaccine Information Statements x

Telephone Support
and#x2022; Via phone, participate in data collection and assessment of patient symptoms to triage acuity of medical symptoms per BWH Policy x
and#x2022; Provide phone advice per BWH Policy x
and#x2022; Schedule patients x
and#x2022; Coordinate medical telephone patient care and needs x

and#x201c;Walk-inandquot; Patient Screenings
and#x2022; Participates in and#x201c;in-personand#x201d; assessment of patient symptoms and triage acuity of medical symptoms x

Patient Education and Teaching (i.e. early onset asthma, diabetes, etc.)
and#x2022; Provide educational information (review pamphlet in clinic visits) x

Medical Services Support
and#x2022; Pre-visit communication (telephone, Patient Gateway and/or in-person meeting) with Provider-selected patients x
and#x2022; Follow-up Communication (telephone, Patient Gateway and/or in-person meeting) with patients following chronic disease x
and#x2022; Follow-up telephone calls to Provider-selected and#x201c;no-showand#x201d; patients
and#x2022; Follow telephone calls to provider-selected calls to patients who called the on-call doctor or had ED visits over the weekend x
and#x2022; Introduce, explain and obtain patient signature on narcotic contracts x
and#x2022; Assist with MHCP and health proxy completion x

F. Primary Care Clinical Tasks (includes all MA tasks)
and#x2022; Rooming patients and patient flow
and#x2022; Stocking exam rooms
and#x2022; Vital signs, both manual and automatic, including the performance of orthostatic vital signs x
and#x2022; Electrocardiogram x
and#x2022; O2 administration x
and#x2022; Uncomplicated ear irrigation x
and#x2022; Prepare for and chaperone pelvic examinations x
and#x2022; Clinical Screenings (Spirometry, Peak Flow Meter, EKG) x
and#x2022; Basic wound care, dressing changes, removal of staples and sutures x
and#x2022; Prepare for and chaperone pelvic examinations x
and#x2022; Specimen labeling, preparation of specimens for laboratory analysis x
and#x2022; Assist with sterile procedures x
and#x2022; Point of Care testing (i.e. Blood glucose testing, Urinalysis, Stool guiac) x
and#x2022; Inventory and exam room stocking
and#x2022; Phlebotomy x
and#x2022; Medication Reconciliation x
and#x2022; Clinic and#x201c;Leadand#x201d; (i.e. go-to person who is accountable for completing team tasks) x

Perform Medical Administrative Support (phone, office tasks)
and#x2022; Complete forms and letters x
and#x2022; Faxing, scanning, answering phones
and#x2022; Medical supply coordination and inventory x
and#x2022; New Patients: Enter elements from paper record into LMR; designate documents to be scanned; send, follow-up with, receive and enter info into LMR from provider-developed NP form x
and#x2022; Prescription Reauthorizations x
and#x2022; Prior Auths x

Prevention and Outreach
and#x2022; Community outreach (i.e. identifying smokers in the practice and creating an initiative to get those folks in a smoking cessation program) x

Quality Assurance
and#x2022; Pay for Performance x
and#x2022; Manage Quality Nursing Initiative (reporting hand washing and two ID's for patients) x
and#x2022; Leadership in JCAHO compliance/readiness x
and#x2022; Perform Annual Competency for Medical Staff (i.e. phlebotomy, safety procedures, hand washing, equipment cleaning and maintenance) x
and#x2022; Oversee patients who need tests such as paps, mammograms, colonoscopies (i.e. ticklers and reach out to)



Addendum C
Check all that apply.

SKILLS/ ABILITIES/ COMPETENCIES REQUIRED andiquest;
Basic Knowledge of Patient Safety
and#x2022; Falls prevention x
and#x2022; Patient transfers x
and#x2022; Communication and patient hand-offs x
and#x2022; Normal ranges of signs and symptoms / when to alert the MD x
and#x2022; Infection control in Primary Care x
and#x2022; Modifications for obese patients x
and#x2022; Patients with disabilities x
and#x2022; Role in medical emergencies x
and#x2022; Proper use of personal protective equipment x
and#x2022; Role in medical emergencies x
and#x2022; DPH and HIPPA safety regulations x
and#x2022; BWH Nursing policy and procedures x

Basic Knowledge Primary Care Medical Purview
and#x2022; Physiology and pathophysiology of common chronic disease states x
and#x2022; Symptoms of acute medical problems and appropriate protocols for advice and triage x
and#x2022; Normal ranges of signs and symptoms/when to alert the MD x
and#x2022; Medical terminology x
and#x2022; Pharmacology x

Clinical Competencies
and#x2022; Medication administration (injections and oral) x
and#x2022; Rooming patients and patient flow
and#x2022; Medication reconciliation x
and#x2022; Stocking exam rooms
and#x2022; Vital Signs (Temperature, Pulse, Respirations, Blood Pressure (manual, auto, orthostatic Blood Pressure), Height, Weight) x
and#x2022; Point of Care Testing (Urinalysis, Pregnancy Test, Strep A, Glucose) x
and#x2022; Ear irrigation x
and#x2022; Clinical screenings (Spirometry, Peak Flow Meter, EKG) x
and#x2022; Wound care, dressing changes, removal of staples and sutures x
and#x2022; Phlebotomy x
and#x2022; Assist MD with procedures (PAP, wound care, staple removal) x
and#x2022; 02 administration x
and#x2022; Specimen Labeling x

