Nursing Jobs in Lexington, MA
$123,947.20 - $224,122.21 / year
If you are an existing employee of South Shore Health then please apply through the internal career site. Requisition Number: R-22949 Facility: LOC0001 - 55 Fogg Road55 Fogg Road Weymouth, MA 02190 Department Name: SSH Hospitalists APC PB Status: Full time Budgeted Hours: 36 Shift: Evening (United States of America) Under the general guidance of the Hospitalist Director the Nurse Practitioner/Physician Assistant will evaluate, diagnose and treat patients following written guidelines approved by the Department of Medicine. As a Hospital Medicine Provider at SSH, you will report, through the Hospitalist Program leadership team including the Lead Advanced Practice Clinician and Program Director. You will have such duties and responsibilities as are set forth below and as may be reasonably requested by SSH from time to time. You shall perform the medical services faithfully, with due diligence and efficiency, to the best of your ability, and in accordance with the applicable standards of your profession, canons of professional ethics and all laws and SSH policies in effect from time to time. SSH recognizes that teamwork and flexibility are essential to providing 24-hour per day patient-centered care. SSH expects you to be respectful of your patients, other health care providers, and the physicians and staff of SSH. You shall be professional at all times and adhere to HIPAA standards with regard to maintaining confidentiality of patient information. You will have several different roles as a SSH Hospital Medicine Provider. These roles include admitting, rounding, and performing consults at the request of other providers. Regardless of role, you will be required to use approved SSH patient care treatment plans and order sets, when appropriate. Compensation Pay Range: $123,947.20 - $224,122.21 Essential Functions: Obtains a detailed and accurate medical history and performs a comprehensive physical exam for patients admitted to the Hospital. Orders necessary diagnostic tests, consultations and procedures as indicated or requested by the Hospital Medicine Consultant or attending physician. Identifies and manages chronic medical conditions and provides continuous care to hospitalized inpatients. Has familiarity with current guidelines regarding the assessment of the risk of a perioperative cardiovascular event for pre-operative patients (such as RCRI, and ACS-NSQIP) and pre-operative medical optimization. Prescribes medications, as necessary. Writes orders in accordance with current practice guidelines. Writes complete and comprehensive notes on all patients using appropriate electronic systems consistent with Hospital policy. Facilitates timely care, as necessary. Actively participates in the South Shore Health System readmission reduction efforts. Reviews the care of each patient with the attending physician and other consultative services. Maintains communications with referring physicians. Collaborates with the patient care team (physicians, nurses, PT/OT, case management) to develop and facilitate care plan. Proactively manages patients to prevent complications. Provides urgent evaluation to patients with changes in clinical status. Prepares patients for discharge, including patient and family discharge teaching, continuing care and rehabilitation arrangements in conjunction with Nursing and Care Progression, writing discharge prescriptions, and confirming primary care or referring physician follow-up. Prepares formal discharge summaries for or with Hospitalist. Possess the maturity, self-confidence, and ability to follow complex patient management plans as directed by the attending physician. Eligible for state and federally controlled substances registration. Demonstrate the knowledge and skills necessary to provide care appropriate to the age of the patients served on his/her assigned unit. Time Management: Exceptional organizational skills and ability to organize time and priorities effectively, asking for direction when appropriate. Flexibility to handle multiple tasks and deadline pressures. Quality Improvement: Skills to work efficiently and effectively and strive to do so in all aspects of position. Minimum Education - This position is a licensed independent practitioner credentialed through the Medical Staff Services Office Completion of Advanced Physician Assistant or Nurse Practitioner training program from an accredited institution. All licensure re-certifications, as required. Required additional Knowledge, and Abilities Demonstrated history of proficiency in the delivery of medical care to adult patients. Demonstrated successful completion of the SSH Credentialing process. ACLS Certification Minimum Work Experience 2 years of Acute Medicine experience, preferred. Full Time- Evening/Swing shifts. Weekend requirement 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), Certified Nurse Practitioner - Board of Registration in Nursing (Massachusetts) 
$84,300.22 - $107,481.20 / year
Join a compassionate, mission-driven team dedicated to providing exceptional end-of-life care. As a Hospice RN Case Manager, you will play a vital role in delivering patient-centered care that prioritizes comfort, dignity, and quality of life. In this autonomous yet highly collaborative role, you will lead care coordination across an interdisciplinary team, build meaningful relationships with patients and families, and ensure each individual receives thoughtful, personalized support during one of life’s most important transitions. Utilizing the nursing process, the Home Health Registered Nurse will manage and deliver comprehensive home health services, including assessments, interventions, and supportive care to clients within their place of residence. Depending on the circumstances, duties may also include telephone triage, problem solving, patient/caregiver advocacy and support, with emphasis of avoiding hospitalization. As a key member of the health care team, this position must interact courteously and effectively with patients and their families as well as with coworkers from all Agency departments, community resources, and with patients' physicians in order to facilitate safe and efficient patient care while maintaining their own safety in the home and the community at large. Location: Lowell, MA Hours: Full-Time, Days, 40 Hours Minimum Qualifications: 1. Massachusetts RN Licensure. 2. Valid state issued Driver’s License. 3. One (1) year of acute medical/surgical nursing experience. 4. Cardiopulmonary Resuscitation (CPR) 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. Essential Functions: Assesses patients' physical, psychosocial needs in a sensitive, caring manner following established Standards of Nursing Practice and VNA procedures. Assesses patient/family learning needs, style and limitations and adjusts for delivery of information. Establishes realistic goals and develops plans of treatment in cooperation with the patient, family and members of the health care team. Adapts to new and unusual situations without affecting work performance negatively. Utilizes Security when and if needed for any potential unsafe situations. Collaborates with patient /family and other health care providers and/or community resources with planning of care and discharge. Completes physicians' orders, levels of care, and OASIS on all patients assigned, in accordance with patient care policies. Reconciles medications with patient and physician consistently. Demonstrates ability to cope with patient/family emotional stress and provide appropriate supportive care. Effectively manages assigned caseload, within the team model of care delivery. Establishes a daily work plan based upon patient/family priorities of service and total area needs. Promptly triages patient visits, messages, and phone calls according to priority and urgency. Demonstrates excellent physical assessment and care planning skills. Demonstrates current knowledge of pharmacology and medication administration and reconciliation. Demonstrates ability to cope with patient/family emotional stress and provide appropriate supportive care. Effectively manages assigned caseload, within the team model of care delivery. Establishes a daily work plan based upon patient/family priorities of service and total area needs. Promptly triages patient visits, messages, and phone calls according to priority and urgency. Coordinates care and discharge planning with other team members during case conferences. Acquires and maintains an expert working knowledge of all third part payers and regulatory bodies and agency policies on issues related to documentation and care provided. Communicates and collaborates with all disciplines in the home care setting on a regular basis or immediately if there are any critical needs or crisis interventions needed. 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 
$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 
