If you are an existing employee of South Shore Health then please apply through the internal career site. Requisition Number: R-21680 Facility: LOC0001 - 55 Fogg Road55 Fogg Road Weymouth, MA 02190 Department Name: SSH Care Progression Status: Part time Budgeted Hours: 0 Shift: Varied Shifts (United States of America) Under the general supervision of the Case Management Manager acts as a patient advocate/Case Manager to SSH&EC clients. An autonomous role that coordinates, negotiates, procures services and resources for, and manages the care of complex patients to facilitate achievement of quality and cost efficient patient outcomes. Looks for opportunities to reduce cost while assuring the highest quality of care is maintained. Applies review criteria to determine medical necessity for admission and continued stay. Provides clinically-based case management, discharge planning and care coordination to facilitate the delivery of cost-effective quality healthcare and assists in the identification of appropriate utilization of resources across the continuum of care. Works collaboratively with interdisciplinary staff internal and external to the Organization. Participates in quality improvement and evaluation processes related to the management of patient care. *Commits to working a minimum of 32 hours, with at least 16 hours (in 2 shifts) worked during a night and/or weekend per 4 week schedule. Also works 1 major summer or winter holiday. Compensation Pay Range: $59.42 - $86.20 ESSENTIAL FUNCTIONS 1 - The RN Case Manager is responsible for reviewing the medical record of all observation and inpatient admissions and continued stays to ensure appropriate utilization and delivery of care. a - Using Interqual Criteria, physician certification, and payor specific criteria, assists the physician in determining the medical necessity for observation, admission and continued stays. b - Identifies cases daily that fail to meet criteria and refers these cases to appropriate manager or physician advisor for secondary review. c - Contacts attending physicians daily on cases that lack adequate documentation warranting acute hospitalization and clarifies for them the necessary clinical documentation required to help support medical necessity d - Contacts the attending physician to notify him/her of decision to issue notice of non-coverage. Explains UR process and insurance coverage requirements. Obtains physician written concurrence when necessary; e.g., Medicare patients. Informs the patient and/or next of kin when insurance coverage must be terminated for the current admission. Issues the termination letter for the Medicare patient e - Reinstates insurance coverage when patient condition becomes acute and meets criteria again. Issues reinstatement letter. f - Continues review of all patients using criteria and determines need for continued hospitalization based upon third party payor/insurance guidelines. g - Provides clinical data/information to contracted third-party payers while patient is hospitalized to ensure continued reimbursement and to avoid reimbursement delays within 24 hours of request. h - Continues review of all patients using criteria and determines need for continued hospitalization based upon third party payer/guidelines. 2 - Plays an essential role in assisting physicians, nursing and staff with accurate determination of a patient’s observation status. The RN Case Manager is an important resource in preventing delayed discharges of observation patients. a - Identifies and reviews observation patients to determine the correct patient level of care daily prior to 12 PM. b - Consults with physicians, nursing, admitting, and outside insurance case managers to determine the appropriate status of patient. Refers the questionable status to internal physician advisor or EHR according to the Departmental Process. c - Assumes the role of review coordinator for observation services; reviews medical record for appropriateness of status and level of care, and facilitates the level of care, utilizing InterQual for Observation. d - Works with physicians, nursing and staff, patients and families to arrange prompt and safe discharge e - RN Case Manager must take telephone orders from physicians changing patient status from observation to inpatient admission. This should be done when monitoring observation status. A call or page should be made to physician if the RN Case Manager believes that this should be an inpatient admission and not wait until the 24 hours are ending before conversion. RN Case Manager must actively monitor patients on observation status and seek to clarify their status as close to the 24-hour benchmark as possible. The RN Case manager must send a concern in a timely fashion to facilitate the patient being put into the correct patient status and to provide timely notification. 