RN Jobs in Gardner, MA

Registered Nurse, 6 East, Med Surg, 36 Hours, Nights

apartment UMass Memorial Health location_onWorcester, MA

Are you a current UMass Memorial Health caregiver? Apply now through Workday. Exemption Status: Non-Exempt Schedule Details: Holidays - Every Third Holiday, Monday through Friday, Weekends - Every Third Weekend Scheduled Hours: 1900-0700 Shift: 3 - Night Shift, 12 Hours (United States of America) Hours: 36 Cost Center: 10020 - 1402 Nursing 6 East Union: MNA-University (Massachusetts Nurses Association) This position may have a signing bonus available a member of the Recruitment Team will confirm eligibility during the interview process. Everyone Is a Caregiver At UMass Memorial Health, everyone is a caregiver – regardless of their title or responsibilities. Exceptional patient care, academic excellence and leading-edge research make UMass Memorial the premier health system of Central Massachusetts, and a place where we can help you build the career you deserve. We are more than 20,000 employees, working together as one health system in a relentless pursuit of healing for our patients, community and each other. And everyone, in their own unique way, plays an important part, every day. Responsible for the planning, delivery and management of direct patient care utilizing the nursing process and adhering to the standards of nursing practice. I. Major Responsibilities: 1. Utilizes the Nursing Process for the delivery and management of patient’s care from Admission to Discharge, appropriate to the developmental age of the patient population. 2. Performs patient assessment/reassessment according to standard procedure. 3. Develops and coordinates individual plan of care including discharge planning. 4. Directs, supervises, coordinates and evaluate nursing care within assigned clinical setting. 5. Delegates appropriately to others in accordance with job description and competency level. 6. Documents patient care according to standard procedure. 7. Develops, implements/coordinates and documents Education Plan for patient/family/ significant other. 8. Ensures quality and continuity of care through collaboration with other health care providers. 9. Administers medications, performs treatments, therapies and operates equipment according to policy and procedure. Assists physician with treatment and procedures and special tests as required or directed. 10. Participates in and supports Nursing Governance activities. 11. Assumes responsibility for professional growth. Assists in education and development of staff. 12. Participates in performance improvement initiatives and demonstrate the use of quality improvement in daily operations. Standard Staffing Level Responsibilities: 1. Complies with established departmental policies, procedures and objectives. 2. Attends variety of meetings, conferences, seminars as required or directed. 3. Demonstrates use of Quality Improvement in daily operations. 4. Complies with all health and safety regulations and requirements. 5. Respects diverse views and approaches, demonstrates Standards of Respect, and contributes to creating and maintaining an environment of professionalism, tolerance, civility and acceptance toward all employees, patients and visitors. 6. Maintains, regular, reliable, and predictable attendance. 7. Performs other similar and related duties as required or directed. All responsibilities are essential job functions. II. Position Qualifications: License/Certification/Education: Required: 1. Current Massachusetts Nursing licensure and registration. 2. BLS is a requirement for every RN unless advance cardiac life support (ACLS) certification is current, in addition to any unit specific certifications and competencies. Preferred : 1. Bachelor of Science degree in Nursing highly preferred. Experience/Skills: Required: 1. Thorough knowledge of the discipline of Nursing. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability or protected veteran status. We’re striving to make respect a part of everything we do at UMass Memorial Health – for our patients, our community and each other. Our six Standards of Respect are: Acknowledge, Listen, Communicate, Be Responsive, Be a Team Player and Be Kind. If you share these Standards of Respect, we hope you will join our team and help us make respect our standard for everyone, every day. As an equal opportunity and affirmative action employer, UMass Memorial Health recognizes the power of a diverse community and encourages applications from individuals with varied experiences, perspectives and backgrounds. All qualified applicants will receive consideration for employment without regard to race, color, religion, gender, sexual orientation, national origin, age, disability, gender identity and expression, protected veteran status or other status protected by law. If you are unable to submit an application because of incompatible assistive technology or a disability, please contact us at talentacquisition@umassmemorial.org. We will make every effort to respond to your request for disability assistance as soon as possible.

RN

Per Diem

Registered Nurse, Periop Svc Float, Per Diem, Varied Shifts, Weekend, Weekday, and Holiday call as needed

