Nursing Jobs in Dunstable, MA
$91,879.42 - $117,150.49 / 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 Home Care Nurse duties: Assesses, plans, implements, and evaluates the care needs of a designated group of patients or provides nursing care and identified clinical support tasks within the scope of practice for achievement of the patient’s plan of care as directed . Provides professional nursing care to patients. Requires a nursing license . A professional individual contributor role that may direct the work of other lower level professionals or manage processes and programs . The majority of time is spent overseeing the design, implementation or delivery of processes, programs and policies using specialized knowledge and skills typically acquired through advanced education . A specialist level role that is a recognized subject matter expert in job area typically obtained through advanced education and work experience . Typically manages large projects or processes with limited oversight from manager, coaches, reviews and delegates work to lower level professionals, resolving difficult and often complex problems. Job Overview Th is position develops, implements, and oversees the wound care program; provides leadership; serves as a clinical resource and mentor, providing dependable consultation and guidance; provides consultation visits; promotes quality care and continuous performance improvement. The position carries out her/his responsibilities consistent with Agency policies, practices, mission and vision, and with instructions as set forth by leadership . As a key member of the health care team, the position must interact courteously and effectively with patients and their families as well as with co-workers from all Agency departments, community resources, and with patients' physicians in order to facilitate safe and efficient patient care. Job Description Minimum Qualifications : 1. Massachusetts RN Licensure. 2. Wound, Ostomy, Continence Nursing (WOCN) certification. 3. Three (3) years of Wound, Ostomy, Continence Nursing experience. 4. Two (2) years of Home Health experience. Preferred Qualifications : 1. Bachelor of Science in Nursing (BSN). Hours: Full Time, 40hrs. Weekend/Holiday Rotation Required. Location: Lowell, MA and surrounding areas. 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. Provides leadership, oversight, and dependable clinical guidance for the Wound Care Program, nurse managers, and nursing staff, consistent with the objectives of the P.I.C. 2. Assists in establishing plans for care delivery, including case conferencing and referral to the Ethics Committee. 3. Assures adequate delivery of care to patients without discrimination on the basis of race, gender, religious affiliation, etc., or ability to pay for services. 4. Contributes to the P.I.C.; assists with the development of written plans, policies, procedures, and protocols related to wound care and treatment. Contributes to Process Improvement activities and continuing evaluation of programs and performance in the P.I.C. Develops immediate and long-range goals. 5. Contributes to the development and evaluation of the Wound Care Program in accordance with the philosophy, objectives , and mission of the Agency. 6. Plans and regularly conducts the Wound Care Committee. 7. Maintains balance between program and service demands; priorities and staff resources. Assumes responsibility for implementing change effectively, providing support to staff. 8. Demonstrates a caring and considerate response to staff needs by providing new employee orientation, training, ongoing supervision of professional staff, including home supervisory visits. Instructs staff nurses on all aspects of wound care documentation; reviews documentation for accuracy and completeness. 9. Ensure s that regulatory and licensing requirements for the provision of care are met. 10. Provides oversight and management of wound care supply orders and collaborates with vendors in the selection of supplies for the formulary. 11. Facilitates referrals to the program. Collaborates with primary nurses and other referral sources in referring patients to the wound care program. 12. Consults with Continuum of Care/Discharge Planning departments and other community resources including private physician’s offices. 13. Demonstrates lifelong learning by maintains an up-to-date awareness of trends and developments in wound care management and an awareness of Agency capabilities relative to patient needs. Demonstrates effective problem-solving skills; always analyzes the facts of a current situation when developing a plan of action. Maintains Professional Responsibilities. 14. Contributes to the Agency’s Education Programs. 15. Supervises staff in a firm, fair, and consistent manner; provides direction as necessary, leads by example. 16. Communicates with all contacts, as necessary, in an effective, professional manner. Uses appropriate communication channels. Provides complete documentation which is concise, accurate and informative, according to agency policy, and which supports reimbursement. 