Complex Care Nurse

Responsibilities

• Aid in the development and implementation of a comprehensive plan of care.
• Assists providers and Care Team members in caring for patients.
• Aids providers with ongoing assessments and evaluations, adjusting the care plan as necessary.
• Ensures high-risk patient populations (Substance Use Disorder, Infectious Disease, Complex Care, Geriatric and Chronic Conditions) are properly managed.
• Completes weekly patient visits as scheduled, including individual or group visits.
• Provides health coaching and teaching for common conditions through individual visits, group visits, and co-visits with other disciplines.
• Orients and trains new staff, provides cross coverage, and training for staff in similar roles.
• Communicates with staff, patients, and families using excellent written and verbal skills.
• Maintains up-to-date knowledge of medications, administering them according to provider orders or standing orders.
• Assesses patients' physiological, psychological, sociological, and spiritual statuses, triaging as needed.
• Supports transitions of care through nurse visits after ED/Hospitalizations.
• Participates in clinical tracking programs to ensure compliance with clinical outcome measures and preventive care.
• Provides health care and disease management education as part of regular visits.

Requirements

• Associate of Nursing degree (BSN preferred)
• Current Massachusetts Registered Nurse (RN) certification and BLS (Basic Life Support for Healthcare Providers) certification
• 2+ years of nursing experience in a community health-related setting
• 1 year of experience in medical case management, managing complex patients preferred
• Excellent customer service, verbal, and written communication skills
• Ability to work effectively in a team setting and independently
• Basic knowledge of Microsoft Office 365 including Word, Excel, Outlook, and Teams, and use of Electronic Medical Record (EMR), EPIC/OCHIN

Benefits

• Comprehensive benefits package including Health, Dental, Vision, Life, & Disability insurance
• 403(b) Savings Plan
• Generous Paid Time Off plus 11 additional Holidays
• Qualified for State and Federal Loan Repayment Programs and Public Service Loan Forgiveness Program

Qualifications

• Commensurate with experience
• Varies
• TBD

Skills

• Nursing theory, techniques, principles, and practice
• Healthcare education and coaching
• Medication administration
• Electronic Medical Record (EMR) proficiency

Benefits

• Sign On Bonus: $5000, half on hire, remainder after 90 days in good standing
• Full Time - 40 hours weekly
• Monday - Friday, day shift with occasional evening coverage, flexible start time