RN, Primary Nurse - PACE

NeighborHealth•Boston, MA
•Onsite

About The Position

The Primary Nurse is responsible for the general oversight, assessment, planning, and construction of the nursing care delivered to the participant. This role involves assessing patients by obtaining history, performing appropriate tests, making or collecting observations from participants and caregivers, and consulting with other members of the Interdisciplinary Team (IDT). The nurse will teach patients and families about healthcare regimens, explain disease and wellness information, tests, results, medications, diet, exercise, and other aspects of the plan of care. They will safely and effectively administer medications, tests, and treatments as ordered, and manage medication refills with provider authorization. The role includes providing and coordinating health teaching for individuals, families, and groups to maintain optimal health levels. The Primary Nurse will complete biannual and status change nursing assessments for an assigned panel of participants, documenting problems, goals, and interventions in the participant’s care plan, utilizing assessment tools such as the PACE Nurse Assessment and Medication Management.

Requirements

  • Current Massachusetts license in nursing.
  • Current BLS certification required.
  • A minimum of one year experience working with a frail or elderly population.

Nice To Haves

  • Baccalaureate degree in nursing preferred.
  • Minimum of 2 years experience in ambulatory, home health, hospital or sub-acute setting preferred, equivalent training or related experience considered.
  • Prior experience in interdisciplinary team setting a plus.

Responsibilities

  • Provide general oversight, assessment, planning, and construction of nursing care for participants.
  • Assess patients through history, appropriate tests, observations, and IDT consultations.
  • Teach patients and families about healthcare regimens, disease, wellness, tests, results, medications, diet, exercise, and care plans.
  • Administer medications, tests, and treatments as ordered.
  • Manage patient medication refills with provider authorization.
  • Provide and coordinate health teaching for individuals, families, and groups.
  • Complete biannual and status change nursing assessments for assigned participants.
  • Document problems, goals, and interventions in the participant’s care plan.
  • Utilize assessment tools including PACE Nurse Assessment and Medication Management.
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