Nursing Jobs in Medway, MA
$77,230.40 - $154,460.80 / year
Summary The Stroke Program Nurse Navigator is a registered nurse who reports to the Director of Emergency Services and is responsible for supporting clinical teams throughout the hospital who provide direct care to stroke patients, and their families. Patient navigation refers to the assistance offered to patients and their families to help them move through the complexities of the healthcare system and overcome any barriers to quality care. The Stroke Program Navigator recognizes that every patient and every stroke is unique, and that care must be individualized. The candidate will work closely with the Stroke Program Manager and function as a point person for patients and families during and following their hospitalization. Brown University Health employees are expected to successfully role model the organization's values of Compassion, Accountability, Respect, and Excellence as these values guide our everyday actions with patients, customers and one another. In Addition To Our Values, All Employees Are Expected To Demonstrate The Core Success Factors Which Tell Us How We Work Together And How We Get Things Done. The Core Success Factors Include Instill Trust and Value Differences Patient and Community Focus and Collaborate Responsibilities Assumes key role in assuring care on a continuum, coordinating diverse resources and patient care activities for individuals receiving patient-centered stroke care. Acts as the point person for patients and families/caregivers throughout their hospital stay and following their hospital discharge. Key responsibilities include: Working collaboratively with the interprofessional team to ensure an evidence-based plan of stroke care Provides in-person support for the clinical care of patients. Expert Stroke resource for nurses and providers. Assists with patient assessment o Coordinates patient care using defined protocols o Provides emotional support to patients and families. Provide patient and family education. Completes NIHSS Intervenes in real-time quality measures Conducts chart reviews Documents within patients’ electronic health record Collects and manages data for regulatory compliance and accreditation Provides EMS feedback Provides patient discharge follow-up Collaborates with healthcare team to create discharge plan Provides staff education Participates in quality initiatives and research Committee membership Minimum Qualifications BASIC KNOWLEDGE: Graduate of an accredited school of nursing, associate’s degree in nursing required, bachelor’s degree in nursing preferred Current license to practice as a Registered Nurse in the State of Rhode Island BLS certification through AHA ACLS within six months of hire NIH Stroke Scale (NIHSS) certification within six months of hire Stroke certification within 2 years of hire Understanding of the provisions of the Nurse Practice Act of the State of Rhode Island. Demonstrated knowledge and skills necessary to provide care to patients with consideration of aging processes, human development stages, and cultural patterns in each step of the care process. EXPERIENCE: Experienced nurse with 3-5 years of acute care experience Stroke patient care experience strongly preferred. Strong interpersonal skills to effectively function as a member of the healthcare team to coordinate and discuss patient care activities. SUPERVISORY RESPONSIBILITY: None Pay Range $77,230.40-$154,460.80 EEO Statement Brown University Health is committed to providing equal employment opportunities and maintaining a work environment free from all forms of unlawful discrimination and harassment. Location: The Miriam Hospital - 164 Summit Ave Providence, Rhode Island 02906 Work Type 12pm-10:30pm Work Shift Evening Daily Hours 10 hours Driving Required No $82,367.58 - $124,614.60 / year
*This is a 24 hour/week position* The Oncology Registered Nurse is focused on patient assessment, patient education, the coordination of care, administration of therapy, symptom management and supportive care for the Oncology and Hematology patients at Dana-Farber Cancer Institute. The Registered Nurse cares for individuals receiving therapy for oncologic and hematologic problems. The nurse’s responsibilities include assessment, planning, implementation and evaluation of nursing care for a complex patient population. The nurse’s role includes administration of chemotherapy and other medications and infusions, telephone nursing care, direct patient care and charge capture/billing for all services rendered. The nurse provides patient and family education and psychosocial and emotional support. He/she is a member of a multidisciplinary care team that requires effective communication and collaboration with co-workers and staff as well as collaborating institutions and agencies. The role requires clinical expertise, critical thinking, collaborative practice, excellent communication skills and an understanding of the principles and practices of clinical research. Located in Boston and the surrounding communities, Dana-Farber Cancer Institute is a leader in life changing breakthroughs in cancer research and patient care. We are united in our mission of conquering cancer, HIV/AIDS, and related diseases. We strive to create an inclusive, diverse, and equitable environment where we provide compassionate and comprehensive care to patients of all backgrounds, and design programs to promote public health particularly among high-risk and underserved populations. We conduct groundbreaking research that advances treatment, we educate tomorrow's physician/researchers, and we work with amazing partners, including other Harvard Medical School-affiliated hospitals. Delivers expert, evidence-based nursing care to patients and families: Implements nursing process: Assessment, Nursing Diagnosis, Planning, Implementation, Evaluation. Assesses patient and family needs. Promotes health care outcomes in concert with currently accepted clinical practice guidelines. Analyzes assessment data to develop and support clinically accurate