Registered Nurse Case Manager jobs at Beth Israel Lahey Health

**When you join the growing BILH team, you're not just taking a job, you're making a difference in people's lives.** WE CARE by fostering the wellbeing of a health-focused workplace that supports work-life balance, empathy in understanding others' perspectives, collaboration for extraordinary results, accountability to achieve collective goals, respect for diversity and inclusiveness, and equity by ensuring everyone has the opportunity to reach their full potential. **Job Description:** **Position Summary:** Case managers serve as the care coordinators for patients, care givers, and families. Their functions include concurrent and retrospective review to assure appropriate utilization, assessment, prevention of denials and coordination of discharge options. They are required to follow specific criteria sets to assure regulatory compliance. They coordinate safe discharge plans between the health care delivery team, patients, families, insurers and continuing care agencies. **Education/Experience:** 1. Graduate of an accredited school of nursing 2. BSN preferred **Certification/License:** 1. Current Massachusetts RN licensure 2. Certification in Case Management preferred **Pay Range:** $35.85 - $77.82 This position is covered by a collective bargaining agreement. The pay range listed for this position is the base hourly wage range the organization reasonably and in good faith expects to pay for this position at this time. The pay range for this position is established and governed by the terms of the applicable collective bargaining agreement. Employees hired into this position will receive compensation consistent with the terms of the applicable collective bargaining agreement. **As a health care organization, we have a responsibility to do everything in our power to care for and protect our patients, our colleagues and our communities. Beth Israel Lahey Health requires that all staff be vaccinated against influenza (flu) as a condition of employment.** **More than 35,000 people working together. Nurses, doctors, technicians, therapists, researchers, teachers and more, making a difference in patients' lives. Your skill and compassion can make us even stronger.** **Equal Opportunity Employer/Veterans/Disabled**

When you join the growing BILH team, you're not just taking a job, you're making a difference in people's lives. 40 hr (every third weekend & rotating holiday required) Job Summary: The RN Case Manager (CM) facilitates the coordination of care for those patients admitted to medical, surgical services, ICU, and as needed for outpatient areas including but not limited to the Emergency Department, PACU and Preadmission testing. The case manager consults and collaborates in activities related to the establishment of appropriate levels of care. He/She reviews patient's medical records and participates in direct and indirect communication with care givers to ensure continued appropriate level of acre, including the level of care of elective surgical cases. The case manager provides ongoing education to the physicians and nurses about levels of care. The RN Case manager, performs, consults, and collaborates in activities related to the development of safe effective and efficient discharge or disposition of patients for an assigned patient caseload. This role is patient-focused, outcome-oriented and based on professional nursing practice guidelines and the Standards of Practice for Case Management. And functions within a multidisciplinary practice model. Job Description: Essential Responsibilities: Performs utilization management, care coordination, and discharge planning for assigned patient caseload. Coordinates and organizes a timely and accurate review of each medical record for severity of illness and intensity of service, utilizing Interqual criteria, to satisfy state and federal regulations by t reviewing and, investigating patient history, presenting symptoms, clinical status and treatment. Utilizes the case management process of assessment, planning, implementation and evaluation to create case management care plans for assigned patients. Facilitates multidisciplinary collaboration on a daily basis. Required Qualifications: Associate's degree required in Nursing. Bachelor's degree preferred in Nursing License required: Nursing License 3-5 years related work experience required in Acute care or managed care setting with two years prior experience in case management. Knowledge of discharge planning practices, understanding of utilization review practices including third party payer and insurance plans and acute hospital Interqual, criteria, current knowledge of federal, state, and regulatory requirements guiding case management practice. Experience with computer systems required, including web based applications and some Microsoft Office applications which may include Outlook, Word, Excel, PowerPoint or Access. Competencies: Written Communications: Ability to summarize and communicate in English moderately complex information in varied written formats to internal and external customers. Oral Communications: Ability to comprehend and communicate complex verbal information in English to medical center staff, patients, families and external customers. Knowledge: Ability to demonstrate in-depth knowledge of concepts, practices and policies with the ability to use them in complex varied situations. Team Work: Ability to lead collaborative teams for larger projects or groups both internal and external to the Medical Center and across functional areas. Results have implications for the management and operations of multiple areas of the organization. Customer Service: Ability to provide a high level of customer service and staff training to meet customer service standards and expectations for the assigned unit(s). Resolves service issues in the assigned unit(s) in a timely and respectful manner. Age based Competencies: Employees in this job must be competent to provide patient care to the following age groups: Neonatal:Birth to 6 months, Youth: 6 months to 16 years, Young adult: 16-30 years, Middle Age: 30 - 60 years, Elderly: 60 -. Physical Nature of the Job: Light work: Exerting up to 20 pounds of force frequently to move objects. Some elements of the job are sedentary, but the employee will be required to stand for periods of time or move through out the hospital campus Pay Range: $37.08 - $92.84 The pay range listed for this position is the base hourly wage range the organization reasonably and in good faith expects to pay for this position at this time. Actual compensation is determined based on several factors, that may include seniority, education, training, relevant experience, relevant certifications, geography of work location, job responsibilities, or other applicable factors permissible by law. Compensation may exceed the base hourly rate depending on shift differentials, call pay, premium pay, overtime pay, and other additional pay practices, as applicable to the position and in accordance with the law. As a health care organization, we have a responsibility to do everything in our power to care for and protect our patients, our colleagues and our communities. Beth Israel Lahey Health requires that all staff be vaccinated against influenza (flu) as a condition of employment.More than 35,000 people working together. Nurses, doctors, technicians, therapists, researchers, teachers and more, making a difference in patients' lives. Your skill and compassion can make us even stronger.Equal Opportunity Employer/Veterans/Disabled

When you join the growing BILH team, you're not just taking a job, you're making a difference in people's lives. Beverly, MA retains its small-town charm while offering big-city amenities. 35 miles northeast of Boston, Beverly is a postcard community showcasing all that New England has to offer and more!Job Description:Case managers serve as the care coordinators for patients, care givers, and families. Their functions include concurrent and retrospective review to ensure appropriate utilization, assessment, prevention of denials, and coordination of discharge options. They are required to follow specific criteria sets to ensure regulatory compliance. They coordinate safe discharge plans between the health care delivery team, patients, families, insurers, and continuing care agencies. Education/Experience: Graduate of an accredited school of nursing BSN preferred Certification/License: Current Massachusetts RN licensure Certification in Case Management preferred Pay Range: $74,880. 00 USD - $164,571. 00 USDThis position is covered by a collective bargaining agreement. The pay range listed for this position is the annual base salary range the organization reasonably and in good faith expects to pay for this position at this time. The pay range for this position is established and governed by the terms of the applicable collective bargaining agreement. Employees hired into this position will receive compensation consistent with the terms of the applicable collective bargaining agreement. As a health care organization, we have a responsibility to do everything in our power to care for and protect our patients, our colleagues and our communities. Beth Israel Lahey Health requires that all staff be vaccinated against influenza (flu) as a condition of employment. More than 35,000 people working together. Nurses, doctors, technicians, therapists, researchers, teachers and more, making a difference in patients' lives. Your skill and compassion can make us even stronger. Equal Opportunity Employer/Veterans/Disabled

