Massachusetts Jobs

Full-time, 40 hours per week,5-8 hr. days or 4-10 hr. days with every other weekend

Job Summary:

The Lead LPN works in collaboration with the Nurse Director, to facilitate safe and effective patient care. This position participates in nursing care and services to patients, including assessment of health status, gathering, and interpreting information, providing health teaching, and performing specific nursing functions. Additionally, they collaborate with other health care providers to ensure quality and continuity of care. The Lead LPN bears full responsibility for the care they provide and may delegate nursing activities within the scope of practice to administratively assigned staff, such as medical assistants. This position will assist with clinic operations, flow, and organization in conjunction with the Nurse Director and assigned charge nurse. * *

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_Essential Job Duties and Responsibilities_

_Lead LPN Duties:_

Collaborates with all members of the health care team to ensure coordination of care as indicated.

• Acts as patient flow manager and performs daily rounds and check ins of safety issues, flow issues and patient concerns within assigned area, i.e., urgent access clinic.
• Reports supply issues, equipment issues and patient issues to the department leader.
• Supervises and delegates full accountability to ensuring all quality controls and regulatory checks are completed.
• Communicates any immediate concerns related to clinical performance issues which impact patient care to Charge RN and Nurse Director.
• Ensures excellence in quality of patient care during assigned shift.
• Monitors environment for patient and staff safety.
• Accessible and available as resource to staff.
• Serves as a liaison between patients, families, providers, and other clinical support staff on the care team.

_LPN Duties:_

Participates in activities that ensure safe, efficient, and cost-effective care.

• Identifies opportunities, and solutions, to ensure a safe, efficient, and cost-effective practice environment.
• Demonstrates compliance with regulatory requirements.
• Participates in quality and safety initiatives.
• Generates innovative ideas to improve care delivery and workflow in the practice environment.
• Precepts and mentors’ new members of the team.

Professional development

• Maintains and updates skills based on current nursing practice.
• Adheres to departmental requirements for required training.
• Identifies specific learning needs and goals and collaborates with nursing leadership in developing a plan to meet them.

All other duties as assigned within scope of practice.

_Specific Job Duties and Responsibilities_

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Responsible for handling calls from patients and/or patient representative who are seeking medical information and/or medical attention. Facilitates scheduling of appointments as the patient’s condition requires, answer questions and provide health education to patients on the phone who have questions about their care.

Specific duties include:

· Participates in daily “morning huddle,” proactively identifying clinical care, concerns, and needs for patient’s/families scheduled for the day.

· Helps facilitate processing medication refills.

· Conducts patient call-backs/follow-up calls within a timely manner and documents the interaction within the EHR.

· Supports the office team with obtaining required medical records/consults/test results.

· Completes medical and treatment pre-authorizations in a timely manner.

· Helps make referral to outside institutions if clinical expertise is needed.

· Assists the providers and other office staff with scheduling patients for required medical appointments, utilizing EMR, and other available scheduling systems.

· Assists the provider as needed with EMR in-basket management.

· Administers immunizations within established practice guidelines.

· Completion of a pre-visit comprehensive assessment, intake, and history of new patients.

· Rooming patients and preparing the patient and room for the provider, to include the following:

o Gathering of all appropriate supplies.

o Opening the clinical record using the appropriate template.

o Review and documentation of all relevant clinical information in each patient’s records, to include:

• o + # Chief complaint/reason for visit/nursing assessment. # Current and past medications (medication reconciliation). # Relevant patient, family, and social history (including smoking status). # Health Maintenance status/requirements. # Nursing care provided. # Vaccine status and administration. # Vital signs. # Fall screening for patients >65. # Review and document allergies. # Ensure patient’s choice of pharmacy is noted. # Other screenings/information as required.

· Completion of screening and evaluation forms (PEDS, Post-Partum Screenings, etc).

· Review PROMS questionnaire.

· Confirm all appropriate patient consents for treatment/care (surgical procedures, Care in L&D, Sterilization, etc.) are obtained and provide education if necessary.

· Ensures all required insurance/forms are reviewed and signed by the patient (Medicare physical and medication/vaccine waivers).

· Comprehensive teaching and education of patients and/or their families utilizing current, standardized teaching tools and handouts.

· Assists the provider with treatments/screenings.

· (already stated above) Completion of all nurse visits, in a timely manner, to include:

o Providing and recording appropriate assessment and treatment data.

o Consults with provider, as required.

o Completion of coding within the EHR in accordance with documented industry standards and MGB Policy.__

· Sends/responds to clinical messages in a timely manner.__

· Assists other nurses as needed.__

· Keep rooms adequately stocked.__

· Assist patients in and out of wheelchairs and other assistance as needed.__

· Other duties as assigned.__

· Telephone Triage:

o Responds to patient phone calls in a timely manner, collecting sufficient information related to the presenting problem and medical history.

o Furnishes medical advice within the scope of the practice.

o Sends Provider note within EHR with pertinent information if necessary.

o Facilitates the scheduling of appointments, based on necessity.

o Accurately documents the encounter with the patient in the EMR.

o Maintains workqueuewithin the EMR.

o Follows up as necessary.

_EssentialKnowledge, Skills, and Abilities Required for the Position_

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• Knowledge of**basic nursing principles.
• Knowledge of institution policies and procedures and how to obtain policies/procedures if necessary.
• Adheres to organizational and department regulations, policies and procedures, standards, and regulatory requirements.
• Role models standards of care.
• Goodcomputer skills, including knowledge of Microsoft Office, electronic medical record systems, and medical office practice applications.
• Effective analytical skills and makes decisions that are safe and effective.
• Demonstrated effective interpersonal and communication skills and can communicate professionally in a timely manner to all members of the care team.
• Demonstrated leadership and management skills.
• Ability to work independently and with a team.
• Ability to tactfully communicate with both internal and external customers.
• Ability to use fingers and hands to operate all department-related equipment as described on the Department checklist. Additionally, must use telephone, calculator, fax, copier, scanner, and other related office equipment.
• Ability to frequently bend, using back and knees.
• Ability to stand and walk 40 sit 60 of the time. Ability to frequently climb, bend, reach, stoop, squat, help lift objects from five to fifty pounds and move patients via wheelchair or stretcher. Ability to independently lift from five to twenty-five pounds.
• Ability to present themselves in a professional manner.
• Ability to develop a rapport with providers, clinical staff, patients, and families.
• Ability to work independently and cooperatively with managers, employees, vendors, contractors, and other agencies. Demonstrated ability to be flexible, highly organized and make independent decisions in response to operational issues within medical office environments.Knowledge of basic principles of practice/departmental management.

Credentials and Experience Required:

• Current licensure as a practical nurse in the Commonwealth of Massachusetts
• Previous experience as an LPN in ambulatory setting for minimum of 2 years.
• Graduate of an approved practical nursing program
• Basic Life Support (BLS) certification upon hire.

_Special Requirements_

• Work hours will be determined by the Nurse Director and needs of the practice and will include availability during evenings, weekends, and holidays. **
• Overtime as necessary to complete assigned work.**
• Must be available to work in the case of a Hospital declared emergency.**

Job: *Licensed Practical Nurse

Organization: *Nantucket Cottage Hospital (NCH)

Title: Lead LPN

Location: MA-Nantucket-NCH Nantucket Cottage Hospital

Requisition ID: 3288569