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Licensed Vocational Nurse

$30 - $32 / hour

Job Title: License Vocational Nurse Reports To: Center Manager Summary: The Licensed Vocational Nurse (LVN) is clinically responsible for all patients in a department. He/she/they delegate(s) tasks to ancillary back-office staff based on scope of practice, and coordinates care with the provider(s). Exer Core Responsibilities: Has a positive work ethic and inspires others; models genuine, caring, and friendly behaviors Demonstrates effective verbal and written communication that is clear, well-organized, and understanding of audience needs Through a genuinely positive style of communication, makes each patient feel informed and understood Is an effective team player who contributes valuable ideas and feedback, and can be counted on to meet commitments Is able to keep up with the workflow of the Exer environment; faces tasks and challenges with energy and passion Pursues activities with focus and drive, defines work in terms of success, and can be counted on to complete goals Adherence to standards of business conduct and compliance Major Responsibilities: Prioritizes patient safety and patient satisfaction; maintains awareness of dignity, comfort, and safety needs of patient Always provides excellent patient care; practices strong nursing autonomy in patient care while coordinating care with an ED MD Triages patients while obtaining vital signs, a thorough history, and a nursing assessment Explains procedures and treatments to patient to gain cooperation and understanding, and reduce apprehension Administers prescribed medications and treatments in accordance with approved nursing techniques Delegates within scope-of-practice to other clinical staff; manages patient flow within the center by effectively communicating with all disciplines Prepares equipment and aids provider during treatment and examination of patient Observes patient, records significant conditions and reactions; notifies provider of patient condition as well as any changes to it, reaction to drugs, treatments, and significant incidents Responds to life saving situations according to nursing standards, policies, procedures, and protocols; must be comfortable running “codes” Provides direct patient care interventions according to scope of practice, and as ordered by the provider Initiates a thorough patient education plan according to the individualized needs of the patient, as prescribed by the provider and/or policy, including patient and family instruction Provides direct patient care interventions according to scope of practice, and as ordered by the provider Maintains, checks, and utilizes a variety of laboratory and testing equipment Follows up with all patients to ensure good outcomes; assists with the implementation of further treatment, as necessary Adheres to standard and disease-specific precautions, practices proper handwashing and utilization of personal protective equipment Maintains a clean and orderly environment Participates in quality improvement activities Participates in the monitoring of inventory control and supplies Is mindful of procedure and equipment costs and is a steward for the company Requirements: Must have a current and unrestricted License Vocational Nurse Diploma Must have at least 1 year of prior clinical experience Must be IV/Phlebotomy certified Must be comfortable with IV administration, phlebotomy, processing labs (blood and urine), injections, ear lavage, and performing EKGs Must be BLS, ACLS, and PALS certified Must possess effective written and verbal communication skills Must provide weekend coverage; 3-4 Saturdays or Sundays per month Working Conditions: Center-Based. Requires working in a clinical setting. The noise level is moderate and there is a potential for exposure to infectious diseases and blood-borne pathogens. The ability to stand and sit for hours at a time, (with some bending and stooping), ability to use manual dexterity in relation to clinical requirements, and ability to lift 50 lbs. Exer is an Equal Opportunity employer to all, regardless of age (40 and over), ancestry, association with a member of a protected class, bereavement leave, cannabis use, color, disability (physical, intellectual/developmental, or mental health/psychiatric.), Family Care and Medical Leave (CFRA) related to serious health condition of employee or family member, child bonding, or military exigencies, gender identity or expression, genetic information or characteristic, marital status, medical condition (cancer or genetic characteristic), military and veteran status, national origin (includes language restrictions), participation in an EEO protected activity, pregnancy, childbirth, breastfeeding, or related medical conditions, Pregnancy Disability Leave (PDL), race (includes hairstyle and hair texture), religious creed (includes dress and grooming practices), reproductive health decision making, reproductive loss leave, sex/gender, and sexual orientation.

