Nursing Jobs in Littleton, MA

Benchmark Senior Living Newton, MA

LPN - Licensed Practical Nurse: FT & PT

$40 - $44 / hour

Join, stay, and grow with Benchmark. Connect with your calling. Wage: $40 to $44 hr The Falls at Cordingly Dam is looking for a compassionate full time and part time Licensed Practical Nurses (LPNs)on all shift 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 #LI-HC1

Behavioral Health Nurse Evening/Afternoons

Innovive Health Medford, MA

$74,000 - $80,000 / year

Our PM Nurses Begin Their Shifts at 12:00 PM – Balance Built In! Our Case Manager Registered Nurses (RN) are responsible for partnering with the Clinical Director and team to administer and coordinate skilled nursing care to patients requiring home care services. Services are provided in accordance with physician’s orders, under the direction and supervision of the Clinical Director, and in compliance with applicable laws and regulations and the policies of the organization. Key Responsibilities Include: Clinical Care Provides direct care and case management of assigned patients, including initial assessment and development of plan of care, as well as oversight and administration of prescribed medications and treatments Maintains and updates schedules of all disciplines in patient’s home Consistently assesses and evaluates patient’s status and goals and revises the plan of care as necessary Communicates adjustments to plan of care to all team members in the appropriate time frame to support consistent delivery of care Complete authorization modifications in a timely manner, where needed Initiates and applies appropriate preventative, therapeutic, and rehabilitative procedures and maintains communication regarding patient care with the physician, supervisory personnel, and other professional staff involved in patient care Consistently monitors and manages patient medications; maintains an accurate medication profile; coordinates prescription refills with physicians and pharmacies and picks up medication refills as needed Teaches the patient and family/caregiver self-care techniques as appropriate Provides medication, diet, and other instructions as ordered by the physician Recognizes and utilizes opportunities for health counseling with patients and families/caregivers Provides and maintains a safe environment for the patient Reports unsafe conditions, complaints and incidents on behalf of patient as appropriate Observes and supervises Home Health Aide & LPN to evaluate performance and quality of care Accepts responsibility of assignment to perform a specialized procedure, such as IV therapy, when qualified with appropriate training and proven competency in the delivery of the therapy Uses supplies and equipment effectively and efficiently Maintains equipment per agency policy Fulfills the obligation of assigned patient case load including tracking of patient status when transferred, following up with other healthcare facilities providing care to patients, resuming care of patients when appropriate Adheres to HIPAA laws and maintains patient confidentiality always Other duties assigned by the case manager/clinical management, i.e., performing field supervisions of care team members as required by agency policies Performs other duties as assigned Documentation Completes and submits accurate, timely clinical notes including all OASIS documents, visit authorization requests, physician orders, and all other clinical documentation regarding patient’s condition and care provided in accordance with Innovive company policies Communication and Meetings Communicates with physicians and other agencies providing nursing or related services on a consistent basis to ensure continuity of care and implementation of a comprehensive care plan Acts as part of the interdisciplinary care team Participates in scheduled clinical and internal/external case management meetings Attends vendor and referral meetings as needed and assigned, or as patient conditions require Documents all meetings and outcomes for patient medical record Coordinates with pharmacies, insurance companies and other service providers as needed to facilitate timely and appropriate provision of patient care Your Education, Experience & Requirements Graduate of an accredited school of professional nursing Is currently licensed as an RN through the State Board of Nursing and meets one of the following criteria: RN with a bachelor’s degree in nursing and one year of related working experience RN with a diploma or associate’s degree with two years related work experience Has passed the National Council Licensure Examination (NCLEX) Complies with accepted professional standards and principles Must be a licensed driver with an automobile that is insured in accordance with state and/or organization requirements and is in good working order, or other reliable means of transportation Possesses and maintains CPR certification Has presented a pre-employment physician’s health clearance including negative TB skin test and/or CXR and other tests as required by organization policy Has satisfactory references from nursing school, previous (or current) employers and/or professional peers Preferred Experience Prior experience caring for mental health patients 1–2 years’ experience in a home health environment PHYSICAL DEMANDS AND WORK ENVIRONMENT Frequently required to stand Frequently required to walk Frequently required to sit Continually required to use hands and fingers Frequently required to climb, balance, bend, stoop, kneel or crawl Occasionally required to lift/push light weights (less than 25 pounds) Occasionally required to lift/push light weights (greater than 25 pounds) Moving, lifting, or transferring of patients may be required on occasion Frequent exposure to bloodborne and airborne pathogens or infectious materials