diagnoses. Collaborates proactively with all interdisciplinary team members with a patient centered focus to facilitate and maximize patient healthcare outcomes. Plans care by establishing goals with measurable outcomes. Implements the plan of care. Evaluates the patient’s response to interventions. Documents care according to Institute and regulatory agencies’ requirements. Administers medications and other treatments, which may include chemotherapy, and performs procedures safely and efficiently in accordance with Institute policy. May administer blood transfusions. Evaluates educational and psychological needs of patient and family and incorporates identified needs into the plan of care. Educates patient and family regarding treatment modalities of disease, which may include chemotherapy and radiation therapy and symptom management. Reviews patient’s clinical status and laboratory values pre-treatment and consults with provider when appropriate. Evaluates and determines need for patient referrals to other members of the interdisciplinary needs as appropriate. Identifies appropriate community resources to promote continuity of care and makes appropriate referrals. Manages patient care across the continuum, making appropriate referrals to home care and hospice, as necessary. Prepare and administers chemotherapy/biotherapy and supportive therapy in accordance with ASCO/ONS Guidelines. Recognizes and responds to emergency situations appropriately. Maintains BLS certification. Provides telephone triage according to policies and documents telephone interactions. Performs the following technical skills; Intravenous therapy including peripheral and central venous vascular access devices, including obtaining IV access, Safe handling practices for hazardous, cytotoxic and biological agents, Chemotherapy administration skills, including vesicant and non-vesicant medications. Complies with accepted standards of professional nursing practice, as well as with all licensure/registration requirements applicable to the nursing role. Supports the DFCI Nursing Department Professional Practice Model and Quality Plan. Accurately records charges for all services rendered on the day service. Collaborates with Clinic Assistant to assure accurate inventory of all supplies. Serves as a resource to medical personnel in other health facilities, providing telephone consultation to engender optimal Oncology practices and knowledge among health care professionals caring for cancer patients. Establishes rapport with patients and families from a variety of cultural, ethnic and religious backgrounds: Interacts with patients and families in a caring and compassionate manner respecting the need for privacy and confidentiality. Develops approaches to problem solving which meet the individual needs of the patients and families. Demonstrates the knowledge and skills necessary to provide age-specific care and support to the populations served. Promotes a culture of inclusion. Fosters an environment that is sensitive to the needs of diverse populations, including but not limited to culture, ethnicity, gender, and age. Manages the environment of patient care: Monitors the environment of care with attention to patient safety and assures compliance with regulatory agency standards. Complies with applicable policies, procedures, work rules and standards of conduct. Adheres to the Code of Ethics for Nurses with Interpretive Statements (ANA, 2015) in all aspects of professional practice. Bases care on the Standards of Oncology Nursing Practice and Oncology Nursing Society Chemotherapy Guidelines. Works collaboratively and functions as an effective member of the health care team: Demonstrates the ability to work collaboratively with peers and co-workers. Effectively addresses and manages conflicts. Demonstrates excellent communication skills. Demonstrates effectiveness as a contributing member to the multidisciplinary health care team. Delegates as appropriate and supervises assistive personnel in their provision of patient care. May function in the charge nurse role when necessary, collaborating with staff and coordinating flow of patients into the infusion areas. Participates in committees, councils, and initiatives. Demonstrates flexibility in setting and changing priorities. Accepts additional responsibilities as needed. Participates in QA/QI projects for the unit as requested. Seeks opportunities to foster professional growth: Identifies areas for professional growth. Formulates professional goals, objectives and methods for accomplishing these. Attends in-services, workshops and seminars. Shares information gained with colleagues. Facilitates professional growth of self and others by acting as a preceptor and mentor for new staff. Meets all annual evaluation requirements and competencies within the established time period. Pursues active membership in local and national professional organizations. Knowledge, Skills, And Abilities Required Demonstrated ability to work as an effective member of an interdisciplinary team Demonstrated skills in critical thinking, problem solving, and ability to make independent decisions Ability to function in a busy work setting with patients with complex needs IV skills strongly preferred Work tasks require walking, standing, climbing, sitting, bending, reaching and occasional lifting. Some tasks are performed while sitting Good hearing and vision are required for the time spent in interactions with others, telecommunications and the required reading of medical and pharmaceutical documents and patient care related documents Communications with physicians or staff during office hours requires organization of information, discretion and balancing of multiple communications Relationships with patients/families and colleagues requires excellent listening skills, the ability to identify issues and seek a resolution that reflects the quality care and satisfaction goals of the practice The work requires concentration and frequent mental and visual attention as well as the ability to work efficiently. Frequent