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Cape Cod Healthcare Nantucket, MA

Public Health Nurse, (Per Diem) Nantucket, VNA of Cape Cod

Purpose of Position: The Primary Public Health Nurse is a registered professional nurse who organizes clinical aspects of town and corporate contracts. The Public Health Nurse along with the Public Health Manager promotes prevention services for persons of all ages throughout our service area, including communicable disease, emergency preparedness for a pandemic occurrence, immunization clinics, community health clinics and health education and screening programs. Description Assures compliance with Nurse Practice Act and Standards of Practice in the State of Massachusetts. Functions within the parameters of knowledge and experience, practicing safely and competently. Participate in emergency preparedness teams on the local and state level as assigned. Liaison with the health agents in the town to coordinate communicable disease surveillance and initiate immunization plans, providing and/or coordinating emergency call coverage as indicated. Provide resource and education to towns and agency in infectious disease and emergency preparedness planning. Performs clinical functions and manages supplies for contracted health programs including clinics. Promotes immunization and wellness programs through community outreach activities. Provide health education lectures to community based organizations with in the VNA service/contract area. Provide primary nursing as the Public Health nurse to contracted Public Health departments. -Complete safety assessments on at risk individuals and well-being checks. -Medications management and referral to appropriate sources for further assessment/assistance. Communicate with physicians and counsel patient and family members as appropriate in relationship to communicable disease, infection control, wellness education and prevention guidelines. With the Public Health Manager order all equipment/supplies appropriate and necessary for clinics. Participates on agency Infection Control Committee as directed by the Public Health Wellness Manager. Utilize results of monitoring and evaluation activities to identify education needs, improved patient care practices, and community outreach. Make training recommendations to HR Education Manager. Provide on call availability in response to agency and community need. Perform communicable disease responsibilities in compliance with MDPH requirements including reporting, surveillance and case management per town contracts. All other duties as assigned. Qualifications Successful passage of VNA pre-hire medication test Registered Nurse currently licensed in the State of Massachusetts. BSN or equivalent preferred. CPR required. Minimum of three (3) years clinical experience. Schedule Details: Public Health Nurse, Per Diem Hours, Monday–Friday, 8a–4p, Rotating Days, No Weekends or Holidays. Area: Nantucket Organization : Visiting Nurse Association Primary Location : Massachusetts-Nantucket Department : VNA-RN Salary Annual/Hourly: Unassigned Hiring Pay Range: 0 - 0

Coumadin Clinic LPN/RN (Falmouth)

Cape Cod Healthcare Falmouth, MA

$30 - $35.29 / hour

Purpose of Position: Coordinates the Coumadin Clinic in an efficient manner. Collaborates with the provider and patient for coordination of anticoagulation management including; education, instruction and anticoagulation issues. Description Coordinates Coumadin and Lovenox anticoagulation for new and established clinic patients Gathers information from provider to obtain anticoagulation needs, diagnosis, desirable range and length of treatment. Monitors and coordinates lab testing and dosage instructions with the patient Obtains and enters lab orders in accordance with protocol Adjusts anticoagulation dose in accordance with the protocol or as instructed by provider Provides teaching and reviews safety issues with patients and care givers Documents in CoagClinic reason for anticoagulation, diagnosis, desired range, laboratory data, dosage instructions, precautions, and follow up laboratory testing Initiates home INR monitor testing with Alere, as instructed by provider Processes prescription refills in accordance with refill policy or as instructed by provider Notifies provider of any adverse reactions or when excessive anticoagulation occurs Coordinates with other providers and patients when anticoagulation needs to be temporarily suspended for procedure Works with VNA, other Home Health Groups and independent labs Sets up new home draws Coordinates bridge therapy with Lovenox as directed Tracks delinquent anticoagulation patients and coordinates their follow-up requirements Performs other work related duties as assigned or requested. Qualifications Graduate of an accredited school of nursing Currently licensed as an RN (P021) or LPN (P016) in the Commonwealth of Massachusetts Basic Life Support Certification for Health Care Providers required Strong interpersonal, customer service, time management skills required Experience with current office technology, proficient with computer office applications Prior work experience and excellent knowledge in anticoagulation preferred Ability to multitask in a busy clinic setting including excellent communication and phone skills Schedule Details 40 Hours per week., Monday-Friday, 8:30a-4:30p, No weekends & No holidays Organization : Medical Affiliates of Cape Cod Primary Location : Massachusetts-Falmouth Department : MAC-TCS General Annual/Hourly: Hourly Hiring Pay Range: 30 - 35.29

Certified Medical Assistant, PCP (Yarmouth)

$24.40 - $29.71 / hour

Purpose of Position: Under the direction of the supervising provider to provide the highest standards of support to the MACC practice. Delivers excellent customer service to patients through participation in a medical care team. Demonstrates a high level of competence with support in accordance with MACC’s policies and procedures. Description Assists in providing clinical care to office patients as delegated by supervising provider Manages provider’s daily schedule and patient flow to expedite care and maximize clinical time Greets and escorts patients to exam rooms, and checks two-patient identifiers Communicates status of delegated task completion to supervising provider Obtains relevant information and takes vital signs as indicated (i.e. height, weight, blood pressure, heart rate, respiratory rate, oxygen saturation) Inputs pertinent clinical information into the electronic health record timely and with accuracy and collects home medication lists Assists clinicians with clinical procedures and/or additional tests specific to the department. Keeps patients informed of visit status, unforeseen delays and other relevant information pertaining to the patient’s visit Prepare and maintain exam rooms for patient arrivals. Clean and/or maintain inventory of supplies (medical included) and equipment throughout the practice. Notifies supervisor to order clinical supplies, clinical equipment and pharmaceuticals as appropriate Under the supervision of a provider, administers routine injections when delegated, and documents in real time and with accuracy Participates in practice and department meetings, trainings, etc. to promote continuous improvement of quality patient care Takes initiative to learn, understand, and stay current with community resources and the greater healthcare system Maintains patient rights and abides by all confidentiality obligations pursuant to CCHC and HIPAA Provides clerical/office support as necessary (i.e. scheduling appointments, greeting and registering patients, scanning incoming medical records and paperwork, preparing medical records, answering phone calls and taking messages, faxing, etc.) Ability to float to other MACC practices when required Performs other work-related duties and activities as assigned or requested Qualifications Ability to read, write and communicate in English Medical Assistant - Certification from either the American Association of Medical Assistants (AAMA) or the National Healthcare Association (NHA) Completion of a post-secondary medical assisting program required for PCP Office (Preferred for Specialty Office) Basic Life Support Certification for Health Care Providers Strong interpersonal, customer service, time management skills Experience with current office technology, proficient with computer office applications (Electronic Medical/Health Records, MS Office, etc.) Minimum of two years’ experience in a clinical setting preferred Schedule Details: 20 Hours per week, Monday and Wednesday, No Weekends & No Holidays *Sign on Bonus Eligible! Organization : Medical Affiliates of Cape Cod Primary Location : Massachusetts-S. Yarmouth Department : MAC-Frongillo, M NP Annual/Hourly: Hourly Hiring Pay Range: 24.4 - 29.71

LPN/RN - Clinical Triage (Yarmouth)

