Community Health Nurse Salary in Boston, MA

FLOW MANAGER / 40 HOURS / Rotating - BWH PerianesthesiaBrigham and Women's Hospital, an affiliate of Mass General Brigham, is committed to supporting patient care, research, teaching, and service to the community. We place great value on being a diverse, equitable and inclusive organization as we aim to reflect the diversity of the patients we serve. At Mass General Brigham, we believe in equal access to quality care, employment and advancement opportunities encompassing the full spectrum of human diversity: race, gender, sexual orientation, ability, religion, ethnicity, national origin and all the other forms of human presence and expression that make us better able to provide innovative and cutting-edge healthcare and research.As manager of the Perianesthesia Department, the PACU Flow Manager has direct responsibility for maximizing efficiency of patient flow, controlling the transfer of patients to and from the Operating Room/Procedural Areas to the PACU.As part of The management team, time will be spent directing and monitoring patient flow in the extremely complex, high patient volume PACU. Decisions made regarding patient flow and PACU department utilization have direct impact on the expenditure of resources and maximization of revenues.This position is the key controller, facilitator, and integrator of the effectiveness and efficiency with which the daily dynamic schedule functions. The PACU Flow Manager works in collaboration with the anesthesia floor leader, nursing management, and surgeons in determining, through critical judgment and decision-making, that optimum utilization is attained and maintained.The PACU Flow Manager will develop and promote a team philosophy and interdisciplinary collaboration among staff to foster a continuum of care for the perioperative patient.At the Brigham, we place great value on being a diverse and inclusive community. Brigham Health and the Department of Nursing are dedicated to diversity, equity and inclusion as we aim to reflect the diversity of the patients in our local community. We have a dedicated focus on equity. Thus, we believe in equal access to quality care, employment and advancement opportunities encompassing the full spectrum or human diversity: race, gender, sexual orientation, religion, ethnicity, national origin and all the other forms of human presence and expression that make us better able to provide innovative and cutting-edge healthcare and research.Principles Duties and Responsibilities:• Directs the efficient flow and movement of patients to and from the PACU department.• Establishes effective communications with nursing management, anesthesia floor leader, surgeon, and hospital administration to ensure efficient utilization of the PACU department.• Ensures that optimum utilization is maintained with minimum use of overtime and additional staff. • Establishes and sustains successful external relationships with ancillary departments to assure smooth and efficient functioning of the PACU department.• Develops and maintains a plan of organization which facilitates congruency with organizational goals.• Monitors the accuracy of the Epic scheduling program and interacts with Information Systems to ensure that the integrity of the system is maintained.• Plans for additional staffing as needed and secures resources with consideration of budget impact.• Implements and monitors adherence to personnel and departmental policies.• Establishes and maintains an environment conducive to high morale and job satisfaction, fulfillment of staff goals, and delivery of optimum performance.• Performs all other duties as assigned.Qualifications Qualifications:• Graduated from an approved school of nursing; bachelor's degree required, MSN preferred. • Current license to practice as a registered nurse in the State of Massachusetts.• Extensive knowledge of patient flow and emergency department operations.• Continually update clinical knowledge & skills through formal and informal education and review of the current literature.• Proven ability to work well independently, possess sound decision making skills and work effectively when required to make and facilitate complex decisions.Skills and Abilities:• Must possess strong interpersonal communication and negotiation skills to provide effective leadership for promoting interdisciplinary collaborative team work.• Must possess strong analytical and organizational abilities in order to make effective decisions in an expedient manner while maintaining high quality care standards. Must be able to appropriately prioritize room and staffing resources based upon patient needs and established protocols. Uses expertise and judgment in determining appropriate patient placement.• Must demonstrate ability to effectively communicate, negotiate, and problem solve with physician staff over PACU bay assignments. Must often act as a liaison between staff and physicians in determining most appropriate resource allocation.• Must demonstrate fair and equitable practice in assigning staff, determining overtime, and providing input into performance evaluations.• Must be able to promote a customer-oriented philosophy among all staff within the area.• Must demonstrate independent judgment within the scope of this position, while maintaining effective relations with outside referring organizations, internal physicians, and departmental staff.• Ability to work under extremely stressful conditions.• Must be able to utilize computer applications programs.Working Conditions:• The Perianesthesia department is a stressful, high volume and high acuity patient care environment. Work is underground with no windows or exposure to natural light. There is a possible exposure to infectious diseases.EEO Statement Brigham and Women's Hospital is an Affirmative Action Employer. By embracing diverse skills, perspectives and ideas, we choose to lead. All qualified applicants will receive consideration for employment without regard to race, color, religious creed, national origin, sex, age, gender identity, disability, sexual orientation, military service, genetic information, and/or other status protected under law.

