Case Manager Registered Nurse, RN - Hospice

apartment Tufts Medicine location_onLawrence, MA 01843, US

Job Overview

The Hospice RN Case Manager serves as case manager for the interdisciplinary team (IDT) and is responsible for the delivery of quality hospice nursing care for each patient assigned.

Hours: Monday-Friday Days, Weekend and Holiday Rotation

Location: Lowell and Lawrence MA area!

Ask us about our Sign on Bonus!

Job Description

Minimum Qualifications:

1. Massachusetts RN Licensure. 

2. New Hampshire RN Licensure.

3. Current CPR Certification.

4. One (1) year of hospice and home health experience.

Preferred Qualifications:

1. One (1) year of hospice and home health experience.

Duties and Responsibilities: The duties and responsibilities listed below are intended to describe the general nature of work and are not intended to be an all-inclusive list. Other duties and responsibilities may be assigned.

1. Provides hospice nursing care to patients and families utilizing current principles of palliative care and symptom management to produce hospice outcomes.

2. Coordinates care in a cost-efficient manner.

3. Collaborates effectively with other members of IDT.

4. Utilizes nursing process and current standards of nursing practice in providing hospice care.

5. Remains competent in technical nursing skills (i.e. IVs, Gtubes, etc.)

6. Provides effective patient and family teaching.

7. Communicates with physician and Tufts Medicine Care at Home staff regarding changes in patient’s condition.

8. Understands family dynamics and works effectively within various types of family systems.

9. Provides peers with support and mentoring if appropriate.

11. Demonstrates the ability to act as a patient and family advocate. Provides information to families about all available resources.

12. Accurately addresses need for additional services.

13. Performs adequate number of nursing visits and on call/triage necessary to provide superior hospice care under Tufts Medicine Care at Home standards.

15. Communicates patient reports and status changes concisely and effectively.

17. Updates Care Plan, Medication Profile and HHA Treatment Plan routinely and as patient condition changes.

18. Completes all nursing documentation per procedures and nursing standard of practice including assessments, interventions, responses to interventions, communications, verbal orders, etc.

20. Manages caseload efficiently and effectively.

21. Involves Clinical Manager and Medical Director in situations appropriately.

22. Follows guidelines for weekend and evening coverage.

26. Pursues standards of excellence in performance as a hospice case manager.

27. Works with Clinical Manager to identify opportunities for improvement in performance and works to address them.

28. Proactive in increasing knowledge of hospice care and standards of practice.

29. Assists in hospice education in community.

What We Offer:

Generous Paid Time Off (Effective Day1)
Health, Dental and vision insurance (Effective Day 1)
Competitive Salaries
403 (B) Retirement Plan with employer match (no waiting period)
Mileage Reimbursement

At Tufts Medicine, we want every individual to feel valued for the skills and experience they bring. Our compensation philosophy is designed to offer fair, competitive pay that attracts, retains, and motivates highly talented individuals, while rewarding the important work you do every day.

The base pay ranges reflect the minimum qualifications for the role. Individual offers are determined using a comprehensive approach that considers relevant experience, certifications, education, skills, and internal equity to ensure compensation is fair, consistent, and aligned with our business goals.

Beyond base pay, Tufts Medicine provides a comprehensive Total Rewards package that supports your health, financial security, and career growth—one of the many ways we invest in you so you can thrive both at work and outside of it.

Pay Range:

