RN Jobs in Somerville, MA
$84,971 - $127,458 / YEAR
Job Description: HSL provides enhanced housing with services to seniors living in its three affordable housing locations, and at partner housing sites, with the goal of improving quality of life and supporting independent living. At its core, enhanced housing with services is a proactive approach wherein resident services staff regularly and actively reach out to each individual resident to engage with them around their health and wellness, identify areas of need/risk and provide intensive, individualized case management and support as needed and desired by the resident. The Nurse Care Manager is a key member of the housing team working to support residents in living independently and safely for as long as possible by developing meaningful relationships with residents and providing supports in a holistic way. The Nurse Care Manager works closely with other team members to: engage residents in wellness assessments and health education programs, connect residents to needed services, triage resident issues, provide a wide variety of case management tasks including coordinating care for residents returning home from hospital and/or rehab stays, ensure that all interventions are documented and tracked, and partner with community provider organizations. This position will work on-site in an affordable housing community in Cambridge, Massachusetts. Hebrew SeniorLife employees set the highest standard in our commitment to redefine the experience of aging. With compassion, resilience, and determination, we make a difference in the lives of patients, residents, their families, and the broad senior care community every day. And they in ours as well. These life-changing connections give our work meaning and fuel our desire to advance our potential. To be all that we can be. At Hebrew SeniorLife, that’s uniquely possible. Because here we’re supported to always keep growing. And as we do, so does our collective impact. Our benefits include: Excellent medical and dental benefits, available on your first day for positions over 24 hours/week A 403b retirement plan open to all employees, including per diems Generous paid time off On-site health and wellness programming Tuition reimbursement and scholarships An employee recognition program Responsibilities Partner with the Wellness Coordinator and the resident services team to provide comprehensive case management services to residents. Provide regular preventative outreach to all residents to check in on their needs and overall health and develop trusting relationships with residents and their families. Conduct wellness assessments of residents to assess risk and determine needs. Actively follow up on all identified needs including finding resources, making referrals and ensuring residents are actively engaged in services. Assess resident medical concerns and support residents with decision making re next steps, e.g. calling PCP, going to urgent care, going to the ED or seeing a specialist. Coordinate with primary care physicians and specialists, hospitals, mental health and other community providers. Ensure effective communication around changes in status, transitions and service utilization. Active follow up on all hospitalizations, rehab stays, emergency room visits. Work with families, hospitals, rehabs, HSL Home Care and/or VNA, ASAP’s and other providers to ensure safe discharges and ongoing services. Follow up regularly with at risk residents to support adherence to health and wellness related activities, medication and treatment plans. Conduct and/or coordinate group and individual education sessions on health and wellness, including medication management. Assess and keep track of the needs of residents with special needs, such as dementia and mental health, and make appropriate referrals. Utilize collected data to identify, plan, schedule and implement focused programs, such as falls prevention. Support and educate housing staff members about common medical conditions and how to identify and communicate status changes. Participate in resident services team meetings, provider meetings and individual family meetings. Assist residents and family members with transition to other levels of care when needed. Assist with specific resident needs such as taking vital signs, educating and assisting with Health Care Proxy and File of Life forms, arranging clinics for vaccines and arranging other health focused clinics, supporting residents in preparing for planned surgeries/medical tests. Document all work electronically in shared files/computer programs. Qualifications RN and 1 year of experience or LPN and 2 years of experience required. 3 years experience in aging services required, home health experience and dementia care a plus. Excellent triage and critical thinking skills required as well as ability to handle difficult situations. Must have compassion for and a desire to work with a senior population. Excellent organizational and interpersonal skills, including ability to manage multiple projects simultaneously, work efficiently and proactively as part of a team. Excellent oral and written communication skills, including ability to communicate with residents, families and staff in a manner that conveys respects, caring and sensitivity. Motivated to learn and flexible/willing to change. Professional, proactive, collaborative, conscientious, and results-oriented individual. Optimistic and positive demeanor, good intuition and sound judgment. Must be able to collect needed information and document clearly in electronic formats. Skills and comfort using Windows, Word and Excel required. Experience in aging services strongly preferred in community, home health or long-term care settings. Remote Type Salary Range: $84,971.00 - $127,458.00 $77,035 - $115,553 / YEAR
