Nursing Jobs in Dunstable, MA
$84,300.22 - $107,481.20 / year
Job Overview The position is a member of the hospice staff who determines appropriateness of referrals, coordinates and conducts pre-admission activities, completes admission when determined hospice appropriate, monitors inpatient care at contracted hospitals, performs in-service training and community education activities. This position performs duties in a variety of settings including 6patient’s home, acute care setting, skilled nursing facility or assisted living. Job Description Minimum Qualifications: 1. Massachusetts RN Licensure. 2. Hospice and/or end of life experience required. Location : Lowell MA Hours : Full Time- 40 Hours, Flexible shifts (8/10/12 Hour days) Holiday and Weekend Rotation 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. Describes and explains hospice services to a potential patient and/or family member and elicits responses to questions regarding attitude towards hospice care, evaluates physical and psycho/social/emotional status, in order to put the patient and family at ease about choosing hospice and fully inform them about the program. Works with hospice intake and eligibility department to verify insurance reimbursement for each referred patient and document in EMR. Reviews and explains to patient and/or family about insurance coverage and financial obligations, using knowledge of hospice fees, costs and reimbursement sources. Escalates to referral management director and/or referral manager, in circumstances of potential admission where reimbursement sources appear not to cover hospice fees, to ascertain whether reduce fee or free care may be offered. Introduces and explains benefits of hospice care and familiarizes decision makers with characteristics and needs that indicate an appropriate hospice referral. Presents the advantage of the hospice Medicare/Medicaid benefits to referral sources. Thoroughly understands the Medicare/Medicaid hospice benefit, the Medicare home health benefit, the Medicare/Medicaid long term benefit and the Medicare HMO benefit. Documents a narrative note in the EMR summarizing pertinent physical and psychosocial information from the hospital record and/or from the physician and patient/family assessment. Reviews referred patient’s history, medical status, and prognosis to determine eligibility for hospice services relying on the knowledge of hospital procedure and hospice admission criteria. Completes the patient/family admission packet, including obtaining signed Notice of Election of Hospice Benefit (NOE), admission forms from the patient, family, referral source and the attending physician. Uploading completed admission documents electronically to medical records for them to complete their process. Communicates information from Comprehensive Assessment to TMCAH CMO, hospice physician or TMCAH covering NP. Documents results and performs warm hand off to team. Communicates NTUC to appropriate staff and managers. Documents reason and continuation of care measures implemented. Promotes hospice services, to ensure appropriate referrals to hospice program, may perform liaison activities centered in the acute care setting, which include but not limited to, case conferences to case managers, discharge planners, physicians, other health care providers and referral sources. Works with TMCAH liaison and intake staff to ensure ease of referral, as well as a rapid response to the referral source. Evaluates and compares information, regarding referred patient to hospice criteria. Consult with either the referral management director, referral manager, CMO, or hospice physician when an admission is questionable. Communicates on a regular basis with patient, family, referral source, hospice intake or liaison staff, to ensure continuity of care and adherence to the hospice plan of care. Develops opportunities for and conducts in-service presentations in health care facilities regarding hospice care and the indications for a hospice referral. Joins approved professional organizations and other groups which include key decision makers in the care of terminally ill patients. Assists with public relations activities to promote community awareness of Hospice services. Includes activities during National Hospice Month. Reports Compliance concerns to the CEO or Chief Compliance Officer when applicable. Ensures compliance within guidelines set forth by regulatory agencies (DPH, ERISA etc.) and demonstrates compliance with Tufts Medicine Care at Home policies and procedures. What We Offer: Generous Paid Time Off (Effective Day1) Health, Dental and vision insurance (Effective Day 1) Competitive Salaries 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 : $84,300.22 - $107,481.20 $84,300.22 - $107,481.20 / year
