RN - Multispecialty Nurse

3 weeks ago


Salem, Oregon, United States Partners HealthCare Full time
About Us

Mass General Brigham Integrated Care is a system-led operating entity formed by Mass General Brigham to develop new high-quality, low-cost, and innovative community-based ambulatory care. This work stems from Mass General Brigham's unified system strategy to bring healthcare closer to patients' homes, while lowering total healthcare costs.

Our Mission

We aspire to be people's first choice for health and care, rooted in well-being and kindness. We bring world-class care closer to home (or at home) and serve as the bridge to world-renowned hospitals and research when needed.

Our Values

We are guided by our core values: Bravely Human, Clearly Honest, Proudly Collaborative, Intentionally Consistent, and Exceptionally Creative.

The Opportunity

We are seeking an enthusiastic and passionate Registered Nurse to partner with our clinical and non-clinical primary care and multispecialty staff to test out new ways of delivering exceptional care to our patients. This role is a unique opportunity to work on-site with the clinical team to deliver high-quality patient care, as well as remotely to support clinical coordination activities.

Key Responsibilities
  1. Work closely and collegially with physicians, APPs, and other clinical and administrative staff to enhance the delivery of patient care services along the continuum of care.
  2. Be the liaison between the patient, surgeon, and PCP when needed to assist in preparing the patient for any surgeries or procedures.
  3. Ensure that patients receive timely, high-quality, and efficient healthcare and support services.
  4. Promote patient satisfaction by interacting with patients in a professional, friendly manner consistent with their needs.
Clinical Patient Care Responsibilities
  1. Evaluation of patients in clinic, as determined by an MD.
  2. Triage and evaluation (on site or virtually).
  3. Assisting the care team to remain in flow.
  4. Administering injections, medications, and providing complex wound care (on site).
  5. Assisting with minor surgery, office laboratory, and other tests (on site).
  6. Instructing patients regarding preparation for various tests and procedures.
  7. Medication teaching (e.g., insulin starts, lovenox injections, etc.).
  8. Assisting care team when office emergencies arise.
  9. Providing hand-off to EMS and ED (in collaboration with provider).
  10. Acts as a resource to other clinical staff in the practice.
  11. Monitoring patient(s) and providing support to patient/family.
  12. Assists patients and families with self-management of chronic diseases, including but not limited to: Hypertension, Diabetes, Hyperlipidemia, Obesity, CHF, COPD, Asthma, and Depression.
  13. Assesses patient/family continuing care needs in collaboration with the care team.
  14. Coordinates care transitions across the healthcare delivery system, including visits to specialists, visits to the Emergency Department or Urgent Care, admissions to inpatient and extended care facilities; and transitions to different models of care, such as long-term care or hospice.
Clinical Coordination Responsibilities
  1. One call resolve.
  2. Complex triage/addressing clinical questions.
  3. Refill set-up.
  4. Symptom screening and routing.
  5. After visit/post procedure check-in.
  6. New medication/symptoms check-in.
  7. ED/Inpatient follow-up calls.
  8. VNA coordination.
  9. Obtaining authorization for services/equipment.

We are looking for a team member who possesses not only the relevant skills and growth potential but also positive attitudes, flexibility, and creative mindsets to join our expanding team. Opportunities exist for team members to contribute both in their primary domain as well as in other areas of the organization.



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