Residential Program Nurse (RN) - Brain Injury Services

Advocates Lexington, MA

Overview Starting Rate: $46.50/hour The Residential Programs Nurse provides direct nursing oversight and management of medical and care components in accordance with Advocates and funder requirements. The Residential Program Nurse provides training, supervision, and oversight for both residents and staff in all aspects of medical and medication management. They will collaborate with the Nursing Director, Residential Program Directors and nursing team in the implementation and follow-through of the individualized service plans and documentation in accordance with the mission and regulations of the program. Are you ready to make a difference ? Minimum Education Required Bachelor's Degree Responsibilities Responsibilities include, but are not limited to: Take a lead role in assessing potential program participants at his or her residential site; identify the program participant’s needs and functional abilities. Coordinate assessment for new durable medical equipment needs. Provide oversite and ensure on- going equipment checks and regularly scheduled maintenance. Participate initially and at least annually in a team assessment with the applicant, family member / guardian, and Residential Program Director as to whether the applicant can manage their personal care services. Complete the annual assessments related to the program participant’s support needs. Ensure Physician’s Authorization for each GAFC resident twice annually per Medicaid site policies (if applicable). Prior to an applicant’s admission to the program, complete a Medication Assessment and develop an Emergency sheet, Medication List, nursing care plan, guidelines, protocols, individualized ADL sheet and coordinate with the Residential Program Director to complete a risk plan. Develop an individualized Emergency Contact sheet, which includes family, guardian, physicians’ (PCP and specialists), clinic/hospital contact information, Social Security Number, MassHealth ID number, date of birth, gender, guardianship, health care proxy, marital status and code status, and program start date for each new resident prior to his/her start at the program. Assist residents with all aspects of medical management including physicals, referrals, prescriptions, appointments, and treatments. Coordinate with residents, family members, physicians, other medical providers, and site team regarding all medical care and changes in status, treatment, or medication. Implement, oversee, and supervise medication management and best practices in accordance with agency policy relating to MAP in a manner consistent with funder regulations. Provide supervision and oversight in Supported Living Program (SLP) programs and nursing team in coordination with the Nursing Director. Provide and document person-centered training to direct care staff as part of the nursing team. Develop and implement trainings as part of the nursing team as needed. Promote and maintain a safe environment: Complete all documentation in a timely manner to ensure the availability of accurate information in accordance with established standards. Monitor and evaluate resident care and generate ideas for quality improvement. Remain available on call 24 hours per day, 7 days per week. Schedule and notify off days with Nursing Director to ensure on call coverage. Actively participate in staff meetings, trainings, service planning meetings, care coordination meetings, resident, and family meetings. Attend trainings as assigned; maintains necessary certifications (CPR, MA Registration in Nursing). Ensure that individuals we support are treated with dignity and respect in accordance with the Brain Injury Services Division’s Human Rights Policy. Perform all duties in accordance with the agency’s policies and procedures. Qualifications Current license to practice in Massachusetts as a Registered Nurse required. Current certification in CPR / Basic Cardiac Life Support required. Graduate of an Accredited School of Nursing with at least 3 years’ clinical experience required. CRRN preferred. Experience in management, supervision, and bachelor’s degree or equivalent preferred. Experience with individuals with brain injuries in a community setting preferred. Must be able to perform each essential function satisfactorily. Strongly prefer that a candidate will have a demonstrated understanding of and competence in serving culturally diverse populations. Ability to correlate clinical data with resident's medical and nursing care plan. Ability to communicate effectively both verbally and in writing and ability to use good judgment. Ability to set priorities and handle multiple simultaneous tasks, organizing, prioritizing, planning, sequencing and completing tasks independently. Basic computer knowledge. Ability to understand, speak, read and write fluent English. Must hold a valid drivers’ license. Must have access to an operational and insured vehicle and be willing to use it to transport individuals. Ability to operate agency vehicles Advocates is committed to cultivating a diverse and welcoming community where everyone feels respected and valued. Advocates fosters a culture of inclusion that celebrates and promotes diversity along multiple dimensions, including race, ethnicity, sex, gender identity, gender expression, sexual orientation, partnered status, age, national origin, socioeconomic status, religion, ability, culture, and experience. Why Should I Consider a Career in Human Services? Our Team members are dedicated to engaging and empowering individuals by forming lasting relationships, collaboratively achieving personal goals, offering creative solutions to everyday and complex situations, and actively listening . We exercise independent judgement and contribute to the overall success and benefit of the Team. Is Human Services a Fit for Me? Successful Team members are open-minded, eager and compassionate, and will exercise solid, independent judgement while fostering trustworthy relationships with the individuals that we serve. We put the individual first.

REGISTERED NURSE-ICU- BAYLOR WEEKEND WORK 24 PAID FOR 36

$1 - $1,000,000 / year

Job Summary: Essential Duties and Responsibilities Supports and promotes the mission and values of Covenant Health Ministry. Renders professional nursing care to patients within an assigned unit of the hospital, in support of medical care as directed by medical staff and pursuant to objectives and policies of the hospital Compliant in completion of all unit specific competencies and requirements required to care for critically ill patients with the department. Involved in quality improvement planning and processes for the area of practice Clinical documentation and care plans completed comprehensively for all patients assigned in a timely manner Seeks feedback regarding practice and takes actions as appropriate. Practice reflects knowledge of current practice standards (ANA, NH Nurse Practice Act, Specialty standards) Communicates patient information appropriate for continuity and safe care through hand offs, walking rounds, and physician/provider interaction. Provides a safe and secure environment for patients, visitors, and staff by following established procedures and protocols Implements resources and initiatives that are in place or in process to improve patient safety. Works within guidelines of Just Culture Environment to promote error reporting and adoption of safe practices. Assures issues are addressed through appropriate use of the chain of command Completes hourly rounding in collaboration with LNAs (Licensed Nursing Assistant) on all assigned patients Identifies and assists in correction of patient care safety issues. Recognizes and praises excellent performance in colleagues and co-workers, when identified Builds respectful relationships through early and pro-active identification of concerns, complements or suggestions Collaborates unit to unit and shift to shift for resolution of conflicts and issues in a timely manner Consults with nurses in other department/units to draw upon expertise in other clinical areas/specialties Displays professional, positive perspective at all times, including when faced with difficult circumstances Seeks opportunities to assist all team members Displays willingness to resolve tension within the unit or department, for example, by volunteering to accept an admission, or adjust an assignment Demonstrates practice that is consistent with the tenets of shared governance and with the philosophy of the unit and the organization. Assists with solution identification in response to problems and conflicts Effectively delegates aspects of care and unit activities to other nursing personnel Collaborates in planning, supervising, and instructing other nurses and assistants. Works collaboratively with nursing students and instructors Participates in peer review of colleagues Participates in DNV survey readiness. Demonstrates characteristics of the SPIRIT of St. Joseph Hospital with a commitment to my co-workers and holds peers accountable for the same Avoids use of unauthorized overtime Manages ETO per policy Other duties as consistent with this role. For the Cath and Angio Lab Departments 3 years’ critical care experience preferred Assist with insertion of Flow wire, Opsens and IVUS. RN must demonstrate contraindications and reversal for IV adenosine infusion. Ability to safely administer procedural sedation. Pass annual sedation examination. Documents sedation according to policies and procedures. For the Emergency Department Remains up to date with unit-based nurse sensitive indicators (such as CAUTI, CLABSI, CDIFF, HAPU, FALLS, HH and VAE). Responds to emergency situations per department/role requirements such as code blue and rapid response team. TNCC within 18 months and NIHSS stroke scale certifications within about a year Job Requirements Job Knowledge and Skills Basic Dysrhythmia preferred or obtained prior to completion of orientation. NHISS certification preferred or obtained prior to completion of orientation Call required for Cath Lab and Stress Lab. Education and Experience Current New Hampshire RN license required BLS required ACLS required (except for Pre-Admission Testing and Operating Room) PALS (for Emergency Department) Crisis Prevention Institute (CPI) training preferred or obtained prior to completion of orientation Graduate of an approved Nursing program preferred Covenant Health Mission Statement We are a Catholic health ministry, providing healing and care for the whole person, in service to all in our communities. Our Core Values: •Compassion We show respect, caring and sensitivity towards all, honoring the dignity of each person, especially the poor, vulnerable and suffering. •Integrity We promote justice and ethical behavior, and responsibly steward our human, financial and environmental resources. •Collaboration We work in partnership, dialogue and shared purpose to create healthy communities. •Excellence We deliver all services with the highest level of quality, while seeking creative innovation. Applicants, employees and former employees are protected from employment discrimination based on race, color, religion, sex (including pregnancy, sexual orientation, or gender identity), national origin, age (40 or older), disability, and genetic information (including family medical history). Comp Range: $33.43 - $46.04 Rate of pay displayed reflects the beginning of the pay scale. At the time of an offer, determination of your offer will reflect your skills and experience as it relates to the position. Our people make the difference. See firsthand what makes our employees and culture shine!