Share this job

Related Jobs

Labor and Delivery

Other

Registered Nurse, RN - Labor & Delivery

apartment Tufts Medicine location_onBoston, MA

Registered Nurse, RN - Labor & Delivery (L&D) Tufts Medical Center is a world-renowned academic medical center that has been caring for patients across New England for more than 200 years. As the principal teaching hospital of Tufts University School of Medicine and a nationally respected research institution, we are known for delivering groundbreaking, patient-centered care across more than 100 specialties and services, from primary care to our Level I Trauma Center to the region’s leading heart transplant program. Nurses are at the heart of that mission. As a Magnet® designated organization, Tufts Medical Center offers nurses the opportunity to practice at the highest level grounded in teamwork, clinical inquiry, and a culture of continuous improvement. We are committed to advancing nursing through evidence-based care, shared decision-making, and strong interdisciplinary collaboration. Nurses at Tufts MC are deeply integrated into all aspects of clinical care and operations. Whether providing high-acuity specialty care or leading quality and safety initiatives, our nurses are respected as full partners in care delivery and innovation. Their insight drives progress. Their expertise shapes outcomes. Nurses are supported through strong peer networks, diverse clinical experiences, and opportunities for professional development. Professional growth is expected, encouraged, and championed. At Tufts Medical Center, nursing isn’t just supported but integral to who we are. Join us and be part of a team that’s leading with purpose and redefining what’s possible in healthcare. Unit: Labor & Delivery (L&D) Hours: 36 hours per week, Rotating Shifts Job Profile Summary This role focuses on providing professional and nonprofessional nursing care services in accordance with physician orders. In addition, this role focuses on performing the following Clinical Nurse duties: Assesses, plans, implements, and evaluates the care needs of a designated group of patients or provides nursing care and identified clinical support tasks within the scope of practice for achievement of the patient’s plan of care as directed. Provides professional nursing care to patients. Requires a nursing license. A professional individual contributor role that may direct the work of other lower level professionals or manage processes and programs. The majority of time is spent overseeing the design, implementation or delivery of processes, programs and policies using specialized knowledge and skills typically acquired through advanced education. A senior level role that requires advanced knowledge of job area typically obtained through advanced education and work experience. Typically responsible for: managing projects / processes, working independently with limited supervision, coaching and reviewing the work of lower level professionals, resolving difficult and sometimes complex problems. Job Overview This position plans, organizes and oversees daily clinical and administrative operations of designated unit/program or service. Prepares staff schedules, requests and allocates resources and facilitates coordination of care/services to meet patient care and operational requirements. This position ensures that patient care is aligned with the goals, mission and vision of hospital. Supervises and evaluates nursing and support personnel and participates in selection of new hires. Leads and/or participates in hospital, departmental and multidisciplinary teams, committees, councils and special projects. This individual is a critical member of the nursing leadership team promoting high standards of nursing practice. The will demonstrate and support a Magnet culture. This leader adheres to and holds others accountable to the Board of Registration in Nursing rules and regulations, ANA scope and standards of nursing, the ANA code of ethics for nursing, hospital policies and procedures and other regulatory stipulations. Job Description Minimum Qualifications: 1. Three (3) years of demonstrated clinical nursing practice including progressive leadership responsibilities. 2. Registered Nurse (RN) License. 3. Basic Life Support (BLS) certified. 4. Certifications (i.e. ACLS, PALS) relevant to the department and type of care being provided may be required. Preferred Qualifications: 1. Bachelor of Science in Nursing (BSN). 2. Specialty Nursing certifications. 3. Advanced Cardiac Life Support (ACLS) required for ICU, ED, PACU, and Cardiac intervential unit. Duties and Responsibilities: The duties and responsibilities listed below are intended to describe the general nature of work and are not intended to be an all-inclusive list. Other duties and responsibilities may be assigned. 1. Contributes to an environment that facilitates the development of clinical expertise of staff via role modeling, teaching, and coaching/mentoring. 2. Uses knowledge and expertise to identify potential problems and/or resources for patients and families. 3. Ensures all staff maintain competency-based practice based upon patient population. 4. Utilizes an ongoing process of questioning and evaluating practice and providing informed practice. Creates practice changes through research utilization and experiential learning. 5. Anticipates and identifies opportunities to apply evidence based practice. 6. Develops and implements a process improvement plan for area(s) of responsibility. 7. Maintains and develops clinical knowledge, judgment and skills. 8. Proposes topics to explore and participates in nursing research. 9. Supervises unit/department personnel by evaluating work performance, providing guidance and timely feedback based on outcome measures. 10. Maintains a working knowledge of clinical and patient satisfaction initiatives, key performance indicators, standards of nursing practice and outcomes of patient care. 11. Practices a constellation of nursing activities that are responsive to the uniqueness of the person that creates a compassionate and therapeutic environment, with the aim of promoting comfort and preventing unnecessary suffering. Includes but not limited to vigilance, engagement and responsiveness of caregivers, including family and healthcare personnel. 12. Identifies need to coordinate patient care conferences to help ensure best caring practices and outcomes for patients and families. 13. Participates in interdisciplinary rounds to address, patient/family needs, and discharge planning. 