Basic Knowledge of Patient Education
and#x2022; Interviewing and listening skills
and#x2022; If not experienced, willingness to learn Motivational Interviewing skills x
and#x2022; Nursing educational methods x
and#x2022; Vaccine Information Statements (VIS) x
x
Basic Knowledge of Office Operations and Standards
and#x2022; Basic understanding of office procedures including filing, copying, scanning, printing, and faxing. x
and#x2022; Ability to use phone system (i.e. answer, put on hold, transfer calls) x
and#x2022; Ability to answer questions and give information as appropriate. x
and#x2022; Ability to take accurate and complete messages. x
and#x2022; Ability to manage work processes in a neat and orderly way and to sort and alphabetize. x

Basic Knowledge of Office Operations and Standards
and#x2022; Basic understanding of office procedures including filing, copying, scanning, printing, and faxing.
and#x2022; Ability to use phone system (i.e. answer, put on hold, transfer calls)
and#x2022; Ability to answer questions and give information as appropriate.
and#x2022; Ability to take accurate and complete messages.
and#x2022; Ability to manage work processes in a neat and orderly way and to sort and alphabetize.

Basic Knowledge of Information Technology
and#x2022; Basic computer literacy and understanding of office systems, ability to type and enter data. x
and#x2022; Proficient written communication and spelling. x
and#x2022; Experience with email. x
and#x2022; Experience electronic medical records (EMR) x

Basic Knowledge of Medical Waste Management Practices
and#x2022; Appropriate disposal of waste products x

Basic Knowledge of Quality Initiatives
and#x2022; Developed and participated in customer service initiatives (i.e. enhance customer experience) x
and#x2022; Ability to develop, implement and assess quality improvement efforts x
and#x2022; Pay for Performance x
and#x2022; Quality Nursing Initiative (reporting hand washing and two ID's for patients) x
and#x2022; Leadership in JCAHO compliance/readiness x
and#x2022; Developed and participated in patient prevention projects (i.e. oversee patients who need tests such as paps, mammograms, colonoscopies (i.e. ticklers and reach out to) x ]]> 7/19/2011 0.00 Null Null none Null
Responsibilities: GENERAL SUMMARY/ OVERVIEW STATEMENT:
.
The Licensed Practical Nurse will perform all nursing functions necessary for the complete care and efficient management of patients through the ambulatory facility, including teaching and assisting patients with needs or problems relevant to their visit to the physician and assisting physicians and other non-licensed clinical staff with procedures, treatments and/or instructions to the patients.

PRINCIPAL DUTIES AND RESPONSIBILITIES:
1) Responsibilities to Patients:

and#x2022; Accurately performs all nursing functions necessary in the ambulatory practice including the administration of medications and injections and other procedures that require a nursing license.
and#x2022; Assesses patient telephone calls and accurately relays information to appropriate physician and authorizes (under the supervision of the physician) prescription refill.
and#x2022; Will accurately provide medical information or instruction to the patient, as directed by physician.
and#x2022; Accurately records all patient data and maintains all necessary records or files pertaining to the patient.
and#x2022; Informs patients of any existing procedure or appointment delays and provides approximate waiting time.
and#x2022; Assists all patients in a way which gives the overall perception of BPG as a premier healthcare provider by being courteous, efficient, helpful and professional.
and#x2022; Treats all patients with dignity, compassion and respect.
2) Responsibilities to Physicians:

and#x2022; Appropriately prepares patient for examinations or procedures.
and#x2022; Assists physician during examinations, procedures and care of patient.
and#x2022; Assists physicians in the acquisition and proper use of all equipment relating to the care of the patient.
and#x2022; Obtains pertinent and accurate information from the patient and communicates this information, in a professional manner to the physician.
and#x2022; Accurately communicates the physician's instructions to the patient.
and#x2022; Follows office protocol and physician direction when calling prescriptions to pharmacies, as well as with all other practice procedures
and#x2022; Performs urine dipsticks and guaiac testing according to protocol.
and#x2022; Maintains a professional relationship with the physician.
3) Equipment and Supplies:

and#x2022; Keeps all patient-care and procedure equipment clean and in good working order and reports equipment problems to supervisor.
and#x2022; Keeps inventory of necessary supplies and equipment: notifies supervisor when items are needed.
and#x2022; Properly stocks patient-care area and makes cost effective use of supplies, equipment and other resources.
and#x2022; Keeps all patient-care areas and work areas neat and clean.
and#x2022; Accurately utilizes all equipment and supplies.
4) Teamwork:

