Team Nurse Registered Nurse-Internal Medicine

Beth Israel Lahey Health•Needham, AL

2d•$32 - $55

About The Position

The Team Nurse Registered Nurse provides direct nursing care in an outpatient primary care or family medicine practice and serves as a clinical resource for the practice. Reporting to the Practice Manager and Senior Director of Nursing, the RN delivers high-quality care to Beth Israel Deaconess HealthCare patients within a team-based model. The role supports safe, effective, and efficient patient care through appropriate support and delegation of clinical and administrative functions to Medical Assistant staff, and provides education and training to staff and patients on preventive, chronic, and episodic health issues. In collaboration with primary care providers, the Team Nurse coordinates patient-centered care, supports transitions between levels of care, and counsels and educates patients to help improve their health. The position includes care coordination, telephonic triage, nursing visits, medication and vaccine administration, clinical procedures, documentation, follow-up of results, and oversight of clinical supplies and unlicensed staff. The RN also maintains patient privacy and follows patient-safety and incident-reporting practices.

Requirements

Graduate from an accredited nursing program.
Current Massachusetts Registered Nurse license.
Basic Life Support certification; CPR certification is also listed as required.
One to three years of related work experience; new graduate RNs will be considered.
Strong interpersonal skills.
Strong patient communication and patient education skills.
Advanced skills with Microsoft applications such as Outlook, Word, Excel, PowerPoint, or Access, and other web-based applications; ability to produce complex documents, perform analysis, and maintain databases.
Ability to provide patient care to young adults aged 16–30, middle-aged adults aged 30–60, and elderly patients aged 60 and over.
Ability to communicate clearly and effectively in written English and to comprehend and converse in English with staff, patients, families, and external customers.
Ability to provide professional, respectful, service-oriented customer care and remain calm in stressful situations.

Nice To Haves

Bachelor’s degree in nursing.

Responsibilities

Coordinate and facilitate clinical management for a broad outpatient population across the continuum of care, working with providers on preventive care, evidence-based chronic disease management, and care coordination.
Provide general and focused health education and help patients identify and monitor self-management goals.
Collaborate with community-based providers and follow up on emergency department visits and inpatient discharges.
Assist providers with examinations, treatments, and procedures as needed.
Provide skilled telephone triage and assessment, education, and coordination of health care and community resources.
Provide direct nursing care, including Annual Wellness Visits and Chronic Care Management for BIDHC patients.
Manage INR monitoring and provide Coumadin teaching using a standardized protocol.
Administer vaccines and medications by parenteral, oral, rectal, or nasal routes according to provider orders and BIDHC medication-administration guidelines; educate patients about medications as appropriate.
Perform nursing activities under provider direction, including wound care and point-of-care testing, and document patient care accurately and promptly in the Electronic Health Record.
Schedule tests and specialty-care referrals as ordered by providers.
Monitor and ensure follow-up of abnormal test and imaging results under provider direction.
Oversee inventory and ordering of clinical supplies and equipment.
Ensure safe, accurate, and clinically appropriate collection, storage, and processing of biologic specimens.
Provide oversight and delegation to unlicensed staff, including Medical Assistants, Certified Nursing Assistants, and nursing students; serve as a resource and provide ongoing staff education and training.
Maintain clinical knowledge and skills through consultation, literature review, formal and informal education, and CEUs; complete mandatory annual organizational training.
Ensure patient health information is used only for treatment, payment, and operations purposes.
Follow patient-safety practices and promptly report adverse events and near misses to the BIDHC Risk Management Department.