14. Fosters patient, family, and professional relationships that are reciprocal and synergistic, characterized by mutual respect and professional growth. 15. Sensitivity to recognize, appreciate, and incorporate differences and preferences into the provision of care. Differences include but are not limited to cultural differences and preferences, gender, sexual orientation, religion, race, ethnicity, lifestyle, socioeconomic status, age and values. 16. Identifies issues arising from individual differences and develops awareness of these issues in nursing staff, medical staff, and other healthcare providers. 17. Role models, teaches and/or provides age specific and developmentally appropriate patient care in accordance with established guidelines and scope of practice. 18. Identifies and encourages resolution of conflicts between others without making any party feel diminished. 19. Respects, appreciates and supports the diversity of ideas, thoughts, and competencies among staff, peers, colleagues and customers. 20. Advocates and represents the concerns of the patient/family/community; serving as a moral agent in identifying and helping to resolve ethical and clinical concerns within the clinical setting. 21. Advocates on behalf of the nursing staff to represent the concerns of patients/families/staff. 22. Works in collaboration with the interdisciplinary team to balance interventions with values that emphasize quality of life, consumer choice, risk benefit decisions, access to care, and integrity of human life. 23. Supports an ethical foundation for professional practice and patient care. 24. Supports proactive identification and addressing of ethical issues through a systematic process utilizing the ethics advisory committee as needed. 25. Promotes healthcare at the local, state, national, and/or international level. 26. Takes professional risks by demonstrating commitment to issues and values he/she truly believe in. 27. Supports staff in the delivery of appropriate patient/family education. 28. Evaluates the effectiveness of patient/family education and identifies opportunities for improvement. 29. Monitors the learning needs of staff and communicates opportunities to enhance knowledge and skills. 30. Serves as an expert and role model or mentor for professional practice. 31. Identifies avenues to pursue own professional growth. 32. Provides constructive feedback, support and resources to enable the nursing staff to develop skills and abilities. 33. Demonstrates awareness of self and other’s communication style and adjusts to meet the needs of the situation. 34. Inspires and motivates oneself and staff to pursue advanced education and/or certification. 35. Encourages others to become an active member of professional organizations. 36. Supports staff’s professional and personal growth. 37. Encourages staff to seek clinical advancement via the Professional Recognition Program. 38. Engages self and others in self-development appraisal on a regular basis identifying areas of strength as well as areas for personal/professional development. 39. Promotes and encourages others (patients/families/healthcare providers/community) to achieve optimal and realistic patient goals. Collaboration involved interdisciplinary work with colleagues and the ability to negotiate and resolve conflict. 40. Role models, teaches, and/or mentors professional leadership and accountability for nursing’s role within the health care team. 41. Leads and/or participates in departmental and hospital programs, committees, and/or special projects to achieve desired outcomes. 42. Improves the quality of care through shared governance principles. 43. Communicates important information via shift to shift huddles. 44.Recognizes, responds, and provides follow-up on issues, concerns, and suggestions on behalf of the patient population and staff. 45. Provides timely follow-up on critical incidents/sentinel events. 46. Assumes accountability for daily operations at the unit level. 47. On a daily basis allocates resources and coordinates services to optimize patient care and services. 48. Provides input in developing and monitoring operating and capital budget; implements strategies to improve efficiency and reduce costs. 49. Recognizes the potential impact of change on all people involved. 50. Keeps current on regulatory issues and trends and employs strategies to meet standards in a proactive manner. Physical Requirements: 1. Prolonged, extensive, or considerable standing and walking. 2. Lifts, positions, pushes and / or transfers patients. 3. Considerable reaching, stooping, bending, kneeling, crouching. 4. Regularly exposed to the risk of blood borne diseases. 5. Contact with patients under wide variety of circumstances. 6. Subject to varying and unpredictable situations. 7. Handles emergency and crisis situations. Skills & Abilities: 1. Clinical reasoning, which includes clinical decision-making, critical thinking, and a global grasp of the situation, coupled with nursing skills acquired through a process of integrating formal and experiential knowledge. 2. Ability to facilitate patient, family and staff learning across the care continuum. Contributes to a learning environment characterized by safe discourse, mentoring and team development. 3. Demonstrated leadership abilities; able to work under stressful situations; possesses good oral and written communication skills and is able to effectively work in a changing environment. 4. Ability to effectively communicate with patients, families, physicians, and healthcare team 5. Excels at demonstrating the knowledge and skills necessary to provide care to patients in the relevant area of nursing practice 6. Ability to be flexible, organized and function well under stressful situations. At Tufts Medicine, we want every individual to feel valued for the skills and experience they bring. Our compensation philosophy is designed to offer fair, competitive pay that attracts, retains, and motivates highly talented individuals, while rewarding the important work you do every day. The base pay ranges reflect the minimum qualifications for the role. Individual offers are determined using a comprehensive approach that considers relevant experience, certifications, education, skills, and internal equity to ensure compensation is fair, consistent, and aligned with our business goals. Beyond base pay, Tufts Medicine provides a comprehensive Total Rewards package that supports your health, financial security, and career growth—one of the many ways we invest in you so you can thrive both at work and outside of it. Pay Range : $41.76 - $68.89