3 - Participates in case finding and pre-admission evaluation screening to assure reimbursement. a - Identifies potential transition planning problems in a timely manner to set up services required. b - Works with attending physician to move patient through the SSH&EC system and set up appropriate services or referrals; e.g., SNF/VNA/Home Pharmacy c - Identifies need for new resources if gaps exist in service continuum, and initiates creative care delivery options. 4 - The RN Case Manager is responsible for assessing patient acute level of care needs and works to implement and coordinate interventions aimed at facilitating a safe and timely discharge plan to the appropriate sub-acute settings in collaboration with the Case Manager Specialist. a - With the Case Manager, work to identify, and prioritize workflow through identification of patient specific, department needs and or unit based needs. b - Executes and implements a safe and effective discharge plan based on the case management assessment in accordance with the Conditions of Participation. c - Makes and documents appropriate changes to discharge plan when necessary. d - Proactively uncovers barriers to early/timely discharge and overcomes them. e - Facilitates and coordinates patient care rounds. f - Conducts necessary conferences and team meetings regarding specific patient needs. g - Implements interventions that lead to patient accomplishing goals established in Plan. h - Coordinates the necessary resources to accomplish goals developed in Plan. i - Proactively affects system to facilitate efficient flow of care, anticipates discharge process. j - Gathers information from multidisciplinary team and monitors appropriate discharge plan. 5 - Continued. a - Uses and Updates the interdisciplinary patient White Board for communication enhancement; including RN Case Manager name, time/date/plan for discharge. b - Issues the Medicare Important Message (IM). c - Proper use of the Medical Necessity form for post discharge transportation. d - Use of technical tools, i.e., eDischarge, EHR, Interqual, MCCM e - Identifies and / or facilitates establishment of a patient’s Health Care Proxy.p) f - Identifies patient Care Plan Partner. g - Fosters patient and family awareness of Patient Portal. 6 - Ensure that patient has received all information related to choice of follow-up care facilities according to patient and family preference and any ACO preferred contracted providers. a - Ensure that, at minimum, 3 referrals are processed for continuum of care providers b - Document choices provided, with special consideration of ACO relationships and preferences; and selections made by patient and/or family in medical record. c - Expedite and process referrals, in a timely manner to department standards, including requesting and tracking screenings and acceptances of patients by care providers, expediting responses from provider facility personnel as necessary. d - Document response by providers. e - Delivers the Medicare Important Message (IM) per department protocol. f - Have patient, family/healthcare Proxy sign discharge plan. 7 - Interacts, communicates, and intervenes with multi-disciplinary healthcare team in a purposeful, goal-directed fashion. Works pro-actively and utilizes critical thinking skills to maximize the effectiveness of resource utilization. Anticipates, initiates, and facilitates problem resolution around issues of resource use and continued hospitalization, discharge planning. a - Establishes a means of communicating and collaborating with physicians, other team members, the patient’s payers, and administrators. b - Explores strategies to reduce length of stay and resource consumption within the care managed patient populations, implements them and documents the results. c - Communicates to appropriate members of healthcare team patients at risk of losing insurance coverage via termination of benefits, facilitates discharge plan d - Maintains a pro-active role to ensure appropriate documentation concurrently to minimize inefficient resource utilization and prevent loss of reimbursement e - Reviews physician documentation and follows procedures to seek clarification where indicated of that documentation relative to diagnosis and comment on the patient’s clinical state. f - Coordinate and participate in daily multidisciplinary patient care rounds. g - Uses the SBAR method to communicate with MD, and peers h - Acts as a clinical resource to support the Case Manager Specialist in resource utilization and discharge planning the more clinically complex or long length of stay patient. 8 - Establishes and maintains effective communication with all referral sources, insurers, vendors and patient supplier systems. 