$30 - $35.29 / hour

Purpose of Position: Under the direction of the clinician, department supervisor or designee, provide the highest standards of clinical support to the MACC practice. Delivers excellent customer service to patients through participation in a medical care team. Demonstrates a high level of competence with clinical support in accordance with MACC’s policies and procedures. Description Monitor the Electronic Health Record nurse pool throughout the day and respond in a timely manner Triage incoming calls, messages, and In-Basket tasks, being able to prioritize urgent matters and schedule appointments as needed Exercises thinking, nursing judgment, and standard triage guidelines to ensure health needs and concerns of a patient, group, or population are met Assesses complex patient needs to ensure patient is transitioned to appropriate level of care Demonstrates a systematic, dynamic approach to collect objective and subjective data and assesses the response Triages and schedules visits based on assessment of patient disposition needs and consideration of available and appropriate resources; refer for emergency and follow up care Provides clinical support to team, adjusting role and priorities to meet patient care demands Answers phone calls and electronic messages promptly Greets callers appropriately by identifying self and department, and provides assistance in a friendly, respectful, and helpful manner Provides timely, efficient, and accurate triage responses in accordance with professional nursing standards Documents all calls, encounters, and actions taken into the patient’s medical record timely and completely according to established policy and professional standards Educate patients about utilization of the clinics’ community services Collaborate with the interdisciplinary care team as needed to avoid interruption of delivery of services to patients Performs other work-related duties and activities as assigned or requested Greets and escorts patients to exam rooms Obtains relevant information and takes vital signs as indicated (i.e. height, weight, blood pressure, heart rate, respiratory rate, oxygen saturation). Inputs pertinent clinical information into the electronic health record timely and with accuracy and performs a complete medication reconciliation Assists clinicians with clinical procedures and/or additional tests specific to the department. May advise patient of preparation required for exam or additional testing and keeps patients informed of visit status, unforeseen delays and other relevant information pertaining to the patient’s visit Assists in resolving patient concerns by acting as an advocate, as appropriate Participates in practice and department meetings, trainings, etc. to promote continuous improvement and quality patient care Takes initiative to learn, understand, and stay current with community resources and the greater healthcare system while continuously participating in self-assessment of skills Maintains patient rights and abides by all confidentiality obligations pursuant to CCHC and HIPAA Provides clerical/office support as necessary (i.e. scheduling appointments, greeting and registering patients, scanning incoming medical records and paperwork, preparing medical records, answering phone calls and taking messages, faxing, etc.) Ability to float to other MACC practices when required Verifies and implements clinician’s orders for testing and/or procedures (EKG’s, dressing changes, spirometry, Holter monitors, etc.) Triages walk-in patients per established protocols Maintains communication and collaboration with interprofessional team and others to facilitate safe transitions and continuity of care delivery Qualifications LPN (P015) - EDUCATION/EXPERIENCE/TRAINING: Ability to read, write and communicate in English Graduate of an accredited Practical Nursing program Currently licensed as a Licensed Practical Nurse in the state of Massachusetts Basic Life Support Certification for Health Care Providers Strong interpersonal, customer service, time management skills Experience with current office technology and proficient with computer office applications (Electronic Medical/Health Records, MS Office, etc.) A Minimum of two years’ experience in a clinical setting preferred Rn (x21a) - Education/Experience/Training Ability to read, write and communicate in English Graduate of an accredited school of nursing Currently licensed as a Registered Nurse in the Commonwealth of Massachusetts Basic Life Support Certification for Health Care Providers Experience with current office technology and proficient with computer office applications (Electronic Medical/Health Records, MS Office, etc.) Minimum of two years’ experience in a clinical setting preferred Schedule Details: 40 hours per week, Monday-Friday, 7a-5p, No Weekends & Holidays *Sign on Bonus Eligible! Organization : Medical Affiliates of Cape Cod Primary Location : Massachusetts-S. Yarmouth Department : MAC-Jessen, Thomas DO Annual/Hourly: Hourly Hiring Pay Range: 30 - 35.29

LPN/RN - Clinical Triage (S. Yarmouth)

$30 - $35.29 / hour

Purpose of Position: Under the direction of the clinician, department supervisor or designee, provide the highest standards of clinical support to the MACC practice. Delivers excellent customer service to patients through participation in a medical care team. Demonstrates a high level of competence with clinical support in accordance with MACC’s policies and procedures. Description Monitor the Electronic Health Record nurse pool throughout the day and respond in a timely manner Triage incoming calls, messages, and In-Basket tasks, being able to prioritize urgent matters and schedule appointments as needed Exercises thinking, nursing judgment, and standard triage guidelines to ensure health needs and concerns of a patient, group, or population are met Assesses complex patient needs to ensure patient is transitioned to appropriate level of care Demonstrates a systematic, dynamic approach to collect objective and subjective data and assesses the response Triages and schedules visits based on assessment of patient disposition needs and consideration of available and appropriate resources; refer for emergency and follow up care Provides clinical support to team, adjusting role and priorities to meet patient care demands Answers phone calls and electronic messages promptly Greets callers appropriately by identifying self and department, and provides assistance in a friendly, respectful, and helpful manner Provides timely, efficient, and accurate triage responses in accordance with professional nursing standards Documents all calls, encounters, and actions taken into the patient’s medical record timely and completely according to established policy and professional standards Educate patients about utilization of the clinics’ community services Collaborate with the interdisciplinary care team as needed to avoid interruption of delivery of services to patients Performs other work-related duties and activities as assigned or requested Greets and escorts patients to exam rooms Obtains relevant information and takes vital signs as indicated (i.e. height, weight, blood pressure, heart rate, respiratory rate, oxygen saturation). Inputs pertinent clinical information into the electronic health record timely and with accuracy and performs a complete medication reconciliation Assists clinicians with clinical procedures and/or additional tests specific to the department. May advise patient of preparation required for exam or additional testing and keeps patients informed of visit status, unforeseen delays and other relevant information pertaining to the patient’s visit Assists in resolving patient concerns by acting as an advocate, as appropriate Participates in practice and department meetings, trainings, etc. to promote continuous improvement and quality patient care Takes initiative to learn, understand, and stay current with community resources and the greater healthcare system while continuously participating in self-assessment of skills Maintains patient rights and abides by all confidentiality obligations pursuant to CCHC and HIPAA Provides clerical/office support as necessary (i.e. scheduling appointments, greeting and registering patients, scanning incoming medical records and paperwork, preparing medical records, answering phone calls and taking messages, faxing, etc.) Ability to float to other MACC practices when required Verifies and implements clinician’s orders for testing and/or procedures (EKG’s, dressing changes, spirometry, Holter monitors, etc.) Triages walk-in patients per established protocols Maintains communication and collaboration with interprofessional team and others to facilitate safe transitions and continuity of care delivery Qualifications LPN (P015) - EDUCATION/EXPERIENCE/TRAINING: Ability to read, write and communicate in English Graduate of an accredited Practical Nursing program Currently licensed as a Licensed Practical Nurse in the state of Massachusetts Basic Life Support Certification for Health Care Providers Strong interpersonal, customer service, time management skills Experience with current office technology and proficient with computer office applications (Electronic Medical/Health Records, MS Office, etc.) A Minimum of two years’ experience in a clinical setting preferred Rn (x21a) - Education/Experience/Training Ability to read, write and communicate in English Graduate of an accredited school of nursing Currently licensed as a Registered Nurse in the Commonwealth of Massachusetts Basic Life Support Certification for Health Care Providers Experience with current office technology and proficient with computer office applications (Electronic Medical/Health Records, MS Office, etc.) Minimum of two years’ experience in a clinical setting preferred Schedule Details 40 hours per week, Monday-Friday, 7a-5p, No Weekends & Holidays Organization : Medical Affiliates of Cape Cod Primary Location : Massachusetts-S. Yarmouth Department : MAC-Jessen, Thomas DO Annual/Hourly: Hourly Hiring Pay Range: 30 - 35.29

Certified Medical Assistant, PCP (South Yarmouth)

Cape Cod Healthcare Dennis, MA

$24.40 - $29.71 / hour

Purpose of Position: Under the direction of the supervising provider to provide the highest standards of support to the MACC practice. Delivers excellent customer service to patients through participation in a medical care team. Demonstrates a high level of competence with support in accordance with MACC’s policies and procedures. Description Assists in providing clinical care to office patients as delegated by supervising provider Manages provider’s daily schedule and patient flow to expedite care and maximize clinical time Greets and escorts patients to exam rooms, and checks two-patient identifiers Communicates status of delegated task completion to supervising provider Obtains relevant information and takes vital signs as indicated (i.e. height, weight, blood pressure, heart rate, respiratory rate, oxygen saturation) Inputs pertinent clinical information into the electronic health record timely and with accuracy and collects home medication lists Assists clinicians with clinical procedures and/or additional tests specific to the department. Keeps patients informed of visit status, unforeseen delays and other relevant information pertaining to the patient’s visit Prepare and maintain exam rooms for patient arrivals. Clean and/or maintain inventory of supplies (medical included) and equipment throughout the practice. Notifies supervisor to order clinical supplies, clinical equipment and pharmaceuticals as appropriate Under the supervision of a provider, administers routine injections when delegated, and documents in real time and with accuracy Participates in practice and department meetings, trainings, etc. to promote continuous improvement of quality patient care Takes initiative to learn, understand, and stay current with community resources and the greater healthcare system Maintains patient rights and abides by all confidentiality obligations pursuant to CCHC and HIPAA Provides clerical/office support as necessary (i.e. scheduling appointments, greeting and registering patients, scanning incoming medical records and paperwork, preparing medical records, answering phone calls and taking messages, faxing, etc.) Ability to float to other MACC practices when required Performs other work-related duties and activities as assigned or requested Qualifications Ability to read, write and communicate in English Medical Assistant - Certification from either the American Association of Medical Assistants (AAMA) or the National Healthcare Association (NHA) Completion of a post-secondary medical assisting program required for PCP Office (Preferred for Specialty Office) Basic Life Support Certification for Health Care Providers Strong interpersonal, customer service, time management skills Experience with current office technology, proficient with computer office applications (Electronic Medical/Health Records, MS Office, etc.) Minimum of two years’ experience in a clinical setting preferred Schedule Details 20 Hours per week, Monday and Wednesday, No Weekends & No Holidays Organization : Medical Affiliates of Cape Cod Primary Location : Massachusetts-S. Yarmouth Department : MAC-Frongillo, M NP Annual/Hourly: Hourly Hiring Pay Range: 24.4 - 29.71