ICU

Other

R14315 Registered Nurse, RN - CV ICU Float Pool

apartment Tufts Medicine location_onBoston, MA

Job Profile Summary This role focuses on providing professional and nonprofessional nursing care services in accordance with physician orders. In addition, this role focuses on performing the following Clinical Nurse duties: Assesses, plans, implements, and evaluates the care needs of a designated group of patients or provides nursing care and identified clinical support tasks within the scope of practice for achievement of the patient’s plan of care as directed. Provides professional nursing care to patients. Requires a nursing license. A professional individual contributor role that may direct the work of other lower level professionals or manage processes and programs. The majority of time is spent overseeing the design, implementation or delivery of processes, programs and policies using specialized knowledge and skills typically acquired through advanced education. A senior level role that requires advanced knowledge of job area typically obtained through advanced education and work experience. Typically responsible for: managing projects / processes, working independently with limited supervision, coaching and reviewing the work of lower level professionals, resolving difficult and sometimes complex problems. Job Overview The professional registered nurse possesses and applies the skills and knowledge necessary for the delivery and management of patient care from admission through discharge. The professional registered nurse is knowledgeable of current trends in healthcare including but not limited to advances in technology, pharmacology, treatment care modalities, quality and patient safety. The professional registered nurse serves as a patient and family advocate while facilitating a cooperative and collaborative environment among all health care providers. The professional registered nurse is responsible for the planning, delivery and management of patient/family centered care utilizing the nursing process and adhering to the standards of nursing practice embedded in research, evidence based practice and/or best practices. The professional registered nurse at Tufts Medical Center provides clinical excellence, which fosters and supports an environment central to our patient and family centered model of care. Job Description Minimum Qualifications: 1. Registered Nurse (RN) license . 2. Basic Life Support (BLS) certification . 3. Certifications (i.e. ACLS, PALS) relevant to the department and type of care being provided may be required. Preferred Qualifications: 1. Bachelor of Science in Nursing (BSN) 2. Specialty Nursing certifications. Duties and Responsibilities: The duties and responsibilities listed below are intended to describe the general nature of work and are not intended to be an all-inclusive list. Other duties and responsibilities may be assigned. 1.Utilizes theoretical and evidence-based knowledge in partnering with patients and their families to assess, plan, implement and evaluate age appropriate care. 2. Assesses and collaborates with patient, family/significant others and other disciplines to: Identify expected outcomes based on synthesis of data and diagnosis; and identify cultural needs (i.e. language, etc) to develop a care plan that enhances the health care experience. 3. Plans and develops: Individualized outcomes-based care plans incorporating the patient and family’s readiness and barrier to learning; Orchestrates and validates a plan of care for each shift; Initiates interdisciplinary patient/family meetings to facilitate communication regarding the plan of care; Communicates and coordinates the patients discharge plan utilizing unit-based and community resources to ensure a seamless transition for the patient and their family; Ensures the plan of care utilizes principles and concepts of project, organizational or systems management. 4. Implements: The plan in a safe and timely manner; Documents the implementation and any modifications, including changes or omissions, of the identified plan; Collaborates with nursing colleagues and others to implement the plan; Utilizes evidence-based interventions and treatments specific to the diagnosis or problem; Provides and coordinates health teaching which is required by individuals, families and groups to maintain an optimal level of health; Documents per hospital and regulatory requirements/policies, all aspects of care, including but not limited to, treatments/procedures performed and patient response. 5. Evaluates: The effectiveness of the planned strategies in relation to patient responses and the attainment of expected outcomes and knowledge; Uses the evaluation process to update the plan of care as dictated by the patient response and/or if desired outcomes have not been achieved. 6. Demonstrates and applies the skill and judgement necessary to implement the nursing plan of care, nursing interventions and procedures necessary for the care of the patient and family based upon critical thinking skills and a spirit of inquiry. The plan of care is: Evidence based and utilizes research when appropriate; Incorporates new knowledge and strategies to initiate change in nursing care practices; Demonstrates the knowledge and skills necessary to provide age appropriate culturally and ethnically sensitive care to all patients and families. 7. Performs procedures and treatments using nursing knowledge and judgment, according to established unit/practice area guidelines and professional standards. 8. Safely administers and assesses the patient response to medication utilizing essential knowledge of pharmacology and Hospital and Department Standards of Care. 9. Maintains clinical competency with respect to technology and utilizes equipment in a safe manner. 10. Performs as an advocate and as an educator for patients and families. 11. Provides high quality in an efficient and a safe manner. The professional nurse utilizes data trends to support and improve clinical practice. 12. Participates in hospital and/or unit based patient safety and quality activities and uses principles to support and improve patient outcomes (unit-based, hospital-wide, The Joint Commission, NPSGs, NDNQI, Patient First and other local, state and federal patient safety initiatives. 13. Participates in performance improvement activities through data collection, analysis and evaluation. 14. Champions quality, safety, regulatory, and patient-family satisfaction. 15. Facilitates cooperative and collaborative relationships among the various disciplines and departments to ensure effective quality patient care delivery and to create a positive and professional work environment. Supports collaboration with nursing colleagues and other disciplines to implement plan of care by participation in nursing, physician, and case management reporting rounds. 16. Delegates responsibilities to others with an understanding of their roles, knowledge and capabilities 17. Influences others to achieve Service Excellence by: Establishing a climate for optimal patient care, mutually supportive collegial relationships, and professional development; Treating both internal and external customers with courtesy, respect and caring behavior; Promoting a safe, clean, therapeutic environment for patients, families and staff; Acknowledging cultural differences that exist among staff and patients; Identifying customer service needs on the unit; Presenting self in a professional and calm manner; Providing responsible and efficient use of resources. 18. Participates in professional development and lifelong learning activities that assist in developing and maintaining their continuing competence, enhance their professional practice and support achievement of their career goals including: Maintaining current licensure and adheres to the Massachusetts Nurse Practice Act; Assuming responsibility for participating in educational opportunities to support and meet clinical competency requirements; Seeking out educational and professional resources; Developing professionally as a self-directed, motivated learner; Seeking out advanced certification opportunities and ongoing education opportunities; Precepting and mentoring newly hired staff and nursing students; Investigating available technology and resources to apply evidence based practice and research into daily professional activities; Promoting leadership at the bedside as a delegator, collaborator, facilitator, and communicator; and Promoting unit and organizational growth through a shared governance model. 19. May assume charge nurse functions in collaboration with unit leadership; 20. Facilitates communication by: Seeking and sharing job-related information that supports a culture of respect and responsibility; Assuming responsibility and ownership for professional conduct; Accepting responsibility for positive and productive communication skills; Attending and actively participating in staff meetings (when unable to attend, accepts responsibility for reading staff meeting minutes); and Accepting responsibility for reading emails to keep current with unit and hospital based information. Physical Requirements: 1. Prolonged, extensive, or considerable standing/walking. 2. Lifts, positions, pushes and/or transfer patients and equipment. 3. Considerable reaching, stooping, bending, kneeling, crouching. 4. Frequent exposure to hazardous chemicals, sick patients, bodily substances, noise and possible exposure to radiation, lasers, electric shock, etc. 5. Regularly exposed to the risk of bloodborne diseases and other transmissible infections. 6. Contact with patients under wide variety of circumstances. 7. Subject to varying and unpredictable situations. 8. Handle emergency and crisis situations. 9. Subjected to irregular hours. 10. May have contact with hazardous materials. Skills & Abilities: 1. Possesses and applies the skills and knowledge necessary to provide care to patients throughout the life span, with consideration of aging processes, human development stages and cultural patterns in each step of the care process. 2. Ability to provide care for a designated group of patients according to unit guidelines and hospital policies, procedures and protocols. 3. Has the skills and knowledge to provide care to the age groups of the population served including: Knowledge of growth and development; Ability to interpret age specific data and response to care; and Provide age appropriate communication. At Tufts Medicine, we want every individual to feel valued for the skills and experience they bring. Our compensation philosophy is designed to offer fair, competitive pay that attracts, retains, and motivates highly talented individuals, while rewarding the important work you do every day. The base pay ranges reflect the minimum qualifications for the role. Individual offers are determined using a comprehensive approach that considers relevant experience, certifications, education, skills, and internal equity to ensure compensation is fair, consistent, and aligned with our business goals. Beyond base pay, Tufts Medicine provides a comprehensive Total Rewards package that supports your health, financial security, and career growth—one of the many ways we invest in you so you can thrive both at work and outside of it. Pay Range : $41.76 - $68.89