When you join the growing BILH team, you're not just taking a job, you're making a difference in people's lives. 40hpw; Day Shift; Rotating weekends and holidays Job Description:Duties/ResponsibilitiesProvides care according to and is able to articulate hospice philosophy Function as a member of an interdisciplinary team that includes the patient and family in the development of a patient specific plan of care driven by the patient's goals and preferences. Functions as the "eyes and ears" of the physician in the home or facility, communicates an accurate assessment of the patient's condition to the physician and offers expert guidance on treating end-of-life pain and other symptoms when requested by the physician Performs RN pronouncement in all settings except the acute care hospital Provides an initial assessment in conjunction with established LCD guidelines to ensure patient meets criteria for admission to hospice. Provides assessment and clear documentation in the EMR (PTCT) to demonstrate patient continues to meet hospice eligibility utilizing appropriate scales (i. e. FAST, ECOG, etc. ) When services of the hospice chaplain and/or social worker are declined by the patient/family, obtain data on psychological, social and spiritual factors that may influence the patient's plan of care. Seeks input from other members of the team to increase knowledge and support. Provides skilled service that ensures the nursing needs of the patient are met as identified in the patient's initial assessment, comprehensive assessment and updated assessments Prepares and submits updates to patient care plan for review by the Interdisciplinary Group at least every 14 days and prior to each recertification period. Assumes primary responsibility for the coordination and management of all aspects of the patient's plan of care. Initiates and maintains consistent communication with the attending physician, the Hospice Medical Director, the hospice pharmacist(s), other members of the IDG , hospice office staff, clinical supervisors and directors, other agencies and facilities as needed to coordinate optimal care and use of resources for the terminally ill patient and family Considers factors related to safety, effectiveness and cost in planning and delivering patient and family care Proactively informs Clinical Supervisor or Clinical Director of unusual or potential problems. Works with pharmacist and primary care physician to utilize medications that are optimal and yet cost-effective. Follows process to arrange for the delivery of medications as ordered, understanding the variation in the process for each care location (ALF, SNF, group home or private home) Educates patient, family and contracted caregivers on medications and other care processes to maximize patient comfort. Documents patient care issues, goals and plans in the electronic medical record and exports data to be shared with other clinicians in a timely manner. Documents in the electronic medical record per agency standards to ensure accurate retrieval of quality indicators. Meets routinely with staff in assisted living, skilled nursing facilities and/or group homes to coordinate the plan of care Provides excellent Customer Service to patients, families and facilities, by being knowledgeable and respectful of the patient's "home" environment and regulatory requirements and preferences of each setting. Supervise the care provided by Hospice Aides at least every two weeks with an annual face to face supervision Provide appropriate support at time of death and offers bereavement support Maintains competency in all end-of-life issues, pain and symptom management Participates in agency programs and community education as required to promote growth and understanding of hospice care Demonstrate knowledge of agency policies, State Regulations, the Medicare Conditions of Participation, Joint Commission requirements, Long Term Care Facility regulations, and Assisted Living regulations. Algorithms for end-of-life symptom management. Participate in in-service training and education with a goal of achieving RN certification in Hospice and Palliative CareParticipate in Quality and Performance Improvement ActivitiesOther duties as assigned by Clinical DirectorIt is understood that this is a summary of key job functions and does not include every detail of the job that may reasonably be required. Education/Experience RequiredCurrent Massachusetts professional RN license Baccalaureate degree in nursing from an NLN accredited program preferred Recent Hospice Case Management or related Home Health Experience required Expertise in EMR (PTCT) required hospice documentation Demonstrated ability to manage all aspects of terminal care with expertise in pain and symptom management, IV and SC infusion, knowledge of compounded medications Demonstrated ability to assess and respond to needs of patients and families in a variety of settings required Demonstrated customer service is essential Valid Massachusetts driver's license and access to reliable transportation Ability to read, write and speak EnglishComprehensive knowledge and skills of current end of life nursing practices Skilled in interdisciplinary team approach to care and nursing process Ability to communicate effectively with people from a variety of backgrounds Ability to present in a self-assured, professional manner while functioning independently in avariety of settings Ability to sustain positive attitude and personal connections despite exposure to continual personal/professional loss Registration/CertificationHospice & Palliative Care or Holistic Nursing certification preferred Physical/Environmental RequirementsMajority of work is done while sitting with intermittent standing and walking and occasional bending, lifting, pushing and pulling. Handling light materials, Requires sustained visual attention and concentration. Potential exposure to blood, body fluids, and other infections materials. Physical effort required to lift, carry, push and pull light to heavy equipment, objects or supplies. Physical strength to transfer patients weighing as much as 100 to 250 lbs. The above is intended to describe the general content of and requirements for performance of this job. It is not to be considered as an exhaustive statement of duties, responsibilities, or requirements of this position and does not limit the assignment of additional duties at the discretion of the Supervisor or Clinical Director. Pay Range: $36. 41 - $74. 59This position is covered by a collective bargaining agreement. The pay range listed for this position is the base hourly wage range the organization reasonably and in good faith expects to pay for this position at this time. The pay range for this position is established and governed by the terms of the applicable collective bargaining agreement. Employees hired into this position will receive compensation consistent with the terms of the applicable collective bargaining agreement. As a health care organization, we have a responsibility to do everything in our power to care for and protect our patients, our colleagues and our communities. Beth Israel Lahey Health requires that all staff be vaccinated against influenza (flu) as a condition of employment. More than 35,000 people working together. Nurses, doctors, technicians, therapists, researchers, teachers and more, making a difference in patients' lives. Your skill and compassion can make us even stronger. Equal Opportunity Employer/Veterans/Disabled

When you join the growing BILH team, you're not just taking a job, you're making a difference in people's lives. Job Description:What You'll Do: The Hospice RN Case Manager plans and delivers care to patients utilizing the nursing process of assessment, planning, intervention, implementation, and evaluation; and effectively interacts with patients, significant others, and other interdisciplinary team members while maintaining standards of professional nursing and clinical competency. More Specifically:Complete and document an initial assessment of patient and family to determine hospice care needs. Perform a complete physical assessment of patient and history of current and previous illness(es). Provide information to the patient and family regarding the dying process and expectations. Develop a patient-specific plan of care, which establishes goals based on nursing diagnosis and incorporates therapeutic, preventive, and palliative nursing actions with emphasis on pain and symptom management. Provide instruction to patient and family regarding medication actions, side effects, dosage, route, and frequency;Provide documentation of services utilizing problem-oriented record;Instruct and supervise care given by Hospice Aides; Supervise the care provided by the Hospice Aide every two (2) weeks minimally, and as needed. Participate in bi-weekly hospice case conference or as required. What You'll Need:Associate's Degree or BSN (preferred) from an accredited school of nursing;An active valid Massachusetts RN license;An active American Health Association BLS certification;At least 1 year of direct care nursing experience, preferably the area of public health or home care nursing; EPIC experience is preferred. What You'll Get:A highly competitive salary & benefits package, including generous PTO, 403(b), and tuition reimbursementA reasonable geographic territory with strong clinical support resourcesA highly inclusive, diverse team that values the input of all staff to provide excellent patient care Pay Range: $79,000. 00 USD - $114,900. 00 USDThe pay range listed for this position is the annual base salary range the organization reasonably and in good faith expects to pay for this position at this time. Actual compensation is determined based on several factors, that may include seniority, education, training, relevant experience, relevant certifications, geography of work location, job responsibilities, or other applicable factors permissible by law. As a health care organization, we have a responsibility to do everything in our power to care for and protect our patients, our colleagues and our communities. Beth Israel Lahey Health requires that all staff be vaccinated against influenza (flu) as a condition of employment. More than 35,000 people working together. Nurses, doctors, technicians, therapists, researchers, teachers and more, making a difference in patients' lives. Your skill and compassion can make us even stronger. Equal Opportunity Employer/Veterans/Disabled

**What You'll Do** : The Hospice RN Case Manager plans and delivers care to patients utilizing the nursing process of assessment, planning, intervention, implementation, and evaluation; and effectively interacts with patients, significant others, and other interdisciplinary team members while maintaining standards of professional nursing and clinical competency. **More Specifically** : + Complete and document an initial assessment of patient and family to determine hospice care needs. + Perform a complete physical assessment of patient and history of current and previous illness(es). + Provide information to the patient and family regarding the dying process and expectations. + Develop a patient-specific plan of care, which establishes goals based on nursing diagnosis and incorporates therapeutic, preventive, and palliative nursing actions with emphasis on pain and symptom management. + Provide instruction to patient and family regarding medication actions, side effects, dosage, route, and frequency; + Provide documentation of services utilizing problem-oriented record; + Instruct and supervise care given by Hospice Aides; Supervise the care provided by the Hospice Aide every two (2) weeks minimally, and as needed. + Participate in bi-weekly hospice case conference or as required. **What You'll Need** : + Associate's Degree or BSN (preferred) from an accredited school of nursing; + An active valid Massachusetts RN license; + An active American Health Association BLS certification; + At least 1 year of direct care nursing experience, preferably the area of public health or home care nursing; EPIC experience is preferred. **What You'll Get** : + A highly competitive salary & benefits package, including generous PTO, 403(b), and tuition reimbursement + A reasonable geographic territory with strong clinical support resources + A highly inclusive, diverse team that values the input of all staff to provide excellent patient care **Pay Range:** $83,200.00 USD - $129,626.00 USD The pay range listed for this position is the annual base salary range the organization reasonably and in good faith expects to pay for this position at this time. Actual compensation is determined based on several factors, that may include seniority, education, training, relevant experience, relevant certifications, geography of work location, job responsibilities, or other applicable factors permissible by law. **As a health care organization, we have a responsibility to do everything in our power to care for and protect our patients, our colleagues and our communities. Beth Israel Lahey Health requires that all staff be vaccinated against influenza (flu) as a condition of employment.** **More than 35,000 people working together. Nurses, doctors, technicians, therapists, researchers, teachers and more, making a difference in patients' lives. Your skill and compassion can make us even stronger.** **Equal Opportunity Employer/Veterans/Disabled**

**Pay Range:** $83,200.00 USD - $129,626.00 USD The pay range listed for this position is the annual base salary range the organization reasonably and in good faith expects to pay for this position at this time. Actual compensation is determined based on several factors, that may include seniority, education, training, relevant experience, relevant certifications, geography of work location, job responsibilities, or other applicable factors permissible by law. **As a health care organization, we have a responsibility to do everything in our power to care for and protect our patients, our colleagues and our communities. Beth Israel Lahey Health requires that all staff be vaccinated against influenza (flu) as a condition of employment.** **More than 35,000 people working together. Nurses, doctors, technicians, therapists, researchers, teachers and more, making a difference in patients' lives. Your skill and compassion can make us even stronger.** **Equal Opportunity Employer/Veterans/Disabled**