REGISTERED NURSE- Progressive Care- Day Shift

$1 - $1,000,000 / year

Job Summary: Essential Duties and Responsibilities Supports and promotes the mission and values of Covenant Health Ministry. Renders professional nursing care to patients within an assigned unit of the hospital, in support of medical care as directed by medical staff and pursuant to objectives and policies of the hospital Compliant in completion of all unit specific competencies and requirements required to care for critically ill patients with the department. Involved in quality improvement planning and processes for the area of practice Clinical documentation and care plans completed comprehensively for all patients assigned in a timely manner Seeks feedback regarding practice and takes actions as appropriate. Practice reflects knowledge of current practice standards (ANA, NH Nurse Practice Act, Specialty standards) Communicates patient information appropriate for continuity and safe care through hand offs, walking rounds, and physician/provider interaction. Provides a safe and secure environment for patients, visitors, and staff by following established procedures and protocols Implements resources and initiatives that are in place or in process to improve patient safety. Works within guidelines of Just Culture Environment to promote error reporting and adoption of safe practices. Assures issues are addressed through appropriate use of the chain of command Completes hourly rounding in collaboration with LNAs (Licensed Nursing Assistant) on all assigned patients Identifies and assists in correction of patient care safety issues. Recognizes and praises excellent performance in colleagues and co-workers, when identified Builds respectful relationships through early and pro-active identification of concerns, complements or suggestions Collaborates unit to unit and shift to shift for resolution of conflicts and issues in a timely manner Consults with nurses in other department/units to draw upon expertise in other clinical areas/specialties Displays professional, positive perspective at all times, including when faced with difficult circumstances Seeks opportunities to assist all team members Displays willingness to resolve tension within the unit or department, for example, by volunteering to accept an admission, or adjust an assignment Demonstrates practice that is consistent with the tenets of shared governance and with the philosophy of the unit and the organization. Assists with solution identification in response to problems and conflicts Effectively delegates aspects of care and unit activities to other nursing personnel Collaborates in planning, supervising, and instructing other nurses and assistants. Works collaboratively with nursing students and instructors Participates in peer review of colleagues Participates in DNV survey readiness. Demonstrates characteristics of the SPIRIT of St. Joseph Hospital with a commitment to my co-workers and holds peers accountable for the same Avoids use of unauthorized overtime Manages ETO per policy Other duties as consistent with this role. For the Cath and Angio Lab Departments 3 years’ critical care experience preferred Assist with insertion of Flow wire, Opsens and IVUS. RN must demonstrate contraindications and reversal for IV adenosine infusion. Ability to safely administer procedural sedation. Pass annual sedation examination. Documents sedation according to policies and procedures. For the Emergency Department Remains up to date with unit-based nurse sensitive indicators (such as CAUTI, CLABSI, CDIFF, HAPU, FALLS, HH and VAE). Responds to emergency situations per department/role requirements such as code blue and rapid response team. TNCC within 18 months and NIHSS stroke scale certifications within about a year Job Requirements Job Knowledge and Skills Basic Dysrhythmia preferred or obtained prior to completion of orientation. NHISS certification preferred or obtained prior to completion of orientation Call required for Cath Lab and Stress Lab. Education and Experience Current New Hampshire RN license required BLS required ACLS required (except for Pre-Admission Testing and Operating Room) PALS (for Emergency Department) Crisis Prevention Institute (CPI) training preferred or obtained prior to completion of orientation Graduate of an approved Nursing program preferred An equivalent combination of education and experience which provides proficiency in the areas of responsibility listed above may be substituted for the above education and experience requirements. Covenant Health Mission Statement We are a Catholic health ministry, providing healing and care for the whole person, in service to all in our communities. Our Core Values: •Compassion We show respect, caring and sensitivity towards all, honoring the dignity of each person, especially the poor, vulnerable and suffering. •Integrity We promote justice and ethical behavior, and responsibly steward our human, financial and environmental resources. •Collaboration We work in partnership, dialogue and shared purpose to create healthy communities. •Excellence We deliver all services with the highest level of quality, while seeking creative innovation. Applicants, employees and former employees are protected from employment discrimination based on race, color, religion, sex (including pregnancy, sexual orientation, or gender identity), national origin, age (40 or older), disability, and genetic information (including family medical history). Comp Range: $36.86 - $50.76 Rate of pay displayed reflects the beginning of the pay scale. At the time of an offer, determination of your offer will reflect your skills and experience as it relates to the position. Our people make the difference. See firsthand what makes our employees and culture shine!

