Registered Nurse, Primary Care Team

Plan and provide professional nursing services and patient care for students, staff, and faculty. Ensure compliance with clinicians’ orders and follow established nursing processes, including patient assessment, nursing diagnosis, planning, intervention and evaluation.

Job-Specific Responsibilities:

Under the supervision of the Nurse Leader, the Registered Nurse at HUHS works collaboratively with the members of the health care team to support the delivery of care including health maintenance, episodic, acute and chronic care to the adolescent, adult, and older adult population of the University Community. The Registered Nurse utilizes evidence to drive clinical decisions and practice related to individual and population health according to department guidelines, policies and procedures. The Registered Nurse also assists and provides coverage and support to other clinical areas at HUHS as needed. 

Clinical Practice and Quality of Care 

• Assesses and systemically collects any data related to patient health status and works in collaboration with the care team to develop the plan of care  
• Collaborates with the healthcare team incorporating appropriate standards of care for practice and patient outcomes  
• Assumes responsibility and accountability for effectively managing nursing care of individual patients  
• Documents nursing assessment, interventions and evaluations to reflect comprehensive and integrated approach to patient care  
• Provides care that is safe, ethical, patient- and family-centered, culturally competent and evidence-based 

There are skills and responsibilities that are common across the ambulatory setting (primary or specialty care). The RN at HUHS may perform any or all of these skills and responsibilities. These may include but are not limited to: 

• Telephone, Secure message and in-person triage  
• Reviews and acts on test results (lab, x-ray)  
• Reviews and manages communications from internal and external “customers”  
• Initiates and monitors intravenous (IV) infusions  
• Assists or performs procedures (e.g., ECGs, dressing changes, subcutaneous or intra-muscular injections, etc.)  
• Provides patient education  
• Assists with medication management  
• Completes accurate and timely documentation in the electronic medical record  
• Assists with management of urgent and emergent patient care situations  
• Serves as a mentor and resource to others  
• Assists with the coordination of care across the continuum of care  
• Assists with the management of patients with multiple chronic health conditions, acute episodes of care, behavioral health challenges while promoting and supporting prevention and wellness  
• May float to other clinics on as needed   
• Other duties as assigned 

Professionalism

• Works independently within their scope of practice to achieve clinical outcomes  
• Maintains a level of professional development through continuing education, quality improvement initiatives and sharing of knowledge 
• Leadership through collaborative partnerships.  
• Reflects understanding and strive to meet the Mission and Vision of Harvard University Health services 
• Utilizes evidence and science to guide practice  
• Completes and complies with HUHS training requirements including HIPAA, privacy and security
• Reports non-compliance incidents to manager and/ or Compliance Officer 

Age-Specific Competencies 

Identifies age specific competencies for direct and indirect patient care 

• Adolescent (13 – 19 years)
• Young Adult (20 – 40 years)
• Middle Adult (41 – 65 years) 
• Older Adult (Over 65 years) 

Additional Department-Specific Responsibilities

Allergy Nurse

• Performs allergy testing according to policy and procedure.
• Performs allergy immunotherapy according to policy and procedure. 
• Manages HUHS ordered and patient provided allergy serum and testing materials 

Anticoagulation Management Nurse 

• Provides initial and continuing patient education regarding the use and management of anticoagulants and their inherent risks, as outlined in Anticoagulation Protocols. 
• Receives and interprets daily laboratory results relating to those patients enrolled in the anticoagulation service.  
• Uses policy algorithms and best clinical judgment in making decisions regarding anticoagulant dosage adjustments and patient reevaluation. 
• Considers and refers any patient appropriate for independent INR monitoring. 
• Reassesses patient understanding and compliance on a periodic and as needed basis, particularly in response to unexpected INR results or patient non-adherence. 
• Collaborates with primary care physicians in the initiation and ongoing management of patients’ anticoagulation, duration of treatment, special considerations, and patient adherence. 

Working Conditions:

• May be required to work evenings and weekends

Physical Requirements:

• Lifting (approximately 20 to 30 pounds), bending, and other physical exertion
• Ability to stand for extended periods

Qualifications

Basic Qualifications:

• Graduate of accredited nursing program
• Minimum of 1 years relevant work experience

Additional Qualifications and Skills:

• Bachelor of Science degree in Nursing 
• Knowledge of Microsoft Office Suite, intermediate Excel skills 
• Knowledge of and previous experience working with an electronic medical record
• Ability to organize tasks, problem solve, and respond in times of multiple demands and urgent situations
• Minimum of two years' experience in a specialty clinic, or ambulatory setting with one year experience in triage

Certificates and Licenses:

• Registered Nurse license in Massachusetts

Additional Information

Standard Hours/Schedule: 20 hours per week

Compensation Range/Rate (including Shift Differential if applicable):

Visa Sponsorship Information: Harvard University is unable to provide visa sponsorship for this position

Pre-Employment Screening: Identity, Education, Criminal, Certification/License, Employment, References, Healthcare Sanctions

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Work Format Details

This position has been determined by school or unit leaders that all duties and responsibilities must be performed at a Harvard or Harvard-designated location. Certain visa types may limit work location. Individuals must meet work location sponsorship requirements prior to employment.

Salary Grade and Ranges

This position is salary grade level 057. Please visit  Harvard's Salary Ranges  to view the corresponding salary range and related information. 

Benefits

Harvard offers a comprehensive benefits package that is designed to support a healthy work-life balance and your physical, mental and financial wellbeing. Because here, you are what matters. Our benefits include, but are not limited to: 

• Generous paid time off including parental leave 
• Medical, dental, and vision health insurance coverage starting on day one 
• Retirement plans with university contributions 
• Wellbeing and mental health resources 
• Support for families and caregivers 
• Professional development opportunities including tuition assistance and reimbursement 
• Commuter benefits, discounts and campus perks 

Learn more about these and additional benefits on our Benefits & Wellbeing Page. 

EEO/Non-Discrimination Commitment Statement

Harvard University is committed to equal opportunity and non-discrimination. We seek talent from all parts of society and the world, and we strive to ensure everyone at Harvard thrives. Our differences help our community advance Harvard's academic purposes.

Harvard has an equal employment opportunity policy that outlines our commitment to prohibiting discrimination on the basis of race, ethnicity, color, national origin, sex, sexual orientation, gender identity, veteran status, religion, disability, or any other characteristic protected by law or identified in the university's non-discrimination policy. Harvard's equal employment opportunity policy and non-discrimination policy help all community members participate fully in work and campus life free from harassment and discrimination.