Nursing Jobs in Hull, MA

Benchmark Senior Living Quincy, MA

LPN - Licensed Practical Nurse, Full Time

$37.25 - $41.25 / hour

Join, stay, and grow with Benchmark. Connect with your calling. We are looking for a compassionate Licensed Practical Nurse (LPN) to join our team! As a Licensed Practical Nurse, your main role will be to deliver nursing care to our residents within a warm, comfortable, and home-like environment. You will be part of a team of dedicated, like-minded individuals whose support and camaraderie build community, and where long-lasting relationships with both associates and residents await. If you possess a dedication to assisting others, take immense pride in your work, and are looking for a remarkable company that aligns with those values, then this opportunity is made for you! Responsibilities Accurately assesses, communicates, and documents residents’ status. Observes and reports any significant changes in resident behavior and health to the Resident Care Director, physician, family, RCAs, and Executive Director per state regulations. Directs and supervises the daily work assignments of the Resident Care Assistants. Closely mentors, guides, and directs the Lead Resident Care Assistants in all aspects of their job. Coordinates care needs with community providers via an effective case management process. Effectively balances service demands with supporting resident independence. Recognizes and assists in the prevention of elder abuse, neglect, and exploitation (financial and other) and reports to appropriate sources per state regulations. Responds to emergencies and personal emergency response system and knows when to call for backup. Requirements Current state license as an LPN and CPR certification Graduate of an approved LPN program (per state requirements) Minimum of 1 to 2 years of experience working as a nurse preferred Previous experience working with the elderly in a paid or volunteer position is highly desirable As a community associate at Benchmark, you will have access to a variety of benefits including, but not limited to, the following: 8 holidays & 3 floating holidays Discounted Meal Program Paid Training & Company-provided Uniforms Associate Referral Bonus Program Physical & Mental Health Wellness Programs 401k Retirement Plan with Company Match* Medical, Vision & Dental Benefits* Tuition Reimbursement Program* Vacation and Health & Wellness Paid Time Off* *Eligibility may vary by employment status