apartment Heywood Healthcare location_onGardner, MA

Overview You Matter Here! Heywood Healthcare values our employees! We offer competitive wages, great benefits and generous earned time off. Come work where you will matter! Hours: Per Diem, Varied Shifts, Weekend, Weekday, and Holiday call as needed Job Summary Endoscopy RN is a valuable member of the Perioperative, Endoscopy, and Surgical team. Responsibilities of an Endoscopy RN include, but are not limited to, checking patients in upon their arrival to Perioperative Services, initiating peripheral IV, completing medication reconciliation, providing teaching, assisting with positioning for procedure, administering and monitoring moderate sedation as needed per policy, assisting with endoscopic procedures, and specimen collection. Responsibilities Essential Functions Assesses (and reassesses), plans, implements, and evaluates nursing interventions/plans of care/patient goals. Provides patient care based on standards of care, standards of practice, protocols, and established policies and procedures. Respects each patient as an individual; provides care that fosters the patient’s sense of dignity and positive self-regard. Provides patient/family teaching based on identified learning needs, readiness to learn, and barriers to learning. Collaboratively plans and prepares patient/family for discharge incorporating support systems/resources as necessary. Appropriately delegates and supervises nursing interventions performed by others. Appropriately prioritizes patient care (e.g. seeks assistance as needed from appropriate resources, reassigns personnel as necessary, recognizes need for emergency intervention, etc.). Provides thorough, timely, and accurate documentation of all pertinent data, therapeutic interventions and patient responses according to established standards. Provides timely and thorough report on assigned patients to other health care team members to ensure integration of services and continuity of patient care. Promotes learning for colleagues and self (e.g. functions as preceptor, instructor, trainer, attends professional development programs, etc.). Proactively identifies risk to patient safety and identifies opportunities to reduce medical/health care errors (i.e. appropriate reporting of errors/incidents). Identifies ethical issues in care and develops plan to address. Safely administers medications and intravenous therapy in accordance with physician’s orders, protocols, policies and procedures. Assesses patient pain level upon admission and as necessary, depending upon diagnosis utilizing the numerical pain scale. Reassesses effectiveness of pain control and notifies physicians as needed, as well as, documents assessment and patients’ response to medication. Responsible for obtaining supporting information and completing required documentation related to medication reconciliation for use by the Attending MD. Performs pre-admission testing on Surgical Day Care patients. Performs nursing assessment and coordinates and performs ancillary testing for patients undergoing day surgery including performing blood draws and EKG's. Reviews pre-operative orders and consults with the surgeon and/or anesthesiologist as necessary to assure appropriate tests are ordered per guidelines. Reviews test results, checks for abnormal results and communicates abnormalities to the surgeon, anesthesiologist and/or primary physician prior to surgery. Reviews preoperative chart for completeness verifying that all paperwork is present and complete preoperatively, such as consent form, H&P, and lab results. Provides emotional support to patients undergoing a change in body image and/or activity level due to surgery. Initiates and documents post-operative phone calls to SDC patients. Safely administers intravenous therapy to support the patients’ treatment plan. Initiates and administers IV's, without errors or complications, in accordance with physician orders and nursing policy and procedure. Observes and documents patients' response to intravenous therapy. Continuously monitors post operative patients to ensure safety while recovering from anesthesia. Monitors and observes patients during the recovery phase of general or regional anesthesia. Monitors for potential problems/complications immediately post operatively, giving special attention to oxygenation, ventilation, circulation and temperature. Supports the perioperative plan of care through implementation of the recovery plan of care for the patient. Demonstrates knowledge of dosage, action, use and side effects of medications commonly used during anesthesia. Checks patient dressing, is alert for signs of unusual bleeding and administers ice packs PRN. Provides communication to all team members to ensure continuum of patient care during the perioperative process. Provides a comprehensive patient summary to the staff accepting the patient in transfer or providing temporary coverage. Collaborates with surgeons, anesthesiologists and nursing staff to provide continuum of care during perioperative process. Safely administers blood and blood products to replace loss during surgery. Administers and monitors patients receiving blood and blood products as well as observes and documents patients' response to blood transfusions. Documents, accurately and thoroughly, blood administration according to nursing policy and procedure. Responsible for obtaining supporting information and completing required documentation related to medication reconciliation for use by the Attending MD. Statement of Other Duties: This document describes the major duties and responsibilities for this job, and is not intended to be a complete list of all tasks and functions. It should be understood, therefore, that employees may be asked to perform job-related duties beyond those explicitly described. Physical Requirements: Exerts 20 to 50 pounds of force occasionally, and/or 10 to 25 pounds of force frequently, and/or greater than negligible up to 10 pounds of force constantly to move objects. Frequently reaches (extending hands and arms in any direction), handles (seizing, holding, grasping, turning, or working with hands), and feels (perceiving attributes of items such as size, shape, temperature, or texture by means of fingertips). Occasionally stoops (bending the body downward and forward by bending the spine at the waist), and kneels (bending the legs at knee to come to rest on knee or knees). Organizational Expectations Behavioral Attributes:The following behavioral attributes are required: achievement, motivation, concern for order, flexibility, initiative, self-confidence, customer service oriented, interpersonal effectiveness, teamwork, analytical thinking and information seeking. Qualifications Job Requirements Minimum Education Graduate of an accredited school of nursing Minimum Work Experience Minimum 1 year of Med/Surg, ICU, ED or peri-operative services experience. Minimum 6 months of recent PACU, SDC or radiology experience preferred. Minimum Licenses and Certifications Current RN license in MA Current AHA ACLS and PALS certifications are required. Required Skills Excellent communication, critical care and critical thinking skills are a must. Must take call per PACU rotation.

RN

Full-time

Registered Nurse

apartment BAMSI location_onWorcester, MA

$36 - $37 / YEAR

Pay Range: $36.50/hr - $37.50/hr (plus, shift differentials when applicable) Schedule: 8 hrs- Sat 4p-12a AUGUST & SEPTEMBER INCENTIVE: $10,000 SIGN-ON BONUS OR WE’LL PAY YOUR RENT/MORTGAGE FOR 3 MONTHS! Who We Are: Founded in Brockton, MA in 1975, BAMSI is a 501(c)3 nonprofit organization “bringing people and services together.” Over the years, we have become one of the most trusted organizations working with children, families, individuals, and seniors to enrich their lives. At its core, BAMSI is about building connections with people and services. Each year, our organization impacts the lives of more than 50,000 individuals . BAMSI’s mission is to meet each person where they are so they can learn, grow, and thrive. BAMSI is committed to Diversity, Equity, Inclusion, Justice, and Accessibility; to creating a holistic system of care; and to abolishing the stigmas surrounding mental illness, disability, and addiction. Why BAMSI: When you join BAMSI's nursing team, you join a group of dedicated care givers, both RN's and LPN's who enjoy making lives better through hands on, personalized direct care that challenge critical thinking, analytical abilities, and support for wellness. Hear what some of our employees have to say about their career journey with BAMSI. Meet, Jamie! What We Offer: (Benefits available for 30+ hours / Limited benefits available