Outpatient Per Diem Registered Nurse

Boston Health Care for the Homeless Program Boston, MA

$49 - $55 / hour

Who We Are: Since 1985, BHCHP’s mission has been to provide or assure access to the highest quality health care for all individuals and families experiencing homelessness in greater Boston. We care for over 11,000 homeless individuals each year and ensure that every one of these individuals can receive comprehensive health care, which includes primary care, behavioral health, medical respite, dental, case management, and more. Our staff work in 30+ locations across the city to serve some of our community's most vulnerable—and most resilient—citizens. From our earliest days as a program, we have always sought to do work that is transformational: recognizing our shared humanity, centering trust, mutual respect, hope, and supporting the right of every individual to access the highest levels of health care and every staff member to reach their fullest potential. We continue to be committed to building bridges and breaking down physical and systemic barriers that our patients face and provide community-based health care services that are compassionate, dignified, and culturally appropriate. Job Summary: Hours: Per Diem, Days/Evenings/Weekends (Weekday availability preferred) Union: No Union Name: Non-union Patient Facing: Yes Are you a Registered Nurse looking for the flexibility of per diem work while making a meaningful difference in the lives of patients? Join our outpatient care team and bring your clinical expertise to a collaborative environment where every patient interaction matters. As a Per Diem Registered Nurse , you will provide compassionate, high-quality ambulatory care to patients across a range of health conditions and stages of illness. You will have the opportunity to build strong patient relationships while providing education and support focused on medication management, chronic disease management, preventive care, and overall health promotion. This is an excellent opportunity for nurses who value flexibility, meaningful patient connections, and continued professional growth. Graduate nursing students are encouraged to apply and gain valuable hands-on experience in an outpatient clinical setting. Responsibilities: Direct Nursing Care: Provide clinical nursing care to address patients' health needs, conforming to established BHCHP policies and procedures, and Department of Public Health regulations; provide all nursing related activities in association with primary care clinical operations at BHCHP primary clinic settings including nursing case management activities, immunizations, injectable medication administration, point of care testing, phlebotomy, and health screenings; provide triage and nursing assessment of walk-in and scheduled patients. Collaboratively work as part of BHCHP clinical team to address ongoing and new health concerns from patients. Accurately assess and document ongoing clinical nursing care promptly, reporting to appropriate personnel as indicated (i.e., on–call Provider, Nurse Manager, Site Manager, etc.) Assist patients with management of medications and understanding of disease processes. Respond to medical emergencies within the site and activate emergency medical services when indicated; practice trauma-informed care, motivational interviewing, and harm reduction principles in clinical care. Support ongoing quality improvement efforts for the clinic site and program. Communication: Maintain a professional approach with confidentiality. Maintain the standards of accurate and complete recording and reporting; ensuring that the clinical record for each patient is current and accurate. Communicate with clinic team members to support ongoing collaborative clinical care for patients. Collaborate with site partners as appropriate. Qualifications: Commonwealth of Massachusetts RN license Minimum of 2 years nursing experience preferred; or current enrollment in a graduate nursing studies program. Experience with underserved population and active substance use preferable Multiple language proficiency preferred – Spanish, French, Haitian-Creole, etc. Experience with Epic EMR preferred. Strong medical assessment skills. Experience in public health, primary and preventive nursing/medicine. Understanding of substance use, trauma, and behavioral health issues. Compensation: Compensation ranges from $49.00 - $55.00 per hour and is based on years of experience. Does this amazing opportunity interest you? Then we'd love to hear from you. As an equal opportunity employer, Boston Health Care for the Homeless Program is committed to providing employment opportunities to all qualified individuals and does not discriminate on the basis of race, color, ethnicity, religion, sex, gender, gender identity and expression, sexual orientation, national origin, disability, age, marital status, veteran status, pregnancy, parental status, genetic information or characteristics, or any other basis prohibited by applicable law. Covid-19 Vaccination: Proof of Covid-19 vaccination(s) is optional for employment. Candidates who are offered employment will be given details about how to demonstrate receipt of vaccination if they choose to. Please Note: Employment at Boston Health Care for the Homeless is at-will. Boston Health Care for the Homeless does not sponsor work authorization visas.