Full Time/ 40 Hours/ Primary Care Float Team/ Greater Boston Area

JOB SUMMARY:

• The Nurse Manager for the Primary Care Center (PCC) of Excellence supervises the Nurses and Medical Assistants in the Primary Care float pool.
• The float pool team cares for patients at 15 Primary Care practices, which include Family Medicine, Health Centers, Pediatric Care and Adult Internal Medicine. Practice locations range from Main campus in Boston, and in nearby towns which may include Chestnut Hill, Brookline, Norwood, and Foxboro.
• The PCC nurse manager provides nurse leader coverage in practices when there is a vacancy, FMLA or other period without onsite NM support. Additionally, the PCC Nurse Manager supports the central initiatives, workflows and programs designed to support work done in primary care practices.
• The PCC Nurse Manager is responsible for the scheduling, hiring and day to day support of the float pool team. This role and requires experience supporting and managing a team of virtual and in clinic staff that travel across 15 locations.

PRINCIPAL DUTIES AND RESPONSIBILITIES:

• Assigns staff to practices based on practice needs and staff availability.
• Establishes effective communications with nurse managers at all Primary Care practice locations, to ensure efficient utilization of the Float Pool Team.
• Ensures that optimum utilization is maintained with minimum use of overtime and additional staff.
• Develops and maintains a plan of organization which facilitates congruency with organizational goals.
• Responsible for monitoring the float pool budget.
• Implements and monitors adherence to personnel and departmental policies.
• Establishes and maintains an environment conducive to high morale and job satisfaction, fulfillment of staff goals, and delivery of optimum performance.
• Performs all other duties as assigned.
• Develop and review workflows for current and future teams supported by primary care central.

GENERAL OVERVIEW:

The Nurse Flow Manager (RN Flow Manager) is valued member of the clinical leadership team. The primary responsibility of the Flow Manager is to coordinate and expedite the clinical operations of a multi-disciplinary team, ensuring an exceptional patient experience. The Flow Manager reacts to the immediate operational needs of the practice, supervising and directing other members of the interdisciplinary team to further the coordination and advancement of care of patients. Develops strong collaborative relationships across roles, disciplines and departments with a focus that ensures the needs of patients are addressed. The Flow Manager is accountable for facilitating an appropriate response to the access needs of patients in alignment with practice based resources.

PRINCIPAL DUTIES AND RESPONSIBILITIES:

1. Leadership: Coordinate and expedite clinical operations including, but not limited to: a. Directs, delegates and monitors quality of care delivered by the health care team.
   
   b. Functions within and across interdisciplinary teams in a manner that promotes coordination, mutual respect and timely response to the patient's health care needs.
   
   c. Recognizes the impact of systems on health care delivery. Facilitates development of workflows and pathways that ensure the coordination of care across all settings with particular attention to transitional needs.
   
   d. Facilitates huddles, promotes and models effective, respectful communication
   
   e. Utilizes a critical thinking approach to problem solve and make decisions.
   
   f. Identifies and evaluates operational clinical needs and resolves concerns early
   
   g. Role models and facilitates change within the health care team to respond to emerging practice and organizational needs.
   
   h. Fosters and implements innovative thinking to create alternative solutions.
   
   i. Manages all resources to support optimal care of patients seeking primary care services in the clinic, telephonically and electronically including;
   
   i. Gateway, telehealth, and other emerging care delivery models.
   
   j. Models and promotes health care team building and leadership skills. Applies leadership skills to facilitate effective team functioning and operations of the department.
   
   k. Develops strong collaborative relationships across roles and departments with a focus to ensure timely accesses of emerging needs of patients are addressed.
   
   l. Occasionally participates on committees or broader organizational initiatives as required.
   
   
   
   2. Management
   
   a. Provides clinical oversight and support as needed to nursing staff and medical assistants in collaboration with the Medical Director and Practice Manager.
2. b. Manages changes in Nurse/MA staffing schedule and appropriately adjusts resources to ensure patient care and operational needs of the practice are met.
   
   c. Authorizes hours worked by nursing staff and medical assistants, including any overtime. Direct recipient of sick and tardy calls for clinical staff.
   
   d. Assumes accountability for evaluation of performance of RNs, LPNs and Medical Assistants under the delegation/direction of the nurse manager
   
   e. Participates in the selection, supervision and of staff
   
   f. Mentors new staff, assists with orientation and staff development needs.
   