Certified Home Health Aide, VNA of Cape Cod

$18.50 - $23 / hour

Purpose of Position: Under the direction of the Paraprofessional Team Leader the Certified Home Health Aide (CHHA) performs assigned duties in the patient’s home in a safe and considerate manner as prescribed by the case manager. Description Sign-On Bonus Eligible! Maintains open communication with case manager and/or Team Leader/Assistant Team Leader regarding health, safety and environment status of patients. Reports all changes in a timely manner. Complies with State/Federal regulatory acts. Perform all skills with competency, as indicated on the skills checklist. Communicates with Clinical Coordinator regarding all scheduling concerns relating to patients which may include, but not limited to changes such as times, days, patient absences and discharges. Communicates with case manager, and if not available, the Team Leader/Assistant Team Leader regarding any case concerns, patient problems, planned time off or other general schedule changes. Completes and submits required documentation, i.e., patient and employee time sheets, etc., accurately and on a timely basis. Report all concerns of possible patient abuse or neglect to the case manager and/or the Team Leader. Establishes and maintains a therapeutic relationship with patients. Perform only those tasks as prescribed by the case manager on the home health aide plan of care. Encourage patient in achieving an optimum level of independence by encouraging his/her participation in personal care and in interests and activities in the home, family and community. Provides or assists with post mortem care after pronouncement. Perform additional tasks as may be assigned by the Team Leader and/or case manager, depending on the specific situation or on the Home Health Aide’s experience and capabilities. Example: routine uncomplicated colostomy case and decubitus care. Provides understanding and emotional support to patient and significant others. If eligible, may participate in the Patient Transportation program for the Private Services department. All other duties as assigned. Consistently provides service excellence to all patients, family members, visitors, volunteers and co-workers in a manner that reflects VNA’s commitment to CARES: compassion, accountability, respect, excellence and service. Qualifications Possess and maintain certification as a Home Health Aide or equivalent as approved by the Agency. One year satisfactory employment history preferred. Experience in care of the elderly preferred. Satisfactory completion of Skill Assessment Test. Able to record messages and keep records. Schedule Details: 37.5 Hours Per Week, Monday–Friday, 8a–4p, Rotating Weekends and Holidays. Area: Outer Cape. *Sign-On Bonus Eligible* Organization : Visiting Nurse Association Primary Location : Massachusetts-South Dennis Department : VNA-Paraprofessional HHA Annual/Hourly: Hourly Hiring Pay Range: 18.5 - 23

LPN/RN, Coumadin Clinic (Hyannis)

Purpose of Position: Coordinates the Coumadin Clinic in an efficient manner. Collaborates with the provider and patient for coordination of anticoagulation management including; education, instruction and anticoagulation issues. Description Coordinates Coumadin and Lovenox anticoagulation for new and established clinic patients Gathers information from provider to obtain anticoagulation needs, diagnosis, desirable range and length of treatment. Monitors and coordinates lab testing and dosage instructions with the patient Obtains and enters lab orders in accordance with protocol Adjusts anticoagulation dose in accordance with the protocol or as instructed by provider Provides teaching and reviews safety issues with patients and care givers Documents in CoagClinic reason for anticoagulation, diagnosis, desired range, laboratory data, dosage instructions, precautions, and follow up laboratory testing Initiates home INR monitor testing with Alere, as instructed by provider Processes prescription refills in accordance with refill policy or as instructed by provider Notifies provider of any adverse reactions or when excessive anticoagulation occurs Coordinates with other providers and patients when anticoagulation needs to be temporarily suspended for procedure Works with VNA, other Home Health Groups and independent labs Sets up new home draws Coordinates bridge therapy with Lovenox as directed Tracks delinquent anticoagulation patients and coordinates their follow-up requirements Performs other work related duties as assigned or requested. Qualifications Graduate of an accredited school of nursing Currently licensed as an RN (P021) or LPN (P016) in the Commonwealth of Massachusetts Basic Life Support Certification for Health Care Providers required Strong interpersonal, customer service, time management skills required Experience with current office technology, proficient with computer office applications Prior work experience and excellent knowledge in anticoagulation preferred Ability to multitask in a busy clinic setting including excellent communication and phone skills Schedule Details 32 hours per week, Monday-Friday, 8a-4p, No Weekends & No Holidays Organization : Medical Affiliates of Cape Cod Primary Location : Massachusetts-Hyannis Department : MAC-Cardiology Practice Annual/Hourly: Unassigned Hiring Pay Range: 0 - 0

Cape Cod Healthcare Falmouth, MA

RN

$35 - $43 / hour

Purpose of Position: To provide direct nursing care to the residents, patients, and to supervise the day-to-day nursing activities performed by the nursing assistants. Such supervision must be in accordance with current federal, state and local standards, guideline and regulations that govern our facility, ensuring that the highest degree of quality care is maintained at all times. Description Direct the day-to-day functions of the nursing assistants in accordance with current rules, regulations, and guidelines that govern the long-term care facility. Must complete all administrative functions as outlined in the job description. Must be able to perform all tasks as a RN pertaining to the Drug Administration tasks of the job, as outlined in the job description. Administers prescribed medications and treatments in accordance with approved nursing techniques. Ensure that prescribed medication for one resident is not administered to another. Ensure that an adequate supply of floor stock medications, supplies, and equipment is on hand to meet the nursing needs of the residents. Report needs to the Nurse Supervisor. Ensure that rooms are ready for new admissions. Greet newly admitted residents upon admission. Escort them to their rooms as necessary and participate in their orientation to the facility. Make rounds with physicians as necessary. Consult with the resident’s physician in providing the resident’s care, treatment, rehabilitation, etc., as necessary. Participate in the development, maintenance, and implementation of the facility’s quality assurance program for the nursing service department. Participate in facility surveys (inspections) made by authorized government agencies as may be requested. Periodically review the resident’s written discharge plan. Participate in the updating of the resident’s written discharge plan as required. Assist in planning the nursing services portion of the resident’s discharge plan as necessary. Admit, transfer, and discharge residents as required. Maintain the Daily Census Report and submit to the Business Office as required. Perform administrative duties such as completing medical forms, reports, evaluations, studies, charting, etc., as necessary. Ensure accurate charting and documentation including but not limited to completing and filing required recordkeeping forms/charts upon the resident’s admission, transfer, and/or discharge. Encourage attending physicians to review treatment plans, record and sign their orders, progress notes, etc., in accordance with established policies. Receive telephone orders from physicians and record on the Physicians’ Order Form. Transcribe physician’s orders to resident charts, cardex, medication cards, treatment/care plans, as required. Chart nurses’ notes in an informative and descriptive manner that reflects the care provided to the resident, as well as the resident’s response to the care. Readies equipment and aids physician during treatments and examinations of patients. Observes patient, records significant conditions and reactions, and notifies supervisor or physician of patient's condition and reaction to drugs, treatments, and significant incidents. Takes temperature, pulse, blood pressure, and other vital signs to detect deviations from normal and determines progress of patient. May serve as leader for group of personnel rendering nursing care to number of patients. Must maintain the confidentiality of all resident care information including protected health information. Report known or suspected incidents of unauthorized disclosure of such information; and adhere to Resident’s rights. Performs other work related and nursing care functions / duties as assigned or requested. Consistently provides service excellence to all patients, family members, visitors, volunteers and co-workers in a manner that reflects JML’s commitment to CARES: compassion, accountability, respect, excellence and service. Qualifications Must possess, as a minimum, a Nursing Degree from an accredited college or university, or be a graduate of an approved RN program. Must possess a current, unencumbered, active RN license to practice as an RN in this state. BLS / CPR and AED Program Certification is required. Must be able to read, write, speak, and understand the English language. Must demonstrate knowledge and skills necessary to provide care appropriate to the age-related needs of the residents served. Must be a supportive team member, contribute to and be an example of team work and team concept. Must possess the ability to make independent decisions when circumstances warrant such action. Must possess the ability to deal tactfully with personnel, residents, family members, visitors, government agencies/personnel, and the general public. Must be knowledgeable of nursing and medical practices and procedures, as well as laws, regulations, and guidelines that pertain to nursing care facilities. Must possess leadership and supervisory ability and the willingness to work harmoniously with and supervise other personnel. Must possess the ability to plan, organize, develop, implement, and interpret the programs, goals, objectives, policies and procedures, etc., that are necessary for providing quality care. Must have patience, tact, a cheerful disposition and enthusiasm, as well as the willingness to handle difficult residents. Must be willing to seek out new methods and principles and be willing to incorporate them into existing nursing practices. Must be able to relate information concerning a resident’s condition. Must not pose a direct threat to the health or safety of other individuals in the workplace. Must be able to lift a minimum of 50 pounds and meet all other physical and sensory requirements of the job. Schedule Details 32 hours per week, Rot Days/Eves, 7a-3p or 3p-11p, E/O Weekend & Rot. Holidays *Sign-On Bonus Eligible! Organization : JML Care Center Primary Location : Massachusetts-Falmouth Department : JML-Nursing - Penzance Annual/Hourly: Hourly Hiring Pay Range: 35 - 43