Other

RN - Clinical Trials/Research - Boston

apartment Tufts Medicine location_onBoston, MA

Tufts Medical Center is a world-renowned academic medical center that has been caring for patients across New England for more than 200 years. As the principal teaching hospital of Tufts University School of Medicine and a nationally respected research institution, we are known for delivering groundbreaking, patient-centered care across more than 100 specialties and services, from primary care to our Level I Trauma Center to the region’s leading heart transplant program. Nurses are at the heart of that mission. As a Magnet® designated organization, Tufts Medical Center offers nurses the opportunity to practice at the highest level grounded in teamwork, clinical inquiry, and a culture of continuous improvement. We are committed to advancing nursing through evidence-based care, shared decision-making, and strong interdisciplinary collaboration. Nurses at Tufts MC are deeply integrated into all aspects of clinical care and operations. Whether providing high-acuity specialty care or leading quality and safety initiatives, our nurses are respected as full partners in care delivery and innovation. Their insight drives progress. Their expertise shapes outcomes. Nurses are supported through strong peer networks, diverse clinical experiences, and opportunities for professional development. Professional growth is expected, encouraged, and championed. At Tufts Medical Center, nursing isn’t just supported but integral to who we are. Join us and be part of a team that’s leading with purpose and redefining what’s possible in healthcare. Job Profile Summary This role focuses on providing professional and nonprofessional nursing care services in accordance with physician orders. In addition, this role focuses on performing the following Clinical Nurse duties: Assesses, plans, implements, and evaluates the care needs of a designated group of patients or provides nursing care and identified clinical support tasks within the scope of practice for achievement of the patient’s plan of care as directed. Provides professional nursing care to patients. Requires a nursing license. A professional individual contributor role that may direct the work of other lower level professionals or manage processes and programs. The majority of time is spent overseeing the design, implementation or delivery of processes, programs and policies using specialized knowledge and skills typically acquired through advanced education. A senior level role that requires advanced knowledge of job area typically obtained through advanced education and work experience. Typically responsible for: managing projects / processes, working independently with limited supervision, coaching and reviewing the work of lower level professionals, resolving difficult and sometimes complex problems. Job Overview The professional registered nurse possesses and applies the skills and knowledge necessary for the delivery and management of patient care from admission through discharge. The professional registered nurse is knowledgeable of current trends in healthcare including but not limited to advances in technology, pharmacology, treatment care modalities, quality and patient safety. The professional registered nurse serves as a patient and family advocate while facilitating a cooperative and collaborative environment among all health care providers. The professional registered nurse is responsible for the planning, delivery and management of patient/family centered care utilizing the nursing process and adhering to the standards of nursing practice embedded in research, evidence based practice and/or best practices. The professional registered nurse at Tufts Medical Center provides clinical excellence, which fosters and supports an environment central to our patient and family centered model of care. Job Description Minimum Qualifications: 1. Registered Nurse (RN) license. 2. Basic Life Support (BLS) certification. 3. Certifications (i.e. ACLS, PALS) relevant to the department and type of care being provided may be required. Preferred Qualifications: 1. Bachelor of Science in Nursing (BSN) 2. Specialty Nursing certifications. Duties and Responsibilities: The duties and responsibilities listed below are intended to describe the general nature of work and are not intended to be an all-inclusive list. Other duties and responsibilities may be assigned. 1.Utilizes theoretical and evidence-based knowledge in partnering with patients and their families to assess, plan, implement and evaluate age appropriate care. 2. Assesses and collaborates with patient, family/significant others and other disciplines to: Identify expected outcomes based on synthesis of data and diagnosis; and identify cultural needs (i.e. language, etc) to develop a care plan that enhances the health care experience. 3. Plans and develops: Individualized outcomes-based care plans incorporating the patient and family’s readiness and barrier to learning; Orchestrates and validates a plan of care for each shift; Initiates interdisciplinary patient/family meetings to facilitate communication regarding the plan of care; Communicates and coordinates the patients discharge plan utilizing unit-based and community resources to ensure a seamless transition for the patient and their family; Ensures the plan of care utilizes principles and concepts of project, organizational or systems management. 4. Implements: The plan in a safe and timely manner; Documents the implementation and any modifications, including changes or omissions, of the identified plan; Collaborates with nursing colleagues and others to implement the plan; Utilizes evidence-based interventions and treatments specific to the diagnosis or problem; Provides and coordinates health teaching which is required by individuals, families and groups to maintain an optimal level of health; Documents per hospital and regulatory requirements/policies, all aspects of care, including but not limited to, treatments/procedures performed and patient response. 5. Evaluates: The effectiveness of the planned strategies in relation to patient responses and the attainment of expected outcomes and knowledge; Uses the evaluation process to update the plan of care as dictated by the patient response and/or if desired outcomes have not been achieved. 