Nursing Jobs in Wayland, MA
$99,000 - $166,000 / year
About this role: As a Clinical Manager with Fresenius Medical Care, you will ensure that quality patient care is delivered while maintaining clinical operations. As the facility leader, you will be part of a close-knit, collaborative team responsible for delivering unique care plans and providing dialysis treatment to patients facing end stage renal disease or chronic kidney disease. Training and advancement: You will enter our Clinical Leadership Program that creates and supports a culture of continuous learning for our managers. The curriculum will cover onboarding, essential functions, leading your business, and advanced leadership. As a Clinical Manager, you may advance your career into an Area Team Lead or Director of Operations role. Our culture: We believe our employees are our most important asset — we value, care about, and support our people. We are there when you may need us most, from tuition reimbursement to support your education goals, granting scholarships to family members, delivering relief when natural disasters strike, or providing financial support when personal hardship hits, we take care of our people. Our focus on diversity: We have built a nurturing environment that welcomes every age, race, gender, sexual orientation, background, and cultural tradition. We have a diverse range of employee resource groups (ERGs) to encourage employees with similar interests, goals, social and cultural backgrounds, or experiences to come together for professional and personal development, discussion, activities, and peer support. Our diverse workforce and culture encourage opportunity, equity, and inclusion for all, which is a tremendous asset that sets us apart. At Fresenius Medical Care, you will truly make a difference in the lives of people living with kidney disease. If this sounds like the career and company you have been looking for, and you want to be a vital part of the future of healthcare, apply today. PURPOSE AND SCOPE: Manage and oversee the daily operations of the facility, ensuring cost-effective facility operations in accordance with all legal, compliance and regulatory requirements and programs. Collaborates with the Medical Director and the Clinical Manager/Charge Nurse regarding the provision of quality patient care in the dialysis facility incorporating all activities from admission through to discharge. As the clinic leader, has the authority to make daily decisions to ensure the appropriate continuity of care and patient and staff safety. Markets available services through presentations to physicians and dialysis facilities. You will ensure that quality patient care is delivered while maintaining clinical operations. As the facility leader, you will be part of a close-knit, collaborative team responsible for delivering unique care plans and providing dialysis treatment to patients facing end stage renal disease or chronic kidney disease. PRINCIPAL DUTIES AND RESPONSIBILITIES: Clinic Operations: • Provides leadership, coaching, and development plans for all direct reports. • Partners with internal Human Resources, Quality, Education, and Technical Services departments. • Collaborates with the Home Therapies Program Manager to oversee the facility’s Home Therapies Program. • Maintains integrity of medical and operations records and complies with all data collections and auditing activities. • Accountable for completion of the Internal Classification of Disease (ICD) coding. • Responsible for all required network reporting and on-site state or federal surveys. • Manages the tactical execution of short- and long-term objectives through the coordination of activities with a direct responsibility for results, including costs, methods, and staffing. • Responsible for the administration of the daily business operations of the dialysis clinics including managing the functions and actions related to the center staff, quality of overall provision of patient care, maintenance of the physical plant and center equipment, and inventory control. • Manages the profit and loss and other related financial aspects for the center, ensuring optimal facility operations to achieve or exceed the budget and key performance indicators. Patient Care: • Coordinates all aspects of patient care with the appropriate staff members, from admission through discharge of the patient. • Acts as a resource for the patient and family to address concerns and questions. • Oversee the timely completion of patient care assessments and care plans. • Manages timely patient schedules to ensure facility efficiency and develop action plans for missed treatments. • Reports changes in patient status regarding any clinical, insurance, or travel and transportation issues. Staff: • Participates in the selection and hiring of new team members and ensures completion of new hiring orientation and mandatory training. • Responsible for all patient care employees completing appropriate training courses and that licensures/certifications are current. • Provides support for all clinical staff members at regular intervals and encourages professional growth. • Maintains current knowledge regarding company benefits, policies, procedures, and processes. • Obtains clinical feedback for employee evaluations and establishes annual goals and conducts employee evaluations. • Documents any disciplinary actions and confers with the clinic Director of Operations and Human Resources when needed. • Manages staff scheduling and payroll. Physicians: • Facilitates the application process for physician privileges and compliance with Fresenius Medical Care Medical Staff By-Laws. • Responsible for strong physician relationships and ensures regular and effective communication. • Participates in Governing Body, an interdisciplinary team for each region including MDs, DOs etc. that governs policies. Other: • Collaborates