   
   
   3. Quality and Safety
   
   a. Collaborates with nursing and practice leadership in setting quality standards for nursing care and in the development of relevant policies and procedures.
   
   b. Demonstrates ability to analyze, synthesize and apply data to drive optimal care delivery outcomes.
   
   c. Oversight for TJC readiness and quality programs.
   
   
   
   4. Clinical Care
   
   a. Provides evidence-based, clinically competent nursing care in a culturally sensitive manner.
   
   b. Performs all clinical tasks and responsibilities of the BWH RN as permitted by licensure, scope and institutional policy.
   
   c. Performs skilled nursing tasks competently and demonstrates operational knowledge of procedures and equipment.
   
   
   
   5. Technology
   
   a. Demonstrates technological literacy in using computerized information systems.
   
   b. Accesses, evaluates and uses data and information from a wide range of resources.
   
   c. Demonstrates effective use of computer-based information and practice management systems for population health management, decision support, reports relative to the provision of care, continuous quality improvement and professional development.
   
   d. Provides input to the development of information systems that impact the provision of patient care.
   
   e. Facilitates and oversees staff use of health care technologies, able to develop, access and apply reporting data.

At the Brigham, we place great value on being a diverse and inclusive community. Brigham Health and the Department of Nursing are dedicated to diversity, equity and inclusion as we aim to reflect the diversity of the patients in our local community. We have a dedicated focus on equity. Thus, we believe in equal access to quality care, employment and advancement opportunities encompassing the full spectrum or human diversity: race, gender, sexual orientation, religion, ethnicity, national origin and all the other forms of human presence and expression that make us better able to provide innovative and cutting-edge healthcare and research.

Qualifications

QUALIFICATIONS

Education:

• Graduate of an approved school of nursing, BSN required.
• MSN or Master's degree in related healthcare field preferred.
• Current license to practice as a registered nurse in the State of Massachusetts.

Certification:

• Ambulatory Certification preferred.
• If not currently certified, Ambulatory Nursing Certification is required within 2 years of hire.
• Certification must be maintained while employed in this position.

Experience:

1. Extensive knowledge of Telephone Triage and Primary Care operations required.
2. Primary Care Nursing Leadership experience required.
3. Must have extensive knowledge of Ambulatory and specialty-specific clinical practices, workflows, and operations.
4. Pediatric Primary Care experience preferred.
5. Experience managing a team of remote or hybrid teams preferred.
6. Continually updates clinical knowledge and skills through formal and informal education and review of the current literature.
7. Must work well independently, have sound decision making skills and work effectively with and through inter-professional colleagues when required to make and facilitate complex decisions.
8. Excellent communication skills and strong team player.

Skills and Abilities:

• Must possess strong interpersonal communication and negotiation skills to provide effective leadership for promoting interdisciplinary collaborative teamwork. Ability to connect with and manage a geographically diverse team some of whom work virtually.
• Must possess strong analytical and organizational abilities to make effective decisions in an expedient manner while maintaining high quality care standards. Must be able to appropriately prioritize staffing resources based upon patient and practice needs and established protocols. Uses expertise and judgment in determining appropriate staff placement across the 15 practice locations.
• Must demonstrate ability to effectively communicate, negotiate, and problem solve with practice leaders to ensure effective placement of staff.
• Must demonstrate fair and equitable practice in assigning staff, determining overtime, and completing performance evaluations.
• Must be able to promote a customer-oriented philosophy among all staff.
• Must demonstrate independent judgment within the scope of this position, while maintaining effective relations with practice leaders and departmental staff.
• Must be able to utilize computer applications programs.
• Must have ability to manage staff in multiple locations and virtually, maintaining a sense of connectedness and teamwork.

Working Conditions:

• This position requires the ability to manage teams in a virtual and geographically diverse environment. Travel to various practice locations is required.

EEO Statement

Brigham and Women's Hospital is an Affirmative Action 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.