LPN, VNA of Cape Cod

$28 - $35 / hour

Purpose of Position: Under the direction of the Team Manager and within the Agency policies and procedures, the LPN follows the plan of care on individual patients within the guidelines of his/her licensure to provide for the safety and quality of care treatment or services. Description Sign-On Bonus Eligible! Assesses patient and family needs, reports new or pertinent findings to RN and MD. Follows prescribed plan of care as completed by the RN in order to address identified needs. Demonstrates the skills and judgments to implement the medical plan of care, nursing interventions and procedures as necessary for the care of the patient, within the guidelines of his/her licensure. Evaluates and reassesses the identified problems, care provided and patient's response on a continuing basis. 5dentifies ancillary services needed by patients and families and reports findings to RN. Collaborates and communicates on a regular basis with the Team Leader, Office Nurse, RN and members of the inter-disciplinary team as needed. Assists patients and families in accessing appropriate community resources. Records narrative documentation to reflect skilled care. Documentation is clear, concise and addresses specifics of teaching, direct care and response of patient / caregiver. All other duties as assigned. Consistently provides service excellence to all patients, family members, visitors, volunteers and co-workers in a manner that reflects VNA’s commitment to CARES: compassion, accountability, respect, excellence and service. Qualifications Graduate of an approved LPN school of nursing. Current LPN license in MA. CPR certification required. Minimum one (1) year recent experience in an acute care facility. Schedule Details: 37.5 Hours Per Week, Monday–Friday, 8a–4p, Rotating Weekends and Holidays. Area: Hyannis to Falmouth. *Sign-On Bonus Eligible* Organization : Visiting Nurse Association Primary Location : Massachusetts-Hyannis Department : VNA-Hospice Annual/Hourly: Hourly Hiring Pay Range: 28 - 35

LPN, VNA of Cape Cod

Cape Cod Healthcare Harwich, MA

$28 - $35 / hour

Purpose of Position: Under the direction of the Team Manager and within the Agency policies and procedures, the LPN follows the plan of care on individual patients within the guidelines of his/her licensure to provide for the safety and quality of care treatment or services. Description Sign-On Bonus Eligible! Assesses patient and family needs, reports new or pertinent findings to RN and MD. Follows prescribed plan of care as completed by the RN in order to address identified needs. Demonstrates the skills and judgments to implement the medical plan of care, nursing interventions and procedures as necessary for the care of the patient, within the guidelines of his/her licensure. Evaluates and reassesses the identified problems, care provided and patient's response on a continuing basis. 5dentifies ancillary services needed by patients and families and reports findings to RN. Collaborates and communicates on a regular basis with the Team Leader, Office Nurse, RN and members of the inter-disciplinary team as needed. Assists patients and families in accessing appropriate community resources. Records narrative documentation to reflect skilled care. Documentation is clear, concise and addresses specifics of teaching, direct care and response of patient / caregiver. All other duties as assigned. Consistently provides service excellence to all patients, family members, visitors, volunteers and co-workers in a manner that reflects VNA’s commitment to CARES: compassion, accountability, respect, excellence and service. Qualifications Graduate of an approved LPN school of nursing. Current LPN license in MA. CPR certification required. Minimum one (1) year recent experience in an acute care facility. Schedule Details: 37.5 Hours Per Week, Monday–Friday, 8a–4p, Rotating Weekends and Holidays. Area: Hyannis to Provincetown. *Sign-On Bonus Eligible* Organization : Visiting Nurse Association Primary Location : Massachusetts-Hyannis Department : VNA-Hospice Annual/Hourly: Hourly Hiring Pay Range: 28 - 35

Certified Medical Assistant, PCP (Harwich)

$24.40 - $29.71 / hour

Purpose of Position: Under the direction of the supervising provider to provide the highest standards of support to the MACC practice. Delivers excellent customer service to patients through participation in a medical care team. Demonstrates a high level of competence with support in accordance with MACC’s policies and procedures. Description Assists in providing clinical care to office patients as delegated by supervising provider Manages provider’s daily schedule and patient flow to expedite care and maximize clinical time Greets and escorts patients to exam rooms, and checks two-patient identifiers Communicates status of delegated task completion to supervising provider Obtains relevant information and takes vital signs as indicated (i.e. height, weight, blood pressure, heart rate, respiratory rate, oxygen saturation) Inputs pertinent clinical information into the electronic health record timely and with accuracy and collects home medication lists Assists clinicians with clinical procedures and/or additional tests specific to the department. Keeps patients informed of visit status, unforeseen delays and other relevant information pertaining to the patient’s visit Prepare and maintain exam rooms for patient arrivals. Clean and/or maintain inventory of supplies (medical included) and equipment throughout the practice. Notifies supervisor to order clinical supplies, clinical equipment and pharmaceuticals as appropriate Under the supervision of a provider, administers routine injections when delegated, and documents in real time and with accuracy Participates in practice and department meetings, trainings, etc. to promote continuous improvement of quality patient care Takes initiative to learn, understand, and stay current with community resources and the greater healthcare system Maintains patient rights and abides by all confidentiality obligations pursuant to CCHC and HIPAA Provides clerical/office support as necessary (i.e. scheduling appointments, greeting and registering patients, scanning incoming medical records and paperwork, preparing medical records, answering phone calls and taking messages, faxing, etc.) Ability to float to other MACC practices when required Performs other work-related duties and activities as assigned or requested Qualifications Ability to read, write and communicate in English Medical Assistant - Certification from either the American Association of Medical Assistants (AAMA) or the National Healthcare Association (NHA) Completion of a post-secondary medical assisting program required for PCP Office (Preferred for Specialty Office) Basic Life Support Certification for Health Care Providers Strong interpersonal, customer service, time management skills Experience with current office technology, proficient with computer office applications (Electronic Medical/Health Records, MS Office, etc.) Minimum of two years’ experience in a clinical setting preferred Schedule Details 16 hours per week, Monday-Friday, 8a-4p, No weekends & No Holidays Organization : Medical Affiliates of Cape Cod Primary Location : Massachusetts-Harwich Department : MAC-Hartley, Marie PA Annual/Hourly: Hourly Hiring Pay Range: 24.4 - 29.71

