Nursing Jobs in Salem, NH
$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 $120,000 - $140,000 / year
Deliver Exceptional Digestive Care Across the Continuum – Inpatient & Outpatient APP Opportunity. About the Opportunity: Gastro Health is seeking an experienced Advanced Practice Provider (NP/PA) to join our private practice team in Acton, Massachusetts. Our APPs play an active part in delivering high-quality GI care by coordinating individualized treatment plans under physician supervision and engaging in clinical responsibilities that help drive high-quality, patient-centered care. We welcome APPs who want to grow their expertise in gastroenterology within a practice model that values clinical autonomy, work-life balance, and long-term career growth. As part of a nationally recognized team, our APPs benefit from dedicated physician leadership, strong clinical collaboration, and a supportive operational structure. We offer robust onboarding, GI-specific training resources, and a clinical framework designed to help APPs thrive. Work collaboratively with a team of 8 gastroenterologists, 3 APPs, and support staff Monday through Friday schedule Average 16 patient encounters per day Inpatient/Outpatient consults and follow-ups Compensation & Benefits: Competitive package with annual bonus and merit increase eligibility Company-paid malpractice insurance with tail coverage Paid holidays, Paid time off, CME with annual allowance, CME days, Medical, Dental, Vision, Retirement Plans (401k & Profit Sharing), Short and Long-Term disability Candidate Requirements: Active Nurse Practitioner or Physician Assistant license in the state of Massachusetts National certification as an NP or PA with prescriptive authority Minimum of 1 year of APP experience required GI experience preferred About the Location: Acton, Massachusetts, offers: A well-established gastroenterology market with steady patient volumes and strong referral relationships across MetroWest Safe, desirable suburban communities with excellent schools and a welcoming, family-friendly feel Easy access to major academic and tertiary medical centers in Greater Boston A balanced lifestyle with nearby trails, conservation land, and New England’s four-season charm A small-town setting with a convenient commute to Boston, Cambridge, and surrounding MetroWest communities About Gastro Health: Gastro Health is an extensive and diverse group of professionals dedicated to digestive and liver health. Now with more than 120 locations in seven states, our team of physicians, advanced practice providers, nutritionists, technicians, and support team are on a mission to provide outstanding medical care and an exceptional healthcare experience. 
$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 : Lowell, MA Hours : Part Time- 24 Hours, Friday-Sunday (Flexible hours) 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 
