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RN - Float 

EOE StatementWe are an equal employment opportunity employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, gender, national origin, disability status, protected veteran status or any other characteristic protected by law.
About the Organization The mission of Fenway Health is to enhance the wellbeing of the lesbian, gay, bisexual, and transgender (LGBT) community and all people in our neighborhoods and beyond through access to the highest quality health care, education, research, and advocacy. Fenway Health was founded in 1971 and has grown from a less than 10 person operation in the basement of a building near the Boston Fens to one of the largest LGBT-focused organizations in the world. It consists of three main centers:

• Fenway Community Health Center, our clinical arm, which is a federally qualified health center that operates three clinic sites (Fenway:1340, Fenway:South End, and the Sidney Borum, Jr. Health Center) in the Boston area and provides over 30,000 patients with primary and specialty medical care, behavioral health care, optometry care, and dental care;

• The Fenway Institute, our research/training/education/policy development arm, which houses numerous research initiatives as well as the National LGBT Education Project, the LGBT Aging Project, the National Center for Innovation in HIV Care, and the Center for Population Research in LGBT Health; and

• AIDS Action, our HIV/AIDS service organization, which provides nonclinical services (case management, housing and legal assistance, outreach, peer support) to people living with HIV/AIDS and operates numerous programs focusing on HIV/STD prevention/testing/treatment, including the Access (drug user health program), TransCEND (transgender peer support and risk reduction program), and Youth on Fire (drop-in center for homeless and street-involved youth) programs.
Position Nurse - Float  
Full-Time/Part-Time Full-Time  

Under the direction of the Nurse Manager and as a member of a medical team, the Float RN will provide phone support and assist with triage, provide specialized nursing support for patients and medical providers as well as general and administrative support for other clinical activities such patient walk-in triage, assistance with specialized clinics, and other duties as assigned at all Fenway Health clinical locations.

Representative Duties:

1. Providing Patient Triage: the safe, effective and appropriate disposition of health related problems

  • Administers comprehensive evaluation of patient telephone callers, “Code Blue” events, and walk-in patients, develops care plan, consults with other disciplines as needed, and implements plan including referrals
  • Advocates for patient care as nurse member of multidisciplinary medical team
  • Care plan is communicated to patients in a timely manner
  • Documents triage encounters in medical record, documenting all appropriate activities and plan

2. Occupational Health

  • Administers comprehensive evaluation of employees seeking triage, consults with other disciplines as needed, and implements plan
  • Works with nursing supervisors to vaccinate employees and obtain records of medical department vaccinations
  • Works with nursing supervisors to screen employees for TB, n95 mask fit testing.
  • Works with nursing supervisor to train employees on use of PPE
  • Documents vaccination and triage encounters documenting all appropriate activities and plan. Initiates incident report form if needed.

3. Case Management

  • In conjunction with patient team, coordinate services to our patients to improve their care using careful assessment, planning, coordination and delivery of care, and outcome evaluation of the plan.
  • Coordinates follow up care for acutely ill patients including primary care and specialty visits, VNA, Infusion companies, and prior authorization for services
  • Coordinates preventative services for defined population including education, vaccinations, monitoring and arranging for lab tests and referrals
  • Evaluates adherence to care plan and intervenes to promote patient’s well-being
  • Documents services in medical record, documenting all appropriate activities and plan

4. Providing direct patient care, using nursing procedures as appropriate under nurse licensure in an outpatient clinic

  • Assists with patient care under the direction of appropriate medical provider and/or under nursing scope of practice
  • Provides nursing support to RNs, LPNs and MAs
  • Places and Maintains IV Lines
  • Administers medications vaccinations, (PO, IM, SC, PR, ID, INH, IV) per medical provider order
  • Checks supplies for nursing patient encounters and notifies manager or supply ordering designee of additional stock needed
  • Administers all medical tests and (e.g. EKG, spirometry, CLIA) and procedures (e.g. ear lavage, nebulizer) as per protocol and medical provider request
  • Works with MA and pharmacy to call in prescription refills or obtain prior authorizations
  • Assists with preventative medicine efforts (e.g.: flu, STD, vital sign checks, occupational health)
  • Coordinates follow-up care for acutely ill patients including primary care and specialty visits, VNA, Infusion companies, and prior authorization for services
  • Helps coordinate preventative services for defined population including education, vaccination, monitoring and arranging for lab tests, and referrals
  • Documents services in medical record, documenting all appropriate activities and plan
  • Obtains and delivers lab reports once reviewed by a provider
  • Assists with sample management and all necessary forms for alternative insemination
  • Collection of lab samples, including use of phlebotomy; packaging and providing for transport to lab

5. Maintains comprehensive knowledge of medical issues

  • Includes those both acute and chronic care as appropriate to an ambulatory care setting especially HIV/AIDS (i.e. opportunistic infections, medication side effects) and behavioral issues (ie medication compliance, safe sex) issues as well as other medical conditions as appropriate for nursing case management
  • Seeks out continuing education opportunities related to essential job functions
  • Completes continuing education requirements per the Massachusetts Board of Nursing regulations
  • Obtains ACRN or other certifications related to essential job functions within 2 years of hire
  • Understands and maintains universal precautions in all clinical activities

6. Attends to healthcare issues of specific populations

  • Provides age-specific care per Fenway Community Health policy

7. Provides health education

  • Provides community health education
  • Provides patient education related to their medical and psychosocial needs
  • Maintains comprehensive knowledge of vaccines, medications, and other therapeutic interventions as appropriate to our outpatient clinic
  • Maintains comprehensive knowledge of FH policies, procedures and services including those of TFI
  • Maintains knowledge of community resources
  • Assists in training other employees in the medical department including orientation of new staff, volunteers, and students

8. Effectively communicates with patients, co-workers on medical team, in medical department and across departments

  • Demonstrates competency in EMR, Microsoft Outlook, CareWeb and/or Care360
  • Attends and participates in regularly scheduled general staff meetings as well as Nursing meetings (e.g. MDSM)
  • Is available to meet with team members during assigned work hours
  • Understands and abides by HIPAA regulations
  • Demonstrates a commitment to strong customer service
  • Ability to work as a team member
Number of Openings 1  
Position Requirements
  • Current licensure as RN in the Commonwealth of Massachusetts
  • Current CPR certification required
  • IV insertion / Phlebotomy skills a must
  • Minimum 1 year of successful supervisory experience
  • Minimum 1 year experience in an ambulatory care setting
  • Experience with patients with HIV and electronic medical records strongly preferred
  • Interest in LGBT health and commitment to community health preferred
  • Ability to work harmoniously with diverse groups of individuals
  • Experience working with an ethnically, culturally, and racially diverse environment preferred
Category Nursing  
Number Filled 1  
Location Medical - Ansin Building  
Shift -not applicable-  
Req Number NUR-18-00018  

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