and#x2022; Promotes collaborative work relationships and influences others to work collaboratively.
and#x2022; Bases decisions and actions on understanding the perspective of others.
and#x2022; Is a role model to others in service standards.
and#x2022; Interacts professionally with fellow employees and other ancillary departments.
and#x2022; Is supportive of fellow employees and uses initiative in helping others.
and#x2022; Is an effective TEAM PLAYER !
5) Responsibilities to the Supervisory Staff:

and#x2022; Follows instructions of and assists supervisory staff as required.
and#x2022; Maintains good communication with and reports problems to supervisor.
and#x2022; Performs all duties and tasks as requested by the supervisor, to ensure the efficient overall performance of the facility.
and#x2022; Attends all required staff meetings.
and#x2022; Performs annual competencies.
Requirements: QUALIFICATIONS:
and#x2022; Graduate of an approved school of practical nursing.
and#x2022; Current Licensure in the Commonwealth of Massachusetts.
and#x2022; Must maintain annual competencies related to practice protocol.
and#x2022; Must attend mandatory annual in-services.
and#x2022; Maintains current licensure by completing educational requirements needed for renewal.

SKILLS/ ABILITIES/ COMPETENCIES REQUIRED:
and#x2022; Must understand the overall goals and systems of the practice
and#x2022; Communicate effectively with a socially diverse group of patients visiting their physicians for problems that may be life threatening and coping with anxiety and stress often created by such situations
and#x2022; Communicate well with a large group of physicians in a fast-paced and demanding environment
and#x2022; Respect the strict confidentiality of medical records and information.
and#x2022; Must demonstrate excellent customer service skills.
and#x2022; Must possess a solid understanding of ambulatory patient care, be organized and multi-tasking, and have excellent communication skills.
and#x2022; Must possess excellent learning skills.

WORKING CONDITIONS:
Work is performed in an office environment and ambulatory patient-care setting.
Shift: Day Shift.
EEO Statement: An EEO, AA, VEVRAA Employer ]]> 7/19/2011 0.00 Null Null none Null
Responsibilities: Registered in Massachusetts who is responsible and accountable for a specified group of patients. Demonstrates initiative, knowledge and clinical skills in caring for the patient with complex needs. Demonstrates the ability to effectively manage patients by assuming full responsibility for assessment, planning, implementation and evaluation of patient care. The RN is directly responsible to a designated nurse director, or supervisor.
Requirements: *OR experience preferred.
*CNOR preferred.
*Bachelor's required for newly licensed RN's. Bachelor's preferred for all other applicants.

Required to Work Weekends Per Contract.
Shift: Variable Rotating Shift.
10 hour rotating shifts.
EEO Statement: An EEO, AA, VEVRAA Employer ]]> 7/19/2011 0.00 Null Null none Null
Responsibilities: Registered in Massachusetts who is responsible and accountable for a specified group of patients. Demonstrates initiative, knowledge and clinical skills in caring for the patient with complex needs. Demonstrates the ability to effectively manage patients by assuming full responsibility for assessment, planning, implementation and evaluation of patient care. The RN is directly responsible to a designated nurse director, or supervisor.
Requirements: *OR experience preferred.
*CNOR preferred.
*Bachelor's required for newly licensed RN's. Bachelor's preferred for all other applicants.

Required to Work Weekends Per Contract.
Shift: Variable Rotating Shift.
10 hour rotating shifts.
EEO Statement: An EEO, AA, VEVRAA Employer ]]> 7/19/2011 0.00 Null Null none Null
Responsibilities: Registered in Massachusetts who is responsible and accountable for a specified group of patients. Demonstrates initiative, knowledge and clinical skills in caring for the patient with complex needs. Demonstrates the ability to effectively manage patients by assuming full responsibility for assessment, planning, implementation and evaluation of patient care. The RN is directly responsible to a designated nurse director, or supervisor.
Requirements: *OR experience preferred.
*CNOR preferred.
*Bachelor's required for newly licensed RN's. Bachelor's preferred for all other applicants.

Required to Work Weekends Per Contract.
Shift: Variable Rotating Shift.
10 hour rotating shifts.
EEO Statement: An EEO, AA, VEVRAA Employer ]]> 7/19/2011 0.00 Null Null none Null
Responsibilities: GENERAL OVERVIEW
The Nurse-Midwifery Program Director is responsible for the development, implementation and evaluation of the BWH Nurse-Midwifery Practice. The Nurse-Midwifery Program Director collaborates with Chief of Obstetrics, Executive Nursing Director of Women's and Newborn Health, and senior management to maintain the goal of providing excellent client care. She/he is directly responsible to Chief, Obstetrics and the Executive Director, Women's and Newborn Health.

The Nurse-Midwifery Program Director communicates with and serves as the nurse-midwifery liaison to BWH community health care centers.

PRINCIPAL DUTIES AND RESPONSIBILITIES
Client Care

and#x2022; Collaborates in the development of philosophy, goals, objectives and programming for the midwifery practice.

and#x2022; Develops and implements a practice which provides effective and efficient patient focused care to women and childbearing families.

