Occupational and Employee Health Registered Nurse

Occupational and Employee Health RN

The Registered Nurse (RN) in the Occupational and Employee Health (OEH) Department supports the delivery of high-quality employee health services that promote the safety, wellness, and job readiness of all BMC Health System staff and OEH clients. Working under the supervision of the Senior Director and OEH providers, the RN provides clinical and administrative support for occupational injury assessment, return-to-work coordination, workers' compensation case management, medical surveillance programs, immunization services, and exposure management. The RN contributes to maintaining efficient workflows, ensuring regulatory compliance including OSHA reporting, collaborating with interdisciplinary teams, and fostering a professional, service-oriented environment.

Position: Occupational and Employee Health RN

Department: Occupational Health

Schedule: Full Time

Essential Responsibilities/Duties:

Tasks and responsibilities of the OEH RN may include but are not limited to:

• Perform comprehensive nursing assessments of employees presenting with occupational injuries, illnesses, or exposures.
• Conduct pre-employment and annual health screenings, including review of medical history, immunization status, and required testing.
• Conduct basic physical assessments (e.g., vital signs, range of motion, skin integrity, neurological checks).
• Administer first aid and basic wound care.
• Recognize signs and symptoms requiring urgent medical evaluation and refer appropriately.
• Develop and coordinate return-to-work plans in collaboration with OEH providers and management.
• Provide post-exposure evaluation (e.g., bloodborne pathogen exposures).
• Conduct symptom screening for infectious diseases (e.g., TB, COVID-19).
• Coordinate and administer immunization services (e.g., influenza, hepatitis B, Tdap).
• Order routine diagnostic tests and imaging per established protocols or provider direction.
• Review and update annual immunization histories.
• Administer medications as prescribed per established protocols.

Medical Surveillance & Preventive Care

• Perform PPD/QuantiFERON testing and follow-up.
• Conduct respirator fit testing.
• Administer and document immunizations according to CDC and hospital protocols.
• Monitor and communicate results of audiometry, spirometry, and other surveillance tests.
• Educate employees on health promotion and injury prevention.

Regulatory & Compliance Support

• Ensure compliance with OSHA, CDC, MA DPH, and The Joint Commission standards.
• Assist in maintaining the OSHA 300 log and required occupational injury reporting.
• Track, document, and report workplace injuries and incidents in accordance with OSHA and other regulatory requirements.
• Collaborate with Infection Control and Emergency Preparedness teams in monitoring and response to workplace exposures or outbreaks.
• Participate in workplace exposure tracking (e.g., chemical, infectious, contaminated sharps).
• Participate in Safety Committees and report on employee health and safety issues.
• Coordinate follow-up and documentation for occupational health clearances.
• Prepare written return-to-work documentation per established guidelines.
• Maintain accurate and secure occupational health records in compliance with HIPAA and ADA.

Case Management & Coordination

• Collaborate with Employee Health NP/MD for clinical decision-making and follow-up.
• Coordinate care with Workers' Compensation case managers, clinical specialists, and Human Resources.
• Follow up with employees post-injury or post-exposure.
• Participate in multidisciplinary case review for complex work-related conditions.

Communication & Education

• Provide health education and counseling on work-related risks and preventive practices.
• Educate staff on exposure protocols and proper PPE use.
• Serve as a resource to management regarding workplace safety and employee health.
• Notify public health agencies when required (e.g., reportable diseases).
• Communicate with external providers (e.g., specialists, rehabilitation services) regarding occupational injuries.

Administrative & Quality Improvement Activities

• Document all encounters, including emails, phone calls, and follow-up, in the electronic medical record system while ensuring confidentiality of medical information.
• Maintain logs for compliance reporting (e.g., TB conversions, respirator fit tests).
• Participate in quality improvement initiatives related to employee health.
• Contribute to policy development for exposure protocols, injury prevention, and employee safety initiatives.
• Participate in employee wellness and vaccination campaigns.

JOB REQUIREMENTS

REQUIRED EDUCATION AND EXPERIENCE:

• Associate's Degree in Nursing.
• Minimum of three (3) years of active clinical practice experience as a Registered Nurse.

PREFERRED EDUCATION AND EXPERIENCE:

• Bachelor of Science in Nursing (BSN) or actively matriculated into an approved program in Baccalaureate Nursing
• Five (5) or more years of clinical practice experience as a Registered Nurse
• Specialty certification (COHN-S/COHN/COHN-CM)
• Experience in Employee or Occupational Health
• Case management and/or Workers' Compensation experience

CERTIFICATIONS, LICENSES, REGISTRATIONS REQUIRED:

• Current licensure in the Commonwealth of Massachusetts as a Registered Nurse
• Certified in Basic Life Support

CERTIFICATIONS, LICENSES, REGISTRATIONS PREFERRED:

• Certified Occupational Health Nurse

KNOWLEDGE, SKILLS & ABILITIES (KSAs):

• Strong computer proficiency, including experience with spreadsheets, web-based platforms, and electronic systems.
• Ability to learn and effectively use electronic health records, data entry tools, and other clinical software systems.
• Advanced knowledge and clinical skill in adult immunizations.
• Knowledge of OSHA requirements for hospitals and healthcare workers.
• Basic wound care skills.
• Knowledge and experience documenting patient care in an electronic medical record.
• Demonstrated effectiveness in clinical quality improvement initiatives strongly preferred.
• Strong interpersonal skills with the ability to establish supportive and collegial relationships.
• Excellent verbal, written, and presentation communication skills in English.

Compensation Range:

$34.38- $50.00

This range offers an estimate based on the minimum job qualifications. However, our approach to determining base pay is comprehensive, and a broad range of factors is considered when making an offer. This includes education, experience, skills, and certifications/licensures as they directly relate to position requirements; as well as business/organizational needs, internal equity, and market-competitiveness. In addition, BMCHS offers generous total compensation that includes, but is not limited to, benefits (medical, dental, vision, pharmacy), discretionary annual bonuses and merit increases, Flexible Spending Accounts, 403(b) savings matches, paid time off, career advancement opportunities, and resources to support employee and family well-being.

NOTE: This range is based on Boston-area data, and is subject to modification based on geographic location.

Equal Opportunity Employer/Disabled/Veterans

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