RN, Surgical Day Care

$38.36 - $78.11 / hour

Purpose of Position: Delivers patient care through the nursing process of assessment, planning, implementation and evaluation. Administers and monitors patient responses to all medications. Directs and guides patient care, teaching and activities of ancillary personnel while maintaining standards of professional nursing within the realm of Hospital Policy. Maintains and delivers the highest quality customer service standards. Description Properly utilizes the nursing process in caring for patients by maintaining relevant, accurate and current patient records as evidenced by Nursing PI activities. Provides documentation of assessment of the patient throughout the Hospital admission including physical, psychological, social dimensions and discharge plans. Summarizes assessment data and initiate plan of care with communication of pertinent data to allied patient care providers as evidenced by Nursing PI activities. Understands, assumes, and demonstrates proficiency in the role of charge nurse. Demonstrates proficiency in Computerized Nursing Informatics (information systems). Assumes role of resource person regarding patient care, orientation and teaching staff. Participates in at least four-unit staff meetings per year, attends mandatory programs and obtains three hours of Patient Care Assessment Committee (PCAC) credit per year. Participates in identification of the aspects of care for the patient, indicators used to monitor the quality and appropriateness of care, and the evaluation of that care. Adheres to safety, blood/body fluid policies and procedures. Assesses personal learning development needs. Maintains documentation of current and ongoing professional development activities. Regularly up-dates knowledge of techniques and regulations appropriate to the age of the patient served. Shows a willingness to participate on Nursing Committees. Represents hospital in the community and within the hospital by maintaining confidentiality regarding patients and hospital matters and by presenting the hospital in a manner that will best market the services provided. Consistently provides service excellence to all patients, family members, visitors, volunteers and co-workers. Performs other work-related duties and activities as assigned or requested his/her immediate supervisor. Qualifications Graduate of an accredited School of Nursing. Currently licensed as a Registered Nurse in the Commonwealth of Massachusetts. Basic Life Support Certification required and must maintain certification. ACLS Certification required and must maintain certification. Successful passage of CCH’s Pharmacology exam. Successful passage of the Basic Arrhythmia Program or challenge exam. Must read, write and communicate in English. PALS Certification within six (6) months of position and must maintain certification. BSN Preferred. Demonstrated skills in I.V. starts, hemodynamic monitoring and ventilator care, required. One (1) year (within the last five (5) years) recent experience required in ICU/CVICU/CVPA/ER or SDC/PACU. Prior SDC or PACU experience preferred (within the last 5 years). On-call is required for off-shift, weekends and holidays. Schedule Details: 24 Hours Per Week, Rotating days/eves, 11a-7:30p, 1p-9:30p and 3p-11:30p, Occasional Weekends and Holidays. On-Call required for Nights, Weekends and Holidays. Organization : Cape Cod Hospital Primary Location : Massachusetts-Hyannis Department : CCH-Surgical Day Care Annual/Hourly: Hourly Hiring Pay Range: 38.36 - 78.11

Certified Medical Assistant, Endocrine Center (Hyannis)

$24.40 - $29.71 / hour

Purpose of Position: Under the direction of the supervising provider to provide the highest standards of support to the MACC practice. Delivers excellent customer service to patients through participation in a medical care team. Demonstrates a high level of competence with support in accordance with MACC’s policies and procedures. Description Assists in providing clinical care to office patients as delegated by supervising provider Manages provider’s daily schedule and patient flow to expedite care and maximize clinical time Greets and escorts patients to exam rooms, and checks two-patient identifiers Communicates status of delegated task completion to supervising provider Obtains relevant information and takes vital signs as indicated (i.e. height, weight, blood pressure, heart rate, respiratory rate, oxygen saturation) Inputs pertinent clinical information into the electronic health record timely and with accuracy and collects home medication lists Assists clinicians with clinical procedures and/or additional tests specific to the department. Keeps patients informed of visit status, unforeseen delays and other relevant information pertaining to the patient’s visit Prepare and maintain exam rooms for patient arrivals. Clean and/or maintain inventory of supplies (medical included) and equipment throughout the practice. Notifies supervisor to order clinical supplies, clinical equipment and pharmaceuticals as appropriate Under the supervision of a provider, administers routine injections when delegated, and documents in real time and with accuracy Participates in practice and department meetings, trainings, etc. to promote continuous improvement of quality patient care Takes initiative to learn, understand, and stay current with community resources and the greater healthcare system Maintains patient rights and abides by all confidentiality obligations pursuant to CCHC and HIPAA Provides clerical/office support as necessary (i.e. scheduling appointments, greeting and registering patients, scanning incoming medical records and paperwork, preparing medical records, answering phone calls and taking messages, faxing, etc.) Ability to float to other MACC practices when required Performs other work-related duties and activities as assigned or requested Qualifications Ability to read, write and communicate in English Medical Assistant - Certification from either the American Association of Medical Assistants (AAMA) or the National Healthcare Association (NHA) Completion of a post-secondary medical assisting program required for PCP Office (Preferred for Specialty Office) Basic Life Support Certification for Health Care Providers Strong interpersonal, customer service, time management skills Experience with current office technology, proficient with computer office applications (Electronic Medical/Health Records, MS Office, etc.) Minimum of two years’ experience in a clinical setting preferred Schedule Details 30 Hours Per Week, 3 (10) Hour Shifts, Rotating Days: Monday-Friday, No Weekends & No Holidays Organization : Medical Affiliates of Cape Cod Primary Location : Massachusetts-Hyannis Department : MAC-Endocrine Center Annual/Hourly: Hourly Hiring Pay Range: 24.4 - 29.71

Outpatient

Cape Cod Healthcare Mashpee, MA

RN OR - Outpatient Surgery Center (Mashpee) (Per Diem)

$35.41 - $46 / hour

Purpose of Position: Utilizes the nursing process in planning, executing, and evaluating the nursing care given to the surgical patient during the intra-operative period. Plans and delivers safe, effective nursing care until the patient is transferred from his/her care to the recovery R.N. Performs duties of the circulating or scrub role in caring for all age patients Description Demonstrates necessary practical, technical, or specialized skills required for the role of the peri-operative nurse in accordance with AORN and other regulatory standards of practice. Demonstrates deep knowledge of surgical procedures and has the ability to oversee the instrument and equipment set-up, prepare for the case utilizing preference cards, and anticipates needs of surgeon. Coordinates and oversees the room during a case as the circulator. Facilitates effective and efficient transition between surgical procedures. Utilizes preference cards and updates as necessary. Utilizes appropriate body mechanics in moving patients, stretchers, and OR tables to prevent injury to patient and self. Demonstrates knowledge of management of patient, including: being available to anesthesia during intubation and extubation, assisting as needed in sudden changes in patient condition and being readily available to assist as directed. Performs thorough patient interview and assessment in accordance with procedure and assures an appropriate, detailed time out process is done according to policy. Consistently reviews charts for completeness, in accordance with documentation protocols prior to and after the surgical procedure. Assures appropriate consent, H/P, diagnostic reports, and relevant information are on chart prior to the start of procedure. Prepares and administers medications in accordance with current practice (i.e. review physician orders, pre-op antibiotics, preparing/labeling medications on/off field, utilizing the medication rights, identifying high alert medications, conducting independent double checks when indicated, and narcotic waste, etc.). Relays appropriate hand off communication to PACU staff to ensure continuity of care. Participates in the anesthesia time-out process if performed in the pre-op area prior to administration of pre-operative blocks or prior to the induction of anesthesia. Takes responsibility for careful and accurate handling and/or logging of narcotics, biohazardous materials, and surgical specimens. Assures all members of the surgical team comply with principles of surgical hand asepsis, aseptic, and sterile technique. Demonstrates knowledge related to maintenance, cleanliness, and sterilization of instruments and equipment. Appropriately handles the disposal of biohazardous materials. Responds to emergency situations appropriately. Understands and utilizes emergency protocols Functions independently according to job responsibilities and within scope of practice utilizing current standards of care. Takes personal initiative to maintain current RN licensure, BCLS, ACLS/PALS (if indicated) and other professional certifications current as defined by job role. Attends all mandatory in-services, staff meetings and participates in emergency drills. Participates in the orientation of new employees. Completes annual competency and other required education as assigned Maintains confidentiality and security of records and patient information at all times. Effective problem solving skills to include data analysis and judgment to make effective decisions. Consistently provides service excellence to all patients, family members, visitors, volunteers and co-workers in a manner that reflects MACC’s commitment to CARES: compassion, accountability, respect, excellence and service. Qualifications Graduate of an accredited School of Nursing. Currently licensed as a Registered Nurse in the Commonwealth of Massachusetts. Must read, write and communicate in English. Basic Life Support Certification required. ACLS Certification within 6 months of position and must maintain certification Knowledge of current practice of decontamination, high level disinfectant, and sterilization Ability to identify and select instruments and equipment necessary for surgical procedures and appropriately interpret information on preference cards. Knowledge of applicable regulatory, compliance, and accreditation standards and requirements. Use of lead apron may be required Schedule Details Per Diem Hours, Rot. Days, No Weekends & No Holidays Organization : Medical Affiliates of Cape Cod Primary Location : Massachusetts-Mashpee Department : MAC-Cape Cod Surgery Center Annual/Hourly: Hourly Hiring Pay Range: 35.41 - 46

