Team Nurse Randolph Family Medicine

Beth Israel Lahey Health • Randolph, MA

2d • Onsite

About The Position

The Team Nurse RN performs registered nursing duties in an outpatient primary care or family medicine practice and serves as a clinical resource for the practice. The role provides high-quality direct patient care in a team-based model for Beth Israel Deaconess HealthCare patients and helps enhance the safety, effectiveness, and efficiency of care by supporting and delegating clinical and administrative functions to Medical Assistant staff as appropriate. The nurse educates and trains practice staff and patients on general and focused preventive, chronic, and episodic health issues.

In collaboration with primary care providers, the nurse coordinates patient-centered care, supports transitions between levels of care, and counsels, educates, and supports patients in improving their health status. The position includes clinical management, telephonic triage, direct care visits, medication administration, documentation, follow-up, and oversight of clinical supplies and unlicensed staff. The role reports directly to the Practice Manager and Senior Director of Nursing.

Requirements

• Graduate of an accredited nursing program.
• Current Massachusetts Registered Nurse license.
• Basic Life Support certificate and CPR certification.
• One to three years of related work experience; new graduate RNs will be considered.
• Strong interpersonal, patient communication, and patient education skills.
• Advanced skills with Microsoft applications, which may include Outlook, Word, Excel, PowerPoint, or Access, and other web-based applications; ability to produce complex documents, perform analysis, and maintain databases.
• 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 service and remain calm in stressful situations.
• Ability to work collaboratively in small teams, make decisions using general instructions and practices, solve varied problems using analysis and relevant knowledge, and organize work within general guidelines.
• Competence to provide care to young adults (ages 16–30), middle-aged adults (ages 30–60), and elderly patients (ages 60 and over).
• Ability to work with periods of close attention and concentrated effort of up to four hours without a break, and to respond to changing circumstances and new information.
• Ability to meet the stated physical demands, including medium work, standing and moving for most of the shift, and occasional lifting or exertion up to 50 pounds.

Nice To Haves

• Bachelor's degree in nursing.

Responsibilities

• Coordinate and facilitate quality clinical management of a broad outpatient population across the continuum of care.
• Collaborate with providers to identify preventive care, evidence-based chronic disease management, and care coordination needs; provide health education and help patients identify and monitor self-management goals.
• Collaborate with community-based providers, follow up on emergency department visits and inpatient discharges, and assist providers with examinations, treatments, and procedures as needed.
• Provide skilled telephonic triage and assessment, education, collaboration, and coordination of healthcare and community resources; perform direct patient care, including Annual Wellness Visits and Chronic Care Management.
• Manage INR testing and provide teaching to patients taking Coumadin using a standardized protocol.
• Administer vaccines and medications by parenteral, oral, rectal, or nasal routes as ordered and according to BIDHC medication-administration guidelines; educate patients about medications as appropriate.
• Perform nursing activities under provider direction, including wound care and point-of-care testing; 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, and ensure safe, accurate, 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 protected health information is used only for treatment, payment, and operations, follow patient-safety practices, and promptly report adverse patient events and near misses to the BIDHC Risk Management Department.

Benefits

• Compensation may include shift differentials, call pay, premium pay, and overtime pay, as applicable.
• Flu vaccination is required as a condition of employment.

What This Job Offers

• Job Type: Full-time
• Career Level: Entry Level
• Education Level: Associate degree