Nursing Jobs in Dedham, MA
$105,600 - $143,616 / year
Who We Are: Since 1985, BHCHP’s mission has been to ensure unconditionally equitable and dignified access to the highest quality health care for all individuals and families experiencing homelessness in greater Boston. Over 10,000 homeless individuals are cared for by Boston Health Care for the Homeless Program each year. We are committed to ensuring that every one of these individuals has access to comprehensive health care, from preventative dental care to cancer treatment. Our clinicians, case managers, and behavioral health professionals work in more than 30 locations to serve some of our community’s most vulnerable—and most resilient—citizens. From our earliest days as a program, we have always sought to do work that is transformational: recognizing our shared humanity; centering dignity, compassion, mutual respect and supporting the right of every individual to access the highest levels of health care and every staff member to reach their fullest potential. We continue to be committed to building bridges and breaking down barriers, including systemic racism which harms us all. We provide community-based health care services that are compassionate, dignified, and culturally appropriate, incorporating social determinants of health, with the goal of breaking down the physical and systemic barriers that our patients face. Job Summary: ***NOW OFFERING A $4,000 SIGN ON BONUS*** Hours: Full-time; 40 hours per week Union: None Union Name: None Patient Facing: Yes Boston Health Care for the Homeless Program is seeking a dynamic, patient-centered, proactive, and energetic Nurse Practitioner/Physician Assistant to join a multidisciplinary team. This position will provide comprehensive, high-quality primary, episodic and/or recuperative care at our main campus and surrounding shelter-based clinics. The ideal candidate for this role must be a self-starter and have the ability to lead a care team in partnership with other clinical peers. Our practice is collaborative, supportive and innovative. We are looking for someone who shares these qualities. Responsibilities: Provides comprehensive, high quality episodic and/or recuperative care at various clinical sites staffed by Boston Health Care for the Homeless Program. May work at shelter-based clinic, hospital-based clinic, respite facility or on street-based outreach based on program needs. Elicit an appropriate history, perform physical examinations, order diagnostic studies, interpret results and initiate therapy in accordance with the Guidelines for Physician Assistants and Nurse Practitioners of Boston Health Care for the Homeless Program. Refer patients as appropriate to medical specialists, hospital admission, recuperative care, and detox facilities, providing appropriate information for continuity of care. Participate in collaborative relationship with BHCHP physician according to the Regulations of the Commonwealth of Massachusetts. Provide education to patients on health promotion and disease treatment and prevention. Work as part of multi-disciplinary team (medical, nursing, dental, BH, pharmacy, case management) in caring for patients. Administrative Responsibilities: Maintain adequate, up-to-date medical records, completed in a timely manner, according to the guidelines of BHCHP, employing standard forms such as problem lists, medication lists, etc. Maintain active DPH, DEA, and professional license, managed care credentialing and CPR training. Some on-call and holiday coverage required. Qualifications: Licensed by the Commonwealth of Massachusetts. Registered or eligible to be registered with the Massachusetts Department of Public Health and the Federal Drug Enforcement Agency. At least one year of direct NP/PA experience. Life support training certification (e.g. CPR, BLS, ACLS) from a course that includes a hands-on, in-person component. If not certified prior to start date, applicant must submit certification within 90 days of start date. Experience in working with underserved populations, mentally ill, homeless and/or persons with substance use disorders preferred. Bilingual proficiency preferred. Compensation and Benefits: ***NOW OFFERING A $4,000 SIGN ON BONUS*** The compensation ranges from $105,600 - $143,616 annually and increases based on years of experience. BHCHP full-time employees are eligible for our competitive time off program, health, dental and vision insurance, 403B retirement savings plan, pre-tax MBTA pass program with 40% discount, additional compensation for demonstrated bilingual proficiency and more. Benefits are prorated for part-time employees. Does this amazing opportunity interest you? Then we'd love to hear from you. As an equal opportunity employer, Boston Health Care for the Homeless Program is committed to providing employment opportunities to all qualified individuals and does not discriminate on the basis of race, color, ethnicity, religion, sex, gender, gender identity and expression, sexual orientation, national origin, disability, age, marital status, veteran status, pregnancy, parental status, genetic information or characteristics, or any other basis prohibited by applicable law. Covid-19 Vaccination: Proof of Covid-19 vaccination(s) is optional for employment. Candidates who are offered employment will be given details about how to demonstrate receipt of vaccination if they choose to. Please Note: Employment at Boston Health Care for the Homeless is at-will. Boston Health Care for the Homeless does not sponsor work authorization visas. 