When you join the growing BILH team, you're not just taking a job, you're making a difference in people's lives. Job Description:What You'll Do:The registered nurse plans, organizes and directs home care services and has experience in nursing with emphasis on community health education. The professional nurse builds from the resources of the community to plan and direct services to meet the needs of patients and families within their homes and communities in accordance with home care regulations and payer guidelines. More Specifically:Complete and document an initial assessment of patient and family to determine home care needs;Initiates the plan of care and makes necessary revisions as patient status and needs change;Administers medications and treatments as prescribed by the physician;Instruct, supervise, and evaluate the home health aide care provided every two (2) weeks;Identify discharge planning needs as part of the care plan development;Practice confidentiality principles set by the agency and Federal HIPAA guidelines;Demonstrate proficiency in OASIS completion;Complete documentation through EPIC in accordance with agency timeliness policies. What You'll Need:An active valid Massachusetts RN license;An active American Health Association BLS certification;Associate's Degree or BSN (preferred) from an accredited school of nursing;At least 1 year of direct care nursing experience, preferably the area of public health or home care nursing; OASIS and/or EPIC experience is preferred. What You'll Get:A highly competitive salary & benefits package, including generous PTO, 403(b), and tuition reimbursementA reasonable geographic territory with strong clinical support resourcesA highly inclusive, diverse team that values the input of all staff to provide excellent patient care Pay Range: $83,200. 00 USD - $129,626. 00 USDThe pay range listed for this position is the annual base salary range the organization reasonably and in good faith expects to pay for this position at this time. Actual compensation is determined based on several factors, that may include seniority, education, training, relevant experience, relevant certifications, geography of work location, job responsibilities, or other applicable factors permissible by law. As a health care organization, we have a responsibility to do everything in our power to care for and protect our patients, our colleagues and our communities. Beth Israel Lahey Health requires that all staff be vaccinated against influenza (flu) as a condition of employment. More than 35,000 people working together. Nurses, doctors, technicians, therapists, researchers, teachers and more, making a difference in patients' lives. Your skill and compassion can make us even stronger. Equal Opportunity Employer/Veterans/Disabled

When you join the growing BILH team, you're not just taking a job, you're making a difference in people's lives. The RN Case Manager working in the Triad Model of Care Transitions partners with the interdisciplinary care team to facilitate the progression of care for the hospitalized patient. Together with the medical provider, the RN Case Manager collaborates with all members of the care team, focusing on the delivery of efficient, high-quality care. This position ensures the appropriate utilization of clinical resources with a goal of a safe and timely discharge for the patient. This role navigates health system services to support effective transitions while advising the team on healthcare industry compliance. The RN Case Manager must be adept at driving throughput metrics, clinical effectiveness, and fiscal responsibility. Job Description: Essential Functions: The RN Case Manager collaborates with the health care team to develop the plan of care and patient flow. Tasks: Reviews all cases within 24 - 48 hours or the next business day of admission/bed placement and each day throughout the stay to facilitate care progression to establish an anticipated length of stay and transition planning needs. Collaborates with the medical team to formulate a treatment plan to include care transitions and promote patient flow. Completes an initial assessment of all admissions/observation patients to identify barriers that impact the length of stay and discharge planning. The assessment should also identify the needs of the patients, acknowledge current resources available, and anticipate future resources needed to facilitate successful transitions. Navigates the care delivery system while collaborating with the physician and other clinical departments by ensuring that tests, treatments, consults, and procedures are appropriately indicated and performed timely. Articulates the plan of care and communicates this plan to other care team members and patient/caregiver. Intervenes to maintain care progression when a deviation in the plan occurs. Influences positive outcomes by communicating the plan of care, expected discharge date, and transition needs to the patient/caregiver and team, thereby enhancing patient and staff satisfaction. Tasks: Creates and coordinates the overall transition plan of care based on initial assessment and concurrent collaboration with social workers, direct care providers, other hospital departments, external service organizations, agencies and healthcare facilities, community care and navigation services, and the patient and family/caregiver. Participates in daily multidisciplinary rounds incorporating evidence/best practice milestones in the plan and communicates that plan to the health care team. Apprises the interdisciplinary team of the estimated length of stay, care progression barriers, and anticipated disposition. Identifies what is needed from the team to facilitate the plan. Facilitates smooth care transitions by ensuring appropriate clinical follow-up is arranged and referrals to proper post-acute providers are initiated. Communicates the plan effectively with the patient and family/caregiver making certain that they have resources for success post-discharge. Understands organizational goals for the length of stay and unplanned readmissions. Tasks: Identifies appropriate clinical guidelines and directs the care plan to establish the anticipated length of stays and appropriate patient status. Proactively interfaces with the payer, where required, verifying coverage/benefits for anticipated discharge needs. Identifies patients that are at readmitted or at high risk for unplanned readmissions and initiates appropriate interventions. Identifies organizational resources within the community and engages those resources as necessary. Documents avoidable days (if not captured by another Care Transitions Team member), case management assessments, and care plans in a thorough and timely manner, per department policy. Ensures appropriate care provider documentation to support the patient's anticipated discharge plan of care. Escalate deviations from the plan to the Physician Advisor as appropriate. Possesses effective verbal and written communication, relationship-building techniques, and negotiation skills. Tasks: Completes clear and concise documentation of the care plan and communicates this to the interdisciplinary team and the patient-caregiver. Identifies and communicates any problems or issues affecting patient flow, patient satisfaction, safety, length of stay management, or outcomes to the department director and/or appropriate key stakeholder. Functions as a resource for governmental and health care industry regulations and ensures compliance, communicates standards to the interdisciplinary team. Informs the patient and family/caregiver of the plan of care and the plan progression. Facilitates communication with the providers and encourages open dialogue. Maintains current knowledge of organizational policies, care transitions, and clinical trends, as well as regulatory requirements for clinical care, discharge planning, and authorization for post-acute services. Tasks: Attends and contributes to departmental staff meetings. Participates and contributes to multi-disciplinary committees and other committees or workgroups as directed. Manages quality indicators such as avoidable delays, length of stay, resource utilization, patient satisfaction, patient flow, outlier management, and readmissions while suggesting strategies to improve organizational/departmental performance. Contacts: Regular contacts, within or outside BILH, to give or get information. Require courtesy, tact, and some knowledge of BILH procedures. Qualifications/Requirements Education Required: RN licensure in the state of Massachusetts Preferred: Bachelor's degree in nursing or another healthcare-related field Experience: 3- 5 years in an acute care setting Certifications: ACM, CCM, or CMAC preferred BLS required Physical Demands and Working Environment Physical Demands: Light - Exerts up to 20 lbs. of force occasionally and/or up to 10 lbs. frequently to move objects. Physical demands are more than those of sedentary work. Light work usually requires walking or standing to a significant degree. Other - Work Environment: Normal Environment - Normal light, air, and space in work environment. Pay Range: $39.14 - $101.14 The pay range listed for this position is the base hourly wage range the organization reasonably and in good faith expects to pay for this position at this time. Actual compensation is determined based on several factors, that may include seniority, education, training, relevant experience, relevant certifications, geography of work location, job responsibilities, or other applicable factors permissible by law. Compensation may exceed the base hourly rate depending on shift differentials, call pay, premium pay, overtime pay, and other additional pay practices, as applicable to the position and in accordance with the law. As a health care organization, we have a responsibility to do everything in our power to care for and protect our patients, our colleagues and our communities. Beth Israel Lahey Health requires that all staff be vaccinated against influenza (flu) as a condition of employment.More than 35,000 people working together. Nurses, doctors, technicians, therapists, researchers, teachers and more, making a difference in patients' lives. Your skill and compassion can make us even stronger.Equal Opportunity Employer/Veterans/Disabled

