Beth Israel Lahey Health

General

• Perform diagnostic cardiac ultrasound procedures on adult inpatients and outpatients
• Perform all echocardiography testing procedures listed in department protocols
• Perform diagnostic exercise/pharmacological stress echocardiograms and produce accurate clinical information for cardiologists
• Respond to cardiac arrests as required
• Participate in the on-call rotation
• Troubleshoot technical methods of echocardiography
• Ensure a safe testing environment in daily operations
• Retrieve and send data using clinical and financial information systems
• Understand physician orders and appropriate documentation
• Ensure adequate documentation in the medical record and test report according to department policies and procedures
• Communicate effectively to promote teamwork and team problem-solving
• Adapt to and work effectively in varied situations and settings
• Provide explanations of preparation for testing procedures

Cardiac Sonographer

Nurse Practitioner

• Provide direct patient care in an ambulatory care setting involving physical diagnosis and therapeutic management
• Perform history and physical examinations
• Formulate care plans
• Order and interpret laboratory and diagnostic tests
• Provide education to patients and their families
• Act as an educator and clinical resource for staff through consultation, formal and informal education, literature review, seminars, and conferences
• Coordinate patient care to provide safe, effective, efficient, timely, patient-centered care
• Liaise between visiting nurses, clinical staff, and consult services
• Consult with physicians or surgeons regarding complex diagnoses
• Document clinical encounters clearly, precisely, and in a timely manner
• Collaborate with health professionals to determine patient and family health needs
• Develop and coordinate plans of care with faculty, fellows, residents, and nursing staff
• Demonstrate and role-model an interdisciplinary collaborative approach to patient care

Nurse Practitioner, Per Diem – Employee Health

Nurse

• Provide individualized, high-quality ambulatory nursing care under the supervision of the Administrative Director and in collaboration with ambulatory nursing leadership
• Collaborate with physicians, healthcare providers, ambulatory support staff, and other disciplines to plan and coordinate patient care
• Perform systematic patient and family assessments and record health data
• Analyze and interpret clinical data and determine nursing care needs
• Develop culturally competent plans of care with patient problems, expected outcomes, and preventative measures
• Deliver age-appropriate physical care, including activities of daily living, positioning, transporting, and treatments
• Utilize and transport equipment
• Monitor patients, recognize acute changes, and intervene appropriately
• Administer medications, including blood and blood products
• Assess caller signs and symptoms by telephone using listening skills and clinical judgment
• Evaluate care effectiveness and adapt plans based on patient/family response
• Educate patients and families about illness, treatment, and preventative measures
• Coordinate care across the continuum and maintain continuity of care
• Delegate and supervise nursing activities, including assignments, teaching, direction, supervision, and outcomes
• Establish professional relationships and collaborate with colleagues and patients/families
• Serve as a patient advocate
• Adhere to policies, procedures, practice guidelines, ANA Code of Ethics, and regulatory requirements
• Support community-based activities
• Uphold quality nursing care, evidence-based practice, and lifelong learning

Ambulatory Registered Nurse – Primary and Specialty Care

Patient Access Representative

• Register patients presenting for visits and explain the registration process
• Process patient co-payments, co-insurance, deductibles, and balances due
• Safeguard cash, checks, and receipts and reconcile the cash drawer
• Assist patients with kiosk check-in
• Complete Medicare Secondary Payer Questionnaires and adjust patient coverage
• Obtain signatures on consent, financial, and other required forms
• Scan, process, and record documents collected during registration
• Counsel patients regarding non-covered services, ABNs, consents, and waivers
• Monitor the patient waiting area and manage registration flow and delays
• Respond to patient concerns and potential patient safety issues
• Maintain a neat, orderly registration desk and secure confidential patient information
• Schedule, reschedule, and cancel patient appointments using calls, digital messages, orders, work queues, questionnaires, and searches
• Apply clinical department scheduling protocols and seek management assistance when needed
• Capture and verify scheduling and registration information, including physician, insurance, demographic, and contact details
• Communicate appointment and patient-care issues to Patient Access management
• Follow confidentiality and equipment-security guidelines when working remotely
• Pre-register patients and verify information for identification, contact, and reimbursement
• Create and assign patient guarantors
• Verify insurance coverage using real-time eligibility and apply appropriate guarantors and insurance
• Communicate financial clearance, contract status, self-pay status, and payment responsibility to patients
• Schedule patients with Financial Counseling as needed

