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Beth Israel Lahey Health Admission & Observation Registered Nurse - Emergency Department (Full Time) in Boston, Massachusetts

Job Type: Regular

Time Type: Full time

Work Shift: Rotating (United States of America)

FLSA Status: Non-Exempt

When you join the growing BILH team, you're not just taking a job, you’re making a difference in people’s lives.

We're offering $12,000.00 sign on bonus for this position! See the bottom of this section for more details.

Are you an experienced Nurse looking to break into field of Emergency Medicine? Are you hoping to broaden your skillset in a New and Meaningful way? Or are you Passionate about providing a smooth and streamlined patient experience? Then the NEWLY CREATED Admissions & Observation Registered Nurse is the perfect first step to a life-long career in the ED!

This Brand New position plays an exciting and vital dual role within our Emergency Department! As an Admissions & Observation RN, you will care for boarding patients waiting on med/surg bed assignments and observation patients in the ED. Our Admissions & Observation RNs are responsible for delivering high-quality inpatient care, admissions assessments, and carrying out inpatient and observation orders. This position has a regular 1:4 nurse to inpatient ratio, and RNs in this role will learn both our med/surg and ED charting systems.

This position is perfect for RNs looking to take a first step into Emergency Medicine - no ED experience required! An in-depth orientation ensures that any motivated RN can be a part of our Dynamic and Dedicated multi-disciplinary ED care team!

As for our Emergency Department (ED), it is a level I trauma center serving the Boston metropolitan area. Each year nearly 55,000 patients are treated in the Emergency Department. Our state-of-the-art facility is designed to meet the needs of a high-volume, acutely injured or ill patient population. We provide the most sophisticated, rapid emergency and trauma care available.

Important Sign-On Bonus Details:

• Must be a new hire to BILH system or a previous employee who left in good standing and returning to BILH after 1 year

•Full time status at BIDMC is considered for schedules greater than or equal to 30 hours per week; part time status is 20 to 29 hours per week. Please note, per diem employees are not eligible for sign on bonuses.

• Please note, sign on bonuses are subject to change based on the organization’s hiring needs and will be determined by Talent Acquisition on an ongoing basis. BILH/BIDMC Talent Acquisition reserves the right to change sign on bonus eligible jobs and amounts at any time.

Job Description:

Utilizes the nursing process as the frame of reference for practice as a professional registered nurse and provides direct nursing care to patients and families.

Essential Responsibilities including but not limited to:

  • Provides direct care to patients and makes necessary nursing judgments. Responsible for systematically assessing the health care needs of individuals or groups and for the formulation of a care plan, its implementation and evaluation. Demonstrates the ability for decision making by integrating theoretical knowledge with practical experience in caring for patients.

  • Coordinates the care of patients and directs assistive personnel in order to provide safe, effective, efficient, equitable and timely, patient-centered care. Demonstrates awareness of environmental forces on health care of patients and their families. Demonstrates the ability to identify resources necessary to implement the plan of care.

  • Works in a collegial and collaborative relationship with other health professionals to determine healthcare needs of patients and families. Develops relationships with patients and families that maintain and communicate trust and respect. Communicates effectively in the exchange of information. Demonstrate the ability to act as a patient advocate.

  • Maintains annual mandatory education requirements, which include emergency skills and unit based competencies. Identifies needs for continued growth and development in conjunction with the unit based educator or clinical nurse specialist. Participates in activities that contribute to professional development of self May participate in quality improvement activities.

  • Demonstrates a commitment to patients, staff, and to Beth Israel Deaconess Medical Center. The individual nursing practice reflects the goals of the Medical Center. Demonstrates responsibility and accountability for own nursing practice and patient safety


  • Graduate of an accredited Nursing Program required.

  • Baccalaureate degree in Nursing strongly preferred.

Experience :

1-3 years related work experience required.

License/Certification(s) :

  • License Registered Nurse required.

  • American Heart Association – Basic Life support Certificate required.

As a health care organization, we have a responsibility to do everything in our power to care for and protect our patients, our colleagues and our communities. Beth Israel Lahey Health requires that all staff be vaccinated against influenza (flu) and COVID-19 as a condition of employment. Learn more ( about this requirement.

More than 35,000 people working together. Nurses, doctors, technicians, therapists, researchers, teachers and more, making a difference in patients' lives. Your skill and compassion can make us even stronger.

Equal Opportunity Employer/Veterans/Disabled