Registered Nurse (66998BR)

Position DescriptionUnder the supervision of the Assistant Nurse Manager, the Registered Nurse at HUHS works collaboratively with the members of the health care team to support the delivery of care including health maintenance, episodic, acute and chronic care to the adolescent, adult, and older adult population of the University Community. The Registered Nurse utilizes evidence-based practice to drive clinical decisions related to individual and population health according to department guidelines, policies and procedures. The Registered Nurse also assists and provides coverage and support to other clinical areas at HUHS as needed.DUTIES AND RESPONSIBILITIES:Clinical Practice and Quality of CareAssesses and systemically collects any data related to patient health status and works in collaboration with the patient and the interdisciplinary team to develop the plan of care Incorporates appropriate standards of care for practice and patient outcomes Assumes responsibility and accountability for effectively managing nursing care of individual patients Documents nursing assessment, interventions, evaluations and outcomes to reflect comprehensive and integrated approach to patient care Provides care that is safe, ethical, patient and family-centered, culturally competent and evidence-basedThere are common skills and responsibilities across the ambulatory setting (primary or specialty care). The skills and responsibilities that the RN at HUHS performs may include but are not limited to:Telephone Triage Manages secure message inboxes In-person triage Provides follow-up care and consultation Provide support to clinical staff based on clinic demands Reviews and acts on test results (labs, x-ray) Reviews and manages communications from interdisciplinary team Initiates and monitors intravenous (IV) infusions Assists or performs procedures (e.g., ECGs, dressing changes, subcutaneous or intra-muscular injections, etc.) Provides patient education Assists with medication management Provides support with Coumadin Managment as needed Completes accurate and timely documentation in the electronic medical record Assists with management of urgent and emergent patient care situations Serves as a mentor and resource to others Assists with the coordination of care across the continuum of care Assists with the management of patients with multiple chronic health conditions, acute episodes of care, behavioral health challenges while promoting and supporting prevention and wellness May float to other clinics as needed Other duties as assignedProfessionalismWorks independently within their scope of practice to achieve clinical outcomes Maintains a level of professional development through continuing education, quality improvement initiatives and sharing of knowledge Reflects understanding and strive to meet the Mission and Vision of Harvard University Health services Utilizes evidence and science to guide practice Completes and complies with HUHS training requirements including HIPAA, privacy and security Reports non-compliance incidents to manager andor Compliance OfficerAge Specific Competencies:Identifies age specific competencies for direct and indirect patient care Adolescent (13 - 19 years) Young Adult (20 - 40 years) Middle Adult (41 - 65 years) Older Adult (Over 65 years)Basic QualificationsGraduate of accredited nursing programMinimum of 1 years relevant work experienceAdditional Qualifications And SkillsBachelor of Science degree in Nursing Knowledge of Microsoft Office Suite, intermediate Excel skillsKnowledge of and previous experience working with an electronic medical recordAbility to organize tasks, problem solve, and respond in times of multiple demands and urgent situationsMinimum of two years' experience in a specialty clinic, or ambulatory setting with one year experience in triage.Certificates and LicensesRegistered Nurse license in MassachusettsPhysical RequirementsLifting (approximately 20 to 30 pounds), bending, and other physical exertionAbility to stand for extended periodsWorking ConditionsMay be required to work evenings and weekendsWork is performed in an office setting Travel may be requiredAdditional InformationADDITIONAL DEPARTMENT SPECIFIC RESPONSIBILITIESAllergy Nurse:Performs allergy testing according to policy and procedure Performs allergy immunotherapy according to policy and procedure Manages HUHS ordered and patient provided allergy serum and testing materialsUrgent Care (UC): Charge Nurse:Provides direction to maintain a smooth and organized flow of the clinics Serves as the front line, on-site team leader during shifts in UC Demonstrates accountability for problem resolution Works with the clinical leadership team to identify opportunities for improvement in the unit Delegates responsibilities to all staff to ensure appropriate clinical outcomes Provides feedback to nursing leadership team on the performance of the health assistants in UC Provides and adjusts staffing needs in UC based on patient volume in collaboration with the leadership team Ensures that all tasks are completed by the end of the shiftAnticoagulation Management Nurse:Provides initial and continuing patient education regarding the use and management of anticoagulants and their inherent risks, as outlined in Anticoagulation Protocols. Receives and interprets daily laboratory results relating to those patients enrolled in the anticoagulation service Uses policy algorithms and best clinical judgment in making decisions regarding anticoagulant dosage adjustments and patient re-evaluation Considers and refers any patient appropriate for independent INR monitoring Reassesses patient understanding and compliance on a periodic andor as needed basis, particularly in response to unexpected INR results or patient non-adherence