Registered Nurse, Hospital At Home, Per Diem
7 days ago
The Hospital at Home Registered Nurse works in the Hospital at Home program and is responsible for delivering high-quality patient care across diverse populations. They employ their monitoring, assessment, planning, and critical thinking skills to provide acute care within this framework. This role involves conducting virtual patient care visits as directed by the care team and protocol.
The RN utilizes their nursing knowledge to solve complex patient problems and collaborates with the Medically Home team and service providers to ensure evidence-based care with clinical protocols. Delegating patient care activities is part of their responsibility, with a focus on maintaining patient safety and adherence to institutional standards and documentation guidelines.
They establish therapeutic relationships with patients and caregivers, guiding them through the Hospital at Home care phases. This role acts as a professional nursing practice role model, promoting a culture of safety and participating in quality and safety investigations. Compliance with state and hospital regulations, along with participation in quality improvement and chart review audits, are also essential aspects of this role.
Position: Registered Nurse
Department: Hospital At Home
Schedule: Per Diem
Essential Responsibilities / Duties
Core Responsibilities
- Responsible for providing high-quality patient care to various patient populations within the framework of Hospital at Home and includes the following key elements:
- Utilizes monitoring, assessment, planning, intervention, and critical thinking skills to care for acute care patients in the Hospital at Home program
- Conducts virtual patient care visits for diverse patient populations as directed by the care team and protocol
- Utilizes nursing knowledge to identify, solve, and prevent complex patient problems
- Leverages the resources and expertise of the Medically Home team and service provider network to implement collaborative workflows, policies, protocols, and guidelines that support safe, reliable, high-quality, evidence-based care with clinical protocols as the foundation
- Delegates activities or tasks related to patient care while retaining accountability for the outcome and responsibility for the delivery of nursing care Monitors and responds to biometric data per health system protocols
- Promotes adherence to institutional standards and documentation guidelines
- Ensures all interventions in the patient’s care plan are implemented efficiently and with a patient-centered approach.
- Takes appropriate action to ensure patient safety
- Establishes therapeutic relationships with patients and caregivers. Guides patients and caregivers across the continuum of the Hospital at Home phases of care
- Serves as a role model for professional nursing practice
- Promotes a culture of safety, participates in quality and safety investigations, root cause analyses, and other process improvement efforts
- Ensures compliance with reporting requirements for Sentinel Events and Serious Incidents
- Actively facilitates new patient admissions to Hospital at Home; assumes additional patient intake responsibilities as directed by program leadership; implements Medically Home guidelines throughout intake process
- Shares expertise with the multidisciplinary team and serves as a resource to staff in area(s) of expertise
- Supports research efforts to advance knowledge and promote evidence-based practice
- Maintains and practices in accordance with nursing guidelines per state and hospital regulations
- Performs other duties and responsibilities as assigned by the Director of Nursing
- Ensures compliance with reporting requirements for all levels of safety events (those which resulted in harm, and those where harm was not present)
- Participates in quality and safety investigations and root cause analyses as required by leadership
- Takes appropriate action to ensure patient & family safety
- Participates in quality improvement processes activities
- Participates in chart review audits.
- Systematically evaluates the quality, cost, and effectiveness of nursing practice.
- Participates/leads quality improvement and/or research activities as appropriate to the individual’s position, education, skills, and practice environment.
- Uses the results of patient satisfaction, quality improvement and/or research data to initiate changes in practice.
- Accounts for completing daily patient classification data and incident reports in a timely manner.
- Participates in cost containment initiatives and practices.
- When two or more practice options exist that achieve the same quality of expected patient outcome, evaluates factors related to safety, effectiveness and cost when selecting the appropriate option.
- Acts in a professional manner relative to practice standards, statutes, and regulations.
- Practices in compliance with established practice standards, policies, procedures, protocols, guidelines, statutes and regulations (example: DPH, JCAHO, Fire Code, OSHA, and DEA).
- Functions without supervision in a manner appropriate for level of experience and education.
- Responsible for seeing things through to completion and for informing appropriate staff of outcomes.