9 - Maintains consistently a professional commitment to institutions and department’s goals and objectives. Demonstrates flexibility to the department’s needs in relation to floor and work schedule, and any other internal and external demands on the department. Continually shows commitment to the Department by extending self when need arises. 10 - Maintains an updated knowledge base of and references resources outlining provider benefits for care choices, including public, private, and governmental payers and established / preferred ACO relations a - Maintains a working knowledge of the requirements of the payers most frequently seen with the patient population. b - Maintains a working knowledge of the resources available in the community for patients/families. c - Maintains current nursing licensure CEU credits, case management certification CEU's. d - Maintains Interqual Certification. 11 - Is responsible for department operational excellence, regarding safe and effective discharge planning; assures department delivers quality services in accordance with applicable policies, procedures and professional standards. a - Manages all activities so that quality services are provided in an efficient and effective manner. b - Services provided meet all applicable regulatory requirements c - Participates in departmental and organizational Quality Improvement initiatives involving the Lean principles and TIM WOODS. d - Maintains departmental productivity measurements. e - Has an awareness of departmental productivity measurements including LOS and utilization f - Follows department policies, procedures, and standards of care that support operational excellence and productivity measurements 12 - Attains all agreed to goals and objectives within specified time frames, as part of the organization’s overall mission. 13 - Technology – Embraces technological solutions to work processes and practices. a - eDischarge, EHR, Interqual, MCCM, Epic, Workday JOB REQUIREMENTS Minimum Education - Preferred Registered Nurse, Bachelors prepared strongly preferred Minimum Work Experience 3-5 years acute care hospital experience preferred Critical Care or Emergency Department experience highly desirable Required Licenses / Registrations RN - Registered Nurse Required Certifications ACM-Accredited Case Manager or CCM-Certified Case Manager within two years of hire Required additional Knowledge, and Abilities Demonstrated skills in the areas of: negotiation, communication (verbal and written), conflict, interdisciplinary collaboration, management, creative problem solving, and critical thinking, time management and ability to multitask in high stress environment. Knowledge of: healthcare financing, community and organizational resources, patient care processes, and data analysis. Knowledge of utilization management as it relates to third party payers Knowledge of post-acute care community resources Experience with Managed Care preferred. Excellent verbal and written communication skills required. Demonstrates flexibility via an ability to adapt to changing priorities and regulations. Basic computer skills required. Varied shifts and days. Weekend and holiday commitment. Responsibilities if Required: Education if Required: License/Registration/Certification Requirements: ACLS (AHA) Advanced Cardiac Life Support Certification - American Heart Association (AHA) (Including courses offered through SSH), Basic Life Support (BLS) Certification - American Heart Association (AHA) (Including courses offered through SSH), Emergency Response Training (ERT) Certification - SSH Education & Training, INSTRUCTOR- Advanced Cardiac Life Support (ACLS) - American Heart Association (AHA) (Including courses offered through SSH), INSTRUCTOR- Basic Life Support (BLS) - American Heart Association (AHA) (Including courses offered through SSH), Neonatal Resuscitation Program (NRP) Certification - American Heart Association (AHA) (Including courses offered through SSH), OB- Emergency Response Training (ERT) - SSH Education & Training, Pediatric Advanced Life Support (PALS) Certification - American Heart Association (AHA) (Including courses offered through SSH), RN-Registered Nurse - Board of Registration in Nursing (Massachusetts), Trauma Care After Resuscitation (TCAR) - TCAR Education Programs, Trauma Nurse Core Course (TNCC) - Emergency Nurses Association - (ENA)