When you join the growing BILH team, you're not just taking a job, you're making a difference in people's lives. Job Description:What You'll Do: The Hospice RN Case Manager plans and delivers care to patients utilizing the nursing process of assessment, planning, intervention, implementation, and evaluation; and effectively interacts with patients, significant others, and other interdisciplinary team members while maintaining standards of professional nursing and clinical competency. More Specifically:Complete and document an initial assessment of patient and family to determine hospice care needs. Perform a complete physical assessment of patient and history of current and previous illness(es). Provide information to the patient and family regarding the dying process and expectations. Develop a patient-specific plan of care, which establishes goals based on nursing diagnosis and incorporates therapeutic, preventive, and palliative nursing actions with emphasis on pain and symptom management. Provide instruction to patient and family regarding medication actions, side effects, dosage, route, and frequency;Provide documentation of services utilizing problem-oriented record;Instruct and supervise care given by Hospice Aides; Supervise the care provided by the Hospice Aide every two (2) weeks minimally, and as needed. Participate in bi-weekly hospice case conference or as required. What You'll Need:Associate's Degree or BSN (preferred) from an accredited school of nursing;An active valid Massachusetts RN license;An active American Health Association BLS certification;At least 1 year of direct care nursing experience, preferably the area of public health or home care nursing; EPIC experience is preferred. What You'll Get:A highly competitive salary & benefits package, including generous PTO, 403(b), and tuition reimbursementA reasonable geographic territory with strong clinical support resourcesA highly inclusive, diverse team that values the input of all staff to provide excellent patient care Pay Range: $66,560. 00 USD - $103,700. 80 USDThe pay range listed for this position is the annual base salary range the organization reasonably and in good faith expects to pay for this position at this time. Actual compensation is determined based on several factors, that may include seniority, education, training, relevant experience, relevant certifications, geography of work location, job responsibilities, or other applicable factors permissible by law. As a health care organization, we have a responsibility to do everything in our power to care for and protect our patients, our colleagues and our communities. Beth Israel Lahey Health requires that all staff be vaccinated against influenza (flu) as a condition of employment. More than 35,000 people working together. Nurses, doctors, technicians, therapists, researchers, teachers and more, making a difference in patients' lives. Your skill and compassion can make us even stronger. Equal Opportunity Employer/Veterans/Disabled

When you join the growing BILH team, you're not just taking a job, you're making a difference in people's lives. The RN Case Manager working in the Triad Model of Care Transitions partners with the interdisciplinary care team to facilitate the progression of care for the hospitalized patient. Together with the medical provider, the RN Case Manager collaborates with all members of the care team, focusing on the delivery of efficient, high-quality care. This position ensures the appropriate utilization of clinical resources with a goal of a safe and timely discharge for the patient. This role navigates health system services to support effective transitions while advising the team on healthcare industry compliance. The RN Case Manager must be adept at driving throughput metrics, clinical effectiveness, and fiscal responsibility. Job Description:Essential Functions:The RN Case Manager collaborates with the health care team to develop the plan of care and patient flow. Tasks:Reviews all cases within 24 - 48 hours or the next business day of admission/bed placement and each day throughout the stay to facilitate care progression to establish an anticipated length of stay and transition planning needs. Collaborates with the medical team to formulate a treatment plan to include care transitions and promote patient flow. Completes an initial assessment of all admissions/observation patients to identify barriers that impact the length of stay and discharge planning. The assessment should also identify the needs of the patients, acknowledge current resources available, and anticipate future resources needed to facilitate successful transitions. Navigates the care delivery system while collaborating with the physician and other clinical departments by ensuring that tests, treatments, consults, and procedures are appropriately indicated and performed timely. Articulates the plan of care and communicates this plan to other care team members and patient/caregiver. Intervenes to maintain care progression when a deviation in the plan occurs. Influences positive outcomes by communicating the plan of care, expected discharge date, and transition needs to the patient/caregiver and team, thereby enhancing patient and staff satisfaction. Tasks:Creates and coordinates the overall transition plan of care based on initial assessment and concurrent collaboration with social workers, direct care providers, other hospital departments, external service organizations, agencies and healthcare facilities, community care and navigation services, and the patient and family/caregiver. Participates in daily multidisciplinary rounds incorporating evidence/best practice milestones in the plan and communicates that plan to the health care team. Apprises the interdisciplinary team of the estimated length of stay, care progression barriers, and anticipated disposition. Identifies what is needed from the team to facilitate the plan. Facilitates smooth care transitions by ensuring appropriate clinical follow-up is arranged and referrals to proper post-acute providers are initiated. Communicates the plan effectively with the patient and family/caregiver making certain that they have resources for success post-discharge. Understands organizational goals for the length of stay and unplanned readmissions. Tasks:Identifies appropriate clinical guidelines and directs the care plan to establish the anticipated length of stays and appropriate patient status. Proactively interfaces with the payer, where required, verifying coverage/benefits for anticipated discharge needs. Identifies patients that are at readmitted or at high risk for unplanned readmissions and initiates appropriate interventions. Identifies organizational resources within the community and engages those resources as necessary. Documents avoidable days (if not captured by another Care Transitions Team member), case management assessments, and care plans in a thorough and timely manner, per department policy. Ensures appropriate care provider documentation to support the patient's anticipated discharge plan of care. Escalate deviations from the plan to the Physician Advisor as appropriate. Possesses effective verbal and written communication, relationship-building techniques, and negotiation skills. Tasks:Completes clear and concise documentation of the care plan and communicates this to the interdisciplinary team and the patient-caregiver. Identifies and communicates any problems or issues affecting patient flow, patient satisfaction, safety, length of stay management, or outcomes to the department director and/or appropriate key stakeholder. Functions as a resource for governmental and health care industry regulations and ensures compliance, communicates standards to the interdisciplinary team. Informs the patient and family/caregiver of the plan of care and the plan progression. Facilitates communication with the providers and encourages open dialogue. Maintains current knowledge of organizational policies, care transitions, and clinical trends, as well as regulatory requirements for clinical care, discharge planning, and authorization for post-acute services. Tasks:Attends and contributes to departmental staff meetings. Participates and contributes to multi-disciplinary committees and other committees or workgroups as directed. Manages quality indicators such as avoidable delays, length of stay, resource utilization, patient satisfaction, patient flow, outlier management, and readmissions while suggesting strategies to improve organizational/departmental performance. Contacts: Regular contacts, within or outside BILH, to give or get information. Require courtesy, tact, and some knowledge of BILH procedures. Qualifications/RequirementsEducation Required:RN licensure in the state of MassachusettsPreferred: Bachelor's degree in nursing or another healthcare-related field Experience: 3- 5 years in an acute care setting Certifications: ACM, CCM, or CMAC preferred BLS required Physical Demands and Working EnvironmentPhysical Demands:Light - Exerts up to 20 lbs. of force occasionally and/or up to 10 lbs. frequently to move objects. Physical demands are more than those of sedentary work. Light work usually requires walking or standing to a significant degree. Other -Work Environment:Normal Environment- Normal light, air, and space in work environment. Pay Range: $39. 14 - $101. 14The pay range listed for this position is the base hourly wage range the organization reasonably and in good faith expects to pay for this position at this time. Actual compensation is determined based on several factors, that may include seniority, education, training, relevant experience, relevant certifications, geography of work location, job responsibilities, or other applicable factors permissible by law. Compensation may exceed the base hourly rate depending on shift differentials, call pay, premium pay, overtime pay, and other additional pay practices, as applicable to the position and in accordance with the law. As a health care organization, we have a responsibility to do everything in our power to care for and protect our patients, our colleagues and our communities. Beth Israel Lahey Health requires that all staff be vaccinated against influenza (flu) as a condition of employment. More than 35,000 people working together. Nurses, doctors, technicians, therapists, researchers, teachers and more, making a difference in patients' lives. Your skill and compassion can make us even stronger. Equal Opportunity Employer/Veterans/Disabled