6. Demonstrates and applies the skill and judgement necessary to implement the nursing plan of care, nursing interventions and procedures necessary for the care of the patient and family based upon critical thinking skills and a spirit of inquiry. The plan of care is: Evidence based and utilizes research when appropriate; Incorporates new knowledge and strategies to initiate change in nursing care practices; Demonstrates the knowledge and skills necessary to provide age appropriate culturally and ethnically sensitive care to all patients and families. 7. Performs procedures and treatments using nursing knowledge and judgment, according to established unit/practice area guidelines and professional standards. 8. Safely administers and assesses the patient response to medication utilizing essential knowledge of pharmacology and Hospital and Department Standards of Care. 9. Maintains clinical competency with respect to technology and utilizes equipment in a safe manner. 10. Performs as an advocate and as an educator for patients and families. 11. Provides high quality in an efficient and a safe manner. The professional nurse utilizes data trends to support and improve clinical practice. 12. Participates in hospital and/or unit based patient safety and quality activities and uses principles to support and improve patient outcomes (unit-based, hospital-wide, The Joint Commission, NPSGs, NDNQI, Patient First and other local, state and federal patient safety initiatives. 13. Participates in performance improvement activities through data collection, analysis and evaluation. 14. Champions quality, safety, regulatory, and patient-family satisfaction. 15. Facilitates cooperative and collaborative relationships among the various disciplines and departments to ensure effective quality patient care delivery and to create a positive and professional work environment. Supports collaboration with nursing colleagues and other disciplines to implement plan of care by participation in nursing, physician, and case management reporting rounds. 16. Delegates responsibilities to others with an understanding of their roles, knowledge and capabilities 17. Influences others to achieve Service Excellence by: Establishing a climate for optimal patient care, mutually supportive collegial relationships, and professional development; Treating both internal and external customers with courtesy, respect and caring behavior; Promoting a safe, clean, therapeutic environment for patients, families and staff; Acknowledging cultural differences that exist among staff and patients; Identifying customer service needs on the unit; Presenting self in a professional and calm manner; Providing responsible and efficient use of resources. 18. Participates in professional development and lifelong learning activities that assist in developing and maintaining their continuing competence, enhance their professional practice and support achievement of their career goals including: Maintaining current licensure and adheres to the Massachusetts Nurse Practice Act; Assuming responsibility for participating in educational opportunities to support and meet clinical competency requirements; Seeking out educational and professional resources; Developing professionally as a self-directed, motivated learner; Seeking out advanced certification opportunities and ongoing education opportunities; Precepting and mentoring newly hired staff and nursing students; Investigating available technology and resources to apply evidence based practice and research into daily professional activities; Promoting leadership at the bedside as a delegator, collaborator, facilitator, and communicator; and Promoting unit and organizational growth through a shared governance model. 19. May assume charge nurse functions in collaboration with unit leadership; 20. Facilitates communication by: Seeking and sharing job-related information that supports a culture of respect and responsibility; Assuming responsibility and ownership for professional conduct; Accepting responsibility for positive and productive communication skills; Attending and actively participating in staff meetings (when unable to attend, accepts responsibility for reading staff meeting minutes); and Accepting responsibility for reading emails to keep current with unit and hospital based information. Physical Requirements: 1. Prolonged, extensive, or considerable standing/walking. 2. Lifts, positions, pushes and/or transfer patients and equipment. 3. Considerable reaching, stooping, bending, kneeling, crouching. 4. Frequent exposure to hazardous chemicals, sick patients, bodily substances, noise and possible exposure to radiation, lasers, electric shock, etc. 5. Regularly exposed to the risk of bloodborne diseases and other transmissible infections. 6. Contact with patients under wide variety of circumstances. 7. Subject to varying and unpredictable situations. 8. Handle emergency and crisis situations. 9. Subjected to irregular hours. 10. May have contact with hazardous materials. Skills & Abilities: 1. Possesses and applies the skills and knowledge necessary to provide care to patients throughout the life span, with consideration of aging processes, human development stages and cultural patterns in each step of the care process. 2. Ability to provide care for a designated group of patients according to unit guidelines and hospital policies, procedures and protocols. 3. Has the skills and knowledge to provide care to the age groups of the population served including: Knowledge of growth and development; Ability to interpret age specific data and response to care; and Provide age appropriate communication. At Tufts Medicine, we want every individual to feel valued for the skills and experience they bring. Our compensation philosophy is designed to offer fair, competitive pay that attracts, retains, and motivates highly talented individuals, while rewarding the important work you do every day. The base pay ranges reflect the minimum qualifications for the role. Individual offers are determined using a comprehensive approach that considers relevant experience, certifications, education, skills, and internal equity to ensure compensation is fair, consistent, and aligned with our business goals. Beyond base pay, Tufts Medicine provides a comprehensive Total Rewards package that supports your health, financial security, and career growth—one of the many ways we invest in you so you can thrive both at work and outside of it. Pay Range : $41.76 - $68.89