RN

OR

Full-time

Registered Nurse, OR, 30-Hour, Days, With Call

apartment Heywood Healthcare location_onGardner, MA

Overview You Matter Here! Heywood Healthcare values our employees! We offer competitive wages, great benefits and generous earned time off. Come work where you will matter! This job may be eligible for a $12,500 Sign-On Bonus! Hours: 30-Hour, Days, With Call Job Summary: Operating Room (OR) RN is a valuable member of Perioperative and Surgical team. Responsibilities of the OR RN include, but are not limited to, circulating and scrubbing in surgical cases, monitoring patients and administering moderate sedation in select cases per Heywood Hospital’s moderate sedation policy. OR RN takes call per operating room rotation as required by the operational needs. Responsibilities Essential Functions Conducts interactions with everyone in a friendly, courteous and respectful manner. Goes out of his/her way to offer assistance to others. If he/she cannot offer assistance, then finds someone who can. Advocates to ensure privacy and confidentiality while helping others to maintain awareness. Maintains a clean and safe hospital. Responds appropriately and immediately in emergency situations. Maintains a safe and healthy environment for patients, visitors, and/or staff to provide the highest level of physical comfort, and minimize risk and injury. Ensures compliance with regulations to maintain accreditation and licensure. Complies with the Hospital Attendance and Tardiness Policy. Completed all Hospital and Department Specific Mandatory requirements in the prior calendar year. Reports Incidents in a timely and effective manner. All employees with direct patient contact are responsible for actively engaging in the practice of, monitoring and enforcing compliance to hand hygiene. Assesses (and reassesses), plans, implements, and evaluates nursing interventions/plans of care/patient goals. Provides patient care based on standards of care, standards of practice, protocols, and established policies and procedures. Respects each patient as an individual; provides care that fosters the patient’s sense of dignity and positive self-regard. Provides patient/family teaching based on identified learning needs, readiness to learn, and barriers to learning. Collaboratively plans and prepares patient/family for discharge incorporating support systems/resources as necessary. Appropriately delegates and supervises nursing interventions performed by others. Appropriately prioritizes patient care (e.g. seeks assistance as needed from appropriate resources, reassigns personnel as necessary, recognizes need for emergency intervention, etc.). Provides thorough, timely, and accurate documentation of all pertinent data, therapeutic interventions and patient responses according to established standards. Provides timely and thorough report on assigned patients to other health care team members to ensure integration of services and continuity of patient care. Promotes learning for colleagues and self (e.g. functions as preceptor, instructor, trainer, attends professional development programs, etc.). Proactively identifies risk to patient safety and identifies opportunities to reduce medical/health care errors (i.e. appropriate reporting of errors/incidents). Identifies ethical issues in care and develops plan to address. Safely administers medications and intravenous therapy in accordance with physician’s orders, protocols, policies and procedures. Assesses patient pain level upon admission and as necessary, depending upon diagnosis utilizing the numerical pain scale. Reassesses effectiveness of pain control and notifies physicians as needed, as well as, documents assessment and patients’ response to medication. Responsible for obtaining supporting information and completing required documentation related to medication reconciliation for use by the Attending MD. Collaborates with surgeon, anesthesiologist, clinical coordinator and surgical technicians to assure the patients’ well being during surgical intervention. Maintains sterile fields and directs the correct care, handling, and sterilization of sterile supplies and instruments. Identifies patients correctly by checking patient identification bands and consent forms as well as verifying operative procedure and site before taking patients to the operating room. Applies principles of aseptic practice, oversees the selection and preparation of supplies, equipment and instrumentation to all surgical cases. Applies principles of body mechanics and adapts them to various situations during positioning and transfer of patients. Assures that all techniques and practices carried out during the surgical procedure are accurate and reflect standards of perioperative practice. Maintains sponge, needle and instrument counts according to policies and procedures, including notifying the surgeon of the result of the counts. Identifies, labels, cares for and handles all specimens and cultures according to established policy and procedure. Statement of Other Duties This document describes the major duties and responsibilities for this job, and is not intended to be a complete list of all tasks and functions. It should be understood, therefore, that employees may be asked to perform job-related duties beyond those explicitly described. Physical Requirements : Exerts 20 to 50 pounds of force occasionally, and/or 10 to 25 pounds of force frequently, and/or greater than negligible up to 10 pounds of force constantly to move objects. Frequently reaches (extending hands and arms in any direction), handles (seizing, holding, grasping, turning, or working with hands), and feels (perceiving attributes of items such as size, shape, temperature, or texture by means of fingertips). Occasionally stoops (bending the body downward and forward by bending the spine at the waist), and kneels (bending the legs at knee to come to rest on knee or knees). Organizational Expectations Behavioral Attributes The following behavioral attributes are required: achievement motivation, concern for order, flexibility, initiative, self-confidence, customer service oriented, interpersonal effectiveness, teamwork, analytical thinking and information seeking. Qualifications Qualifications : Current MA RN License required. ACLS upon hire OR must hold an active BLS card and obtain AHA ACLS within 60 days of hire. Recent OR experience required. CNOR preferred. Excellent communication and critical thinking skills required. Must take call per unit rotation.

RN

OR

Full-time

Are you a current UMass Memorial Health caregiver? Apply now through Workday. Exemption Status: Non-Exempt Schedule Details: Holidays - Every Third Holiday, Weekends - Every Third Weekend Scheduled Hours: 7pm-7:30am Shift: 3 - Night Shift, 12 Hours (United States of America) Hours: 24 Cost Center: 10020 - 0201 Nurs 4Th Floor West Union: MNA-University (Massachusetts Nurses Association) This position may have a signing bonus available a member of the Recruitment Team will confirm eligibility during the interview process. Everyone Is a Caregiver At UMass Memorial Health, everyone is a caregiver – regardless of their title or responsibilities. Exceptional patient care, academic excellence and leading-edge research make UMass Memorial the premier health system of Central Massachusetts, and a place where we can help you build the career you deserve. We are more than 20,000 employees, working together as one health system in a relentless pursuit of healing for our patients, community and each other. And everyone, in their own unique way, plays an important part, every day. I. Major Responsibilities: 1. Utilizes the Nursing Process for the delivery and management of patient’s care from Admission to Discharge, appropriate to the developmental age of the patient population. 2. Performs patient assessment/reassessment according to standard procedure. 3. Develops and coordinates individual plan of care including discharge planning. 4. Directs, supervises, coordinates and evaluate nursing care within assigned clinical setting. 5. Delegates appropriately to others in accordance with job description and competency level. II. Position Qualifications: License/Certification/Education: Required: 1. Current Massachusetts Nursing licensure and registration. 2. BLS is a requirement for every RN unless advance cardiac life support (ACLS) certification is current, in addition to any unit specific certifications and competencies. Preferred : 1. Bachelor of Science degree in Nursing highly preferred. Experience/Skills: Required: 1. Thorough knowledge of the discipline of Nursing. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability or protected veteran status. We’re striving to make respect a part of everything we do at UMass Memorial Health – for our patients, our community and each other. Our six Standards of Respect are: Acknowledge, Listen, Communicate, Be Responsive, Be a Team Player and Be Kind. If you share these Standards of Respect, we hope you will join our team and help us make respect our standard for everyone, every day. As an equal opportunity and affirmative action employer, UMass Memorial Health recognizes the power of a diverse community and encourages applications from individuals with varied experiences, perspectives and backgrounds. All qualified applicants will receive consideration for employment without regard to race, color, religion, gender, sexual orientation, national origin, age, disability, gender identity and expression, protected veteran status or other status protected by law. If you are unable to submit an application because of incompatible assistive technology or a disability, please contact us at talentacquisition@umassmemorial.org. We will make every effort to respond to your request for disability assistance as soon as possible.