- Offers, seeks out and acts upon constructive feedback regarding professional practice to improve daily practice and to achieve goals identified during performance appraisal.
- Takes appropriate steps to effectively resolve peer conflicts or investigate questionable activities. Discusses such with individuals involved and seeks assistance from nurse manager when appropriate.
- Maintains accurate annual professional development record.
- Demonstrates flexibility and ability to positively adapt to changing staffing/clinical/patient census needs including but not limited to offering assistance to others, adjusting patient assignments, floating to other areas/units, etc.
- Demonstrates reliability in regard to attendance and punctuality standards.
- Maintains a presentable appearance in accordance with dress code requirements including wearing a visible identification badge that identifies one’s self as a registered staff nurse.
- The nurse acquires and maintains current knowledge in nursing practice.
- To maintain clinical competence in appropriate practice area, participates in ongoing educational activities to enhance clinical knowledge and update requisite skills.
- Independently identifies need for in-service/educational sessions and seeks experience to meet such needs and to maintain clinical skills.
- Completes the following mandatory requirements: annual BLS certification, institutional mandatory education, e.g., safety regulations, infection control standards, etc., and departmental/unit specific competencies.
- Actively participates on unit or departmental based task forces, councils, or committees.
- The nurse contributes to the professional development of peers, colleagues, and others.
- Takes initiative to share knowledge and skills willingly with colleagues, students, and novice practitioners in a collegial manner.
- Provides peers with constructive feedback regarding their practice and professional skills.
- Acts as a resource for new employees, float staff, and other unit team members.
- Assists in the orientation and/or acts as preceptor for new employees and/or nursing students.
- The nurse’s decisions and actions on behalf of patients are determined in an ethical manner.
- Delivers care in a manner that preserves/protects client autonomy, dignity, confidentiality, and rights.
- Acts as a patient advocate in order to facilitate meeting identified patient needs.
- Delivers care in a non-judgmental and nondiscriminatory manner that is sensitive to and demonstrates respect for patient diversity.
- Seeks available resources to help formulate ethical decisions.
- The nurse collaborates with client, significant others and health care providers in delivering client care.
- Communicates and consults with client, significant others and members of the health care team regarding required patient care.
- Works cooperatively and constructively with all departments and health care team members to establish an environment that supports the process of collaboration.
- Participates as an integral member of the health team during family/staff meetings, formal/informal shift rounds/reports, and medical/grand rounds.
- Coordinates appropriate internal and external referrals to assist patients to gain access to services, pre-approvals, etc.
- Coordinates discharge activities including arranging for home/agency referrals when necessary.
- Other duties
- Interprets/translates for patient/family/visitors when conversant in their native language as needed.
- Acts as a shift charge nurse when requested/ne
- Performs all other related duties as assigned.
Education
JOB REQUIREMENTS
Nursing degree: Diploma, ASN or BSN (preferred), Ability to obtain BSN within 4 years
Certificates, Licenses, Registrations Required
Active Registered Nurse License (BSN & current license)
Active Basic Life Support (BLS) certification
Experience
Three (3) years RN experience in specialty fields such as acute care, medical/surgical, home-based care, ER, oncology, or geriatrics desirable.
Knowledge And Skills
- Clinical knowledge
- Able to promote patient safety and positive patient experience
- Flexible and comfortable with a changing and dynamic work environment and schedule across all shifts and days
- Team player who also works well independently
- Participates in ongoing learning and continuing education to care for a variety of patient populations
- Model collaborative, respectful team relationships with colleagues and customers; lead by example
- Experience with telemedicine, nursing informatics, and/or clinical trials desirable
-
Registered Nurse, Hospital At Home, Per Diem
2 weeks ago
Boston, United States Boston Medical Center Full timePosition Summary The Hospital at Home Registered Nurse works in the Hospital at Home program and is responsible for delivering high-quality patient care across diverse populations. They employ their monitoring, assessment, planning, and critical thinking skills to provide acute care within this framework. This role involves conducting virtual patient care...
