Nursing Jobs in Medford Street / The Neck, MA

Emerson Hospital

Behavioral Health Registered Nurse (RN) Flexible 8 or 12 Hour Shifts

$5,000 to $10,000 sign-on bonus available based on hours worked and position eligibility Are you a compassionate Registered Nurse who is passionate about mental health and making a meaningful difference in patients’ lives? Join the Behavioral Health team at Emerson Health and become part of a supportive, collaborative environment dedicated to providing exceptional psychiatric care. We are seeking a skilled Behavioral Health RN to deliver patient-centered care using the nursing process to support individuals experiencing mental health challenges. In this role, you will work closely with an interdisciplinary team to ensure patients receive safe, therapeutic, and evidence-based care. Flexible scheduling options with both 8-hour and 12-hour shifts are available. What You’ll Do Provide comprehensive nursing care to behavioral health patients using the nursing process Assess patient needs, develop care plans, and monitor progress throughout treatment Collaborate with psychiatrists, therapists, social workers, and multidisciplinary care teams Support patients and families through education, communication, and compassionate care Maintain a safe and therapeutic environment for patients experiencing mental health crises Document patient care and maintain accurate medical records in the electronic health system Follow regulatory, hospital, and professional nursing standards to ensure high-quality care Promote patient dignity, privacy, and recovery-focused treatment Why Join Emerson Health Collaborative behavioral health team environment Flexible scheduling with 8 or 12 hour shifts Opportunities to grow your psychiatric nursing skills Supportive leadership and interdisciplinary care teams The chance to truly impact patients and families during vulnerable moments Minimum Qualifications Education Graduate of an accredited professional nursing program required. Experience Behavioral health, psychiatric nursing, or mental health experience preferred, but motivated RNs interested in mental health nursing are encouraged to apply. Licensure and Certification Current Registered Nurse (RN) license in Massachusetts required. BLS Healthcare Provider certification required. CPI certification required within 30 days of hire. Skills and Competencies Strong nursing assessment and clinical judgment skills Excellent communication and patient interaction abilities Critical thinking and problem-solving skills Ability to work effectively in a fast-paced behavioral health setting Strong organization and documentation skills Computer proficiency and electronic medical record experience Commitment to patient privacy and confidentiality Ability to read, write, and communicate effectively in English Join a team where your compassion, expertise, and dedication to mental health care can make a lasting impact.
Emerson Hospital

Registered Nurse (RN) - Operating Department

Job Summary Reporting to the Clinical Nurse Manager, Operating Room, coordinates the age appropriate care of the surgical patient intra-operatively either as a Circulator or a Scrub within the surgical suite. Utilizing the nursing process as a framework, the RN in the Operating Room assesses the patient needs, and formulates an appropriate plan of care including those activities appropriate for achievement of desired patient outcomes. Nursing care is provided in accordance with the stated philosophy and standards established by the Nursing Service Department, regulatory agencies and professional organizations. The Registered Nurse is accountable for the safety of nursing care they deliver or supervise. Minimum Qualifications Education Graduate of an accredited school of nursing required. Experience Minimum one year perioperative nursing experience required. Licensure and/or Certification Current license as a professional nurse in Massachusetts required. BLS healthcare provider required. CNOR preferred. Skills Strong clinical assessment skills. Excellent customer service skills. Strong interpersonal skills with the ability to adapt to change. Must be able to read, write, and communicate in English. Computer Skills Required. Ability to maintain confidential information.
Emerson Hospital

Registered Nurse (RN) Float Pool

Job Summary Reporting to the Associate Chief Nursing Officer, responsible for utilizing the nursing process to provide comprehensive care appropriate to the age of the patients served in the Float Pool Department as directed by nursing management. Nursing care is provided in accordance with the stated philosophy and standards established by the Nursing Service Department, regulatory agencies and professional organizations. Accountable for the safety of nursing care they deliver or supervise. Responsible to the patient and the family or significant others for the quality of direct and indirect nursing care delivered. Minimum Qualifications Education Graduate of professional accredited nursing school required. Experience Previous Medical Surgical experience required. Licensure and/or Certification Currently licensed to practice professional nursing in Massachusetts required. BLS healthcare provider required. Skills Basic nursing skills. Communication skills. o Assessment skills. Critical thinking skills. Organizational skills. Computer skills. Ability to maintain confidential information. Ability to read, write and communicate in English. Excellent customer service skills required.
Emerson Hospital

Registered Nurse (RN)- Behavioral Health Unit

Job Summary The Registered Nurse is responsible for utilizing the nursing process to provide comprehensive care appropriate to the age of the patients served on the Behavioral Health unit, as directed by nursing management. Nursing care is provided in accordance with the stated philosophy and standards established by the Nursing Service Department and Behavioral Health unit, regulatory agencies and professional organizations. The Registered Nurse is accountable for the safety of nursing care they deliver or supervise. The Registered Nurse is responsible to the patient and the family or significant others for the quality of direct and indirect nursing care delivered. Line responsibility to the Director, Behavioral Health Services or designee. Minimum Qualifications Education Graduate of professional accredited nursing school required. Experience Previous experience in a mental health environment preferred. Licensure and/or Certification Currently licensed to practice professional nursing in Massachusetts required. BLS Healthcare provider required. CPI achieved within 3 months of hire required. Skills Basic nursing skills and assessment skills required. Must have strong communication skills. Critical Thinking Skills Required. Strong organizational skills. Computer skills and proficiency. Must be able to read, write, and communicate in English. Ability to protect confidential information.
Emerson Hospital

Nurse Manager - Endoscopy

Job Summary The Nurse Manager is responsible for assessing, planning, directing and evaluating patient care for an assigned patient care nursing unit on a 24 hour basis. The incumbent assures the delivery of quality services and that professional nursing is practiced in accordance with the established standards of nursing and the standards of practice at Emerson Hospital. Reporting to this position are various clinical professional and support positions, including Registered Nurses, Certified Nurse Assistants, Patient Care Assistants and Unit Secretaries Minimum Qualifications Education Bachelor’s degree in Nursing from an accredited school of nursing Experience Requires a minimum of 5 years of nursing experience within specialty area and 3-5 years of supervisory experience. 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 Licensure and/or Certification Current RN license in the state of Massachusetts. Specialty certification in one (1) of the areas to be supervised required Skills Advanced nursing skills. Computer proficiency (including Microsoft Word, PowerPoint, Excel and Outlook). Excellent customer service skills Must have the ability to read, write, and communicate in English. Ability to maintain confidential information required. The ability to plan, organize and direct the work of others. The ability to foster successful team efforts working with a variety of management, medical/clinical staff. The ability to respond effectively in emergency situations. The ability to assist in preparing and monitoring departmental budgets. The ability to communicate effectively orally and in writing to accomplish duties.
PM Pediatric Care

