Rheum/Derm STAFF NURSE-RN

Job Description Job Requirements If you are an existing employee of South Shore Health then please apply through the internal career site. Requisition Number

R-23047

Facility LOC0020 - 143 Longwater Norwell, 143 Longwater Drive Norwell, MA 02061 Department Name SMC Surgical Services Status Full time Budgeted Hours 36 Shift Day (United States of America) Manages individualized, outcome oriented nursing care through the use of the nursing process. Provides care, treatment and services through the successful coordination and completion of a series of processes that include assessment, planning care, providing care, coordinating cross continuum care and assessing outcomes of interventions in accordance with system, departmental and ambulatory policies and procedures. This role provides clinically-based, risk reducing care and coordination that facilitates the delivery of cost-effective quality healthcare along the continuum. It directly interfaces with physicians, care managers, health care teams, patients and their caregivers to achieve desired patient outcomes. Excellent communication skills, both written and verbal, a commitment to coaching patients on health promoting behaviors, and an ability to listen and assimilate complex clinical information are required in the role. The ability to work autonomously and in teams is essential. Participation in quality improvement efforts, research and evaluation processes related to the management of patient care is integral to the role. Triage dermatology concerns — rash changes, wounds, lesions, signs of infection Identify and escalate urgent issues — rapidly changing lesions, severe infection, concerning biopsy results Review and route test/biopsy results — melanoma results communicated directly by provider Manage medication refills — topicals, antibiotics, isotretinoin, biologics Address medication questions and coverage issues — includes prior authorizations Monitor for medication side effects — e.g., isotretinoin Coordinate Accutane monitoring — monthly labs and iPLEDGE compliance Perform suture removals — dermatology nurse only; disposable kits Assist with basic wound care and reinforce care instructions Support injection teaching and administration — includes shared bone-health injections Manage in-basket messages — shared rheum/derm pool Complete outgoing patient calls — results and follow-up Assist with scheduling — procedures, biopsies, Accutane visits, injections Support walk-ins and prioritize urgent cases Provide patient education — skin care, medications, wound care Assist with documentation and forms as needed Triage rheumatology concerns — joint pain, swelling, stiffness, flare symptoms, medication reactions Identify and escalate urgent issues — severe flares, suspected infection, adverse medication effects Review and route test results — labs, imaging; escalate abnormal findings Manage medication refills — DMARDs, biologics, steroids, NSAIDs Address medication questions and coverage issues — includes prior authorizations Monitor for medication side effects and report concerns to provider Support injection visits — Prolia, Evenity, Reclast; coordinate bone-health follow-ups Provide injection teaching and patient education Manage in-basket messages — shared rheum/dermatology pool Complete outgoing patient calls — results and follow-up Assist with scheduling — injection visits and urgent flare evaluations Support walk-ins and help prioritize urgent cases Provide patient education — disease management and medication adherence Assist with documentation and forms as needed Compensation Pay Range $36.00 - $58.15 Essential Functions 1 - Medication Administration Demonstrates knowledge of and follows SSH policies and procedures for administering and documenting medications. Completes medication reconciliation process following SSH policy and procedure. Demonstrates safe procedures for the safe administration of medication and vaccines. 2 - Plan of care/Documentation/Patient Family Centered Care/Patient Experience Develops, discusses, and communicates a prioritized problem and plan of care for each patient. Develops, evaluates and updates individualized plan for patient and documents outcomes. Initiates patient outreach, identifies and documents patient/family/significant other needs and makes appropriate interventions, evaluating outcomes of interventions. Continues assessment/reassessment and identifies care needs within established nursing practice. Documents all patient care following the department of nursing policy, department-based standards, disease processes (CHF, PNA vaccines) and nurse sensitive indicators (falls, safety risk, isolation, etc.). Assess/reassesses and documents patient\'s response to each intervention both pharmacological and non-pharmacological per South Shore Health and ambulatory policies and procedures. Works on behalf of patient /family. Seeks help to represent patient/family when they are unable to represent themselves. Raises ethical questions and concerns with clinical team. Seeks available resources to help formulate and understand ethical decisions. Actively communicates and collaborates with health team members: primary care, specialty care, and ancillary providers and departments. Facilitates care across the continuum to insure patient needs are met in the right setting and at the right time. 3 - Safety/Quality Fosters a "Culture of Safety" through personal ownership and commitment to a safe environment. Verifies patient identification with two identifiers prior to the start of any procedure, including "time out" and administration of care, medications, labeled specimens and documents confirming the correct patient, procedure, site, equipment and consent. Complies with the current CDC hand hygiene guidelines; adheres to universal precautions; uses PPE as required; maintains awareness of MSDS sheets. Ensures environment meets regulatory requirements at all times. Understands and demonstrates roles in ambulatory codes/emergency preparedness. 4 - Professional Development Obtains at least 5 contact hours per year in area of practice. Practices within the MA Nurse Practice Act; directs other licenses and non-licensed personnel as assigned. Accepts feedback and demonstrates ability to respond to change. Maintains professional relationships to promote a positive/encouraging workplace. Critical thinking: analyzes causes of problems, evaluates alternatives, and communicates effectively via chain of command. Is informed about changes in policy and procedure. 5 - Technology Uses Outlook, Epic, HealthStream and Workday to access resources relevant to the RN role. Uses software applications required by health system, nursing and department standards. Understands how to operate in downtime. 6 - Compliance Works within legal, regulatory and ethical standards relevant to the position. Complies with applicable policies and procedures. Safeguards the privacy and security of patient information; follows SSH privacy and security programs. Brings potential compliance issues through chain of command. Complies with mandatory education requirements of the compliance, privacy and security programs. 7 - Patient and Family Centered Care Conveys respect for values, preferences, and expressed needs of the patient and family. Recognizes the patient and family as important members of the health care team. Collaborates with the patient and family in planning, implementing, and evaluating care. Welcomes family presence according to patient preferences. 8 - Age & Culture Possesses and practices age and cultural knowledge and awareness. Interacts with sensitivity and inclusion in care delivery for diverse populations. Utilizes resources such as interpreter services when needed. 9 - Technology and Learning Participates in continued learning and adapts to new technology and procedures. Embraces technology to improve communication and efficiency. Unit / Department Specific Job Functions Demonstrates as part of daily work experience the Aspects of Caring including accountability and respect to patients and colleagues. Demonstrates professional working relationships with colleagues to promote a positive/encouraging workplace. Advocates for positive patient experience including caring, kindness and service. Communicates plan of care to patient and family. Goals are: Keep the patient and family informed Provide information to patient and family about condition / treatment Include the patient/family in care plan decisions Communicate to patients and families in terminology they can understand. Job Requirements Minimum Education - Preferred Graduate of an accredited School of Nursing, BSN preferred Minimum Work Experience Previous Ambulatory Care RN experience preferred Required Licenses / Registrations RN - Registered Nurse Required Classes/Skills BLS – Basic Life Support Required Additional Knowledge, And Abilities Demonstrated proficiency in ambulatory care nursing, knowledge, and skills Excellent Verbal And Written Communication Skills Required. Demonstrates flexibility via an ability to adapt to changing priorities and regulations. Basic Computer Skills Required. Demonstrated skills in the areas of: communication (verbal and written), interdisciplinary collaboration, creative problem solving, and critical thinking. Knowledge of health system and community resources preferred. Mon/Tues/Wed/Fri 8:30am to 5:00pm Thur: 8:30am to 12:30pm #J-18808-Ljbffr South Shore Health