Registered Nurse, Home Care

Mass General Brigham•Chelsea, MA

9d•$40 - $71•Hybrid

About The Position

Mass General Brigham relies on a wide range of professionals, including doctors, nurses, business people, tech experts, researchers, and systems analysts to advance our mission. As a not-for-profit, we support patient care, research, teaching, and community service, striving to provide exceptional care. We believe that high-performing teams drive groundbreaking medical discoveries and invite all applicants to join us and experience what it means to be part of Mass General Brigham. The position to which you are applying is represented by a collective bargaining unit, Massachusetts Nurses Association. At Mass General Brigham Home Care, we believe that healing happens best at home — and Registered Nurses are at the heart of making that possible. If you're looking for a role where your clinical expertise, autonomy, and compassion can shine, we invite you to bring your skills to a team that’s transforming care in the community! Starting pay rate is $41.09. We also offer a comprehensive benefits package, including tuition reimbursement, to support your continued professional growth and development. We are seeking a full-time, 40-hour RN to join the “Beantown” team. This team uniquely cares for patients from around the world who come to Boston seeking world-class medical care. While most of your time will be spent working in West End and Chinatown, the entire team also supports the following territories: Back Bay Beacon Hill Boston Cambridge Charlestown Fenway Financial District Kenmore North End Prudential South Boston South End While navigating transportation and parking in the city can be challenging, we will secure city parking passes for new team members to make the commute as convenient and stress-free as possible! Our RNs serve as case managers, overseeing the full plan of care while collaborating closely with LPNs, therapists, and social workers. You’ll typically complete 5-6 visits per day, Monday through Friday, with time for documentation, chart review, and coordination built into your schedule. Job Summary Provide quality, clinical services to patients in various settings in the community. Patient care is delivered within organizational philosophy, policy and standards of community health practice. The admissions process and case management responsibilities are performed in accordance with Mass General Brigham Home Care policies and standards of practice, utilizing thorough and timely electronic documentation and interdisciplinary communications. Skilled nursing care is provided in the form of assessment, teaching, treatment, documentation, and care coordination demonstrating high quality customer service, and financial awareness.

Requirements

Graduate of an approved School of Nursing
Current Massachusetts license as Registered Nurse
Minimum of one-year previous nursing experience in acute care setting.
Travel required within Mass General Brigham Home Care geographic area
Ability to work with various computer software required and knowledge of hand-held patient care computer devices preferred
Strong interpersonal and customer service and ability to work with a diverse population
Ability to communicate effectively in writing, verbally and electronically
Ability to work as a member of an interdisciplinary team of health care providers
Ability to work independently, be self-directed and adapt to unpredictable circumstances
Ability to organize and prioritize work and adapt to changing situations

Nice To Haves

Prior home care experience preferred.

Responsibilities

Care is provided with a focus on effective utilization and accepted standards of care that result in quality outcomes.
Initial assessments and visit notes accurately reflect medical necessity, home-bound status, provision of skilled services, vital signs, patient education/comprehension to ensure optimal reimbursement and high-quality patient care in accordance with agency standards and compliance with legal and regulatory requirements.
Plan of care is developed and periodically updated to address patient-specific needs, preferences, hospital readmission and infection risk, home safety and clinical conditions to ensure optimal patient safety and outcomes.
Care plan goals are patient-specific, updated and resolved in a timely manner.
Patient information and change in status/plan of care is communicated to physician and documented in a timely manner in accordance with agency standards.
Medications are reconciled accurately at SOC, ROC and Transfer, and changes are integrated into the plan of care. Medications are reviewed at each visit.
Medical supplies are ordered according to allowable guidelines and wound supplies are managed in consultation with the WOCN.
Patient schedule is established and submitted timely. Schedules are routinely adjusted and communicated timely with the Clinical Manager and the Scheduler to meet patient and agency needs.
Point of Care standards are adhered to for submission of data no later than midnight of the day of the visit/admission, including closed and sync’d encounters (exceptions to this standard must be reported to Clinical Manager or designee in the same time period).
Software is updated by maintaining the latest version of software applications as defined by the IS Department.
Patient information is prepared and effectively communicated to appropriate departments and team members in accordance with agency standards
Referrals are made to other disciplines and to appropriate community resources to meet patient-specific needs and maximize patient safety and outcomes.
Patients are identified for multi-disciplinary case conferences as needed after Start of Care.
Patient education is provided in the patient’s preferred language and format from time of admission and evaluated on an ongoing basis to meet the needs and abilities of patients and families and is appropriate to the care and treatment provided. Teaching and pt/cg response is clearly documented in the medical record.
Discharge planning (that includes the primary physician, family, and patient and accesses community resources) is initiated at Start of Care and evaluated on an ongoing basis for optimal patient safety and outcomes and is evident on review of the medical record.
All patient consent/notification forms are completed as required by Agency policy, law, and regulations, and submitted to the office within 24 hours.
Patients are informed of and consent to planned visits/visit schedule.
Services are delivered in a timely manner and in accordance with patient needs and preferences as evidence by adherence to the plan of care. Patients are contacted if visits will be late or rescheduled and physicians are notified if care is or will be impacted.
Patients and their families are actively included in the care planning process.
Patient notification of and consent to any and all changes is clearly documented in the medical record.
Quality patient care is consistently demonstrated by adherence to standards of care, appropriate and timely communication, coordination of care, and completion of required clinical documentation.
Assignments are performed at a complex level, supported by documented competency, including but not limited to high tech visits, end of life care, complex wounds, etc.
Staff meetings, competencies, training and educational meetings are attended regularly (suggest a standard such as 80% of the time). 100% attendance at or completion of all mandatory education. Clinical initiatives and special training are supported (e.g. EOL lifeline, etc.).