Nursing Jobs in North End, MA
$91,879.42 - $117,150.49 / year
Hours: 40 hours weekly, Monday-Friday 830am-5pm Location: 178 Savin Street Suite 100 & 200A, Malden MA 02148 Job Profile Summary This role focuses on providing professional and nonprofessional nursing care services in accordance with physician orders. In addition, this role focuses on performing the following Nursing Leadership duties: Controls, directs, and participates in the activities of the organization through a hierarchy of managers and supervisors. Responsibilities also include long-term strategic planning, determining the policies of the organization, and allocating its resources and making decisions regarding organization growth and diversification to accomplish entity's vision. A management role that supervises employees focusing on tactical, operational activities within a specified area, with the majority of time spent overseeing area of responsibility, planning, prioritizing and/or directing the responsibilities of employees. Goal achievement is typically accomplished through performance of direct and/or indirect reports. A role that supervises para-professional employees. Responsibilities that typically include: Setting day-to-day operational objectives for team, problems faced may be difficult but typically are not complex, and ensures policies, practices and procedures are understood and followed by direct reports, customers and stakeholders. Job Overview This position utilizes the nursing process, leadership skills, and current evidence based clinical knowledge to assess the needs of the departments, collaborate with health team members to coordinate patient care, and set criteria for the quality of patient care. Develops and sustains an environment that promotes excellence in clinical practice and customer satisfaction, while striving for optimal efficiency, productivity, and utilization of all resources. Provides patient and staff education, clinical supervision, and participates in unit-based activities (quality assessment, shared governance, quality review, staff development in-services, simulation drills, etc.) Job Description Minimum Qualifications: 1. Bachelor’s degree in Nursing (BSN). 2. Registered Nurse (RN) license. 3. Basic Life Support (BLS) certification. 4. Three (3) years of nursing leadership experience. Preferred Qualifications: 1. Master’s degree in Nursing (MSN). 2. Five (5) years of nursing leadership experience. 3. Nursing specialty certification. Duties and Responsibilities: The duties and responsibilities listed below are intended to describe the general nature of work and are not intended to be an all-inclusive list. Other duties and responsibilities may be assigned. 1. Acts as a role model for clinical excellence and promotion of professional practice. Is visible and available to answer questions, assist with treatments/procedures. 2. Assists in clinical problem-solving and the development of critical thinking skills. 3. Assists with ensuring implementation of the nursing process and established nursing standards. 4. Demonstrates standards compliance through staff documentation in the medical record. 5. Promotes excellent relations and collaboration between staff and others on each unit in the hospital. 6. Utilizes the available resources in a cost-effective manner. 7. Supports unit performance improvement. 8. Assists with developing and retaining employees through coaching and performance feedback resulting in mutual trust and respect. 9. Assists with the Coordination of all aspects of Performance Management including: setting expectations, continuing education, credentialing, performance appraisals, auditing, concurrent monitoring, utilization review, risk management and active problem identification. 10. Performs required performance appraisals on time for unit staff based on hospital job descriptions and unit-based performance standards. 11. Assists in identifying, planning and implementing educational programs based on staff needs. Regularly participates in direct staff learning activities. 12. Participates in the professional development for self and other department/unit specific team members. 13. Conducts regular supervisory rounds as applicable to include the following monitoring of staff documentation, patient and customer satisfaction, patient education, nursing care and unit services provided, implementation and use of protocols, and overall work environment 14. Participates in identifying needs at the unit and organizational levels and assists with strategic planning, organizing, executing, controlling and evaluating systems, processes and practice, patient care and information processing 15. Participates in hospital shared governance councils. 16. Observes and monitors compliance of nursing staff in the daily practice of care delivery. 17. Mentors staff to provide evidence-based practice and clinical care. 18. Encourages professional growth through in-services, councils, clinical ladder, certification, advanced schooling, etc. 19. Evaluates effectiveness of educational programs based on performance improvement. Physical Requirements: 1. Prolonged, extensive, or considerable standing/walking. 2. Lifts, positions, pushes, and/or transfer patients and equipment. 3. Considerable reaching, stooping, bending, kneeling, crouching. 4. Frequent exposure to hazardous chemicals, sick patients, bodily substances, noise and possible exposure to radiation, lasers, electric shock, etc. 5. Regularly exposed to the risk of bloodborne diseases and other transmissible infections. 