Virtual Registered Nurse, Home Hospital

Mass General Brigham•Somerville, MA

9d•$40 - $78•Hybrid

About The Position

Mass General Brigham Home Hospital is transforming acute care by bringing hospital-level services directly into the home. As a Virtual Registered Nurse (VRN), you will deliver high-quality, patient-centered care using advanced technology, remote patient monitoring, and a collaborative team-based model. We provide hospital-level care for a diverse adult patient population, including those with acute medical conditions such as heart failure, COPD exacerbations, pneumonia, and cellulitis, dehydration requiring acute intervention, and postpartum patients with hypertension. This per diem, on-site role is based at our Logistics Command Center at Assembly Row in Somerville, MA—a high-tech, innovative environment dedicated to ensuring safe, evidence-based care for Home Hospital patients. Our per diem nurses are required to work a minimum of four shifts per month, including at least one weekend shift each month. Per diem team members are also expected to work either one major winter holiday or one major summer holiday. The Virtual Registered Nurse (VRN) is responsible for providing essential elements of the patient care delivery model into the patient’s defined living space. The VRN provides quality care to patients through the implementation of nursing process, applied through a team-based nursing model, employing technology and remote care coordination to facilitate care delivery. Our Virtual Registered Nurses provide high quality, patient-centered, nursing care to patients across the continuum of services provided by Healthcare at Home. The VRN will work with a robust interdisciplinary team to promote highest patient outcomes. This role will utilize remote patient monitoring, assessment, planning, intervention, and critical thinking skills to care for patient populations in the home. Leveraging the resources and expertise of the MGB team to implement collaborative workflows, standards, policies, protocols, guidelines, and documentation systems to support safe, reliable, high-quality evidence-based care within clinical protocols as the foundation.

Requirements

Graduation from an accredited school of nursing.
BLS
Current license to practice as a Registered Nurse in Massachusetts
At least 3 years of Emergency Department experience required.
Excellent communication, interpersonal, and organizational skills required

Nice To Haves

BSN preferred.
Telemetry experience preferred
Telehealth and remote patient monitoring experience preferred
Telephone triage experience preferred
Proficiency with Epic, Microsoft Outlook, Microsoft Teams, and other web-based platforms preferred
Experience working in a start-up environment and/or willingness to adapt to continuous change encouraged

Responsibilities

Performs and documents nursing process, assessment, diagnosis, planning, implementation, and evaluation of patients receiving care remotely, in their defined home.
Performs virtual care, patient assessment, remote patient monitoring (as ordered) and works with the clinical care team to provide care, trend data, and respond accordingly.
Provides protocol driven assessments, care coordination and intervenes as appropriate and defined by MGB Healthcare at Home protocols.
Exhibits sound clinical decision making and critical thinking skills for a diverse patient population.
Maintains and practices in accordance with nursing guidelines, as well as institutional, local, and state regulations.
Performs admissions, discharges, and episodic visits within MGB Home Hospital, through high quality virtual patient-centered care.
Performs triage of patient care calls outside of regular business hours for post-acute home care patients; requests a home care in-person visit as appropriate by the home care on-call nurse.
Serves as a role model for professional nursing practice.
Utilizes nursing knowledge to identify, prevent and or solve complex acute and/or recurring patient care problems.
Shares expertise with multidisciplinary teams to serve as a staff resource.
Supports research efforts to advance knowledge and promote evidence-based practice.
Performs other duties and responsibilities as assigned by Nursing Leadership.
Provides medication teaching, assists with medication administration and education to patients and families. Collaborates closely with pharmacy and care team regarding medication reconciliation process.
Completes timely documentation for all nursing care in Epic.
Answers, directs, and provides follow up on incoming clinical patient concerns.
Ensures compliance with reporting requirements in RL Solutions.
Participates in quality and safety education, rounds, and evaluations.
Promotes professional practice and a culture of safety; engages in process improvement efforts.
Must be able to work in a HIPPA compliant environment.