When you join the growing BILH team, you're not just taking a job, you're making a difference in people's lives. 32hpw; Day ShiftJob Description:Duties/ResponsibilitiesProvides care according to and is able to articulate hospice philosophy Function as a member of an interdisciplinary team that includes the patient and family in the development of a patient specific plan of care driven by the patient's goals and preferences. Functions as the "eyes and ears" of the physician in the home or facility, communicates an accurate assessment of the patient's condition to the physician and offers expert guidance on treating end-of-life pain and other symptoms when requested by the physician Performs RN pronouncement in all settings except the acute care hospital Provides an initial assessment in conjunction with established LCD guidelines to ensure patient meets criteria for admission to hospice. Provides assessment and clear documentation in the EMR (PTCT) to demonstrate patient continues to meet hospice eligibility utilizing appropriate scales (i. e. FAST, ECOG, etc. ) When services of the hospice chaplain and/or social worker are declined by the patient/family, obtain data on psychological, social and spiritual factors that may influence the patient's plan of care. Seeks input from other members of the team to increase knowledge and support. Provides skilled service that ensures the nursing needs of the patient are met as identified in the patient's initial assessment, comprehensive assessment and updated assessments Prepares and submits updates to patient care plan for review by the Interdisciplinary Group at least every 14 days and prior to each recertification period. Assumes primary responsibility for the coordination and management of all aspects of the patient's plan of care. Initiates and maintains consistent communication with the attending physician, the Hospice Medical Director, the hospice pharmacist(s), other members of the IDG , hospice office staff, clinical supervisors and directors, other agencies and facilities as needed to coordinate optimal care and use of resources for the terminally ill patient and family Considers factors related to safety, effectiveness and cost in planning and delivering patient and family care Proactively informs Clinical Supervisor or Clinical Director of unusual or potential problems. Works with pharmacist and primary care physician to utilize medications that are optimal and yet cost-effective. Follows process to arrange for the delivery of medications as ordered, understanding the variation in the process for each care location (ALF, SNF, group home or private home) Educates patient, family and contracted caregivers on medications and other care processes to maximize patient comfort. Documents patient care issues, goals and plans in the electronic medical record and exports data to be shared with other clinicians in a timely manner. Documents in the electronic medical record per agency standards to ensure accurate retrieval of quality indicators. Meets routinely with staff in assisted living, skilled nursing facilities and/or group homes to coordinate the plan of care Provides excellent Customer Service to patients, families and facilities, by being knowledgeable and respectful of the patient's "home" environment and regulatory requirements and preferences of each setting. Supervise the care provided by Hospice Aides at least every two weeks with an annual face to face supervision Provide appropriate support at time of death and offers bereavement support Maintains competency in all end-of-life issues, pain and symptom management Participates in agency programs and community education as required to promote growth and understanding of hospice care Demonstrate knowledge of agency policies, State Regulations, the Medicare Conditions of Participation, Joint Commission requirements, Long Term Care Facility regulations, and Assisted Living regulations. Algorithms for end-of-life symptom management. Participate in in-service training and education with a goal of achieving RN certification in Hospice and Palliative CareParticipate in Quality and Performance Improvement ActivitiesOther duties as assigned by Clinical DirectorIt is understood that this is a summary of key job functions and does not include every detail of the job that may reasonably be required. Education/Experience RequiredCurrent Massachusetts professional RN license Baccalaureate degree in nursing from an NLN accredited program preferred Recent Hospice Case Management or related Home Health Experience required Expertise in EMR (PTCT) required hospice documentation Demonstrated ability to manage all aspects of terminal care with expertise in pain and symptom management, IV and SC infusion, knowledge of compounded medications Demonstrated ability to assess and respond to needs of patients and families in a variety of settings required Demonstrated customer service is essential Valid Massachusetts driver's license and access to reliable transportation Ability to read, write and speak EnglishComprehensive knowledge and skills of current end of life nursing practices Skilled in interdisciplinary team approach to care and nursing process Ability to communicate effectively with people from a variety of backgrounds Ability to present in a self-assured, professional manner while functioning independently in avariety of settings Ability to sustain positive attitude and personal connections despite exposure to continual personal/professional loss Registration/CertificationHospice & Palliative Care or Holistic Nursing certification preferred Physical/Environmental RequirementsMajority of work is done while sitting with intermittent standing and walking and occasional bending, lifting, pushing and pulling. Handling light materials, Requires sustained visual attention and concentration. Potential exposure to blood, body fluids, and other infections materials. Physical effort required to lift, carry, push and pull light to heavy equipment, objects or supplies. Physical strength to transfer patients weighing as much as 100 to 250 lbs. The above is intended to describe the general content of and requirements for performance of this job. It is not to be considered as an exhaustive statement of duties, responsibilities, or requirements of this position and does not limit the assignment of additional duties at the discretion of the Supervisor or Clinical Director. Pay Range: $36. 41 - $74. 59This position is covered by a collective bargaining agreement. The pay range listed for this position is the base hourly wage range the organization reasonably and in good faith expects to pay for this position at this time. The pay range for this position is established and governed by the terms of the applicable collective bargaining agreement. Employees hired into this position will receive compensation consistent with the terms of the applicable collective bargaining agreement. As a health care organization, we have a responsibility to do everything in our power to care for and protect our patients, our colleagues and our communities. Beth Israel Lahey Health requires that all staff be vaccinated against influenza (flu) as a condition of employment. More than 35,000 people working together. Nurses, doctors, technicians, therapists, researchers, teachers and more, making a difference in patients' lives. Your skill and compassion can make us even stronger. Equal Opportunity Employer/Veterans/Disabled

When you join the growing BILH team, you're not just taking a job, you're making a difference in people's lives. Mount Auburn Hospital (MAH) is a 200-bed acute care teaching hospital affiliated with Harvard Medical School. The Inpatient Case Manager (CM) performs utilization reviews and coordinates discharge planning for MAH inpatient admissions. Inpatient Case Manager performance is evaluated using the Inpatient Case Manager Guidelines and audit tool. Reports to Inpatient Case Management Supervisor. Job Description:Essential Duties & Responsibilities (including but not limited to): 1. Using established clinical criteria, the Case Manager identifies and communicates to the team opportunities for providing care in the most appropriate setting. 2. The Case Manager works with physicians, staff, patients, and families to develop a post-hospital plan of care that best meets the patient's needs. 3. The Case Manager provides appropriate clinical information to the health insurer to ensure appropriate admission status and payment. 4. The Case Manager is the liaison between post-acute providers and the patient. 5. The Case Manager is part of the department's weekend, holiday, and beeper rotation schedule as needed6. The Case Manager adheres to all insurance, contractual, and regulatory requirements as required. 7. The Case Manager abides by MAH Case Management Standards as outlined in the MAH guidelines8. Other duties as assigned. Minimum Qualifications: 1. Bachelor's degree preferred. 2. Current Massachusetts state license as a Registered Nurse (RN). 3. Two years of recent acute hospital medical/surgical nursing care experience are required. 4. Recent case management experience is desirable. 5. Intermediate computer and keyboarding skills. 6. Effective communication, problem-solving, and negotiation skills. 7. Demonstrated ability to organize and work independently in a fast-paced environment. Physical Requirements & Environment: 1. Sufficient clarity of speech and hearing, with or without reasonable accommodation, which permits the employee to communicate well with the supervisor, community, employees, and general public2. Sufficient vision, with or without reasonable accommodation, which permits the employee to produce and review a wide variety of materials, written correspondence, reports, and related materials in electronic and hard copy form. 3. Ability to lift, move or carry objects up to 10 pounds regularly. 4. Ability to ascend or descend stairs or ramps using feet and legs, hands and arms. 5. Ability to maintain body equilibrium to prevent falling when walking, standing, or crouching. 6. Ability to travel to and from various locations. 7. Ability to learn and carry out the primary responsibilities of the assigned position. 8. Ability to effectively communicate in writing and orally on job progress and other assignments and responsibilities. 9. Ability to conceive and articulate plans, create and manage detailed projects, and organize and prioritize work. 10. Ability to analyze data and exercise sound judgment in making decisions and managing confidential or sensitive information. Pay Range: $38. 11 - $98. 23The pay range listed for this position is the base hourly wage range the organization reasonably and in good faith expects to pay for this position at this time. Actual compensation is determined based on several factors, that may include seniority, education, training, relevant experience, relevant certifications, geography of work location, job responsibilities, or other applicable factors permissible by law. Compensation may exceed the base hourly rate depending on shift differentials, call pay, premium pay, overtime pay, and other additional pay practices, as applicable to the position and in accordance with the law. As a health care organization, we have a responsibility to do everything in our power to care for and protect our patients, our colleagues and our communities. Beth Israel Lahey Health requires that all staff be vaccinated against influenza (flu) as a condition of employment. More than 35,000 people working together. Nurses, doctors, technicians, therapists, researchers, teachers and more, making a difference in patients' lives. Your skill and compassion can make us even stronger. Equal Opportunity Employer/Veterans/Disabled