6. Requires manual dexterity using fine hand manipulation to reports and computer equipment. 7. Hearing and visual acuity sufficient to perform examinations, observe patients, read monitors and documents, and hear audible equipment alarms. 8. May have contact with hazardous materials. Skills & Abilities: 1. Ability to apply the skills and knowledge necessary to provide care to patients throughout the life span, with consideration of aging processes, human development stages and cultural patterns in each step of the care process. 2. Management and interpersonal skills necessary to provide leadership to a variety of employees; to maintain a variety of internal and external contacts; and to interact effectively with patients, families; physicians and other departments. 3. Analytical abilities/critical thinking skills to identify and resolve operational problems. 4. Demonstrated leadership abilities. 5. Ability to work effectively under stressful conditions. 6. Ability to communicate effectively orally and in writing. 7. Ability to adapt in a changing environment. 8. Ability to collect, track, and trend data in order to identify opportunities for performance improvement. 9. Clinical competence in nursing practice. 10. Ability to work collaboratively with nurses, physicians, and administrative colleagues. 11. Ability to navigate complex electronic clinical and administrative information systems and applications. At Tufts Medicine, we want every individual to feel valued for the skills and experience they bring. Our compensation philosophy is designed to offer fair, competitive pay that attracts, retains, and motivates highly talented individuals, while rewarding the important work you do every day. The base pay ranges reflect the minimum qualifications for the role. Individual offers are determined using a comprehensive approach that considers relevant experience, certifications, education, skills, and internal equity to ensure compensation is fair, consistent, and aligned with our business goals. Beyond base pay, Tufts Medicine provides a comprehensive Total Rewards package that supports your health, financial security, and career growth—one of the many ways we invest in you so you can thrive both at work and outside of it. Pay Range : $91,879.42 - $117,150.49 based on full-time equivalent 
$91,879.42 - $117,150.49 / year
Job Profile Summary This role focuses on providing professional and nonprofessional nursing care services in accordance with physician orders . In addition, this role focuses on performing the following Home Care 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 . A specialist level role that is a recognized subject matter expert in job area typically obtained through advanced education and work experience . Typically manages large projects or processes with limited oversight from manager, coaches, reviews and delegates work to lower level professionals, resolving difficult and often complex problems. Job Overview Th is position develops, implements, and oversees the wound care program; provides leadership; serves as a clinical resource and mentor, providing dependable consultation and guidance; provides consultation visits; promotes quality care and continuous performance improvement. The position carries out her/his responsibilities consistent with Agency policies, practices, mission and vision, and with instructions as set forth by leadership . As a key member of the health care team, the position must interact courteously and effectively with patients and their families as well as with co-workers from all Agency departments, community resources, and with patients' physicians in order to facilitate safe and efficient patient care. Job Description Minimum Qualifications : 1. Massachusetts RN Licensure. 2. Wound, Ostomy, Continence Nursing (WOCN) certification. 3. Three (3) years of Wound, Ostomy, Continence Nursing experience. 4. Two (2) years of Home Health experience. Preferred Qualifications : 1. Bachelor of Science in Nursing (BSN). Hours: Full Time, 40hrs. Weekend/Holiday Rotation Required. Location: Lowell, MA and surrounding areas. 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. Provides leadership, oversight, and dependable clinical guidance for the Wound Care Program, nurse managers, and nursing staff, consistent with the objectives of the P.I.C. 2. Assists in establishing plans for care delivery, including case conferencing and referral to the Ethics Committee. 3. Assures adequate delivery of care to patients without discrimination on the basis of race, gender, religious affiliation, etc., or ability to pay for services. 4. Contributes to the P.I.C.; assists with the development of written plans, policies, procedures, and protocols related to wound care and treatment. Contributes to Process Improvement activities and continuing evaluation of programs and performance in the P.I.C. Develops immediate and long-range goals. 5. Contributes to the development and evaluation of the Wound Care Program in accordance with the philosophy, objectives , and mission of the Agency. 6. Plans and regularly conducts the Wound Care Committee. 7. Maintains balance between program and service demands; priorities and staff resources. Assumes responsibility for implementing change effectively, providing support to staff. 8. Demonstrates a caring and considerate response to staff needs by providing new employee orientation, training, ongoing supervision of professional staff, including home supervisory visits. Instructs staff nurses on all aspects of wound care documentation; reviews documentation for accuracy and completeness. 