Home Hospital Advanced Practice Provider (NP or PA) Part-Time 36 hour DaysNorth Team- The NORTH Team APP will primarily admit at Salem Hospital with flexibility to serve MGH and provide care to Home Hospital patients who live in the surrounding area. Job Title: Home Hospital Advanced Practice Provider General OverviewThe Home Hospital Advanced Practice Provider (HH APP) will be part of a clinical team that provides acute-level care to patients in the comfort of their own home. The MGB Home Hospital (HH) is an innovative strategic program that aims to improve the care of patients while increasing hospital capacity and reducing total costs of care. The Home Hospital Advanced Practice Provider will support the work of Home Hospital by visiting (either in person or virtually) and managing patients in their home as a direct Home Hospital provider, supported by a multidisciplinary team that includes an attending physician (who oversees the direction of care for patients enrolled), a Home Hospital nurse, a paramedic (Mobile Integrated Health), an administrative coordinator, and other allied staff as needed (e.g. home health aide, physical therapist). Upon admission to Home Hospital a patient will have an in-person visit (this can be done in the hospital or in the home). Daily Home Hospital rounds for the Home Hospital APP consist of at least one daily visit (in-person or virtual depending on patient needs and circumstances), with medical decision-making and delivery of needed care as appropriate (see specific clinical duties below). The HH APP will facilitate continuity between care settings, ensure home care and acute care protocols are seamlessly integrated in the home settings, and function as a lead clinician in the home environment.The ideal candidate for this HH APP role will be a patient-centered, proactive, flexible, and confident clinician comfortable with autonomy, multidisciplinary team collaborations, complex clinical decision-making, level-of-care triaging, and telemedicine. The role offers the potential to grow into a managerial/leadership position and/or the opportunity to broaden clinical duties.Principle Roles/Responsibilities:• Provides acute-level care in the home setting (in-person and/or virtual) as a key member of the Home Hospital treatment team (including receiving the patient at his/her/their home, establishing a treatment plan, following Home Hospital protocols where appropriate, liaising between the home and other care settings, timely clinical documentation, and responding to patient needs with the ability to triage decisions around escalation of care). Other clinical duties may include facilitating in-home diagnostics, point-of-care testing, administration of medications and other treatments, patient monitoring, clinical documentation, and other patient needs as they arise.• Collaborates with multidisciplinary Home Hospital team members and patients' longitudinal care team members around appropriate, safe, effective, equitable, and timely care delivery for Home Hospital patients.• Communicates with the patient and family about HH, incorporating patient and family values and goals in the plan of care. • Maintains a safe care environment for HH patients and leads in the practice of and reinforcement of a strong safety culture among all clinical partners involved.• Attends relevant team and other meetings related to Home Hospital and related work.• Participates with quality measurement and/or quality improvement initiatives, as appropriate, to advance the work of Home Hospital and other alternative care pathways, including advancements or innovations within the electronic health record.Qualifications QualificationsAt least 3 years of Nurse Practitioner (NP) or Physician Assistant (PA) experience strongly desired, preferably practicing in an acute hospital setting; academic medical center experience a plus.Current Massachusetts Licensure as a NP or PA with a Masters Degree required.MGB institutional knowledge a plus.Advanced Cardiac Life Support (ACLS) certification is required.Flexible and comfortable with a fast-paced, evolving clinical environment.Motivated, collaborative team player who also works well independently.Creative problem solver with the ability to think innovatively. Excellent oral and written communication skills.Demonstrated knowledge of quality measurement and quality improvement.Track record of proficiency in managing relationships and building networks.Previous experience with Continuous Quality Improvement efforts and development of evidence-based protocols a plus.Shift Requirements/Working ConditionsRole is Full-time, 36 to 40-hours/week and will include rotations for days, weekends, and holidays. There may also be a rotating overnight on-call responsibility.Local travel between patient homes within a defined 10-20 mile radius required.EEO Statement Mass General Brigham Healthcare at Home, an affiliate of Mass General Brigham, is committed to supporting patient care, research, teaching, and service to the community. We place great value on being a diverse, equitable and inclusive organization as we aim to reflect the diversity of the patients we serve. At Mass General Brigham, we believe in equal access to quality care, employment and advancement opportunities encompassing the full spectrum of human diversity: race, gender identity, sexual orientation, ability, religion, ethnicity, national origin and all the other forms of human presence and expression that make us better able to provide innovative and cutting-edge healthcare and research.

DescriptionSummary:The School of Nursing at the MGH Institute of Health Professions invites applications and nominations for a 0.5 FTE Women’s Health NP (WHNP)faculty position. Successful board certified WHNP candidates will have the opportunity to teach their area of expertise in our on-campus Master of Science in Nursing program. We are interested in hiring dynamic faculty who have a strong interest in educational excellence and innovation to prepare nurses for the local, regional, and national workforce with interprofessional and global competencies. Faculty are expected to be actively engaged in the scholarship of discovery, teaching and learning or practice/application.Position Highlights:Part time Faculty position.Benefits eligible.Educate: Will have the opportunity to impart their expertise to students enrolled in our on-campus Master of Science in Nursing program. Growth: As an independent affiliate of the world-renowned Massachusetts General Hospital, the MGH Institute operates within Mass General Brigham, offering its employees unparalleled opportunities for career growth and development.About MGH Institute of Health ProfessionsMGH Institute of Health Professions is a graduate school in Boston that provides entry-level and post-professional programs in Nursing, Communication Sciences and Disorders, Genetic Counseling, Occupational Therapy, Physical Therapy, and Physician Assistant Studies. The PhD in Rehabilitation Sciences and a PhD and Master of Science in Health Professions Education have been added in recent years to meet rising demand for highly educated health care professionals, educators, and researchers. Integrating classroom learning with research and clinical experience, the Institute grants doctoral degrees, master's degrees, awards certificates of advanced study, and offers continuing education to practicing professionals.The IHP is the only degree-granting affiliate in Mass General Brigham (MGB), the largest private employer in the Commonwealth of Massachusetts. The Institute has been recognized multiple times by The Chronicle of Higher Education as a “Great College to Work For.” A leading health sciences educational institution, MGH Institute provides students with outstanding academic programs, many of which are ranked