RN

Per Diem

RN Care Coordinator, Case Management, Per Diem, Days and Weekends

apartment Heywood Healthcare location_onGardner, MA

Overview You Matter Here! Heywood Healthcare values our employees! We offer competitive wages, great benefits and generous earned time off. Come work where you will matter! Hours: Per Diem, Days and Weekends Responsibilities Essential Functions: Utilization Management- Utilization Review and Care Transitions & Coordination Providing clinical information to payers, monitoring length of stay, seeking necessary care authorizations and utilizing the InterQual Program; appealing denials as indicated within a timely fashion. Reviews all new admissions and Observation patients within 24 hours of admission against High Risk Screening Criteria and documents outcome within the UM EMR. Completes assessments on re-admissions within 30 days including reasoning for re-admission documents findings and provides data to the department for stratifying data. Follows-up on lack of documentation for medical necessity, supporting documentation with discipline identified. Trackand trend opportunities for improvement resulting in late Insurance Reviews, longer lengths of stay; including educating providers to Interqual Criteria used for determining Admission or Observation status. Completes utilization reviews daily and/or as required by insurer, (concurrent and retro) for medical and/or psychiatric appropriateness according to Hospital's approved criteria timely and efficiently. Assesses, intervenes, evaluates and determines level of care to establish accurate admission and/or observation status; demonstrates basic knowledge of DRG reimbursement, evidenced by standardized measures for length of stay and acuity level status designation. Demonstrates clinical expertise specific to the issuance of ABN/HINN notice to patients and/or legal significant other and care progression. Keeping physician and team informed of status change and documenting status. Provides education and information to patient, family and care providers as it pertains to continuing care, care management, LOS, re-hospitalization and assure understanding of disease management Multidisciplinary Team Rounds-participates in discharge planning rounds daily. Works collaboratively with multidisciplinary team to determine each patient's needs concurrently including post-acute care when needed; addresses LOS issues, appropriate leveling of patient status; addressespotential needs, resources, referrals for other disciplines etc. Quality & Statistical Data: Reviews medical record for abnormal findings,complications, delays and deviations from expected clinical outcomes reports such to Provider and/or Director to maintain an efficient, cost effective episode of care for each patient and documents intervention provided. Acquires knowledge to keep up with changes in technology and regulations. Utilizes knowledge to redesign systems for improving performance. Continuously prioritizes projects, activities, and tasks to ensure deadlines and customer needs are met. Assists with preparation of reports/statistics as it pertains to staff specific workflow. Denials/Appeal Process: Completes assessment of denial within 1 week providing supporting documentation with outcome of review; documents intervention in the UR EMR section. Prepare written appeal letters, termination letters, discharge notices, MOON and IMs when appropriate as per regulatory standards and department policies. Report any variances, trends to director. Submits denials/appeals when completed to the department secretary for processing. Discharge Planning:Communication: builds rapport and responds to needs of physician, reviewers for managed care plans, healthcare team members, 3rd party payers, outside reviewers and vendors to enhance internal and external customer service satisfaction. Responsible for completing nursing sections of the SNF Level of Care forms for Mass Health patients in need of care SNF placement, timely and efficiently and other forms assisting in transition of care as identified and collaborates with the social worker. In the event of an emergency, Care Coordinator may complete the form in full and process it to help expedite discharge planning process and length of stay. The Discharge Planning Process:Completes discharge planning assessments timely, efficiently and completely following regulatory standards and departmental policies assuring appropriate patient flow. Appropriately levels patient for home discharge with or without services or to another type of facility such as a SNF, Acute Rehab etc. Develops coordinates and implements discharge plan on cases assigned with patient and/or family/so caregiver. Identifying patient preference and selection choice for HHA/SNF placements having patient preference form checked off and signed/dates by patient and/or so. When plan is in place, notify provider establish and determine anticipated readiness for discharge, keeping patient/family/so informed and documenting such in the EMR. Closes case out using appropriate forms for transition of care communication timely and efficiently. The Care Coordinator collaborates with the team to assist the Multidisciplinary Team in providing discharge planning activities to assist in expediting a patient’s discharge as part of the care transitions process. It is the expectation that the Care Coordinator remains current and proficient in the discharge planning process in the event coverage is needed. Performs any and all other duties as assigned by director and/or designee. Statement of Other Duties: This document describes the major duties and responsibilities for this job, and is not intended to be a complete list of all tasks and functions. It should be understood, therefore, that employees may be asked to perform job-related duties beyond those explicitly described. Functional Demands Physical Requirements: Exerts 20 to 50 pounds of force occasionally, and/or up to 10 to 25 pounds of force frequently, and/or greater than negligible up to 10 pounds of force constantly to move objects. Frequently reaches (extending hands and arms in any direction), handles (seizing, holding, grasping, turning, or working with hands), and feels (perceiving attributes of items such as size, shape, temperature or texture by means of fingertips). Occasionally stoops (bending the body downward and forward by bending the spine at the waist), and kneels (bending the legs at knee to come to rest on knee or knees). Organizational Expectations Behavioral Attributes: The following behavioral attributes are required: achievement motivation, flexibility, concern for order, initiative, self-confidence, self control, customer service orientation, interpersonal effectiveness, teamwork and information seeking. Qualifications Job Requirements Minimum Education BSN preferred Minimum Work Experience Previous UR/QA experienced required 2 years of healthcare experience within the Acute Care, SNF, HHA, Behavioral Health and/or Insurance Industry preferred Minimum License and Certifications Current Massachusetts Registered Nurse License Required Skills Interqual experience or equivalent preferred Meditech Expanse experience preferred Proficient computer skills required Must have effective written, verbal and interpersonal communication skills Excellent critical thinking Ability to multitask and flexibility essential Discharge planning experience as it pertains to the care transitions, referral process, patient preference/choice services, patient & family satisfaction, post discharge follow-up etc.