When you join the growing BILH team, you're not just taking a job, you're making a difference in people's lives. Based North of Boston to service the areas of Waltham, Woburn, Lowell, Beverly, and adjacent - The Registered Nurse creates & develops patient care plans to direct the safe and appropriate administration of medication in the home or alternate site setting. Working with Home Infusion staff the Registered Nurse helps identify patients capable of successful self-administration, educates patients & caregivers on proper administration techniques & methods, coordinates discharge activities, administers or supervises administration of medication, provides IV site dressing care and phlebotomy services as ordered. Job Description:Primary Responsibilities:1. Practices in accordance with the state and federal laws, rules, and regulations, including but not limited to Massachusetts Board of Registration in Nursing, Department of Public Health, the Food and Drug Administration, the Drug Enforcement Administration, and the United States Pharmacopeia. 2. Assesses patient needs and capabilities for acceptance onto services for ordered therapies through physical assessment, chart review, patient interview. 3. Provides education with patient & caregiver as a condition of acceptance onto home infusion services (in person, via prerecorded videos or teleconference). 4. Collects necessary authorizations, paperwork, signatures when needed to support patient billing functions. 5. Effectively communicates with all members of patient discharge team (hospital based & pharmacy based). 6. Able to effectively manage patient census & demonstrate flexibility in scheduling to meet time sensitive patient needs. 7. Adheres to policies & procedures for medication handling, preparation, administration, disposal. 8. Advocates patient needs to prescribers or other clinicians through written or verbal communication. 9. Create patient specific care plan, documents patient progress towards goals. 10. Maintains accurate listing of all medications, supplements & diagnoses patient has. 11. Create discharge plan for patient upon completions of therapy as ordered, or if abrupt discontinuation is required. 12. Trains & mentors' staff. 13. Participates in continuous quality control exercises, policy & procedure review, performance improvement tasks. 14. Take part in clinical on-call rotation for after-hours patient support. Required Qualifications:1. Current licensure from the Massachusetts Board of Registration in Nursing. 2. Flexibility with hours worked to provide support evenings/weekends/holidays. 3. Current BLS certification4. 2 years of Infusion related experience required. 5. Valid Driver's license & auto insurance Preferred Qualifications:1. CRNI certification2. Current ACLS certification Competencies:Decision Making: Ability to make decisions that are guided by general instructions and practices requiring some interpretation. May make recommendations for solving problems of moderate complexity and importance. Problem Solving: Ability to address problems that are varied, requiring analysis or interpretation of the situation using direct observation, knowledge and skills based on general precedents. Independence of Action: Ability to follow precedents and procedures. May set priorities and organize work within general guidelines. Seeks assistance when confronted with difficult and/or unpredictable situations. Work progress is monitored by supervisor/manager. Written Communications: Ability to communicate clearly and effectively in written English with internal and external customers. Oral Communications: Ability to comprehend and converse in English to communicate effectively with staff, patients, families and external customers. Knowledge: Ability to demonstrate full working knowledge of standard concepts, practices, procedures and policies with the ability to use them in varied situations. Team Work: Ability to work collaboratively in small teams to improve the operations of immediate work group by offering ideas, identifying issues, and respecting team members. Customer Service: Ability to provide a high level of customer service to patients, visitors, staff and external customers in a professional, service-oriented, respectful manner using skills in active listening and problem solving. Ability to remain calm in stressful situations. Adaptability: Ability to work in a fast paced environment and adapt to acute change. Social/Environmental Requirements:Health Care Status: HCW 3: Regular provision of service in a patient care area. Sensory Requirements: Close work (paperwork, visual examination), Color vision/perception, Visual monotony, Visual clarity feet, Conversation, Monitoring Equipment, Telephone, and Background Noise. Physical Requirements:Medium work: Exerting up to 50 pounds of force occasionally and or up to 20 pounds of force frequently. Job is physical in nature and employee needs to stand and/or move around through the majority of their shift. This job requires constant walking, Endurance-working up to 4-6 hours without a break, frequent sitting, standing, twisting neck, twisting waist, Keyboard use, Reaching-above shoulder height, Reaching-below shoulder height, Lifting and carrying items weighing up to 10 lbs, pushing items weighing up to 10 lbs. There may be occasional bending neck, bending waist, Fine Manipulation using both hands, Pushing/Pulling using both hands. Pay Range: $37. 00 - $66. 70The pay range listed for this position is the base hourly wage range the organization reasonably and in good faith expects to pay for this position at this time. Actual compensation is determined based on several factors, that may include seniority, education, training, relevant experience, relevant certifications, geography of work location, job responsibilities, or other applicable factors permissible by law. Compensation may exceed the base hourly rate depending on shift differentials, call pay, premium pay, overtime pay, and other additional pay practices, as applicable to the position and in accordance with the law. As a health care organization, we have a responsibility to do everything in our power to care for and protect our patients, our colleagues and our communities. Beth Israel Lahey Health requires that all staff be vaccinated against influenza (flu) as a condition of employment. More than 35,000 people working together. Nurses, doctors, technicians, therapists, researchers, teachers and more, making a difference in patients' lives. Your skill and compassion can make us even stronger. Equal Opportunity Employer/Veterans/Disabled

**When you join the growing BILH team, you're not just taking a job, you're making a difference in people's lives.** The Structural Heart Ambulatory RN per diem role will help support BIDMC SH Valve Clinic follow-up needs, including, but not limited to, telephone triage, patient scheduling, and care coordination. **Job Description:** **Essential Responsibilities:** 1. Collaborates with physicians and other health care providers to coordinate the care for patients from referral/consultation to discharge /follow up. Assists with pre-authorization process. 2. Serves as contact and facilitator to receive consults and patient information. Coordinates and insures all patient scheduling including but not limited to consultation, diagnostic and treatment procedures. 3. Gathers information for history and physical. Performs and documents evaluations and assessments of patient. Assists in ordering labs, x-rays, and diagnostic procedures. 4. Works in collaboration with surgeons and physicians in educating the patients and their families in medical care. Assists in development of patient/family educational materials. Participates in patient rounds and case conferences. 5. Updates clinical knowledge and skills through consultation, formal and informal education, and review of literature for self and clinical team. Provides leadership for process improvement related to the care of these patients. **Required Qualifications:** 1. Associate's degree in Nursing required. Bachelor's degree in Nursing preferred. 2. License Nursing License required., and Certificate 1 Basic Life Support required. 3. 1-3 years related work experience required. 4. American Heart Associate - Basic Life Support Certificate 5. Experience with computer systems required, including web based applications and some Microsoft Office applications which may include Outlook, Word, Excel, PowerPoint or Access. **Preferred Qualifications:** 1. Hematology/Oncology nursing experience. **Competencies:** 1. **Written Communications:** Ability to summarize and communicate in English moderately complex information in varied written formats to internal and external customers. 2. **Oral Communications:** Ability to comprehend and communicate complex verbal information in English to medical center staff, patients, families and external customers. 3. **Knowledge:** Ability to demonstrate in-depth knowledge of concepts, practices and policies with the ability to use them in complex varied situations. 4. **Team Work:** Ability to act as a team leader for small projects or work groups, creating a collaborative and respectful team environment and improving workflows. Results may impact the operations of one or more departments. 5. **Customer Service:** Ability to provide a high level of customer service and staff training to meet customer service standards and expectations for the assigned unit(s). Resolves service issues in the assigned unit(s) in a timely and respectful manner. **Age based Competencies:** Employees in this job must be competent to provide patient care to the following age groups: Neonatal:Birth to 6 months, Youth: 6 months to 16 years, Young adult: 16-30 years, Middle Age: 30 - 60 years, Elderly: 60 -. **Physical Nature of the Job:** Medium work: Exerting up to 50 pounds of force occasionally and or up to 20 pounds of force frequently. Job is physical in nature and employee needs to stand and/or move around through the majority of their shift. **Pay Range:** $39.14 - $101.14 The pay range listed for this position is the base hourly wage range the organization reasonably and in good faith expects to pay for this position at this time. Actual compensation is determined based on several factors, that may include seniority, education, training, relevant experience, relevant certifications, geography of work location, job responsibilities, or other applicable factors permissible by law. Compensation may exceed the base hourly rate depending on shift differentials, call pay, premium pay, overtime pay, and other additional pay practices, as applicable to the position and in accordance with the law. **As a health care organization, we have a responsibility to do everything in our power to care for and protect our patients, our colleagues and our communities. Beth Israel Lahey Health requires that all staff be vaccinated against influenza (flu) as a condition of employment.** **More than 35,000 people working together. Nurses, doctors, technicians, therapists, researchers, teachers and more, making a difference in patients' lives. Your skill and compassion can make us even stronger.** **Equal Opportunity Employer/Veterans/Disabled**

