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Beth Israel Lahey Health Transfer Center Nurse Per Diem in Charlestown, Massachusetts

Job Type: Per Diem

Time Type: Part 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.

The BILH Transfer Center optimizes bed capacity across BILH facilities and its affiliates while ensuring that patients receive appropriate, high-quality care in the right setting. The Admissions Facilitator performs patient flow, transfer, and bed placement activities. Areas of responsibility include patient flow activities, electronic bed board operations, system coordination, quality improvement, professional growth and self-improvement, and other professional duties. Works with tertiary hospital Admitting departments, tertiary hospital EDs, and all referring hospitals to maintain access to hospitals and assign patients to clinically appropriate beds. Training, evaluation and competencies for this role are overseen by a Nurse Leader to the department.

Job Description:

Primary Responsibilities:

  1. Fosters a systematic awareness of the diversity that exists within the health system, including culture, ethnicity, gender and age, and promotes an environment that is sensitive to the needs of diverse populations.

  2. Works in compliance with Nursing Practice Guidelines which foster safe, cost effective and quality patient care. Maintains and displays knowledge of current professional and clinical issues and practices through participation in a professional organization and certification in the field of nursing. Uses evidence-based resources to implement necessary changes in the delivery of nursing care and/or nursing practice.

  3. Oversees clinical and administration of patient flow and resource allocation throughout tertiary hospital inpatient areas. Anticipates, plans and implements strategies for changes in patient flow areas.

  4. In conjunction with leadership team, translates objectives, policies and procedures into effective action.

  5. Works with support departments, nursing personnel, case managers, and physicians to facilitate timely admissions and transfers within Emergency Departments, PACUs, ICUs, Cath Labs, Medical/Surgical Units, and Clinics. Conducts daily meetings and coordinates admissions plan. Oversees/performs the assignment of tertiary patients to units and rooms based on clinical appropriateness and resource allocation.

  6. Participates and initiates quality improvement activities related to the patient flow throughout the health system. Assesses Emergency Department and holding area workflows.

  7. Networks with referring hospitals, providing a friendly clinical contact for clinicians. Serves as a conduit for all transfers. (essential)

  8. In collaboration with hospital and system leadership and physician stakeholders, facilitates critical bed capacity meetings for tertiary sites.

  9. Resolves and identifies creative or alternative plans with bed capacity constraints. Assesses actual and potential bed availability. Consistently monitors and evaluates patient census and bed availability.

  10. Confers with physicians and nursing managers/directors to facilitate optimal patient care on accurate assessment of data. Continuous, iterative triage of patients for bed assignment requiring all levels of care, including but not limited to ICU care, transfers, and patients with complicated medical problems.

  11. Facilitates transfers from all referral sources.

  12. Communicates bed status between tertiary sites on an as-needed basis in order to serve incoming Transfer Volume to the local leadership. Communicates all pertinent issues to Nursing Leader.

  13. Monitors all incoming Transfer Requests in order to determine the most appropriate level of care for the patient. In accordance with Transfer Center workflow, redirects and load balances between tertiary sites. Collaborates with leadership at community facilities for coordination of care and community level transfer and load balancing.

  14. Interface with multi-disciplinary stakeholders to drive quality patient outcomes for high-acuity and high-need patients.

Required Qualifications:

  1. Bachelor's degree required.

  2. License Registered Nurse required and Certificate 1 Basic Life Support required.

  3. 3-5 years’ related work experience required.

  4. Experience demonstrating professional competence and leadership.

  5. Broad view of system operations.

  6. Experience with computer systems required, including web-based applications and some Microsoft Office applications which may include Outlook, Word, Excel, PowerPoint or Access.

Competencies:

  1. Decision Making: Ability to make decisions that are guided by precedents, policies and objectives. Regularly makes decisions and recommendations on issues affecting a department or functional area.

  2. Problem Solving: Ability to address problems that are varied, requiring analysis or interpretation of the situation using direct observation, knowledge and skills based on general precedents.

  3. Independence of Action: Ability to follow precedents and procedures. May set priorities and organize work within general guidelines. Seeks assistance when confronted with difficult and/or unpredictable situations. Work progress is monitored by supervisor/manager.

  4. Written Communications: Ability to summarize and communicate in English moderately complex information in varied written formats to internal and external customers.

  5. Oral Communications: Ability to comprehend and communicate complex verbal information in English to medical center staff, patients, families and external customers.

  6. Knowledge: Ability to demonstrate full working knowledge of standard concepts, practices, procedures and policies with the ability to use them in varied situations.

  7. Team Work: Ability to act as a team leader for small projects or work groups, creating a collaborative and respectful team environment and improving workflows. Results may impact the operations of one or more departments.

  8. Customer Service: Ability to provide a high level of customer service and staff training to meet customer service standards and expectations for the assigned unit(s). Resolves service issues in the assigned unit(s) in a timely and respectful manner.

Age based Competencies: Employees in this job must be competent to provide patient care to the following age groups: Neonatal: Birth to 6 months, Youth: 6 months to 16 years, Young adult: 16-30 years, Middle Age: 30 - 60 years, Elderly: 60 - over.

Social/Environmental Requirements:

  1. Work requires close attention to task for work to be accurately completed. Intermittent breaks during the work day do not compromise the work.

  2. Work is varied every day and the employee needs to be adaptable to respond to these changes and use independent judgment and manage priorities.

  3. No substantial exposure to adverse environmental conditions

  4. Health Care Status: HCW2: Regular, day-to-day contact; both face-to-face and hands-on (having close contact within three feet for at least five minutes). Examples: physicians, clinical nurses, phlebotomist, medical assistants, PFT tech, and x-ray tech.- Health Care Worker Status may vary by department

Sensory Requirements:

  • Close work (paperwork, visual examination), Monitor Use, Visual clarity <3 feet, Conversation, Monitoring Equipment, Telephone.

Physical Requirements:

  • Medium work: Exerting up to 50 pounds of force occasionally and or up to 20 pounds of force frequently. Job is physical in nature and employee needs to stand and/or move around through the majority of their shift.

  • This job requires frequent sitting. There may be occasional pushing items weighing up to 10 lbs, pushing items weighing up to 25 lbs, pushing items weighing up to 50 lbs, pushing items weighing up to 75 lbs, and pushing items weighing up to or more than 100 lbs.

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 (https://www.bilh.org/newsroom/bilh-to-require-covid-19-influenza-vaccines-for-all-clinicians-staff-by-oct-31) 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

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