Ambulatory/Primary Care RN
Company: Partners Community Physicians Organization(PCPO)
Location: Somerville
Posted on: April 8, 2021
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Job Description:
Remote-based position with occasional in-office presence
required.Reporting to the Mass General Brigham Community Physicians
Medical Director, the Registered Nurse will be responsible and
accountable for planning and providing patient care for assigned
patients in accordance with Nursing Standards of Care and
organizational policies. The RN will collaborate and work closely
with physicians, associate providers, clinical and administrative
staff to enhance the delivery of patient care services along the
continuum of care. The RN will perform phone triage for complex
urgent calls, assist with triage for walk-ins, screen monitor and
complete patient physical and emotional well-being assessments. The
RN will also provide patient health counseling and instruction,
including discussion with families and caregivers; will inform and
educate patients regarding the meaning and implications of test
results and interventions. The RN will perform post
ED/Hospital/Post-Acute Follow up calls (TCM calls)The RN will
assist with chronic disease, population health management and will
ensure effective coordination of care across the continuum
including working with Mass General Brigham, Brigham Health and
community partners to include: home care, outpatient clinics,
emergency/urgent care, and hospital settings. In addition, this
individual will be responsible for assessing, planning,
implementing, and evaluating a plan of care; initiating home care
referrals and assisting with coordination of home care services.The
RN will utilize a variety of modalities to engage patients
including nurse visits, telephonic and electronic communication
(Gateway) and will document all patient communications and clinical
treatments accurately and appropriately in the electronic medical
record, in compliance with nursing documentation standards.May be
required in the office, to administer immunizations and injections;
assist with treatments and procedures and assist the Care Team with
patient flow, specimen collection, and intake when necessary and if
MA unavailable.Qualifications Graduate of an approved school of
nursing with current registration in MassachusettsAn Associate's
Degree in Nursing or Bachelor of Science Degree in Nursing is
requiredAt least 3 years of Ambulatory adult primary care LPN or RN
experience preferredProficient in EMR (preferably Epic) for the
facilitation of quality and timely patient Demonstrated ability to
work independently with minimal supervision, as well as part of a
cohesive teamExcellent critical thinking and communication
skillsMaintain or obtain CPR certification and participate in
site-based CPR drillsEEO Statement Equal Opportunity Employer
Keywords: Partners Community Physicians Organization(PCPO), Somerville , Ambulatory/Primary Care RN, Healthcare , Somerville, Massachusetts
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