LPN, VNA of Cape Cod, Nantucket

Cape Cod Healthcare Nantucket, MA

$28 - $35 / hour

Purpose of Position: Under the direction of the Team Manager and within the Agency policies and procedures, the LPN follows the plan of care on individual patients within the guidelines of his/her licensure to provide for the safety and quality of care treatment or services. Description Assesses patient and family needs, reports new or pertinent findings to RN and MD. Follows prescribed plan of care as completed by the RN in order to address identified needs. Demonstrates the skills and judgments to implement the medical plan of care, nursing interventions and procedures as necessary for the care of the patient, within the guidelines of his/her licensure. Evaluates and reassesses the identified problems, care provided and patient's response on a continuing basis. Identifies ancillary services needed by patients and families and reports findings to RN. Collaborates and communicates on a regular basis with the Team Leader, Office Nurse, RN and members of the inter-disciplinary team as needed. Assists patients and families in accessing appropriate community resources. Records narrative documentation to reflect skilled care. Documentation is clear, concise and addresses specifics of teaching, direct care and response of patient / caregiver. All other duties as assigned. Consistently provides service excellence to all patients, family members, visitors, volunteers and co-workers in a manner that reflects VNA’s commitment to CARES: compassion, accountability, respect, excellence and service. Qualifications Graduate of an approved LPN school of nursing. Current LPN license in MA. CPR certification required. Minimum one (1) year recent experience in an acute care facility. Homecare and computer skills preferred. Schedule Details: 22.5 hrs. per week, Mon-Fri, 4.5 hours per day between the hours of 8a-5p, Occ. Weekends, Occ. Holidays. Area: Nantucket Organization : Visiting Nurse Association Primary Location : Massachusetts-Nantucket Department : VNA-LPN Hourly Annual/Hourly: Hourly Hiring Pay Range: 28 - 35

Nurse Practitioner, Cardiology Hospitalist

$152,664 - $168,402 / year

Purpose of Position: The NP/PA will work with the Inpatient Cardiovascular Medicine Service within the Cardiovascular Division of the Department of Medicine. This NP/PA will assist the attending cardiologists in all areas of patient care in the Cardiovascular Medicine Service. Rotation and call schedules will be determined by patient need and may include both nighttime on-call responsibilities and weekend coverage. Description Cardiology Service responsibilities: Will provide Cardiology services as required for patients at the Hospital, all without regard to source of payment. All such Services shall be performed consistent with all applicable legal requirements and in a professional and cooperative manner. Assist in the planning, implementation, and evaluation of Cardiology and related services provided at the Hospital. Responsible for obtaining and coordinating the following general items: history and physical, laboratory results, charting of clinical findings, admissions orders, nursing instructions and other required elements. Works closely and cooperatively with the Hospital and the Cardiologists and other providers on the Hospital’s Medical Staff in clinically integrating the Hospital’s Cardiology service line across inpatient and outpatient settings as well as across all Hospital sites and otherwise within the Cape Cod Healthcare system. Return calls to patients and Hospital personnel on a timely basis. Place timely calls to patients and Hospital personnel as needed for ancillary test results, to order follow-up tests, and/or to initiate treatment orders, etc. Provides Night-time and/or weekend coverage Hospital Rounds as determined by the Cardiology team and based on patient needs and demands. Required to be immediately available to nurses and other Hospital staff for questions and problems relating to patients during the course of their Hospital treatment (whether inpatient or outpatient) as well as on admission and discharge related matters. Assist as a family liaison. Medical Treatment Care: Responsible for many aspects of care under the supervision of the attending physician, including but not limited to: fluid and electrolyte management, nutrition, pain management, transfusion therapy, anticoagulation management, education and post-discharge planning. Following procedures, manage, monitor and manage arrhythmias, pacing, drug therapy, O ‑ therapy, and other non-cardiac medications, under supervision of the attending physician. Assists in the evaluation and management of clinical events such as fever, altered hemodynamics, CHF, pulmonary, complication, abrupt vessel closure, arrhythmias, access site complications and others. Assists in transfers to and from the intensive care units. Discharge Planning: Performs patient education regarding discharge including preventive care and risk factor reduction. He/she will write discharge orders, prescriptions and dictate discharge summaries in collaboration with the attending physician. Acts as a liaison between the attending Cardiologist and family members, and will schedule follow-up care as necessary, including VNA if needed. Research and Education Provided the opportunity to participate in aspects of research involving planning, performance, and analysis of data, and publication. Must complete 100 hours of continuing medical education necessary during each 2-year period of employment to maintain his/her PE certification Status. He/she must pass a National PE re-certification exam every six years. The PE is to be ACLS provider and is to be re-certified every two years. Attends internal and external education meetings and read appropriate professional journals in order to maintain and enhance skills and clinical competence. Encouraged to advance his/her medical and tactical skills as appropriate to deliver optimum patient care. Supervisory Responsibilities Supervises medical students (MD and/or physician assistant) who do clinical rotations in the Cardiology Department as directed by the attending physician. Teaches students, house staff, nurses, technicians and cardiology fellows as instructed by the attending physician, particularly with regard to the evaluation, treatment and longitudinal care of patients with cardiovascular disease. Ability to work rotating days, nights and weekends Perform other work-related duties as requested/directed Consistently provides service excellence to all patients, family members, visitors, volunteers and co-workers in a manner that reflects Cape Cod Hospital’s commitment to CARES: compassion, accountability, respect, excellence and service. Qualifications EDUCATION/EXPERIENCE/TRAINING (NP): Master's Degree Current BLS Current ACLS Massachusetts Nursing License US Department of Justice and Massachusetts’ Controlled Substance DEA Registrations are required for prescribing practitioners Three to five years’ cardiovascular service-line experience, preferred Schedule Details: Full-Time, 12-hr Shifts, Rot. Days and Nights. Occ. Weekends, & Rot. Holidays. Call coverage is required Organization : Cape Cod Hospital Primary Location : Massachusetts-Hyannis Department : CCH-PH-Cardiology Hospitalists Annual/Hourly: Annual - Based on Full Time Employment Hiring Pay Range: 152664 - 168402