among the best in the nation.MGH Institute of Health Professions has announced an organization-wide anti-racism initiative to think boldly about race and bring together all members of the IHP community to address systemic racial injustice as well as oppression more broadly. The plan seeks to create a supportive and inclusive campus environment and better support the diverse communities the school serves. We are excited about this new initiative and are hiring employees who are committed to justice, equity, diversity, and inclusion and will contribute to our anti-racism and anti-oppression approach.About the School of NursingEducating more than 500 students with 55 full-time faculty, the School of Nursing offers an accelerated BSN program, an entry-level and post-professional Master of Science in Nursing, a Certificate of Advanced Study, and the Doctor of Nursing Practice, one of the first DNP programs in the country.The SON faculty includes outstanding educators and researchers, many of whom are recognized nationally and internationally for their clinical and scholarly excellence.The Master of Science in Nursing placed in the top 30% of nurse practitioner programs according to the most recent rankings by U.S. News & World Report. The Doctor of Nursing Practice is ranked second in Greater Boston by U.S. News.QualificationsQualifications:Eligible for licensure in Massachusetts.Hold at least one graduate degree in nursing in the area of specialization required (Women’s Health Nurse Practitioner) for the faculty appointment. Doctorate in nursing or a related discipline is preferred.Current certification as a Women’s Health NP required for the advanced practice program. Must possess a commitment to scholarship appropriate with rank. Must demonstrate excellent technological, interpersonal and collaborative skills.If you are interested in joining the School of Nursing at MGH Institute of Health Professions, please submit a cover letter, curriculum vitae, and the names and contact information of three professional references. The application review process will begin immediately and will continue until the positions are filled. Rank and salary are competitive and commensurate with education, professional background and experience.Primary Location: MA-Charlestown-MGH IHPWork Locations: MGH IHP (MGHCharlestownIHP)36 First AvenueCharlestown, 02129Job: Teaching/FacultyOrganization: Massachusetts General Hospital(MGH)Schedule: Part-timeShift: Day JobEmployee Status: RegularJob Posting: Feb 22, 2024

Home Hospital Advanced Practice Provider (NP or PA) Job Title: Home Hospital Advanced Practice Provider 24 Hour Days- South RegionPart-time positions availableGeneral OverviewThe Home Hospital Advanced Practice Provider (HH APP) will be part of a clinical team that provides acute-level care to patients in the comfort of their own home. The MGB Home Hospital (HH) is an innovative strategic program that aims to improve the care of patients while increasing hospital capacity and reducing total costs of care. The Home Hospital Advanced Practice Provider will support the work of Home Hospital by visiting (either in person or virtually) and managing patients in their home as a direct Home Hospital provider, supported by a multidisciplinary team that includes an attending physician (who oversees the direction of care for patients enrolled), a Home Hospital nurse, a paramedic (Mobile Integrated Health), an administrative coordinator, and other allied staff as needed (e.g. home health aide, physical therapist). Daily Home Hospital rounds for the Home Hospital APP consist of at least one daily visit (in-person initially, subsequent visits in-person or virtual depending on patient needs and circumstances), with medical decision-making and delivery of needed care as appropriate (see specific clinical duties below). The HH APP will facilitate continuity between care settings, ensure home care and acute care protocols are seamlessly integrated in the home settings, and function as a lead clinician in the home environment.The ideal candidate for this HH APP role will be a patient-centered, proactive, flexible, and confident clinician comfortable with autonomy, multidisciplinary team collaborations, complex clinical decision-making, level-of-care triaging, and telemedicine. The role offers the potential to grow into a managerial/leadership position and/or the opportunity to broaden clinical duties.Principle Roles/Responsibilities:• Provides acute-level care in the home setting (in-person and/or virtual) as a key member of the Home Hospital treatment team (including receiving the patient at his/her/theirs/zirs home, establishing a treatment plan, following Home Hospital protocols where appropriate, liaising between the home and other care settings, timely clinical documentation, and responding to patient needs with the ability to triage decisions around escalation of care). Other clinical duties may include facilitating in-home diagnostics, point-of-care testing, administration of medications and other treatments, patient monitoring, clinical documentation, and other patient needs as they arise.• Collaborates with multidisciplinary Home Hospital team members and patients' longitudinal care team members around appropriate, safe, effective, equitable, and timely care delivery for Home Hospital patients.• Communicates with the patient and family about HH, incorporating patient and family values and goals in the plan of care. • Maintains a safe care environment for HH patients and leads in the practice of and reinforcement of a strong safety culture among all clinical partners involved.• Attends relevant team and other meetings related to Home Hospital and related work.• Participates with quality measurement and/or quality improvement initiatives, as appropriate, to advance the work of Home Hospital and other alternative care pathways, including advancements or innovations within the electronic health record.Qualifications At least 3 years of Nurse Practitioner (NP) or Physician Assistant (PA) experience strongly desired, preferably practicing in an acute hospital setting; academic medical center experience a plus.Current Massachusetts Licensure as a NP or PA with a Masters Degree required.MGB institutional knowledge a plus.Advanced Cardiac Life Support (ACLS) certification is required.Flexible and comfortable with a fast-paced, evolving clinical environment.Motivated, collaborative team player who also works well independently.Creative problem solver with the ability to think innovatively. Excellent oral and written communication skills.Demonstrated knowledge of quality measurement and quality improvement.Track record of proficiency in managing relationships and building networks.Previous experience with Continuous Quality Improvement efforts and development of evidence-based protocols a plus.Shift Requirements/Working ConditionsRole is Full-time, 24 hours/week and will include rotations for days, weekends, and holidays. There is also a rotating overnight on-call responsibility.Local travel between patient homes within a defined 10-20 mile radius required.EEO Statement Mass General Brigham Healthcare at Home, an affiliate of Mass General Brigham, is committed to supporting patient care, research, teaching, and service to the community. We place great value on being a diverse, equitable and inclusive organization as we aim to reflect the diversity of the patients we serve. At Mass General Brigham, we believe in equal access to quality care, employment and advancement opportunities encompassing the full spectrum of human diversity: race, gender identity, sexual orientation, ability, religion, ethnicity, national origin and all the other forms of human presence and expression that make us better able to provide innovative and cutting-edge healthcare and research.