Night RN for Progressive Care Unit

$1 - $1,000,000 / year

Job Summary: Essential Duties and Responsibilities Supports and promotes the mission and values of Covenant Health Ministry. Renders professional nursing care to patients within an assigned unit of the hospital, in support of medical care as directed by medical staff and pursuant to objectives and policies of the hospital Compliant in completion of all unit specific competencies and requirements required to care for critically ill patients within the department during orientation period onboarding and annually as assigned. Involved in quality improvement planning and processes for the area of practice Clinical documentation and care plans completed comprehensively for all patients assigned in a timely manner within the electronic health record (EHR), including Vital Signs, assessments, care plans, and information related to any change in condition. Knowledge and understanding of responsibilities during down-time Responds quickly to all patient monitoring alarms Provides emotional support for patients and families during difficult situations Collect specimens as ordered and in the order required per policy, labeling and sending to the lab in a timely manner Engages and participates in unit or organizational committees and councils. Ability to analyze patient assessments and data, communicate findings, document and implement actions timely and accurately Pursues personal growth and development through continuous learning opportunities within and outside of the organization. Seeks feedback and accepts constructive criticism regarding practice and takes actions as appropriate. Practice reflects knowledge of current practice standards (ANA, NH Nurse Practice Act, Specialty standards). Communicates patient information appropriate for continuity and safe care through hand offs, walking rounds, and physician/provider interaction. Provides a safe and secure environment for patients, visitors, and staff by following established procedures and protocols Implements resources and initiatives that are in place or in process to improve patient safety. Works within guidelines of Just Culture Environment to promote error reporting and adoption of safe practices. Assures issues are addressed through appropriate use of the chain of command Completes hourly rounding in collaboration with LNAs (Licensed Nursing Assistant) on all assigned patients Identifies and assists in correction of patient care safety issues. Builds respectful relationships through early and pro-active identification of concerns, compliments, or suggestions Collaborates unit to unit and shift to shift for resolution of conflicts and issues in a timely manner Consults with nurses in other department/units to draw upon expertise in other clinical areas/specialties. Works collaboratively with Providers to complete assessments and perform bedside procedures. Displays professional, positive perspective, including when faced with difficult circumstances Seeks opportunities to assist all team members Actively participates in unit-based shared governance and with the philosophy of the unit and the organization. Appropriately delegates aspects of care and unit activities to other nursing personnel Provides support and mentors new nurses and other disciplines withing the department through preceptorship and other methods as requested by the department leadership. Participates in Peer Review maintaining confidentiality. Participates in DNV survey readiness. Demonstrates characteristics of the SPIRIT of St. Joseph Hospital with a commitment to my co-workers and holds peers accountable for the same. Follows organizational HIPAA compliance policy. Demonstrates fiscal responsibility through complete and accurate timekeeping, as well as patient supply utilization. Avoiding unauthorized use of overtime and managing ETO per policy. Participates in annual evaluation 360 process as requested. Provides quality care by remaining up-to-date on Nurse Sensitive Indicators. Responds to emergency situations per department/role requirements such as Code Blue and rapid response team. Other duties as consistent with this role. Emergency Department, additional responsibilities include: Triages patients and determines priority of care (ESI level) based on physical, psychological, and social needs including factors influencing patient flow through the system. Implement protocol orders associated with approved chief complaints. Performs focused assessment related to chief complaints in a timely manner according to established triage guidelines Reassess arrived patients after initial triage to ensure no change in condition. Provides quality care for patients presenting with acute illness and/or trauma requiring emergent/urgent attention and able to recognize potential life-threatening conditions for early intervention Initiates corrective action as appropriate when information from monitoring equipment shows adverse symptomology or patients demonstrate adverse clinical symptoms For admitted/boarding patients, complete required documentation per policy Engages in initiatives aimed at improving patient throughput Cardiac Cath and Angiography Lab additional responsibilities include: Ability to learn complex technologies effectively Experience with complex/critical care medication infusions, including titration management Enhanced knowledge of anatomy and physiology, especially cardiac Experience with emergency cardiac interventions Provide in-depth history and medication review (pre-admission testing) of all patients scheduled for procedures to ensure patient safety peri-procedure. Demonstrates the ability to correctly identify periprocedural safety issues, and report to physician accordingly. Demonstrates clinical expertise in creating and maintaining a sterile field. Plans and provides equipment and supplies based on procedure and physician needs. Participates in on-call assignments and demonstrates flexibility to cover staffing as needed. Ability to be within 30-minute radius when on call. Ability to safely administer procedural sedation. Pass annual sedation examination. Documents sedation according to policies and procedures. Maintains safe working environment to include radiation safety/appropriate personal protection attire. Demonstrates criteria for arterial and venous sheath removal. RN has working understanding of guidelines provided in physician orders for safe sheath removal when patient has been given blood thinners prior to sheath removal. Demonstrates the ability to identify criteria for equipment including Intra-Aortic Balloon Pump (IABP), IMPELLA etc. Assist MD with set up, insertion and maintenance of equipment as needed. Assist with insertion of Flow wire, Opsens and IVUS. RN must demonstrate contraindications and reversal for IV adenosine infusion. Demonstrates a working knowledge of hemodynamic waveforms. Obtains the ability to monitor arterial waveform during left heart catheterization. Able to identify damping and ventriculization of arterial waveforms. Able to correctly identify different hemodynamic waveforms during right heart catheterizations. Job Requirements Job Knowledge and Skills Basic Dysrhythmia preferred or obtained prior to completion of orientation. NIHSS certification preferred or obtained prior to completion of orientation Certification in Specialty preferred Call shifts required for Cath Lab and Stress Lab. CPI training preferred or obtained within 6 months of hire. CPI advanced training for the ED and ICU within 6 months of hire. Education and Experience Current New Hampshire RN license required Graduate of an approved Nursing program strongly preferred 3-5 Years Critical Care Experience preferred for the Cardiac Cath/Angiography Lab ASN required, BSN preferred BLS required ACLS Preferred for all critical care RN roles (excluding the Operating Room and Pre-Admission testing and is required prior to completion of orientation) PALS Preferred – Required prior to completion of orientation for Urgent Care, and PACU Required prior to assuming care for critically ill pediatric patient for Emergency Department (may have ENPC in place of PALs) TNCC – Preferred – required within 18 months of hire for the Emergency Department TCAR – Preferred – required within 1 year of hire for the ICU and PACU. Crisis Prevention Institute (CPI) training preferred or obtained prior to completion of orientation Membership in a professional organization preferred. Covenant Health Mission Statement We are a Catholic health ministry, providing healing and care for the whole person, in service to all in our communities. Our Core Values: •Compassion We show respect, caring and sensitivity towards all, honoring the dignity of each person, especially the poor, vulnerable and suffering. •Integrity We promote justice and ethical behavior, and responsibly steward our human, financial and environmental resources. •Collaboration We work in partnership, dialogue and shared purpose to create healthy communities. •Excellence We deliver all services with the highest level of quality, while seeking creative innovation. Applicants, employees and former employees are protected from employment discrimination based on race, color, religion, sex (including pregnancy, sexual orientation, or gender identity), national origin, age (40 or older), disability, and genetic information (including family medical history). Comp Range: $36.86 - $50.76 Rate of pay displayed reflects the beginning of the pay scale. At the time of an offer, determination of your offer will reflect your skills and experience as it relates to the position. Our people make the difference. See firsthand what makes our employees and culture shine!