Tufts Medicine Care at Home is a proud member of Tufts Medicine, a health system that is rethinking how academic and community centers, local and national businesses, and technology and service innovators can all work together. So that clinicians can deliver expert care where it’s needed most and so that we can bring wellness back to health care, one person at a time. Why Join Us? Benefits you'll love, generous sign-on bonuses and more! Our Home Health RNs tell us they love the ability to work autonomously, to build strong rapport with their patients and families, and the flexibility in managing their schedules. Come join our growing health system. Job Overview This position a R egistered N urse (RN) who specializes in the assessment and treatment of skin, wound, pressure ulcers, and ostomies for inpatients and a lso assesses and treats outpatient ostomy patients when ordered by the prescribing MD. Within the RN scope of practice, the model of care delivery is collaborative and consultative with responsibilities associated but not limited to: (1) developing and providing individualized education and plan of care for patient/support persons (2) developing and providing direct care as required by patient condition (3) education of clinical staff on the plan of care (4) providing follow up monitoring and direct patient care as required . Develops and implements evidence - based policy and procedures and acts as a wound and ostomy resource support to clinical staff and other members of the health care team. Works closely with the nurse educators and other nursing leaders to proactively develop and implement continuing education programs, orientation classes for new employees. Serves on committees and specialized workgroups . Job Description Minimum Qualifications : 1. Associate’s Degree in Nursing and c ompletion of an accredited Nursing Program. 2. Registered Nurse (RN) license. 3. Wound, Ostomy, and Cont inence Nursing (WOCN) certification. 4. One (1) year of related e xperience. Hours: Monday- Friday 8-4:30 We’re looking for compassionate, reliable caregivers across multiple service territories, including Greater Lowell, Merrimack Valley, Essex County, North Shore, and surrounding communities, as well as territories in New Hampshire, including Merrimack Country, Hillsborough County and Rockingham County 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. Consults as ordered by MD on patients with complex wounds, skin, and ostomy issues and recommends appropriate plan of care . Provides direct care to patients with complex wound/skin care needs, including but not limited to: marking ostomy sites pre-op, changing ostomy appliances, and applying dressings and other interventions to wounds, recommending best practices for pressure relief. Provides culturally competent, individualized patient education in the specialty area of practice to prepare patient/ s.o . for self-care and care area transition, such as to Home Care agencies and other facilities. Develops clinical staff expertise in the delivery of evidence based best practice skin, wound, and ostomy care via informal unit based as well as continuing education in conjunction with nurse educators, and other members of the health care team. Works with leadership and under the orders of surgeons. Helps to develop an outpatient Ostomy Clinic Visit program to follow ostomy patients and provide education and care as needed. Continuously evaluates products and treatment strategies to provide current, cost effective care to patients with wound, skin and ostomy issues . Strives to establish standardization in both products and protocols for patient care management. Promotes optimal relationships with local vendors/representatives of wound and ostomy supplies. Helps develop and participates in quality management and performance improvement monitors , collects data (including skin, wound, ostomy reportable event issues) and implements initiatives for improvement. Participates in Pressure ulcer prevalence studies with goal of improving outcomes. Collaborates with health care providers across the continuum, to provide Complete Connected Care and advocate for patients and families in our communities served. Actively participates in Wound Care Committee, Nursing Practice Council, and other committees as assigned. What We Offer: Competitive salaries & benefits that start on day one! 403(b) retirement with company match Tuition reimbursement Fleet Car Program About Care at Home: Tufts Medicine Care at Home is a proud member of Tufts Medicine, a health system that is rethinking how academic and community centers, local and national businesses, and technology and service innovators can all work together. So that clinicians can deliver expert care where it’s needed most and so that we can bring wellness back to health care, one person at a time. About Tufts Medicine A healthcare system that works Tufts Medicine is more than a health system — we’re a community that empowers people to live their best lives by reimagining healthcare, advancing knowledge and pioneering discovery. Every team member plays an integral role in realizing our vision of creating the most equitable and frictionless healthcare experience in the world. Here, you’ll join an enthusiastic community that champions your growth and receive generous benefits to support you and your family’s well-being. Tufts Medicine is an equal opportunity employer 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 : $84,300.22 - $107,481.20 
$120,000 - $150,000 / year
When you join the growing BILH team, you're not just taking a job, you’re making a difference in people’s lives. The Manager of Care Management has overall responsibility and accountability for the ongoing management and implementation of BILHPN’s care management programs for eligible risk patients; Ambulatory, Care Transitions, Quality, Chronic Care or other innovative programs. The manager is a key collaborator in the development of population health management strategies, program development and implementation within the team he/she/they manage. Essential Duties and responsibilities: 1. Recruits, hires, manages and evaluates care management staff, inclusive of Nurses, Social Workers, and other care management staff (eg. Patient Engagement Coordinator, Community Health Navigator). Works with BILHPN clinical excellence team and BILHPN Risk Unit and primary care leadership to