Part-time

South Shore Health Weymouth, MA

RN Per Diem 2

If you are an existing employee of South Shore Health then please apply through the internal career site. Requisition Number: R-21680 Facility: LOC0001 - 55 Fogg Road55 Fogg Road Weymouth, MA 02190 Department Name: SSH Care Progression Status: Part time Budgeted Hours: 0 Shift: Varied Shifts (United States of America) Under the general supervision of the Case Management Manager acts as a patient advocate/Case Manager to SSH&EC clients. An autonomous role that coordinates, negotiates, procures services and resources for, and manages the care of complex patients to facilitate achievement of quality and cost efficient patient outcomes. Looks for opportunities to reduce cost while assuring the highest quality of care is maintained. Applies review criteria to determine medical necessity for admission and continued stay. Provides clinically-based case management, discharge planning and care coordination to facilitate the delivery of cost-effective quality healthcare and assists in the identification of appropriate utilization of resources across the continuum of care. Works collaboratively with interdisciplinary staff internal and external to the Organization. Participates in quality improvement and evaluation processes related to the management of patient care. *Commits to working a minimum of 32 hours, with at least 16 hours (in 2 shifts) worked during a night and/or weekend per 4 week schedule. Also works 1 major summer or winter holiday. Compensation Pay Range: $59.42 - $86.20 ESSENTIAL FUNCTIONS 1 - The RN Case Manager is responsible for reviewing the medical record of all observation and inpatient admissions and continued stays to ensure appropriate utilization and delivery of care. a - Using Interqual Criteria, physician certification, and payor specific criteria, assists the physician in determining the medical necessity for observation, admission and continued stays. b - Identifies cases daily that fail to meet criteria and refers these cases to appropriate manager or physician advisor for secondary review. c - Contacts attending physicians daily on cases that lack adequate documentation warranting acute hospitalization and clarifies for them the necessary clinical documentation required to help support medical necessity d - Contacts the attending physician to notify him/her of decision to issue notice of non-coverage. Explains UR process and insurance coverage requirements. Obtains physician written concurrence when necessary; e.g., Medicare patients. Informs the patient and/or next of kin when insurance coverage must be terminated for the current admission. Issues the termination letter for the Medicare patient e - Reinstates insurance coverage when patient condition becomes acute and meets criteria again. Issues reinstatement letter. f - Continues review of all patients using criteria and determines need for continued hospitalization based upon third party payor/insurance guidelines. g - Provides clinical data/information to contracted third-party payers while patient is hospitalized to ensure continued reimbursement and to avoid reimbursement delays within 24 hours of request. h - Continues review of all patients using criteria and determines need for continued hospitalization based upon third party payer/guidelines. 2 - Plays an essential role in assisting physicians, nursing and staff with accurate determination of a patient’s observation status. The RN Case Manager is an important resource in preventing delayed discharges of observation patients. a - Identifies and reviews observation patients to determine the correct patient level of care daily prior to 12 PM. b - Consults with physicians, nursing, admitting, and outside insurance case managers to determine the appropriate status of patient. Refers the questionable status to internal physician advisor or EHR according to the Departmental Process. c - Assumes the role of review coordinator for observation services; reviews medical record for appropriateness of status and level of care, and facilitates the level of care, utilizing InterQual for Observation. d - Works with physicians, nursing and staff, patients and families to arrange prompt and safe discharge e - RN Case Manager must take telephone orders from physicians changing patient status from observation to inpatient admission. This should be done when monitoring observation status. A call or page should be made to physician if the RN Case Manager believes that this should be an inpatient admission and not wait until the 24 hours are ending before conversion. RN Case Manager must actively monitor patients on observation status and seek to clarify their status as close to the 24-hour benchmark as possible. The RN Case manager must send a concern in a timely fashion to facilitate the patient being put into the correct patient status and to provide timely notification. 3 - Participates in case finding and pre-admission evaluation screening to assure reimbursement. a - Identifies potential transition planning problems in a timely manner to set up services required. b - Works with attending physician to move patient through the SSH&EC system and set up appropriate services or referrals; e.g., SNF/VNA/Home Pharmacy c - Identifies need for new resources if gaps exist in service continuum, and initiates creative care delivery options. 4 - The RN Case Manager is responsible for assessing patient acute level of care needs and works to implement and coordinate interventions aimed at facilitating a safe and timely discharge plan to the appropriate sub-acute settings in collaboration with the Case Manager Specialist. a - With the Case Manager, work to identify, and prioritize workflow through identification of patient specific, department needs and or unit based needs. b - Executes and implements a safe and effective discharge plan based on the case management assessment in accordance with the Conditions of Participation. c - Makes and documents appropriate changes to discharge plan when necessary. d - Proactively uncovers barriers to early/timely discharge and overcomes them. e - Facilitates and coordinates patient care rounds. f - Conducts necessary conferences and team meetings regarding specific patient needs. g - Implements interventions that lead to patient accomplishing goals established in Plan. h - Coordinates the necessary resources to accomplish goals developed in Plan. i - Proactively affects system to facilitate efficient flow of care, anticipates discharge process. j - Gathers information from multidisciplinary team and monitors appropriate discharge plan. 5 - Continued. a - Uses and Updates the interdisciplinary patient White Board for communication enhancement; including RN Case Manager name, time/date/plan for discharge. b - Issues the Medicare Important Message (IM). c - Proper use of the Medical Necessity form for post discharge transportation. d - Use of technical tools, i.e., eDischarge, EHR, Interqual, MCCM e - Identifies and / or facilitates establishment of a patient’s Health Care Proxy.p) f - Identifies patient Care Plan Partner. g - Fosters patient and family awareness of Patient Portal. 