17. Completes physicians' orders, levels of care, and OASIS on all patients assigned, in accordance with patient care policies 18. Consults with Clinical Manager on a regular basis, keeping manager informed about progresses and concerns. 19. Reports Compliance concerns to the CEO or Chief Compliance Officer when applicable. 20. Records any changes noted in patient's condition and reports to attending physician. 21. Ensures compliance within guidelines set forth by regulatory agencies (DPH, ERISA etc.) and demonstrates compliance with Home Health Foundation policies and procedures. 22. Works closely with nurse managers and staff in coordinating necessary services for patients and serves as a resources for the wound care program. 23. Provides for professional development of the clinical nursing staff. 24. Works collaboratively with all disciplines, facilitating productivity, cooperation and efficient operations. 25. Develops criteria, tools, and methods for evaluation. 26. Assures that the philosophy and objectives permit program and service adjustments as needs change. 27. Evaluates performance of each individual in relation to established standards and that individual’s professional development. 28. Encourages and assists personnel to continue self-development and improvement through formal education, meeting , and/or professional organizations. 29. Maintains a reference library of material which is up-to-date and relevant to the day-to-day educational needs of the staff. Physical Requirements : 1. While performing the duties of this job, the employee is required to stand; walk; sit; use hands to finger, handle, or feel objects, tools or controls; reach with hands and arms; climb stairs; balance; stoop, kneel, crouch or crawl; talk or hear; taste or smell. 2. The employee must regularly lift and/or move 25 lbs and occasionally lift and/or move up to 100 lbs. 3. The employee in this position frequently communicates internally and externally. 4. Must be able to exchange accurate information via phone, email and/or in person. 5. Specific vision abilities apply including close vision, distance vision and ability to adjust focus. 6. Noise level in the work environment is usually moderate. 7. May be exposed to weather conditions prevalent at the time. Skills & Abilities: 1. Demonstrates expertise and knowledge in various areas, including, but not limited to: Current methods of care and treatment; Policies, procedures, and protocols which are specific to the Agency; Agency Infection Control Plan; A thorough knowledge of all reimbursement criteria as it relates to wound care visits and supplies; and A thorough knowledge of all regulatory criteria. 2. Excellent interpersonal skills. 3. Ability to function well in very busy situations ; effective at time management. 4. Responsible and reliable. 5. Good organization al skills. 6. K nowledge of the Medicare Conditions of Participation. 7. Ability to adapt to change. What We Offer Competitive salaries & benefits Medical, Dental and Vision benefits start day one 403(b) retirement with company match Tuition reimbursement and continuing education support - Access to MedBridge for PT CEUs and licensure/certification support, reinforcing our commitment to ongoing clinical development. Opportunities for career growth Fleet car program - A unique offering that reduces personal vehicle burden and supports clinicians in the field. Industry-Leading Safety Program – A one-of-a-kind Workplace Safety & Violence Prevention role dedicated to proactively addressing increasing safety concerns in healthcare settings. This program includes: AVADE de-escalation and self-safety training InvisaWear GPS-enabled safety devices Escort services to ensure staff safety in the field 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 : $91,879.42 - $117,150.49 
$87,360 - $98,603.60 / 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 : Part Time- 24 Hours, Friday-Sunday (Flexible hours) 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 Competitive salaries & benefits Medical, Dental and Vision benefits start day one 403(b) retirement with company match Tuition reimbursement and continuing education support - Access to MedBridge for PT CEUs and licensure/certification support, reinforcing our commitment to ongoing clinical development. Opportunities for career growth Fleet car program - A unique offering that reduces personal vehicle burden and supports clinicians in the field. Industry-Leading Safety Program – A one-of-a-kind Workplace Safety & Violence Prevention role dedicated to proactively addressing increasing safety concerns in healthcare settings. This program includes: AVADE de-escalation and self-safety training InvisaWear GPS-enabled safety devices Escort services to ensure staff safety in the field 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 : $87,360.00 - $98,603.60 
$126,838.40 - $173,867.20 / year