Standards of Care

and#x2022; Implements standards for nurse midwifery care/management which facilitate high quality care as set forth by BWH and the American College of Nurse-Midwifery (ACNM).

and#x2022; Develops, implements and monitors quality assurance and peer review programs.

and#x2022; Assures group adherence to competency criteria and continued education requirements set forth by ACNM.

and#x2022; Oversees the updating of policies/procedures, chart review and prescriptive review activities.

Coordination

and#x2022; Represents midwifery with the Ob/Gyn leadership triad team (RN, MD, Administrator) and works collaboratively to meet the goals of the Department of Ob/Gyn and Nursing.

and#x2022; Collaborates with clinical faculty and clinical area staff in providing and evaluating teaching activities.

and#x2022; Collaborates with appropriate agencies and groups within the community and health centers to promote quality client care.

and#x2022; Participates in and provides leadership to appropriate BWH committees.

and#x2022; Seeks and participates in research funding opportunities.

Management

and#x2022; Develops, reviews and revises clinical guidelines as appropriate.

and#x2022; Recruits, hires, evaluates and supervises practice of nurse midwives in compliance with BWH employee policy. Assumes primary responsibility for disciplinary action of staff members, as indicated by the BWH evaluation process.

and#x2022; Establishes timely and effective communication with the midwifery staff to inform them of important issues and trends.

and#x2022; Plans orientation program for new nurse midwives and oversees their performance during the probationary period.

and#x2022; Reviews midwifery responsibilities, job expectations, and job satisfaction and works with individual midwives to meet career goals.

and#x2022; Promotes and encourages professional staff development.

and#x2022; Maintains a clinical practice as a nurse-midwife in the BWH midwifery practice.

and#x2022; Establishes and promotes goals of midwifery practice.

Financial Plan

and#x2022; Plans and develops budget as appropriate for midwifery practice.

and#x2022; Monitors allocations and resources available.
Requirements: QUALIFICATIONS
Education

Graduate of an American College of Nurse-Midwifery (ACNM) accredited program for nurse-midwifery. Master's in Nursing or related field. Bachelor of Science in Nursing required.

Licensure

Current Massachusetts license as RN with authorization to practice in expanded role of Nurse-Midwife.

Certification

National certification by the American College of Nurse-Midwives.

Experience

Minimum 3-years practice in all aspects of nurse-midwifery including experience in a teaching hospital as faculty and/or clinical preceptor. Demonstrated leadership/managerial capabilities in midwifery practice.

SUPERVISORY RESPONSIBILITIES
Staff nurse-midwives.
Shift: Day Shift
EEO Statement: An EEO, AA, VEVRAA Employer ]]> 7/19/2011 0.00 Null Null none Null
Responsibilities: GENERAL OVERVIEW:

The Assistant Nurse Director (AND) is an important member of the unit-based leadership team in large clinical practice environments to extend leadership presence and provide clinical support.
Under the leadership/direction of the nurse director, the assistant nurse director is a representative of the Department of Nursing and supports the nurse director in translating the vision and values of the department at the unit-level for the purpose of meeting the needs of patients and families and in creating a therapeutic, healing patient/family centered practice environment.
The assistant nurse director helps to develop the very best staff, assists with assessing clinical patterns within populations, and facilitates mobilization/allocation of resources to meet the immediate needs of patients and families. The AND may perform leadership functions as developmentally appropriate under the mentorship and coaching of the nurse director and may be assigned the management of specific projects.

PRINCIPAL DUTIES AND RESPONSIBILITIES:
A. Professional Practice Environment
1. Provides support in the environment to facilitate excellent nursing practice
2. Promotes and supports the Department of Nursing vision as well as unit-based mission, values, and goals
3. Facilitates true collaboration and effective communication and respect for diverse perspectives through role-modeling and coaching clinical staff and members of the interprofessional team
4. Participates in daily rounds with clinical staff for the purpose of clinical consultation, coaching, and problem-solving

B. Personnel Management
1. Manages day to day staffing based on unit-based guidelines approved by the nurse director
2. Manages resources in a changing environment by allocating resources to respond to dynamic changes in patient census and acuity
3. Provides guidance to clinical staff on patient assignments with continuity of care and knowing the patient as a core value in addition to facilitating the development of clinical staff
4. Participates in scheduling and approving requests from clinical staff under the direction of the nurse director
5. Participates in the investigation and administration of corrective action under the direction of the nurse director/nurse administrator
6. Provides nurse director with recommendation for corrective action and performance improvement plans
7. Provides nurse director with recommendations for evaluations for clinical staff
8. Provides support to staff in clinical support roles under the direction of the nurse director
9. Performs evaluations of support staff under the direction of the nurse director
10. Develops education and training for support staff and works with nurse director to integrate these groups into the larger interprofessional team

C. Clinical Leadership
1. Functions as a clinical expert emulating the vision and mission of the Department of Nursing
2. Interprets policies and procedures for staff members
3. Implements and monitors unit-based standards
4. Facilitates and expedites patient flow to ensure that patients and families receive appropriate and timely care