9. Ensure s that regulatory and licensing requirements for the provision of care are met. 10. Provides oversight and management of wound care supply orders and collaborates with vendors in the selection of supplies for the formulary. 11. Facilitates referrals to the program. Collaborates with primary nurses and other referral sources in referring patients to the wound care program. 12. Consults with Continuum of Care/Discharge Planning departments and other community resources including private physician’s offices. 13. Demonstrates lifelong learning by maintains an up-to-date awareness of trends and developments in wound care management and an awareness of Agency capabilities relative to patient needs. Demonstrates effective problem-solving skills; always analyzes the facts of a current situation when developing a plan of action. Maintains Professional Responsibilities. 14. Contributes to the Agency’s Education Programs. 15. Supervises staff in a firm, fair, and consistent manner; provides direction as necessary, leads by example. 16. Communicates with all contacts, as necessary, in an effective, professional manner. Uses appropriate communication channels. Provides complete documentation which is concise, accurate and informative, according to agency policy, and which supports reimbursement. 17. Completes physicians' orders, levels of care, and OASIS on all patients assigned, in accordance with patient care policies 18. Consults with Clinical Manager on a regular basis, keeping manager informed about progresses and concerns. 19. Reports Compliance concerns to the CEO or Chief Compliance Officer when applicable. 20. Records any changes noted in patient's condition and reports to attending physician. 21. Ensures compliance within guidelines set forth by regulatory agencies (DPH, ERISA etc.) and demonstrates compliance with Home Health Foundation policies and procedures. 22. Works closely with nurse managers and staff in coordinating necessary services for patients and serves as a resources for the wound care program. 23. Provides for professional development of the clinical nursing staff. 24. Works collaboratively with all disciplines, facilitating productivity, cooperation and efficient operations. 25. Develops criteria, tools, and methods for evaluation. 26. Assures that the philosophy and objectives permit program and service adjustments as needs change. 27. Evaluates performance of each individual in relation to established standards and that individual’s professional development. 28. Encourages and assists personnel to continue self-development and improvement through formal education, meeting , and/or professional organizations. 29. Maintains a reference library of material which is up-to-date and relevant to the day-to-day educational needs of the staff. Physical Requirements : 1. While performing the duties of this job, the employee is required to stand; walk; sit; use hands to finger, handle, or feel objects, tools or controls; reach with hands and arms; climb stairs; balance; stoop, kneel, crouch or crawl; talk or hear; taste or smell. 2. The employee must regularly lift and/or move 25 lbs and occasionally lift and/or move up to 100 lbs. 3. The employee in this position frequently communicates internally and externally. 4. Must be able to exchange accurate information via phone, email and/or in person. 5. Specific vision abilities apply including close vision, distance vision and ability to adjust focus. 6. Noise level in the work environment is usually moderate. 7. May be exposed to weather conditions prevalent at the time. Skills & Abilities: 1. Demonstrates expertise and knowledge in various areas, including, but not limited to: Current methods of care and treatment; Policies, procedures, and protocols which are specific to the Agency; Agency Infection Control Plan; A thorough knowledge of all reimbursement criteria as it relates to wound care visits and supplies; and A thorough knowledge of all regulatory criteria. 2. Excellent interpersonal skills. 3. Ability to function well in very busy situations ; effective at time management. 4. Responsible and reliable. 5. Good organization al skills. 6. K nowledge of the Medicare Conditions of Participation. 7. Ability to adapt to change. What We Offer Competitive salaries & benefits Medical, Dental and Vision benefits start day one 403(b) retirement with company match Tuition reimbursement and continuing education support - Access to MedBridge for PT CEUs and licensure/certification support, reinforcing our commitment to ongoing clinical development. Opportunities for career growth Fleet car program - A unique offering that reduces personal vehicle burden and supports clinicians in the field. Industry-Leading Safety Program – A one-of-a-kind Workplace Safety & Violence Prevention role dedicated to proactively addressing increasing safety concerns in healthcare settings. This program includes: AVADE de-escalation and self-safety training InvisaWear GPS-enabled safety devices Escort services to ensure staff safety in the field About Care at Home: Tufts Medicine Care at Home is a proud member of Tufts Medicine, a health system that is rethinking how academic and community centers, local and national businesses, and technology and service innovators can all work together. So that clinicians can deliver expert care where it’s needed most and so that we can bring wellness back to health care, one person at a time. About Tufts Medicine A healthcare system that works Tufts Medicine is more than a health system — we’re a community that empowers people