MGH strives to advance health equity, improve health outcomes, and promote well-being of our primary care patients by addressing health-related social needs, system navigation, and care coordination as standard of care.This position will contribute to these MGH efforts through collaboration with the Department of Equity and Community Health (ECH), the Department of General Internal Medicine Population Health Management ((DGIMPHM), and Department of Pediatrics teams CHWs are trusted members of the community with the skills and experience to understand their patients' circumstances. By building trusting relationships and walking alongside their patients, CHWs help address medical and psychosocial needs in order to promote self-efficacy, help patients meet their goals, and improve health outcomes. The DGIM Population Health Management team develops and implements population-based efforts to monitor and improve clinical effectiveness through systems-based strategies and interventions. Its goal is to improve the quality and cost effectiveness of health care by informing clinical decision-making processes, changing patient and clinician behaviors, enhancing the care choices of physicians, other providers and patients, and optimizing care tools and systems. Under the management of ECH and DGIM , the asthma-lifestyle CHW will participate in patient-centered, team-based care. S/he/they will support primary care physicians (PCPs) and practices in managing their panel of patients with asthma and/or weight management issues. S/he/they will incorporate the PCP's clinical goals and family goals to identify plans of action. By gathering and organizing patient data from clinical registries and medical records, the asthma-lifestyle CHW works to identify patients' unmet needs, engage patients in self-management, gather summary information for treatment interventions, and provide wrap-around support that traditionally falls outside of clinical care.The CHW will engage patients and their families, develop a trusting relationship, help families to navigate the health system, make home visits to identify environmental influences and closely communicate with the clinical team based on clear clinical goals set out during the referral process and on-going clinical team communication. In addition, the CHW will engage patients and their families in setting their own short-term goals and will track the benchmarks along the way toward the achievement of these goals. In addition, the asthma-lifestyle CHW will work with patients to help decrease barriers to timely follow-up care and provide coaching to engage patients and families in identification and achievement of care goals. This is not a clinical position but requires a good knowledge of (and willingness to learn) basic clinical concepts and an understanding of when a referral to a licensed clinician is appropriate. Protocols and ongoing training are in place to help facilitate the growth of this knowledge.Key Areas of Responsibility: • Works as an effective team member of the pediatric practice, ECH and DGIM population health management program to provide health coaching and care coordination to patients and familiar• Develops a keen understanding of primary care model for optimal, coordinated population health, while incorporating community health worker principles• Provide culturally-sensitive services to patients with asthma and their families• Identify and assists with health-related social needs including needs related to food and housing insecurity, challenges with insurance, medication access, transportation, etcPrinciple Duties and Responsibilities:Patient Engagement and Health Coaching• Engage patients telephonically, via home visits, and in the PCP office with occasional accompaniment to medical appointments and community services• Support patients and families in setting and following through with clinical goals to manage their asthma and lifestyle goals to address how their weight is impacting their health.• Work with patients and families to identify and help address barriers to care. Make home visits to follow up on key aspects of the patient's care and to assess the in-home barriers to compliance and engage patients in addressing their barriers; identify environmental risk factors and triggers. Help the patient to put systems in place in their own environment to assist with self-management of care (i.e.: following up on appointments, prescription management)• Provide culturally sensitive services to patients from diverse racial, cultural, and socioeconomic backgrounds; utilize medical interpretation as needed Systems Navigation and Care Coordination• Help address logistical barriers, scheduling challenges, childcare needs, etc., that would inhibit a patient from showing up at their appointment; help patients to develop plans to get to appointments.• Assist patients in organizing their records, making follow up appointments, filling their prescriptions, understanding past medical history.• Work with primary care providers and pertinent specialist to reinforce provider care plans and health education messages the importance of follow-up care, medication adherence, routines of self-care, etc.• Provide advocacy, patient education and support in accessing community-based and hospital-based programs. • Refer to internal or external case management services within the practice when other issues are identified (i.e. food insecurity, domestic violence issues, etc.)Collaboration and Documentation• Using patient registries, identify and monitor high-risk patients with medical and/or psychosocial conditions to provide community health services. • Document each patient encounter in detail. Track benchmarks of progress in care, including short term goal completion • Maintain regular communication with the patient's providers (through clinical messages in EPIC, emails, phone calls, case review meetings, etc.)• Support practice staff to develop creative processes to proactively manage patients with asthma and/or obesity in a non-stigmatizing manner; help practice staff to develop patient-centered care goals.• Collaborate with interdisciplinary primary care team to identify care plan goals. Additional Ad-hoc Responsibilities (generally on an as-needed basis):• Attend initial and continuing education training programs including self-directed reading and in-person and online learning.• Complete an initial assessment with the patient and provider to identify the specific areas of focus for the asthma CHW role with particularly high-risk patients.Skills/Abilities/Competencies Required• Ability to identify problems, think creatively, and devise innovative solutions• Ability to persuade, influence and enlist others' support in accomplishing objectives• Spanish and/or other language fluency [Portuguese, Haitian Creole, Arabic] desirable• Ability to connect and engage with Latino/ Black / African Community desirable• Proficient in Microsoft Applications, including MS Word and Excel• Strong time management, organizational and planning skills; ability to multi-task.• Ability to work both independently and as a team member in multicultural settings.Working Conditions• Position requires in person work at the Primary Care Clinic a minimum of 4 days a week (days in clinic site specific) with option to work remotely 1 day a week• Ability to work from home or Office-based environment• Regular travel to local and community-based primary care practices• Local travel to patient homesQualifications Qualifications• High school diploma or GED required.• Relevant experience in the community or Bachelor's degree preferred; preference for Psychology/Social Work/Public Health or related field. • Minimum 2 years of working experience. Previous work in community settings or promoting healthcare behavior change is preferred (i.e.: patient navigator/community health worker).EEO Statement Massachusetts General Hospital is an Equal Opportunity Employer. By embracing diverse skills, perspectives and ideas, we choose to lead. Applications from protected veterans and individuals with disabilities are strongly encouraged