D. Professional Development
Self
1. Participates in self-performance appraisal in ongoing manner.
2. Seeks feedback from his/her respective nurse director and other colleagues
3. Shares strengths and areas to be developed with others
4. Identifies opportunities to continue to develop leaderships skills and expertise
Staff
5. Understands stages of nursing practice development
6. Provides developmentally appropriate coaching and clinical consultation to clinical staff
7. Supports all staff in identifying and participating in professional developmental activities

E. Project Management
1. Provides leadership and participates in unit-based projects under the direction of the nurse director
2. Promotes and assists with the implementation of clinical practice changes and quality initiatives on the patient care unit
3. Engages clinical staff in the implementation and evaluation of clinical practice changes on the patient care unit

F. Patients and Families
1. Facilitates all patients and families feeling known by clinical staff
2. Guides clinical staff in the development of a plan of care that is culturally sensitive and honors the uniqueness of each patient and family
3. Provides coaching and mentoring with clinical staff to facilitate the development of partnerships with patients and families
4. Provides consultation to clinical staff in the management of challenging patients and families
5. Participates in family meetings with the nurse director
6. Facilitates family meetings in the nurse directorand#x2019;s absence in consultation with executive director/nurse administrator or available leadership
Requirements: QUALIFICATIONS:
1. Current nursing licensure in the Commonwealth of Massachusetts
2. Masterand#x2019;s Degree in Nursing

SKILLS AND ABILITIES REQUIRED:
1. Demonstrates clinical expertise in assigned area
2. Demonstrates ability to utilize management concepts in the direct supervision of nursing and non-nursing personnel
3. Demonstrates effective decision-making ability and provides leadership to nursing and non-nursing personnel
4. Demonstrates effective interpersonal communication skills

*3-5 years recent OR management experience preferred.
*CNOR preferred.

WORKING CONDITIONS:
1. Works in a variety of patient care environments where there is an exposure to communicable disease and hazardous material
Shift: Rotating Shift.
10 hour shifts
EEO Statement: An EEO, AA, VEVRAA Employer ]]> 7/19/2011 0.00 Null Null none Null
Responsibilities: Registered in Massachusetts who is responsible and accountable for a specified group of patients. Demonstrates initiative, knowledge and clinical skills in caring for the patient with complex needs. Demonstrates the ability to effectively manage patients by assuming full responsibility for assessment, planning, implementation and evaluation of patient care. The RN is directly responsible to a designated nurse director, or supervisor.
Requirements: Required to Work Weekends Per Contract.
Shift: Variable Rotating Shift
EEO Statement: An EEO, AA, VEVRAA Employer ]]> 7/19/2011 0.00 Null Null none Null
Responsibilities: Registered in Massachusetts who is responsible and accountable for a specified group of patients. Demonstrates initiative, knowledge and clinical skills in caring for the patient with complex needs. Demonstrates the ability to effectively manage patients by assuming full responsibility for assessment, planning, implementation and evaluation of patient care. The RN is directly responsible to a designated nurse director, or supervisor
Requirements: Required to Work Weekends Per contract.
Shift: Variable Night Shift.
EEO Statement: An EEO, AA, VEVRAA Employer ]]> 7/19/2011 0.00 Null Null none Null
Responsibilities: Registered in Massachusetts who is responsible and accountable for a specified group of patients. Demonstrates initiative, knowledge and clinical skills in caring for the patient with complex needs. Demonstrates the ability to effectively manage patients by assuming full responsibility for assessment, planning, implementation and evaluation of patient care. The RN is directly responsible to a designated nurse director, or supervisor.
Requirements: Required to Work Weekends per Contract.
Shift: Variable Rotating Shift
EEO Statement: An EEO, AA, VEVRAA Employer ]]> 7/19/2011 0.00 Null Null none Null
Responsibilities: GENERAL OVERVIEW:

The Nurse Practitioner is an advanced practice registered nurse who has acquired
specialized knowledge and skills through completion of a nurse practitioner program.
The practitioner has the credentials to function in an expanded nursing role and is
responsible for the daily management of selected patients. The practitioner has
responsibility for assessment and management of patients including diagnostic and
therapeutic interventions, and continuous implementation and evaluation of an
appropriate plan of care. The Nurse Practitioner works with her/his collaborating
physician in accordance with mutually developed practice guidelines, members of the
care team and is responsible to the Nursing Director or Executive Nursing Director for
the area for issues specific to the discipline of nursing.