6 - Ensure that patient has received all information related to choice of follow-up care facilities according to patient and family preference and any ACO preferred contracted providers. a - Ensure that, at minimum, 3 referrals are processed for continuum of care providers b - Document choices provided, with special consideration of ACO relationships and preferences; and selections made by patient and/or family in medical record. c - Expedite and process referrals, in a timely manner to department standards, including requesting and tracking screenings and acceptances of patients by care providers, expediting responses from provider facility personnel as necessary. d - Document response by providers. e - Delivers the Medicare Important Message (IM) per department protocol. f - Have patient, family/healthcare Proxy sign discharge plan. 7 - Interacts, communicates, and intervenes with multi-disciplinary healthcare team in a purposeful, goal-directed fashion. Works pro-actively and utilizes critical thinking skills to maximize the effectiveness of resource utilization. Anticipates, initiates, and facilitates problem resolution around issues of resource use and continued hospitalization, discharge planning. a - Establishes a means of communicating and collaborating with physicians, other team members, the patient’s payers, and administrators. b - Explores strategies to reduce length of stay and resource consumption within the care managed patient populations, implements them and documents the results. c - Communicates to appropriate members of healthcare team patients at risk of losing insurance coverage via termination of benefits, facilitates discharge plan d - Maintains a pro-active role to ensure appropriate documentation concurrently to minimize inefficient resource utilization and prevent loss of reimbursement e - Reviews physician documentation and follows procedures to seek clarification where indicated of that documentation relative to diagnosis and comment on the patient’s clinical state. f - Coordinate and participate in daily multidisciplinary patient care rounds. g - Uses the SBAR method to communicate with MD, and peers h - Acts as a clinical resource to support the Case Manager Specialist in resource utilization and discharge planning the more clinically complex or long length of stay patient. 8 - Establishes and maintains effective communication with all referral sources, insurers, vendors and patient supplier systems. 9 - Maintains consistently a professional commitment to institutions and department’s goals and objectives. Demonstrates flexibility to the department’s needs in relation to floor and work schedule, and any other internal and external demands on the department. Continually shows commitment to the Department by extending self when need arises. 10 - Maintains an updated knowledge base of and references resources outlining provider benefits for care choices, including public, private, and governmental payers and established / preferred ACO relations a - Maintains a working knowledge of the requirements of the payers most frequently seen with the patient population. b - Maintains a working knowledge of the resources available in the community for patients/families. c - Maintains current nursing licensure CEU credits, case management certification CEU's. d - Maintains Interqual Certification. 11 - Is responsible for department operational excellence, regarding safe and effective discharge planning; assures department delivers quality services in accordance with applicable policies, procedures and professional standards. a - Manages all activities so that quality services are provided in an efficient and effective manner. b - Services provided meet all applicable regulatory requirements c - Participates in departmental and organizational Quality Improvement initiatives involving the Lean principles and TIM WOODS. d - Maintains departmental productivity measurements. e - Has an awareness of departmental productivity measurements including LOS and utilization f - Follows department policies, procedures, and standards of care that support operational excellence and productivity measurements 12 - Attains all agreed to goals and objectives within specified time frames, as part of the organization’s overall mission. 13 - Technology – Embraces technological solutions to work processes and practices. a - eDischarge, EHR, Interqual, MCCM, Epic, Workday JOB REQUIREMENTS Minimum Education - Preferred Registered Nurse, Bachelors prepared strongly preferred Minimum Work Experience 3-5 years acute care hospital experience preferred Critical Care or Emergency Department experience highly desirable Required Licenses / Registrations RN - Registered Nurse Required Certifications ACM-Accredited Case Manager or CCM-Certified Case Manager within two years of hire Required additional Knowledge, and Abilities Demonstrated skills in the areas of: negotiation, communication (verbal and written), conflict, interdisciplinary collaboration, management, creative problem solving, and critical thinking, time management and ability to multitask in high stress environment. Knowledge of: healthcare financing, community and organizational resources, patient care processes, and data analysis. Knowledge of utilization management as it relates to third party payers Knowledge of post-acute care community resources Experience with Managed Care preferred. Excellent verbal and written communication skills required. Demonstrates flexibility via an ability to adapt to changing priorities and regulations. Basic computer skills required. Varied shifts and days. Weekend and holiday commitment. Responsibilities if Required: Education if Required: License/Registration/Certification Requirements: ACLS (AHA) Advanced Cardiac Life Support Certification - American Heart Association (AHA) (Including courses offered through SSH), Basic Life Support (BLS) Certification - American Heart Association (AHA) (Including courses offered through SSH), Emergency Response Training (ERT) Certification - SSH Education & Training, INSTRUCTOR- Advanced Cardiac Life Support (ACLS) - American Heart Association (AHA) (Including courses offered through SSH), INSTRUCTOR- Basic Life Support (BLS) - American Heart Association (AHA) (Including courses offered through SSH), Neonatal Resuscitation Program (NRP) Certification - American Heart Association (AHA) (Including courses offered through SSH), OB- Emergency Response Training (ERT) - SSH Education & Training, Pediatric Advanced Life Support (PALS) Certification - American Heart Association (AHA) (Including courses offered through SSH), RN-Registered Nurse - Board of Registration in Nursing (Massachusetts), Trauma Care After Resuscitation (TCAR) - TCAR Education Programs, Trauma Nurse Core Course (TNCC) - Emergency Nurses Association - (ENA)

