PRIMARY CARE NURSE- Main Campus
Brigham & Women's Hospital(BWH)

STAFF NURSE- AMB/ FULL TIME/ 40 HOURS- Rotating/ Variable/ Main Campus location at

Brigham Circle Medical Associates

Excellent Care to Patients and Families • The Best Staff • In the Safest Environment

ABOUT THIS JOB:

The Primary Care Registered Nurse (staff RN) is an important member of the primary care multi-disciplinary team, which serves a diverse patient population with a range of health conditions. Job duties may include but not limited to, telephone triage, nursing visits, medication administration, vaccine management, specific office-based procedures based on policies and protocols and much more. Role responsibilities within this setting are defined below.

Job Description:

Nursing at Brigham and Women's Hospital is known for their excellent clinical practice and for keeping patients and their families at the center of all they do. We understand that great care is shaped by relationships with patients and their families. That's why we're committed to knowing our patients on a deeper level - not just as patients, but as individuals - to ensure that they, and their families, feel known and cared for. At BWH, we proudly work together with a spirit of inquiry and a deep commitment to providing the highest quality, evidence-informed and theory-guided care in an inclusive environment. We work each day to achieve our vision - to provide excellent care to patients and families, with the best staff, in the safest environment.

Just as we have been able to reinvent health care, we have also transformed health care careers. Whether measured in terms of lives saved, awards earned, or the personal satisfaction of stretching your talents - a career with BWH is unlike any other in the health care field. Here you'll find a workplace where collaboration and teamwork are the norm, not the exception - physicians, nurses, technicians, staff and management form a close-knit bond, based on mutual respect and devotion to our patients. If you want an enormously fulfilling career, there's no better place to be.

This employee may be asked to cross-cover (may be in-person or virtual) other Primary Care practices as staffing needs dictate. Cross-coverage needs will be identified and discussed with local and regional leadership.

PRINCIPAL DUTIES AND RESPONSIBILITIES:

1 . Patient Care Organization

• May perform all duties as described in the Brigham and Women's Registered Nurse Job Description to meet direct care requirements of the role.
• Functions effectively and safely within the scope of practice of the Registered Nurse to strengthen the practice and provide patient centered care.
• Provide culturally sensitive, patient centered care of the highest quality to patients of all backgrounds and income levels.
• Triages all urgent calls and assists with walk-ins. Sets priorities when organizing care based upon the acuity. Is aware of clinic flow and re-arranges provider schedules to accommodate the urgent care needs.
• Assesses the care needs of patients with routine and chronic illnesses. Develops implements and re-evaluates an individualized nursing plan of care (PoC).
• Within a multi-disciplinary team, assists patients with pre-existing conditions to achieve lifestyle changes that promote a healthy mindbodyspirit.
• Uses a variety of modalities to engage patients including nurse visits, telephonic and electronic communication (Gateway/Telehealth).
• Operating from a Human Caring framework, the RN implements a wide range of interventions/skills including health coaching, education, counseling, motivational interviewing, referral and advocacy to services and resources as appropriate to promote health and wellness.
• Responsible for evaluation and documentation of disease management impact. Works closely with the clinical team and family to promote self-management and ensure a cycle of continuous refinement of PoC which includes education for the patient and family, utilizing appropriate resources.
• Demonstrates knowledge of community resources and assists staff, patients, and families to effectively utilize them.
• Ensures effective coordination of care across the care continuum. Works with Partners, Brigham Health and Community partners including home care, outpatient clinics, emergency/urgent care and hospital settings.
• Knowledge base should include basic health teaching, family planning education, and how to care for common adult illnesses.
• Facilitates the advanced care planning process, assisting patients and families to consider options and goals for future healthcare decisions. Documents advanced care goals in the EHR.

2. Team Based Care

• Serves as a resource person to other members of the team around the care needs of patients and provides support to other members of the clinical and administrative team in an accessible, open manner. Willing to educate and mentor clinical support staff as needed. Is able to delegate safely and effectively to support staff tasks that are within scope of practice.
• Coordinates care across members of the team in accordance with patient care needs, team member capabilities and qualifications, utilizing team members strategically to provide safe and effective care at the top of licensure, education and training.
• Evaluates effectiveness of care given by the multi-disciplinary care team, identifies problems and guides members toward solutions promoting health. Facilitates the improvement of the patient's ability to self-manage prevention and behavioral health issues and placing emphasis on transitional care, prevention, and wellness.
• Communicates effectively and clearly with members of the care team regarding patient status and needs.

3. BWH Professional Practice Model Qualities:

• BWH Primary Care Registered Nurses practice from a Human Caring framework using the Caritas Processes and demonstrating the tenants of the Professional Practice Model:

- Nurses as Authentic Leaders

- True Collaboration

- Meaningful Recognition, participates in peer feedback.

- Scholarship

- Relationship Based Care

- Outcome Focused Measures

4. Participatory Management of Fiscal Responsibilities

• Utilizes time and materials in an effective and economical manner.
• Provides suggestions which support the delivery of cost-effective healthcare to patients and families.
• Assesses patient's acuity accurately when making decisions regarding clinical bookings, appropriate level of service and staffing.
• Is familiar with accountable care regulations and demands.

Qualifications
Qualifications include:

Education:

• Graduate of an approved school of nursing with current registration in Massachusetts.
• Bachelor of Science Degree in Nursing is required for newly licensed nurses.

Language Skills:

• Bilingual Spanish preferred.

Experience:

At least 3 months recent telephone triage required.

Recent (within 3 years) Ambulatory Care experience required (surgical/procedural excluded).

Triage experience in Primary Care, Urgent Care, or Community Health nursing preferred.

Recent Primary Care experience preferred.

Other:

• Membership in professional organizations is recommended and certification in a specialty area is encouraged.
• Able to work weekend rotation per the MNA contract.

SKILLS AND ABILITIES:

Must meet all skills and abilities requirements on the BWH RN job description and additionally:

• Clinical knowledge and expertise include basic health teaching, family planning education, knowledge of advanced care directives, care for common illnesses.
  
• Experience with adult populations required.
  
• Demonstrated knowledge of hospital-based and community-based care.
  
• Community-based care experience desired.
  
• Excellent communication skills, professionalism and organization required, demonstrates patience, compassion.
  
• Excellent critical thinking skills and utilization of triage protocols demonstrated by the ability to identify the nature and urgency of the patient's symptoms, while conducting telephone triage, to direct the patient to the appropriate level of care, providing support and collaboration along the way.
  
• Technical dexterity, in addition to Epic, must possess a demonstrated ability to work with a variety of information systems and databases, including but not limited to: MS, Access, Excel - required
  
• Ability to be flexible and maintain equanimity in a fast paced, rapidly changing clinical setting - required.
  
• Must have the ability and desire to work to the top of your scope as a RN utilizing the full breadth of your education, training and expertise to bring better health outcomes to patients.
  

EEO Statement
Brigham and Women's Hospital is an Affirmative Action Employer. By embracing diverse skills, perspectives and ideas, we choose to lead. All qualified applicants will receive consideration for employment without regard to race, color, religious creed, national origin, sex, age, gender identity, disability, sexual orientation, military service, genetic information, and/or other status protected under law. We will ensure that all individuals with a disability are provided a reasonable accommodation to participate in the job application or interview process, to perform essential job functions, and to receive other benefits and privileges of employment.

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