to live their best lives by reimagining healthcare, advancing knowledge and pioneering discovery. Every team member plays an integral role in realizing our vision of creating the most equitable and frictionless healthcare experience in the world. Here, you’ll join an enthusiastic community that champions your growth and receive generous benefits to support you and your family’s well-being. Tufts Medicine is an equal opportunity employer At Tufts Medicine, we want every individual to feel valued for the skills and experience they bring. Our compensation philosophy is designed to offer fair, competitive pay that attracts, retains, and motivates highly talented individuals, while rewarding the important work you do every day. The base pay ranges reflect the minimum qualifications for the role. Individual offers are determined using a comprehensive approach that considers relevant experience, certifications, education, skills, and internal equity to ensure compensation is fair, consistent, and aligned with our business goals. Beyond base pay, Tufts Medicine provides a comprehensive Total Rewards package that supports your health, financial security, and career growth—one of the many ways we invest in you so you can thrive both at work and outside of it. Pay Range : $91,879.42 - $117,150.49 
$84,300.22 - $107,481.20 / year
Job Profile Summary This role focuses on providing professional and nonprofessional nursing care services in accordance with physician orders. In addition, this role focuses on performing the following Home Care 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. A senior level role that requires advanced knowledge of job area typically obtained through advanced education and work experience. Typically responsible for: managing projects / processes, working independently with limited supervision, coaching and reviewing the work of lower level professionals, resolving difficult and sometimes complex problems. Job Overview The Hospice RN Case Manager serves as case manager for the interdisciplinary team (IDT) and is responsible for the delivery of quality hospice nursing care for each patient assigned. Job Description Minimum Qualifications: 1. Candidates must hold an active RN license in the state where services are provided and may not work in states where they are not licensed. If additional state licensure is required, it must be obtained within sixty (60) days 2. Current CPR Certification. 3. One (1) year of hospice and home health experience. Preferred Qualifications: 1. One (1) year of hospice and home health experience. Location: Malden, MA and surrounding areas Hours: Full-Time, 40hrs/Week. Weekend/Holiday Commitment. 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. Provides hospice nursing care to patients and families utilizing current principles of palliative care and symptom management to produce hospice outcomes. 2. Coordinates care in a cost-efficient manner. 3. Collaborates effectively with other members of IDT. 4. Utilizes nursing process and current standards of nursing practice in providing hospice care. 5. Remains competent in technical nursing skills (i.e. IVs, Gtubes, etc.) 6. Provides effective patient and family teaching. 7. Communicates with physician and Tufts Medicine Care at Home staff regarding changes in patient’s condition. 8. Understands family dynamics and works effectively within various types of family systems. 9. Provides peers with support and mentoring if appropriate. 11. Demonstrates the ability to act as a patient and family advocate. Provides information to families about all available resources. 12. Accurately addresses need for additional services. 13. Performs adequate number of nursing visits and on call/triage necessary to provide superior hospice care under Tufts Medicine Care at Home standards. 15. Communicates patient reports and status changes concisely and effectively. 17. Updates Care Plan, Medication Profile and HHA Treatment Plan routinely and as patient condition changes. 18. Completes all nursing documentation per procedures and nursing standard of practice including assessments, interventions, responses to interventions, communications, verbal orders, etc. 20. Manages caseload efficiently and effectively. 21. Involves Clinical Manager and Medical Director in situations appropriately. 22. Follows guidelines for weekend and evening coverage. 26. Pursues standards of excellence in performance as a hospice case manager. 27. Works with Clinical Manager to identify opportunities for improvement in performance and works to address them. 28. Proactive in increasing knowledge of hospice care and standards of practice. 29. Assists in hospice education in community. Physical Requirements: 1. While performing the duties of this job, the employee is required to stand; walk; sit; use hands to finger, handle, or feel objects, tools or controls; reach with hands and arms; climb stairs; balance; stoop, kneel, crouch or crawl; talk or hear; taste or smell. 2. The employee must regularly lift and/or move 25 lbs and occasionally lift and/or move up to 100 lbs. 3. The employee in this position frequently communicates internally and externally. 4. Must be able to exchange accurate information via phone, email and/or in person. 5. Specific vision abilities apply including close vision, distance vision and ability to adjust focus. 6. Noise level in the work environment is usually moderate. 7. May be exposed to weather conditions prevalent at the time. Skills & Abilities: 1. Ability to work both autonomously and as a team member. 2. Strong assessment and prioritization skills. 