Site: The General Hospital Corporation Mass General Brigham relies on a wide range of professionals, including doctors, nurses, business people, tech experts, researchers, and systems analysts to advance our mission. As a not-for-profit, we support patient care, research, teaching, and community service, striving to provide exceptional care. We believe that high-performing teams drive groundbreaking medical discoveries and invite all applicants to join us and experience what it means to be part of Mass General Brigham. Job Summary Ambulatory MGBCI Waltham - Solid tumor APP Outpatient only- Full time, 40 hours, 4-10-hr shifts- M-F only With an interdisciplinary team approach, the NP or PA will promote a collaborative relationship between all providers, professional nurses and administrative staff, to ensure continuity of patient care. Focus is primarily on the care of breast medical oncology patients in our ambulatory clinic at MGH Waltham though cross coverage across solid tumor malignanies may be anticipated. In addition to providing direct and indirect patient care, the medical oncology APP serves as a role model for professional advanced practice and participates in the professional development of the team through teaching, committee involvement or quality and safety initiatives. The medical oncology APP will provide thorough, compassionate, culturally sensitive clinical care and should demonstrate operational flexibility and strong leadership, problem-solving and communication skills in order to work effectively with other members of the team. The NP/PA is responsible for: • Performs and records the patient history and physical examination and discusses findings with the collaborating team. Obtaining and coordinating laboratory results, charting of clinical findings in the EMR, orders, nursing instructions, and other required elements. • Utilizes advanced practice knowledge to identify, prevent or solve complex and/or recurring breast oncology patient care problems. • Follows and manages patients (in collaboration with MD) enhancing continuity of care. • Performs (oversees/assures completion of) specialized procedures particular to the select medical oncology population mutually agreed upon with collaborating physician. • Collaborates with staff and physicians to facilitate a comprehensive plan of care and coordinate resources and write appropriate orders improving access to care, establishing goals for the delivery of care to patients, participating in clinical research, and managing communications between physicians, patients, family, and staff. • Appreciates complex medication interactions. • Ensuring appropriate diagnostic procedures occur in a timely matter through careful coordination with other services such as radiology, facilitating various clinic appointments, communicating with patients regarding test results, and providing coverage for the team. • Educating patients regarding a variety of medical oncology issues associated with local or systemic therapy. • Indications and interpretation of radiology, pathology, and laboratory results. • Understands the complex medical environments of cancer patients including, but not limited to, those with advanced malignancy or organ dysfunction. • Writes orders which are in accord with current guidelines including antineoplastics. • Maintains and practices in accord with practice guidelines per state and hospital regulations. Provides consultation to both nurses and physicians and serves as a resource to staff in area(s) of expertise. • Serves on appropriate intra- and inter-departmental committees Collaborates with staff and other health care professionals to meet staff and patient educational needs. • Participates in the development of formal and informal educational programs for nursing and support staff. Monitors patient outcomes in accordance with defined standards of patient care. • Identifies system-wide factors contributing to undesirable outcomes, such as complications and over utilization of services. Supports and conducts research efforts to advance knowledge and to promote research-based practice. • Evaluates own practice and program effectiveness. • Identifies pertinent patient care and health delivery problems for investigation. • Evaluates current research findings for clinical specialty and determines applicability to practice. • Assists nursing and medical colleagues in research efforts. • Encouraged to conduct research. Responsible for own professional growth and maintenance of required credentials. • Maintains the standards and educational requirements specific to the position and licensure. • Identifies own learning needs and goals. • Takes responsibilities for leadership and participation on committees and task forces within patient care services and the hospital. • Maintains and updates clinical knowledge and skills based on current health care practice/research. • Is willing to obtain procedural proficiency for medical oncology specific procedures. Training will be provided. 