If you are an existing employee of South Shore Health then please apply through the internal career site. Requisition Number: R-20763 Facility: LOC0001 - 55 Fogg Road55 Fogg Road Weymouth, MA 02190 Department Name: SSH Critical Care APC PB Status: Full time Budgeted Hours: 36 Shift: Day (United States of America) Under the general guidance of the MD Chair of critical care and the Executive Director, APC program, the NP/PA will evaluate, diagnose and treat patients following written guidelines approved by the Department of Critical Care. Compensation Pay Range: $107,000.00 - $224,123.00 Work as part of a critical care team comprised of Intensivists/Internists and PA providers in a very active 24 bed combined medical/surgical/cardiac ICU. Responsibilities include assessment, diagnosis and treatment of critically ill patients under the supervision of the intensivist as well as communication with consultants, patients and families. Other duties include admission of patients from the ER, daily progress note documentation, billing, ventilator management, laboratory interpretation. Capability of performing central venous line placement and arterial lines. First responder to "Rapid Response" and codes. JOB REQUIREMENTS Minimum Education - Preferred Graduate of accredited Physician Assistant Program Minimum Work Experience Prefer two or more years of practice, preferably in critical care. Required Licenses / Registrations PA - Physician Assistant Required additional Knowledge, and Abilities Must possess current PA- Physician Assistant license. NCCPA certification & ACLS - Advanced Cardiac Life Support required. Pediatric Life Support (PALS) preferred. License, certification and required classes and skills will be monitored through the Medical Staff Services Department. Demonstrates history of proficiency in the delivery of critical care medicine to patients of all ages. Demonstrates history as a strong member of a Critical Care Team with successful completion of South Shore Hospital credentialing process. 1 - Performs evaluations, including: pertinent history and physical exam on patients assigned to Critical Care. Institute a plan of care based on findings. Inform the responsible Critical Care Physician of pertinent subjective and objective data and routine diagnostic and therapeutic measures initiated. a - Documents clinical findings and impressions on the patients record. b - Consults MD when necessary, prior to proceeding with care. c - Orders diagnostic tests. d - Prescribes required medications and treatments. e - Coordinates subspecialty referrals in consultation with the responsible Critical Care physician. f - Provides follow-up instructions for patient and/or family. 2 - Performs special procedures after orientation and documentation of competency. All procedures will be performed in accordance with approved protocols. a - Pelvic Exams b - Suturing 3 - Serves as clinical resource to nursing staff. a - Assists in the development of emergency nursing staff. b - Participates in Quality Monitoring activities. c - Assists in the development of treatment protocols. 4 - Evaluates patients in regard to discharge or admission in order to improve the flow of patients. Day/Night rotation: 7a-7p and 7p-7a Responsibilities if Required: Education if Required: License/Registration/Certification Requirements: ACLS (AHA) Advanced Cardiac Life Support Certification - American Heart Association (AHA) (Including courses offered through SSH), Physician Assistant - Board of Registration of Physician Assistants (Massachusetts)
If you are an existing employee of South Shore Health then please apply through the internal career site. Requisition Number: R-21023 Facility: LOC0034 - 118 Long Pond Road, Suite 200118 Long Pond Road, Suite 200 Plymouth, MA 02360 Department Name: SMC OB Gyn Status: Part time Budgeted Hours: 27 Shift: Day (United States of America)The Medical Assistant is responsible for supporting the practice with overall responsibility for maintaining efficiency of patient flow. Clinical duties include but are not limited to maintaining universal precautions; rooming patients, taking necessary vital signs and measurements, perform phlebotomy as needed, administering vaccines, performing treatments and procedures as ordered by the provider. He/She will be responsible for answering practice education, counseling and performing various testing and screenings. The Medical Assistant will also be responsible for maintaining patients’ rooms, setting up and stocking, as appropriate as well as ordering and tracking supplies for the practice. Administrative responsibilities will include, without limitation, all generally accepted office responsibilities, making appointments, filing, answering phones, preparing correspondence, preparing patient charts, obtaining referrals and paperwork from referring physician offices. Pay Range: 23.23-31.26 an hour based on experience and generous shift differentials Onsite Parking at the Facility Career Growth: Exposure to our various outpatient offices on the South Shore Medical, Dental & Vision insurance: Starts day 1 ESSENTIAL FUNCTIONS 1 - Greets patients coming in for appointments in a professional manner and escorts them into patient exam rooms. 