3. Excellent interpersonal skills. 4. Ability to function well in very busy situations. 5. Responsible and reliable. 6. Good organizational skills. At Tufts Medicine, we want every individual to feel valued for the skills and experience they bring. Our compensation philosophy is designed to offer fair, competitive pay that attracts, retains, and motivates highly talented individuals, while rewarding the important work you do every day. The base pay ranges reflect the minimum qualifications for the role. Individual offers are determined using a comprehensive approach that considers relevant experience, certifications, education, skills, and internal equity to ensure compensation is fair, consistent, and aligned with our business goals. Beyond base pay, Tufts Medicine provides a comprehensive Total Rewards package that supports your health, financial security, and career growth—one of the many ways we invest in you so you can thrive both at work and outside of it. Pay Range : $84,300.22 - $107,481.20 
$91,879.42 - $117,150.49 / year
Job Profile Summary This role focuses on providing professional and nonprofessional nursing care services in accordance with physician orders. In addition, this role focuses on performing the following Nurse Navigator duties: Focuses on the patient's needs and helps guide the patient through the healthcare system and works to overcome obstacles that are in the way of the patient receiving the care and treatment they require. 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. A senior level role that requires advanced knowledge of job area typically obtained through advanced education and work experience. Typically responsible for: managing projects / processes, working independently with limited supervision, coaching and reviewing the work of lower level professionals, resolving difficult and sometimes complex problems. Job Overview The RN Navigator serves as a liaison between patients, community resources, and providers and supports a smooth transition from hospital to home with a goal of eliminating and/or reducing readmissions, patient satisfaction, and continuity of care across the continuum. Job Description Minimum Qualifications: 1. Massachusetts RN Licensure. 2. 3 Years of RN Experience. 3. Current Basic Life Support (BLS) Certification. Preferred Qualifications: 1. Bachelor of Science in Nursing (BSN). Hours: 40 hours/week, Day Shift 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. Assesses and facilitates coordination of multidisciplinary care across the care continuum. 2. Provides communication, advocacy, and education in a culturally competent manner. 3. Triages new patient referrals to ensue timely access to care. 4. Conducts post discharge follow up phone calls and serves as a liaison and patient advocate in navigating the healthcare system. 5. Provides patient education and supports utilizing knowledge of adult learning competencies and education resources to support complete, connected, and comprehensive care. 6. Collects and reports data from patient on barriers, hospital experience, health care, medications, prior treatments, etc. 7. Collaborates with multidisciplinary care team and expedites sequence of patient's care. 8. Serves as a liaison between patient and providers/clinicians to address patient’s needs. 9. Assesses patient's needs and ensures such needs are integrated into patient’s care plan. 10. Encourages and empowers patients to actively participate in decision making about their treatment and care. 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. What We Offer: Competitive salaries & benefits that start on day one 403(b) retirement plan with company match Tuition reimbursement Free parking About MelroseWakefield Hospital: MelroseWakefield Hospital and Lawrence Memorial Hospital of Medford are two campuses with one community in mind: the people of north suburban Boston. MelroseWakefield Hospital and Lawrence Memorial Hospital are distinguished by the range of high-quality clinical care and services. Our teams welcome everyone with hospitality and humanity. We focus on reducing health disparities through 40+ local health programs across a system of hospitals, urgent care locations, outpatient services, and community physicians. Core to our values, MelroseWakefield Healthcare’s commitment to community is demonstrated by our many local health programs throughout our service area and participation in partnerships with community agencies and events, and education programs in more than 10 communities to support the wellness and health of our residents. About Tufts Medicine A healthcare system that works Tufts Medicine is more than a health system — we’re a community that empowers people to live their best lives by reimagining healthcare, advancing knowledge and pioneering discovery. Every team member plays an integral role in realizing our vision of creating the most equitable and frictionless healthcare experience in the world. Here, you’ll join an enthusiastic community that champions your growth and receive generous benefits to support you and your family’s well-being. Tufts Medicine is an equal opportunity employer. At Tufts Medicine, we want every individual to feel valued for the skills and experience they bring. Our compensation philosophy is designed to offer fair, competitive pay that attracts, retains, and motivates highly talented individuals, while rewarding the important work you do every day. The base pay ranges reflect the minimum qualifications for the role. Individual offers are determined using a comprehensive approach that considers relevant experience, certifications, education, skills, and internal equity to ensure compensation is fair, consistent, and aligned with our business goals. Beyond base pay, Tufts Medicine provides a comprehensive Total Rewards package that supports your health, financial security, and career growth—one of the many ways we invest in you so you can thrive both at work and outside of it. Pay Range : $91,879.42 - $117,150.49 