organize and assign the team to maintain adequate staffing levels. Develops and implements competencies and provides ongoing education. (essential) 2. Aligns and Directs work of team to BILHPN strategic priorities in order to achieve clinical and financial program goals and related outcome measures as developed by the Director of Network Care Management and Clinical Excellence Leaders. (essential) 3. Jointly develops programs and/or approaches that ensure effective case management and smooth transition of patients between care settings. This may include working with hospital, post acute, and community care management representatives within and external to BILH. Also coordinates medical management and delegation activities with new provider groups to ensure compliance with agreements. Coordinates care management activities within risk unit and primary care offices to ensure programmatic integrity, specialty services and off site case management. (essential) 4. Oversees agreements with payers and provider groups to conduct case management using specified registries and web applications. Ensures that required performance measures are achieved and maintained. Works with PCPs to ensure appropriate coordination of care of identified risk patients / members. (essential) 5. Initiates mechanisms for working with representatives of payer organizations to achieve mutual goals of quality, cost effective care. Participates in developing responses to new contracts and contract changes. Develops a program for working with health plan nurse case managers. (essential) 6. Follows trends in care management of special populations or disease management of specified chronic illnesses. Recommends incorporation of programs to BILHPN Director of Network Care Management or Clinical Excellence Leaders required. (essential) 7. Has the authority to direct and support employees daily work activities. Has the direct responsibility to undertake the following employment actions: hiring, termination, corrective action and performance reviews. Direct Reports: More than 7 Indirect Reports: 1-5 9. Assists in planning, monitoring and/or managing budget in functional area of department. Job Description: Education : BSN required, MSN Preferred Licensure, Certification & Registration : RN Case Management Certification (CCM preferred) Experience : 5-8 years related work experience required within Population Health, Ambulatory focused Care Management. 5 – 8 years related work experience required within ACO, and/or managed care or commercial payors. 1-3 years supervisory/management experience required. Skills, Knowledge & Abilities : Strong development, analytic and systems building skills. Must be facile with physician relations, developing systems and procedures, developing and operating a capitated managed care infrastructure, continuous quality improvement, human resources management and fiscal management. Excellent written and verbal communication skills. Must have a professional demeanor and the ability to deal with physicians, senior management, and local industry. Capable of serving as a spokesperson and leader of the integration process and communicate the vision to others in the community. A well-defined style that demonstrates confidence, maturity, self-motivation, high energy, collaboration, high intellect and leadership qualities. Excellent interpersonal skills, be an appropriate risk taker, politically savvy, diplomatic, able to deal with ambiguity, flexible, organized, results oriented, a hard worker, a quick study, good with details and have integrity. Ability to function as a facilitator who can further the organization to serve the evolving Network. Strong clinical background. Experience in managed care, community nursing, and outpatient case management, post acute care, quality measure gap closure, and disease management programs. Leadership experience in program and/or staff development. Advanced skills with Microsoft applications which may include Outlook, Word, Excel, PowerPoint or Access and other web- based applications. May produce complex documents, perform analysis and maintain databases. Working within EMR’s: Epic, ECW, OMR, Medi-tech, Athena, Arcadia Pay Range: $120,000.00 USD - $150,000.00 USD The pay range listed for this position is the annual base salary range the organization reasonably and in good faith expects to pay for this position at this time. Actual compensation is determined based on several factors, that may include seniority, education, training, relevant experience, relevant certifications, geography of work location, job responsibilities, or other applicable factors permissible by law. As a health care organization, we have a responsibility to do everything in our power to care for and protect our patients, our colleagues and our communities. Beth Israel Lahey Health requires that all staff be vaccinated against influenza (flu) as a condition of employment. More than 35,000 people working together. Nurses, doctors, technicians, therapists, researchers, teachers and more, making a difference in patients' lives. Your skill and compassion can make us even stronger. Equal Opportunity Employer/Veterans/Disabled 
Overview Associate or bachelors degree in nursing. One year of clinical RN experience in home health or hospice. One year of RN management experience. Current RN license, specific to the state(s) you are assigned to work. Current CPR certification. Our compensation reflects the cost of labor across several U.S. geographic markets and may vary depending on location, job-related knowledge, skills , and experience. 