Other

Clinical Resource Nurse

apartment Tufts Medicine location_onBoston, MA

Clinical Resource Nurse Tufts Medical Center is a world-renowned academic medical center that has been caring for patients across New England for more than 200 years. As the principal teaching hospital of Tufts University School of Medicine and a nationally respected research institution, we are known for delivering groundbreaking, patient-centered care across more than 100 specialties and services, from primary care to our Level I Trauma Center to the region’s leading heart transplant program. Nurses are at the heart of that mission. As a Magnet® designated organization, Tufts Medical Center offers nurses the opportunity to practice at the highest level grounded in teamwork, clinical inquiry, and a culture of continuous improvement. We are committed to advancing nursing through evidence-based care, shared decision-making, and strong interdisciplinary collaboration. Schedule: 36 hours, Day/Night rotating shifts Job Overview Under the direction of the Clinical Nursing Director, the Clinical Resource Nurse Specialist (CRN-S) is responsible for upholding and driving the standard of practice within the medical center as set forth by national and professional organizations, and the most current evidence-guided practice. This role is responsible for fostering a culture of support and safety for the front-line teams through rounding, debriefing, education, and responding to consults and medical emergencies throughout the medical center. The CRN-S is autonomous, self-driven, and serves as a general resource throughout all adult nursing departments and across all shifts. They are experts on policies and procedures, as well as house-wide patient care equipment. They also serve as an advisor a nurse can consult with over a specific patient nursing assessment and plan, and they are clinical experts in the management of critically ill unstable patients. The overall goal of this role is to improve patient outcomes, communication, morale, camaraderie, job satisfaction, and to provide support to staff. The CRN-S communicates regularly with nurses, physicians, managers, pharmacy, respiratory, and personnel from various departments. They are a leader within the nursing department who provides direction and guides priorities for patient care. Job Description Minimum Qualifications : 1. Bachelor’s degree in Nursing (BSN). 2. Registered Nurse (RN) license. 3. Basic Life Support (BLS) certification 4. Advanced Cardiac Life Support (ACLS) certification. 5. Three (3) years of experience in critical care nursing. 6. Certifications (i.e. ACLS, PALS) relevant to the department and type of care being provided may be required. Preferred Qualifications : 1. Master’s degree in health-related field. 2. Specialty nursing certifications. Duties and Responsibilities : The duties and responsibilities listed below are intended to describe the general nature of work and are not intended to be an all-inclusive list . Other duties and responsibilities may be assigned. 1. Demonstrates clinical expertise , integrating nursing theory and practice . Employs evidence-based practice in decision-making and patient care. 2. Interacts with staff nurses for the purpose of assessing the care provided and the nurses' capabilities to provide care in changing circumstances. 3. Uses clinical skills to provide ongoing assessment and evaluation of nursing care. 4. Coordinates and directs patient care to ensure patients' needs are met and hospital policy is followed. 5. Analyzes early warning score report and evaluates patients accordingly. 6. Collaborates with members of the health care team related to patient plan of care 7. Responds to hospital-wide medical emergencies & demonstrates ability to practice in variety of patient care areas and settings. 8. Assists in care of high-acuity patients (may include tasks such as travel assistance , administering moderate sedation, lab draws/IV placements, nasogastric tube placements, ABGs, etc ). 9. Manages the critical ill unstable patient on the general floor, and assists in transfer to higher level of care. 10. Develop/ maintain /communicate updated nursing policies. 11. Utilizes the nursing process for the delivery and management of patient's care across the continuum of care appropriate to the developmental age of the patient population. 12. Demonstrates the ability to be flexible, organized and function well under stressful situations. 13. Provide and facilitates peer feedback to advance nurses, Clinical Care Technicians (CCTs) and Unit Coordinators (UCs) knowledge, skill and practice. 14. Supports the ongoing development of staff through coaching, mentoring and role modeling. 15. Embraces multiple techniques to facilitate learning such as of simulation, case studies and debriefing. 16. Collaborates with other members of leadership team in providing appropriate educational opportunities for licensed and unlicensed personnel. 17. Provides in-services/educational opportunities such as but not limited to: Functions as a super-user for new equipment, therapies and information systems; Evidence based practice; and or Quality, safety and regulatory readiness 18. Provides real time/ bedside demonstration and fostering just-in-time education. 19. Supports orientation and acclimation of new staff . 20. Collaborates with unit leadership for feedback of staff development and participates in needs assessment and planning as needed. 21. Communicates and consistently supports the philosophy and goals of the medical center. 22. Supports professional governance. 23. Guides and ment ors staff in career development and advancement. 24. Enhances own professional growth and development through participation in educational programs, keeping current with literature, in-service meetings, and workshops. 25. In collaboration with the interdisciplinary team: Ensures excellence in outcomes for all quality, safety, patient experience metrics and regulatory requirements; Participates in the identification of patient safety issues and highlights these to the Nursing Leadership Team; Leads and ensures completion of debriefing for medical emergencies, and events such as falls; Provides advisement for data collection methods for quality indicators; and Seeks out opportunities to enhance patient outcomes in concert with the goals of the Medical Center. Physical Requirements: 1. Prolonged, extensive, or considerable standing and walking. 2. Lifts, positions, pushes and / or transfers patients. 3. Considerable reaching, stooping, bending, kneeling, crouching. 4. Regularly exposed to the risk of blood borne diseases. 5. Contact with patients under wide variety of circumstances. 6. Subject to varying and unpredictable situations. 7. Handles emergency and crisis situations. Skills & Abilities: 1. Clinical reasoning, which includes clinical decision-making, critical thinking, and a global grasp of the situation, coupled with nursing skills acquired through a process of integrating formal and experiential knowledge. 2. Ability to facilitate patient, family and staff learning across the care continuum . Contributes to a learning environment characterized by safe discourse, mentoring and team development. 3. Demonstrated leadership abilities; able to work under stressful situations; possesses good oral and written communication skills and is able to effectively work in a changing environment. 4. Ability to effectively communicate with patients, families, physicians, and healthcare team 5. Excels at demonstrating the knowledge and skills necessary to provide care to patients in the relevant area of nursing practice 6. Ability to be flexible, organized and function well under stressful situations. 7. Excels in demonstrating the knowledge and skills necessary to care for patients in the relevant area of nursing practice. At Tufts Medicine, we want every individual to feel valued for the skills and experience they bring. Our compensation philosophy is designed to offer fair, competitive pay that attracts, retains, and motivates highly talented individuals, while rewarding the important work you do every day. The base pay ranges reflect the minimum qualifications for the role. Individual offers are determined using a comprehensive approach that considers relevant experience, certifications, education, skills, and internal equity to ensure compensation is fair, consistent, and aligned with our business goals. Beyond base pay, Tufts Medicine provides a comprehensive Total Rewards package that supports your health, financial security, and career growth—one of the many ways we invest in you so you can thrive both at work and outside of it. Pay Range : $45.93 - $75.77

