Nursing Jobs in Ashland, MA
$86,964.80 - $156,520 / year
Are you an internal caregiver, student, or contingent worker/agency worker at UMass Memorial Health? CLICK HERE to apply through your Workday account. Exemption Status: Exempt Hiring Range: $86,964.80 - $156,520.00 Please note that the final offer may vary within this range based on a candidate’s experience, skills, qualifications, and internal equity considerations . Schedule Details: Holidays - Every Other Holiday, Monday through Friday, Weekends - Every Third Weekend Scheduled Hours: Varies Business Day Shift: 1 - Day Shift, 8 Hours (United States of America) Hours: 40 Cost Center: 24030 - 4404 Discharge Planning This position may have a signing bonus available a member of the Recruitment Team will confirm eligibility during the interview process. Everyone Is a Caregiver At UMass Memorial Health, everyone is a caregiver – regardless of their title or responsibilities. Exceptional patient care, academic excellence and leading-edge research make UMass Memorial the premier health system of Central Massachusetts, and a place where we can help you build the career you deserve. We are more than 20,000 employees, working together as one health system in a relentless pursuit of healing for our patients, community and each other. And everyone, in their own unique way, plays an important part, every day. Responsible for identifying individual patient needs and developing plans of care as well as engaging and integrating appropriate resources for optimal clinical and financial patient outcomes. Responsible for the efficient collection of meaningful clinical and utilization data to effectively support care coordination initiatives. I. Major Responsibilities: 1. Performs assessment of patient’s physical, functional, and psycho-social needs through the use of screening tools, direct patient and family communication, medical record review, and discussions with other care givers providing services to the patient. Identifies complex patients in need of intensive case management based on established clinical and financial criteria. 2. Performs admission and concurrent reviews as assigned. Performs inpatient reviews in accordance with payer requirements utilizing clinical criteria sets. Meets with 3rd party case managers to discuss cases and assures timely communication of relevant clinical information to third party payers as required. Educates practitioners on the level of care and documentation requirements. 3. Collaboratively facilitates the care of patients throughout the continuum of care. Works as a team member to support /collaborate with Care Coordination Team for monitoring level of care, and for identification of trends in clinical practices and opportunities for improvement. 4. Works with patients and families to establish objectives, goals and an action plan to meet the patient’s individual needs within the indicated level of care. Collaborates with the physicians, other care providers and community resources in the care planning process. 5. Contacts third party payer to clarify benefit eligibility, coverage, and available resources for patients. May negotiate conversion of benefits for previously non-covered services. Researches alternate sources of funding for non reimbursed services that are part of the patient’s treatment plan. 6. Coordinates, implements, monitors and evaluates outcomes of the discharge plan. Evaluates progress of this plan with the discharge planner, patient, family and the patient’s health care insurer. Goals, interventions and time frames are revised as needed as a means of assisting the patient to achieve his/her optimal level of health and functionality 7. Continually evaluates the patient’s level of care. Educates the patient, family and care team regarding resource options, facilitates decision making, initiates plans, and secures resources for the patient on an ongoing basis in complex cases. 8. Participates in quality improvement on a system level through identification of opportunities for improvement, collection and analysis of data, and participation in the development and application of revised processes. Supports departmental and medical center-wide performance improvement programs such as implementation and monitoring of clinical practice guidelines. 9. Fosters compliance with regulatory requirements, good practice, and patient care. Standard Staffing Level Responsibilities: 1. Complies with established departmental policies, procedures and objectives. 2. Attends variety of meetings, conferences, seminars as required or directed. 3. Demonstrates use of Quality Improvement in daily operations. 4. Complies with all health and safety regulations and requirements. 5. Respects diverse views and approaches, demonstrates Standards of Respect, and contributes to creating and maintaining an environment of professionalism, tolerance, civility and acceptance toward all employees, patients and visitors. 6. Maintains, regular, reliable, and predictable attendance. 7. Performs other similar and related duties as required or directed. All responsibilities are essential job functions. II. Position Qualifications: License/Certification/Education: Required: 1. Massachusetts licensure as a registered nurse Experience/Skills: Required: 1. Three (3) years clinical experience in discharge planning or case management. 2. Ability to effectively use specialized computer-based systems for the gathering, reporting, and analysis of clinical data. 3. Excellent organizational and communications skills Preferred: 1. Utilization management and third-party payer knowledge Unless certification, licensure or registration is required, an equivalent combination of education and experience which provides proficiency in the areas of responsibility listed in this description may be substituted for the above requirements. Department-specific competencies and their measurements will be developed and maintained in the individual departments. The competencies will be maintained and attached to the departmental job description. Responsible managers will review competencies with position incumbents. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability or protected veteran status. We’re striving to make respect a part of everything we do at UMass Memorial Health – for our patients, our community and each other. Our six Standards of Respect are: Acknowledge, Listen, Communicate, Be Responsive, Be a Team Player and Be Kind. If you share these Standards of Respect, we hope you will join our team and help us make respect our standard for everyone, every day. As an equal opportunity and affirmative action employer, UMass Memorial Health recognizes the power of a diverse community and encourages applications from individuals with varied experiences, perspectives and backgrounds. All qualified applicants will receive consideration for employment without regard to race, color, religion, gender, sexual orientation, national origin, age, disability, gender identity and expression, protected veteran status or other status protected by law. If you are unable to submit an application because of incompatible assistive technology or a disability, please contact us at talentacquisition@umassmemorial.org. We will make every effort to respond to your request for disability assistance as soon as possible. $82,367.58 - $124,614.60 / year
The Oncology Registered Nurse is focused on patient assessment, patient education, the coordination of care, administration of therapy, symptom management and supportive care for the Oncology and Hematology patients at Dana-Farber Cancer Institute. The Registered Nurse cares for individuals receiving therapy for oncologic and hematologic problems. The nurse’s responsibilities include assessment, planning, implementation and evaluation of nursing care for a complex patient population. The nurse’s role includes administration of chemotherapy and other medications and infusions, telephone nursing care, direct patient care and charge capture/billing for all services rendered. The nurse provides patient and family education and psychosocial and emotional support. He/she is a member of a multidisciplinary care team that requires effective communication and collaboration with co-workers and staff as well as collaborating institutions and agencies. The role requires clinical expertise, critical thinking, collaborative practice, excellent communication skills and an understanding of the principles and practices of clinical research. Located in Boston and the surrounding communities, Dana-Farber Cancer Institute is a leader in life changing breakthroughs in cancer research and patient care. We are united in our mission of conquering cancer, HIV/AIDS, and related diseases. We strive to create an inclusive, diverse, and equitable environment where we provide compassionate and comprehensive care to patients of all backgrounds, and design programs to promote public health particularly among high-risk and underserved populations. We conduct groundbreaking research that advances treatment, we educate tomorrow's physician/researchers, and we work with amazing partners, including other Harvard Medical School-affiliated hospitals. Delivers expert, evidence-based nursing care to patients and families: Implements nursing process: Assessment, Nursing Diagnosis, Planning, Implementation, Evaluation. Assesses patient and family needs. Promotes health care outcomes in concert with currently accepted clinical practice guidelines. Analyzes assessment data to develop and support clinically accurate diagnoses. Collaborates proactively with all interdisciplinary team members with a patient centered focus to facilitate and maximize patient healthcare outcomes. Plans care by establishing goals with measurable outcomes. Implements the plan of care. Evaluates the patient’s response to interventions. Documents care according to Institute and regulatory agencies’ requirements. Administers medications and other treatments, which may include chemotherapy, and performs procedures safely and efficiently in accordance with Institute policy. May administer blood transfusions. Evaluates educational and psychological needs of patient and family and incorporates identified needs into the plan of care. Educates patient and family regarding treatment modalities of disease, which may include chemotherapy and radiation therapy and symptom management. Reviews patient’s clinical status and laboratory values pre-treatment and consults with provider when appropriate. Evaluates and determines need for patient referrals to other members of the interdisciplinary needs as appropriate. Identifies appropriate community resources to promote continuity of care and makes appropriate referrals. Manages patient care across the continuum, making appropriate referrals to home care and hospice, as necessary. Prepare and administers chemotherapy/biotherapy and supportive therapy in accordance with ASCO/ONS Guidelines. Recognizes and responds to emergency situations appropriately. Maintains BLS certification. Provides telephone triage according to policies and documents telephone interactions. Performs the following technical skills; Intravenous therapy including peripheral and central venous vascular access devices, including obtaining IV access, Safe handling practices for hazardous, cytotoxic and biological agents, Chemotherapy administration skills, including vesicant and non-vesicant medications. Complies with accepted standards of professional nursing practice, as well as with all licensure/registration requirements applicable to the nursing role. Supports the DFCI Nursing Department Professional Practice Model and Quality Plan. Accurately records charges for all services rendered on the day service. Collaborates with Clinic Assistant to assure accurate inventory of all supplies. Serves as a resource to medical personnel in other health facilities, providing telephone consultation to engender optimal Oncology practices and knowledge among health care professionals caring for cancer patients. Establishes rapport with patients and families from a variety of cultural, ethnic and religious backgrounds: Interacts with patients and families in a caring and compassionate manner respecting