RN, Cardiac Cath/CVPA

$38.36 - $78.11 / hour

Purpose of Position: Delivers patient care through the nursing process of assessment, planning, implementation and evaluation. Administers and monitors patient responses to all medications. Directs and guides patient care, teaching and activities of ancillary personnel while maintaining standards of professional nursing within the realm of Hospital Policy. Maintains and delivers the highest quality customer service standards. Description Properly utilizes the nursing process in caring for patients by maintaining relevant, accurate, and current patient records as evidenced by Nursing PI activities. Provides documentation of assessment of the patient throughout the Hospital admission including physical, psychological, social dimensions and discharge plans. Summarizes assessment data and initiate plan of care with communication of pertinent data to allied patient care providers as evidenced by Nursing PI activities. Understands, assumes, and demonstrates proficiency in the charge nurse role. Demonstrates proficiency in Computerized Nursing Informatics (information systems). Assumes role of resource person regarding patient care, orientation, and teaching staff. Participates in at least four-unit staff meetings yearly, attends mandatory programs, and obtains three hours of Patient Care Assessment Committee (PCAC) credit annually. Participates in identifying the aspects of patient care, indicators used to monitor the quality and appropriateness of care, and evaluation of that care. Adheres to safety, blood/body fluid policies, and procedures. Assesses personal learning development needs. Maintains documentation of current and ongoing professional development activities. Regularly up-dates knowledge of techniques and regulations appropriate to the age of the patient served. Shows a willingness to participate in Nursing Committees. Represents the hospital in the community and within the hospital by maintaining confidentiality regarding patients and hospital matters and by presenting the hospital in a manner that will best market the services provided. Performs other work-related duties and activities as assigned or requested by his/her immediate supervisor. Consistently provides service excellence to all patients, family members, visitors, volunteers, and co-workers. Sign-On Bonus Eligible! Qualifications RN, CVPA – Grade: NS1, Job Code: 6003 Must read, write, and communicate in English Graduate of an accredited School of Nursing (RN) - Currently licensed as a Registered Nurse in the Commonwealth of Massachusetts (BLS) - Current Basic Life Support certification (ACLS) – Current Advanced Cardiac Life Support certification (obtained within 90 days, offered within) CCHC Pharmacology Exam (pass prior to start date) CCHC Basic Arrhythmia Exam (pass prior to start date) Two years (within the last five years) nursing experience in at least one of the following: Critical Care (ICU, CVICU) Emergency Department SDC/PACU Acute Cardiac Unit/Stepdown (Post-procedure monitoring and management of patients following cardiac interventions (e.g., PCI, ablation, pacemaker/ICD insertion, TAVR) and vasoactive medication management) Demonstrated skills in I.V. administration and telemetry monitoring Intra-aortic balloon pump (IABP) course (complete within six months, offered within) (Preferred) Current Cardiovascular interventional nursing experience within the last 5 years (Preferred) (BSN) – A Bachelor of Science in Nursing (Preferred) Critical Care Registered Nurse (CCRN) or Certified Radiology Nurse (CRN) Use of lead apron required On-Call is required for off-shift, weekends and holidays Per Diem: (2) Two years previous CVPA experience required Schedule Details 32 Hours Per Week, Rotating Days, 7a-3:30p, 8a-4:30p, 9a-5:30p. On call required in Rotation for Nights, Weekends and Holidays. Use of Lead apron required. *Sign-On Bonus Eligible! Organization : Cape Cod Hospital Primary Location : Massachusetts-Hyannis Department : CCH-Cardiac Cath / CVPA Annual/Hourly: Hourly Hiring Pay Range: 38.36 - 78.11

Psych

RN, Adult Psych

$38.36 - $78.11 / hour

Purpose of Position: Delivers patient care through the nursing process of assessment, planning, implementation and evaluation. Administers and monitors patient responses to all medications. Directs and guides patient care, teaching and activities of ancillary personnel while maintaining standards of professional nursing within the realm of Hospital Policy. Maintains and delivers the highest quality customer service standards. Description Properly utilizes the nursing process in caring for patients by maintaining relevant, accurate and current patient records as evidenced by Nursing PI activities. Provides documentation of assessment of the patient throughout the Hospital admission including physical, psychological, social dimensions and discharge plans. Summarizes assessment data and initiate plan of care with communication of pertinent data to allied patient care providers as evidenced by Nursing PI activities. Understands, assumes, and demonstrates proficiency in the role of charge nurse. Demonstrates proficiency in Computerized Nursing Informatics (information systems). Assumes role of resource person regarding patient care, orientation and teaching staff. Participates in at least four-unit staff meetings per year, attends mandatory programs and obtains three hours of Patient Care Assessment Committee (PCAC) credit per year. Participates in identification of the aspects of care for the patient, indicators used to monitor the quality and appropriateness of care, and the evaluation of that care. Adheres to safety, blood/body fluid policies and procedures. Assesses personal learning development needs. Maintains documentation of current and ongoing professional development activities. Regularly up-dates knowledge of techniques and regulations appropriate to the age of the patient served. Shows a willingness to participate on Nursing Committees. Represents hospital in the community and within the hospital by maintaining confidentiality regarding patients and hospital matters and by presenting the hospital in a manner that will best market the services provided. Performs other work-related duties and activities as assigned or requested his/her immediate supervisor. Qualifications Must read, write and communicate in English Graduate of an accredited School of Nursing Currently licensed as a Registered Nurse in the Commonwealth of Massachusetts Basic Life Support Certification Successful passage of CCH’s Psychiatric Pharmacology exam Crisis Prevention Intervention Training required within 3 months of new position Psychiatric experience preferred BSN Preferred Schedule Details: 24 Hours Per Week, Rotating Days, Mon-Fri, 7a-3:30p, Every Other Weekend & Rotating Holidays Organization : Cape Cod Hospital Primary Location : Massachusetts-Hyannis Department : CCH-Adult Psych Unit Annual/Hourly: Hourly Hiring Pay Range: 38.36 - 78.11

LPN/RN - Float

$30 - $35.29 / hour

Purpose of Position: Under the direction of the clinician, department supervisor or designee, provide the highest standards of clinical support to the MACC practice. Delivers excellent customer service to patients through participation in a medical care team. Demonstrates a high level of competence with clinical support in accordance with MACC’s policies and procedures. Description Under the direct supervision of the clinician, department supervisor or designee, assists in providing clinical care to office patients Manages clinicians’ daily schedule and patient flow to expedite care and maximize clinical time Greets and escorts patients to exam rooms Obtains relevant information and takes vital signs as indicated (i.e. height, weight, blood pressure, heart rate, respiratory rate, oxygen saturation). Inputs pertinent clinical information into the electronic health record timely and with accuracy and performs a complete medication reconciliation Assists clinicians with clinical procedures and/or additional tests specific to the department. May advise patient of preparation required for exam or additional testing and keeps patients informed of visit status, unforeseen delays and other relevant information pertaining to the patient’s visit Prepare and maintain exam rooms for patient arrivals. Clean and/or maintain inventory of supplies (medical included) and equipment throughout the practice. Notifies supervisor to order clinical supplies, clinical equipment and pharmaceuticals as appropriate Under the supervision of a physician, administers routine injections when delegated, and documents in real time and with accuracy Ensures telephone calls are answered timely and clinicians receive necessary information Coordinates care when clinicians are not immediately available, ensuring that telephone calls are triaged appropriately per established protocols Assists in resolving patient concerns by acting as an advocate, as appropriate Participates in practice and department meetings, trainings, etc. to promote continuous improvement and quality patient care Takes initiative to learn, understand, and stay current with community resources and the greater healthcare system while continuously participating in self-assessment of skills Maintains patient rights and abides by all confidentiality obligations pursuant to CCHC and HIPAA Provides clerical/office support as necessary (i.e. scheduling appointments, greeting and registering patients, scanning incoming medical records and paperwork, preparing medical records, answering phone calls and taking messages, faxing, etc.) Ability to float to other MACC practices when required Performs other work-related duties and activities as assigned or requested Assists with the assessment of patient needs and coordinates care under the direction of the clinician Verifies and implements clinician’s orders for testing and/or procedures (EKG’s, dressing changes, spirometry, Holter monitors, etc.) Provides effective and evidence-based patient and family teaching, using health promotion and health teaching methods in collaboration with the patient’s values, beliefs, health practices, developmental level, learning needs, readiness and ability to learn, language preference, spirituality, culture and socioeconomic status Triages walk-in patients per established protocols Maintains communication and collaboration with interprofessional team and others to facilitate safe transitions and continuity of care delivery Qualifications LPN (P016) - EDUCATION/EXPERIENCE/TRAINING : Ability to read, write and communicate in English Graduate of an accredited Practical Nursing program Currently licensed as a Licensed Practical Nurse in the state of Massachusetts Basic Life Support Certification for Health Care Providers Strong interpersonal, customer service, time management skills Experience with current office technology and proficient with computer office applications (Electronic Medical/Health Records, MS Office, etc.) A Minimum of two years’ experience in a clinical setting preferred Rn (p021) - Education/Experience/Training Ability to read, write and communicate in English Graduate of an accredited school of nursing Currently licensed as a Registered Nurse in the Commonwealth of Massachusetts Basic Life Support Certification for Health Care Providers Experience with current office technology and proficient with computer office applications (Electronic Medical/Health Records, MS Office, etc.) Minimum of two years’ experience in a clinical setting preferred Schedule Details: 8 hours per week, 8a-4p No Weekends & No Holidays *Sign on Bonus Eligible! Organization : Medical Affiliates of Cape Cod Primary Location : Massachusetts-Hyannis Department : MAC-CMC CORPORATE MACC Annual/Hourly: Hourly Hiring Pay Range: 30 - 35.29