UnitedHealthcare Worcester, MA

Registered Nurse - Same Day Services

$28.27 - $50.48 / hour

$2,500 Sign On Bonus for External Candidates Opportunities with Reliant Medical Group, part of the Optum family of businesses. Join a community-based, multi-specialty, physician-led organization where you will work with talented peers on a common purpose: improving the quality, cost and experience of health care. Here, we focus on delivering the best patient care, rather than volume. Through innovation and superior care management, we support patients and your well-being as a team member. Join a team at the forefront of value-based care and discover the meaning behind Caring. Connecting. Growing together. Position in this function is responsible for the effective delivery and management of direct patient care utilizing the nursing process and adhering to standards of nursing practice. Provides appropriate care to patients ranging within the ages of infants to geriatrics. Provides pre-visit and post-visit telephonic support and patient education, populating the Electronic Medical Record with historical information, lab findings, and preliminary orders to be reviewed by the physician at the next clinic visit. Ad hoc visits to the clinical sites will also be scheduled to enhance coordination of team-based care. Full Time: Registered Nurse - Urgent Care - 12 Hour Shifts 3 days a week: (every other weekend/every other holiday) Location: 366 Shrewsbury St, Worcester, MA 01604 Department: Same Day Services / Urgent Care Schedule: 36 hours, 3 days a week consisting of 12-hour shifts, including every other weekend. Two 12-hour days during the week and every other weekend Traveling to other Urgent Care sites as needed Primary Responsibilities: Collects current symptoms, as well as a detailed patient history and then consults and coordinates with health care team members to assess, plan, implement and evaluate patient care plans Performs triage, while considering both physical and psychosocial elements Conducts testing/diagnostics according to department protocol specific to chief complaint and patient condition to proactively obtain necessary information prior to Provider evaluation Manages basic life support needs and stabilizes patients until the attending physician is available, based upon nursing standards and protocol Initiates corrective action whenever information from monitoring equipment shows adverse symptomatology Records patients' current vital signs Works directly under Physicians and Advance Practitioners, assisting them during exams, diagnostic testing and treatments Prepares and administers (orally, subcutaneously, intramuscularly or through an IV) and records medications as ordered by Provider You'll be rewarded and recognized for your performance in an environment that will challenge you and give you clear direction on what it takes to succeed in your role as well as provide development for other roles you may be interested in. Required Qualifications: Graduate of an accredited School of Nursing Currently licensed as an RN in the State of Massachusetts Basic Life Support (BLS)/CPR Certification Preferred Qualifications: Certification in specialty 1+ years of Medical/Surgical or Specialty experience Experience in an ambulatory care setting with telephone triage EPIC experience IV/Infusion experience Any unit-specific criteria, including age-specific, technology, and equipment Proven excellent interpersonal, organization, and communication skills Pay is based on several factors including but not limited to local labor markets, education, work experience, certifications, etc. In addition to your salary, we offer benefits such as, a comprehensive benefits package, incentive and recognition programs, equity stock purchase and 401k contribution (all benefits are subject to eligibility requirements). No matter where or when you begin a career with us, you'll find a far-reaching choice of benefits and incentives. The hourly pay for this role will range from $28.27 to $50.48 per hour based on full-time employment. We comply with all minimum wage laws as applicable. At UnitedHealth Group, our mission is to help people live healthier lives and make the health system work better for everyone. We believe everyone-of every race, gender, sexuality, age, location and income-deserves the opportunity to live their healthiest life. Today, however, there are still far too many barriers to good health which are disproportionately experienced by people of color, historically marginalized groups and those with lower incomes. We are committed to mitigating our impact on the environment and enabling and delivering equitable care that addresses health disparities and improves health outcomes - an enterprise priority reflected in our mission. OptumCare is an Equal Employment Opportunity employer under applicable law and qualified applicants will receive consideration for employment without regard to race, national origin, religion, age, color, sex, sexual orientation, gender identity, disability, or protected veteran status, or any other characteristic protected by local, state, or federal laws, rules, or regulations. OptumCare is a drug-free workplace. Candidates are required to pass a drug test before beginning employment.

Registered Nurse - Critical Care

$1 - $1,000,000 / year

Job Summary: Essential Duties and Responsibilities Supports and promotes the mission and values of Covenant Health Ministry. Renders professional nursing care to patients within an assigned unit of the hospital, in support of medical care as directed by medical staff and pursuant to objectives and policies of the hospital Compliant in completion of all unit specific competencies and requirements required to care for critically ill patients within the department during orientation period onboarding and annually as assigned. Involved in quality improvement planning and processes for the area of practice Clinical documentation and care plans completed comprehensively for all patients assigned in a timely manner within the electronic health record (EHR), including Vital Signs, assessments, care plans, and information related to any change in condition. Knowledge and understanding of responsibilities during down-time Responds quickly to all patient monitoring alarms Provides emotional support for patients and families during difficult situations Collect specimens as ordered and in the order required per policy, labeling and sending to the lab in a timely manner Engages and participates in unit or organizational committees and councils. Ability to analyze patient assessments and data, communicate findings, document and implement actions timely and accurately Pursues personal growth and development through continuous learning opportunities within and outside of the organization. Seeks feedback and accepts constructive criticism regarding practice and takes actions as appropriate. Practice reflects knowledge of current practice standards (ANA, NH Nurse Practice Act, Specialty standards). Communicates patient information appropriate for continuity and safe care through hand offs, walking rounds, and physician/provider interaction. Provides a safe and secure environment for patients, visitors, and staff by following established procedures and protocols Implements resources and initiatives that are in place or in process to improve patient safety. Works within guidelines of Just Culture Environment to promote error reporting and adoption of safe practices. Assures issues are addressed through appropriate use of the chain of command Completes hourly rounding in collaboration with LNAs (Licensed Nursing Assistant) on all assigned patients Identifies and assists in correction of patient care safety issues. Builds respectful relationships through early and pro-active identification of concerns, compliments, or suggestions Collaborates unit to unit and shift to shift for resolution of conflicts and issues in a timely manner Consults with nurses in other department/units to draw upon expertise in other clinical areas/specialties. Works collaboratively with Providers to complete assessments and perform bedside procedures. Displays professional, positive perspective, including when faced with difficult circumstances Seeks opportunities to assist all team members Actively participates in unit-based shared governance and with the philosophy of the unit and the organization. Appropriately delegates aspects of care and unit activities to other nursing personnel Provides support and mentors new nurses and other disciplines withing the department through preceptorship and other methods as requested by the department leadership. Participates in Peer Review maintaining confidentiality. Participates in DNV survey readiness. Demonstrates characteristics of the SPIRIT of St. Joseph Hospital with a commitment to my co-workers and holds peers accountable for the same. Follows organizational HIPAA compliance policy. Demonstrates fiscal responsibility through complete and accurate timekeeping, as well as patient supply utilization. Avoiding unauthorized use of overtime and managing ETO per policy. Participates in annual evaluation 360 process as requested. Provides quality care by remaining up-to-date on Nurse Sensitive Indicators. Responds to emergency situations per department/role requirements such as Code Blue and rapid response team. Other duties as consistent with this role. Emergency Department, additional responsibilities include: Triages patients and determines priority of care (ESI level) based on physical, psychological, and social needs including factors influencing patient flow through the system. Implement protocol orders associated with approved chief complaints. Performs focused assessment related to chief complaints in a timely manner according to established triage guidelines Reassess arrived patients after initial triage to ensure no change in condition. Provides quality care for patients presenting with acute illness and/or trauma requiring emergent/urgent attention and able to recognize potential life-threatening conditions for early intervention Initiates corrective action as appropriate when information from monitoring equipment shows adverse symptomology or patients demonstrate adverse clinical symptoms For admitted/boarding patients, complete required documentation per policy Engages in initiatives aimed at improving patient throughput Cardiac Cath and Angiography Lab additional responsibilities include: Ability to learn complex technologies effectively Experience with complex/critical care medication infusions, including titration management Enhanced knowledge of anatomy and physiology, especially cardiac Experience with emergency cardiac interventions Provide in-depth history and medication review (pre-admission testing) of all patients scheduled for procedures to ensure patient safety peri-procedure. Demonstrates the ability to correctly identify periprocedural safety issues, and report to physician accordingly. Demonstrates clinical expertise in creating and maintaining a sterile field. Plans and provides equipment and supplies based on procedure and physician needs. Participates in on-call assignments and demonstrates flexibility to cover staffing as needed. Ability to be within 30-minute radius when on call. Ability to safely administer procedural sedation. Pass annual sedation examination. Documents sedation according to policies and procedures. Maintains safe working environment to include radiation safety/appropriate personal protection attire. Demonstrates criteria for arterial and venous sheath removal. RN has working understanding of guidelines provided in physician orders for safe sheath removal when patient has been given blood thinners prior to sheath removal. Demonstrates the ability to identify criteria for equipment including Intra-Aortic Balloon Pump (IABP), IMPELLA etc. Assist MD with set up, insertion and maintenance of equipment as needed. Assist with insertion of Flow wire, Opsens and IVUS. RN must demonstrate contraindications and reversal for IV adenosine infusion. Demonstrates a working knowledge of hemodynamic waveforms. Obtains the ability to monitor arterial waveform during left heart catheterization. Able to identify damping and ventriculization of arterial waveforms. Able to correctly identify different hemodynamic waveforms during right heart catheterizations. Job Requirements Job Knowledge and Skills Basic Dysrhythmia preferred or obtained prior to completion of orientation. NIHSS certification preferred or obtained prior to completion of orientation Certification in Specialty preferred Call shifts required for Cath Lab and Stress Lab. CPI training preferred or obtained within 6 months of hire. CPI advanced training for the ED and ICU within 6 months of hire. Education and Experience Current New Hampshire RN license required Graduate of an approved Nursing program strongly preferred 3-5 Years Critical Care Experience preferred for the Cardiac Cath/Angiography Lab ASN required, BSN preferred BLS required ACLS Preferred for all critical care RN roles (excluding the Operating Room and Pre-Admission testing and is required prior to completion of orientation) PALS Preferred – Required prior to completion of orientation for Urgent Care, and PACU Required prior to assuming care for critically ill pediatric patient for Emergency Department (may have ENPC in place of PALs) TNCC – Preferred – required within 18 months of hire for the Emergency Department TCAR – Preferred – required within 1 year of hire for the ICU and PACU. Crisis Prevention Institute (CPI) training preferred or obtained prior to completion of orientation Membership in a professional organization preferred. Covenant Health Mission Statement We are a Catholic health ministry, providing healing and care for the whole person, in service to all in our communities. Our Core Values: •Compassion We show respect, caring and sensitivity towards all, honoring the dignity of each person, especially the poor, vulnerable and suffering. •Integrity We promote justice and ethical behavior, and responsibly steward our human, financial and environmental resources. •Collaboration We work in partnership, dialogue and shared purpose to create healthy communities. •Excellence We deliver all services with the highest level of quality, while seeking creative innovation. Applicants, employees and former employees are protected from employment discrimination based on race, color, religion, sex (including pregnancy, sexual orientation, or gender identity), national origin, age (40 or older), disability, and genetic information (including family medical history). Comp Range: $36.86 - $50.76 Rate of pay displayed reflects the beginning of the pay scale. At the time of an offer, determination of your offer will reflect your skills and experience as it relates to the position. Our people make the difference. See firsthand what makes our employees and culture shine!