Beth Israel Lahey Health Beverly, MA

Registered Nurse (RN) - Endoscopy, 36 hour, Days

When you join the growing BILH team, you're not just taking a job, you’re making a difference in people’s lives. WE CARE by fostering the wellbeing of a health-focused workplace that supports work-life balance, empathy in understanding others' perspectives, collaboration for extraordinary results, accountability to achieve collective goals, respect for diversity and inclusiveness, and equity by ensuring everyone has the opportunity to reach their full potential. Job Description: Beverly Hospital promotes the culture and philosophy which enables employees to give and receive the best of care. You can become a part of the team that achieves this success through our WE CARE values of Well Being, Empathy, Compassion, Accountability , Respect and Equity. As an RN in Endoscopy, you will assume responsibility to lead the Endoscopy patient care team in providing quality patient care. Assesses, plans, implements and evaluates patient care from admission to discharge. Assists the physician with diagnostic/therapeutic endoscopic procedures and monitors the physiological status of the patient throughout the pre, intra and post-procedure periods. Maintains departmental on-call responsibilities during off-shifts, weekends and holidays, on a rotating basis . Acts as a role model to staff members and directs, assigns and supervises ancillary staff team members in providing the appropriate level of care most efficiently. Is able to effectively manage the team work concept and remains flexible in response to changes. Demonstrates a commitment to evidence-based practice and performs by the philosophy, established policies and procedures, and standards of the Nursing Division, Endoscopy Department, and the Hospital. 36 hours a week, Full-time day shift, Monday-Friday. On-call is required . The average amount of on-call is 4-5 shifts per month. Weekday hours will be either 5:30 pm-11 pm or 11pm-6 am and weekend and holidays are 7am-7 pm or 7 pm-7 am. You are paid an hourly on-call rate, and if called in, you will be paid time and a half. Education/Experience: Graduate of an accredited school of nursing BSN preferred Previous Endoscopy, ED, Surgical &/or ICU/CCU experience preferred Previous IV insertion experience preferred. Previous experience with Procedural Sedation preferred Certification/License: Current Massachusetts RN Licensure Basic Life Support ( AHA) Advanced Cardiac Life Support (AHA) Pay Range: $36.00 - $79.12 This position is covered by a collective bargaining agreement. The pay range listed for this position is the base hourly wage range the organization reasonably and in good faith expects to pay for this position at this time. The pay range for this position is established and governed by the terms of the applicable collective bargaining agreement. Employees hired into this position will receive compensation consistent with the terms of the applicable collective bargaining agreement. 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

Per Diem

The Rehabilitation & Nursing Center at Everett Everett, MA

Registered Nurse (RN)