Pediatric Urgent Care Nurse (RN) - Full-Time (Dedham, MA)

It's fun to work in a company where people truly BELIEVE in what they're doing! We're committed to bringing passion and customer focus to the business. Summary The Registered Nurse is responsible for all departmental functions aligned with the mission, vision, and goals of PM Pediatrics. The Registered Nurse role is an opportunity for a pediatric nurse to apply their skills in a pediatric urgent care setting and assist with primary patient care based on individual patient needs within their scope of practice under the physician’s direct supervision. This position maintains effective working relationships with all customers, including patients/families, physicians, employees, volunteers, and vendors. Description Job Responsibilities: Provide clinical and administrative support for providers, patients, and office operations Obtain medical history, patient vital signs, intake, and prioritize patient care Perform procedures (venipuncture, IV insertion, urinary straight cath), administer medications (oral, rectal, IM, and IV), and assist the physician with total patient care within the scope of practice Remaining knowledgeable in pediatric pharmacology Be an integral part of the patient care team and assist with patient care within the scope of practice Perform monthly quality control checks in the office Assist in performing quality control testing in the lab Ability to assist the physician with patient care, positioning, and comfort during the x-ray process Keep exam rooms stocked with adequate medical supplies, maintain instruments, and prepare sterilization tools and equipment as required Practice standard safety practices and precautions Helps patients in distress by responding to emergencies and promptly notifies physician Establish effective rapport with clients, families, other employees, and physicians Maintains operations by following policies and procedures; reporting needed changes to management team Contributes to team effort by accomplishing related results as needed Maintains safe, secure, and healthy work environment by following and enforcing standards and procedures, complying with legal regulations Maintains patient confidence and protects operations by keeping patient care information confidential in compliance with HIPAA regulations Updates knowledge by participating in continuing education requirements and opportunities; reading professional publications; maintaining personal networks; participating in professional organizations Enhances health care practice reputation by accepting ownership for accomplishing new and challenging requests; exploring opportunities to add value to job accomplishments Assisting patients with complaints and taking an active role in service recovery when needed Assist physician with a focus on efficiency metrics to improve urgent care flow and throughput (Arrival to Room, Arrival to Medication Administration, Disposition to Discharge, Discharge Length of Stay) #LI-MO1 Qualifications Pediatric experience is required; Pediatric ER, Pediatric hospital unit, or Pediatrics Urgent Care Experience preferred Active state nursing license or active compact state licensure from the state you reside Prior experience and competency with nursing procedures (not limited to IV placement, urinary straight catheterization, and medication administration) Current Basic Life Support (BLS) is required, Pediatric Advanced Life Support (PALS) recommended Knowledge of medical practice and terminology, clinic’s processes, and procedures Knowledge of medical equipment and instruments Skill in rapid assessment of the critical presentation of the pediatric population Ability to use sound reasoning and judgment and act calmly in emergencies Ability to effectively communicate both verbally and nonverbally Possess the following qualifications: Energetic, Highly Motivated, Customer Service Focus, Positive Attitude, Confidentiality, Teamwork, and Professionalism EEO Statement PM Pediatric Care is an equal employment opportunity employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, gender, sexual orientation, gender identity or expression, national origin, disability status, protected veteran status or any other characteristic protected by law.
Emerson Hospital

Certified RN Anesthetist

Job Summary Under the supervision of an Attending Anesthesiologist, the certified registered nurse anesthetist will provide anesthesia services to patients at Emerson Hospital. Daily tasks include review of patients’ medical history, assisting in the selection of type of anesthesia, administering anesthetics, monitoring patient during procedure, and providing immediate post-anesthesia care. Our team of CRNAs will provide patient-centered anesthesia for all types of endoscopy and surgical procedures, including orthopedics, urology, plastics, general surgery, and bariatrics. Minimum Qualifications Education Graduation from a program of Nurse Anesthesia education accredited by the National Board on Certification and Recertification of Nurse Anesthetists (NBCRNA) or its predecessor. Masters is required. Doctorate highly preferred. MS/DNP/DNAP/PhD. Experience 2 years of experience preferred Licensure and/or Certification State licensure as a registered professional nurse. Compliance with Massachusetts regulatory requirements for APRNs/CRNAs. Certification by the Council on Certification or recertification by the Council on Recertification or their respective predecessors. Basic Life Support (BLS) certification required Advanced Cardiac Life Support (ACLS) certification required Skills Be able to effectively communicate with all levels of the organization. Strong attention to detail with the ability to follow all protocols. Ability to use technology and equipment to perform role, e.g. electronic medical record, anesthesia machine(s) and other mechanical ventilator devices, physiological monitors. Be highly motivated, independent, and capable of performing in a complex environment. Maintain professional standards as described by AANA for nurse anesthetists. Have cultural competence and compassion for patient population. Ability to maintain confidential information
Emerson Hospital

Registered Nurse (RN) - Adult Medical, General Surgery, Oncology

Job Summary The Registered Nurse is responsible for utilizing the nursing process to provide comprehensive care appropriate to the age of the patients served in Wheeler 5, Adult Medical, General Surgery, Oncology Unit as directed by nursing management. Nursing care is provided in accordance with the stated philosophy and standards established by the Nursing Service Department, regulatory agencies and professional organizations. The Registered Nurse is accountable for the safety of nursing care they deliver or supervise. The Registered Nurse is responsible to the patient and the family or significant others for the quality of direct and indirect nursing care delivered. Line responsibility to the Director or designee. Minimum Qualifications Education Graduate of professional accredited nursing school required. Experience Previous Medical/Surgical/Telemetry/Orthopedic experience preferred. Licensure and/or Certification Currently licensed to practice professional nursing in Massachusetts required. BLS healthcare provider required. Skills Basic nursing skills. Communication skills. Assessment skills. Critical thinking skills. Organizational skills. Excellent customer service skills. Must be able to read, write, and communicate in English. Computer Skills Required Ability to maintain confidential information.
Benchmark Senior Living