RN, Operating Room (Per Diem)

$39.33 - $70.38 / hour

Purpose of Position: Delivers patient care through the nursing process of assessment, planning, implementation and evaluation. Administers and monitors patient responses to all medications. Directs and guides patient care, teaching and activities of ancillary personnel while maintaining standards of professional nursing within the realm of Hospital Policy. Maintains and delivers the highest quality customer service standards. Description Properly utilizes the nursing process in caring for patients by maintaining relevant, accurate and current patient records as evidenced by Nursing PI activities. Provides documentation of assessment of the patient throughout the Hospital admission including physical, psychological, social dimensions and discharge plans. Summarizes assessment data and initiate plan of care with communication of pertinent data to allied patient care providers as evidenced by Nursing PI activities. Understands, assumes, and demonstrates proficiency in the role of charge nurse. Demonstrates proficiency in Computerized Nursing Informatics (information systems). Assumes role of resource person regarding patient care, orientation and teaching staff. Participates in at least four-unit staff meetings per year, attends mandatory programs and obtains three hours of Patient Care Assessment Committee (PCAC) credit per year. Participates in identification of the aspects of care for the patient, indicators used to monitor the quality and appropriateness of care, and the evaluation of that care. Adheres to safety, blood/body fluid policies and procedures. Assesses personal learning development needs. Maintains documentation of current and ongoing professional development activities. Regularly up-dates knowledge of techniques and regulations appropriate to the age of the patient served. Shows a willingness to participate on Nursing Committees. Represents hospital in the community and within the hospital by maintaining confidentiality regarding patients and hospital matters and by presenting the hospital in a manner that will best market the services provided. Performs other work-related duties and activities as assigned or requested his/her immediate supervisor. Use of lead apron required On-Call is required for off-shift, weekends and holidays Additional Responsibilities Accountable for coordinating all daily operating activities of the Operating Room (See reference guide at Center Core.) in conjunction with Nurse Manager and the Department of Anesthesia. Assists in the supervision of personnel and department to provide quality patient care and a safe environment for all. Assists in staff development and education and in identification of unit needs. Assists in additional duties as directed by Nurse Managers. Provides and controls material, supplies and equipment needed for efficient, successful operation of the Operating Room. Supervises the control and maintenance of drugs, i.e. inventory of pyxis. Qualifications Ability to read, write, and communicate in English Graduate of a School of Nursing (RN) - Currently licensed as a Registered Nurse in the Commonwealth of Massachusetts (BLS) - Current Basic Life Support certification Minimum of one-year Operating Room experience or completion of Peri-op 101 Training Program (Preferred) - Bachelor’s degree in nursing (BSN) Intraoperative scrub training for cesarean sections (complete within 24 months of position start, offered within) Per Diem: (2) Two years previous operating room experience required Schedule Details Per Diem Hours, Rotating Days, Occasional Weekends & Occasional Holidays Organization : Cape Cod Hospital Primary Location : Massachusetts-Hyannis Department : CCH-Operating Room Annual/Hourly: Hourly Hiring Pay Range: 39.33 - 70.38

Cape Cod Healthcare Falmouth, MA

3 months ago

Nurse Practitioner, Breast Care Center

$148,778 - $164,116 / year

Purpose of Position: The advanced practice staff will provide nursing care; education and support to women with breast abnormalities and breast cancer in partnership with other breast care professionals create systems of care which facilitate education, diagnosis, treatment and support for the patient and their families. Description A complete history and physical exam. Initiate consultations. Manage minor illness. Stabilize long term illness. Order laboratory and other diagnostic tests. Prescribe medications, treatments and devices based on the medication/device protocol jointly developed with a collaborating MD. NP reports directly to the Director of Radiology and collaborates with the Radiologists. NP will see patients in the Seifer Imaging Center of Falmouth Hospital. NP is to keep Radiologist informed of all patients being seen so appropriate physician review and involvement can be insured. Participates in patient follow up care, including phone calls assigned or requested. NP will work collaboratively and cooperatively with all physicians, nurses, and ancillary staff members. Assures patient's rights, as identified by the institution, are met. Assures that the patient’s environment is correctly maintained and administers patient care in accordance with safety regulations. Communicates all data relevant to patient and/or family needs to the health care team. Coordinates patient care with other health team members: Documenting and communicating data for patients with common, well-defined diagnosis/ patient problem to provide continuity of care. Functions as an advocate for patients and families. Functions as a liaison between community organizations and the institution for area of clinical practice. The supervising physician will review all the written notes and physical exams of the advanced practice staff with recommendations for diagnostic imaging exams and procedures. The advanced practitioner will participate in a quarterly RX review as mandated by MA law. Consistently provides service excellence to all patients, family members, visitors, volunteers, and coworkers. Challenges current working practices; identifies process improvement opportunities and presents recommendations and solutions to management. Engages and commits to the organizations culture of continuous improvement by actively participating, supporting, and promoting CCHC pillars of Excellence. Performs other duties as assigned. Qualifications Graduation from a program for nurse practitioner approved by the committee on Allied Health Education and Accreditation (CAHEA) of the American Medical Association Currently licensed as a Certified Nurse Practitioner in the Commonwealth of Massachusetts US Department of Justice and Massachusetts’ Controlled Substance DEA Registrations are required for prescribing practitioners. Breast Health Clinical Navigator (BHCN) certification within 18 months of hire Current BLS At least six (6) months practice as a Nurse Practitioner of FNP, ANP, WHENP, preferred. Schedule Details 64PP (32hrs. per week), Rotating Days, 8a-4p, no weekends, no holidays Organization : Falmouth Hospital Association Primary Location : Massachusetts-Falmouth Department : FHA-Breast Evaluation Annual/Hourly: Annual - Based on Full Time Employment Hiring Pay Range: 148778 - 164116

Certified Medical Assistant - Float

$24.40 - $29.71 / hour

Purpose of Position: Under the direction of the supervising provider to provide the highest standards of support to the MACC practice. Delivers excellent customer service to patients through participation in a medical care team. Demonstrates a high level of competence with support in accordance with MACC’s policies and procedures. Description Assists in providing clinical care to office patients as delegated by supervising provider Manages provider’s daily schedule and patient flow to expedite care and maximize clinical time Greets and escorts patients to exam rooms, and checks two-patient identifiers Communicates status of delegated task completion to supervising provider Obtains relevant information and takes vital signs as indicated (i.e. height, weight, blood pressure, heart rate, respiratory rate, oxygen saturation) Inputs pertinent clinical information into the electronic health record timely and with accuracy and collects home medication lists Assists clinicians with clinical procedures and/or additional tests specific to the department. Keeps patients informed of visit status, unforeseen delays and other relevant information pertaining to the patient’s visit Prepare and maintain exam rooms for patient arrivals. Clean and/or maintain inventory of supplies (medical included) and equipment throughout the practice. Notifies supervisor to order clinical supplies, clinical equipment and pharmaceuticals as appropriate Under the supervision of a provider, administers routine injections when delegated, and documents in real time and with accuracy Participates in practice and department meetings, trainings, etc. to promote continuous improvement of quality patient care Takes initiative to learn, understand, and stay current with community resources and the greater healthcare system Maintains patient rights and abides by all confidentiality obligations pursuant to CCHC and HIPAA Provides clerical/office support as necessary (i.e. scheduling appointments, greeting and registering patients, scanning incoming medical records and paperwork, preparing medical records, answering phone calls and taking messages, faxing, etc.) Ability to float to other MACC practices when required Performs other work-related duties and activities as assigned or requested Qualifications Ability to read, write and communicate in English Medical Assistant - Certification Completion of a post-secondary medical assisting program Basic Life Support Certification for Health Care Providers Strong interpersonal, customer service, time management skills Experience with current office technology, proficient with computer office applications (Electronic Medical/Health Records, MS Office, etc.) Minimum of two years’ experience in a clinical setting preferred Schedule Details: 40 hours per week, Monday – Friday, 7a-5p , No Weekends & No Holidays Organization : Medical Affiliates of Cape Cod Primary Location : Massachusetts-Hyannis Department : MAC-CMC CORPORATE MACC Annual/Hourly: Hourly Hiring Pay Range: 24.4 - 29.71

LPN/RN - PCP (S. Yarmouth)