$84,300.22 - $107,481.20 / year
Job Profile Summary This role focuses on providing professional and nonprofessional nursing care services in accordance with physician orders. In addition, this role focuses on performing the following Home Care 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. A senior level role that requires advanced knowledge of job area typically obtained through advanced education and work experience. Typically responsible for: managing projects / processes, working independently with limited supervision, coaching and reviewing the work of lower level professionals, resolving difficult and sometimes complex problems. Job Overview Utilizing the nursing process, the Home Health Registered Nurse will manage and deliver comprehensive home health services, including assessments, interventions, and supportive care to clients within their place of residence. Depending on the circumstances, duties may also include telephone triage, problem solving, patient/caregiver advocacy and support, with emphasis of avoiding hospitalization. As a key member of the health care team, this position must interact courteously and effectively with patients and their families as well as with co-workers from all Agency departments, community resources, and with patients' physicians in order to facilitate safe and efficient patient care while maintaining their own safety in the home and the community at large. Job Description Minimum Qualifications : 1. Massachusetts RN Licensure and NH Licensure. 2 . Valid state issued Driver’s License. 3. One (1) year of acute medical/surgical nursing experience. 4. Basic Life Support Certification. Preferred Qualifications : 1. Bachelor of Science in Nursing (BSN). 2. Specialty nursing certifications. 3. Three ( 3 ) years of acute nursing including medical/surgical, oncology, hospice, or home health . 4. Experience with IV and complex wound care. Hours: Full Time, 40 Hours, Weekend/Holiday Commitment Territory: Lawrence, MA and surrounding areas. 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. Assesses patients' physical, psychosocial needs in a sensitive, caring manner following established Standards of Nursing Practice and Agency policies and procedures. Provides ongoing interdisciplinary assessment of the patient. 2. Assesses patient/family learning needs, style and limitations and makes adjustments for delivery of information. 3. Recognizes/identifies patients/ caregivers’ cultural beliefs re: death and dying and is sensitive to those beliefs. 4. Establishes realistic goals and develops plan of treatment in cooperation with the patient, family and members of the health care team. 5. Identifies abuse and/or neglect and identifies reporting mechanism per policy. 6. Adapts to new and unusual situations without affecting work performance negatively. Utilizes Security when and if needed for any potential unsafe situations. 7. Collaborates with patient /family and other health care providers and/or community resources with planning of care and discharge. 8. Continuously assesses/evaluates patient and family progress and goal achievement, keeping Clinical Manager advised and justifying continuation and/or termination of services. 9. Documents patient data, activities, and communications in patient record using computer system in a timely , organized, concise manner to ensure compliance with legal, certification, third party payor guidelines and Agency policies. 10. Completes physicians' orders, levels of care, and OASIS on all patients assigned, in accordance with patient care policies. Reconciles medications with patient and physician consistently. 11. Demonstrates and practices according to safety guidelines and procedures including general ergonomics, fire, and personal safety . Utilizes proper body mechanics and patient material handling. 12. Demonstrates an awareness of safety and security issues by responding appropriately to emergency situations and following established procedures and protocols utilizing stabilizing techniques. 13. Demonstrates ability to cope with patient/family emotional stress and provide appropriate supportive care. 14. Effectively manages assigned caseload, within the team model of care delivery . Establishes a daily work plan based upon patient/family priorities of service and total area needs. Promptly triages patient visits, messages, and phone calls according to priority and urgency . 15. Provides nursing coverage on a rotating basis for evenings, nights, weekends and Holidays. 16. Demonstrates excellent physical assessment and care planning skills. Demonstrates current knowledge of pharmacology and medication administration and reconciliation. 17. Coordinates care and discharge planning with other team members during case conferences. 18. Acquires and maintains an expert working knowledge of all third part payers and regulatory bodies and agency policies on issues related to documentation and care provided. 