MGH strives to advance health equity, improve health outcomes, and promote well-being of our primary care patients by addressing health-related social needs, system navigation, and care coordination as standard of care.This position will contribute to these MGH efforts through collaboration with the Department of Equity and Community Health (ECH), the Department of General Internal Medicine Population Health Management ((DGIMPHM), and Department of Pediatrics teams. CHWs are trusted members of the community with the skills and experience to understand their patients' circumstances. By building trusting relationships and walking alongside their patients, CHWs help address medical and psychosocial needs in order to promote self-efficacy, help patients meet their goals, and improve health outcomes. The DGIM Population Health Management team develops and implements population-based efforts to monitor and improve clinical effectiveness through systems-based strategies and interventions. Its goal is to improve the quality and cost effectiveness of health care by informing clinical decision-making processes, changing patient and clinician behaviors, enhancing the care choices of physicians, other providers and patients, and optimizing care tools and systems. Under the management of ECH and DGIM , the asthma-lifestyle CHW will participate in patient-centered, team-based care. S/he/they will support primary care physicians (PCPs) and practices in managing their panel of patients with asthma and/or weight management issues. S/he/they will incorporate the PCP's clinical goals and family goals to identify plans of action. By gathering and organizing patient data from clinical registries and medical records, the asthma-lifestyle CHW works to identify patients' unmet needs, engage patients in self-management, gather summary information for treatment interventions, and provide wrap-around support that traditionally falls outside of clinical care.The CHW will engage patients and their families, develop a trusting relationship, help families to navigate the health system, make home visits to identify environmental influences and closely communicate with the clinical team based on clear clinical goals set out during the referral process and on-going clinical team communication. In addition, the CHW will engage patients and their families in setting their own short-term goals and will track the benchmarks along the way toward the achievement of these goals. In addition, the asthma-lifestyle CHW will work with patients to help decrease barriers to timely follow-up care and provide coaching to engage patients and families in identification and achievement of care goals. This is not a clinical position but requires a good knowledge of (and willingness to learn) basic clinical concepts and an understanding of when a referral to a licensed clinician is appropriate. Protocols and ongoing training are in place to help facilitate the growth of this knowledge.Key Areas of Responsibility: • Works as an effective team member of the pediatric practice, ECH and DGIM population health management program to provide health coaching and care coordination to patients and families.• Develops a keen understanding of primary care model for optimal, coordinated population health, while incorporating community health worker principles.• Provide culturally-sensitive services to patients with asthma and their families.• Identify and assists with health-related social needs including needs related to food and housing insecurity, challenges with insurance, medication access, transportation, etcPrinciple Duties and Responsibilities:Patient Engagement and Health Coaching• Engage patients telephonically, via home visits, and in the PCP office with occasional accompaniment to medical appointments and community services.• Support patients and families in setting and following through with clinical goals to manage their asthma and lifestyle goals to address how their weight is impacting their health.• Work with patients and families to identify and help address barriers to care. Make home visits to follow up on key aspects of the patient's care and to assess the in-home barriers to compliance and engage patients in addressing their barriers; identify environmental risk factors and triggers. Help the patient to put systems in place in their own environment to assist with self-management of care (i.e.: following up on appointments, prescription management).• Provide culturally sensitive services to patients from diverse racial, cultural, and socioeconomic backgrounds; utilize medical interpretation as needed. Systems Navigation and Care Coordination• Help address logistical barriers, scheduling challenges, childcare needs, etc., that would inhibit a patient from showing up at their appointment; help patients to develop plans to get to appointments.• Assist patients in organizing their records, making follow up appointments, filling their prescriptions, understanding past medical history.• Work with primary care providers and pertinent specialist to reinforce provider care plans and health education messages the importance of follow-up care, medication adherence, routines of self-care, etc.• Provide advocacy, patient education and support in accessing community-based and hospital-based programs. • Refer to internal or external case management services within the practice when other issues are identified (i.e. food insecurity, domestic violence issues, etc.).Collaboration and Documentation• Using patient registries, identify and monitor high-risk patients with medical and/or psychosocial conditions to provide community health services. • Document each patient encounter in detail. Track benchmarks of progress in care, including short term goal completion • Maintain regular communication with the patient's providers (through clinical messages in EPIC, emails, phone calls, case review meetings, etc.).• Support practice staff to develop creative processes to proactively manage patients with asthma and/or obesity in a non-stigmatizing manner; help practice staff to develop patient-centered care goals.• Collaborate with interdisciplinary primary care team to identify care plan goals. Additional Ad-hoc Responsibilities (generally on an as-needed basis):• Attend initial and continuing education training programs including self-directed reading and in-person and online learning.• Complete an initial assessment with the patient and provider to identify the specific areas of focus for the asthma CHW role with particularly high-risk patients.Skills/Abilities/Competencies Required• Ability to identify problems, think creatively, and devise innovative solutions.• Ability to persuade, influence and enlist others' support in accomplishing objectives.• Spanish and/or other language fluency [Portuguese, Haitian Creole, Arabic] desirable.• Ability to connect and engage with Latino/ Black / African Community desirable.• Proficient in Microsoft Applications, including MS Word and Excel.• Strong time management, organizational and planning skills; ability to multi-task.• Ability to work both independently and as a team member in multicultural settings.Working Conditions• Position requires in person work at the Primary Care Clinic a minimum of 4 days a week (days in clinic site specific) with option to work remotely 1 day a week.• Ability to work from home or Office-based environment.• Regular travel to local and community-based primary care practices.• Local travel to patient homes.Qualifications Qualifications• High school diploma or GED required.• Relevant experience in the community or Bachelor's degree preferred; preference for Psychology/Social Work/Public Health or related field. • Minimum 2 years of working experience. Previous work in community settings or promoting healthcare behavior change is preferred (i.e.: patient navigator/community health worker).EEO Statement Massachusetts General Hospital is an Equal Opportunity Employer. By embracing diverse skills, perspectives and ideas, we choose to lead. Applications from protected veterans and individuals with disabilities are strongly encouraged

GENERAL OVERVIEW:The PRIMECARE Nurse Care Manager is a member of a department providing fee-for-service geriatric care management services to elders and those who care for them.The role is varied, complex and highly visible, thus requires sufficient experience in elder care management to practice independently. The ability to establish effective collaborative relationships with a broad spectrum of people is essential. Work schedule is flexible to meet the needs of clients and clinical practice operations. Independent travel to elder's location is necessary.The objective of the position is to provide contracted professional care management services to the elder and/or the elder's "representative". These services will enable, enhance and support the elder and/or their representative in the selection, provision and management of appropriate, quality, cost-effective goods and services in the least restrictive of settings.PRINCIPLE DUTIES AND RESPONSIBILITIES:The Nurse Care Manager's primary responsibility is to the elder.Specific care manager professional service responsibilities will be to:1. Perform comprehensive and targeted geriatric care management and "informal" caregiver assessments in a variety of settings.2. Analyze assessment issues and findings, research good quality, cost effective strategies and solutions.3. Develop a comprehensive written