Nurse Manager, Ambulatory/ 40 Hours/ MGH-Chelsea Health Center at Massachusetts General Hospital(MGH)

Posted in Other 19 days ago.

Location: Chelsea, Massachusetts

Job Description:


The Nurse Manager working in Ambulatory Nursing is a Registered Nurse with the oversight and management of daily clinical operations Chelsea Adult Primary Care in the Chelsea Health Center. The nurse manager is responsible for assuring competent, compassionate, individualized, patient care for patients and families provided by the staff, including but not limited to medical assistants, licensed practical nurses, registered nurses, and other allied health staff she manages. He/she is accountable for patient safety and quality of care

In this role, the nurse manager collaborates with administrative and clinical leadership in the practices to ensure that team-based care is coordinated, comprehensive, and that care transitions are seamless. As part of the unit triad leadership team, he/she is jointly responsible for operational, fiscal, quality and safety, efficiency and effectiveness of the unit. She works towards efficient management of two distinct practices allowing for opportunities to optimize shared learning.

The nurse manager reports to the Unit Chief/Medical Director of the Primary Care Practice and to the Primary Care Director of Nursing and APP's, including but not limited to consultation and implementation of PCA initiatives. She/he acts as a liaison and actively participates in Primary Care Nurse Leader Council attendance at least 80% of the meetings, informing practice of necessary mandates, and or initiatives

In a collaborative process, the nurse manager receives mentorship, feedback and yearly assessment both clinically and administratively, in her/his leadership role from both the Primary Care Director of Nursing and APP's, and by the Unit chiefs of the respective practices.

PRINCIPAL DUTIES AND RESPONSIBILITIES: Indicate key areas of responsibility, major job duties, special projects and key objectives for this position. These items should be evaluated throughout the year and included in the written annual evaluation.

Principal Duties and Responsibilities:

  • Management and evaluation of clinical services and operations, including but not limited to nursing functions (i.e. triage, infection control, and patient education) and workforce management

    • Design evaluate and monitor practice works to ensure service excellence, operational efficiency, and maximization of the function of all role groups in his/her managerial scope.

    • Coordinates scheduling and work systems that support adequate coverage and the smooth flow of daily clinical operations.

    • Secures resources for staff.

    • Ensures support and resources for regular huddling activities.

    • Trains and supervises staff and monitors Point of Care testing and specimen collection activities.

    • Manages resources within a unit budget. Oversees a supply inventory management system. Oversees the delivery of facility administered medications.

    • Interviews, recruits and hires direct reports. Participates in the interviewing and hiring decisions for other practice staff in collaboration with triad leadership peers. Conducts annual performance evaluations for direct reports and as appropriate constructively and materially contributes to performance evaluations for other workforce in collaboration with triad leadership peers. Implements corrective action as needed in consultation with unit triad leadership peers and HR as indicated. Conducts clinical competency testing as needed.

    • Oversees the onboarding and training of direct reports including RN's, LPN's and MA's

    • Investigates, evaluates and manages MGH Safety Reports as designed by unit in collaboration with triad leadership peers.

  • Assures staffing which provides competent, compassionate patient-and-family-centered evidence -based nursing care utilizing the nursing process and interdisciplinary teamwork, and collaboration.

    • Utilizing their assessment, critical reasoning and clinical judgment, the nurse manager expedites the delivery and/or delegation of appropriate care and treatment to the patient.

    • Regularly reviews staff clinical documentation to ensure quality and timeliness of completion.

    • Actively empowers staff to manage their professional lives, address conflict and participate in the work environment.

    • Demonstrates and mentors behaviors of respect and support for patient and family cultural beliefs and values, individual needs, health goals and treatment preferences.

  • Collaborates with all members of the health care team to ensure coordination of care.

    • Reviews and follow-ups with members of the health care team, that patients have received the necessary care.

    • In collaboration with the health care team, evaluates effectiveness of care and interventions for assigned group of patients.

    • Design and implement a system of communication with members of the health care team, including but not limited to in-patient and/or in the community to ensure continuity in care transitions.

    • Actively engaged in creating a healthy, safe, respectful work environment.

  • Provides leadership in the practice along with his/her triad leadership peers to ensure safe, efficient and cost-effective care.

    • Maximize the role of all staff, including mentoring staff to ensure success, effectiveness and efficiencies.

    • Regularly reviews, designs & proposes, implements and evaluates unit and broader hospital practice clinical protocols and guidelines, including but not limited to unit and staff performance, quality and operational measures in collaboration with triad leadership peers.

    • Actively evaluates cultural sensitivity and manages issues related to inclusivity within staff, the unit and/or with patients.

    • Identifies opportunities, and solutions, to ensure a safe, efficient and cost-effective practice environment.

    • Demonstrates and maintains compliance with regulatory requirements.

    • Guides patient-centered medical home related activities.

    • Participates in quality and safety initiatives.

    • Participates in operational, capital and other hospital (e.g. shared staffing, models and pharmacy) budget development process, including but not limited to current status in relation to goals/variances, productivity measures, expense reductions, and efficiencies.

    • Generates innovative ideas to improve care delivery and work flow in the practice environment. Participates and/or leads committees to improve practice performance.

    • Precepts and mentors new members of the clinical team and emerging leaders.

    • Holds regular staff meetings.

    • Leads, spreads and sustains regular performance improvement activities.

    • Oversees practice registry activities related to population health efforts.

    • Annually discusses career development opportunities with clinical staff.

    • Implements and evaluates nursing activities as part of Magnet designation.

    • Develops and implements coverage and a succession plan.

  • Professional Development

    • Maintains and updates clinical knowledge and skills based on current nursing and nursing management practice.

    • Adheres to departmental requirements for required training.

    • Identifies specific learning needs and goals and collaborates with unit leadership in developing a plan to meet them.

    • Identifies and facilitates learning opportunities for her/him and staff.

    • Participate in committees to develop new skills.

    • Regularly participates in leadership development activities.

  • Performs the role of Primary (Care) Staff nurse as needed to support his/her practice.

  • Any and all other duties as indicated within scope of practice

  • Qualifications


    BLS Certification or demonstrated proficiency

    Clinical and leadership competencies

    inter-professional collaboration

    Organizational (executive function) skills

    Strong communication and interpersonal skills

    Ability to rapidly make sound decisions with uncertain information

    Ability to analyze, interpret and present information

    Demonstrated ability to teach and develop others.


    Current licensure as a Registered Nurse in the Commonwealth of Massachusetts required.


    Graduate of an accredited nursing program.

    Bachelor's degree in nursing, Master's degree strongly preferred.

    Certification in Ambulatory Nursing preferred.


    Previous experience in Ambulatory or Primary Care, with Medical Homes, and the impact of Accountable Care Organizations and the changing health care climate preferred.

    Previous experience as a supervisor, coordinator, or managerial. experience precepting new nurses or emerging leaders required.


    Supervises the scheduling, performance and development of medical assistants, licensed practical nurses, registered nurses, and any other staff as defined by the unit and within the nurse manager's scope of function.

    FISCAL RESPONSIBILITY (if applicable):

    Unit budget with focus on direct and indirect reports, consumable supplies and pharmacy utilization.


    Patient care in an out-patient, academic, primary care setting.

    EEO Statement

    Massachusetts General Hospital is an Equal Opportunity Employer. By embracing diverse skills, perspectives and ideas, we choose to lead. Applications from protected veterans and individuals with disabilities are strongly encouraged.