Primary Care Team Nurse - Cambridge

Beth Israel Lahey Health — Beth Israel Lahey Health Primary Care

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When you join the growing BILH team, you're not just taking a job, you’re making a difference in people’s lives.Full time - 40 hours, Monday to Friday, no weekendsReporting directly to the Practice Manager and Senior Director of Nursing, the Team Nurse position is responsible for performing the duties of a RN/LPN in an outpatient primary care or family medicine practice and serves as a clinical resource for the medical practice. The Team Nurse provides high quality, direct patient care in a team based model to our Beth Israel Deaconess HealthCare BIDHC patients. The Team Nurse is responsible for enhancing the safety, effectiveness and efficiency of patient care through the support and delegation of clinical and administrative functions as appropriate to the Medical Assistant MA staff. Responsible for educating and training our MA team and patients with both general and focused health education for preventive, chronic and episodic health care issues. Assumes responsibility, in collaboration with primary care providers to coordinate patient-centered care, support transitions between levels of care and counsels, educates and supports patients in improving health status.Job Description:Primary Responsibilities:1.    Coordinate and facilitate quality clinical management of a broad based outpatient population across the continuum of care. Collaborates with providers to identify needs for preventive care, evidence-based chronic disease management and care coordination. Provides general and specific healthcare education.  Works directly with patients to identify and monitor self-management goals. essential2.    Collaborates care with community based providers. Follows up on ED visits and inpatient discharges. Assists providers with exams, treatments and procedures as needed. essential3.    Provides skilled telephonic triage and assessment, education, collaboration and coordination of healthcare and community resources. Performs a direct patient




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