PRINCIPAL DUTIES AND RESONSIBILITIES:

A. Patient Care Organization:
1. Provides direct care, counseling, and teaching to a select patient population.
2. Performs physical examinations and provides preventive health measures
appropriate to patient needs.
3. Orders, interprets, and evaluates appropriate lab and diagnostic tests to assess
patientsand#x2019; clinical problems and health care needs.
4. Arranges for appropriate plan of care and follow-up based on outcome of
diagnostic, lab, and physical assessment findings.
5. Performs laboratory tests appropriate for specific patient population.
6. Orders medications and writes prescriptions according to organizational and
regulatory policies and procedures.
7. Records pertinent patient care findings in the medical record.
8. Sets priorities for appropriate and efficient management of patient care that
reflects cost effective management of time, available human resources,
supplies and equipment
9. Maintains interdisciplinary approach to planning and communicating patient
care information by discussing patient data with appropriate physicians and
other health care professionals.
10. Incorporates the concepts of health maintenance, prevention, and promotion
into daily practice through patient education and counseling.
11. Demonstrates awareness of community resources and assists staff, patients,
and families to effectively utilize them.

B. Quality of Care:
1. Assists in the development, implementation and revision of nurse practitioner
guidelines and monitoring requirements for prescription writing in
collaboration with their designated physician and Nursing Director or
Executive Nursing Director .
2. Evaluates outcomes of own patientsand#x2019; care and makes necessary revisions in
care plans.
3. Seeks and provides consultative services as required.
4. Participates in departmental and organization quality improvement program.
5. Utilizes quality improvement data and research findings to enhance patient
care.

C. Coordination:
1. Demonstrates appropriate collaborative and consultative relationships with
other providers within the institution and community.
2. Serves on Nursing and Hospital Committees and assumes responsibility for
disseminating and communicating information to staff.

D. Budget:
1. Participates in setting productivity metrics and in cost effective management
of personnel, time, supplies, and equipment in his/her area.
2. Collaborates with the Nursing Director/Practice Manager/Executive Nursing
Director in the recommendation of appropriate staffing patterns for their
clinical areas.

E. Personnel Management:
1. Participates in selection process of new employees in group or team practice
as requested.
2. Provides input into evaluation of other staff as appropriate.

F. Education:
1. Acts as preceptor for nursing students and staff as requested.
2. Participates in orientation of new staff.
3. Participates in Departmental and organization continuing education programs.
4. Identifies own learning needs and updates clinical knowledge and skills
through formal and informal education and review of current literature.
5. Educates lay and/or professional groups through lectures, papers,
publications, and educational materials.

G. Planning:
1. Develops annual objectives and reviews with Nursing Director or Executive
Nursing Director and collaborating M.D. at time of performance review and at
appropriate intervals. Completes annual credentialing process through the
Nursing Department credentialing program.
2. Assists in determining, evaluating, and/or implementing clinical area goals
and objectives.
3. Maintains interdisciplinary approach for planning and communicating
information for patient care and operation of practice.
4. Maintains current knowledge of legislation that may affect the health care
delivery system.

H. Research:
1. Participates in nursing research at a level consistent with educational
background and experience.
2. Maintains understanding of current research of others in related clinical areas
through review of relevant publications.
3. Participates in grant writing as appropriate.
Requirements: QUALIFICATIONS:
Education:

Mastersand#x2019; Degree in Nursing required. Satisfactory completion of an
approved formal education program which has as its objective the
preparation of professional nurses to practice as nurse practitioners.

Experience:

Prior experience as a nurse practitioner preferred.

Other:

ANA or other appropriate nursing certification in area of practice
and authorization by the Massachusetts Board of Registration in
Nursing to practice in the expanded role. DEA for prescription
writing.

Skills and Abilities Required:
1. Expert clinical judgement skills to function in the independent role.
2. Excellent interpersonal relationship and communication skills in order to
collaborate with patientsand#x2019; families, staff and community health workers.
3. Ability to work with frequent stress resulting from busy clinical settings and
changing organizational climate.
4. Ability to be self-directive and demonstrate initiative in addressing
responsibilities of position.
5. Ability to utilize appropriate problem solving and conflict resolution skills.

Working Conditions:
1. Works in a variety of patient care environments where there may be exposure
to communicable disease, and hazardous materials.
Shift: Day Shift.

Required To Work Weekends Per Contract.
EEO Statement: An EEO, AA, VEVRAA Employer Additional Information ADDENDUM NP Job Description:
Division of Infectious Disease:

GENERAL SUMMARY/ OVERVIEW STATEMENT:
The Nurse Practitioner (NP) for the division of Infectious Disease, working with collaborating physician Lindsey Baden, MD will carry out the recruitment/retention and implementation of outpatient and inpatient research study protocols, while providing competent and compassionate care. The NP works in partnership with the program(s) attending physicians on the various research protocols, manages the nursing care needs of subjects/patients and collaborates with many physicians, clinicians, nurses, research assistants, and other support staff in implementation and execution of clinical trials. Strong interpersonal, organizational and communication skills are required.

Description of the Practice:

Infectious Disease is very active division that is fully integrated within a large and growing research and clinical program This is largely a federally funded grant (research) position. In addition to primary research responsibilities other specific responsibilities include: performing physical exams, phlebotomy, ordering blood tests, interpreting laboratory data and administering authorized study products. He/she also partakes in screening, enrolling and retention of a cohort(s) of research study subjects/patients. The Nurse Practitioner must maintain and expedite completion of source records (i.e. clinic note) to the highest research standards. He/she will act as a primary research coordinator for some, or all of the research study protocols in the department, including those protocols in the HIV Vaccine Trials Network (HVTN), other vaccine programs, and Infectious Disease/Oncology programs.