closely with, providing oversight as needed to, the Clinical Manager/Charge RN acting as nurse manager, the Medical Director, and the physicians regarding the direct patient care responsibilities within the facility to ensure the provision of outstanding quality of patient care, as defined by the FMS quality goals, and compliance with the pertinent company policies and procedures. Collaboration activities include: • Coordinating all aspects of patient care from admission through discharge of the patient. • Addressing patient concerns, issues, and questions including the review of patient satisfaction surveys. • Developing and communicating efficient and timely patient schedules to ensure maximization of facility efficiency. • Assisting as needed with patient workflow. • Implementing and maintaining a Continuous Quality Improvement (CQI) Process and Quality Assessment and Improvement Program (QAPI) Improvement Team that involves staff and pertinent physicians in problem solving activities meeting on a regular basis to address identified issues. • Continually review Center operations to ensure compliance with Federal and State laws. • Develops and maintains strong Medical Director and physician relationships, facilitating staff relationships with physicians, and ensuring regular and effective communication with all physicians including participating in regular meetings with Medical Directors. • Supports and drives FMS quality standards through meeting regulatory requirements and the practice of CQI, including the use of the appropriate company CQI tools. • Works with the Charge RN and Medical Director to implement FMS quality FKC goals and develop facility specific action plans to achieve FMS quality standards. • Oversees and monitors the provision of the appropriate training according to FMS policy to ensure ongoing compliance with all company and FMS risk management initiatives. • Collaborates with the Charge RN to ensure the aggressive treatment of, and actions taken, regarding adverse safety events and action thresholds. • Ensures all Quality policies and procedures are communicated to and implemented by the facility staff. • Maintains integrity of medical records and other FMS administrative and operational records. • Complies and assists with all data collection and auditing activities. • Manages the day-to-day activities and workload of the facility staff providing guidance and leadership as appropriate to ensure the effective, efficient and timely execution of duties and tasks. • Creates, maintains, and communicates efficient and timely employee schedules according to the staffing needs of the facility to ensure adequate staffing daily. Consults with Charge RN and Medical Director to optimize clinical staffing. • Provides informal feedback to staff on an ongoing basis and formal feedback in the form of the annual performance evaluation during the focal merit review process. Obtains feedback and input regarding the staff performance from the Medical Director and Charge RN and acts on the feedback as appropriate. Collaborates with staff and Charge RN and Medical Director to set annual goals for staff. • Manages the department staffing through the appropriate hiring, firing and disciplinary actions. • Maintains written documentation of all disciplinary meetings in accordance with the established personnel policies and confers with Human Resources and Director of Operations regarding the nature of the disciplinary decisions. • Ensures successful execution of new hire orientation and training, and ICD-9 code training when ICD-10 applicable for new hires and works with Medical Director to ensure mandatory in-services are completed. • Ensures appropriate documentation is completed for current licensure, annual in-service and policy and procedure in-service updates. • Responsible for ensuring all facility employees receive appropriate training according to company policy including company risk management initiatives. • Provides training and guidance to facility staff members to ensure development of clinical competences, providing opportunities for professional growth and encouraging personal growth. • Collaborates with HR regarding providing information to staff pertaining to FMS/FMCNA benefits, Human Resources policies and procedures. • Participates in Corporate and Division specific employee recognition and satisfaction programs. • Maintains a close working relationship with Division and Corporate office personnel and ensures appropriate communication of FMS, Division, and Corporate initiatives, policies and procedures to facility staff. • Utilizes knowledge of FMCNA and FMS services and products to contribute to the growth of the business. • Maintains facility environmental integrity and safety. • Schedules the maintenance and repair of equipment, operating systems, and physical structure of the facility, as needed. • Monitors the security of the facility. • Coordinates inventory/supply management by reviewing monthly inventory count and approving purchase orders for necessary items to ensure cost containment, timely distribution and competitive pricing. • Responsible for efficient utilization of medication, laboratory, inventory, supplies and equipment to achieve supply cost goals following all guidelines established in the FMS/FMS formularies. • Contributes to the development and revision of any applicable policies and procedures for the facility and the pertinent updating and maintenance of the related manuals. • Directs any necessary information gathering, as required, to support billing, billing issues and collection activities. • Coordinates and approves facility payroll. • Responsible for participating in all on-site internal and external (state and federal) surveys. • Reviews new and existing provider contracts for various vendor services, including but not limited to, insurance, laboratory, and facility cleaning. • Performs other related duties as assigned. SUPERVISION: • Supervises Charge RN and DPC Staff PHYSICAL DEMANDS AND WORKING CONDITIONS: The physical demands and work environment characteristics described here are representative of those an employee encounters while performing the essential functions of this job. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions. • Day to day work includes desk and personal computer work and interaction with patients, facility staff and physicians. • The work environment is characteristic of a health care facility with air temperature control and moderate noise levels. May be exposed to infectious and contagious diseases/materials • The position requires frequent prolonged periods of standing and the employee must be able to bend over. • The employee may occasionally be required with assistance to move patients and equipment of up to 200 lbs. There is a two-person assist program and “material assist” devices for the heavier items. • Travel to regional, Business Unit and Corporate meetings may be required. EDUCATION: • Graduate of an accredited School of Nursing (RN) • Current RN state licensure EXPERIENCE AND REQUIRED SKILLS: • Experience in clinical nursing. • Additional 6 months chronic or acute dialysis nursing experience. • Demonstrated leadership competencies and management skills for the position, including excellent communication, customer service, continuous quality improvement, relationship development, results orientation, team building, motivating employees, performance management and decision making. • Demonstrated management skills necessary to provide leadership in the supervision of facility personnel and to ensure the delivery of maximum quality care to all patients. • Successfully passed the Ishihara Color Blind Test." Preferred: • Experience in a supervisory/management role, in a medical facility preferred. • Med/surg or ICU/CCU experience preferred. • Proficiency with the Microsoft office suite (Word, Excel, PowerPoint) - experience with medical database software preferred. The rate of pay for this position will depend on the successful candidate’s work location and qualifications, including relevant education, work experience, skills, and competencies. Annual Rate: $99,000.00 - $166,000.00 Non-Bonus Eligible Positions: include language below. Benefit Overview: This position offers a comprehensive benefits package including medical, dental, and vision insurance, a 401(k) with company match, paid time off, parental leave. Bonus Eligible Positions – include language below. Benefit Overview: This position offers a comprehensive benefits package including medical, dental, and vision insurance, a 401(k) with company match, paid time off, parental leave and potential for performance-based bonuses depending on company and individual performance. Fresenius Medical Care is an equal opportunity employer and does not discriminate on the basis of race, color, religion, sexual orientation, gender identity, parental status, national origin, age, disability, military service, or other non-merit-based factors $126,838.40 - $173,867.20 / year
Site: The General Hospital Corporation 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 Full time, 40 hours, 4-10hr shifts, M-F With an interdisciplinary team approach, the NP or PA will promote a collaborative relationship between all providers, professional nurses and administrative staff, to ensure continuity of patient care. Focus is primarily on the care of Head & Neck malignancies in our ambulatory clinic at MGH Boston campus and network practice located on the campus of Newton Wellesley Hospital though cross coverage may be anticipated. Ideal Candidate will have: - 2+ years advanced practice and medical oncology experience is preferred. - Prior oncology RN experience is preferred for NP applicants. - Proficiency with Epic and EMRs preferred. - EPIC Inbasket management, telemedicine experience preferred. - Familiarity with clinical trials preferred. Demonstrated competence in specialized area. - Ability to effectively communicate clinical information, care plans, etc. to medical and lay audiences; able to educate patients and their families regarding routine and complex medical information. - Skilled in creating appropriate documentation and use of electronic medical records to consistently provide high quality and timely documentation including progress notes, sign-off notes, and discharge planning. - Strong organizational and time management skills. - Ability to work independently as well as a member of a team; can effectively influence and lead as necessary. - Effectively uses analytical skills and problem-solving techniques in both clinical and operational matters. The hematologic malignancies and solid tumor oncology APP provides comprehensive ambulatory care to one or more disease specific medical oncology patient populations depending on location of care within our academic or network practices. With an interdisciplinary team approach, this provider promotes a collaborative relationship between all providers, professional nurses and administrative staff, to ensure continuity of patient care and efficient use of resources. The APP is responsible for the assessment and management of medical oncology patients, including diagnostic and therapeutic interventions and development and implementation of appropriate plans of care across the trajectory of illness for patients with hematologic malignancies and/or solid tumor malignancies. In addition to providing direct and indirect patient care, the medical oncology APP serves as a role model for professional advanced practice and participates in the professional development of the team through teaching, committee involvement or quality and safety initiatives. The medical oncology APP will provide thorough, compassionate, culturally sensitive clinical care and should demonstrate