RN

ICU

Per Diem

Registered Nurse, ICU, Per Diem, Nights, All shifts, 7:00am - 7:30pm or 7:00pm - 7:30am

apartment Heywood Healthcare location_onGardner, MA

Overview You Matter Here! Heywood Healthcare values our employees! We offer competitive wages, great benefits and generous earned time off. Come work where you will matter! Hours: Per Diem, Nights, All shifts, 7:00am - 7:30pm or 7:00pm - 7:30am Job Summary: Under the supervision of the Nurse Manager, or designee, the Registered Nurse functions as a professional participant in the health care team who provides direct and indirect care to patients, families, and significant others utilizing the nursing process in accordance with the philosophy, goals, and objectives of Nursing Services. Responsibilities ESSENTIAL FUNCTIONS Assesses (and reassesses), plans, implements, and evaluates nursing interventions/plans of care/patient goals. Provides patient care based on standards of care, standards of practice, protocols, and established policies and procedures. Respects each patient as an individual; provides care that fosters the patient’s sense of dignity and positive self-regard. Provides patient/family teaching based on identified learning needs, readiness to learn, and barriers to learning. Collaboratively plans and prepares patient/family for discharge incorporating support systems/resources as necessary Appropriately delegates and supervises nursing interventions performed by others. Appropriately prioritizes patient care (e.g. seeks assistance as needed from appropriate resources, reassigns personnel as necessary, recognizes need for emergency intervention, etc.). Provides thorough, timely, and accurate documentation of all pertinent data, therapeutic interventions and patient responses according to established standards. Provides timely and thorough report on assigned patients to other health care team members to ensure integration of services and continuity of patient care. Promotes learning for colleagues and self (e.g. functions as preceptor, instructor, trainer, attends professional development programs, etc.). Proactively identifies risk to patient safety and identifies opportunities to reduce medical/health care errors (i.e. appropriate reporting of errors/incidents). Identifies ethical issues in care and develops plan to address. Safely administers medications and intravenous therapy in accordance with physician’s orders, protocols, policies and procedures. Assesses patient pain level upon admission and as necessary, depending upon diagnosis utilizing the numerical pain scale. Reassesses effectiveness of pain control and notifies physicians as needed, as well as, documents assessment and patients’ response to medication. Performs accurate and timely identification of cardiac arrhythmias. Performs accurate and timely interpretation of EKG configuration changes (i.e. PR interval, ST segment). Institutes, monitors, and documents thrombolytic and anticoagulation therapy standards and protocols. Demonstrates knowledge of mechanical ventilation (e.g. modes, settings, and adjuncts associated with mechanical ventilation. Demonstrates skills associated with initiation, maintenance, and care of the intubated patient including, suctioning, troubleshooting, and weaning. Accurately interprets arterial blood gases, pulse oximetry, and clinical features of impaired gas exchange and/or airway clearance. Demonstrates understanding hemodynamic monitoring procedures, sets up equipment, assists with arterial artery and central vein cannulation. Safely administers vasoactive medications demonstrating understanding of dosage, action, use, side effects, and titration parameters associated with maintenance of critical drips. Provides ongoing assessment and monitoring of the patient in the immediate post-operative phase according to established standards and protocols. Demonstrates appropriate interventions related to potential problems/complications during the recovery phase of general, regional, spinal, or conscious sedation. Responsible for obtaining supporting information and completing required documentation related to medication reconciliation for use by the Attending MD. Responsible for implementing components of the VAP bundle consistently and per protocol. Responsible for alerting the Nurse Manager/Director/Nursing Supervisor if there is a deviation from VAP bundle by Attending MD for case review and follow up as indication. Participates actively in daily multi-disciplinary rounds for planning, coordinating, implementing and evaluating patient care. Statement of Other Duties This document describes the major duties and responsibilities for this job, and is not intended to be a complete list of all tasks and functions. It should be understood, therefore, that employees may be asked to perform job-related duties beyond those explicitly described. FUNCTIONAL DEMANDS Physical Requirements:Exerts 20 to 50 pounds of force occasionally, and/or 10 to 25 pounds of force frequently, and/or greater than negligible up to 10 pounds of force constantly to move objects. Frequently reaches (extending hands and arms in any direction), handles (seizing, holding, grasping, turning, or working with hands), and feels (perceiving attributes of items such as size, shape, temperature, or texture by means of fingertips). Occasionally stoops (bending the body downward and forward by bending the spine at the waist), and kneels (bending the legs at knee to come to rest on knee or knees). ORGANIZATIONAL EXPECTATIONS Behavioral Attributes:The following behavioral attributes are required: achievement motivation, concern for order, flexibility, initiative, self-confidence, customer service oriented, interpersonal effectiveness, teamwork, analytical thinking and information seeking. Qualifications JOB REQUIREMENTS Minimum Education• Graduate of accredited school of nursing Minimum Work Experience• 1 yr med-surge experience preferred• Previous telemetry experience preferred• ICU experience preferred Minimum Licenses and Certifications Current MA Registered Nurses license ACLS upon hire OR must hold an active BLS card and obtain AHA ACLS within 60 days of hire CCRN preferred

RN

ICU

Other

Registered Nurse, ICU, Per Diem, Nights, All shifts, 7:00am - 7:30pm or 7:00pm - 7:30am, Varied schedule, Monday-Sunday