$50 / hour

New Hire Rate: (Make up To $50/hr) We offer the Following: Premium Compensation Great Benefits Package Professional Growth & Stability Benefits: 401(k) Dental insurance Health insurance Paid time off Vision insurance RESPONSIBILITIES: · Monitor the daily delivery of nursing care and nursing staff performance as they deliver nursing care to the patients/residents in accordance with established policies and procedures · Plan and conduct shift staff meetings on a regular basis to assist in identifying and correcting problem areas and to assist in the improvement of services · Identify problems or potential problems in the delivery of nursing care to residents and implement corrective action immediately · Make written and oral reports/recommendations to the Director of Nursing as necessary · Assist in developing methods for coordinating nursing services with other resident services to ensure the continuity of the resident's total regimen of care · Begin investigation of all accidents, including staff interviews, data gathering and report writing · Interpret the nursing department's policies and procedures to personnel, resident, visitors, and government agencies as required · Develop work assignments and/or assist in completing and performing such tasks · Delegate to each Charge Nurse the administrative authority, responsibility, and accountability necessary to perform his/her assigned duties · Make daily rounds of assigned units at a minimum at the beginning and end of the shift, depending upon the activity of the units · Follow-up on complaints and grievances filed by resident, families, or staff. Take corrective action as needed and make reports to the Director of Nursing · Ensure that emergency equipment/supply checks are done each shift · Ensure that the resident's environment is maintained in a clean and safe manner · May make determination of death when necessary · Participate in the orientation program for new assigned nursing staff to facilitate their assimilation into the workplace within a reasonable time span and to ensure that each staff member understands his/her role, responsibilities and standards of performance · Complete written performance evaluations on the assigned staff following probation and thereafter annually, and when performance dictates the need, complete additional evaluations · Initiate corrective and progressive disciplinary action, as needed · Ensure that nursing personnel are performing their work assignments in accordance with acceptable nursing standards · Ensure that all nursing service personnel comply with the policies and procedures, including dress code as set forth in the Nursing Procedure Manual · Ensure that an enough nursing staff are scheduled and available for your/next tour of duty to ensure that quality care is maintained, and nursing care needs of the patient/resident are met · Plan, schedule and conduct unit-based in-services as needs are identified · Monitor assigned personnel to ensure that they are following established procedures in the use of equipment · Recommend to the Director of Nursing the equipment and supply needs of the department · Monitor nursing procedures to ensure that nursing service supplies are used in an efficient manner to avoid waste · Ensure the prompt repair or replacement of medical/nursing equipment when necessary · Oversee the nursing care to patients/residents to ensure safe, efficient, and customer-oriented services are always delivered. · Inform nursing staff of new admission arrivals and the expected time of arrival · Ensure that rooms are ready for the new admission · Visit resident on report daily to observe and evaluate each resident's physical and emotional status · Review the nurse's notes to ensure that they are informative and descriptive of the nursing care being provided · Start and restart IV’s when ordered and when necessary · Ensure the staff refer to the resident's care plan prior to administering care to the resident · Assist the staff nurses in monitoring seriously ill resident · Ensure that all nurses on your shift comply with the written procedures for the administration, storage and control of medications and supplies · Monitor medication passes and treatments to ensure compliance with physician orders and facility policy · Review medication administration records (MAR) for completeness of information, accuracy in the transcription of physician orders · Inspect nursing treatment areas daily, such as clean utility room, to ensure that they are maintained in a clean and safe manner · Consult with the resident, family, and physician in planning the resident's care, treatment and rehabilitation · Assist in arranging transportation for transfers to the hospital · Participate in the implementation of facility quality improvement program for the nursing service department · Participate in facility surveys (inspections) made by authorized government agencies as requested by the Administrator or Director of Nursing · Attend and actively participate in various committee meetings such as Infection Control, Safety, and Performance Improvement as requested · Implement recommendations from committees as instructed by the Director of Nursing · Perform Performance Improvement audits as assigned · Participate in and adhere to employee health, safety, security and corporate compliance programs and activities · Participate in the implementation and maintenance of the Infection Control program for monitoring and/or reporting communicable and/or infectious diseases among resident and personnel · Report malfunction of equipment and/or broken furniture immediately to Maintenance Department · Receive annual physical including appropriate screening for tuberculosis · The ability to conduct all activities within the resident abuse prevention manual · Cooperate with investigations regarding employee health, safety, security, and corporate compliance programs · Report all accident and incidents to Supervisor immediately upon occurrence · Correct unsafe or hazardous condition encountered, if unable to correct, report condition to immediate Supervisor upon discovery · Conduct all activities within established safety, security and infection control procedures and guidelines Conducts all activities within established corporate compliance policies and procedures · Observe and respond to all standing security precautions, devices, and alerts as they pertain to work and common area · Respond to fire/disaster drills and emergencies · Ensure that all personnel performing tasks that involve potential exposure have attended the appropriate in-service training prior to performing such tasks · Ensure that all residents are wearing appropriate identification bracelets · Participates in mandatory in-service and job training · Assist the Director of Staff Development in providing off shift in-services as necessary · Assist in the Quality Assurance and Performance Improvement (QAPI) process QUALIFICATIONS: EDUCATION / EXPERIENCE: · Bachelor of Science in Nursing (preferred) · Current registration and license to practice as a Registered Nurse in the state employed in MA · Peripheral IV certification · Two years of clinical nursing experience · One-year experience in a management position preferred · One-year experience in geriatrics and subacute population · CPR/BLS certified · The ability to read, write, speak, and understand the English language required, knowledge of other language helpful We are an Equal Opportunity Employer –M/F/D/V ACKNOWLEDGEMENT Please note this job description is not designed to cover or contain a comprehensive listing of activities, duties or responsibilities that are required of the employee for this job. Duties, responsibilities, and activities may change at any time with or without notice. All pay rates and bonuses are paid and/ or awarded to employees based on the facilities policy and/ or the CBA, depending on the position.