Patient Access Representative – Emergency Dept

Scheduler

• Schedule patients for procedures, post-operative appointments, preparation instructions, follow-up, and wait-list processes
• Notify patients of scheduled procedures
• Provide complete and timely procedure, location, time, and requirement details to patients
• Maintain multiple scheduling and patient-data applications
• Schedule procedures, medical staff, and clinical resources
• Complete accurate and timely journal entries
• Collaborate with internal and external partners to obtain resources
• Maintain physician and/or surgeon schedules
• Register patients and accurately enter demographic data
• Communicate daily schedules, review them with the advisor/manager, update staff on revisions, and post schedules
• Act as liaison with internal departments and external resources and agencies
• Provide ongoing scheduler training in collaboration with the manager/advisor
• Perform other duties as needed or directed

Scheduler, Radiation Oncology

Physician Assistant

• Serve as a per diem float for Monday-Friday daytime hours across offices in Needham, Needham Heights, Dedham, Medfield, Canton, Wayland, Waltham and Lexington
• Deliver high-quality service to patients and contribute to smooth practice operations
• Provide support, training and knowledge-sharing to Medical Assistants, MA student externs and Practice Assistants
• Recommend more effective use of resources
• Identify and resolve OSHA compliance issues
• Audit and maintain point-of-care testing and track test results
• Participate in practice improvement initiatives and small projects
• Greet patients and serve as a communication resource
• Collect complete and accurate patient information in person and by phone, prioritize it and communicate it to providers
• Respond to phone calls and requests promptly and courteously
• Escort patients to exam rooms and ensure availability of x-rays, lab slips, medical records and other pertinent information
• Obtain vital signs, weight, blood pressure, pulse and temperature
• Perform EKGs, injections, phlebotomy, departmental screening, lab tests and specimen collection
• Assist providers and implement quality-control standards
• Procure medical records and ensure proper patient identification on records and documents
• Add new medications to patient records in the EMR system
• Assemble records according to BIDHC/APG policy and handle patient-information requests according to established guidelines
• Report to the Practice Manager or Ambulatory Practice Coordinator, with input from assigned physicians, nurses and other healthcare providers

Medical Assistant II – Per Diem

Pharmacist

• Serve as a leader in clinical pharmacy practice in anticoagulation and other clinical areas as determined by hospital needs
• Provide comprehensive clinical and distributive medication management services
• Use advanced clinical skills to provide evidence-based, safe, and cost-effective drug therapy
• Serve as a drug information and educational resource for pharmacy staff, patients, residents/students, medical staff, nursing staff, and other healthcare professionals
• Participate in developing clinical guidelines/protocols and new programs/services
• Facilitate professional development activities
• Practice pharmacy in accordance with Massachusetts regulations, departmental policies, and applicable federal requirements
• Monitor patients in specific units/specialty services by collecting patient data, interpreting laboratory data, performing physical assessments, interviewing patients, and identifying therapy goals
• Develop, administer, and improve ambulatory pharmacy programs and services
• Independently develop drug use evaluations, ADR reporting, clinic development and management, and business plans
• Initiate, adjust, monitor, and recommend drug therapy changes under protocol
• Document clinical interventions in the electronic health record
• Coordinate and interpret laboratory monitoring, including serum drug levels and electrolytes
• Monitor and optimize patient outcomes, drug utilization, and compliance while detecting or minimizing ADRs and unnecessary drug use
• Coordinate continuing education for medical and nursing staff and orient new pharmacy employees
• Contribute to pharmacy newsletters, journal clubs, and professional in-services
• Precept PGY1 and PGY2 residents and pharmacy students
• Contribute to staff development and collaborate with clinical pharmacy specialists to improve pharmacy skills and workflows
• Work Monday to Friday on the day shift

Clinical Pharmacist Specialist, Anticoagulation

• Coordinate care management for medically complex, high-risk primary care patients discharged from acute or sub-acute inpatient facilities
• Perform telephonic patient assessments using discharge summaries and patient/caregiver information
• Identify early health issues and potential barriers to discharge plans
• Complete discharge medication reconciliation and identify discrepancies or adherence barriers
• Document encounters accurately in the medical record/EHR according to BIDHC protocols
• Review discharge instructions and coordinate follow-up labs, diagnostic studies, specialty appointments, and primary care appointments
• Provide health coaching and education to patients/caregivers
• Encourage patient self-engagement and identify barriers to adherence
• Identify clinical issues and lapses in standards of care and notify appropriate providers and staff
• Collaborate with providers and practice team members to ensure the plan of care is met
• Provide clinical and educational consultation to patients/caregivers
• Support BIDHC practice locations and improve care transitions

Transitional Care Nurse, Primary Care

Patient Care

• Provide basic patient care under the supervision and direction of a Registered Nurse
• Provide for patients’ personal needs, comfort, and safety
• Perform technical, therapeutic, administrative tasks, and trained procedures
• Participate as a multi-skilled caregiver on the patient care team
• Measure vital signs, height and weight, and oxygen saturation
• Report unusual observations to the nurse
• Collect specimens for analysis
• Record and measure intake and output
• Provide personal care and assist with daily activities
• Perform basic clinical procedures independently or under RN supervision
• Assist with nutritional needs, order room service, set up meal trays, and feed patients

