Nurse Navigator Palliative BWH

Site: The Brigham and Women''s Hospital, Inc.

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Job Summary

FULL TIME 40 HOURS MAIN CAMPUS BWH BOSTON/ 40 Hours Variable Rotating Shift/ Staff Nurse/ Care Coordinator/ Navigator

The PALLIATIVE CARE RN NAVIGATOR for the inpatient consult service serves as a central coordinator in managing referrals, patient flow, and care transitions for patients with serious or complex illness.

This role is responsible for receiving inpatient palliative care consult referrals from a variety of sources, including inpatient providers, outpatient clinics, and the emergency department, and collaborating with referring clinicians to obtain additional clinical and psychosocial information necessary to appropriately triage and prioritize referrals. Prioritization is based on symptom burden, acuity of illness, goals-of-care needs, and patient/family support requirements to ensure patients with the most urgent palliative care needs receive timely intervention.

The RN Navigator facilitates communication and coordination among interdisciplinary teams and specialty services to promote continuity, consistency, and alignment of care plans across the continuum. The role may also include participation in interdisciplinary huddles with Emergency Department, Palliative Care, Case Management, and other clinical teams to assess patient appropriateness for established care pathways and program protocols.

The RN Navigator educates clinicians and staff on pathway criteria, supports appropriate patient entry into designated programs, and monitors patient progression through the continuum of care to ensure timely placement into the next appropriate level of care or disposition setting. In collaboration with these clinical teams the RN Navigator gathers pertinent clinical and social information to determine the most appropriate service line, level of care, and care setting within the health system, helping to optimize patient flow, resource utilization, and patient-centered outcomes.

Summary

The Registered Nurse is a professional nurse registered in Massachusetts who is responsible and accountable for planning and providing patient care for assigned patients in accordance with Nursing Standards of Care as set forth in the Nursing Department''s Clinical Practice Manual. The registered nurse demonstrates initiative, knowledge and clinical skills in caring for the patient with complex needs. The Registered Nurse demonstrates the ability to effectively manage patients by assuming full responsibility for the assessment, plan, implementation and evaluation of patient care and is directly responsible to a designated nurse manager, or supervisor.

Essential Functions

• Organization of Patient Care
• Accountable for assessing, planning, implementing and evaluating a plan of care for a specific patient assignment.
• Sets priorities when organizing care for patients with varying acuity.
• Maintain continuity through clear and concise (verbal and written) communication.
• Demonstrates appropriate knowledge of growth and development of the adult and geriatric patient. In areas, such as the NICU and Obstetrics the principals of growth and development are applicable to the neonate.
• Quality of Care
• Documents patient care in a manner that is clear, complete, concise and in compliance with nursing documentation standards.
• Develops a comprehensive plan of care based on data from an initial assessment of patient and family, information from other members of the health care team, intra-agency referral and previous medical records.
• Develops a comprehensive educational plan for the patient and family, utilizing appropriate resources and documents according to the department's documentation standards.
• Develops a comprehensive discharge plan utilizing appropriate resources and referrals including community resources.
• Evaluates the effectiveness of the plan of care, and documents progress in meeting stated goals. Revises plan of care as needed to achieve desired outcomes.
• Participates actively in the unit-based and organizational quality management and/or quality improvement programs.
• Provides a safe environment for patients, staff, family and visitors.
• Administers medication safely according to established policies and procedures.
• Performs nursing procedures safely and efficiently.
• Uses equipment safely and efficiently.
• Demonstrates awareness of potential/actual risks of infection and modes of transmission.
• Utilizes universal precautions in nursing practice.
• Coordination/Collaboration
• Interacts with patients, families, and colleagues in a professional manner.
• Collaborates with other discipline(s).
• Develops, utilizes and evaluates unit-specific standards of care.
• Upholds the A.N.A. code of ethics and acts as a role model to other staff members.
• Participates in determining and implementing goals and objectives for the unit.
• Participates in determining goals and objectives in the periodic review and evaluation.
• Serves on unit-based and organizational committees and disseminates information to peers.
• Education
• Assumes responsibility for personal and professional growth through identification of own learning needs.
• Shares knowledge and experience with colleagues.
• Participates in unit-based and organizational educational programs.
• Seeks and accepts guidance for additional learning needs.
• Research
• Utilizes nursing research findings in clinical practice.
• Contributes to nursing and/or medical research endeavors by supporting investigators.
• Budget
• Utilizes time and materials in an effective and economical manner.
• Provides suggestions which support the delivery of cost-effective health care.
• Assesses patient''s acuity accurately when making decisions regarding staffing, transfers and assignments.
• Demonstrates awareness of the need to manage within established budgetary boundaries.
• Personnel
• Participates in the orientation of new staff members, students and others as appropriate.
• Provides input into the clinical evaluation of other staff, as appropriate.
• Assumes responsibility for the unit in the absence of leadership personnel.
• Adheres to hospital and nursing policies and aids in their interpretation to others.
• Recommends change in policies and procedures through appropriate channels.
• Participates in the cooperative effort and peer support required for the smooth running of the unit, e.g., flexibility in relation to patient assignments, shift assignment, or work schedule.