19. Communicates and collaborates with all disciplines in the home care setting on a regular basis or immediately if there are any critical needs or crisis interventions needed. Physical Requirements : 1. While performing the duties of this job, the employee is required to stand; walk; sit; use hands to finger, handle, or feel objects, tools or controls; reach with hands and arms; climb stairs; balance; stoop, kneel, crouch or crawl; talk or hear; taste or smell. 2. The employee must regularly lift and/or move 25 lbs and occasionally lift and/or move up to 100 lbs. 3. The employee in this position frequently communicates internally and externally. 4. Must be able to exchange accurate information via phone, email and/or in person. 5. Specific vision abilities apply including close vision, distance vision and ability to adjust focus. 6. N oise level in the work environment is usually moderate. 7. May be exposed to weather conditions prevalent at the time. Skills & Abilities: 1. Demonstrates knowledge and skills necessary to provide care appropriate to the age of the patients served . 2. Demonstrates competence in Home Health and Hospice standards of care, symptom management, psychosocial, and spiritual aspects of care. 2. Excellent interpersonal skills with the ability to communicate, read, and write in Englis h. 3. Ability to function well , effectively manage time, and prioritize busy schedules. 4. Good organization al skills. 5. Ability to function effectively , autonomously , and independently in a home care setting. 6. Ability to function effectively and autonomously in a home care setting. What We Offer Competitive salaries & benefits Medical, Dental and Vision benefits start day one 403(b) retirement with company match Tuition reimbursement and continuing education support - Access to MedBridge for PT CEUs and licensure/certification support, reinforcing our commitment to ongoing clinical development. Opportunities for career growth Fleet car program - A unique offering that reduces personal vehicle burden and supports clinicians in the field. Industry-Leading Safety Program – A one-of-a-kind Workplace Safety & Violence Prevention role dedicated to proactively addressing increasing safety concerns in healthcare settings. This program includes: AVADE de-escalation and self-safety training InvisaWear GPS-enabled safety devices Escort services to ensure staff safety in the field About Care at Home: Tufts Medicine Care at Home is a proud member of Tufts Medicine, a health system that is rethinking how academic and community centers, local and national businesses, and technology and service innovators can all work together. So that clinicians can deliver expert care where it’s needed most and so that we can bring wellness back to health care, one person at a time. About Tufts Medicine A healthcare system that works Tufts Medicine is more than a health system — we’re a community that empowers people to live their best lives by reimagining healthcare, advancing knowledge and pioneering discovery. Every team member plays an integral role in realizing our vision of creating the most equitable and frictionless healthcare experience in the world. Here, you’ll join an enthusiastic community that champions your growth and receive generous benefits to support you and your family’s well-being. Tufts Medicine is an equal opportunity employer At Tufts Medicine, we want every individual to feel valued for the skills and experience they bring. Our compensation philosophy is designed to offer fair, competitive pay that attracts, retains, and motivates highly talented individuals, while rewarding the important work you do every day. The base pay ranges reflect the minimum qualifications for the role. Individual offers are determined using a comprehensive approach that considers relevant experience, certifications, education, skills, and internal equity to ensure compensation is fair, consistent, and aligned with our business goals. Beyond base pay, Tufts Medicine provides a comprehensive Total Rewards package that supports your health, financial security, and career growth—one of the many ways we invest in you so you can thrive both at work and outside of it. Pay Range : $84,300.22 - $107,481.20 $87,360 - $98,603.60 / year
Job Overview The position is a member of the hospice staff who determines appropriateness of referrals, coordinates and conducts pre-admission activities, completes admission when determined hospice appropriate , monitors inpatient care at contracted hospitals, performs in-service training and community education activities. This position performs duties in a variety of settings including 6patient’s home, acute care setting, skilled nursing facility or assisted living. Job Description Minimum Qualifications : 1. Massachusetts RN Licensure. 2. Hospice and/or end of life experience required . Location : MelroseWakefield Hospital Hours : Full Time- 40 Hours. No Weekends/Holidays 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. Describes and explains hospice services to a potential patient and/or family member and elicits responses to questions regarding attitude towards hospice care, evaluates physical and psycho/social/emotional status, in order to put the patient and family at ease about choosing hospice and fully inform them about the program. Works with hospice intake and eligibility department to verify insurance reimbursement for each referred patient and document in EMR. Reviews and explains to patient and/or family about insurance coverage and financial obligations, using knowledge of hospice fees, costs and reimbursement sources. Escalates to referral management director and/or referral manager, in circumstances of potential admission where reimbursement sources appear