Nurse- Community Health BWH

Site: The Brigham and Womens 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.

Brookside Community Health Center- Primary Care Staff Nurse Ambulatory
40 Hours Variable Rotating Shift
Jamaica Plain MA

Job Summary

Brookside is a licensed Community Health Center of Brigham and Womens Hospital and provides multi-disciplinary comprehensive care with services in a range of medical areas including: Adult Family and Pediatric Primary Care OB/GYN Family Planning Dental/Oral Surgery Nutrition/WIC Behavioral Health and Specialty Medicine (Cardiology Pulmonology and Nephrology). Brookside also has a Laboratory onsite Financial Counseling and Community Resource Specialists. Each year more than 11000 patients from Jamaica Plain the city of Boston and surrounding areas use these services producing more than 69000 visits to Brookside each year. Most of Brooksides patient population are Spanish-speaking and socioeconomically underserved. The health centers services guided by equity are provided by a bilingual English/Spanish medical and professional staff. Brookside is a teaching site for Harvard Medical School Mass General Institute of Health Professionals School of Nursing Harvard Dental School Boston University Dental School as well as other Boston area health care professional programs.
Excellent Care to Patients and Families The Best Staff In the Safest Environment

GENERAL SUMMARY:
The Primary Care Registered Nurse is an important member of the primary care multi-disciplinary healthcare 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 compassionate delivered to patients of all ages working with a diverse medically and socially vulnerable population. Role responsibilities within this setting are defined below.

Responsibilities include but not limited to:
- Medication and immunization administration for patients of all ages including pediatric (from birth).
- Telephone Triage of patients both Adult and Pediatric.
- Emergency department discharge follow up and assessment.
- Performing nurse-only visits by patients including patient education.
- Other duties as assigned.
- Principal Duties and Responsibilities that follow:

PRINCIPAL DUTIES AND RESPONSIBILITIES:
1 . Patient Care Organization
May perform all duties as described in the Brigham and Womens 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: recognizing limitations of the role and knowing when to seek assistance/guidance of the LIP. Willing to work within scope to strengthen the practice and provide patient centered care.
Provide culturally sensitive patient-centered care of the highest quality to patients of all races ethnicities backgrounds and income levels.
Triages all urgent calls and assist with walk-ins or patients that become acutely ill during the office visit. Sets priorities when organizing care based upon the acuity of urgent calls. 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 illness. 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 lifestyles 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 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

Evaluation and documentation of disease management impact; works closely with 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 awareness of community resources and assists staff patients and families to effectively utilize them.
Ensures coordination of care across the care continuum including; home care outpatient clinics emergency/urgent care and hospital settings using clear concise communication and documentation in the EHR.
Knowledge base should include basic health teaching family planning education how to care for common pediatric and adult illnesses.
Facilitates the advanced care planning process assisting patients and families to consider options and goals for future healthcare decisions. Documents advanced care goals in the EHR.
Works with Population Health Coordinator and Primary Care Providers to develop and implement interventions targeted at patients not meeting metrics (e.g. HgbA1c control Blood pressure control etc.)