The NP will routinely work together with the physicians, research assistants, data managers, laboratory personnel, and the research manager. Effective interactions with external representatives (i.e. monitors) of the various program sponsors will also be required. He/she must be able to consistently ensure adherence to hospital/department policies and established APN procedures/ standard practices.

SPECIFIC PRINCIPAL DUTIES AND RESPONSIBILITIES:
1. Performs physical examinations, phlebotomy, 1st review of laboratory results and administers authorized study products.
2. Schedules and implements all assigned clinical activities and procedures, ensuring efficient workflow, time management and adequate care/treatment of research subjects/patients.
3. Ensures that assigned activities are carried out in accordance with the established research protocol and within acceptable clinical procedure and safety standards.
4. Assists in the plan and carries out recruitment, screening, enrollment, and retention of research subjects/patients. Also instruct subjects/patients on treatment methods and protocol requirements.
5. Monitors and records subject/patient response to treatment, maintains complete source documentation, and communicates study data and results to investigator(s)/research manager.
6. Completes and is accountable for the collection, processing, and recording of clinical data and laboratory results, as required by established protocol.
7. Participates in the planning and development of research protocols in accordance with research parameters set out by the principal investigator.
8. May serve as mentor/trainer for other clinicians and/or support staff engaged in research activities.
9. Performs miscellaneous job-related duties as assigned.

Requirements:

QUALIFICATIONS:
1. Research experience preferred. CRC or CCRP certification a plus.

2 . HIV/AIDS and/or infectious disease and/or oncology experience preferred.

SKILLS/ ABILITIES/ COMPETENCIES REQUIRED:
Experience in observing, assessing, and recording symptoms, reactions, and progress of research subjects/patients.

Ability to recruit/retain, evaluate, and instruct research subjects/volunteers.

Certified (IATA) to prepare and process laboratory samples using established protocols.

Proficiency in meeting quality, safety, and infection control standards.

Expertise in design and implementation of systems necessary to collect, maintain, and assess recorded data.

Strong interpersonal/communication skills and the ability to work effectively with a wide range of constituencies in a diverse community. Previous demonstrated ability to work collaboratively with the team.

Capable in the use of personal computers and related software application.

Organization and coordination skills a must. Records maintenance skills required.

Knowledge of the principles, regulations and guidance in conducting clinical research.

Aptitude in accreditation and certification requirements and professional standards.

WORKING CONDITIONS:
The NP will conduct research activities in the outpatient/inpatient setting of the Division of Infectious Disease, BWH/DFCI.

New hires to the Division of Infectious Disease will share office space with other clinicians and research assistants, in a typical hospital/clinic environment. ]]> 7/19/2011 0.00 Null Null none Null
Responsibilities: GENERAL SUMMARY/ OVERVIEW STATEMENT:
Responsible for all technical LPN functions necessary for the complete and efficient management of patients through the Ambulatory facility. Responsibilities include assisting patients with needs or problems relevant to their visits and assisting physicians with procedures, treatment and/or instructions to patients. Reports to the Mohs Program director for clinical competencies.

PRINCIPAL DUTIES AND RESPONSIBILITIES:
and#x2022; Performs all functions including assisting with the processing and disposition of patients, facilitating patient flow, assisting with procedures and applying wound dressing.
and#x2022; Accurately performs patient intake and patient/room preparation duties, using two patient identifiers.
and#x2022; Keep physicians and patients up to date on patient volume and waiting times during sessions.
and#x2022; Responsible for taking vital signs before and after each procedure or as necessary.
and#x2022; Responsible for drawing and injecting local anesthetic.
and#x2022; Responsible for procedure set-up and physician assistance for all invasive procedures, using sterile technique. Procedures include Mohs surgery and excisions.
and#x2022; Duties include transporting specimens and patients as needed.
and#x2022; Performs triage functions handling patient phone calls and patients who present to the Mohs Practice without an appointment. Calls pharmacies with appropriate medication prescriptions and renewals as directed by the physician. Performs and documents all triage interaction and prescription renewals in the LMR and in accordance with BWH and Department procedures.
and#x2022; Assists with patient education including informed consent, wound care, and medication instructions.
and#x2022; Cleans and prepares instruments for sterilization process following department protocol.
and#x2022; Follows infection control and regulatory compliance guidelines.
and#x2022; Responsible for ordering and stocking clinical supplies and patient education materials.
and#x2022; Performs other duties and tasks as requested by Supervisor or designee
Requirements: QUALIFICATIONS:
and#x2022; Graduate of an LPN program, current Massachusetts Licensure as a Licensed Practical Nurse.
and#x2022; Must be certified in Basic Life Support or willing to become certified within 3 months.
and#x2022; Experience with autoclaving preferred.