2+ years advanced practice and medical oncology experience is preferred. Prior oncology RN experience is preferred for NP applicants. Proficiency with Epic and EMRs preferred. EPIC In-basket management, telemedicine experience preferred. Familiarity with clinical trials preferred. -Demonstrated competence in specialized area. -Ability to effectively communicate clinical information, care plans, etc. to medical and lay audiences; able to educate patients and their families regarding routine and complex medical information. -Skilled in creating appropriate documentation and use of electronic medical records to consistently provide high quality and timely documentation including progress notes, sign-off notes, and discharge planning. -Strong organizational and time management skills. -Ability to work independently as well as a member of a team; can effectively influence and lead as necessary. -Effectively uses analytical skills and problem-solving techniques in both clinical and operational matters. The Nurse Practitioner (NP) is a licensed provider. The NP is responsible for the assessment and management of various populations of patients, medical and/or surgical, including diagnostic and therapeutic interventions, development of appropriate plans of care and ongoing evaluation. Does this position require Patient Care? Yes Essential Functions -Provides direct care, counseling, and teaching to a designated patient population in the ambulatory, inpatient, operative, and/or procedural setting -Performs complete histories and physical examinations -Orders, interprets, and evaluates appropriate laboratory and diagnostic tests -Develops appropriate plans of care and follow-up based on the outcomes of diagnostic, laboratory, and physical examination findings -Consistently provides high quality and timely documentation including admission and progress notes, procedure notes, operative notes and discharge summaries -Performs bedside procedures as are appropriate to the patient population -Orders medications and writes prescriptions according to organizational and regulatory policies and procedures Qualifications Education -Master's Degree Nursing required or - Master's Degree Physician Assistant required Can this role accept experience in lieu of a degree? No Licenses and Credentials -Registered Nurse [RN - MA] - preferred -Nurse Practitioner [NP] / Advanced Practice Registered Nurse [APRN] [MA] - preferred or - Physician Assistant- Massachusetts preferred Experience Experience as a nurse practitioner 0-1 year preferred Knowledge, Skills and Abilities - Skilled in taking medical histories to assess medical condition and interpret findings. - Ability to maintain quality control standards. - Ability to react calmly and effectively in emergency situations. - Ability to interpret, adapt and apply guidelines and procedures. - Ability to communicate clearly and establish/maintain effective working relationships with patients, medical staff and the public. Additional Job Details (if applicable) Remote Type Onsite Work Location 52 Second Avenue Scheduled Weekly Hours 40 Employee Type Regular Work Shift Day (United States of America) Pay Range $126,838.40 - $173,867.20/Annual Grade 7 At Mass General Brigham, we believe in recognizing and rewarding the unique value each team member brings to our organization. Our approach to determining base pay is comprehensive, and any offer extended will take into account your skills, relevant experience if applicable, education, certifications and other essential factors. The base pay information provided offers an estimate based on the minimum job qualifications; however, it does not encompass all elements contributing to your total compensation package. In addition to competitive base pay, we offer comprehensive benefits, career advancement opportunities, differentials, premiums and bonuses as applicable and recognition programs designed to celebrate your contributions and support your professional growth. We invite you to apply, and our Talent Acquisition team will provide an overview of your potential compensation and benefits package. EEO Statement: 1200 The General Hospital Corporation is an Equal Opportunity Employer. All qualified applicants will receive consideration for employment without regard to race, color, religious creed, national origin, sex, age, gender identity, disability, sexual orientation, military service, genetic information, and/or other status protected under law. We will ensure that all individuals with a disability are provided a reasonable accommodation to participate in the job application or interview process, to perform essential job functions, and to receive other benefits and privileges of employment. To ensure reasonable accommodation for individuals protected by Section 503 of the Rehabilitation Act of 1973, the Vietnam Veteran’s Readjustment Act of 1974, and Title I of the Americans with Disabilities Act of 1990, applicants who require accommodation in the job application process may contact Human Resources at (857)-282-7642. Mass General Brigham Competency Framework At Mass General Brigham, our competency framework defines what effective leadership “looks like” by specifying which behaviors are most critical for successful performance at each job level. The framework is comprised of ten competencies (half People-Focused, half Performance-Focused) and are defined by observable and measurable skills and behaviors that contribute to workplace effectiveness and career success. These competencies are used to evaluate performance, make hiring decisions, identify development needs, mobilize employees across our system, and establish a strong talent pipeline. 