$122,301.82 - $155,933.24 / year
Job Profile Summary This role focuses on providing professional and nonprofessional nursing care services in accordance with physician orders . In addition, this role focuses on performing the following Nursing Leadership duties: Controls, directs, and participates in the activities of the organization through a hierarchy of managers and supervisors. Responsibilities also include long-term strategic planning, determining the policies of the organization, and allocating its resources and making decisions regarding organization growth and diversification to accomplish entity's vision . A management role that supervises employees focusing on tactical, operational activities within a specified area, with the majority of time spent overseeing area of responsibility, planning, prioritizing and/or directing the responsibilities of employees. Goal achievement is typically accomplished through performance of direct and/or indirect reports . A role that manages experienced professionals who exercise latitude and independence in assignments . Responsibilities typically include: policy and strategy implementation for short-term results (1 year or less), problems faced are difficult to moderately complex, and influences others outside of own job area regarding policies, practices and procedures. Job Overview This position plans, organizes, and oversees daily clinical and administrative operations of designated unit/program or service . Assumes accountability and responsibility for translating the philosophy, objectives , policies , and procedures and nursing/patient care services into effective action. Prepares staff schedules, requests , and allocates resources and facilitates coordination of care/services to meet patient care and operational requirements. Develops and sustains an environment that promotes excellence in clinical practice and customer satisfaction, while striving for optimal efficiency, productivity, and utilization of all resources. Works cooperatively within department and other services to create a system of quality health care. Job Description Minimum Qualifications: 1. Bachelor’s degree in Nursing (BSN). 2. Registered Nurse (RN) license. 3. Basic Life Support (BLS) certification. 4. Three (3) years of nursing leadership experience. Preferred Qualifications: 1. Master’s degree in Nursing (MSN). 2. Five (5) years of nursing leadership experience. 3. Nursing specialty certification. Duties and Responsibilities : The duties and responsibilities listed below are intended to describe the general nature of work and are not intended to be an all-inclusive list . Other duties and responsibilities may be assigned. 1 . Serves as a high visibility leader, role model and professional mentor; represents a positive image of the unit/practice area to the organization. 2. Ensures excellence in quality, safety , and regulatory requirements. 3. Ensures patient care delivery is safe, of high quality and is cost effective. 4. Effectively defines and communicates a vision of excellence for the unit/practice area. 5. Creates opportunities for multidisciplinary forums in order to solve problems and facilitate planning. 6. Monitors and ensures excellence in the clinical practice of nursing and the delivery of patient care on unit/practice area. 7. Integrates the nursing service philosophy into all unit practices and programs. 8. Utilizes a performance improvement process to assess the response to care from patients, families and others. 9. Consults with patients and families in response to staff nurse requests, direct family requests and/or direct assessment of patient/family responses to hospitalization. 10. Interacts with staff nurses for the purpose of assessing the care provided and the nurses’ capabilities to provide care in changing circumstances. 11. Keeps current with literature regarding changing practices, interventions and research in patient care and health care delivery. 12. Creates an environment that supports and celebrates the professional growth of the nursing staff. Supports the ongoing development of staff through coaching, mentoring and role modeling. 13. Creates an environment that fosters collaborative relationships. 14. Ensures clinical competence of staff. 15. Provides leadership in setting the direction of the unit and is responsive to changing internal and external factors. 16. Utilizes relevant data and outcome measures in analysis and planning . 17. Collaborates with other disciplines in practice initiatives to improve and maintain quality while managing costs. 18. Establishes and maintains relationships and open communication with departments which provide support services to the clinical area in order to insure the appropriate level of service at all times. 19. Manages human, fiscal and other resources needed to support clinical nursing practice and positive patient outcomes 20. Monitors and critically analyzes resource utilization of the unit. 21. Develops budget proposals based on the changing needs of the patient population and clinical programs. 22. Collaborates with physicians, hospital administrators, and other relevant groups on methods of delivering care. 23. Selects unit staff and ensures that all members are competent to fulfill their assigned responsibilities. 24. Responsible for patient and family satisfaction. 25. Manages systems in order to accomplish patient, unit, departmental and institutional goals. 26. Facilitates and promotes achievement of unit based/practice area goals in line with the medical center mission . 27. Assures standards of care are consistently achieved on the unit/practice area. 28. Seeks opportunities to build working alliances with other professional groups. 29. Develops and monitors systems that promote and support nursing practice. 30. Utilizes knowledge of patients, personnel and practice to plan initiatives that ensure positive patient outcomes in an effective and efficient manner . 