Team Nurse Randolph Family Medicine

Reporting directly to the Practice Manager and Senior Director of Nursing, the Team Nurse RN performs RN duties in an outpatient primary care or family medicine practice and serves as a clinical resource. The role provides high‑quality, direct patient care in a team‑based model for Beth Israel Deaconess HealthCare (BIDHC) patients, enhances safety and efficiency through support and delegation to Medical Assistant staff, educates and trains MAs and patients on preventive, chronic, and episodic health issues, and collaborates with primary care providers to coordinate patient‑centered care, support transitions, and counsel patients toward improved health.

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, 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 appropriate patient education.
• 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.
• Ensure safe, accurate, and clinically appropriate collection, storage, and processing of biologic specimens.
• Provide oversight, delegation, and serve as a resource to unlicensed staff (MAs, CNAs, nursing students); deliver ongoing education and training to practice staff.
• Update clinical knowledge and skills through consultation, literature review, formal/informal education, and CEUs; maintain compliance with mandatory annual training.
• Ensure PHI is used only for treatment, payment, and operations; uphold patient safety practices and promptly report adverse events or near misses to BIDHC Risk Management.

Qualifications

• Graduate of an accredited Nursing Program (Bachelor’s degree preferred).
• Registered Nurse license in Massachusetts required.
• Basic Life Support (BLS) certification required.
• 1–3 years related work experience required; new graduate RNs will be considered.
• CPR certification.
• Strong interpersonal, patient communication, and patient education skills.
• Advanced proficiency 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: Make decisions guided by general instructions and practices requiring interpretation; recommend solutions for moderately complex problems.
• 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 or 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: Collaborate in small teams to improve operations by offering ideas, identifying issues, and respecting team members.
• Customer Service: Provide high‑level service to patients, visitors, staff, and external customers professionally and respectfully; use active listening and problem solving; remain calm under stress.
• Age‑Based Competencies: Competent to provide care to young adults (16–30), middle‑aged adults (30–60), and elderly (60+).

Social / Environmental Requirements

• Work requires periods of close attention without interruption; concentrated effort up to 4 hours without break may be required.
• Constant response to changing circumstances and new information; quick adjustment to new needs.
• Daily potential exposure to adverse environmental conditions; protective equipment required (respirator, earplugs, mask, gloves, eyewear, etc.).
• Potential exposure to infectious diseases and/or airborne pathogens.
• Potential exposure to infectious diseases and/or bloodborne pathogens.
• Health Care Worker Status: HCW1 – regular day‑to‑day contact, both face‑to‑face and hands‑on (close contact within three feet for at least five minutes).

Sensory Requirements

Close work (paperwork, visual examination), color vision/perception, visual monotony, visual clarity >20 feet, visual clarity

Physical Requirements

Medium work: exerting up to 50 lbs of force occasionally and/or up to 20 lbs frequently. Job is physical; employee stands and/or moves around for the majority of the shift. Requires constant sitting, walking, endurance (working up to 3–4 hours without a break), frequent standing, bending neck, bending waist, power grasping (one hand), fine manipulation (both hands), pushing/pulling (both hands), keyboard use, reaching above shoulder height, reaching below shoulder height. Occasionally may push a wheelchair or wheeled bed with a patient up to 250 lbs with assistance. Rarely may pull up/reposition a patient up to 100 lbs without assistance, or up to 250 lbs with assistance.

Pay

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