apartment Heywood Healthcare location_onGardner, MA

Overview You Matter Here! Heywood Healthcare values our employees! We offer competitive wages, great benefits and generous earned time off. Come work where you will matter! Hours: Per Diem, Nights, All shifts, 7:00am - 7:30pm or 7:00pm - 7:30am, Varied schedule, Monday-Sunday Hourly Rate: $37.26 - $76.63 Job Summary: Under the supervision of the Nurse Manager, or designee, the Registered Nurse functions as a professional participant in the health care team who provides direct and indirect care to patients, families, and significant others utilizing the nursing process in accordance with the philosophy, goals, and objectives of Nursing Services. Responsibilities ESSENTIAL FUNCTIONS Assesses (and reassesses), plans, implements, and evaluates nursing interventions/plans of care/patient goals. Provides patient care based on standards of care, standards of practice, protocols, and established policies and procedures. Respects each patient as an individual; provides care that fosters the patient’s sense of dignity and positive self-regard. Provides patient/family teaching based on identified learning needs, readiness to learn, and barriers to learning. Collaboratively plans and prepares patient/family for discharge incorporating support systems/resources as necessary Appropriately delegates and supervises nursing interventions performed by others. Appropriately prioritizes patient care (e.g. seeks assistance as needed from appropriate resources, reassigns personnel as necessary, recognizes need for emergency intervention, etc.). Provides thorough, timely, and accurate documentation of all pertinent data, therapeutic interventions and patient responses according to established standards. Provides timely and thorough report on assigned patients to other health care team members to ensure integration of services and continuity of patient care. Promotes learning for colleagues and self (e.g. functions as preceptor, instructor, trainer, attends professional development programs, etc.). Proactively identifies risk to patient safety and identifies opportunities to reduce medical/health care errors (i.e. appropriate reporting of errors/incidents). Identifies ethical issues in care and develops plan to address. Safely administers medications and intravenous therapy in accordance with physician’s orders, protocols, policies and procedures. Assesses patient pain level upon admission and as necessary, depending upon diagnosis utilizing the numerical pain scale. Reassesses effectiveness of pain control and notifies physicians as needed, as well as, documents assessment and patients’ response to medication. Performs accurate and timely identification of cardiac arrhythmias. Performs accurate and timely interpretation of EKG configuration changes (i.e. PR interval, ST segment). Institutes, monitors, and documents thrombolytic and anticoagulation therapy standards and protocols. Demonstrates knowledge of mechanical ventilation (e.g. modes, settings, and adjuncts associated with mechanical ventilation. Demonstrates skills associated with initiation, maintenance, and care of the intubated patient including, suctioning, troubleshooting, and weaning. Accurately interprets arterial blood gases, pulse oximetry, and clinical features of impaired gas exchange and/or airway clearance. Demonstrates understanding hemodynamic monitoring procedures, sets up equipment, assists with arterial artery and central vein cannulation. Safely administers vasoactive medications demonstrating understanding of dosage, action, use, side effects, and titration parameters associated with maintenance of critical drips. Provides ongoing assessment and monitoring of the patient in the immediate post-operative phase according to established standards and protocols. Demonstrates appropriate interventions related to potential problems/complications during the recovery phase of general, regional, spinal, or conscious sedation. Responsible for obtaining supporting information and completing required documentation related to medication reconciliation for use by the Attending MD. Responsible for implementing components of the VAP bundle consistently and per protocol. Responsible for alerting the Nurse Manager/Director/Nursing Supervisor if there is a deviation from VAP bundle by Attending MD for case review and follow up as indication. Participates actively in daily multi-disciplinary rounds for planning, coordinating, implementing and evaluating patient care. Statement of Other Duties This document describes the major duties and responsibilities for this job, and is not intended to be a complete list of all tasks and functions. It should be understood, therefore, that employees may be asked to perform job-related duties beyond those explicitly described. FUNCTIONAL DEMANDS Physical Requirements:Exerts 20 to 50 pounds of force occasionally, and/or 10 to 25 pounds of force frequently, and/or greater than negligible up to 10 pounds of force constantly to move objects. Frequently reaches (extending hands and arms in any direction), handles (seizing, holding, grasping, turning, or working with hands), and feels (perceiving attributes of items such as size, shape, temperature, or texture by means of fingertips). Occasionally stoops (bending the body downward and forward by bending the spine at the waist), and kneels (bending the legs at knee to come to rest on knee or knees). ORGANIZATIONAL EXPECTATIONS Behavioral Attributes:The following behavioral attributes are required: achievement motivation, concern for order, flexibility, initiative, self-confidence, customer service oriented, interpersonal effectiveness, teamwork, analytical thinking and information seeking. Qualifications JOB REQUIREMENTS Minimum Education• Graduate of accredited school of nursing Minimum Work Experience• 1 yr med-surge experience preferred• Previous telemetry experience preferred• ICU experience preferred Minimum Licenses and Certifications Current MA Registered Nurses license ACLS upon hire OR must hold an active BLS card and obtain AHA ACLS within 60 days of hire CCRN preferred