-
Registered Nurse, Hospital At Home, Per Diem
7 days ago
boston, United States Boston Medical Center (BMC) Full timePosition SummaryThe Hospital at Home Registered Nurse works in the Hospital at Home program and is responsible for delivering high-quality patient care across diverse populations. They employ their monitoring, assessment, planning, and critical thinking skills to provide acute care within this framework. This role involves conducting virtual patient care...
-
Registered Nurse, Hospital At Home, Per Diem
2 weeks ago
Boston, United States Boston Medical Center (BMC) Full timePosition SummaryThe information below covers the role requirements, expected candidate experience, and accompanying qualifications.The Hospital at Home Registered Nurse works in the Hospital at Home program and is responsible for delivering high-quality patient care across diverse populations. They employ their monitoring, assessment, planning, and critical...
-
Registered Nurse, Hospital At Home, Per Diem
2 weeks ago
Boston, United States Boston Medical Center Full timePOSITION SUMMARY: The Hospital at Home Registered Nurse works in the Hospital at Home program and is responsible for delivering high-quality patient care across diverse populations. They employ their monitoring, assessment, planning, and critical thinking skills to provide acute care within this framework. This role involves conducting virtual patient care...
-
Registered Nurse, Hospital At Home, Per Diem
2 weeks ago
Boston, MA, United States Boston Medical Center (BMC) Full timePosition Summary The Hospital at Home Registered Nurse works in the Hospital at Home program and is responsible for delivering high-quality patient care across diverse populations. They employ their monitoring, assessment, planning, and critical thinking skills to provide acute care within this framework. This role involves conducting virtual patient care...
-
Registered Nurse
2 weeks ago
Boston, United States Massachusetts General Hospital Full timeAbout the Registered Nurse Role and Substance Use & Addictive Services This is a part-time or per diem position, with primary hours from 8:30 AM-1 PM on Saturdays & Sundays. Additional per diem hours during the week available to add as desired. The O Registered Nurse, Substance, Registered, Nurse, Per Diem, Hospital, Healthcare
-
Per Diem Registered Nurse
3 weeks ago
Boston, Massachusetts, United States Massachusetts General Hospital Full timeAbout the RoleWe are seeking a skilled and compassionate Per Diem Registered Nurse to join our team at Massachusetts General Hospital. As an Infusion Nurse, you will play a critical role in delivering high-quality patient care in our Psychiatric Infusion Clinic.Key ResponsibilitiesDeliver direct patient care with a focus on outpatient infusionCollaborate...
-
Nurse Practitioner Home Hospital
3 weeks ago
Boston, Massachusetts, United States Mass General Brigham Healthcare at Home Full timeJob SummaryWe are seeking a skilled Registered Nurse to join our Home Hospital team at Mass General Brigham Healthcare at Home. As a Registered Nurse, you will provide high-quality clinical services to patients in their homes, working collaboratively with our interdisciplinary team to deliver exceptional patient care.Key ResponsibilitiesDevelop and implement...
-
Registered Nurse Home Hospital- Virtual- 36-Noc
20 hours ago
Boston, United States Mass General Brigham Healthcare at Home Full timeDescription This RN Virtual position will be located at our New Logistic Command Center- Assembly Row, Somerville, MA. 36 hour/Night The position to which you are applying is represented by a collective bargaining unit, Massachusetts Nurses Association. The MGB Home Hospital Virtual Registered Nurse (VRN) is responsible for providing essential elements of...
-
Registered Nurse Home Hospital- Virtual- 24hr-Day
24 hours ago
Boston, United States Mass General Brigham Healthcare at Home Full timeDescription This RN Virtual position will be located at our New Logistic Command Center- Assembly Row, Somerville, MA. 24 hours- 12 hour shifts 7A-7P The position to which you are applying is represented by a collective bargaining unit, Massachusetts Nurses Association. The MGB Home Hospital Virtual Registered Nurse (VRN) is responsible for providing...
-
Registered Nurse Home Hospital- Virtual- 36-Days
17 hours ago
Boston, United States Mass General Brigham Healthcare at Home Full timeDescription This RN Virtual position will be located at our New Logistic Command Center- Assembly Row, Somerville, MA. 36 hour/Day 7A-7P The position to which you are applying is represented by a collective bargaining unit, Massachusetts Nurses Association. The MGB Home Hospital Virtual Registered Nurse (VRN) is responsible for providing essential elements...