not to cover hospice fees, to ascertain whether reduce fee or free care may be offered. Introduces and explains benefits of hospice care and familiarizes decision makers with characteristics and needs that indicate an appropriate hospice referral. Presents the advantage of the hospice Medicare/Medicaid benefits to referral sources. Thoroughly understands the Medicare/Medicaid hospice benefit, the Medicare home health benefit, the Medicare/Medicaid long term benefit and the Medicare HMO benefit. Documents a narrative note in the EMR summarizing pertinent physical and psychosocial information from the hospital record and/or from the physician and patient/family assessment. Reviews referred patient’s history, medical status, and prognosis to determine eligibility for hospice services relying on the knowledge of hospital procedure and hospice admission criteria. Completes the patient/family admission packet, including obtaining signed Notice of Election of Hospice Benefit (NOE), admission forms from the patient, family, referral source and the attending physician. Uploading completed admission documents electronically to medical records for them to complete their process. Communicates information from Comprehensive Assessment to TMCAH CMO, hospice physician or TMCAH covering NP. Documents results and performs warm hand off to team. Communicates NTUC to appropriate staff and managers. Documents reason and continuation of care measures implemented. Promotes hospice services, to ensure appropriate referrals to hospice program, may perform liaison activities centered in the acute care setting, which include but not limited to, case conferences to case managers, discharge planners, physicians, other health care providers and referral sources. Works with TMCAH liaison and intake staff to ensure ease of referral, as well as a rapid response to the referral source. Evaluates and compares information, regarding referred patient to hospice criteria. Consult with either the referral management director, referral manager, CMO, or hospice physician when an admission is questionable. Communicates on a regular basis with patient, family, referral source, hospice intake or liaison staff, to ensure continuity of care and adherence to the hospice plan of care. Develops opportunities for and conducts in-service presentations in health care facilities regarding hospice care and the indications for a hospice referral. Joins approved professional organizations and other groups which include key decision makers in the care of terminally ill patients. Assists with public relations activities to promote community awareness of Hospice services . Includes activities during National Hospice Month. Reports Compliance concerns to the CEO or Chief Compliance Officer when applicable. Ensures compliance within guidelines set forth by regulatory agencies (DPH, ERISA etc.) and demonstrates compliance with Tufts Medicine Care at Home policies and procedures. What We Offer Competitive salaries & benefits Medical, Dental and Vision benefits start day one 403(b) retirement with company match Tuition reimbursement and continuing education support - Access to MedBridge for PT CEUs and licensure/certification support, reinforcing our commitment to ongoing clinical development. Opportunities for career growth Fleet car program - A unique offering that reduces personal vehicle burden and supports clinicians in the field. Industry-Leading Safety Program – A one-of-a-kind Workplace Safety & Violence Prevention role dedicated to proactively addressing increasing safety concerns in healthcare settings. This program includes: AVADE de-escalation and self-safety training InvisaWear GPS-enabled safety devices Escort services to ensure staff safety in the field About Care at Home: Tufts Medicine Care at Home is a proud member of Tufts Medicine, a health system that is rethinking how academic and community centers, local and national businesses, and technology and service innovators can all work together. So that clinicians can deliver expert care where it’s needed most and so that we can bring wellness back to health care, one person at a time. About Tufts Medicine A healthcare system that works Tufts Medicine is more than a health system — we’re a community that empowers people to live their best lives by reimagining healthcare, advancing knowledge and pioneering discovery. Every team member plays an integral role in realizing our vision of creating the most equitable and frictionless healthcare experience in the world. Here, you’ll join an enthusiastic community that champions your growth and receive generous benefits to support you and your family’s well-being. Tufts Medicine is an equal opportunity employer At Tufts Medicine, we want every individual to feel valued for the skills and experience they bring. Our compensation philosophy is designed to offer fair, competitive pay that attracts, retains, and motivates highly talented individuals, while rewarding the important work you do every day. The base pay ranges reflect the minimum qualifications for the role. Individual offers are determined using a comprehensive approach that considers relevant experience, certifications, education, skills, and internal equity to ensure compensation is fair, consistent, and aligned with our business goals. Beyond base pay, Tufts Medicine provides a comprehensive Total Rewards package that supports your health, financial security, and career growth—one of the many ways we invest in you so you can thrive both at work and outside of it. Pay Range : $87,360.00 - $98,603.60 
