Primary Care Nurse- Longwood/Transitions BWH

Site: The Brigham and Women's Hospital, Inc.

 

Mass General Brigham relies on a wide range of professionals, including doctors, nurses, business people, tech experts, researchers, and systems analysts to advance our mission. As a not-for-profit, we support patient care, research, teaching, and community service, striving to provide exceptional care. We believe that high-performing teams drive groundbreaking medical discoveries and invite all applicants to join us and experience what it means to be part of Mass General Brigham.

 

STAFF NURSE- PRIMARY CARE/ Bilingual/ Spanish- Preferred/ Full Time 40 Hours- Variable Rotating (Mainly Days)

ABOUT THIS JOB at:
LONGWOOD PRIMARY CARE ASSOCIATES & TRANSITIONS CLINIC
- Nursing staff enjoys a team oriented friendly culture where communication is strong across nursing, practice leadership, administrative support and professional medical staff.
- Serve a diverse patient population with a range of health conditions.
- Working collaboratively to provide excellent care to patients and families in the safest environment.

The Staff Nurse will be responsible for providing nursing care at:
Longwood Associates PRIMARY CARE
- We welcome to our practice patients from all races, ethnicities, religions, beliefs and with any physical limitations, sexual orientation, or gender identity. We work as a team to provide our patients with the highest quality of care and overall experience. We treat every member of our practice with equal respect, dignity, and compassion.

TRANSITIONS CLINIC
- Our Mission is to serve the community by providing post-discharge acute care to patients who were in the ED or inpatient at the hospital who do not have a Primary Care Provider

- This position may be asked to cross-cover (may be in-person or virtual) other Primary Care practices as staffing needs dictate. Cross-coverage needs will be identified and discussed with local and regional leadership.

 

Job Summary

GENERAL SUMMARY:
The Primary Care Registered Nurse (staff RN) is an important member of the primary care multi-disciplinary team. Patients, families and the health care team work best as partners with shared goals for attaining optimal health and wellness. The RN is integral to providing the support and care necessary to achieving such goals. The primary responsibility of the staff RN is to provide excellent care to patients and families. The role requires the provision of care that is comprehensive and compassionate, delivered to a diverse, medically and socially vulnerable population. Role responsibilities within this setting are defined below.
PRINCIPAL DUTIES AND RESPONSIBILITIES:
1 . Patient Care Organization
- May perform all duties as described in the Brigham and Women’s Registered Nurse Job Description to meet direct care requirements of the role.
- Functions effectively and safely within the scope of practice of the Registered Nurse to strengthen the practice and provide patient centered care.
- Provide culturally sensitive, patient centered care of the highest quality to patients of all backgrounds and income levels.
- Triages all urgent calls and assists with walk-ins. Sets priorities when organizing care based upon the acuity. Is aware of clinic flow and re-arranges provider schedules to accommodate the urgent care needs
- Assesses the care needs of patients with routine and chronic illnesses. Develops implements and re-evaluates an individualized nursing plan of care (PoC).
- Within a multi-disciplinary team, assists patients with pre-existing conditions to achieve lifestyle changes that promote a healthy mindbodyspirit.
- Uses a variety of modalities to engage patients including nurse visits, telephonic and electronic communication
(Gateway/Telehealth).
- Operating from a Human Caring framework, the RN implements a wide range of interventions/skills including coaching, education, counseling, motivational interviewing, referral and advocacy to services and resources as appropriate to promote health and wellness.
- Responsible for evaluation and documentation of disease management impact. Works closely with the clinical team and family to promote self-management and ensure a cycle of continuous refinement of PoC which includes education for the patient and family, utilizing appropriate resources.
- Demonstrates knowledge of community resources and assists staff, patients, and families to effectively utilize them.
- Ensures effective coordination of care across the care continuum. Works with Partners, Brigham Health and Community partners including; home care, outpatient clinics, emergency/urgent care and hospital settings.
- Knowledge base should include basic health teaching, family planning education, and how to care for common pediatric/adult illnesses.
- Facilitates the advance