geriatric care management "action plan" based upon the elder's safety, well being, goals and with consideration of the caregiver's needs and goals.4. Provide concrete methodologies and recommendations for successful implementation of the action plan.5. Provide "action plan" implementation services which may include:care coordination to support delivery of medical, psychosocial care and associated care plans, activities of daily living, legal, financial management, etc.education regarding the health care delivery and reimbursement systems, prescription drug cost management, health & wellness programs, long term care insurance, health care proxy, asset and legal management, government, community agencies, public & private organizations, hiring through private entities, etc.advocacy, to include writing appeals, to ensure the elder's safety, physical, legal & financial well-being, to support their caregiving & quality of life goals, navigate the healthcare delivery system, obtain third party reimbursement for covered goods and services, etc.assessment and monitoring of care being delivered to the elder and provision of recommendations to the elder and/or their representative regarding the advisability of the need to modify care, the care plan, providers and/or vendors, as necessary and appropriate consultation and/or conferencing with the elder & their formal, informal caregivers, family, significant others, representatives to assess issues, consolidate information, coordinate planning and care delivery with and for the elderassistance with selection and transitioning the elder from one environment to another6. Communication with the elder, their representative and/or providers to effectively implement plans and provide updates regarding ongoing eldercare care management issues and services.7. Practice and documentation of care management services per PRIMECARE professional standards of practice.8. Effective management of professional service billing.Patient Population Served:The staff member must be able to demonstrate the knowledge and skills necessary to provide care appropriate to the age of the patients served on his/her assigned unit.Senior Adult (55 to 64 yrs)Geriatric (65 yrs and up)* Strong assessment and problem solving skills.• Strong interpersonal skills.• Ability to work independently with minimal supervision.• Goal oriented and accountable.• Demonstrated organizational and time management skills, including ability to flex schedule to meet client & business need.• Strong oral and written communication skills.• Interest and ability in small business operation and developmentLocal Travel RequiredQualifications Registered Nurse with BSN and current MA licenseMinimum of 5 years work experience, 2 of which must be relatedCurrent Massachusetts Driver's License and ability to travel to client location/sCMC or CCM Certification preferredEEO Statement Massachusetts General Hospital is an Affirmative Action Employer. By embracing diverse skills, perspectives and ideas, we choose to lead. All qualified applicants will receive consideration for employment without regard to race, color, religious creed, national origin, sex, age, gender identity, disability, sexual orientation, military service, genetic information, and/or other status protected under law. We will ensure that all individuals with a disability are provided a reasonable accommodation to participate in the job application or interview process, to perform essential job functions, and to receive other benefits and privileges of employment.

The Division of Infectious Diseases (ID) at the Massachusetts General Hospital is a growing, vibrant division that provides high quality, patient-centered clinical care, outstanding training, and conducts research that impacts individual and population health. We are committed to fostering a culture of diversity, equity, and inclusion. This commitment applies to staff members at all levels as well as the patient populations we care for. We are looking to hire a Staff Nurse to join our team. The staff nurse is a registered nurse who is responsible for assuring competent, compassionate nursing care for specific patients and families. The staff nurse is responsible and accountable for the overall nursing care management of patients within the outpatient Infectious Disease Unit including primary care for People Living With HIV/AIDS and Infectious Disease specialty care. The staff nurse also collaborates with other health care providers and attending physicians in providing optimal health outcomes for patients. Infectious Disease/HIV experience preferred. Proficiency in speaking other languages, particularly Spanish and/or Portuguese, is strongly preferred. This job will include both on site and remote work. have remote and onsite capability.CLINICAL • Triage and assess patient need via telephone or in basket.• Provide initial patient assessment and evaluation for walk-in patients.• Perform phlebotomy, provide SQ/IM injections and occasionally, place peripheral intravenous lines for single dose IV infusions.• Perform PICC line dressing changes, PICC line removal, and line malfunction assessments including administration of Alteplase. • Serve as a resource and oversee the operational flow of the clinic in collaboration with other nursing staff and medical assistants.• Coordinate and monitor home IV antibiotic therapy services for patients.• Provide education and follow up for patients on specific disease processes or therapies.• Coordinate care for and monitor patients on injectable therapies including HIV treatment and prevention therapies. • Collaborate with Community Health Workers for to outreach to and follow up with high-risk primary care patients.• Serve as a liaison between patients and other members of the care treatment team.• Provide nursing services for the Traveler's and Tropical Medicine Clinic when needed.CARE COORDINATIONInfectious Disease Associates: • Collaborate closely with the Team RN, NP, Fellow and/or attending to coordinate and implement the comprehensive plan of care. • Work with the Community Health Worker team to coordinate outreach and follow up for high-risk patients and to re-engage patients who have fallen out of care. • Assist in referrals to Community Based Organizations for resources and services. • Assist in the coordination of home-based services such as VNA or Food Delivery. • Monitors the patient's progress, intervening as necessary and appropriate to ensure that the plan of care and services provided are patient focused and friendly, high quality, efficient, and cost effective. • Facilitates E.D Avoidance care pathways including outpatient initiation of IV antibiotics, urgent care, or specialty care coordination.• Works closely with the Division's Benefits Manager and Patient Financial Services (PFS) to assist and support patient with insurance coverage and to facilitate enrollment in HIV drug assistance programs or PrEP/nPEP drug assistance programs as appropriate. QUALITY/Professional Standards• Participate in quality assurance activities.• Collaborates with other professionals and directs nonprofessional nursing personnel in maintaining recognized standards.• Participate in orientation of new permanent and temporary staff members.• Appropriately utilizes nursing resources.• Adheres to hospital, departmental, divisional and clinic policies and procedures.• Participates in daily operational activities necessary for safe patient/staff environment.• Utilizes resources efficiently to facilitate optimal patient care.• Maintains and updates clinical knowledge and skills based on current nursing and health care practices.• Adheres to requirements for mandatory continuing education and certification.• Identifies own learning needs and goals and develops a plan to meet them.• Maintains and develops professional practice through continuing educational programs and appropriate learning experiences.• Contributes to relevant committees, professional meetings, continuing educational and/or formal academic programs.Qualifications BSN RequiredMust have current license as a Registered Nurse in the Commonwealth of MassachusettsEEO Statement Massachusetts General Hospital is an Affirmative Action Employer. By embracing diverse skills, perspectives and ideas, we choose to lead. All qualified applicants will receive consideration for employment without regard to race, color, religious creed, national origin, sex, age, gender identity, disability, sexual orientation, military service, genetic information, and/or other status protected under law. We will ensure that all individuals with a disability are provided a reasonable accommodation to participate in the job application or interview process, to perform essential job functions, and to receive other benefits and privileges of employment.

