Team Nurse -Jamaica Plain-Family Medicine

When you join the growing BILH team, you're not just taking a job, you're making a difference in people's lives.

About the role

Based in Jamaica Plain. Full-time and part-time, benefit-eligible positions available (40 hours per week, Monday–Friday). Reports to the Practice Manager and Senior Director of Nursing. The Team Nurse performs RN/LPN duties in an outpatient primary care or family medicine practice, serving as a clinical resource and providing high-quality, direct patient care in a team-based model for Beth Israel Deaconess HealthCare (BIDHC) patients. Responsible for enhancing safety, effectiveness, and efficiency of patient care through support and delegation to Medical Assistant (MA) staff, educating and training the MA team and patients, and coordinating patient-centered care in collaboration with primary care providers.

Responsibilities

• Coordinate and facilitate quality clinical management of a broad outpatient population across the continuum of care
• Collaborate with providers to identify needs for preventive care, evidence-based chronic disease management, and care coordination
• Provide general and specific healthcare education
• Work directly with patients to identify and monitor self-management goals
• Collaborate care with community-based providers
• Follow up on ED visits and inpatient discharges
• Assist providers with exams, treatments, and procedures as needed
• Provide skilled telephonic triage and assessment, education, collaboration, and coordination of healthcare and community resources
• Perform direct patient care nursing visits including Annual Wellness Visits (AWVs) and Chronic Care Management (CCM)
• Manage INR and teach patients on Coumadin using a standardized protocol
• Administer vaccines and medications by parenteral, oral, rectal, or nasal route per provider orders and BIDHC Medication Administration policy; provide patient education for administered medications
• Perform a wide range of nursing activities under provider direction (e.g., wound care, point-of-care testing)
• Accurately document all aspects of patient care in the Electronic Health Record in a timely manner
• Schedule tests and referrals for specialty care on provider order
• Monitor and ensure follow-up of all abnormal test and imaging results under provider direction
• Oversee inventory and ordering of clinical supplies and equipment as necessary
• Ensure safe, accurate, and clinically appropriate collection, storage, and processing of all biologic specimens
• Provide oversight, delegation, and act as a resource to unlicensed staff including MAs, CNAs, and nursing students
• Provide ongoing education and training to practice staff
• Update clinical knowledge and skills through consultation, literature review, formal and informal education including CEUs
• Maintain compliance with organizational mandatory annual training
• Ensure PHI is used only for treatment, payment, and operations (TPO)
• Ensure patient safety practices to prevent/eliminate risk of patient harm; promptly report adverse events and near misses to BIDHC Risk Management

Qualifications

• Graduate of an accredited Nursing Program required; Bachelor's degree in Nursing preferred
• Registered Nurse license required, or Licensed Practical Nurse registration required
• Basic Life Support (BLS) certification required
• CPR certification required
• 1–3 years related work experience required; at least 1–3 years in a clinical setting, preferably primary care
• Ability to assume responsibility for coordination of patient care in an outpatient setting while working as part of a clinical and non-clinical team
• Advanced skills with Microsoft applications (Outlook, Word, Excel, PowerPoint, Access) and other web-based applications; ability to produce complex documents, perform analysis, and maintain databases

Competencies

• Decision Making: Guided by general instructions and practices requiring some interpretation; may make recommendations for solving problems of moderate complexity and importance
• Problem Solving: Address varied problems requiring analysis or interpretation using direct observation, knowledge, and skills based on general precedents
• Independence of Action: Follow precedents and procedures; set priorities and organize work within general guidelines; seek assistance for difficult/unpredictable situations
• Written Communications: Communicate clearly and effectively in written English with internal and external customers
• Oral Communications: Comprehend and converse in English to communicate effectively with staff, patients, families, and external customers
• Knowledge: Demonstrate full working knowledge of standard concepts, practices, procedures, and policies; apply them in varied situations
• Team Work: Act as team leader for small projects or work groups, creating a collaborative, respectful team environment and improving workflows; results may impact one or more departments
• Customer Service: Provide high-level service to patients, visitors, staff, and external customers in a professional, service-oriented, respectful manner using active listening and problem solving; remain calm in stressful situations
• Age-Based Competencies: Competent to provide care to young adults (16–30 years), middle-aged adults (30–60 years), and elderly patients (60+ years)

Physical requirements

Light work: exerting up to 20 pounds of force frequently to move objects. Some elements are sedentary, but the employee must stand for periods of time and move throughout the hospital campus.

Pay

Base hourly wage range: $32.24 – $55.32. Actual compensation is determined by factors including seniority, education, training, relevant experience, certifications, geography, job responsibilities, and other factors permissible by law. Compensation may exceed the base rate due to shift differentials, call pay, premium pay, overtime, and other additional pay practices applicable to the position and in accordance with law.