Nurse Manager - Primary Care Clinical Transformation New
Boston Medical Center Website
Boston Medical Center (BMC) is more than a hospital. It´s a network of support and care that touches the lives of hundreds of thousands of people in need each year. It is the largest and busiest provider of trauma and emergency services in New England. Emphasizing community-based care, BMC is committed to providing consistently excellent and accessible health services to all—and is the largest safety-net hospital in New England. The hospital is also the primary teaching affiliate of the nationally ranked Boston University School of Medicine (BUSM) and a founding partner of Boston HealthNet – an integrated health care delivery systems that includes many community health centers. BMC provides a full range of pediatric and adult care services, from primary to family medicine to advanced specialty care.
BMC is also committed to our employees, who are a very important piece to who we are. We pride ourselves in providing equal employment opportunity and non-discrimination for all employees and qualified applicants without regard to a person's race, color, gender, age, religion, national origin, ancestry, disability, veteran status, genetic information, sexual orientation or any characteristic protected under applicable law. BMC will make reasonable accommodations for qualified individuals with known disabilities, in accordance with applicable law.
The Nurse Manager of Primary Care Clinical Transformation will help implement transformational practices that will result in a high-functioning patient centered medical home. The Nurse Manager of Primary Care Clinical Transformation will work under the direction of the Administrative Director of General Internal Medicine. The Manager will participate in the oversight of the Primary Care Nursing Practice, with a focus on the management of patients with complex illness, including addiction and behavioral health conditions. This position will oversee the Narcotics Management Program for Providers with patients prescribed chronic opioids. This position requires a broad knowledge of clinical care and systems’ management, case management expertise, prudent nursing judgment, health care reimbursement, sound problem solving skills, independent thinking, excellent organizational and interpersonal skills, creativity, flexibility, and the ability to multi-task.
ESSENTIAL RESPONSIBILITIES / DUTIES:
- Collaborates with Clinical and Administrative leadership to transform the model of care in the department to create a high-functioning patient centered practice.
- Collaborates in the development of philosophy, goals, objectives and programs of the Primary Care Practice.
- Promotes and supports collaborative practice and policy and program development within the Primary Care Practice.
Quality of Care
- Fosters the development of a work environment conducive to the delivery of superior nursing care and appropriate staff retention/recruitment.
- Develops and implements strategies for ensuring compliance with patient care standards, laws, regulations, collective bargaining agreements, and the standards and requirements of the various professional organizations and regulatory agencies.
- Participates in continuous multidisciplinary quality improvement initiatives in collaboration with members of a multidisciplinary team.
- Participates in the oversight of the performance of divisional staff for adherence to established departmental standards of care, standards of practice, policies, procedures and protocols.
- Participates in the selection, evaluation, promotion, resolution of employee relations/disciplinary concerns and the termination of employees.
- Collaborates with Clinical and Administrative leadership to develop a best practice Opioid Management System that utilizes a risk-benefit approach, opioid risk tool and risk monitoring tool.
- Provides guidance and support to Providers with patients prescribed chronic opioids.
- Trains nurses in opioid management best practices.
- Collaborates closely with the Office Based Opioid Treatment Program leadership and staff to maximize patient outcomes.
Complex Care Management
- Collaborates with Clinical and Administrative leadership to develop and implement a Complex Care Management (CCM) Program, including the management of opioid dependent patients.
- Provides direct oversight of the development, implementation and growth of the CCM program.
- Trains nurses, patient navigators and other team members (as applicable) on CCM protocols, including practices in addiction and chronic pain; and behavioral health conditions.
- Provides guidance and support to Providers of patients with complex illness, including addiction, chronic pain and behavioral health conditions.
- Collaborates with other agencies and groups within the community to enhance patient care services.
- Performs program specific patient outreach, education, and recruitment.
- Works with primary care provider to initiate in person or telephone contact with CCM eligible patients to perform initial assessment, health education, develop a realistic care management plan and establish treatment goals.
- Incorporates knowledge of case management, levels of care, and utilization management principles to implement high quality cost effective care plans.
- Utilizes excellent interpersonal skills when communicating with patients, families, and clinicians in order to develop rapport, build trust, and engage patients in health promotion activities.
- Influences utilization of health care resources by providing direct care coordination to patients, encouraging enrollment in disease management programs (e.g., smoking cessation, hypertension, diabetes) follow-up after interaction with health care system, e.g., inpatient, ED visit, outpatient services, etc.
- Promotes member empowerment, principles of self-efficacy and independence.
- Consistently and effectively utilizes all steps of the nursing process in the provision of timely, safe, efficient and appropriate patient/centered care.
- Establishes a consistent communication and reporting schedule for periodic contact with providers and patients to review patient status and progress toward goals.
- Acts as clinical resource person for program’s quality efforts, assists with data collection and analysis.
- Attends and presents case reviews at general internal medicine practice meetings, Care Management and overall priority area team meetings.
- Utilizes care management systems/registries to document, monitor, and evaluate patient interventions and care plans.
- Keeps current with related trends in care management, including health education, motivational interviewing and coaching.
- Participates in regular meetings with the Care Management Priority Area Team to review performance, patient volume, metrics and goals.
- Build community linkages that will serve to support patients with complex illness in their communities.
- Participate in Primary Care Patient Relations Committee.
- Identifies areas for own professional growth and assures responsibility for participating in experiences necessary to meet development needs.
- Serves in Leadership role of Professional Organizations and presents at conferences.
- Adhere to all of BMC’s RESPECT behavioral standards and the Code of Conduct.
- Exemplify the Primary Care Vision - As a leading adult primary care practice, we are where the diverse Boston community accesses high quality, team-based, compassionate, patient-centered care.
- Perform other duties as needed.
Bachelor of Science in Nursing required
CERTIFICATES, LICENSES, REGISTRATIONS REQUIRED:
Licensed to practice as a Registered Nurse in the Commonwealth of Massachusetts
- A minimum of 5 years of clinical experience is required.
- A minimum of 2 years of previous experience managing patients with complex illness, including chronic pain, unhealthy substance use and behavioral health conditions.
- A minimum of 2 years of previous experience involving judgment and decision making.
- Ambulatory experience working in a health center or physician’s office preferred.
- Previous management experience preferred.