Other

Registered Nurse, RN - Adult Palliative Care

apartment Tufts Medicine location_onBoston, MA

Registered Nurse, RN - Adult Palliative Care Tufts Medical Center is a world-renowned academic medical center that has been caring for patients across New England for more than 200 years. As the principal teaching hospital of Tufts University School of Medicine and a nationally respected research institution, we are known for delivering groundbreaking, patient-centered care across more than 100 specialties and services, from primary care to our Level I Trauma Center to the region’s leading heart transplant program. Nurses are at the heart of that mission. As a Magnet® designated organization, Tufts Medical Center offers nurses the opportunity to practice at the highest level grounded in teamwork, clinical inquiry, and a culture of continuous improvement. We are committed to advancing nursing through evidence-based care, shared decision-making, and strong interdisciplinary collaboration. Nurses at Tufts MC are deeply integrated into all aspects of clinical care and operations. Whether providing high-acuity specialty care or leading quality and safety initiatives, our nurses are respected as full partners in care delivery and innovation. Their insight drives progress. Their expertise shapes outcomes. Nurses are supported through strong peer networks, diverse clinical experiences, and opportunities for professional development. Professional growth is expected, encouraged, and championed. At Tufts Medical Center, nursing isn’t just supported but integral to who we are. Join us and be part of a team that’s leading with purpose and redefining what’s possible in healthcare. Schedule: Full-Time, 40 hours per week Job Overview The professional registered nurse possesses and applies the skills and knowledge necessary for the delivery and management of patient care from admission through discharge. The professional registered nurse is knowledgeable of current trends in healthcare including but not limited to advances in technology, pharmacology, treatment care modalities, quality and patient safety. The professional registered nurse serves as a patient and family advocate while facilitating a cooperative and collaborative environment among all health care providers. The professional registered nurse is responsible for the planning, delivery and management of patient/family centered care utilizing the nursing process and adhering to the standards of nursing practice embedded in research, evidence based practice and/or best practices. The professional registered nurse at Tufts Medical Center provides clinical excellence, which fosters and supports an environment central to our patient and family centered model of care. Job Description Minimum Qualifications: 1. Registered Nurse (RN) license . 2. Basic Life Support (BLS) certification . 3. Certifications (i.e. ACLS, PALS) relevant to the department and type of care being provided may be required. Preferred Qualifications: 1. Bachelor of Science in Nursing (BSN) 2. Specialty Nursing certifications. Duties and Responsibilities: The duties and responsibilities listed below are intended to describe the general nature of work and are not intended to be an all-inclusive list. Other duties and responsibilities may be assigned. 1.Utilizes theoretical and evidence-based knowledge in partnering with patients and their families to assess, plan, implement and evaluate age appropriate care. 2. Assesses and collaborates with patient, family/significant others and other disciplines to: Identify expected outcomes based on synthesis of data and diagnosis; and identify cultural needs (i.e. language, etc) to develop a care plan that enhances the health care experience. 3. Plans and develops: Individualized outcomes-based care plans incorporating the patient and family’s readiness and barrier to learning; Orchestrates and validates a plan of care for each shift; Initiates interdisciplinary patient/family meetings to facilitate communication regarding the plan of care; Communicates and coordinates the patients discharge plan utilizing unit-based and community resources to ensure a seamless transition for the patient and their family; Ensures the plan of care utilizes principles and concepts of project, organizational or systems management. 4. Implements: The plan in a safe and timely manner; Documents the implementation and any modifications, including changes or omissions, of the identified plan; Collaborates with nursing colleagues and others to implement the plan; Utilizes evidence-based interventions and treatments specific to the diagnosis or problem; Provides and coordinates health teaching which is required by individuals, families and groups to maintain an optimal level of health; Documents per hospital and regulatory requirements/policies, all aspects of care, including but not limited to, treatments/procedures performed and patient response. 5. Evaluates: The effectiveness of the planned strategies in relation to patient responses and the attainment of expected outcomes and knowledge; Uses the evaluation process to update the plan of care as dictated by the patient response and/or if desired outcomes have not been achieved. 6. Demonstrates and applies the skill and judgement necessary to implement the nursing plan of care, nursing interventions and procedures necessary for the care of the patient and family based upon critical thinking skills and a spirit of inquiry. The plan of care is: Evidence based and utilizes research when appropriate; Incorporates new knowledge and strategies to initiate change in nursing care practices; Demonstrates the knowledge and skills necessary to provide age appropriate culturally and ethnically sensitive care to all patients and families. 7. Performs procedures and treatments using nursing knowledge and judgment, according to established unit/practice area guidelines and professional standards. 8. Safely administers and assesses the patient response to medication utilizing essential knowledge of pharmacology and Hospital and Department Standards of Care. 9. Maintains clinical competency with respect to technology and utilizes equipment in a safe manner. 10. Performs as an advocate and as an educator for patients and families. 11. Provides high quality in an efficient and a safe manner. The professional nurse utilizes data trends to support and improve clinical practice. 12. Participates in hospital and/or unit based patient safety and quality activities and uses principles to support and improve patient outcomes (unit-based, hospital-wide, The Joint Commission, NPSGs, NDNQI, Patient First and other local, state and federal patient safety initiatives. 13. Participates in performance improvement activities through data collection, analysis and evaluation. 14. Champions quality, safety, regulatory, and patient-family satisfaction. 15. Facilitates cooperative and collaborative relationships among the various disciplines and departments to ensure effective quality patient care delivery and to create a positive and professional work environment. Supports collaboration with nursing colleagues and other disciplines to implement plan of care by participation in nursing, physician, and case management reporting rounds. 16. Delegates responsibilities to others with an understanding of their roles, knowledge and capabilities 17. Influences others to achieve Service Excellence by: Establishing a climate for optimal patient care, mutually supportive collegial relationships, and professional development; Treating both internal and external customers with courtesy, respect and caring behavior; Promoting a safe, clean, therapeutic environment for patients, families and staff; Acknowledging cultural differences that exist among staff and patients; Identifying customer service needs on the unit; Presenting self in a professional and calm manner; Providing responsible and efficient use of resources. 18. Participates in professional development and lifelong learning activities that assist in developing and maintaining their continuing competence, enhance their professional practice and support achievement of their career goals including: Maintaining current licensure and adheres to the Massachusetts Nurse Practice Act; Assuming responsibility for participating in educational opportunities to support and meet clinical competency requirements; Seeking out educational and professional resources; Developing professionally as a self-directed, motivated learner; Seeking out advanced certification opportunities and ongoing education opportunities; Precepting and mentoring newly hired staff and nursing students; Investigating available technology and resources to apply evidence based practice and research into daily professional activities; Promoting leadership at the bedside as a delegator, collaborator, facilitator, and communicator; and Promoting unit and organizational growth through a shared governance model. 19. May assume charge nurse functions in collaboration with unit leadership; 20. Facilitates communication by: Seeking and sharing job-related information that supports a culture of respect and responsibility; Assuming responsibility and ownership for professional conduct; Accepting responsibility for positive and productive communication skills; Attending and actively participating in staff meetings (when unable to attend, accepts responsibility for reading staff meeting minutes); and Accepting responsibility for reading emails to keep current with unit and hospital based information. Physical Requirements: 1. Prolonged, extensive, or considerable standing/walking. 2. Lifts, positions, pushes and/or transfer patients and equipment. 3. Considerable reaching, stooping, bending, kneeling, crouching. 4. Frequent exposure to hazardous chemicals, sick patients, bodily substances, noise and possible exposure to radiation, lasers, electric shock, etc. 5. Regularly exposed to the risk of bloodborne diseases and other transmissible infections. 6. Contact with patients under wide variety of circumstances. 7. Subject to varying and unpredictable situations. 8. Handle emergency and crisis situations. 9. Subjected to irregular hours. 10. May have contact with hazardous materials. Skills & Abilities: 1. Possesses and applies the skills and knowledge necessary to provide care to patients throughout the life span, with consideration of aging processes, human development stages and cultural patterns in each step of the care process. 2. Ability to provide care for a designated group of patients according to unit guidelines and hospital policies, procedures and protocols. 3. Has the skills and knowledge to provide care to the age groups of the population served including: Knowledge of growth and development; Ability to interpret age specific data and response to care; and Provide age appropriate communication. At Tufts Medicine, we want every individual to feel valued for the skills and experience they bring. Our compensation philosophy is designed to offer fair, competitive pay that attracts, retains, and motivates highly talented individuals, while rewarding the important work you do every day. The base pay ranges reflect the minimum qualifications for the role. Individual offers are determined using a comprehensive approach that considers relevant experience, certifications, education, skills, and internal equity to ensure compensation is fair, consistent, and aligned with our business goals. Beyond base pay, Tufts Medicine provides a comprehensive Total Rewards package that supports your health, financial security, and career growth—one of the many ways we invest in you so you can thrive both at work and outside of it. Pay Range : $41.76 - $68.89