the need for privacy and confidentiality. Develops approaches to problem solving which meet the individual needs of the patients and families. Demonstrates the knowledge and skills necessary to provide age-specific care and support to the populations served. Promotes a culture of inclusion. Fosters an environment that is sensitive to the needs of diverse populations, including but not limited to culture, ethnicity, gender, and age. Manages the environment of patient care: Monitors the environment of care with attention to patient safety and assures compliance with regulatory agency standards. Complies with applicable policies, procedures, work rules and standards of conduct. Adheres to the Code of Ethics for Nurses with Interpretive Statements (ANA, 2015) in all aspects of professional practice. Bases care on the Standards of Oncology Nursing Practice and Oncology Nursing Society Chemotherapy Guidelines. Works collaboratively and functions as an effective member of the health care team: Demonstrates the ability to work collaboratively with peers and co-workers. Effectively addresses and manages conflicts. Demonstrates excellent communication skills. Demonstrates effectiveness as a contributing member to the multidisciplinary health care team. Delegates as appropriate and supervises assistive personnel in their provision of patient care. May function in the charge nurse role when necessary, collaborating with staff and coordinating flow of patients into the infusion areas. Participates in committees, councils, and initiatives. Demonstrates flexibility in setting and changing priorities. Accepts additional responsibilities as needed. Participates in QA/QI projects for the unit as requested. Seeks opportunities to foster professional growth: Identifies areas for professional growth. Formulates professional goals, objectives and methods for accomplishing these. Attends in-services, workshops and seminars. Shares information gained with colleagues. Facilitates professional growth of self and others by acting as a preceptor and mentor for new staff. Meets all annual evaluation requirements and competencies within the established time period. Pursues active membership in local and national professional organizations. Knowledge, Skills, And Abilities Required Demonstrated ability to work as an effective member of an interdisciplinary team Demonstrated skills in critical thinking, problem solving, and ability to make independent decisions Ability to function in a busy work setting with patients with complex needs IV skills strongly preferred Work tasks require walking, standing, climbing, sitting, bending, reaching and occasional lifting. Some tasks are performed while sitting Good hearing and vision are required for the time spent in interactions with others, telecommunications and the required reading of medical and pharmaceutical documents and patient care related documents Communications with physicians or staff during office hours requires organization of information, discretion and balancing of multiple communications Relationships with patients/families and colleagues requires excellent listening skills, the ability to identify issues and seek a resolution that reflects the quality care and satisfaction goals of the practice The work requires concentration and frequent mental and visual attention as well as the ability to work efficiently. Frequent interruptions and movement away from desk require the ability to stay focused and return to uncompleted tasks Telephone communications listening and speaking skills are required for the time spent in this mode of communication The ability to balance multiple tasks and normal stress associated with the duties and responsibilities of this position are essential requirements in the performance of this job The ability to speak, read and write in English, and the ability to perform mathematical pharmaceutical calculations is required for this position Demonstrates understanding of special needs and behaviors of age groups of the population served: young adult to geriatric Minimum Job Qualifications The position requires licensure as a Registered Nurse in the Commonwealth of Massachusetts or New Hampshire, as appropriate. A bachelor’s degree in nursing is strongly preferred, and candidates with an associate degree must complete a BSN within 4 years. At least 1 year of recent RN experience is required, with ambulatory and/or oncology experience preferred. Professional nursing certification (e.g., OCN, BMTCN, CPHON, AOCNP, CRNI, RN-BC) is preferred, and AHA BLS certification is required (AHA ACLS is acceptable as a minimum requirement). Supervisory Responsibilities No direct supervision of others but does supervise assistive personnel as appropriate in the provision of patient care. PATIENT CONTACT: Yes At Dana-Farber Cancer Institute, we work every day to create an innovative, caring, and inclusive environment where every patient, family, and staff member feels they belong. As relentless as we are in our mission to reduce the burden of cancer for all, we are committed to having faculty and staff who offer multifaceted experiences. Cancer knows no boundaries and when it comes to hiring the most dedicated and compassionate professionals, neither do we. If working in this kind of organization inspires you, we encourage you to apply. Dana-Farber Cancer Institute is an equal opportunity employer and affirms the right of every qualified applicant to receive consideration for employment without regard to race, color, religion, sex, gender identity or expression, national origin, sexual orientation, genetic information, disability, age, ancestry, military service, protected veteran status, or other characteristics protected by law. EEO Poster Pay Transparency Statement The hiring range is based on market pay structures, with individual salaries determined by factors such as business needs, market conditions, internal equity, and based on the candidate’s relevant experience, skills and qualifications. For union positions, the pay range is determined by the Collective Bargaining Agreement (CBA). $82,367.58 - $124,614.60