REGISTERED NURSE-PHYS PRAC

$1 - $1,000,000 / year

Job Summary: Essential Duties and Responsibilities Supports and promotes the mission and values of Covenant Health Ministry. Prepares patient for examination/visit. Obtains and thoroughly documents patient vital signs and reason for visit. Prepares patient chart for provider. Reviews current medications, allergies, treatments, height, weight, problem list and additional criteria as requested by provider. Reviews and documents patient history (immunization, screenings, etc.). Instructs patient in collection of samples and preparation for tests. Assists providers with patient examinations and procedures. Assists with the preparation of equipment/instruments Assists with patient education. Screens and documents patient calls determining the urgency of the problem; consults with provider regarding treatment and advises patient accordingly. Performs patient triage. Documents charts including returned phone calls, missed appointments or other clinical issues, with initials, date and time. Takes messages and assists providers with return phone calls. Calls in prescriptions per provider orders and protocols. Retrieves records and files/imports patient test results. Notifies patient of test results per provider direction thoroughly documenting patient outreach in a timely manner. Perform all required QCs (test and equipment) Preloads pertinent patient history in EMR. Performs tests as instructed (i.e., EKGs, lab, vision, hearing, PFT, non-stress). Administers allergy injections, medications, immunizations and other measured injectables per provider orders. Performs dressing applications and changes. Removes sutures. Performs venipuncture per provider orders. Prepares, cleans and stocks exam rooms. Schedules patient appointments and assists in scheduling patient tests. Prepares or performs pre-certifications and prior authorizations. Orders and maintains medical supplies. Orders and maintains vaccine inventory. Assists front office as needed. Completes general filing/scanning/importing Coordinates and completes paperwork/forms as directed related to referral, health/school/sports, immunizations, excused from/return to work/school, childcare and medication administration. Charts completion as required. Performs duties per scheduled hours arriving/leaving on time and completing assigned responsibilities. Demonstrates flexibility in assisting with support/coverage within the practice network. Other duties as consistent with this role. *For Specialty Practices: Performs appointment scheduling, procedure and/or surgery scheduling related activities based on department including ambulatory clinics in both IMG and HOD. Job Requirements: Job Knowledge and Skills Maintain competency in those activities which contribute to ongoing professional development and those required by department/organization policy. Demonstrates the ability to organize and prioritize work to expedite patient care. Education and Experience RN State of New Hampshire license. BLS/CPR, AED Certification Required (must be completed within 3 months of hire date) 3+ years nursing experience preferred An equivalent combination of education and experience which provides proficiency in the areas of responsibility listed above may be substituted for the above education and experience requirements. Covenant Health Mission Statement We are a Catholic health ministry, providing healing and care for the whole person, in service to all in our communities. Our Core Values: •Compassion We show respect, caring and sensitivity towards all, honoring the dignity of each person, especially the poor, vulnerable and suffering. •Integrity We promote justice and ethical behavior, and responsibly steward our human, financial and environmental resources. •Collaboration We work in partnership, dialogue and shared purpose to create healthy communities. •Excellence We deliver all services with the highest level of quality, while seeking creative innovation. Applicants, employees and former employees are protected from employment discrimination based on race, color, religion, sex (including pregnancy, sexual orientation, or gender identity), national origin, age (40 or older), disability, and genetic information (including family medical history). Comp Range: $31.84 - $43.85 Rate of pay displayed reflects the beginning of the pay scale. At the time of an offer, determination of your offer will reflect your skills and experience as it relates to the position. Our people make the difference. See firsthand what makes our employees and culture shine!