2. Team Based Care
Willing to educate and mentor clinical support staff as needed. Able to delegate safely and effectively to support staff tasks that are within scope of practice.
Provide care management and coordination across the primary care team for aging chronically ill those with increasingly complex health needs; strategically providing care with team members functioning at the top of their license/
responsibilities.
Evaluates effectiveness of care given by multi-disciplinary care team identifies problems and guides members toward solutions promoting health.
Facilitates the improvement of patients ability to self-manage prevention and behavioral health issues and placing emphasis on transitional care prevention and wellness.
Communicates effectively and clearly with members of the care team regarding patient status and needs.
Backs up floor nurse as needed for required medication and vaccine administration.
3. BWH Professional Practice Model Qualities
Nurses as Authentic Leaders: Serves as a resource person to other members of the team around the care needs of patients and provides support to other members of the clinical and administrative team in an accessible open manner. Is
an active participant in cared delivery and shared decision making.
True Collaboration: Engages with enthusiasm in process improvement activities piloting of new workflows willing to embrace change and thrive in an environment of continuous process improvement. Open to feedback and ongoing
learning. As part of this process the RN is able to demonstrate skilled respectful and effective communication.
Meaningful Recognition: Is committed to enhancing their individual professional growth and development by participating in activities that foster a commitment to achieve and sustain quality and safety outcomes for patients. This includes
participation in the process of consistent and ongoing peer feedback/ meaningful recognition; promoting a culture of continued improvement and learning for themselves and their nurse colleagues.
Scholarship: Supports and participates in innovation and lifelong learning for self and others: contributing to a culture of evidence informed practice.
Relationship Based Care: Participates in BWHs Caritas culture which transforms the relationships institution wide. This creates an environment that promotes healing by recognizing humanity of providers and patients and families. The nurse is responsible for knowing and caring for him/herself so that s/he can own an open caring and intentional way of being with and caring for patients and families. The nurse works to create a healing environment by potentiating wholeness beauty comfort dignity and peace.
Outcome Focused Measures: Nurses should be engaged in using science and evidence based practice to identify and develop indicators of the high quality and reliable nursing care. This results in a practice that nurses can establish and articulate how indicators impact the vision and goals of the organization.
4. Participatory Management of Fiscal Responsibilities
Utilizes time and materials in an effective and economical manner.
Provides suggestions which support the delivery of cost-effective healthcare to patients and families.
Assesses patients acuity accurately when making decisions regarding clinical bookings appropriate level of service and staffing.
Is familiar with accountable care regulations and demands.
Brigham and Womens Hospital an affiliate of Mass General Brigham is committed to supporting patient care research teaching and service to the community. We place great value on being a diverse equitable and inclusive organization as we aim to reflect the diversity of the patients we serve. At Mass General Brigham we believe in equal access to quality care employment and advancement opportunities encompassing the full spectrum of human diversity: race gender sexual orientation ability religion ethnicity national origin and all the other forms of human presence and expression that make us better able to provide innovative and cutting-edge healthcare and research.

QUALIFICATIONS:
Education:
- Graduate of an approved school of nursing with current registration in Massachusetts. Newly licensed Nurses within one year must either have completed or must be currently enrolled in a Bachelor of Science in Nursing program.
- Current license to practice as a registered nurse in the State of Massachusetts required.

Experience:
- 1. Experience with Adult patients required.
- 2. Primary Care experience preferred.
- 3. Current or Recent Telephone Triage experience (within two years) preferred.
- 4. Experience with Pediatric patients preferred.
- 5. Prefer clinical experience working with vulnerable patient populations with high socioeconomic and behavioral health needs.
- 6. Community Health experienced preferred.
- 7. Previous experience with medical residents preferred. Desire to work with medical trainees at all levels is essential.
Language Skills:
8. Bilingual English/Spanish Fluency Required.

SKILLS AND ABILITIES:
- Must meet all skills and abilities requirements on the BWH RN job description and additionally:
- Demonstrated knowledge of both hospital-based and community-based care and resources required.
- Excellent communication skills demonstrates patience compassion and professionalism required.
- Excellent analytical judgmental and interpersonal skills and demonstrated ability to work effectively with patients families and co-workers
- Technical dexterity in addition to Epic must possess a demonstrated ability to work with a variety of information systems and databases including but not limited to: Microsoft Outlook Excel Word etc.
- Ability to be flexible and maintain equanimity in a fast paced rapidly changing clinical setting required.
- Must have the ability to function at the highest level professionally and clinically and further possess excellent interpersonal skills.

Onsite

3297 Washington Street

40

Regular

Rotating (United States of America)

Pay Range

$40.49 - $100.13/Hourly

Grade

MNA333

At Mass General Brigham we believe in recognizing and rewarding the unique value each team member brings to our organization. Our approach to determining base pay is comprehensive and any offer extended will take into account your skills relevant experience if applicable education certifications and other essential factors. The base pay information provided offers an estimate based on the minimum job qualifications; however it does not encompass all elements contributing to your total compensation addition to competitive base pay we offer comprehensive benefits career advancement opportunities differentials premiums and bonuses as applicable and recognition programs designed to celebrate your contributions and support your professional growth. We invite you to apply and our Talent Acquisition team will provide an overview of your potential compensation and benefits package.

The Brigham and Womens Hospital Inc. is an Equal Opportunity Employer. All qualified applicants will receive consideration for employment without regard to race color religious creed national origin sex age gender identity disability sexual orientation military service genetic information and/or other status protected under law. We will ensure that all individuals with a disability are provided a reasonable accommodation to participate in the job application or interview process to perform essential job functions and to receive other benefits and privileges of employment. To ensure reasonable accommodation for individuals protected by Section 503 of the Rehabilitation Act of 1973 the Vietnam Veterans Readjustment Act of 1974 and Title I of the Americans with Disabilities Act of 1990 applicants who require accommodation in the job application process may contact Human Resources at .

Mass General Brigham Competency Framework