RN

ER

Part-time

Registered Nurse, Emergency Department,, 24hrs 7p-7:30a

apartment UMass Memorial Health location_onLeominster, MA

Are you a current UMass Memorial Health caregiver? Apply now through Workday. Exemption Status: Non-Exempt Schedule Details: Holidays - Every Third Holiday, Weekends - Every Third Weekend Scheduled Hours: 7:00p-7:30a Shift: 3 - Night Shift, 12 Hours (United States of America) Hours: 24 Cost Center: 24050 - 2340 Emergency Room Union: MNA-HealthAlliance Leominster (Massachusetts Nurses Association) This position may have a signing bonus available a member of the Recruitment Team will confirm eligibility during the interview process. Everyone Is a Caregiver At UMass Memorial Health, everyone is a caregiver – regardless of their title or responsibilities. Exceptional patient care, academic excellence and leading-edge research make UMass Memorial the premier health system of Central Massachusetts, and a place where we can help you build the career you deserve. We are more than 20,000 employees, working together as one health system in a relentless pursuit of healing for our patients, community and each other. And everyone, in their own unique way, plays an important part, every day. NEW, increased hourly rates! $9K sign on bonus! A member of the talent acquisition team will provides details on eligibility during the interview process. HealthAlliance-Clinton Hospital is part of the UMass Memorial Health Care system. Serving northern central Massachusetts, we are committed to improving the health of people through excellence in care and comprehensive health services. By exploring careers with us, you are committed to giving your best to our patients, our community and everyone working on our HealthAlliance-Clinton Hospital Care Team. Whatever your career choice, know that at HealthAlliance-Clinton Hospital you can make a difference. GENERAL SUMMARY: The Registered Nurse is responsible for the planning, delivery and management of direct patient care using the nursing process and adhering to the standards of nursing practice within a specific unit or clinical area. PRINCIPAL DUTIES AND ESSENTIAL FUNCTIONS: Nursing Process: Utilizes the nursing process for the delivery and management of patient’s care. Maintains assignment of patients and caseload according to unit guidelines and established standards of practice. Uses positive customer service skills when communicating with patient and patient’s family. Utilizes the nursing process for the delivery and management of the patient’s care. Utilizes clinical reasoning and critical thinking. Involves patient, family/significant others and other disciplines in decision making related to the patient’s plan of care. Serves as a patient and family advocate. Implements interventions consistent with hospital standards of practice and prescribed medical plan of care and evidence based practice . Documents the patient assessment, plan of care, and response to intervention. Meets all unit documentation standards. Communicates and coordinates the patient’s plan of care to ensure continuity of care. Maintains competency in management of clinical emergencies. Provides complete communications in SBAR format (Situation, background, assessment, recommendations) to relieving staff members and demonstrates advanced planning for the patient. Navigates through the critical elements of the patient medical record software and HealthAlliance-Clinton Hospital Intranet. Clinical Practice: Demonstrates/applies the skill and judgment necessary to implement the medical/nursing plan of care, nursing interventions and procedures necessary for the care of the patient. Bases clinical practice on evidence, unit guidelines, and professional standards to improve the quality of care and to guide clinical judgments. Demonstrates essential knowledge of pharmacology/medications in administering drugs and monitoring the patient’s response. Maintains competency with technology and equipment. Utilizes equipment in a safe manner. Uses appropriate infection control and safety practices in all duties. Acts as a charge nurse as requested by the nursing management team. Collaboration: Delegates responsibilities to others according to Massachusetts general laws and practice guidelines with an understanding of their roles, knowledge and capabilities. Facilitates cooperative and collaborative relationships among the various disciplines and departments to ensure effective quality patient care. Works weekends, holidays and off-shifts as required by unit staffing needs. Climate: Influences others by establishing a climate for optimal patient care, mutually supportive collegial relationships and professional development. Holds self accountable for professional practice. Presents self in a calm and professional manner and effectively verbalizes relevant problems during daily interactions, and/or staff meetings. Interacts and copes effectively with diverse populations in stressful situations resulting from trauma and illness. Participates in performance improvement activities utilizing principles to support and improve patient care. Demonstrates knowledge of unit goals and is active in committees and projects to achieve these goals. Attends and actively participates in staff meetings. Accepts responsibility for reading staff meeting minutes when not able to attend. Keeps current with literature regarding changing practices, interventions and best practices in patient care. Assumes responsibility for seeking out educational and professional opportunities for personal learning needs and growth. Assumes responsibility for meeting mandatory education requirements and unit specific education and competencies. Acts as a preceptor as requested. Job duties for all positions: The individual must support the mission, vision, and goals of HealthAlliance-Clinton Hospital and serves as a role model for the CARES - It Happens Here customer service initiative. Demonstrates excellent work attendance and attends and actively participates in a variety of meetings and training sessions as required. Demonstrates a friendly, responsive, service-minded attitude to all customers. Communicates ideas effectively. Shares information and keeps others properly informed. Gives, and is open to useful feedback. Adheres to the HealthAlliance-Clinton Hospital Code of Conduct and Behavior Standards. Complies with established policies and procedures and all health and safety requirements. Maintains, and fosters, a clean, safe work environment. Actively contributes to the development and application of process improvements. Maintains a collaborative, team relationship with peers and colleagues in order to effectively contribute to the group’s achievement of goals and to help foster a positive work environment. Demonstrates respect for the diversity of patient and employee populations. Supports and encourages diverse points of view, work and lifestyles. Practices cost containment and fiscal responsibility through the efficient use of supplies, equipment, time, etc. Performs a variety of related duties as assigned. JOB REQUIREMENTS : JOB KNOWLEDGE AND SKILLS: Possesses and applies the skills and knowledge necessary to provide care to patients throughout the life span, with consideration of aging process, human development stages and cultural patterns in each step of the care process. Ability to provide care for a designated group of patients according to the unit guidelines and hospital policies, procedures and protocols. Ability to lead, guide and motivate staff. Ability to read, write and speak clearly in English. EDUCATION: Must be a graduate of a recognized school of Nursing A Bachelor’s degree (BSN) in Nursing is preferred. EXPERIENCE: 2-3 years of Nursing experience preferred. An equivalent combination of education and experience, which provides proficiency in the areas of responsibility listed above, may be substituted for the above education and experience requirements . LICENSES, ETC.: Must have a current Massachusetts Registered Nurse License. Certification in a nursing specialty desired All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability or protected veteran status. We’re striving to make respect a part of everything we do at UMass Memorial Health – for our patients, our community and each other. Our six Standards of Respect are: Acknowledge, Listen, Communicate, Be Responsive, Be a Team Player and Be Kind. If you share these Standards of Respect, we hope you will join our team and help us make respect our standard for everyone, every day. As an equal opportunity and affirmative action employer, UMass Memorial Health recognizes the power of a diverse community and encourages applications from individuals with varied experiences, perspectives and backgrounds. All qualified applicants will receive consideration for employment without regard to race, color, religion, gender, sexual orientation, national origin, age, disability, gender identity and expression, protected veteran status or other status protected by law. If you are unable to submit an application because of incompatible assistive technology or a disability, please contact us at talentacquisition@umassmemorial.org. We will make every effort to respond to your request for disability assistance as soon as possible.