RN

$1 - $1,000,000 / year

Job Summary: Essential Duties and Responsibilities Supports and promotes the mission and values of Covenant Health Ministry. Renders professional nursing care to patients within an assigned unit of the hospital and carries out orders placed by provider responsible for the patient’s medical care. Provides comprehensive clinical documentation including care plans each shift Seeks feedback regarding practice and takes actions as appropriate. Communicates patient information appropriate for continuity and safe care through Bedside shift report, Multidisciplinary rounds, and Hourly Rounding (AIDET) Compliant in achieving unit specific competencies and requirements Completes all net learning modules within timeframe identified. Helps to promote a culture of well-being (ex. decreasing alarm fatigue). Promotes a positive culture/atmosphere within the department each shift. Provides a safe and secure environment for patients, visitors, and staff by following established procedures and protocols Identifies and assists in correction of patient care safety issues. Works within guidelines of Just Culture Environment to promote error reporting and adoption of safe practices. Assures issues are addressed through appropriate use of the chain of command Participates in Daily unit-based safety Huddles Knowledge and understanding of the organization's over-all strategic plan Remains up to date with unit-based nurse sensitive indicators (such as CAUTI, CLABSI, CDIFF, HAPU, FALLS, HH and VAE). Actively participates in quality initiatives and performance improvement to improve patient outcomes. Collaborates with nurses in other department/units to draw upon expertise in other clinical areas/specialties Seeks opportunities to assist all team members Develops and implements performance goals based on self-assessment and performance feedback Assures patient education materials are culturally competent Serves as preceptor for new nurses Participates in DNV survey readiness. Demonstrates practice that is consistent with the tenets of shared governance and with the philosophy of the unit and the organization. Assists with solution identification in response to problems and conflicts Effectively delegates aspects of care and unit activities to other nursing personnel. Collaborates in planning, supervising, and instructing other nurses and assistants. Works collaboratively with nursing students and instructors Participates in peer feedback process of annual reviews. Participates in the employee engagement survey Demonstrates characteristics of the SPIRIT of St. Joseph Hospital with a commitment to my co-workers and holds peers accountable for the same Avoids use of unauthorized overtime Manages use of ETO (Earned Time Off) per policy Completes dysrhythmia course prior to completion of orientation. Required for all telemetry-based departments. Maintains current nursing licensure and certifications, required for the department Other duties as consistent with this role. *For Occupational Health: Enter orders for labs, x rays, EKGs or other testing as per protocol. Access providers in basket to follow up on labs and tests ordered per protocol. Document point of care tests after completion of testing. Job Requirements Job Knowledge and Skills Basic Dysrhythmia preferred or obtained prior to completion of orientation Crisis Prevention Institute (CPI) training preferred or obtained prior to completion of orientation Education and Experience Current New Hampshire RN license required Basic Life Support certification required Graduate of an approved Nursing program preferred Covenant Health Mission Statement We are a Catholic health ministry, providing healing and care for the whole person, in service to all in our communities. Our Core Values: •Compassion We show respect, caring and sensitivity towards all, honoring the dignity of each person, especially the poor, vulnerable and suffering. •Integrity We promote justice and ethical behavior, and responsibly steward our human, financial and environmental resources. •Collaboration We work in partnership, dialogue and shared purpose to create healthy communities. •Excellence We deliver all services with the highest level of quality, while seeking creative innovation. Applicants, employees and former employees are protected from employment discrimination based on race, color, religion, sex (including pregnancy, sexual orientation, or gender identity), national origin, age (40 or older), disability, and genetic information (including family medical history). Comp Range: $35.10 - $48.34 Rate of pay displayed reflects the beginning of the pay scale. At the time of an offer, determination of your offer will reflect your skills and experience as it relates to the position. Our people make the difference. See firsthand what makes our employees and culture shine!