When you join the growing BILH team, you're not just taking a job, you're making a difference in people's lives. The registered nurse plans, organizes and directs home care services and is experienced in nursing, with emphasis on community health education/experience. The professional nurse builds from the resources of the community to plan and direct services to meet the needs of individuals and families within their homes and communities in accordance with home care regulations, hospital regulations and payer guidelines. The registered nurse is also trained in caring for Acute Hospital Care at Home patients, delivering care in the patient's home, in partnership with the Command Center multidisciplinary clinical team. :Essential Duties & Responsibilities including but not limited to:Patient Care1. Assumes responsibility to coordinate patient care for the temporarily assigned caseload including but not limited to: appropriate delegation to LPN staff, patient condition change visits, and completion of OASIS time points. Accepts accountability for patient satisfaction scores and quality of care outcome measure results. 2. Completes and documents an initial assessment of patient and family to determine home care needs. Provides a complete physical assessment and history of current and previous illness(es). Develops a patient specific plan of care, which establishes goals based on nursing diagnosis and incorporates therapeutic, preventive, and rehabilitative nursing actions. Includes the patient and the family in the planning process. 3. Initiates the plan of care and makes necessary revisions as patient status and needs change. 4. Initiates appropriate preventive and rehabilitative nursing procedures. Administers medications and treatments as prescribed by the physician. 5. Counsels the patient and family in meeting nursing and related needs. 6. Respects and supports patient and family's cultural beliefs and values, individual needs, health goals and treatment preferences. 7. Provides health care instructions to the patient as appropriate per assessment and plan of care. 8. Instructs, supervises and evaluates home health aide care provided every two (2) weeks. 9. Helps manage episode of care or coordination of care with the primary disciplines in accordance with evolving occupational therapy needs and continued eligibility for services. 10. Identifies discharge planning needs as part of the care plan development and implements prior to discharge of the patient. Communication1. Communicates with the physician regarding the patient's needs and reports any changes in the patient's condition; obtains/receives physician's orders as required. 2. Attends regular case conferences and team meetings per Clinical Manager and as needed. 3. Communicates with team LPN when delegating appropriate visits. 4. Communicates with other disciplines on the care team and community providers to coordinate the care plan (i. e. Insurance case managers, high risk case managers, elder services, protective service, etc). 5. Practices confidentiality principles set by the agency and federal HIPAA guidelines. Documentation1. Demonstrates proficiency in OASIS completion2. Clinical visit notes explain the need for the skilled nursing service in light of the patient's overall medical condition and experiences; the complexity of the services performed and the plan for the next visit based on the rationale of prior results. 3. Completes documentation in accordance with agency timeliness policies. Hospital at Home Responsibilities:Essential Duties & Responsibilities including but not limited to:Clinical Roles and Responsibilities:· Maintain clinical practice in accordance with hospital regulations regarding assessment, care coordination, treatment interventions and documentation for diverse patient populations fitting the Acute Hospital Care at Home model. o Participate and complete Mandatory Education related to inpatient clinical care pertinent to Acute Hospital Care at Home patients as assigned by leadership. · Admit patients transferred to Hospital at Home in accordance to Hospital at Home guidelines; complete admission documentation in Epic (electronic medical record) in accordance with Hospital policies. Professional Development1. Maintains and updates clinical knowledge and skills based on current nursing practice. 2. Adheres to departmental requirements for required training. 3. Identifies specific learning needs and goals and collaborates with nursing leadership in developing a plan to meet them. Additional Duties 1. Participates in the weekend/holiday/on-call rotation as defined by BILH at Home and Hospital at Home expectations. 2. Ensures that arrangements for equipment and other necessary items and services are available. 3. Participates in in-service programs and supervises, teaches and precepts other nursing personnel per Clinical Manager. Organizational Requirements:· Maintain strict adherence to the Continuing Care Confidentiality policy. · Incorporate Continuing Care Standards of Behavior and Guiding Principles into daily activities. · Comply with all Continuing Care Policies. · Comply with behavioral expectations of the Continuing Care Division. · Maintain courteous and effective interactions with colleagues and patients. · Demonstrate an understanding of the , performance expectations, and competency assessment. · Demonstrate a commitment toward meeting and exceeding the needs of our customers and consistently adheres to Customer Service standards. · Participate in departmental and/or interdepartmental quality improvement activities. · Participate in and successfully completes Mandatory Education. · Ensure compliance with reporting requirements for any safety event including sentinel events and serious incidents. · Participate in quality and safety investigations and root cause analysis when necessary. · Take appropriate action to ensure patient safety as a result of any investigation. · Serve as a resource in quality improvement processes and techniques. · Perform all other duties as needed or directed to meet the needs of the department. Minimum Qualifications:Education: · Registered Nurse from a Graduate of National League for Nursing accredited school of nursing. · BSN strongly preferred. Licensure, Certification& Registration: · Registered nurse with current licensure to practice professional nursing in the state of Massachusetts. · Has an active American Health Association BLS. . No other forms of BLS will be accepted. Experience: · Minimum of 2-3 years nursing experience, at least one of which is in the area of home care nursing with OASIS experience is preferred. Skills, Knowledge & Abilities: · Demonstrates excellent observation and problem solving/critical thinking skills. · Well-developed verbal and written communication skills; essential computer skills to work with EMR. · Must be a licensed driver with an automobile that is insured in accordance with state or organization requirements and is in good working order. · Self-directed and able to work with minimal supervision; seeks support in a timely manner whenever needed. · Shows strong ability to organize and prioritize workload independently; nursing skills per competency checklist. a. Skills required (not limited to this list, but for example): physical exam, phlebotomy, intravenous access, intravenous medication infusion pump management, port access and de-access, drain management, wound care. · Exhibits flexibility in managing Hospital at Home patient assignment when applicable prioritizing acuity and iterating in partnership with Command Center clinical team when needed. · Strong skills in working within multidisciplinary team Key Relationships:Title Nature of Relationship To Position1 All other clinical positions Work collaboratively in a multi-disciplinary team for quality patient outcome. 2 Clinical Manager Reports to - case conferences with on a weekly basis3 Office Support Staff Work collaboratively to ensure accurate scheduling of pts visits, accurate insurance billing for services provided to pts Scope/Impact Statement:Work Schedule: Indicate either Yes or No as appropriate. Hours of work may be subject to change based upon the needs of the business/department. On Call: YES Shift Rotation: YES Weekends: YESPhysical Requirements & Environment:For each category, select ONE option from choices below by placing an X in the space to the left of the entry. Mental and Visual Attentiona) The position requires basic mental and visual attention much or all of the timeb) The position requires periods of concentrated mental and visual attention. c) X The position requires a high degree of mental and visual concentration. Physical ExertionWeightd) Nature of work requires lifting or moving light weight (up to 20 pounds). e) X Nature of work requires lifting or moving medium weight (over 20 and up to 75 pounds). f) Nature of work requires lifting or moving heavy weight (over 75 pounds). Dexterityg) Flow of work and nature of duties require average manual coordination. h) Flow of work and nature of duties require above average manual coordination. i) X Flow of work and nature of duties require high manual coordination. Range of Motionj) Responsibilities require average range of motion. k) Responsibilities require above average range of motion. l) X Responsibilities require high range of motion. Physical Conditionsm) X Performance of duties allows for variation in positioning and tasks. n) Performance of duties requires remaining in position for prolonged periods of time. Repetitive Motiono) Responsibilities require occasional repetitive motion. p) X Responsibilities require frequent repetitive motion. q) Responsibilities require constant repetitive motion. Working Conditionsr) Working conditions include minimal exposure to elements such as odor, noise, dust, chemicals, temperature extremes or airborne pathogens. s) Working conditions include occasional exposure to elements such as odor, noise, dust, chemicals, temperature extremes or airborne pathogens. t) X Working conditions include continuous exposure to elements such as odor, noise, dust, chemicals, temperature extremes or airborne pathogens. Exposure to Hazardous Materialsu) Performance of duties generally does not involve exposure to hazardous materials. v) Performance of duties occasionally involves exposure to hazardous materials. w) X Performance of duties frequently involves exposure to hazardous materials. (Biohazardous) Patient Care Conditions (select ALL that are applicable)x) X Responsibilities entail exposure to blood and body fluids; standard precautions must be used. y) X Responsibilities include transporting, transfer and positioning of patients. z) X Incumbent must be continuously prepared to prevent a patient fall. Sensory Requirements (select ALL that are applicable)aa) X Performance of duties requires the ability to discern and identify colorsbb) X Performance of duties requires the ability to discern sharp from dull and hot from coldcc) X Performance of duties requires the ability to hear soft and loud noises Patient Care/Patient Contact Designation (check only one of the items listed below) X Position has a direct impact upon health outcomes of the patient. __ Position facilitates the process that may impact patient access to services. __ No patient care/contact, and does not facilitate the patient care process or directly impact health outcomes. This is intended to describe the general nature and level of work being performed by people assigned to this classification. It is not intended to be construed as an exhaustive list of all responsibilities, requirements, duties and skills required of personnel so classified. Additional duties and responsibilities that are specific to the Department or Unit are identified and maintained by the Manager as an Addendum to the Job Description. Pay Range: $81,661. 00 USD - $125,216. 00 USDThe pay range listed for this position is the annual base salary range the organization reasonably and in good faith expects to pay for this position at this time. Actual compensation is determined based on several factors, that may include seniority, education, training, relevant experience, relevant certifications, geography of work location, job responsibilities, or other applicable factors permissible by law. As a health care organization, we have a responsibility to do everything in our power to care for and protect our patients, our colleagues and our communities. Beth Israel Lahey Health requires that all staff be vaccinated against influenza (flu) as a condition of employment. More than 35,000 people working together. Nurses, doctors, technicians, therapists, researchers, teachers and more, making a difference in patients' lives. Your skill and compassion can make us even stronger. Equal Opportunity Employer/Veterans/Disabled

RN - Manager TLC Nursing Associates, Inc. TLC Nursing Associates, Inc. is seeking an experienced and dynamic Registered Nurse (RN) Manager to oversee nursing operations, manage staff, and ensure the delivery of high-quality patient care. This role involves leadership, coordination of clinical services, and compliance with regulatory standards within the healthcare setting. Job Responsibilities Supervise and manage nursing staff, including scheduling, training, and performance evaluations. Ensure delivery of safe, effective, and patient-centered care in compliance with clinical guidelines and organizational policies. Develop, implement, and monitor nursing policies, procedures, and best practices. Collaborate with physicians, administrators, and multidisciplinary teams to optimize patient outcomes. Manage department budgets, staffing levels, and resource allocation efficiently. Oversee quality assurance programs and participate in audits and compliance reviews. Address and resolve patient concerns, staff issues, and operational challenges promptly. Support ongoing professional development and foster a positive work environment. Qualifications Current Registered Nurse (RN) license in good standing. Bachelor of Science in Nursing (BSN) required; Master's degree in Nursing or Healthcare Administration preferred. BLS and ACLS certifications required. Minimum of 3-5 years of clinical experience with at least 1-2 years in a leadership or supervisory role. Strong knowledge of nursing practices, healthcare regulations, and quality standards. Excellent leadership, organizational, and communication skills. Ability to manage multiple priorities in a fast-paced environment. Benefits Competitive salary and comprehensive benefits package. Health, dental, and vision insurance coverage. 401(k) retirement plan with company match for eligible employees. Professional growth and continuing education opportunities. Collaborative and supportive healthcare team environment. If you are an experienced RN Manager with strong leadership skills and a commitment to excellence in patient care, apply today to join TLC Nursing Associates.