31. Overall responsibility for recruiting , staff retention, staff development and performance . Adheres to appropriate staffing plan, accommodates to changing needs of the unit . Physical Requirements: 1. Prolonged, extensive, or considerable standing/walking. 2. Lifts, positions, pushes and/or transfer patients and equipment. 3. Considerable reaching, stooping, bending, kneeling, crouching. 4. Frequent exposure to hazardous chemicals, sick patients, bodily substances, noise and possible exposure to radiation, lasers, electric shock, etc. 5. Regularly exposed to the risk of bloodborne diseases and other transmissible infections. 6. Requires manual dexterity using fine hand manipulation to reports and computer equipment. 7. Hearing and visual acuity sufficient to perform examinations, observe patients, read monitors and documents, and hear audible equipment alarms. 8. May have contact with hazardous materials. Skills & Abilities: 1. Ability to apply the skills and knowledge necessary to provide care to patients throughout the life span, with consideration of aging processes, human development stages and cultural patterns in each step of the care process. 2. Management and interpersonal skills necessary to provide leadership to a variety of employees; to maintain a variety of internal and external contacts; and to interact effectively with patients, families; physicians and other departments. 3. Analytical abilities/critical thinking skills to identify and resolve operational problems. 4. Demonstrated leadership abilities. 5. Ability to work effectively under stressful conditions. 6. Ability to communicate effectively orally and in writing. 7. Ability to adapt in a changing environment. 8. Ability to collect, track and trend data in order to identify opportunities for performance improvement. 9. Clinical competence in nursing practice. 1 0 . Ability to work collaboratively with nurses, physicians and administrative colleagues. 1 1 . Ability to navigate complex electronic clinical and administrative information systems and applications. At Tufts Medicine, we want every individual to feel valued for the skills and experience they bring. Our compensation philosophy is designed to offer fair, competitive pay that attracts, retains, and motivates highly talented individuals, while rewarding the important work you do every day. The base pay ranges reflect the minimum qualifications for the role. Individual offers are determined using a comprehensive approach that considers relevant experience, certifications, education, skills, and internal equity to ensure compensation is fair, consistent, and aligned with our business goals. Beyond base pay, Tufts Medicine provides a comprehensive Total Rewards package that supports your health, financial security, and career growth—one of the many ways we invest in you so you can thrive both at work and outside of it. Pay Range : $122,301.82 - $155,933.24 based on full-time equivalent 
$99,000 - $166,000 / year
About this role: As a Clinical Manager with Fresenius Medical Care, you will ensure that quality patient care is delivered while maintaining clinical operations. As the facility leader, you will be part of a close-knit, collaborative team responsible for delivering unique care plans and providing dialysis treatment to patients facing end stage renal disease or chronic kidney disease. Training and advancement: You will enter our Clinical Leadership Program that creates and supports a culture of continuous learning for our managers. The curriculum will cover onboarding, essential functions, leading your business, and advanced leadership. As a Clinical Manager, you may advance your career into an Area Team Lead or Director of Operations role. Our culture: We believe our employees are our most important asset — we value, care about, and support our people. We are there when you may need us most, from tuition reimbursement to support your education goals, granting scholarships to family members, delivering relief when natural disasters strike, or providing financial support when personal hardship hits, we take care of our people. Our focus on diversity: We have built a nurturing environment that welcomes every age, race, gender, sexual orientation, background, and cultural tradition. We have a diverse range of employee resource groups (ERGs) to encourage employees with similar interests, goals, social and cultural backgrounds, or experiences to come together for professional and personal development, discussion, activities, and peer support. Our diverse workforce and culture encourage opportunity, equity, and inclusion for all, which is a tremendous asset that sets us apart. At Fresenius Medical Care, you will truly make a difference in the lives of people living with kidney disease. If this sounds like the career and company you have been looking for, and you want to be a vital part of the future of healthcare, apply today. PURPOSE AND SCOPE: Manage and oversee the daily operations of the facility, ensuring cost-effective facility operations in accordance with all legal, compliance and regulatory requirements and programs. Collaborates with the Medical Director and the Clinical Manager/Charge Nurse regarding the provision of quality patient care in the dialysis facility incorporating all activities from admission through to discharge. As the clinic leader, has the authority to make daily decisions to ensure the appropriate continuity of care and patient and staff safety. Markets available services through presentations to physicians and dialysis facilities. You will ensure that quality patient care is delivered while maintaining clinical operations. As the facility leader, you will be part of a close-knit, collaborative team responsible for delivering unique care plans and providing dialysis treatment to patients facing end stage renal disease or chronic kidney disease. PRINCIPAL DUTIES AND RESPONSIBILITIES: Clinic Operations: • Provides leadership, coaching, and development plans for all direct reports. • Partners with internal Human Resources, Quality, Education, and Technical Services departments. • Collaborates with the Home Therapies Program Manager to oversee the facility’s Home Therapies Program. • Maintains integrity of medical and operations records and complies with all data collections and auditing activities. • Accountable for completion of the Internal Classification of Disease (ICD) coding. • Responsible for all required network reporting and on-site state or federal surveys. • Manages the tactical execution of short- and long-term objectives through the coordination of activities with a direct responsibility for results, including costs, methods, and staffing. • Responsible for the administration of the daily business operations of the dialysis clinics including managing the functions and actions related to the center staff, quality of overall provision of patient care, maintenance of the physical plant and center equipment, and inventory control. • Manages the profit and loss and other related financial aspects for the center, ensuring optimal facility operations to achieve or exceed the budget and key performance indicators. Patient Care: • Coordinates all aspects of patient care with the appropriate staff members, from admission through discharge of the patient. • Acts as a resource for the patient and family to address concerns and questions. • Oversee the timely completion of patient care assessments and care plans. • Manages timely patient schedules to ensure facility efficiency and develop action plans for missed treatments. • Reports changes in patient status regarding any clinical, insurance, or travel and transportation issues. Staff: • Participates in the selection and hiring of new team members and ensures completion of new hiring orientation and mandatory training. • Responsible for all patient care employees completing appropriate training courses and that licensures/certifications are current. • Provides support for all clinical staff members at regular intervals and encourages professional growth. • Maintains current knowledge regarding company benefits, policies, procedures, and processes. • Obtains clinical feedback for employee evaluations and establishes annual goals and conducts employee evaluations. • Documents any disciplinary actions and confers with the clinic Director of Operations and Human Resources when needed. • Manages staff scheduling and payroll. Physicians: • Facilitates the application process for physician privileges and compliance with Fresenius Medical Care Medical Staff By-Laws. • Responsible for strong physician relationships and ensures regular and effective communication. • Participates in Governing Body, an interdisciplinary team for each region including MDs, DOs etc. that governs policies. Other: • Collaborates closely with, providing oversight as needed to, the Clinical Manager/Charge RN acting as nurse manager, the Medical Director, and the physicians regarding the direct patient care responsibilities within the facility to ensure the provision of outstanding quality of patient care, as defined by the FMS quality goals, and compliance with the pertinent company policies and procedures. Collaboration activities include: • Coordinating all aspects of patient care from admission through discharge of the patient. • Addressing patient concerns, issues, and questions including the review of patient satisfaction surveys. • Developing and communicating efficient and timely patient schedules to ensure maximization of facility efficiency. • Assisting as needed with patient workflow. • Implementing and maintaining a Continuous Quality Improvement (CQI) Process and Quality Assessment and Improvement Program (QAPI) Improvement Team that involves staff and pertinent physicians in problem solving activities meeting on a regular basis to address identified issues. • Continually review Center operations to ensure compliance with Federal and State laws. • Develops and maintains strong Medical Director and physician relationships, facilitating staff relationships with physicians, and ensuring regular and effective communication with all physicians including participating in regular meetings with Medical Directors. • Supports and drives FMS quality standards through meeting regulatory requirements and the practice of CQI, including the use of the appropriate company CQI tools. • Works with the Charge RN and Medical Director to implement FMS quality FKC goals and develop facility specific action plans to achieve FMS quality standards. • Oversees and monitors the provision of the appropriate training according to FMS policy to ensure ongoing compliance with all company and FMS risk management initiatives. • Collaborates with the Charge RN to ensure the aggressive treatment of, and actions taken, regarding adverse safety events and action thresholds. • Ensures all Quality policies and procedures are communicated to and implemented by the facility staff. • Maintains integrity of medical records and other FMS administrative and operational records. • Complies and assists with all data collection and auditing activities. • Manages the day-to-day activities and workload of the facility staff providing guidance and leadership as appropriate to ensure the effective, efficient and timely execution of duties and tasks. • Creates, maintains, and communicates efficient and timely employee schedules according to the staffing needs of the facility to ensure adequate staffing daily. Consults with Charge RN and Medical Director to optimize clinical staffing. • Provides informal feedback to staff on an ongoing basis and formal feedback in the form of the annual performance evaluation during the focal merit review process. Obtains feedback and input regarding the staff performance from the Medical Director and Charge RN and acts on the feedback as