operational flexibility and strong leadership, problem-solving and communication skills in order to work effectively with other members of the team. The NP/PA is responsible for: • Performs and records the patient history and physical examination and discusses findings with the collaborating team. Obtaining and coordinating laboratory results, charting of clinical findings in the EMR, orders, nursing instructions, and other required elements. • Utilizes advanced practice knowledge to identify, prevent or solve complex and/or recurring breast oncology patient care problems. • Follows and manages patients (in collaboration with MD) enhancing continuity of care. • Performs (oversees/assures completion of) specialized procedures particular to the select medical oncology population mutually agreed upon with collaborating physician. • Collaborates with staff and physicians to facilitate a comprehensive plan of care and coordinate resources and write appropriate orders improving access to care, establishing goals for the delivery of care to patients, participating in clinical research, and managing communications between physicians, patients, family, and staff. • Appreciates complex medication interactions. • Ensuring appropriate diagnostic procedures occur in a timely matter through careful coordination with other services such as radiology, facilitating various clinic appointments, communicating with patients regarding test results, and providing coverage for the team. • Educating patients regarding a variety of medical oncology issues associated with local or systemic therapy. • Indications and interpretation of radiology, pathology, and laboratory results. • Understands the complex medical environments of cancer patients including, but not limited to, those with advanced malignancy or organ dysfunction. • Writes orders which are in accord with current guidelines including antineoplastics. • Maintains and practices in accord with practice guidelines per state and hospital regulations. Provides consultation to both nurses and physicians and serves as a resource to staff in area(s) of expertise. • Serves on appropriate intra- and inter-departmental committees Collaborates with staff and other health care professionals to meet staff and patient educational needs. • Participates in the development of formal and informal educational programs for nursing and support staff. Monitors patient outcomes in accordance with defined standards of patient care. • Identifies system-wide factors contributing to undesirable outcomes, such as complications and over utilization of services. Supports and conducts research efforts to advance knowledge and to promote research-based practice. • Evaluates own practice and program effectiveness. • Identifies pertinent patient care and health delivery problems for investigation. • Evaluates current research findings for clinical specialty and determines applicability to practice. • Assists nursing and medical colleagues in research efforts. • Encouraged to conduct research. Responsible for own professional growth and maintenance of required credentials. • Maintains the standards and educational requirements specific to the position and licensure. • Identifies own learning needs and goals. • Takes responsibilities for leadership and participation on committees and task forces within patient care services and the hospital. • Maintains and updates clinical knowledge and skills based on current health care practice/research. • Is willing to obtain procedural proficiency for medical oncology specific procedures. Training will be provided. Summary The Nurse Practitioner (NP) is a licensed provider. The NP is responsible for the assessment and management of various populations of patients, medical and/or surgical, including diagnostic and therapeutic interventions, development of appropriate plans of care and ongoing evaluation. Does this position require Patient Care? Yes Essential Functions -Provides direct care, counseling, and teaching to a designated patient population in the ambulatory, inpatient, operative, and/or procedural setting -Performs complete histories and physical examinations -Orders, interprets, and evaluates appropriate laboratory and diagnostic tests -Develops appropriate plans of care and follow-up based on the outcomes of diagnostic, laboratory, and physical examination findings -Consistently provides high quality and timely documentation including admission and progress notes, procedure notes, operative notes and discharge summaries -Performs bedside procedures as are appropriate to the patient population -Orders medications and writes prescriptions according to organizational and regulatory policies and procedures Qualifications Education Master's Degree Nursing or Physician Assistance required Can this role accept experience in lieu of a degree? No Licenses and Credentials - Registered Nurse [RN - MA License] - Advanced Practice Registered Nurse [APRN] [MA License] or - Physician Assistant [MA License] Experience experience as a Nurse Practitioner or Physician Assistant 0-1 year preferred Knowledge, Skills and Abilities - Skilled in taking medical histories to assess medical condition and interpret findings. - Ability to maintain quality control standards. - Ability to react calmly and effectively in emergency situations. - Ability to interpret, adapt and apply guidelines and procedures. - Ability to communicate clearly and establish/maintain effective working relationships with patients, medical staff and the public. Additional Job Details (if applicable) Remote Type Onsite Work Location 55 Fruit Street Scheduled Weekly Hours 40 Employee Type Regular Work Shift Day (United States of America) Pay Range $126,838.40 - $173,867.20/Annual Grade 7 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: 1200 The General Hospital Corporation 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. 