-
Per Diem Nurse
2 weeks ago
Boston, Massachusetts, United States Mass General Brigham Full timeJob Title: Per Diem NurseMass General Brigham is seeking a per diem nurse to join our Home Hospital team. As a per diem nurse, you will provide high-quality, patient-centered care to patients in their homes.Job Summary:We are looking for a skilled and compassionate nurse to provide per diem services to our patients. The ideal candidate will have a strong...
-
Registered Nurse Home Hospital- Virtual- 24-Noc
3 weeks ago
Boston, United States Mass General Brigham Healthcare at Home Full timeThis RN Virtual position will be located at our New Logistic Command Center- Assembly Row, Somerville, MA.24 hour/NightThe position to which you are applying is represented by a collective bargaining unit, Massachusetts Nurses Association.The MGB Home Hospital Virtual Registered Nurse (VRN) is responsible for providing essential elements of the inpatient...
-
Boston, United States Mass General Brigham Healthcare at Home Full timeThis RN Virtual position will be located at our New Logistic Command Center- Assembly Row, Somerville, MA.24 hours- 12 hour shifts 7A-7PThe position to which you are applying is represented by a collective bargaining unit, Massachusetts Nurses Association.The MGB Home Hospital Virtual Registered Nurse (VRN) is responsible for providing essential elements of...
-
Registered Nurse
22 hours ago
Boston, United States Massachusetts General Hospital Full timeDescription This per diem position is Mon-Fri (days will vary), 8:30a-5p, no weekends or holidays About the Staff Nurse Role and Gynecology Clinic The Gynecology Clinic at Massachusetts General Hospital has over 25 providers and see approximately 2000 patients per month. We are mainly a consultative practice that see patients with gynecology complications....
-
Per Diem Registered Nurse
24 hours ago
Boston, United States Boston Senior Home Care , Inc Full timeJob Title: Per Diem Registered Nurse (PDRN) Business Unit: Coordination of Care or AFC Department: Coordination of Care or AFC Reports To: Nurse Manager FLSA: Non-Exempt Classification: Part-time Grade: None Assigned Salary: $52.50 Per Hour JOB DESCRIPTION: Summary/Objective Boston Senior Home Care's Home Care Management and/or MassHealth Programs...
-
Registered Nurse
2 weeks ago
Boston, United States Massachusetts General Hospital Full timeDescription About the Registered Nurse Role and Substance Use & Addictive Services This is a part-time or per diem position, with primary hours from 8:30AM-1PM on Saturdays & Sundays. Additional per diem hours during the week available to add as desired. The Office-based Addiction Treatment (OBAT) Registered Nurse works at Massachusetts General Hospital in...
-
Intensive Care Unit Nurse
4 weeks ago
Boston, United States Brigham & Women's Faulkner Hospital Full timeSchedule: Per Diem - 12 or 8 hour shifts, Day/Night rotation, weekends requirement per MNA contract Why YOU should be our next ICU RN: Silver Beacon Award for Excellence Winner 2023 DAISY Team Award Winner 2x Evidence Based Practice Award Winner Shared Governance Model ICU Magnet Designated Hospital Known for our great teamwork 14 bed unit with great nurse...
-
Nurse Practitioner
3 weeks ago
Boston, Massachusetts, United States McLean Hospital(MCL) Full timeAbout McLean Hospital (MCL)McLean Hospital is a leading psychiatric hospital committed to providing high-quality mental health services in the Boston area and beyond. With a rich history dating back to 1811, McLean has been a world leader in the treatment of mental illness and chemical dependency, research, and training of mental health care providers.Job...
-
Per Diem Nurse
5 days ago
Boston, Massachusetts, United States Mass General Brigham Full timeJob Title: Per Diem NurseMass General Brigham is seeking a per diem nurse to join our Home Health team. As a per diem nurse, you will provide high-quality, patient-centered care to patients in their homes.Job Summary:We are looking for a skilled and compassionate per diem nurse to join our team. The ideal candidate will have a strong background in home...