appropriate. Collaborates with staff and Charge RN and Medical Director to set annual goals for staff. • Manages the department staffing through the appropriate hiring, firing and disciplinary actions. • Maintains written documentation of all disciplinary meetings in accordance with the established personnel policies and confers with Human Resources and Director of Operations regarding the nature of the disciplinary decisions. • Ensures successful execution of new hire orientation and training, and ICD-9 code training when ICD-10 applicable for new hires and works with Medical Director to ensure mandatory in-services are completed. • Ensures appropriate documentation is completed for current licensure, annual in-service and policy and procedure in-service updates. • Responsible for ensuring all facility employees receive appropriate training according to company policy including company risk management initiatives. • Provides training and guidance to facility staff members to ensure development of clinical competences, providing opportunities for professional growth and encouraging personal growth. • Collaborates with HR regarding providing information to staff pertaining to FMS/FMCNA benefits, Human Resources policies and procedures. • Participates in Corporate and Division specific employee recognition and satisfaction programs. • Maintains a close working relationship with Division and Corporate office personnel and ensures appropriate communication of FMS, Division, and Corporate initiatives, policies and procedures to facility staff. • Utilizes knowledge of FMCNA and FMS services and products to contribute to the growth of the business. • Maintains facility environmental integrity and safety. • Schedules the maintenance and repair of equipment, operating systems, and physical structure of the facility, as needed. • Monitors the security of the facility. • Coordinates inventory/supply management by reviewing monthly inventory count and approving purchase orders for necessary items to ensure cost containment, timely distribution and competitive pricing. • Responsible for efficient utilization of medication, laboratory, inventory, supplies and equipment to achieve supply cost goals following all guidelines established in the FMS/FMS formularies. • Contributes to the development and revision of any applicable policies and procedures for the facility and the pertinent updating and maintenance of the related manuals. • Directs any necessary information gathering, as required, to support billing, billing issues and collection activities. • Coordinates and approves facility payroll. • Responsible for participating in all on-site internal and external (state and federal) surveys. • Reviews new and existing provider contracts for various vendor services, including but not limited to, insurance, laboratory, and facility cleaning. • Performs other related duties as assigned. SUPERVISION: • Supervises Charge RN and DPC Staff PHYSICAL DEMANDS AND WORKING CONDITIONS: The physical demands and work environment characteristics described here are representative of those an employee encounters while performing the essential functions of this job. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions. • Day to day work includes desk and personal computer work and interaction with patients, facility staff and physicians. • The work environment is characteristic of a health care facility with air temperature control and moderate noise levels. May be exposed to infectious and contagious diseases/materials • The position requires frequent prolonged periods of standing and the employee must be able to bend over. • The employee may occasionally be required with assistance to move patients and equipment of up to 200 lbs. There is a two-person assist program and “material assist” devices for the heavier items. • Travel to regional, Business Unit and Corporate meetings may be required. EDUCATION: • Graduate of an accredited School of Nursing (RN) • Current RN state licensure EXPERIENCE AND REQUIRED SKILLS: • Experience in clinical nursing. • Additional 6 months chronic or acute dialysis nursing experience. • Demonstrated leadership competencies and management skills for the position, including excellent communication, customer service, continuous quality improvement, relationship development, results orientation, team building, motivating employees, performance management and decision making. • Demonstrated management skills necessary to provide leadership in the supervision of facility personnel and to ensure the delivery of maximum quality care to all patients. • Successfully passed the Ishihara Color Blind Test." Preferred: • Experience in a supervisory/management role, in a medical facility preferred. • Med/surg or ICU/CCU experience preferred. • Proficiency with the Microsoft office suite (Word, Excel, PowerPoint) - experience with medical database software preferred. The rate of pay for this position will depend on the successful candidate’s work location and qualifications, including relevant education, work experience, skills, and competencies. Annual Rate: $99,000.00 - $166,000.00 Non-Bonus Eligible Positions: include language below. Benefit Overview: This position offers a comprehensive benefits package including medical, dental, and vision insurance, a 401(k) with company match, paid time off, parental leave. Bonus Eligible Positions – include language below. Benefit Overview: This position offers a comprehensive benefits package including medical, dental, and vision insurance, a 401(k) with company match, paid time off, parental leave and potential for performance-based bonuses depending on company and individual performance. Fresenius Medical Care is an equal opportunity employer and does not discriminate on the basis of race, color, religion, sexual orientation, gender identity, parental status, national origin, age, disability, military service, or other non-merit-based factors 