Collaborates with primary care team in the initiation and ongoing management of patients' anticoagulation, duration of treatment, special considerations, and patient adherenceAdditional Information Continued:All Harvard University Health Services (HUHS) staff and staff affiliates are considered Health Care Workers and as a condition of employment must provide documentation of the following:Letter of good health from your personal health care provider.TB skin test (within past 3 months) or, if known skin test positive, documentation of previous chest x-ray, information about any past treatment. Documentation of immunity (positive antibody titers) for Measles, Mumps, Rubella and Varicella. Proof of appropriate past immunization for Measles, Mumps, Rubella and Varicella. Hepatitis B vaccine series - required for staff with possible exposure to blood or blood borne pathogens. A current Flu vaccine (this season) and Covid vaccines to include the Primary series and Bivalent Booster.The required medical documentationmedical clearances can often be obtained by contacting your Pediatrician, PCP, medical provider. Titers, TB Skin testing can be performed by appointment at Occupational Health facilities.HUHS continues to place the highest priority on the health, safety and wellbeing of its faculty, staff and students, as well as the wider community. Being up to date with COVID vaccination, annual flu vaccination and other required medical vaccinations and documentation are required as a condition of employment at HUHS. You may claim exemption from the vaccine requirements for medical or religious reasons.Work Format DetailsThis position is based primarily on-campus, in Massachusetts. This may include in-person during emergency situations (if applicable). Additional details will be discussed during the interview process. Certain visa types may limit work location. Individuals must meet work location sponsorship requirements prior to employment.About UsHarvard University Health Services (HUHS) is a campus-based health care organization devoted exclusively to members of the Harvard community. Our work includes multi-specialty ambulatory medical care, behavioral and mental health services, and campus public health. HUHS also manages two self-funded health insurance plans, the Harvard University Group Health Plan (HUGHP, for university employees and dependents) and the Student Health Insurance Plan (SHIP, for students and dependents).BenefitsWe invite you to visit Harvard's Total Rewards website ( ) to learn more about our outstanding benefits package, which may include:Paid Time Off: 3-4 weeks of accrued vacation time per year (3 weeks for support staff and 4 weeks for administrativeprofessional staff), 12 accrued sick days per year, 12.5 holidays plus a Winter Recess in DecemberJanuary, 3 personal days per year (prorated based on date of hire), and up to 12 weeks of paid leave for new parents who are primary care givers. Health and Welfare: Comprehensive medical, dental, and vision benefits, disability and life insurance programs, along with voluntary benefits. Most coverage begins as of your start date. WorkLife and Wellness: Child and elderadult care resources including on campus childcare centers, Employee Assistance Program, and wellness programs related to stress management, nutrition, meditation, and more. Retirement: University-funded retirement plan with contributions from 5% to 15% of eligible compensation, based on age and earnings with full vesting after 3 years of service. Tuition Assistance Program: Competitive program including $40 per class at the Harvard Extension School and reduced tuition through other participating Harvard graduate schools. Tuition Reimbursement: Program that provides 75% to 90% reimbursement up to $5,250 per calendar year for eligible courses taken at other accredited institutions. Professional Development: Programs and classes at little or no cost, including through the Harvard Center for Workplace Development and LinkedIn Learning. Commuting and Transportation: Various commuter options handled through the Parking Office, including discounted parking, half-priced public transportation passes and pre-tax transit passes, biking benefits, and more. Harvard Facilities Access, Discounts and Perks: Access to Harvard athletic and fitness facilities, libraries, campus events, credit union, and more, as well as discounts to various types of services (legal, financial, etc.) and cultural and leisure activities throughout metro-Boston.Job FunctionHealth CareDepartment Office LocationUSA - MA - CambridgeJob CodeW0657P HLT Registered Staff Nurse IIIWork FormatOn-SiteSub-Unit Salary Grade057DepartmentInternal MedicineUnion00 - Non Union, Exempt or TemporaryTime StatusPart-timePre-Employment ScreeningCriminal, Identity, LicenseCert.ScheduleSchedule:Week 1: Monday, Tuesday, 8 hours each dayWeek 2: Monday, Tuesday, and Wednesday, 8 hours each dayTotal: 20 hours per weekCommitment to Equity, Diversity, Inclusion, and BelongingHarvard University views equity, diversity, inclusion, and belonging as the pathway to achieving inclusive excellence and fostering a campus culture where everyone can thrive. We strive to create a community that draws upon the widest possible pool of talent to unify excellence and diversity while fully embracing individuals from varied backgrounds, cultures, races, identities, life experiences, perspectives, beliefs, and values.EEO StatementWe are an equal opportunity employer and all qualified applicants will receive consideration for employment without regard to race, color, religion, sex, national origin, disability status, protected veteran status, gender identity, sexual orientation, pregnancy and pregnancy-related conditions, or any other characteristic protected by law.

Created: 2024-11-16