Patient Care Technician – Float Pool

• Provide basic care activities and attend to patients’ personal needs, comfort, and safety
• Assist with delivery of patient care under the direction of the Registered Nurse
• Perform trained technical, therapeutic, and administrative tasks and procedures
• Participate as a multi-skilled caregiver on the patient care team
• Measure vital signs, height, weight, and oxygen saturation
• Report unusual observations to the nurse
• Collect specimens for analysis
• Record and measure intake and output
• Provide personal care and assist with daily activities
• Perform basic clinical procedures independently or under RN supervision
• Assist with nutritional needs, including ordering room service, setting up meal trays, and feeding

Patient Care Technician, Float Pool

• Perform diagnostic computerized tomographic scanner radiographs and X-ray procedures for ER, inpatient, and outpatient populations
• Obtain and document patient information and history
• Document IV/oral contrast information and accurate allergy information
• Perform CT exams with 100% accuracy
• Begin and complete exams using RIS and CT work lists accurately
• Quality-control exams using PACS
• Evaluate images for diagnostic purposes, recognizing anatomy and pathology and determining the need for additional scans
• Practice ALARA radiation-safety principles
• Follow department clinical protocols and standards, including post-processing
• Provide optimal patient care through teamwork, on-call coverage, and holiday rotation
• Maintain a clean and safe environment
• Participate in quality-improvement activities and mandatory education
• Transport patients
• Orient new staff and help train students
• Assist receptionists with heavy telephone traffic as needed
• Perform other duties as directed to meet department needs

CT Technologist – Multi-Modality

• Plan and co-facilitate interactive sessions focused on social-emotional skill-building, community integration, psychoeducation, and vocational preparation
• Deliver therapeutic intervention and group interventions directly within the community for youth and families
• Collaborate with other providers, natural supports, and families
• Provide and arrange transportation for clients to and from group activities
• Complete timely, accurate documentation
• Manage a flexible group schedule adapting to client needs

Youth Support Group Leader – Part-Time, Flexible Evening Hours

• Plan and co-facilitate interactive groups focused on social-emotional skill-building, community integration, psychoeducation, and vocational preparation
• Deliver therapeutic intervention and group interventions directly within the community for youth and families
• Collaborate with other providers, natural supports, and families
• Provide and arrange transportation for clients to and from group activities
• Complete timely, accurate documentation
• Manage a flexible group schedule adapting to client needs
• Guide children and young adults ages 6–22 toward greater independence, self-confidence, and positive relationships
• Support conflict resolution and essential life-skills development

Youth Support Group Leader, Part-Time, Flexible Evening Hours

• Plan and co-facilitate interactive groups focused on social-emotional skill-building, community integration, psychoeducation, and vocational preparation
• Deliver therapeutic and group interventions directly in the community for youth and families
• Collaborate with providers, natural supports, and families to support holistic care
• Provide and arrange transportation for clients to and from group activities
• Complete timely and accurate documentation
• Manage a flexible group schedule adapting to client needs
• Guide children and young adults ages 6–22 toward independence, self-confidence, and positive relationships
• Support conflict resolution and essential life-skills development

Per Diem

• Perform ultrasound examinations under the administrative direction of office management
• Review medical records for patient history and supporting clinical data
• Explain procedures to patients and provide support and comfort
• Select equipment and imaging parameters for optimum diagnostic studies
• Operate ultrasound equipment and evaluate scan accuracy and quality
• Record preliminary study results, measurements, and labels
• Present studies to Radiologists for interpretation
• Consult Radiologists about unusual scans and rescanning needs
• Maintain ultrasound equipment and recognize malfunctions requiring service
• Maintain quality control procedures
• Order and maintain supplies and keep ultrasound suites orderly
• Perform assigned duties associated with interventional procedures
• Stay current on imaging techniques, procedures, and equipment through manuals and technical journals

Cardiac Sonographer

Nurse Practitioner, Per Diem – Employee Health

Ambulatory Registered Nurse – Primary and Specialty Care

Patient Access Representative – Emergency Dept

Scheduler, Radiation Oncology

Medical Assistant II – Per Diem

Clinical Pharmacist Specialist, Anticoagulation

Transitional Care Nurse, Primary Care

Patient Care Technician – Float Pool

Patient Care Technician, Float Pool

CT Technologist – Multi-Modality

Youth Support Group Leader – Part-Time, Flexible Evening Hours

Youth Support Group Leader, Part-Time, Flexible Evening Hours

Youth Support Group Leader – Part-Time, Flexible Evening Hours

Core Sonagrapher, OBGYN, Per Diem