This is a full-time position for someone interested in helping patients with complex medical, psychiatric and social problems improve their access and utilization of health care services.A Community Health Worker (CHW) is a trusted member of the community who helps patients better access and coordinate their medical care. We believe that CHWs have the skills and experience to understand what patients are going through and help them address the social and medical problems that lead to poor health. The goal of a community health worker is to assist patients with complex health care needs in navigating psychiatric/medical care, working on health goals (such as arranging care, filling medication prescriptions, planning healthy meals, or finding time to exercise), and coping with the "real-life" issues that keep them from staying healthy. Although a CHW is not in a clinical role, having the capacity to learn basic clinical concepts in order to identify when a referral to a licensed clinician is appropriate is an important skill.The CHW will work with patients receiving care at Brigham and Women's Hospital, including the outpatient psychiatric clinic. CHWs are integrated into the outpatient psychiatric team, working closely with social workers, and serving as a bridge between the team and patients in the community. As a CHW in our department, you will develop trusting working relationships with your patients and be supported by a team that includes social workers, nurses and physicians.PRINCIPAL DUTIES AND RESPONSIBILITIES:• Provide community health work services for patients requiring support in context of medical, psychiatric or psychosocial challenges.• Attend initial and continuing education training programs including self-directed reading and in-person and online learning.• Work with patient and interdisciplinary team to set goals for patient's care.• Meet patients in the emergency department, primary care clinic or hospital to reinforce and advance patient goals.• Coordinate resources for identified problems including community mental health services, homelessness, substance abuse and food insecurity.• Make weekly follow-up calls to patients.• Motivate patients to meet their health goals.• Provide culturally sensitive services to patients from different cultures.• Assist patients with organizing their records, making follow-up appointments, and filling their prescriptions.• Help patients fill out applications for Medical Assistance and SNAP (Supplemental Nutrition Assistance Program).• Provide advocacy, patient education and support in accessing community-based and hospital-based programs.• Refer to internal or external care management services when other issues are identified (i.e., food insecurity, domestic violence, etc.)• Develop and maintain strong working relationships with the clinical team.• Document each patient encounter in detail.• Prepare reports and documents as needed or requested.• Attend a clinical team meeting with program supervisors.• Other duties as reasonably assigned.Qualifications QUALIFICATIONS:• Bachelor's degree preferred.• Spanish speaking preferred.SKILLS/ABILITIES/COMPETENCIES REQUIRED:• Local community resident with good knowledge of the resources of the community.• Prior experience as a community health worker, health coach or outreach worker desired; health care experience a plus but not required.• Demonstrated commitment to impacting the care of high risk patients.• Solid knowledge of the Core Competencies for CHWs (as identified by Massachusetts, Department of Public Health):- Outreach Methods and Strategies - Client and Community Assessment - Effective Communication - Culturally Based Communication and Care - Health Education for Behavioral Change - Support, Advocate and Coordinate Care for Clients - Apply Public Health Concepts and Approaches - Community Capacity Building - Writing and Technical Communication Skills - Special Topics in Community Health• Prior experience using motivational interviewing a plus but not required.• Excellent oral and written communication skills.• Ability to carry out written and oral instructions.• Ability to exercise judgment in the application of professional services.• Self-motivated.• Ability to work both independently and as a team member in multicultural settings.• Detail-oriented with the ability to multi-task.• Ability to plan and structure workday.• Comfortable with community visits and outreach.• Strong time management, organizational and planning skills.• Must have two references.• Must successfully pass a background check and pre-employment physical exam.• Must be willing to commit to the full time period of employment.• Proficient in all Microsoft Applications, including MS Word and Exel.• Able to perform computer data entry.• Able to navigate virtual care platforms, like Zoom and Doximity. WORKING CONDITIONS:The work will be based in an outpatient psychiatric practice at Brigham and Women's Hospital. The CHW is expected to perform as a member of the patient's outpatient care team, assisting in the advancement of the patient's care plan. Hours will be 8:30 am-5pm, Monday-Friday. Please include a letter of interest stating your reasons for applying and describing what skills you can bring to this role. Only complete applications will be reviewed.EEO Statement Brigham and Women's Hospital is an Affirmative Action Employer. By embracing diverse skills, perspectives and ideas, we choose to lead. All qualified applicants will receive consideration for employment without regard to race, color, religious creed, national origin, sex, age, gender identity, disability, sexual orientation, military service, genetic information, and/or other status protected under law. We will ensure that all individuals with a disability are provided a reasonable accommodation to participate in the job application or interview process, to perform essential job functions, and to receive other benefits and privileges of employment.