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
Emerson Hospital

Registered Nurse (RN) - Medical /telemetry/Stroke

Registered Nurse – Medical, Telemetry & Stroke Unit About The Role Join a team where your expertise, compassion, and quick thinking truly make a difference. As a Registered Nurse in our Medical, High-Level Telemetry, and Stroke Department, you’ll provide comprehensive, patient-centered care in a dynamic environment. This is a unit where every detail matters from monitoring complex conditions to providing education and support for patients and families. Reporting to nursing leadership, you’ll be part of a highly skilled team committed to safety, collaboration, and excellence. What You’ll Do Deliver safe, age-appropriate, and high-quality nursing care using the full nursing process. Assess, plan, implement, and evaluate individualized care plans for patients and families. Monitor telemetry patients and provide critical interventions for stroke and complex medical cases. Collaborate with physicians and interdisciplinary teams to coordinate effective patient care. Educate patients and families to promote understanding and confidence in recovery. Document findings, interventions, and outcomes clearly and accurately. Mentor and support colleagues through teamwork, preceptorship, and professional growth. Participate in continuing education, hospital initiatives, and unit projects that advance patient care. Promote patient rights, dignity, and respect at every step. What You Bring Graduate of an accredited nursing program (BSN preferred). Current Massachusetts RN license. BLS certification required. 1–2 years inpatient medical-surgical experience preferred. Oncology certification preferred. Strong communication, assessment, and critical thinking skills. Excellent organizational skills and customer service. Comfort with computer systems and commitment to confidentiality. Why You’ll Love It Here Working in the Medical, Telemetry, and Stroke Unit means being at the heart of acute care nursing. You’ll gain invaluable experience managing complex patients, while being supported by a collaborative, multidisciplinary team. Here, your role goes beyond providing care you’ll be an advocate, an educator, and a trusted partner to patients and families during some of their most vulnerable moments. Bring your skills, compassion, and commitment to excellence to a team where you’ll grow as a nurse and make a real impact every day. Apply today!
Emerson Hospital

ONCOLOGY NURSE NAVIGATOR

The Breast Oncology Clinical Navigator (BOCN) is an experienced oncology clinician responsible for the individualized needs assessment of cancer patients, family members and their care givers. The Navigator readily identifies personal and systemic barriers and through problem solving and referrals, helps to improve access to treatment thereby achieving better patient outcomes. The BOCN reports to the ACNO of Ambulatory Services or their designee and works collaboratively with all members of the oncology and surgical teams. Minimum Qualifications Education Bachelor’s degree in a health care related field preferred Experience 1 year of experience in breast care navigation preferred. Licensure and/or Certification Healthcare certification that includes patient navigation training or comparable training approved by National Accreditation Program for Breast Centers (NAPBC) standards. Skills Strong oncology and chemotherapy knowledge base. Basic knowledge of insurance reimbursement systems Working knowledge of financial hardships and payer coverage Working knowledge of national, regional, and community resources Knowledge of self-care strategies and resources Adheres to established regulations concerning patient information and privacy Critical-thinking skills Strong leadership skills Ability to develop collaborative relationships both internally and externally Ability to work both in teams and autonomously Strong verbal and written communication skills Strong organizational skills Ability to prioritize and reprioritize quickly Basic computer skills Assist in maintaining an environment for safe and comfortable patient care Shows flexibility and compassion when dealing with a variety of patients/families in stressful situations Acts independently and utilizes good judgment in the resolution of clinical and non-clinical problems Reliability and punctuality in daily work schedule Must be able to read, write, and communicate in English. Computer skills required. Ability to maintain confidential information.
Emerson Hospital

Registered Nurse (RN)- Behavioral Health Unit, 24-40 hours/week, flexible scheduling

Job Summary The Registered Nurse is responsible for utilizing the nursing process to provide comprehensive care appropriate to the age of the patients served on the Behavioral Health unit, as directed by nursing management. Nursing care is provided in accordance with the stated philosophy and standards established by the Nursing Service Department and Behavioral Health unit, regulatory agencies and professional organizations. The Registered Nurse is accountable for the safety of nursing care they deliver or supervise. The Registered Nurse is responsible to the patient and the family or significant others for the quality of direct and indirect nursing care delivered. Line responsibility to the Director, Behavioral Health Services or designee. Flexible scheduling - 8 or 12 hour shifts Minimum Qualifications Education Graduate of professional accredited nursing school required. Experience Previous experience in a mental health environment preferred. Licensure and/or Certification Currently licensed to practice professional nursing in Massachusetts required. BLS Healthcare provider required. CPI achieved within 3 months of hire required. Skills Basic nursing skills and assessment skills required. Must have strong communication skills. Critical Thinking Skills Required. Strong organizational skills. Computer skills and proficiency. Must be able to read, write, and communicate in English. Ability to protect confidential information.
Benchmark Senior Living

RN - Registered Nurse - Assisted Living

$43 - $47 / hour
Join, stay, and grow with Benchmark. Connect with your calling. Inquire about availability. The Commons in Lincoln , a premiere campus within Benchmark, is looking for a compassionate Registered Nurse (RN) to join our Assisted Living team! As a Registered 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 RN and CPR certification Graduate of an approved RN 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
Tufts Medicine