RN

Other

RN - Nurse-Worcester - M- F , 8.30 AM - 5:00 PM

apartment Fallon Health location_onWorcester, MA

Overview About us: Fallon Health is a company that cares. We prioritize our members--always-making sure they get the care they need and deserve. Founded in 1977 in Worcester, Massachusetts, we deliver equitable, high-quality coordinated care and are continually rated among the nation’s top health plans for member experience, service, and clinical quality. Fallon Health’s Summit ElderCare® is a Program of All-Inclusive Care for the Elderly–PACE for short. PACE, an alternative to nursing home care, is a program that helps people 55 and older continue living safely at home. At Fallon Health, we believe our individual differences, life experiences, knowledge, self-expression and unique capabilities allow us to better serve our members. We embrace and encourage differences in age, race, ethnicity, gender identity and expression, physical and mental ability, sexual orientation, socio-economic status and other characteristics that make people unique. Today, guided by our mission of improving health and inspiring hope, we strive to be the leading provider of government-sponsored health insurance programs—including Medicare, Medicaid, and PACE— in the region. Brief Summary of Purpose: Responsible for the effective management and delivery of direct nursing care to PACE participants in any setting utilizing nursing process and adhering to standards of nursing practice. Responsibilities Responsibilities : Reviews and implements Provider’s orders. Conducts nursing assessments according to policy guidelines including physical, psychosocial, behavioral, and MDS-HC as indicated. Involves participants and significant other(s) based on needs and abilities. Delivers care to participants in the home setting , including skilled services, based on individualized needs and according to age-appropriate nursing standards. Provides for cultural and diverse needs of participants when providing care. Monitors and evaluates therapeutic interventions. Participates in the development and ongoing review of each participant’s care plan. Delegates and or accepts participants’ care responsibilities to other members of the health care team, when appropriate. Identifies emergency situations and initiates appropriate nursing orders/interventions. Meets the needs of participants in a timely manner. Participates in the interdisciplinary team (IDT) process and collaborates with IDT members to meet the needs of participants. Consistently documents all aspects of participant care, including significant changes in health status, monthly nurses’ notes and health care teaching in the medical record. Participates in training and orientation of new nursing staff as assigned. Assists in the delivery of other nursing services as assigned. Participates in the nursing “on-call” rotation as assigned. Initiates and completes falls, infection, grievance and incident reports Active participant in the site specific committees. Participates in the post IDT huddle and any other additional meetings when required. Any additional tasks deemed necessary by the Clinical Nurse Manager and or Site Director. Assumes the role of the primary nurse, floor or triage nurse per the direction of the Clinical Nurse Manager or Site Director. Performs all duties in accordance with FCHP and Summit ElderCare policies and procedures. Functions independently to administer medications and treatments as ordered by the provider. Functions independently in the home care nurse role. Independent in performing a nursing assessment and executing the plan of care in all settings the participant may be in. Medication administration Performing bladder scans, EKG, Point of Care, and glucometer testing. Qualifications Education: Graduate of an accredited school of nursing License/Certifications: Current license as an RN in the state of Massachusetts CPR and Alzheimer’s certification, or willingness to be certified within 60 days of hire, is essential. Experience: At least two years of recent experience in the direct care of adults or chronically disabled persons, with at least one year caring for a frail or elderly population Ambulatory care or home care experience is helpful. Other: Reliable Transportation Required. Fallon Health provides equal employment opportunities to all employees and applicants for employment and prohibits discrimination and harassment of any type without regard to race, color, religion, age, sex, national origin, disability status, genetics, protected veteran status, sexual orientation, gender identity or expression, or any other characteristic protected by federal, state or local laws.

RN

Part-time

RN, 4th Floor, 24 Hours, Nights

apartment UMass Memorial Health location_onLeominster, MA

Are you a current UMass Memorial Health caregiver? Apply now through Workday. Exemption Status: Non-Exempt Schedule Details: Holidays - Every Other Holiday, Weekends - Every Other Weekend Scheduled Hours: 11:00pm-7:30am Shift: 3 - Night Shift, 8 Hours (United States of America) Hours: 24 Cost Center: 24050 - 0202 4Th Floor Union: MNA-HealthAlliance Leominster (Massachusetts Nurses Association) This position may have a signing bonus available a member of the Recruitment Team will confirm eligibility during the interview process. Everyone Is a Caregiver At UMass Memorial Health, everyone is a caregiver – regardless of their title or responsibilities. Exceptional patient care, academic excellence and leading-edge research make UMass Memorial the premier health system of Central Massachusetts, and a place where we can help you build the career you deserve. We are more than 20,000 employees, working together as one health system in a relentless pursuit of healing for our patients, community and each other. And everyone, in their own unique way, plays an important part, every day. Responsible for the planning, delivery and management of direct patient care utilizing the nursing process and adhering to the standards of nursing practice. I. Major Responsibilities: 1. Utilizes the Nursing Process for the delivery and management of patient’s care from Admission to Discharge, appropriate to the developmental age of the patient population. 2. Performs patient assessment/reassessment according to standard procedure. 3. Develops and coordinates individual plan of care including discharge planning. 4. Directs, supervises, coordinates and evaluate nursing care within assigned clinical setting. 5. Delegates appropriately to others in accordance with job description and competency level. 6. Documents patient care according to standard procedure. 7. Develops, implements/coordinates and documents Education Plan for patient/family/ significant other. 8. Ensures quality and continuity of care through collaboration with other health care providers. 9. Administers medications, performs treatments, therapies and operates equipment according to policy and procedure. Assists physician with treatment and procedures and special tests as required or directed. 10. Participates in and supports Nursing Governance activities. 11. Assumes responsibility for professional growth. Assists in education and development of staff. 12. Participates in performance improvement initiatives and demonstrate the use of quality improvement in daily operations. Standard Staffing Level Responsibilities: 1. Complies with established departmental policies, procedures and objectives. 2. Attends variety of meetings, conferences, seminars as required or directed. 3. Demonstrates use of Quality Improvement in daily operations. 4. Complies with all health and safety regulations and requirements. 5. Respects diverse views and approaches, demonstrates Standards of Respect, and contributes to creating and maintaining an environment of professionalism, tolerance, civility and acceptance toward all employees, patients and visitors. 6. Maintains, regular, reliable, and predictable attendance. 7. Performs other similar and related duties as required or directed. All responsibilities are essential job functions. II. Position Qualifications: License/Certification/Education: Required: 1. Current Massachusetts Nursing licensure and registration. 2. BLS is a requirement for every RN unless advance cardiac life support (ACLS) certification is current, in addition to any unit specific certifications and competencies. Preferred : 1. Bachelor of Science degree in Nursing highly preferred. Experience/Skills: Required: 1. Thorough knowledge of the discipline of Nursing. Unless certification, licensure or registration is required, an equivalent combination of education and experience which provides proficiency in the areas of responsibility listed in this description may be substituted for the above requirements. Department-specific competencies and their measurements will be developed and maintained in the individual departments. The competencies will be maintained and attached to the departmental job description. Responsible managers will review competencies with position incumbents. III. Physical Demands and Environmental Conditions: Work is considered medium. Position requires work indoors in a patient care environment. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability or protected veteran status. We’re striving to make respect a part of everything we do at UMass Memorial Health – for our patients, our community and each other. Our six Standards of Respect are: Acknowledge, Listen, Communicate, Be Responsive, Be a Team Player and Be Kind. If you share these Standards of Respect, we hope you will join our team and help us make respect our standard for everyone, every day. As an equal opportunity and affirmative action employer, UMass Memorial Health recognizes the power of a diverse community and encourages applications from individuals with varied experiences, perspectives and backgrounds. All qualified applicants will receive consideration for employment without regard to race, color, religion, gender, sexual orientation, national origin, age, disability, gender identity and expression, protected veteran status or other status protected by law. If you are unable to submit an application because of incompatible assistive technology or a disability, please contact us at talentacquisition@umassmemorial.org. We will make every effort to respond to your request for disability assistance as soon as possible.