Registered Nurse Field Nurse - Hospital at Home

When you join the growing BILH team, you're not just taking a job, you’re making a difference in people’s lives.

Reporting directly to the Hospital at Home Director of Nursing, the Hospital at Home Staff RN provides high-quality patient care to acute patient admitted to the BILH Hospital at Home program. The program delivers innovative inpatient-level care to patients in the comfort of their homes, allowing nurses to build meaningful one-on-one patient relationships while practicing at the top of their license in a highly autonomous clinical environment.

In addition to providing patient care in homes the Hospital at Home Staff RN will rotate through some shifts providing virtual nursing in a centralized command center located in Charlestown. This position combines hands-on patient care, technology-enabled monitoring, interdisciplinary collaboration, and acute-care clinical decision-making. This role offers a dynamic alternative to traditional hospital-based nursing.

This role is well suited for nurses seeking greater autonomy, meaningful patient relationships, innovative care delivery, and an alternative to the traditional inpatient setting. We welcome candidates from a wide variety of clinical backgrounds. We offer comprehensive Day 1 benefits, including competitive mileage reimbursement.

Job Description:

Essential Duties & Responsibilities including but not limited to:

•    Utilizing monitoring, assessment, planning, intervention and critical thinking skills to care for acute care patient populations in the home
•    Navigating patients and families across the continuum of care
•    Monitoring and responding to biometric data per Hospital at Home Command Center protocols
•    Conducting audio/visual patient care visits as directed by the care team and/or protocol
•    Ensuring all interventions in the patient’s care plan are implemented efficiently with a patient centered approach
•    Leveraging the resources and expertise of supplier partners to implement collaborative workflows, standards, policies, protocols, guidelines and documentation systems to support safe, reliable, high-quality, evidence-based care with clinical protocols as the foundation
•    Adhering to the clinical protocols and be willing to obtain the necessary training to provide care within the context of the providing evidence-based care
•    Promoting professional practice and a culture of safety; willingness to engage in process improvement efforts

Clinical Roles and Responsibilities:

•    Providing protocol driven assessment, care coordination and interventions as appropriate informed by Hospital at Home protocols for diverse patient populations with a focus on oncology, medicine and post- operative care
•    Exhibiting sound clinical decision making and critical thinking skills
•    Maintain and practice in accordance with nursing guidelines per state and hospital regulations
•    Facilitating admissions to l Hospital at Home utilizing Hospital at Home guidelines
•    Serving as a role model for professional nursing practice
•    Utilizing nursing knowledge to identify, prevent and/or solve complex acute and/or recurring patient care problems
•    Sharing expertise with the multidisciplinary team and serve as a resource to staff in area(s) of expertise
•    Supporting research efforts to advance knowledge and promote evidence-based practice
•    Preforming other duties and responsibilities as assigned by the Senior Director of Nursing

Quality and Safety Responsibilities:

•    Ensure compliance with reporting requirements for Sentinel Events and Serious Incidents
•    Participate in quality and safety investigations and root cause analyses
•    Take appropriate action to ensure patient safety as a result of any investigation; and
•    Serve as a resource in quality improvement processes and technique

Organizational Requirements:
1.    Maintains strict adherence to the Lahey Hospital and Medical Center Confidentiality Policy.
2.    Incorporates Lahey Hospital and Medical Center Guiding Principles, Mission Statement and Goals into daily activities.
3.    Complies with all Lahey Hospital and Medical Center Policies. Complies with behavioral expectations of the department and Lahey.
4.    Maintains courteous and effective interactions with colleagues and patients. 
5.    Demonstrates an understanding of the job description, performance expectations, and competency assessment. 
6.    Demonstrates a commitment toward meeting and exceeding the needs of our customers and consistently adheres to Customer Service standards. 
7.    Participates in departmental and/or interdepartmental quality improvement activities. 
8.    Participates in and successfully completes Mandatory Education. 
9.     Performs all other duties as needed or directed to meet the needs of the department.

Minimum Qualifications:

Education:  
•     Nursing Diploma or ASN, BSN preferred

Licensure, Certification, Registration: 
•    A current Massachusetts RN license
•    BLS certification

Skills, Knowledge & Abilities:
•    Clinical knowledge
•    Able to promote patient safety and a 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
•    Collaborate, advocate and mentor others with a professional, non-condescending manner
•    Model collaborative, respectful team relationships with colleagues and customers; lead by example
•    Strong interpersonal, inter-professional communication and collaboration capabilities
•    Ability to analyze, interpret and problem solve quickly with well-articulated action planning
•    Strong verbal/written communication and conflict resolution skills
•    Strong empathy to deliver compassionate, patient centered care
•    Demonstrates critical thinking, service excellence and good interpersonal communication skills
•    Ability to read/comprehend written instructions
•    Ability to follow verbal instructions
•    Strong computer skills

Experience:  
•    Three (3) years RN experience

Key Relationships: 

 Position                        Purpose/Activities
1.        
2.        
3.        
4.        

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:    No            Shift Rotation:     Yes        Weekends:   Yes

     Essential Requirements & Attributes: 

Task or Function Performed    Frequency
     Describe
Sitting    Frequently    
Standing    Occasionally    
Walking    Occasionally    
Stooping (bending at waist)    Occasionally    
Twisting    Occasionally    
Crouching (bending at knees)    Occasionally    
Climbing    Rarely    
Pushing/Pulling    Occasionally    
Kneeling    Occasionally     
Reaching    Occasionally    
Bending    Occasionally     
Lifting     Occasionally     
Lifting & positioning patients – weight varies significantly    Rarely    
Driving    Rarely    
Fine finger movement    Occasionally    
Using keyboard    Frequently    
Telephone use    Frequently    
Object Handling    Frequently    
Viewing PC monitor    Frequently    

Working Conditions: 

Exposure         Frequency
Identify Protective Equipment Required or Recommended
Bodily Fluids    Rarely    
Infectious disease hazards    Rarely    
Hazardous Materials    Rarely    
Auditory hazards    Rarely    
Dust, Fumes, Gas, or Radiation    Rarely    
Mechanical hazards    Rarely    
Temperature extremes    Rarely    
Weather extreme    Rarely    
Other (explain):         

Sensory Requirements: In the column to the right, indicate with an X all requirements that apply to the job.
                    
Visual Acuity        Auditory    
▪    Close Paper work    X    ▪    Conversation    X
▪    Computer use    X    ▪    Monitoring Equipment    X
▪    Color vision/perception    X    ▪    Telephone    X
▪    Visual monotony    X    ▪    Background Noise    X
Sensory Discrimination        Communication    
▪    Hot/Cold    X    ▪    Written Communication    X
▪    Sharp/Dull    X    ▪    Oral Communication     X
Motor Coordination        Other (describe)    
▪    Equipment Moving    X        

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 affect patient access to services.
_ No patient care/contact, and does not facilitate the patient care process or directly affect health outcomes.

This Job Description 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:

$37.00 - $95.74

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