Qualifications

Education:

• Graduate of an approved school of nursing with current registration in Massachusetts required. For newly licensed nurses a Bachelor of Science Degree in Nursing is required. Can this role accept experience in lieu of a degree? Yes.

Licenses and Credentials

• Registered Nurse in Massachusetts required.

Experience

• 1. Minimum of 3 years of nursing experience with complex care populations required.
• 2. Strongly prefer experience in palliative care.
• 3. Prefer inpatient experience in oncology, geriatrics, or emergency medicine.
• 4. Strongly prefer prior experience in nurse navigation, care coordination, case management, or transitions of care.
• 5. Demonstrated ability to manage complex patient needs, prioritize referrals, and coordinate care across interdisciplinary teams.
• 6. Experience facilitating goals-of-care discussions, discharge planning, and resource coordination preferred.
• 7. Excellent communication, collaboration, and organizational skills required.
• 8. Certification in palliative care or case management preferred.

Knowledge, Skills and Abilities

• The RN must show evidence of the basic analytic thinking necessary to care for a group of patients.

• Must demonstrate observational skills and the ability to set priorities.

• Must be able to function under stress with good interpersonal and communication skills.

• Must demonstrate effective skills in applying hospital standards in area of service, teamwork, communication, respect for others, and time/priority management.

Additional Job Details (if applicable)

Remote Type

Onsite

Work Location

75 Francis Street

Scheduled Weekly Hours

40

Employee Type

Regular

Work Shift

Rotating (United States of America)

Pay Range

$41.71 - $105.65/Hourly

Grade

MNA333

At Mass General Brigham, we believe in recognizing and rewarding the unique value each team member brings to our organization. Our approach to determining base pay is comprehensive, and any offer extended will take into account your skills, relevant experience if applicable, education, certifications and other essential factors. The base pay information provided offers an estimate based on the minimum job qualifications; however, it does not encompass all elements contributing to your total compensation package. In addition to competitive base pay, we offer comprehensive benefits, career advancement opportunities, differentials, premiums and bonuses as applicable and recognition programs designed to celebrate your contributions and support your professional growth. We invite you to apply, and our Talent Acquisition team will provide an overview of your potential compensation and benefits package.

EEO Statement:

2200 The Brigham and Women''s Hospital, Inc. is an Equal Opportunity Employer. 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. To ensure reasonable accommodation for individuals protected by Section 503 of the Rehabilitation Act of 1973, the Vietnam Veteran's Readjustment Act of 1974, and Title I of the Americans with Disabilities Act of 1990, applicants who require accommodation in the job application process may contact Human Resources at (857)-282-7642.

Mass General Brigham Competency Framework

At Mass General Brigham, our competency framework defines what effective leadership "looks like" by specifying which behaviors are most critical for successful performance at each job level. The framework is comprised of ten competencies (half People-Focused, half Performance-Focused) and are defined by observable and measurable skills and behaviors that contribute to workplace effectiveness and career success. These competencies are used to evaluate performance, make hiring decisions, identify development needs, mobilize employees across our system, and establish a strong talent pipeline.