2 - Assist with varied procedures within the practice including both routine and non-routine (complex) procedures as directed and under the supervision of the MD, NP, or PA. (The extent and complexity of procedures will be practice specific and need to have documentation of why considered complex). a - Provide a variety of services including: assisting physicians in all minor procedures and wound care as requested. b - act as a chaperone when needed 3 - Takes vital signs and documents accordingly. 4 - Assists administrative team in greeting patients, scheduling appointments, processing orders, collecting encounter forms and answering telephones. 5 - Assists with determining reason for visit or phone call, flags for immediate responses, takes messages appropriately and notifies appropriate medical staff. 6 - Responsible for coordination of room rotations. a - Assists with varied procedures, as directed and under the supervision of the MD, NP or PA 9 - Assists with receiving test results for physicians and calling patient with follow up of labs and tests under direction of physician/nurse practitioner. 10 - Cleans instruments and equipment following infection control guidelines. 11 - Maintains sterilizer competencies. 12 - Maintains excellent customer service and fosters an environment of optimal patient care a - Communicate critical patient information to the nurse and/or provider. b - Act in a professional manner at all times c - Maintain a positive attitude at all times, creating a collaborative and team oriented environment 13 - Ensures appropriate communication in changes in schedule with physicians, nurse practitioners, physician assistants, staff and patients. a - Verifies schedule at end of clinic and gives to Program Director. b - Assists Nursing Supervisor with completing weekly MA schedules c - Participate in daily huddles, attend 75% of scheduled staff meetings and attend workflow/other meetings as needed. 14 - Cross-trains to assist in covering the front desk team when needed. Duties include: patient check in/out, answering any questions that patient may have, and other related administrative tasks. a - Efficiently manages email communications in a timely manner, uses appropriately and remains current with division/organizational communications. b - Is proficient in the use of all computer applications, Meditech, lotus notes, i-heal.. c - Assists in uploading of photographs into Meditech and i-heal. 15 - Percept new employees using the established check off sheet reviewing departmental protocols, policies and workflow. a - serve as a role model/mentor providing support, training and sharing of knowledge including explaining and monitoring new workflows and policies 16 - Works in Collaboration with Nursing Supervisor in the preparation of yearly evaluations by providing individual feedback and assisting with chart review and reviewing yearly competencies and ensure compliance with all personnel policies. 17 - Commits to two sessions of our annual flu clinics 18 - Safety Awareness – Fosters a “Culture of Safety” through personal ownership and commitment to a safe environment a -Demonstrates required office and clinical equipment competencies necessary to successfully perform this role b -Verifies patient identification according to policy prior to administration of care and/or procedures. c -Complies with the current CDC hand hygiene guidelines through proper hand-washing. d - Adheres to universal precautions and makes appropriate use of personal protective equipment at all times. e - Appropriately disposes of hazardous materials f - Utilizes proper body mechanics when performing all aspects of the job g - Follows appropriate chain of communication/command. 19 - Other duties as required 20 - Works the required weekend and holiday schedule JOB REQUIREMENTS Minimum Education - Preferred High School Diploma or equivalent preferred Completion of a Medical Assistant program preferred. Minimum Work Experience Experience in a clinical setting preferred License/Certifications BLS - Basic Life Support required CMA - Certified Medical Assistant certificate preferred Required additional Knowledge and Abilities Exceptional interpersonal, communication, and customer service skills Strong clinical and judgment skills are essential. Good organizational and prioritization skills Ability to work successfully as a team player. Demonstrated knowledge of varied medical procedures Extensive knowledge of anatomy, physiology and English grammar. Ability to react calmly and effectively in emergency situations. Ability to read, understand and respond to detailed oral and written instructions; communicate clearly. Able to both lead and take direction from Nursing Supervisor. Employee must demonstrate computer proficiency through efficient use of the electronic medical record; telephone communications; e-mail; and other computer software as required. M,W,F Responsibilities if Required: Education if Required: License/Registration/Certification Requirements: Basic Life Support (BLS) Certification - American Heart Association (AHA) (Including courses offered through SSH), INSTRUCTOR- Basic Life Support (BLS) - American Heart Association (AHA) (Including courses offered through SSH)