REGISTERED NURSE- CRITICAL CARE

Boston Children's Hospital Waltham, MA

$1 - $1,000,000 / year

Job Summary: Essential Duties and Responsibilities Supports and promotes the mission and values of Covenant Health Ministry. Renders professional nursing care to patients within an assigned unit of the hospital, in support of medical care as directed by medical staff and pursuant to objectives and policies of the hospital Compliant in completion of all unit specific competencies and requirements required to care for critically ill patients within the department during orientation period onboarding and annually as assigned. Involved in quality improvement planning and processes for the area of practice Clinical documentation and care plans completed comprehensively for all patients assigned in a timely manner within the electronic health record (EHR), including Vital Signs, assessments, care plans, and information related to any change in condition. Knowledge and understanding of responsibilities during down-time Responds quickly to all patient monitoring alarms Provides emotional support for patients and families during difficult situations Collect specimens as ordered and in the order required per policy, labeling and sending to the lab in a timely manner Engages and participates in unit or organizational committees and councils. Ability to analyze patient assessments and data, communicate findings, document and implement actions timely and accurately Pursues personal growth and development through continuous learning opportunities within and outside of the organization. Seeks feedback and accepts constructive criticism regarding practice and takes actions as appropriate. Practice reflects knowledge of current practice standards (ANA, NH Nurse Practice Act, Specialty standards). Communicates patient information appropriate for continuity and safe care through hand offs, walking rounds, and physician/provider interaction. Provides a safe and secure environment for patients, visitors, and staff by following established procedures and protocols Implements resources and initiatives that are in place or in process to improve patient safety. Works within guidelines of Just Culture Environment to promote error reporting and adoption of safe practices. Assures issues are addressed through appropriate use of the chain of command Completes hourly rounding in collaboration with LNAs (Licensed Nursing Assistant) on all assigned patients Identifies and assists in correction of patient care safety issues. Builds respectful relationships through early and pro-active identification of concerns, compliments, or suggestions Collaborates unit to unit and shift to shift for resolution of conflicts and issues in a timely manner Consults with nurses in other department/units to draw upon expertise in other clinical areas/specialties. Works collaboratively with Providers to complete assessments and perform bedside procedures. Displays professional, positive perspective, including when faced with difficult circumstances Seeks opportunities to assist all team members Actively participates in unit-based shared governance and with the philosophy of the unit and the organization. Appropriately delegates aspects of care and unit activities to other nursing personnel Provides support and mentors new nurses and other disciplines withing the department through preceptorship and other methods as requested by the department leadership. Participates in Peer Review maintaining confidentiality. Participates in DNV survey readiness. Demonstrates characteristics of the SPIRIT of St. Joseph Hospital with a commitment to my co-workers and holds peers accountable for the same. Follows organizational HIPAA compliance policy. Demonstrates fiscal responsibility through complete and accurate timekeeping, as well as patient supply utilization. Avoiding unauthorized use of overtime and managing ETO per policy. Participates in annual evaluation 360 process as requested. Provides quality care by remaining up-to-date on Nurse Sensitive Indicators. Responds to emergency situations per department/role requirements such as Code Blue and rapid response team. Other duties as consistent with this role. Emergency Department, additional responsibilities include: Triages patients and determines priority of care (ESI level) based on physical, psychological, and social needs including factors influencing patient flow through the system. Implement protocol orders associated with approved chief complaints. Performs focused assessment related to chief complaints in a timely manner according to established triage guidelines Reassess arrived patients after initial triage to ensure no change in condition. Provides quality care for patients presenting with acute illness and/or trauma requiring emergent/urgent attention and able to recognize potential life-threatening conditions for early intervention Initiates corrective action as appropriate when information from monitoring equipment shows adverse symptomology or patients demonstrate adverse clinical symptoms For admitted/boarding patients, complete required documentation per policy Engages in initiatives aimed at improving patient throughput Cardiac Cath and Angiography Lab additional responsibilities include: Ability to learn complex technologies effectively Experience with complex/critical care medication infusions, including titration management Enhanced knowledge of anatomy and physiology, especially cardiac Experience with emergency cardiac interventions Provide in-depth history and medication review (pre-admission testing) of all patients scheduled for procedures to ensure patient safety peri-procedure. Demonstrates the ability to correctly identify periprocedural safety issues, and report to physician accordingly. Demonstrates clinical expertise in creating and maintaining a sterile field. Plans and provides equipment and supplies based on procedure and physician needs. Participates in on-call assignments and demonstrates flexibility to cover staffing as needed. Ability to be within 30-minute radius when on call. Ability to safely administer procedural sedation. Pass annual sedation examination. Documents sedation according to policies and procedures. Maintains safe working environment to include radiation safety/appropriate personal protection attire. Demonstrates criteria for arterial and venous sheath removal. RN has working understanding of guidelines provided in physician orders for safe sheath removal when patient has been given blood thinners prior to sheath removal. Demonstrates the ability to identify criteria for equipment including Intra-Aortic Balloon Pump (IABP), IMPELLA etc. Assist MD with set up, insertion and maintenance of equipment as needed. Assist with insertion of Flow wire, Opsens and IVUS. RN must demonstrate contraindications and reversal for IV adenosine infusion. Demonstrates a working knowledge of hemodynamic waveforms. Obtains the ability to monitor arterial waveform during left heart catheterization. Able to identify damping and ventriculization of arterial waveforms. Able to correctly identify different hemodynamic waveforms during right heart catheterizations. Job Requirements Job Knowledge and Skills Basic Dysrhythmia preferred or obtained prior to completion of orientation. NIHSS certification preferred or obtained prior to completion of orientation Certification in Specialty preferred Call shifts required for Cath Lab and Stress Lab. CPI training preferred or obtained within 6 months of hire. CPI advanced training for the ED and ICU within 6 months of hire. Education and Experience Current New Hampshire RN license required Graduate of an approved Nursing program strongly preferred 3-5 Years Critical Care Experience preferred for the Cardiac Cath/Angiography Lab ASN required, BSN preferred BLS required ACLS Preferred for all critical care RN roles (excluding the Operating Room and Pre-Admission testing and is required prior to completion of orientation) PALS Preferred – Required prior to completion of orientation for Urgent Care, and PACU Required prior to assuming care for critically ill pediatric patient for Emergency Department (may have ENPC in place of PALs) TNCC – Preferred – required within 18 months of hire for the Emergency Department TCAR – Preferred – required within 1 year of hire for the ICU and PACU. Crisis Prevention Institute (CPI) training preferred or obtained prior to completion of orientation Membership in a professional organization preferred. Covenant Health Mission Statement We are a Catholic health ministry, providing healing and care for the whole person, in service to all in our communities. Our Core Values: •Compassion We show respect, caring and sensitivity towards all, honoring the dignity of each person, especially the poor, vulnerable and suffering. •Integrity We promote justice and ethical behavior, and responsibly steward our human, financial and environmental resources. •Collaboration We work in partnership, dialogue and shared purpose to create healthy communities. •Excellence We deliver all services with the highest level of quality, while seeking creative innovation. Applicants, employees and former employees are protected from employment discrimination based on race, color, religion, sex (including pregnancy, sexual orientation, or gender identity), national origin, age (40 or older), disability, and genetic information (including family medical history). Comp Range: $33.43 - $46.04 Rate of pay displayed reflects the beginning of the pay scale. At the time of an offer, determination of your offer will reflect your skills and experience as it relates to the position. Our people make the difference. See firsthand what makes our employees and culture shine!

Nurse Practitioner - Flex Infusion and Ambulatory

$1 - $1,000,000 / year

Position Summary Seeking an APRN for a flexible outpatient role supporting services through extended service rotations, providing several consecutive months on each team to promote deeper clinical immersion and continuity of care. Serve as a primary clinical provider for infants, children, and adolescents in these outpatient clinics: Gastroenterology, Allergy, Pulmonary, Infectious Disease, and primary care. Initial coverage will be in Infusion. This role works collaboratively with physicians, nursing staff, and interdisciplinary teams to provide direct patient care, care coordination, triage, and family education for children with complex and chronic conditions. The APRN supports both scheduled clinic visits and ambulatory treatments, with rotating schedules to meet program and patient needs. Key Responsibilities · A mbulatory outreach clinics: Provide direct patient care for new and returning pediatric patients- 6 sessions per week. · Infusion/day treatment- Deliver clinical coverage in an ambulatory clinic serving over 8,000 patients annually, including treatments such as biologic infusions, blood products, food challenges, and day treatment for newly diagnosed diabetes, migraine management, sickle cell fever and pain, and central line complications · Independently managing infusion and acute reactions · Serve as a primary provider, facilitating patient care including medical histories, physical examinations, diagnostic evaluation, and development and implementation of evidence-based treatment plans for both new and return patients · Collaborate closely with physicians, nursing teams, and interdisciplinary colleagues to promote optimal clinical outcomes and patient safety. · Perform patient triage, clinical care coordination, and on-site coverage for urgent patient needs. · Serve as a primary communicator for patient and family questions, including phone triage for outpatient concerns. · Assist with medication refills, prior authorizations, and coordination of long-term treatment plans. · Orientation includes a structured, individualized onboarding program with additional training when starting in each new department, tailored to each APP’s experience level, clinical background, and learning needs. Schedule · Full-time, 32-40 hours/wk. · Combination of four 10-hour days or mixed 8, 10, and 12 hour shifts · Flexible schedule, including rotating day and evening shifts · Periodic weekend coverage, every 3rd weekend (only while covering in Infusion/Day treatment) · No holidays · Rotation to satellites locations include: Waltham, Boston, Weymouth, Needham and Peabody Minimum Qualifications Education · Master of Science in Nursing (MSN) Experience · Minimum of 1 year RN experience required · Minimum of 2 years pediatric RN or NP experience required · PNP experience strongly preferred · Prior experience with pediatric primary care strongly preferred · Strong physical assessment, diagnostic, patient education, and care coordination skills Licensure/Certification · MA licensure as a Nurse Practitioner (PNP or FNP) · Current NP license required bchAPP