RN Ambulatory - Pulmonary Medicine

$34.79 - $43.49 / hour
Hours: 40 hours weekly, Monday-Friday 830am-5pm Location: 33 Bartlett St. Lowell, MA - Saints Campus (Pulmonary Medicine) 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 Clinical Nurse duties: Assesses, plans, implements, and evaluates the care needs of a designated group of patients or provides nursing care and identified clinical support tasks within the scope of practice for achievement of the patient’s plan of care as directed . Provides professional nursing care to patients. Requires a nursing license . A professional individual contributor role that may direct the work of other lower level professionals or manage processes and programs . The majority of time is spent overseeing the design, implementation or delivery of processes, programs and policies using specialized knowledge and skills typically acquired through advanced education . An experienced level role that applies practical knowledge of job area typically obtained through advanced education and work experience . Works independently with general supervision, problems faced are difficult but typically not complex, and may influence others within the job area through explanation of facts, policies and practices. Job Overview This role possesses and applies the skills and knowledge necessary for the delivery and management of patient care from admission through discharge. Serves as a patient and family advocate while facilitating a cooperative and collaborative environment among all health care providers. R esponsible for the planning, delivery and management of patient/family centered care utilizing the nursing process and adhering to the standards of nursing practice embedded in research, evidence based practice and/or best practices. P rovides clinical excellence, which fosters and supports an environment central to our patient and family centered model of care. Job Description Minimum Qualifications : 1. Massachusetts RN Licensure. 2 . Two (2) years of clinical nursing experience . 3 . Current Basic Life Support (BLS) Certification. Preferred Qualifications : 1. Bachelor of Science in Nursing (BSN). 2. Three (3) years of clinical nursing experience . 3. Department Specific: Certification(s) relevant to the department and the type of patient care being provided . 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. Performs nursing activities that create a compassionate, supportive, and therapeutic environment for patients and staff, with the aim of promoting comfort and healing and preventing unnecessary suffering. Includes, but is not limited to, vigilance, engagement, and responsiveness of caregivers, including family and healthcare personnel. 2. Shows respect for patients/family dignity and privacy in all patient/family interactions . E stablishes and maintains mutual trust within the nurse-patient/family relationship . 3. Assesses and identifies expected patient outcomes based on diagnosis, data, and patient’s concerns. 4. Listens and acknowledges patients/family knowledge of self and engages their participation in care . Identifies cultural needs ( i.e. language, etc ) to develop a care plan that enhances the health care experience. Recognizes patient/family rights through support of their informed decisions and advanced directives. 5. Develops and implements individualized outcomes-based care plans incorporating the patient and family’s readiness and barrier to learning. Provides and coordinates health teaching which is required by individuals, families and groups to maintain an optimal level of health. 6. Utilizes evidence-based interventions and treatments specific to the diagnosis or problem. 7. Documents per hospital and regulatory requirements/policies, all aspects of care, including but not limited to, treatments/procedures performed and patient response. Documents the implementation and any modifications, including changes or omissions, of the identified plan. 8. Performs procedures and treatments using nursing knowledge and judgment, according to established unit/practice area guidelines and professional standards 9. Safely administers and assesses the patient response to medication utilizing essential knowledge of pharmacology and Hospital and Department Standards of Care 10. Evaluates the effectiveness of the planned strategies in relation to patient responses and the attainment of expected outcomes including patient response and if desired outcomes have not been achieved. 11. Develops, communicates, and coordinates a comprehensive discharge plan utilizing appropriate resources and referrals to community resources to ensure a seamless transition for the patient and their family. 12. Develops a comprehensive educational plan for the patient and family, utilizing appropriate resources and documents according to the department’s documentation standards. 13. Participates in hospital and/or unit based patient safety, quality improvement, and process improvement activities to support and improve patient outcomes . Activities may include data collection, analysis and evaluation. 14. Provides leadership at the bedside as a delegator, collaborator, facilitator, and communicator . 15. Maintains a collaborative work relationship with peers and colleagues in order to create a positive and professional work environment . 16. Supports collaboration with nursing colleagues and other disciplines to implement plan of care by participation in nursing, physician, and case management reporting rounds . 17. Delegates responsibilities to others with an understanding of their roles, knowledge and capabilities 18. Identifies and treats both internal and external customers with courtesy, respect and caring behavior. Acknowledges cultural differences that exist among staff and patients . 19 . Participates in lifelong learning activities that assist in developing and maintaining their continuing competence, enhance their professional practice and support achievement of their career goals. 2 0 . Incorporates new knowledge and strategies to initiate change in nursing care practices 2 1 . May assume charge nurse functions in collaboration with unit leadership 2 2 . Precepts and mentors newly hired staff and nursing students 23 . Seeks out advanced certification opportunities and ongoing education opportunities 2 4 . Investigates available technology and resources to apply evidence based practice and research into daily professional activities 2 5 . Promotes unit and organizational growth through a shared governance model 2 6 . Attends and actively participates in staff meetings . Accepts responsibility for reading staff meeting minutes when not able to attend. 27 . Practices in accordance with the Massachusetts Nurse Practice Act, American Nurses Association scope and Standards of Practice, Quality Caring framework and professional practice model at Lowell General Hospital. Physical Requirements : 1. Occasional lifting of 30-35 lbs and turning patients. 2. Prolonged standing and walking. 3. Occasional twisting, bending, reaching, pushing/pulling, sitting, kneeling, and squatting. 4. Exposure to infectious disease and possible carcinogenic chemicals. 5. Exposure of blood-borne pathogens. 6. Requires fine manual dexterity to lift and maneuver patients. 7. Requires visual and aural acuity necessary to monitor patient care. Skills & Abilities: 1. Ability to effectively communicate with patients, families, physicians, and healthcare team. 2. Knowledge of and application of the nursing process. 3. Ability to provide care for a designated group of patients according to unit guidelines and hospital policies, procedures and protocols. 4. Knowledge of current trends in healthcare including but not limited to advances in technology, pharmacology, treatment care modalities, quality and patient safety. 5. Presents self in a professional and calm manner . 6. Ability to h andle emergency and crisis situations . 7 . May be s ubjected to irregular hours . 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 : $34.79 - $43.49
Benchmark Senior Living

LPN - Licensed Practical Nurse - Assisted Living

$36.50 - $40.50 / hour
Join, stay, and grow with Benchmark. Connect with your calling. Inquire about availability. The Commons in Lincoln , a premier campus within Benchmark, is looking for a compassionate Licensed Practical Nurse (LPN) to join our Assisted Living 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
Emerson Hospital

LPN - Physician Practice

Job Summary Reporting to the practice office manager and working under the direction of the physician(s), provides nursing care in accordance with the Hospital’s nursing practice philosophy and guidelines. Provides exceptional support, care, and service to patient and patient families. Minimum Qualifications Education Graduate of a practical nursing program required. Experience Physician office experience strongly preferred. 3-5 years experience in area of office specialty desired. Licensure and/or Certification Current license as a licensed practical nurse in Massachusetts required. BLS healthcare provider required. Skills Basic nursing skills Communication skills Basic knowledge of computers required. Ability to read, write, and communication in English. Excellent customer service skills. Ability to maintain confidential information required.
Benchmark Senior Living