If you are an existing employee of South Shore Health then please apply through the internal career site. Requisition Number: R-17236 Facility: LOC0001 - 55 Fogg Road55 Fogg Road Weymouth, MA 02190 Department Name: SSH Anesthesia PB Status: Full time Budgeted Hours: 40 Shift: Varied Shifts (United States of America)South Shore Health Department of Anesthesia team is growing and currently has full time, part time, and per diem positions available. With our competitive new compensation plan and enhanced benefits, including a sign-on upfront, retention and yearly performance metric bonuses, now is a great opportunity to join our growing team. At South Shore Health we value the importance of work-life balance. Offering flexible shifts: 10’s, 12’s, days, nights and weekend. Apply today for more details! South Shore Hospital is a vibrant urban 374- bed community hospital with a level 2 Trauma center designation that is committed to providing world-class quality care throughout the South Shore. This is done alongside our collaborative agreements with Boston's teaching hospitals which include surgeons from Brigham and Women's Hospital, Boston Children's Hospital, and Oncologic services through Dana Farber Cancer Institute. South Shore Health also acts as a training location for the local Nurse Anesthesia programs and is invested in training the future of nurse anesthesia. Certified Registered Nurse Anesthetists (CRNAs) are advanced practice nurses responsible for administering anesthesia and monitoring patients during surgeries and other medical procedures. Due to their specialized skill set, they are experts in critical care and airway management. Provide pre-anesthetic preparation and patient evaluation. Ensure patient identification and obtains appropriate health history. Recommend, requests, and evaluates pertinent diagnostic studies. Document pre-anesthetic evaluation. Obtain informed consent for anesthesia. Select prepares and administers anesthetic agents or other agents administered in management of anesthetic care. Effectively communicate with anesthesiologist and/or surgeon of changes in patient’s condition. Provide anesthesia induction, maintenance, emergence, and post anesthesia care. Insert invasive line catheter/devices. Perform tracheal intubation and extubation, airway management. Provide mechanical ventilation. Perform venous and arterial punctures. Obtain blood samples. Performs and manages regional anesthetic. Manage patient’s fluid, blood, electrolyte and acid base balance. Provide perianesthetic invasive and non-invasive monitoring utilizing current standards and techniques. Recognize and treat cardiac dysrhythmias through use of perianesthetic electrocardiogram monitoring. Evaluate patient response during emergence from anesthesia. Institute pharmacological or supportive treatment to insure adequacy of patient recovery from anesthesia and adjuvant drugs. Provide post anesthesia follow-up, report, and evaluation of patient’s response to anesthesia and for potential anesthetic complication. May perform patient care to the extent necessary to maintain clinical expertise, competency and licensing necessary to fulfill job responsibilities and to direct the provision of care on the unit. Requirements: Bachelor’s degree in nursing or relevant undergraduate degree. RN License required. Graduate of accredited nurse anesthesia program. Certified Registered Nurse Anesthetist (CRNA) required Valid state APRN Recognition preferred ACLS BLS PALS preferred, not required. Skilled in airway management techniques and chronic pain management. Must possess superb communication and interpersonal skills. Solid understanding of current anesthesia practices and techniques. Strong patient assessment skills Demonstrated knowledge of and skill in oral communication, written communication, interpersonal relations, customer service, adaptability, and change management Demonstrated knowledge of and skill in word processing PC applications Full time, Part time, and per diem positions available. Currently offering flexible shifts including 10’s, 12’s, days, nights and weekend. Responsibilities if Required: Education if Required: License/Registration/Certification Requirements: ACLS (AHA) Advanced Cardiac Life Support Certification - American Heart Association (AHA) (Including courses offered through SSH), Basic Life Support (BLS) Certification - American Heart Association (AHA) (Including courses offered through SSH), Certified RN Anesthetist - Board of Registration in Nursing (Massachusetts), RN-Registered Nurse - Board of Registration in Nursing (Massachusetts)
