Primary Care Nurse- Longwood/Transitions BWH
 Brigham and Women's Hospital | |
 United States, Massachusetts, Boston | |
| 800 Huntington Avenue (Show on map) | |
 Dec 20, 2025 | |
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GENERAL SUMMARY:
The Primary Care Registered Nurse (staff RN) is an important member of the primary care multi-disciplinary team. Patients, families and the health care team work best as partners with shared goals for attaining optimal health and wellness. The RN is integral to providing the support and care necessary to achieving such goals. The primary responsibility of the staff RN is to provide excellent care to patients and families. The role requires the provision of care that is comprehensive and compassionate, delivered to a diverse, medically and socially vulnerable population. Role responsibilities within this setting are defined below. PRINCIPAL DUTIES AND RESPONSIBILITIES: 1 . Patient Care Organization - May perform all duties as described in the Brigham and Women's Registered Nurse Job Description to meet direct care requirements of the role. - Functions effectively and safely within the scope of practice of the Registered Nurse to strengthen the practice and provide patient centered care. - Provide culturally sensitive, patient centered care of the highest quality to patients of all backgrounds and income levels. - Triages all urgent calls and assists with walk-ins. Sets priorities when organizing care based upon the acuity. Is aware of clinic flow and re-arranges provider schedules to accommodate the urgent care needs - Assesses the care needs of patients with routine and chronic illnesses. Develops implements and re-evaluates an individualized nursing plan of care (PoC). - Within a multi-disciplinary team, assists patients with pre-existing conditions to achieve lifestyle changes that promote a healthy mindbodyspirit. - Uses a variety of modalities to engage patients including nurse visits, telephonic and electronic communication (Gateway/Telehealth). - Operating from a Human Caring framework, the RN implements a wide range of interventions/skills including coaching, education, counseling, motivational interviewing, referral and advocacy to services and resources as appropriate to promote health and wellness. - Responsible for evaluation and documentation of disease management impact. Works closely with the clinical team and family to promote self-management and ensure a cycle of continuous refinement of PoC which includes education for the patient and family, utilizing appropriate resources. - Demonstrates knowledge of community resources and assists staff, patients, and families to effectively utilize them. - Ensures effective coordination of care across the care continuum. Works with Partners, Brigham Health and Community partners including; home care, outpatient clinics, emergency/urgent care and hospital settings. - Knowledge base should include basic health teaching, family planning education, and how to care for common pediatric/adult illnesses. - Facilitates the advanced care planning process, assisting patients and families to consider options and goals for future healthcare decisions. Documents advanced care goals in the EHR. 2. Team Based Care - Serves as a resource person to other members of the team around the care needs of patients and provides support to other members of the clinical and administrative team in an accessible, open manner. Willing to educate and mentor clinical support staff as needed. Is able to delegate safely and effectively to support staff tasks that are within scope of practice. - Coordinates care across members of the team in accordance with patient care needs, team member capabilities and qualifications, utilizing team members strategically to provide safe and effective care at the top of licensure, education and training. - Evaluates effectiveness of care given by the multi-disciplinary care team, identifies problems and guides members toward solutions promoting health. Facilitates the improvement of the patient's ability to self-manage prevention and behavioral health issues and placing emphasis on transitional care, prevention, and wellness. - Communicates effectively and clearly with members of the care team regarding patient status and needs. 3. BWH Professional Practice Model Qualities: BWH Primary Care Registered Nurses practice from a Human Caring framework using the Caritas Processes and demonstrating the tenants of the Professional Practice Model: - Nurses as Authentic Leaders - True Collaboration - Meaningful Recognition, participates in peer feedback. - Scholarship - Relationship Based Care - Outcome Focused Measures 4. Participatory Management of Fiscal Responsibilities - Utilizes time and materials in an effective and economical manner. - Provides suggestions which support the delivery of cost effective healthcare to patients and families. - Assesses patient's acuity accurately when making decisions regarding clinical bookings, appropriate level of service and staffing. - Is familiar with accountable care regulations and demands. Other: This employee may be asked to cross-cover (may be in-person or virtual) other Primary Care practices including the Transitions Clinic as staffing needs dictate. Cross-coverage needs will be identified and discussed with local and regional leadership. Education:
Language Skills:
Experience:
SKILLS AND ABILITIES: - Must meet all skills and abilities requirements on the BWH RN job description and additionally: - Demonstrated knowledge of both hospital-based and community-based care and resources required. - Clinical knowledge and expertise includes basic health teaching, family planning education, knowledge of advanced care directives, care for common illnesses. - Excellent communication skills, professionalism and organization required, demonstrates patience, compassion. - Excellent analytical, judgmental, and interpersonal skills and demonstrated ability to work effectively with patients, families and co-workers - Technical dexterity, in addition to Epic, must possess a demonstrated ability to work with a variety of information systems and databases, including but not limited to: MS, Access, Excel - required - Ability to be flexible and maintain equanimity in a fast paced, rapidly changing clinical setting - required. - Must have the ability to function at the highest level professionally and clinically and further possess excellent interpersonal skills. - The RN must show evidence of the basic analytic thinking necessary to care for a group of patients. The Brigham and Women's Hospital, Inc. is an Equal Opportunity Employer. By embracing diverse skills, perspectives and ideas, we choose to lead. All qualified applicants will receive consideration for employment without regard to race, color, religious creed, national origin, sex, age, gender identity, disability, sexual orientation, military service, genetic information, and/or other status protected under law. We will ensure that all individuals with a disability are provided a reasonable accommodation to participate in the job application or interview process, to perform essential job functions, and to receive other benefits and privileges of employment. | |