CNA - Certified Nursing Assistant - Skilled Nursing Rehab

$21 - $22.25 / hour
Connect with your calling ! Join, stay, and grow with Benchmark. Competitive Pay, commensurate with experience, and Shift Diffs Part Time: 3p-11p Every Other Friday Per Diem; all shifts We are looking for compassionate CNAs to join our Skilled Nursing team at The Commons in Lincoln 5-Star rated Rehab within Benchmark!! As a Certified Nursing Assistant , your main role will be to deliver care to our residents within a warm, comfortable, and home-like environment. Why join The Commons in Lincoln, a breathtaking newer 35-acre Benchmark community proud to be named one of the Boston Globe's Top Places to Work for over a decade? Great work environment and teammates with long tenure Deficiency free DPH surveys Five Star rating Over 60 sister communities; great growth potential Friendly team, top-tier services, one-to-one tutoring in English, career development On-site Fitness Center Discounted meals, luxurious suburban setting, monthly associate celebrations CNA Duties & Responsibilities: Assisting residents with activities of daily living, such as bathing, dressing, grooming, and toileting Documenting care provided and reporting any changes in resident health or behavior to appropriate staff. Engaging residents in meaningful activities and providing emotional support. Utilizing customer service skills to ensure that residents receive exceptional and meaningful care. Other duties as needed. Requirements: Valid CNA/HHA license required Prior experience in a skilled nursing or assisted living community is preferred but not required Previous experience working with people with seniors is desired 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
AccentCare, Inc.

Clinical Supervisor / RN, Hospice

Overview Clinical Supervisor / RN, Hospice Location: Norwood, MA Position: Clinical Supervisor / RN, Hospice Remote/Virtual Position : No Coverage Area: Norwood, MA office location Find Your Passion and Purpose as a Full-Time Clinical Supervisor / RN, Hospice Salary: $105000 - $120000 / year Schedule: Monday - Friday with administrative on call Reimagine Your Career in Hospice Caring for others is more than what you do — it’s who you are. At AccentCare, you’ll join a purpose-driven, collaborative culture that sets the standard for excellence and gives you the trust and tools to do your best work. You’ll belong to a team that cares deeply for patients and each other; a team committed to consistently providing exceptional care. We’re proud to be named one of America’s Greatest Workplaces 2025 by Newsweek — a reflection of our shared commitment to excellence, integrity and compassion as we shape the future of aging in place. When you thrive, so does the community of care we’re building together. Offer Based on Years of Experience What You Need to Know Be the Best Hospice Registered Nurse/RN Team Director You Can Be If you meet these qualifications, we would love to meet you: Associate degree preferred Certified Hospice Nurse (CHPN) preferred Three+ years' experience in hospice, home health, general medical surgery, oncology, or patient population-specific nursing (i.e., geriatrics, pediatric, etc.) Minimum of one year of supervisory experience Possess and maintain valid CPR certification while employed in a clinical role (preferred) Must be a licensed driver who can travel to all business locations Meet the regulations and requirements of the state(s) in which the program provides services Responsibilities: As a Hospice Registered Nurse Team Director, you will : Supervise direct patient and family care team members, in collaboration with program site leadership Responsible for scheduling , payroll, and other administrative duties Ensure all initial assessments and required reassessments are conducted by qualified team members within required time frames, including documentation submissions, and/or synchonization Oversee and support the Interdisciplinary Group (IDG) in development, implementation, and review of the interdicisiplinary plan of care for each patient and family Collaborate with program site leadership memebrs to monitor, manage, and mentor staff in patient care activities, productivity, and documentation per related policies and protocols Pariticpates and promotes Back to Bedside efforts in reinforcing Case Management skills, and knowledge and attitude per protocol for all disciplines Collaborate with site leadership to support staff education efforts Facilitates IDG meetings and provides ongoing IDG Support such as triaging incoming calls, provides caller support and assistance, and performs quality calls Participates in or lead quality improvement activities, including data collection and aggregation as able Reinforces and supports all internal and external communications Our Investment in You Caring for others starts with caring for you. We’re committed to fostering a purpose-driven workplace where you feel supported, and that means prioritizing your physical, financial and mental well-being. Our benefits include: Medical, dental and vision coverage Paid time off and paid holidays Professional development opportunities Company-matching 401(k) Flexible spending and health savings accounts Wellness offerings such as an employee assistance program, pet insurance and access to Calm, a meditation, sleep and relaxation app P rograms to celebrate achievements , milestones and fellow employees Company store credit for your first AccentCare-branded scrubs for patient-facing employees And more! Why AccentCare? Come As You Are At AccentCare, you’re part of a community that cares — for patients and each other. You can rest assured we offer equal employment opportunities regardless of race, ethnicity, sex, sexual orientation, gender identity, religion, national origin, age or disability.
Benchmark Senior Living

CNA/HHA - Per Diem

$19 - $20.25 / hour
Connect with your calling ! Join, stay, and grow with Benchmark. We are looking for a compassionate CNA/HHA to join our team! As a Certified Nursing Assistant, your main role will be to deliver care to our residents within a warm, comfortable, and home-like environment. Per Diem all shifts! Hourly rate: $19/hr - $20.25/hr CNA Duties & Responsibilities: Assisting residents with activities of daily living, such as bathing, dressing, grooming, and toileting Documenting care provided and reporting any changes in resident health or behavior to appropriate staff. Engaging residents in meaningful activities and providing emotional support. Utilizing customer service skills to ensure that residents receive exceptional and meaningful care. Other duties as needed. Requirements: Valid CNA/HHA/LNA license required Prior experience in a skilled nursing or assisted living community is preferred but not required Previous experience working with people with dementia is desired 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 Benchmark Senior Living is committed to fostering, cultivating, and preserving a culture of diversity, equity, and inclusion. We embrace and encourage our associates’ differences in age, color, disability, ethnicity, family or marital status, gender identity or expression, language, national origin, physical and mental ability, political affiliation, race, religion, sexual orientation, socio-economic status, veteran status, and other characteristics that make our associates unique.
Benchmark Senior Living