LPN

Benchmark Senior Living Boston, MA

LPN, Licensed Practical Nurse: FT

Join, stay, and grow with Benchmark. Connect with your calling. We are looking for a compassionate Licensed Practical Nurse (LPN) to join our team! As a Licensed Practical Nurse, your main role will be to deliver nursing care to our residents within a warm, comfortable, and home-like environment. You will be part of a team of dedicated, like-minded individuals whose support and camaraderie build community, and where long-lasting relationships with both associates and residents await. If you possess a dedication to assisting others, take immense pride in your work, and are looking for a remarkable company that aligns with those values, then this opportunity is made for you! Responsibilities Accurately assesses, communicates, and documents residents’ status. Observes and reports any significant changes in resident behavior and health to the Resident Care Director, physician, family, RCAs, and Executive Director per state regulations. Directs and supervises the daily work assignments of the Resident Care Assistants. Closely mentors, guides, and directs the Lead Resident Care Assistants in all aspects of their job. Coordinates care needs with community providers via an effective case management process. Effectively balances service demands with supporting resident independence. Recognizes and assists in the prevention of elder abuse, neglect, and exploitation (financial and other) and reports to appropriate sources per state regulations. Responds to emergencies and personal emergency response system and knows when to call for backup. Requirements Current state license as an LPN and CPR certification Graduate of an approved LPN program (per state requirements) Minimum of 1 to 2 years of experience working as a nurse preferred Previous experience working with the elderly in a paid or volunteer position is highly desirable As a community associate at Benchmark, you will have access to a variety of benefits including, but not limited to, the following: 8 holidays & 3 floating holidays Discounted Meal Program Paid Training & Company-provided Uniforms Associate Referral Bonus Program Physical & Mental Health Wellness Programs 401k Retirement Plan with Company Match* Medical, Vision & Dental Benefits* Tuition Reimbursement Program* Vacation and Health & Wellness Paid Time Off* *Eligibility may vary by employment status