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:

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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. 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 Nurse Instructor

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. 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 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 Under the direction of the Professional Development Director, the Clinical Instructor is responsible for upholding and driving the standard of practice within their respective units/practice areas as set by national and professional organizations, and the most current evidence guided practice. The Clinical Instructor ensures that competencies for all staff are validated within their defined practice areas. The overall goal of the Clinical Instructor role is the acquisition of knowledge, skills, and attitudes that translate into practice and contribute to the safety of patients/families and provision of quality care. In addition to acquisition of knowledge, skills and attitude, specialty excellence includes the evaluation and measurement of current clinical knowledge, proficiency of technical skills, application of critical thinking and performance by members of the nursing team. The Clinical Instructor leads the implementation and interpretation of these measures and methods and identifies areas for practice improvement within defined area of clinical practice. Job Description Minimum Qualifications: 1. Registered Nurse (RN) license. 2. Basic Life Support (BLS) certification. 3. Three (3) years of demonstrated clinical nursing experience in relevant specialty area. 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. 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 clinical expertise, integrating nursing theory and practice. Employs evidence-based practice in decision-making and patient care. 2. 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. Collaborates with members of the health care team related to patient plan of care, developing practice guidelines, and unit-specific procedures. 3. Develops and monitors systems that support advancement in nursing practice. Uses clinical skills to provide ongoing assessment and evaluation of nursing care. Ensures evidence-based standards of care are being practiced clinically. 4. Interacts with, mentors, provides and facilitates feedback to staff including nurses, Clinical Care Technicians (CCTs) and Unit Coordinators (UCs), to advance nurses, knowledge, skills, and practices, and capabilities to provide care in changing circumstances. 5. Serves as a resource for patients, family members and nursing staff as issues arise regarding the patient’s hospitalization or care experience. 6. Utilizes the performance improvement process to assess the response to nursing care from patients, families and others. 7. Coordinates and directs patient care to ensure patients’ needs are met and hospital policy is followed. 8. Maintains open communication with managers whose departments provide support services to the clinical area in order to ensure the appropriate level of service at all times. 9. Evaluates and communicates to CND & PDM Manager changing needs of the unit, including staffing requirements. 10. Plans orientation program for employees based on current clinical practice standards and nursing research. 11. Coordinates, facilitates, conducts, and evaluates orientation programs and innovative learning approaches for staff utilizing principles of adult learning theory. 12. Implements all aspects of orientation program including teaching formal didactic classes as part of monthly orientation on new employees, affiliating faculty and students 13. Accountable for competence achievement of staff through planning, collaboration, coaching and mentoring. 14. Validates staff competency through various learning methodologies including real time/ bedside demonstration and fostering just-in-time education. 15. Conducts/facilitates learning/training workshops for all levels of care providers 16. Communicates and consistently supports the philosophy and goals of the unit, department and hospital. 17. Supports the development of staff to serve as preceptor for new employees. 18. Assists in the development and implementation plan of performance improvement activities. 19. Provides advisement for data collection methods for quality indicators. 20. Delegates appropriately to others in accordance with job description and competency level. 21. Supports the ongoing development of staff through coaching, mentoring and role modeling. 22. Collaborates with other members of leadership team in providing appropriate educational opportunities for licensed and unlicensed personnel. 23. Identifies through needs assessment, continuing education opportunities that augment knowledge, skills, and attitudes of all nursing staff. 24. Guides and mentors staff in career development, role transition, and succession planning 25. Participates in and provides leadership to departmental and hospital committees as requested. 26. Assists in the development of practice initiatives through unit-based group activities. 27. Enhances own professional growth and development through participation in educational programs, keeping current with literature, in-service meetings, and workshops. 28. 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 Professional Development Director and Clinical Nursing Director 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. Skills & Abilities: 1. Excellent clinical nursing practices. 2. Knowledgeable about continuous process improvement methodologies. 3. Demonstrates the knowledge and skills necessary to educate staff in the provision of care appropriate to the patient age groups regularly served. 4. Demonstrates the ability to be flexible, organized and function well under stressful situations. sful 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 : $45.93 - $75.77