Job Description: I. Position Summary: The Hebrew SeniorLife Hospice is designed to provide a Jewish Hospice service to terminally ill patients and their families in the greater Boston area. The philosophy of the Hospice is rooted in Hessed (loving kindness), and Kevod HaBeriyot (honoring life), but Hebrew SeniorLife Hospice Care is open to anyone regardless of religious affiliation; our mission is informed by Jewish values that are shared across many faith traditions and spiritual belief systems. Hebrew SeniorLife Hospice works collaboratively with patients and families in the final months, weeks, and days of life, with the goal of achieving optimum healing of body and soul when curing is no longer an option. This means helping the patient and family with: physical comfort, emotional and spiritual support, and companionship. The Hospice goal is to help every patient at the end attain a peaceful and pain free death and support the healing and bereavement of the family. As a member of the interdisciplinary group (IDG), the Hospice Registered Nurse provides professional nursing care to the Hospice's patients. Identify patient/family needs and provide supportive care in accordance with the attending physician's orders, the IDG plan of care and the Hospice's policies and procedures. The Hospice Registered Nurse provides care under the direction of the attending physician, the Hospice Medical Director, the Clinical Director, and in compliance with the state's Registered Nurse Practice Act. II. Position Responsibilities: Assumes responsibility for a patient visit or on-call schedule which includes the assessing, planning, implementing and evaluating phases of the nursing process. Provides Hospice nursing care based on systematic assessment focusing on pain control and symptom management. Initiates communication with attending physicians, other Hospice staff members and other agencies as needed to coordinate care and use of resources for the patient/family. Assesses the patient and develops an individualized and comprehensive plan of care in partnership with the Interdisciplinary group and in accordance with Hospice regulations/guidelines. Routinely assesses patients response to plans of care and performs comprehensive assessments, hospice aide supervision, and coordination/oversight of hospice services provided in assisted living, LTC, SNF and hospital settings. Maintains regular communication with the Clinical Director to review assignments and with the attending physician/medical director concerning patient/family needs. Obtains data on physical, psychological, social and spiritual factors that may influence patient/family health status and incorporates that data into the plan of care. Maintains up-to-date patient records so that problems, plans, actions and goals are accurately and clearly stated and changes are reflected as they occur in accordance with agency policy and Medicare regulations. Accurately documents assessment findings, observations, interventions and evaluations pertaining to patient care management and services provided in accordance with Hospice policy and procedures on the day services are rendered. Submits documentation in a timely manner. Teaches, supervises and counsels patients/families regarding physical care and comfort, and other problems related to the patient's terminal condition. Provides guidance to patients/families to assist them in preparing for and coping with anticipated physical and psychological events throughout the dying process. Provides appropriate support at time of death and period of bereavement. Meets regularly with Hospice nursing staff to review problems or unique issues from caseloads, share professional support, and exchange feedback aimed toward enhancing professional growth. Participates in IDG conference as needed and facilitates discussion of issues from caseload for full staff discussion, consultation and evaluation. Supervises the Hospice Aide and the aide plan of care at least every fourteen (14) days and documents such supervision. If concerns are noted, observes the aide onsite providing care. If concerns are ongoing, reports to the Clinical Director of the need to repeat a competency evaluation with aide. Informs the Clinical Director of unusual or potentially problematic patient/family issues. Shares in providing 24-hour, seven-day a week coverage (evening and weekend on-call) to patients/families. Demonstrates working clinical knowledge and skills relative to hospice and end-of-life care, and a commitment to clinical excellence and ongoing training in the latest pain and symptom management interventions. III. Qualifications: Graduate from an accredited School of Nursing, BSN preferred. Currently licensed in good standing to practice as a Registered Nurse in the State of Massachusetts. Must have no less than six months experience in acute care setting as an RN prior to home care assignment, or experience as required by state regulations. Minimum of one year’s experience as an RN required. Experience in Hospice is strongly preferred. Demonstrated ability to assess and respond to the needs of patients and families in varied settings and to cope with emotional stress. Must be able to function in a practice environment with minimal direct supervision, accepting personal responsibility for maintaining a professional relationship with patients and their families. Must accept responsibility for maintaining clinical practice skills, learning and adhering to Hospice's policies and procedures on an on-going basis. Transports self to patient's home/facility in a reliable vehicle and has a valid Massachusetts driver’s license. May be working in multiple locations in a workday. Remote Type Salary Range: $77,035.00 - $115,553.00 
