Patient Transfer Access Center RN, 36 hour Rotating

Mass General Brigham•Somerville, MA
•$70,346 - $136,334•Onsite

About The Position

The Access RN leads system-wide coordination to match patients with the appropriate site of care, using clinical expertise, situational awareness, and knowledge of Mass General Brigham hospital capabilities. The centralized role supports timely access to care, reduces transfer delays, balances patient flow, activates standardized transfer pathways, and collaborates with the multidisciplinary MGB PTAC team and site-based clinical and operational leaders. The RN coordinates patient movement and placement with capacity and bed management teams, gathers clinical information from referring clinicians, and supports triage and admission using transfer matrices and alternative pathways according to bed availability. The role monitors notifications and transfer documentation, represents PTAC in coordination with leaders during extreme census, communicates bed availability to physicians and transferring facilities, and makes decisions about appropriate care pathways. The position is onsite at Assembly Row in Somerville, Massachusetts, with a rotating evening, night, weekend, and holiday schedule of 36 hours per week.

Requirements

  • Associate's degree in nursing.
  • Registered Nurse license.
  • At least 3 years of experience in adult critical care and/or an emergency department.
  • Ability to work independently, exercise sound decision-making, and remain flexible to assist during emergencies or increased need.
  • Contribute to a calm, organized, appreciative, and learning-oriented atmosphere.
  • Proactively seek feedback and communicate development goals.

Nice To Haves

  • Bachelor's degree in nursing preferred.

Responsibilities

  • Coordinate with hospital bed management teams in the MGB Capacity Center to support patient movement and placement across the system.
  • Gather patient information from referring physicians and outside-facility nurses to support appropriate triage and placement.
  • Follow admission and transfer pathways using the transfer matrix and alternatives based on bed availability, in collaboration with patient access services.
  • Collaborate with off-shift nurse administrators regarding emergency department, procedural, and inpatient arrivals.
  • Monitor the notification process for inpatient responding clinicians and appropriate documentation, including data collection, IPASS expect notes, transfer modules, emails, code activations, and reporting to senior leadership.
  • Notify teams and inpatient services of admissions, including emailing attending physicians, ensuring expect notes are placed for house staff, and coordinating callbacks with referring physicians for additional information.
  • Represent the department and consult with administrators, patient care unit leadership, procedural unit leadership, and access services during extreme census.
  • Update physicians and transferring facilities on bed availability, attend daily huddles, and represent PTAC.
  • Make critical decisions about directing patients to appropriate care pathways across diagnoses, clinical scenarios, and operationally challenging situations.
  • Identify patients appropriate for standardized transfer pathways that avoid the emergency department or reduce inpatient bed-capacity pressure, and coordinate those transfers with hospital-based and other MGB physicians, nurses, and capacity leaders.

Benefits

  • Competitive base pay.
  • Comprehensive benefits.
  • Career advancement opportunities.
  • Differentials, premiums, and bonuses as applicable.
  • Recognition programs designed to celebrate contributions and support professional growth.
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