interruptions and movement away from desk require the ability to stay focused and return to uncompleted tasks Telephone communications listening and speaking skills are required for the time spent in this mode of communication The ability to balance multiple tasks and normal stress associated with the duties and responsibilities of this position are essential requirements in the performance of this job The ability to speak, read and write in English, and the ability to perform mathematical pharmaceutical calculations is required for this position Demonstrates understanding of special needs and behaviors of age groups of the population served: young adult to geriatric Minimum Job Qualifications The position requires licensure as a Registered Nurse in the Commonwealth of Massachusetts or New Hampshire, as appropriate. A bachelor’s degree in nursing is strongly preferred, and candidates with an associate degree must complete a BSN within 4 years. At least 1 year of recent RN experience is required, with ambulatory and/or oncology experience preferred. Professional nursing certification (e.g., OCN, BMTCN, CPHON, AOCNP, CRNI, RN-BC) is preferred, and AHA BLS certification is required (AHA ACLS is acceptable as a minimum requirement). Supervisory Responsibilities No direct supervision of others but does supervise assistive personnel as appropriate in the provision of patient care. PATIENT CONTACT: Yes At Dana-Farber Cancer Institute, we work every day to create an innovative, caring, and inclusive environment where every patient, family, and staff member feels they belong. As relentless as we are in our mission to reduce the burden of cancer for all, we are committed to having faculty and staff who offer multifaceted experiences. Cancer knows no boundaries and when it comes to hiring the most dedicated and compassionate professionals, neither do we. If working in this kind of organization inspires you, we encourage you to apply. Dana-Farber Cancer Institute is an equal opportunity employer and affirms the right of every qualified applicant to receive consideration for employment without regard to race, color, religion, sex, gender identity or expression, national origin, sexual orientation, genetic information, disability, age, ancestry, military service, protected veteran status, or other characteristics protected by law. EEO Poster Pay Transparency Statement The hiring range is based on market pay structures, with individual salaries determined by factors such as business needs, market conditions, internal equity, and based on the candidate’s relevant experience, skills and qualifications. For union positions, the pay range is determined by the Collective Bargaining Agreement (CBA). $82,367.58 - $124,614.60 
$81,473.60 - $157,851.20 / year
Site: The Brigham and Women's Hospital, Inc. Mass General Brigham relies on a wide range of professionals, including doctors, nurses, business people, tech experts, researchers, and systems analysts to advance our mission. As a not-for-profit, we support patient care, research, teaching, and community service, striving to provide exceptional care. We believe that high-performing teams drive groundbreaking medical discoveries and invite all applicants to join us and experience what it means to be part of Mass General Brigham. Job Summary Operating Room Nurse Flow Manager 36 hr Rotating As manager of the Operating Room Schedule, the Operating Room Flow Manager has direct responsibility for maximizing the efficiency of patient flow, controlling the transfer of patients for surgery. As part of the management team, time will be spent directing and monitoring patient flow in the extremely complex, high patient volume Operating Room setting with 46 operating rooms, 27,000 cases and over $50,000,000 in revenues per year). Decisions made regarding patient flow and Operating Room utilization have a direct impact on the expenditure of resources and maximization of revenues. This position is the key controller, facilitator, and integrator of the effectiveness and efficiency with which the daily dynamic schedule functions. The OR Flow Manager works in collaboration with the anesthesia floor leader, nursing management, surgeons, and co-leaders in determining, through critical judgment and decision-making, that optimum utilization is attained and maintained. The OR Flow Manager will develop and promote a team philosophy and interdisciplinary collaboration among staff to foster a continuum of care for the perioperative patient. At the Brigham, we place great value on being a diverse and inclusive community. Brigham Health and the Department of Nursing are dedicated to diversity, equity and inclusion as we aim to reflect the diversity of the patients in our local community. We have a dedicated focus on equity. Thus, we believe in equal access to quality care, employment and advancement opportunities encompassing the full spectrum or human diversity: race, gender, sexual orientation, religion, ethnicity, national origin and all the other forms of human presence and expression that make us better able to provide innovative and cutting-edge healthcare and research. Qualifications Principles Duties and Responsibilities: • Directs the efficient flow and movement of perioperative patients from pre-op, ED, or inpatient unit, to the operating room, and then to PACU or inpatient unit • Establishes effective communications with nursing management, clinical support, anesthesia floor leader, surgeon, and hospital administration to ensure efficient utilization of the Operating Room. • Ensures that optimum utilization is maintained with minimum use of overtime and additional staff. Impact of errors could result in major revenue losses and increased personnel expenses. • Track and communicate any actual or potential delays and trends to support institutional goals. • Align nursing staffing numbers and skill set with surgical cases and volume at all times, paying particular notice to 3:00pm, 5:00pm, 7:00pm, and 9:00pm • Utilize clinical knowledge and judgement to adhere to OR schedule