Nursing Jobs in Natick, MA
$82,367.58 - $124,614.60 / year
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 
$106,080 - $114,400 / year
Job Description Balance Life & Work with a New Career Opportunity (LONG TERM CARE) (SHORT TERM REHAB) (SKILLED NURSING) (SUB ACUTE CARE) Now Hiring - Unit Manager LPN or RN - Brookline, MA Min $106,080K - Max $114,400K Compensation will be based on, but not limited to, experience, qualifications, credentials and any other relevant information CareOne at Brookline Job Duties The Unit Manager is responsible for the day-to-day coordination oversight of all aspects of his/her assigned clinical unit. Job duties include, but are not limited to: Ensure that required staffing levels are met for each shift on a daily basis needed to render care for the number of residents assigned to her/his responsibility. Make sure that staffing level adjustments are made each shift as needed and the Federal required posted schedule is adjusted to reflect current actual staffing. Attend, participate and lead the weekly resident "At Risk" meeting ensures resident care and condition concerns are identified, interventions are appropriate to cause and follow up is completed. Attend and participate in morning clinical review meeting. Attend and participate in PPS meetings as indicated. Attend and participate in monthly QA and A meetings, as assigned, and assist with follow up for any identified problems. Monitor provision of resident care by licensed nurses and C.N.A.'s ensure required documentation is completed. Review 24- hour resident change in condition report daily ensure necessary follow-up occurs including appropriate interventions implemented, physician and family notified and required documentation has been completed. Review resident medical records and documentation to ensure clinical programs are in place per policy and procedures. Identify educational needs of staff discuss findings with the Facility Educator and work collaboratively to meet these needs. Participate on other committees as requested by the Administrator/Director of Nursing Services. Ensure that resident care and documentation is in compliance with state and federal rules and regulations. Comply with and ensure that staff is in compliance with HIPAA rules and regulations, reporting any known violations to the Administrator and Director of Nursing Services. Ensure work assignments are made for assigned staff, including breaks and lunches and staff is compliant with assignments. Initiate disciplinary action as necessary for staff members in collaboration with DON/ADON. Communicate with the appropriate department manager/DON and participate with follow up and resolution to any grievances/concerns from personnel, residents or family members. Ensure physician orders are being followed. Assist the DON/ADON with preparing performance evaluations as directed. Greet new admissions and families and assist nursing staff with admission process as needed. Within 24 to 48 hours, ensure that all admission documentation is complete including all required clinical assessments and care plans. Monitor medication passes and treatment schedules to ensure that medications are being administered as ordered and that treatments are provided as scheduled. Provide direct nursing care as necessary. Report problem areas to the Director of Nursing. Assist in developing and implementing corrective action. Attend and participate in continuing education programs to remain current with standards of nursing practice and to maintain licensure requirements. Ensure that your nursing staff follows policy and procedures, including appropriate dress code. Ensure that nursing staff participate in all fire safety and disaster preparedness drills. Ensure that nursing personnel are follow established infection control procedures when isolation precautions become necessary. Ensure that all personnel operate nursing equipment in a safe manner. Participate as needed and/or directed in collaboration with the Resident Assessment/Care Plan Coordinator in the development of a written care plan (preliminary, interim and comprehensive for each resident that identifies the problems/needs of the resident, indicates the care to be given, goals to be accomplished and which professional service is responsible for each element of care. Ensure that all nursing care is provided in privacy and that nursing service personnel knock before entering the resident's room. Report and assist with investigation of any allegations of resident abuse including misappropriation of resident property. Assist Social Services with ensuring that an Advance Directive/Code Status has been obtained and documented in appropriate places per policy. Participate in the annual survey and/or complaint survey processes as directed by Administrator/DON and assist as directed with any plans of correction required. Position Requirements Bachelor's degree preferred and/or must be a graduate of an approved RN program. Must be an actively licensed RN in assigned state(s) of employment Previous supervisory experience. Two years of LTC experience. Acute Care experience preferred. About Us The CareOne mission is to define excellence within the health care community. We are dedicated to Maximizing Patient Outcomes. We treat Residents, their families and each other with respect, dignity and compassion. Through a collaborative and consultative approach, we strive to provide a framework of strength and stability for our Centers and Communities. We work to maintain the highest standards of care and service for Residents, families and our valued employees. We are proud to Offer the following benefits to Part-time (22.5+ hours/week) and Full-time Employees: Comprehensive Healthcare Benefits Multiple Medical Plans Including Pharmacy Including Teladoc Multiple Dental Plans Vision Plan Health Savings Account (eligibility restrictions apply) Flexible Spending Accounts Voluntary Life and AD&D Short-Term and Long-Term Disability Plans Hospital Indemnity Insurance Critical Illness Insurance Accident Insurance Whole Life Insurance Medicare Employee Assistance Legal Plan Commuter Benefits 401k Retirement Plan Employee Assistance Program (available to all employees) Paid Time Off Vacation Sick Plans in accordance with state laws Opportunities to advance and grow your career If working with people who are dedicated, compassionate, and concerned about their patients is essential to you, then you'll appreciate being a part of our team. We've built a strong reputation on the outstanding level of care that we provide. We have a graciously appointed facility with strong belief in patient care and service; join us at our beautiful facility! We are an Equal Opportunity Employer EEO/AA/M/F/DV 