RN - Registered Nurse: Per Diem or Part Time - Skilled Nursing Rehab

$43 - $47 / hour
Join, stay, and grow with Benchmark. Connect with your calling! Payrate: $43 - $47/hr, commensurate with experience Open Shifts: Part time: 3p-11p, Every other Friday Per-diem: all shifts Plus Shift Diffs: Weekends 1st shift - $3.00/hr Weekends 2nd shift - $4.00/hr Weekends 3rd shift - $6.00/hr Weekday 2nd shift - $3.00/hr Weekday 3rd shift - $5.00/hr The Commons in Lincoln is looking for a compassionate Registered Nurse (RN) to join our Skilled Nursing team! As a Registered 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. 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 RN and CPR certification Graduate of an approved RN 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
Benchmark Senior Living

LPN - Licensed Practical Nurse: Per Diem or Part-Time - Skilled Nursing Rehab

$40 - $44 / hour
Join, stay, and grow with Benchmark. Connect with your calling. Pay Rate: $40-$44/hr, commensurate with experience Open Shifts: Part time: 3p-11p, Every other Friday Per-diem: all shifts Plus Shift Diffs: Weekends 1st shift - $3.00/hr Weekends 2nd shift - $4.00/hr Weekends 3rd shift - $6.00/hr Weekday 2nd shift - $3.00/hr Weekday 3rd shift - $5.00/hr The Commons in Lincoln is looking for a compassionate Licensed Practical Nurse (LPN) to join our Skilled Nursing 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
Emerson Hospital

New Grad RN Residency Program / Behavioral Health Unit

New Graduate RN Residency Program Launch Your Nursing Career at Emerson Hospital! Next Cohort Begins: June 1st Deadline to Apply: March 13th Interviews are being conducted on: March 24th and March 26th Calling All New Grad RNs! Ready to kick-start your nursing journey at a place where YOU come first? At Emerson Hospital, we’re more than just a community hospital—we’re a community that cares. Here, your well-being matters. Your growth matters. Your future matters. Join a team that supports you with real training, real mentorship, and real balance between work and life. What’s in It for You? We don’t just care about our patients—we care about you . That’s why we offer amazing perks like: Health & Dental Insurance Paid Time Off (PTO) Retirement Savings Plan Life & Long-Term Disability Insurance Tuition Assistance Free Parking Employee Assistance Program …and more! ( Available to part-time employees working 24+ hours/week too! ) The Program Our New Graduate RN Transition Program is specially designed to help new nurses like you feel confident and capable in the fast-paced world of acute care. You’ll Receive Classroom Education + Hands-On Clinical Training Precepted Support + Monthly Cohort Sessions Year-long development through the Vizient/AACN Nurse Residency Program Clinical Areas Now Accepting Applications Medical/Surgical Units Behavioral Health What You’ll Need To Apply Resume Cover Letter (Tell us your preferred clinical areas!) MA RN License (or Board Eligible) Current Healthcare Provider BLS (American Red Cross or American Heart Association) Interviews Happening Soon — Don’t Miss Out! Start your nursing career in a place where you’ll never stop learning, growing, and making a difference . APPLY NOW and take the first step toward a brighter nursing future at Emerson Hospital .
UMass Memorial Health

Resource Nurse, Telemetry, Med Surg unit, Evenings, 40 hours

$38.65 - $78.34 / hour
Are you a current UMass Memorial Health caregiver? Apply now through Workday. Exemption Status: Non-Exempt Hiring Range: $38.65 - $78.34 Please note that the final offer may vary within this range based on a candidate’s experience, skills, qualifications, and internal equity considerations . Schedule Details: Holidays - No Holidays Required, Monday through Friday, Weekends - No Weekends Required Scheduled Hours: 1445-1115p Shift: 2 - Evening Shift, 8 Hours (United States of America) Hours: 40 Cost Center: 10021 - 0226 Nursing 2 Union: MNA-Marlborough (Massachusetts Nurses Association) This position may have a signing bonus available a member of the Recruitment Team will confirm eligibility during the interview process. Everyone Is a Caregiver At UMass Memorial Health, everyone is a caregiver – regardless of their title or responsibilities. Exceptional patient care, academic excellence and leading-edge research make UMass Memorial the premier health system of Central Massachusetts, and a place where we can help you build the career you deserve. We are more than 20,000 employees, working together as one health system in a relentless pursuit of healing for our patients, community and each other. And everyone, in their own unique way, plays an important part, every day. Responsible for the planning, delivery and management of direct patient care utilizing the nursing process and adhering to the standards of nursing practice. I. Major Responsibilities: 1. Utilizes the Nursing Process for the delivery and management of patient’s care from Admission to Discharge, appropriate to the developmental age of the patient population. 2. Performs patient assessment/reassessment according to standard procedure. 3. Develops and coordinates individual plan of care including discharge planning. 4. Directs, supervises, coordinates and evaluate nursing care within assigned clinical setting. 5. Delegates appropriately to others in accordance with job description and competency level. II. Position Qualifications: License/Certification/Education: Required: 1. Current Massachusetts Nursing licensure and registration. 2. BLS is a requirement for every RN unless advance cardiac life support (ACLS) certification is current, in addition to any unit specific certifications and competencies. Preferred : 1. Bachelor of Science degree in Nursing highly preferred. Experience/Skills: Required: 1. Thorough knowledge of the discipline of Nursing. Unless certification, licensure or registration is required, an equivalent combination of education and experience which provides proficiency in the areas of responsibility listed in this description may be substituted for the above requirements. Department-specific competencies and their measurements will be developed and maintained in the individual departments. The competencies will be maintained and attached to the departmental job description. Responsible managers will review competencies with position incumbents. III. Physical Demands and Environmental Conditions: Work is considered medium. Position requires work indoors in a patient care environment. This is a RESOURCE NURSE position All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability or protected veteran status. We’re striving to make respect a part of everything we do at UMass Memorial Health – for our patients, our community and each other. Our six Standards of Respect are: Acknowledge, Listen, Communicate, Be Responsive, Be a Team Player and Be Kind. If you share these Standards of Respect, we hope you will join our team and help us make respect our standard for everyone, every day. As an equal opportunity and affirmative action employer, UMass Memorial Health recognizes the power of a diverse community and encourages applications from individuals with varied experiences, perspectives and backgrounds. All qualified applicants will receive consideration for employment without regard to race, color, religion, gender, sexual orientation, national origin, age, disability, gender identity and expression, protected veteran status or other status protected by law. If you are unable to submit an application because of incompatible assistive technology or a disability, please contact us at talentacquisition@umassmemorial.org. We will make every effort to respond to your request for disability assistance as soon as possible.
Benchmark Senior Living