SKILLS/ ABILITIES/ COMPETENCIES REQUIRED:
and#x2022; Must have necessary analytical, judgmental and interpersonal skills to deal effectively with patients, families and co-workers.
and#x2022; Communicates with physicians to determine medical assisting and nursing needs and to solve problems regarding issues.
and#x2022; Ability to handle sensitive information.
and#x2022; Strong customer service and interpersonal skills.
and#x2022; Ability to stand and move about for extended periods.
and#x2022; Ability to work in close contact with patients (witness medical concerns).
and#x2022; Ability to establish and maintain good relationships with fellow employees.
and#x2022; Must demonstrate ability to work as a team member.
and#x2022; Willingness to cover for other employees as the need arises.
and#x2022; Assists patients in a manner that promotes the perception that the staff is courteous, efficient, and interested in their health care.
and#x2022; Treats all patients with dignity and professionalism.

WORKING CONDITIONS:
and#x2022; Hospital based ambulatory practice. Normal patient environments where there are some exposures to communicable diseases, unpleasant odors, needle and blood products.
Shift: Day Shift
EEO Statement: An EEO, AA, VEVRAA Employer ]]> 7/19/2011 0.00 Null Null none Null
Responsibilities: Registered in Massachusetts who is responsible and accountable for a specified group of patients. Demonstrates initiative, knowledge and clinical skills in caring for the patient with complex needs. Demonstrates the ability to effectively manage patients by assuming full responsibility for assessment, planning, implementation and evaluation of patient care. The RN is directly responsible to a designated nurse director, or supervisor.
Requirements: Required to Work Weekends per Contract.
Shift: Variable Rotating Shift
EEO Statement: An EEO, AA, VEVRAA Employer ]]> 7/19/2011 0.00 Null Null none Null
Responsibilities: Registered in Massachusetts who is responsible and accountable for a specified group of patients. Demonstrates initiative, knowledge and clinical skills in caring for the patient with complex needs. Demonstrates the ability to effectively manage patients by assuming full responsibility for assessment, planning, implementation and evaluation of patient care. The RN is directly responsible to a designated nurse director, or supervisor.
Requirements: Required to Work Weekends per Contract.
Shift: Variable Rotating Shift
EEO Statement: An EEO, AA, VEVRAA Employer ]]> 7/19/2011 0.00 Null Null none Null
Responsibilities: Registered in Massachusetts who is responsible and accountable for a specified group of patients. Demonstrates initiative, knowledge and clinical skills in caring for the patient with complex needs. Demonstrates the ability to effectively manage patients by assuming full responsibility for assessment, planning, implementation and evaluation of patient care. The RN is directly responsible to a designated nurse director, or supervisor
Requirements: 3-5 years of Med. Surg experience with knowledge of Telemetry, Recent Oncology experience and knowledge of Chemotherapy Administration is preferred.
Shift: Variable Night Shift.

Weekend Coverage.

Required to Work Weekends per Contract.
EEO Statement: An EEO, AA, VEVRAA Employer ]]> 7/19/2011 0.00 Null Null none Null
Responsibilities: Registered in Massachusetts who is responsible and accountable for a specified group of patients. Demonstrates initiative, knowledge and clinical skills in caring for the patient with complex needs. Demonstrates the ability to effectively manage patients by assuming full responsibility for assessment, planning, implementation and evaluation of patient care. The RN is directly responsible to a designated nurse director, or supervisor
Requirements: 3-5 years of Med. Surg experience with knowledge of Telemetry, Recent Oncology experience and knowledge of Chemotherapy Administration is preferred.
Shift: Variable Night Shift.

Weekend Coverage.

Required to Work Weekends per Contract.
EEO Statement: An EEO, AA, VEVRAA Employer ]]> 7/19/2011 0.00 Null Null none Null
Responsibilities: Registered in Massachusetts who is responsible and accountable for a specified group of patients. Demonstrates initiative, knowledge and clinical skills in caring for the patient with complex needs. Demonstrates the ability to effectively manage patients by assuming full responsibility for assessment, planning, implementation and evaluation of patient care. The RN is directly responsible to a designated nurse director, or supervisor.
Requirements: Recent Orthopedic experience preferred.

Required to Work Weekends per Contract.
Shift: Night Shift.
4-8 hour shifts.
EEO Statement: An EEO, AA, VEVRAA Employer ]]> 7/19/2011 0.00 Null Null none Null
Responsibilities: Registered in Massachusetts who is responsible and accountable for a specified group of patients. Demonstrates initiative, knowledge and clinical skills in caring for the patient with complex needs. Demonstrates the ability to effectively manage patients by assuming full responsibility for assessment, planning, implementation and evaluation of patient care. The RN is directly responsible to a designated nurse director, or supervisor.
Requirements: Current ICU experience strongly preferred.

Required to Work Weekends per Contract.
Shift: Variable Night Shift
EEO Statement: An EEO, AA, VEVRAA Employer ]]> 7/19/2011 0.00