NURSE PRACTITIONER, M.S.- 40 HOURS-DAYS/ BWH Center for Weight Management / Wellness / EndocrineExciting opportunity to join our established and growing Medical Weight Management program at Brigham and Women's Hospital with a focus on health equity and high-quality patient care. The Nurse Practitioner is an expert registered nurse who has acquired specialized knowledge and skills through completion of a nurse practitioner program. The practitioner has the credentials to function in an expanded nursing role and is responsible for the daily management of selected patients. The practitioner has responsibility for assessment and management of patients including diagnostic and therapeutic interventions, and continuous implementation and evaluation of an appropriate plan of care. The Nurse Practitioner works under the supervision of the attending physician and is responsible to the Nurse Manager, or Director for the area.About the role:The Center for Weight Management and Wellness (CWMW) Nurse Practitioner (NP) will be an integral member of an interdisciplinary team providing care to patients seeking medical and/or surgical treatment for a variety of weight-related metabolic conditions.Patient Care: Under direction of the supervising physician(s), the NP will be involved in all aspects of care including evaluation and medical management of new and return patients, primarily in the outpatient setting (individual and group visits). In collaboration with clinical staff, the NP will help to support patient needs between visits including medication refills, prior authorizations, responding to patient inquiries, referrals for diagnostic or therapeutic testing, and any additional follow-up required for the comprehensive care of CWMW patients. Locations: The NP may be engaged in seeing patients at the Brigham and Women's Hospital campus, Brigham and Women's Faulkner Hospital campus, and Brigham Health Care Center Foxborough campus with the possibility of additional Brigham Health locations as the service is in an active expansion phase.NATURE AND SCOPE OF PRACTICE:Performs and documents medical, physical, psychosocial and nutritional assessment on both new and established patients. Documentation requirements include electronic medical record documentation, dictations, medication reconciliation, and CWMW database entry for all patients. Evaluates CWMW patients to establish candidacy for a broad range of weight management interventions including medical nutritional management, lifestyle interventions, obesity pharmacotherapy, endoluminal procedures, bariatric surgery, and investigational options under study in our institution. Evaluates CWMW patients for undiagnosed obesity related co-morbidities that may impact their overall health and/or participation in weight management treatment options. Educates patients regarding available weight management interventions that are currently being utilized in clinical practice.In conjunction with supervisory staff, the NP will assist in gathering and interpreting data collected from patient visits and diagnostic studies in order to formulate and implement plans of care as well as to provide follow-up to assess patient outcomes. Evaluates for and initiates specialist consults as deemed appropriate. Triages patient inquiries related to their CWMW care. In conjunction with the attending physician, the NP identifies and provides appropriate treatment for any complication related to weight management interventions.Coordinates patient follow-up, reviews and communicates results from labs and other diagnostic studies, provides prescription refills, initiates prior authorizations, and places specialty referrals as needed.Submits accurate billing for services provided. As an active member of the CWMW team, the NP will work collaboratively in order to identify areas in need of improvement and implement appropriate and timely solutions.Helps to analyze program data including patient demographics, clinic volume, no show rates, and clinical outcomes. Participates in the presentation of this data for administrative review, scientific/clinical conferences, and/or for publication. GENERAL PRINCIPAL DUTIES AND RESPONSIBILITIES:Patient Care OrganizationProvides direct care, counseling, and teaching to a select patient population.Performs physical examinations and provides preventive health measures appropriate to patient needs.Orders, interprets, and evaluates appropriate lab and diagnostic test to assess patient's clinical problems and health care needs.Arranges for appropriate plan of care and follow-up based on outcome of diagnostic, lab, and physical assessment findings.Performs laboratory tests appropriate for specific practice area.Orders medications and writes prescriptions according to organizational and regulatory policies and procedures.Records pertinent patient care findings in the medical records.Set priorities for appropriate and efficient management of patient care that reflects cost effective management of time, available human resources, supplies and equipment.Maintains interdisciplinary approach to planning and communicating patient care information by discussing patient data with appropriate physicians and other health care professionals.Incorporates the concepts of health maintenance, prevention, and promotion into daily practice through patient education and counseling.Demonstrates awareness of community resources and assists staff, patients, and families to effectively utilize them.2. Quality of CareAssist in the development, implementation and revision of nurse practitioner guidelines.Evaluates outcomes of own patients' care and makes necessary revisions in care plans.Seeks and provides consultative services as required.Participates in departmental and organization quality improvement.Utilizes quality improvement data and research findings to enhance patient care.3. CoordinationDemonstrates appropriate collaborative and consultative relationships with other provides within the institution and community.Serves on Nursing and Hospital Committees and assumes responsibility for disseminating and communicating information to staff.4. BudgetParticipates in cost effective management of personnel, time, supplies, and equipment in his/her areaCollaborates with the Nurse Manager/Practice Manager/Director in the recommendation of appropriate staffing patters for their clinical areas.5. Personnel ManagementParticipates in selection process of new employees in group or team practice as requestedProvides input into evaluation of other staff as appropriate. 6. EducationActs as a preceptor for nursing students and staff as requested.Assists in determining, evaluating, and/or implementing clinical area goals and objectives.Maintains interdisciplinary approach for planning and communicating information for patient care and operation of practice.Maintains current knowledge of legislation that may affect the health care delivery system. 7. PlanningDevelops annual objectives and reviews with Nurse Manager and/or Director at time of performance review and at appropriate intervals.Assists in determining, evaluating, and/or implementing clinical area goals and objectives.Maintains interdisciplinary approach for planning and communicating information for patient care and operation of practice.Maintains current knowledge of legislation that may affect the health care delivery system.8. ResearchParticipates in nursing research at a level consistent with educational background and experienceMaintains understanding of current research of others in related clinical area through review of relevant publications.Participates in grant writing as appropriate.Qualifications Education/Licensure: Completion of Master's, DNP or PhD Degree in Nursing required. Completion of a Master's or post Masters' degree in adult or family NP program accredited by the Commission on Collegiate Nursing Education (CCNE) or the National League for Nursing Accrediting Commission (NLNAC) required.Current Adult/Geriatric or Family Nurse Practitioner Certification by an accredited APRN certifying body required.Valid prescriptive authority from both MA DPH and Federal DEA required.Current APRN license to practice in Massachusetts required. Experience: Minimum 1 year clinical Nurse Practitioner experience with an Endocrine and Weight management focused patient population required.Minimum 5 years clinical Nurse Practitioner experience strongly preferred.Clinical experience in nutritional counseling strongly preferred.Other: ANA or other appropriate nursing certification in the area of practice and authorization by the Massachusetts Board of Registration in Nursing to practice in an expanded role. DEA for prescription writing.SKILL/ABILITIES/COMPETENCIES REQUIRED:Expert Clinical judgement skills to function in the independent role.Excellent interpersonal relationship and communication skills in order to collaborate with patients' families, staff and community health workers.Ability to work with frequent stress resulting from busy clinical settings and changing organizational climate.Ability to self-directive and demonstrate initiative in addressing responsibilities of position.Ability to utilize appropriate problem solving and conflict resolution skills.CLINICAL STANDARDS THAT SERVE AS GUIDELINES FOR THIS PRACTICENurse practitioner practice conforms to generally accepted standards of care as promulgated by the American Nurses Association and other relevant professional organizations. Patient care management is based on current evidence and sound clinical judgment. Clinical references may include but are limited to:Harrison's Principles of Internal Medicine; Physician's Desk Reference; Barker, Principles of Ambulatory MedicineEEO Statement Brigham and Women's Hospital is an Affirmative Action Employer. By embracing diverse skills, perspectives and ideas, we choose to lead. All qualified applicants will receive consideration for employment without regard to race, color, religious creed, national origin, sex, age, gender identity, disability, sexual orientation, military service, genetic information, and/or other status protected under law. We will ensure that all individuals with a disability are provided a reasonable accommodation to participate in the job application or interview process, to perform essential job functions, and to receive other benefits and privileges of employment.