CNA/HHA - Assisted Living

$19 - $20.25 / hour
Join, stay, and grow with Benchmark. Connect with your calling! Pay $19-$20.25, commensurate with experience, and Shift Diffs Full Time 7a-3p and 3p-11p Part Time: All shifts on weekends, Every other Mon. 7a-3p, Every other Fri. 7a-3p Per Diem; all shifts The Commons in Lincoln, a premier community within Benchmark, is looking for a compassionate Certified Nursing Assistant/Home Health Aide (CNA/HHA) to join our Assisted Living/Mind and Memory team! As a CNA/HHA , your main role will be to deliver care to our residents within a warm, comfortable, and home-like environment. Why join The Commons in Lincoln , a breathtaking newer 35-acre Benchmark community proud to be named one of the Boston Globe's Top Places to Work for over a decade? Great work environment and teammates with long tenure Over 60 sister communities; great growth potential One-to-one tutoring to increase English fluency, career development and more On-site Fitness Center Discounted meals, rural, home-like setting, stylish uniforms, monthly associate celebrations CNA/HHA Duties & Responsibilities: Assisting residents with activities of daily living, such as bathing, dressing, grooming, and toileting Documenting care provided and reporting any changes in resident health or behavior to appropriate staff. Engaging residents in meaningful activities and providing emotional support. Utilizing customer service skills to ensure that residents receive exceptional and meaningful care. Other duties as needed. Requirements: Valid Massachusetts CNA/HHA license required Prior experience in a skilled nursing or assisted living community is preferred but not required Previous experience working with people with dementia is desired 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
South Shore Health

