Nights, (March 2027)

BMC Software•Boston, MA

2d•$38 - $75

About The Position

The New Graduate RN Residency is a transition-to-practice program for newly licensed nurses joining the Medical Cardiac Intermediate Care Unit (IMCU)/Step Down. The unit cares for complex cardiac, medical, pulmonary, and renal patients, including patients with congestive heart failure and intensive fluid-management needs. Nurses encounter frequent transfers between the ICU and medical-surgical floors, admissions from the Emergency Department and procedural areas, and patients requiring close monitoring and advanced therapies. The residency includes structured education, hands-on clinical experience, preceptorship, and ongoing support during orientation and transition to practice. The program lasts four months, after which nurses assume a position on a Step Down unit. It incorporates the Nurse of the Future Nursing Core Competencies and is intended to strengthen clinical judgment and decision-making while supporting the transition from nursing student to professional practice. The position encompasses nursing assessment, diagnosis, planning, intervention, evaluation, and coordination of care for patients and families across the health care continuum. The RN is accountable for clinical, educational, quality, and fiscal patient-care outcomes and follows nursing department models of care and established policies, procedures, protocols, guidelines, and standards of practice. The role reports to the Unit Nurse Director. The role is for nurses who graduated from nursing school within the 12 months before their hire date. The posting identifies an expected start in March 2027 and describes a 36-hour schedule with rotating days and nights and weekends. A two-year commitment is stated for the Step Down units after the investment in the new graduate RN. Nurses in other BMC practice areas are expected to remain in their roles for at least one year after completing orientation; the posting separately states a two-year minimum for new graduate nurses in critical care roles. Candidates must apply only to the Step Down New Grad program and submit an online application with a resume and letter of intent combined into one PDF. Candidates who also apply to experienced RN postings will not be considered for the program.

Requirements

Graduated from nursing school within the 12 months before the date of hire.
Active BLS/CPR for Healthcare Providers is required.
Flu vaccination is required before the start date.
Registration and current RN licensure in Massachusetts in good standing are preferred before the start date.
Submit an online application with a resume and letter of intent attached together as one PDF.
Apply only to the Step Down New Grad program; applicants who also apply to experienced RN positions will not be considered.
New graduate nurses in Step Down units are expected to commit to the role for two years after the program investment.

Nice To Haves

Registration and current RN licensure in Massachusetts in good standing before the start date are preferred.
Curiosity, motivation, and eagerness to learn.
Comfort working in a fast-paced, dynamic environment.
Interest in cardiac, medical, pulmonary, and critical-care nursing.
Strong communication and collaboration skills.
Ability to prioritize and organize care for multiple complex patients.
Commitment to patient safety and evidence-based practice.
Resilience, adaptability, and willingness to ask questions.

Responsibilities

Assess, diagnose, plan, implement, and evaluate nursing care for patients and their families across the health care continuum.
Coordinate patient care and contribute to clinical, educational, quality, and fiscal patient-care outcomes.
Care for complex cardiac, medical, pulmonary, and renal patients, including patients with CHF and complex fluid-management needs.
Develop clinical assessment, prioritization, communication, delegation, time-management, and teamwork skills.
Recognize changes in patient condition and respond to deterioration.
Learn advanced cardiac monitoring, medication management, fluid balance, diuresis, and care involving complex devices, drains, and therapies.
Work with experienced RNs and a multidisciplinary team that includes cardiology, respiratory therapy, pharmacy, nephrology, physicians, and advanced practice providers.
Follow established agency policies, procedures, protocols, guidelines, standards of practice, and the nursing department's model of care.