and minimize delays which can result in loss of revenue, increase personnel expenses, and impact patient outcomes. • Establishes and sustains successful external relationships with ancillary departments including but not limited to Pre-Op, PACU, and ICU, to assure smooth and efficient functioning of the Operating Room Schedule. • Develops and maintains a plan of organization which facilitates congruency with organizational goals. • Monitors the accuracy of the Epic scheduling program and interacts with Information Systems to ensure that the integrity of the system is maintained. • Plans for additional staffing as needed and secures resources with consideration of budget impact. • Implements and monitors adherence to personnel and departmental policies. • Establishes and maintains an environment conducive to high morale and job satisfaction, fulfillment of staff goals, and delivery of optimum performance. • Abide by organizational structure escalation pathways for support as needed • Performs all other duties as assigned. Qualifications: • Bachelor’s of Science in Nursing degree required • Previous Operating Room Charge Nurse experience required • Master’s Degree in related healthcare, Operations, engineering Preferred • Knowledge of patient care and operational flow activities, as described. Skills and Abilities: • Must possess strong interpersonal communication and negotiation skills to provide effective leadership for promoting interdisciplinary collaborative team work. • Must possess strong analytical and organizational abilities in order to make effective decisions in an expedient manner while maintaining high quality care standards. • Must be able to appropriately prioritize room and staffing resources based upon patient needs and established protocols. • Must use clinical knowledge and judgement to prioritize patients in collaboration with anesthesia and surgery, as routine, urgent, and emergent • Uses expertise and judgment in determining appropriate patient placement and defining appropriate patient scheduling. • Must demonstrate ability to effectively communicate, negotiate, and problem solve with physician staff over scheduling and room assignments. • Must often act as a liaison between staff and physicians in determining most appropriate resource allocation. • Must demonstrate fair and equitable practice in assigning staff, determining overtime, and providing input into performance evaluations. • Must be able to promote a customer-oriented philosophy among all staff within the area. • Must demonstrate independent judgment within the scope of this position, while maintaining effective relations with outside referring organizations, internal physicians, and departmental staff. • Ability to work under extremely stressful conditions. • Must be able to utilize computer applications programs such as EPIC Additional Job Details (if applicable) Reasons to Choose Brigham and Women’s Hospital Competitive salary and great benefits, including pension and 403(b) match. Magnet Hospital Opportunities for growth and development Tuition Reimbursement Generous paid time off Subsidized MBTA pass (50% discount) Free parking for nights and weekends Resources for childcare and emergency backup care Hospital paid retirement plan and tax-sheltered annuity plan. Discounts on tickets and passes for everything from ski resorts to museums to sporting events. Remote Type Onsite Work Location 75 Francis Street Scheduled Weekly Hours 36 Employee Type Regular Work Shift Rotating (United States of America) Pay Range $81,473.60 - $157,851.20/Annual Grade 8NTEMP At Mass General Brigham, we believe in recognizing and rewarding the unique value each team member brings to our organization. Our approach to determining base pay is comprehensive, and any offer extended will take into account your skills, relevant experience if applicable, education, certifications and other essential factors. The base pay information provided offers an estimate based on the minimum job qualifications; however, it does not encompass all elements contributing to your total compensation package. In addition to competitive base pay, we offer comprehensive benefits, career advancement opportunities, differentials, premiums and bonuses as applicable and recognition programs designed to celebrate your contributions and support your professional growth. We invite you to apply, and our Talent Acquisition team will provide an overview of your potential compensation and benefits package. EEO Statement: 2200 The Brigham and Women's Hospital, Inc. is an Equal Opportunity Employer. All qualified applicants will receive consideration for employment without regard to race, color, religious creed, national origin, sex, age, gender identity, disability, sexual orientation, military service, genetic information, and/or other status protected under law. We will ensure that all individuals with a disability are provided a reasonable accommodation to participate in the job application or interview process, to perform essential job functions, and to receive other benefits and privileges of employment. To ensure reasonable accommodation for individuals protected by Section 503 of the Rehabilitation Act of 1973, the Vietnam Veteran’s Readjustment Act of 1974, and Title I of the Americans with Disabilities Act of 1990, applicants who require accommodation in the job application process may contact Human Resources at (857)-282-7642. Mass General Brigham Competency Framework At Mass General Brigham, our competency framework defines what effective leadership “looks like” by specifying which behaviors are most critical for successful performance at each job level. The framework is comprised of ten competencies (half People-Focused, half Performance-Focused) and are defined by observable and measurable skills and behaviors that contribute to workplace effectiveness and career success. These competencies are used to evaluate performance, make hiring decisions, identify development needs, mobilize employees across our system, and establish a strong talent pipeline. 