RN Case Manager per-diem

$59.42 - $86.20 / hour
If you are an existing employee of South Shore Health then please apply through the internal career site. Requisition Number: R-21995 Facility: LOC0001 - 55 Fogg Road55 Fogg Road Weymouth, MA 02190 Department Name: SSH Care Progression Status: Part time Budgeted Hours: 0 Shift: Day (United States of America) Under the general supervision of the Case Management Manager acts as a patient advocate/Case Manager to SSH&EC clients. An autonomous role that coordinates, negotiates, procures services and resources for, and manages the care of complex patients to facilitate achievement of quality and cost efficient patient outcomes. Looks for opportunities to reduce cost while assuring the highest quality of care is maintained. Applies review criteria to determine medical necessity for admission and continued stay. Provides clinically-based case management, discharge planning and care coordination to facilitate the delivery of cost-effective quality healthcare and assists in the identification of appropriate utilization of resources across the continuum of care. Works collaboratively with interdisciplinary staff internal and external to the Organization. Participates in quality improvement and evaluation processes related to the management of patient care. *Commits to working a minimum of 32 hours, with at least 16 hours (in 2 shifts) worked during a night and/or weekend per 4 week schedule. Also works 1 major summer or winter holiday. Compensation Pay Range: $59.42 - $86.20 ESSENTIAL FUNCTIONS 1 - The RN Case Manager is responsible for reviewing the medical record of all observation and inpatient admissions and continued stays to ensure appropriate utilization and delivery of care. a - Using Interqual Criteria, physician certification, and payor specific criteria, assists the physician in determining the medical necessity for observation, admission and continued stays. b - Identifies cases daily that fail to meet criteria and refers these cases to appropriate manager or physician advisor for secondary review. c - Contacts attending physicians daily on cases that lack adequate documentation warranting acute hospitalization and clarifies for them the necessary clinical documentation required to help support medical necessity d - Contacts the attending physician to notify him/her of decision to issue notice of non-coverage. Explains UR process and insurance coverage requirements. Obtains physician written concurrence when necessary; e.g., Medicare patients. Informs the patient and/or next of kin when insurance coverage must be terminated for the current admission. Issues the termination letter for the Medicare patient e - Reinstates insurance coverage when patient condition becomes acute and meets criteria again. Issues reinstatement letter. f - Continues review of all patients using criteria and determines need for continued hospitalization based upon third party payor/insurance guidelines. g - Provides clinical data/information to contracted third-party payers while patient is hospitalized to ensure continued reimbursement and to avoid reimbursement delays within 24 hours of request. h - Continues review of all patients using criteria and determines need for continued hospitalization based upon third party payer/guidelines. 2 - Plays an essential role in assisting physicians, nursing and staff with accurate determination of a patient’s observation status. The RN Case Manager is an important resource in preventing delayed discharges of observation patients. a - Identifies and reviews observation patients to determine the correct patient level of care daily prior to 12 PM. b - Consults with physicians, nursing, admitting, and outside insurance case managers to determine the appropriate status of patient. Refers the questionable status to internal physician advisor or EHR according to the Departmental Process. c - Assumes the role of review coordinator for observation services; reviews medical record for appropriateness of status and level of care, and facilitates the level of care, utilizing InterQual for Observation. d - Works with physicians, nursing and staff, patients and families to arrange prompt and safe discharge e - RN Case Manager must take telephone orders from physicians changing patient status from observation to inpatient admission. This should be done when monitoring observation status. A call or page should be made to physician if the RN Case Manager believes that this should be an inpatient admission and not wait until the 24 hours are ending before conversion. RN Case Manager must actively monitor patients on observation status and seek to clarify their status as close to the 24-hour benchmark as possible. The RN Case manager must send a concern in a timely fashion to facilitate the patient being put into the correct patient status and to provide timely notification. 3 - Participates in case finding and pre-admission evaluation screening to assure reimbursement. a - Identifies potential transition planning problems in a timely manner to set up services required. b - Works with attending physician to move patient through the SSH&EC system and set up appropriate services or referrals; e.g., SNF/VNA/Home Pharmacy c - Identifies need for new resources if gaps exist in service continuum, and initiates creative care delivery options. 4 - The RN Case Manager is responsible for assessing patient acute level of care needs and works to implement and coordinate interventions aimed at facilitating a safe and timely discharge plan to the appropriate sub-acute settings in collaboration with the Case Manager Specialist. a - With the Case Manager, work to identify, and prioritize workflow through identification of patient specific, department needs and or unit based needs. b - Executes and implements a safe and effective discharge plan based on the case management assessment in accordance with the Conditions of Participation. c - Makes and documents appropriate changes to discharge plan when necessary. d - Proactively uncovers barriers to early/timely discharge and overcomes them. e - Facilitates and coordinates patient care rounds. f - Conducts necessary conferences and team meetings regarding specific patient needs. g - Implements interventions that lead to patient accomplishing goals established in Plan. h - Coordinates the necessary resources to accomplish goals developed in Plan. i - Proactively affects system to facilitate efficient flow of care, anticipates discharge process. j - Gathers information from multidisciplinary team and monitors appropriate discharge plan. 5 - Continued. a - Uses and Updates the interdisciplinary patient White Board for communication enhancement; including RN Case Manager name, time/date/plan for discharge. b - Issues the Medicare Important Message (IM). c - Proper use of the Medical Necessity form for post discharge transportation. d - Use of technical tools, i.e., eDischarge, EHR, Interqual, MCCM e - Identifies and / or facilitates establishment of a patient’s Health Care Proxy.p) f - Identifies patient Care Plan Partner. g - Fosters patient and family awareness of Patient Portal. 6 - Ensure that patient has received all information related to choice of follow-up care facilities according to patient and family preference and any ACO preferred contracted providers. a - Ensure that, at minimum, 3 referrals are processed for continuum of care providers b - Document choices provided, with special consideration of ACO relationships and preferences; and selections made by patient and/or family in medical record. c - Expedite and process referrals, in a timely manner to department standards, including requesting and tracking screenings and acceptances of patients by care providers, expediting responses from provider facility personnel as necessary. d - Document response by providers. e - Delivers the Medicare Important Message (IM) per department protocol. f - Have patient, family/healthcare Proxy sign discharge plan. 7 - Interacts, communicates, and intervenes with multi-disciplinary healthcare team in a purposeful, goal-directed fashion. Works pro-actively and utilizes critical thinking skills to maximize the effectiveness of resource utilization. Anticipates, initiates, and facilitates problem resolution around issues of resource use and continued hospitalization, discharge planning. a - Establishes a means of communicating and collaborating with physicians, other team members, the patient’s payers, and administrators. b - Explores strategies to reduce length of stay and resource consumption within the care managed patient populations, implements them and documents the results. c - Communicates to appropriate members of healthcare team patients at risk of losing insurance coverage via termination of benefits, facilitates discharge plan d - Maintains a pro-active role to ensure appropriate documentation concurrently to minimize inefficient resource utilization and prevent loss of reimbursement e - Reviews physician documentation and follows procedures to seek clarification where indicated of that documentation relative to diagnosis and comment on the patient’s clinical state. f - Coordinate and participate in daily multidisciplinary patient care rounds. g - Uses the SBAR method to communicate with MD, and peers h - Acts as a clinical resource to support the Case Manager Specialist in resource utilization and discharge planning the more clinically complex or long length of stay patient. 8 - Establishes and maintains effective communication with all referral sources, insurers, vendors and patient supplier systems. 9 - Maintains consistently a professional commitment to institutions and department’s goals and objectives. Demonstrates flexibility to the department’s needs in relation to floor and work schedule, and any other internal and external demands on the department. Continually shows commitment to the Department by extending self when need arises. 10 - Maintains an updated knowledge base of and references resources outlining provider benefits for care choices, including public, private, and governmental payers and established / preferred ACO relations a - Maintains a working knowledge of the requirements of the payers most frequently seen with the patient population. b - Maintains a working knowledge of the resources available in the community for patients/families. c - Maintains current nursing licensure CEU credits, case management certification CEU's. d - Maintains Interqual Certification. 11 - Is responsible for department operational excellence, regarding safe and effective discharge planning; assures department delivers quality services in accordance with applicable policies, procedures and professional standards. a - Manages all activities so that quality services are provided in an efficient and effective manner. b - Services provided meet all applicable regulatory requirements c - Participates in departmental and organizational Quality Improvement initiatives involving the Lean principles and TIM WOODS. d - Maintains departmental productivity measurements. e - Has an awareness of departmental productivity measurements including LOS and utilization f - Follows department policies, procedures, and standards of care that support operational excellence and productivity measurements 12 - Attains all agreed to goals and objectives within specified time frames, as part of the organization’s overall mission. 13 - Technology – Embraces technological solutions to work processes and practices. a - eDischarge, EHR, Interqual, MCCM, Epic, Workday JOB REQUIREMENTS Minimum Education - Preferred Registered Nurse, Bachelors prepared strongly preferred Minimum Work Experience 3-5 years acute care hospital experience preferred Critical Care or Emergency Department experience highly desirable Required Licenses / Registrations RN - Registered Nurse Required Certifications ACM-Accredited Case Manager or CCM-Certified Case Manager within two years of hire Required additional Knowledge, and Abilities Demonstrated skills in the areas of: negotiation, communication (verbal and written), conflict, interdisciplinary collaboration, management, creative problem solving, and critical thinking, time management and ability to multitask in high stress environment. Knowledge of: healthcare financing, community and organizational resources, patient care processes, and data analysis. Knowledge of utilization management as it relates to third party payers Knowledge of post-acute care community resources Experience with Managed Care preferred. Excellent verbal and written communication skills required. Demonstrates flexibility via an ability to adapt to changing priorities and regulations. Basic computer skills required. Weekend and Holiday 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), Basic Life Support (BLS) Certification - American Heart Association (AHA) (Including courses offered through SSH), Emergency Response Training (ERT) Certification - SSH Education & Training, INSTRUCTOR- Advanced Cardiac Life Support (ACLS) - American Heart Association (AHA) (Including courses offered through SSH), INSTRUCTOR- Basic Life Support (BLS) - American Heart Association (AHA) (Including courses offered through SSH), Neonatal Resuscitation Program (NRP) Certification - American Heart Association (AHA) (Including courses offered through SSH), OB- Emergency Response Training (ERT) - SSH Education & Training, Pediatric Advanced Life Support (PALS) Certification - American Heart Association (AHA) (Including courses offered through SSH), RN-Registered Nurse - Board of Registration in Nursing (Massachusetts), Trauma Care After Resuscitation (TCAR) - TCAR Education Programs, Trauma Nurse Core Course (TNCC) - Emergency Nurses Association - (ENA)