$2,000 Sign On Bonus!!!

We are looking for a reliable RN (Registered Nurse) to care for adults in a professional and considerate manner. You will work under the supervision of a registered nurse . RN professionals must be first and foremost qualified and compassionate. The ideal candidate will be experienced in providing diverse basic care to those who need it while remaining patient and calm. It is a demanding job but also very rewarding

Qualifications:

The registered nurse must be licensed by the Massachusetts Board of Registration in nursing to practice in the Commonwealth of Massachusetts. The nurse must have at least two years’ recent experience in the direct care of adults or chronically disabled persons.

Responsibilities:

(a) Provision and supervision of all nursing services;

(b) Supervision of staff;

(c) Coordinating the completion of, and ensuring the accuracy of, each participant’s assessment;

(d) Coordinating the development, ongoing review, and revision of each participant’s plan of care;

(e) Ensuring that nursing notes are written at least one time per month or more often as necessary to reflect each participant’s health care status;

(f) Responding appropriately to any acute changes in a participant’s health or functioning;

(g) Providing appropriate health care education for each participant and legally authorized representative;

(h) Assisting as necessary in the delivery of other Services;

(i) Ensuring ongoing education, training, and professional development of all Program staff that is relevant to

care of participants;

(j) Obtaining, reviewing, and implementing primary care provider orders;

(k) Coordinating the participant’s care with the primary care provider and, if applicable, community service

providers;

(l) Supervising medication management services; and

(m) Developing medication policies and procedures, in accordance with 105 CMR 158.039.

Skilled service are those ordered by a physician that fall within the professional disciplines of nursing, physical, occupational and speech therapy.

Skilled services include:

• Intravenous, intramuscular, or subcutaneous injection, or intravenous feeding;
• Nasogastric-tube, gastrostomy, or jejunotomy feeding;
• Nasopharyngeal aspiration and tracheostomy care. However, long-term care of a tracheotomy tube does not, in itself, indicate the need for skilled services;
• Treatment and/or application of dressing when the physician has prescribed irrigation, the application of medication, or sterile dressing of deep decubitus ulcers, other widespread skin disorders, or care of wounds, when the skills of a registered nurse are needed to provide safe and effective services (including, but not limited to, ulcers, burns, open surgical sites, fistulas, tube sites, and tumor erosions);
• Administration of oxygen on a regular and continuing basis when the member’s medical condition warrants skilled observation (for example, when the member has chronic obstructive pulmonary disease or pulmonary edema);
• Skilled nursing observation and evaluation of an unstable medical condition (observation must, however, be needed at frequent intervals throughout the day);
• Skilled nursing for management and evaluation of the member’s care plan when underlying conditions or complications require that only a registered nurse can ensure that essential unskilled care is achieving its purpose. The complexity of the unskilled services that are a necessary part of the medical treatment must require the involvement of skilled nursing personnel to promote the member’s recovery and safety;
• Insertion, sterile irrigation, and replacement of catheters, care of a suprapubic catheter, or, in selected residents, a urethral catheter. A urethral catheter, particularly one placed for convenience or for control of incontinence, does not justify a need for skilled-nursing care. However, the insertion and maintenance of a urethral catheter as an adjunct to the active treatment of disease of the urinary tract may justify a need for skilled-nursing care. In such instances, the need for a urethral catheter must be documented and justified in the member’s medical record (for example, cancer of the bladder or a resistant bladder infection);
• Gait evaluation and training administered or supervised by a registered physical therapist while at the center for members whose ability to walk has recently been impaired by a neurological, muscular, or skeletal abnormality following an acute condition (for example, facture or stroke). The plan must be designed to achieve specific goals within a specific time frame;
• Certain range-of-motion exercises may constitute skilled physical therapy only if they are part of an active treatment plan for a specific state of disease that has resulted in restriction of mobility (physical therapy notes showing the degree of motion lost and degree to be restored must be documented in the member’s medical record);
• Hot pack, hydrocollator, paraffin bath, or whirlpool treatment will be considered skilled services only when the member’s condition is complicated by a circulatory deficiency, areas of desensitization, open wounds, fractures, or other complications; and
• Physical, speech/language, occupational, or other therapy that is provided as part of a planned program that is designed, established, and directed by a qualified therapist. The findings of an initial evaluation and periodic reassessments must be documented in the member’s medical record. Skilled therapeutic services must be ordered by a physician and be designed to achieve specific goals within a given time frame.

Job Type: Full-time

Salary: $40.00 - $50.00 per hour

Expected hours: 37.50 – 40 per week

Benefits:

• Flexible schedule
• Free parking
• License reimbursement
• Paid sick time
• Paid time off

Medical specialties:

• Geriatrics

Physical setting:

• Assisted living facility
• Long term care
• Skilled nursing facility

Weekly schedule:

• Monday to Friday

Experience:

• Adult day care: 2 years (Preferred)

License/Certification:

• RN License (Required)

Work Location: In person