When you join the growing BILH team, you're not just taking a job, you're making a difference in people's lives. supporting the Cardiology Structural Heart Team. Job Description:Job Summary: The BIDMC Nursing Mission is to build on a legacy of nursing excellence by caring with compassion, advancing the art & science of nursing, and advocating for the health of patients, families, and communities. The Nurse Coordinator is responsible for coordinating care for patients receiving treatment in a specialty service, including the evaluation, assessment, scheduling, consultation and treatment of patients in order to implement a seamless progression of care to meet the patient's needs. Training, evaluation and competencies for this role are overseen by a Nurse Leader to the department. Essential Responsibilities: Collaborates with physicians and other health care providers to coordinate the care for patients from referral/consultation to discharge /follow up. Assists with pre-authorization process. Serves as contact and facilitator to receive consults and patient information. Coordinates and insures all patient scheduling including but not limited to consultation, diagnostic and treatment procedures. Gathers information for history and physical. Performs and documents evaluations and assessments of patient. Assists in ordering labs, x-rays, and diagnostic procedures. Works in collaboration with surgeons and physicians in educating the patients and their families in medical care. Assists in development of patient/family educational materials. Participates in patient rounds and case conferences. Updates clinical knowledge and skills through consultation, formal and informal education, and review of literature for self and clinical team. Provides leadership for process improvement related to the care of these patients. Makes and answers patient phone calls, both pre and post treatment/procedure, from patients referring providers, and outside facilities (hospitals, rehabilitation centers, physician offices). Required Qualifications:Associate's degree in Nursing required. Bachelor's degree in Nursing preferred. License Registered Nurse required. , and Certificate 1 Basic Life Support required. 1-3 years related work experience required. American Heart Associate - Basic Life Support CertificateExperience with computer systems required, including web based applications and some Microsoft Office applications which may include Outlook, Word, Excel, PowerPoint or Access. Preferred Qualifications:Prior experience in specialty service preferred. Competencies:Decision Making: Ability to make decisions that are guided by precedents, policies and objectives. Regularly makes decisions and recommendations on issues affecting a department or functional area. Problem Solving: Ability to address problems that are highly varied, complex and often non-recurring, requiring staff input, innovative, creative, and Lean diagnostic techniques to resolve issues. Independence of Action: Ability to set goals and determines how to accomplish defined results with some guidelines. Manager/Director provides broad guidance and overall direction. Written Communications: Ability to summarize and communicate in English moderately complex information in varied written formats to internal and external customers. Oral Communications: Ability to comprehend and communicate complex verbal information in English to medical center staff, patients, families and external customers. Knowledge: Ability to demonstrate in-depth knowledge of concepts, practices and policies with the ability to use them in complex varied situations. Team Work: Ability to act as a team leader for small projects or work groups, creating a collaborative and respectful team environment and improving workflows. Results may impact the operations of one or more departments. Customer Service: Ability to provide a high level of customer service and staff training to meet customer service standards and expectations for the assigned unit(s). Resolves service issues in the assigned unit(s) in a timely and respectful manner. Age based Competencies:Employees in this job must be competent to provide patient care to the following age groups: Neonatal:Birth to 6 months, Youth: 6 months to 16 years, Young adult: 16-30 years, Middle Age: 30 - 60 years, Elderly: 60 -. Physical Nature of the Job:Medium work: Exerting up to 50 pounds of force occasionally and or up to 20 pounds of force frequently. Job is physical in nature and employee needs to stand and/or move around through the majority of their shift. Pay Range: $39. 14 - $101. 14The pay range listed for this position is the base hourly wage range the organization reasonably and in good faith expects to pay for this position at this time. Actual compensation is determined based on several factors, that may include seniority, education, training, relevant experience, relevant certifications, geography of work location, job responsibilities, or other applicable factors permissible by law. Compensation may exceed the base hourly rate depending on shift differentials, call pay, premium pay, overtime pay, and other additional pay practices, as applicable to the position and in accordance with the law. As a health care organization, we have a responsibility to do everything in our power to care for and protect our patients, our colleagues and our communities. Beth Israel Lahey Health requires that all staff be vaccinated against influenza (flu) as a condition of employment. More than 35,000 people working together. Nurses, doctors, technicians, therapists, researchers, teachers and more, making a difference in patients' lives. Your skill and compassion can make us even stronger. Equal Opportunity Employer/Veterans/Disabled

When you join the growing BILH team, you're not just taking a job, you're making a difference in people's lives. The Structural Heart Ambulatory RN per diem role will help support BIDMC SH Valve Clinic follow-up needs, including, but not limited to, telephone triage, patient scheduling, and care coordination. Job Description:Essential Responsibilities: Collaborates with physicians and other health care providers to coordinate the care for patients from referral/consultation to discharge /follow up. Assists with pre-authorization process. Serves as contact and facilitator to receive consults and patient information. Coordinates and insures all patient scheduling including but not limited to consultation, diagnostic and treatment procedures. Gathers information for history and physical. Performs and documents evaluations and assessments of patient. Assists in ordering labs, x-rays, and diagnostic procedures. Works in collaboration with surgeons and physicians in educating the patients and their families in medical care. Assists in development of patient/family educational materials. Participates in patient rounds and case conferences. Updates clinical knowledge and skills through consultation, formal and informal education, and review of literature for self and clinical team. Provides leadership for process improvement related to the care of these patients. Required Qualifications:Associate's degree in Nursing required. Bachelor's degree in Nursing preferred. License Nursing License required. , and Certificate 1 Basic Life Support required. 1-3 years related work experience required. American Heart Associate - Basic Life Support CertificateExperience with computer systems required, including web based applications and some Microsoft Office applications which may include Outlook, Word, Excel, PowerPoint or Access. Preferred Qualifications:Hematology/Oncology nursing experience. Competencies:Written Communications: Ability to summarize and communicate in English moderately complex information in varied written formats to internal and external customers. Oral Communications: Ability to comprehend and communicate complex verbal information in English to medical center staff, patients, families and external customers. Knowledge: Ability to demonstrate in-depth knowledge of concepts, practices and policies with the ability to use them in complex varied situations. Team Work: Ability to act as a team leader for small projects or work groups, creating a collaborative and respectful team environment and improving workflows. Results may impact the operations of one or more departments. Customer Service: Ability to provide a high level of customer service and staff training to meet customer service standards and expectations for the assigned unit(s). Resolves service issues in the assigned unit(s) in a timely and respectful manner. Age based Competencies: Employees in this job must be competent to provide patient care to the following age groups: Neonatal:Birth to 6 months, Youth: 6 months to 16 years, Young adult: 16-30 years, Middle Age: 30 - 60 years, Elderly: 60 -. Physical Nature of the Job:Medium work: Exerting up to 50 pounds of force occasionally and or up to 20 pounds of force frequently. Job is physical in nature and employee needs to stand and/or move around through the majority of their shift. Pay Range: $39. 14 - $101. 14The pay range listed for this position is the base hourly wage range the organization reasonably and in good faith expects to pay for this position at this time. Actual compensation is determined based on several factors, that may include seniority, education, training, relevant experience, relevant certifications, geography of work location, job responsibilities, or other applicable factors permissible by law. Compensation may exceed the base hourly rate depending on shift differentials, call pay, premium pay, overtime pay, and other additional pay practices, as applicable to the position and in accordance with the law. As a health care organization, we have a responsibility to do everything in our power to care for and protect our patients, our colleagues and our communities. Beth Israel Lahey Health requires that all staff be vaccinated against influenza (flu) as a condition of employment. More than 35,000 people working together. Nurses, doctors, technicians, therapists, researchers, teachers and more, making a difference in patients' lives. Your skill and compassion can make us even stronger. Equal Opportunity Employer/Veterans/Disabled