Occupational and Health Registered Nurse

Position Summary

The Registered Nurse (RN) in the Occupational and Employee Health (OEH) Department supports the delivery of high‑quality employee health services that promote the safety, wellness, and job readiness of all BMC Health System staff and OEH clients. Working under the supervision of the Senior Director and OEH providers, the RN provides clinical and administrative support for occupational injury assessment, return‑to‑work coordination, workers’ compensation case management, medical surveillance programs, immunization services, and exposure management.

• Perform comprehensive nursing assessments of employees presenting with occupational injuries, illnesses, or exposures.
• Conduct pre‑employment and annual health screenings, including review of medical history, immunization status, and required testing.
• Perform basic physical assessments (e.g., vital signs, range of motion, skin integrity, neurological checks).
• Administer first aid and basic wound care.
• Recognize signs and symptoms requiring urgent medical evaluation and refer appropriately.
• Develop and coordinate return‑to‑work plans in collaboration with OEH providers and management.
• Provide post‑exposure evaluation (e.g., blood borne pathogen exposures).
• Conduct symptom screening for infectious diseases (e.g., TB, COVID‑19).
• Coordinate and administer immunization services (e.g., influenza, hepatitis B, Tdap).
• Order routine diagnostic tests and imaging per established protocols or provider direction.
• Review and update annual immunization histories.
• Administer medications as prescribed per established protocols.
• Perform PPD/Quanti
  
  FERON testing and follow‑up.
• Conduct respirator fit testing.
• Administer and document immunizations according to CDC and hospital protocols.
• Monitor and communicate results of audiometry, spirometry, and other surveillance tests.
• Educate employees on health promotion and injury prevention.
• Ensure compliance with OSHA, CDC, MA DPH, and The Joint Commission standards.
• Assist in maintaining the OSHA 300 log and required occupational injury reporting.
• Track, document, and report workplace injuries and incidents in accordance with OSHA and other regulatory requirements.
• Collaborate with Infection Control and Emergency Preparedness teams in monitoring and responding to workplace exposures or outbreaks.
• Participate in workplace exposure tracking (e.g., chemical, infectious, contaminated sharps).
• Participate in Safety Committees and report on employee health and safety issues.
• Coordinate follow‑up and documentation for occupational health clearances.
• Prepare written return‑to‑work documentation per established guidelines.
• Maintain accurate and secure occupational health records in compliance with HIPAA and ADA.
• Collaborate with Employee Health NP/MD for clinical decision‑making and follow‑up.
• Coordinate care with Workers’ Compensation case managers, clinical specialists, and Human Resources.
• Follow up with employees post‑injury or post‑exposure.
• Participate in multidisciplinary case review for complex work‑related conditions.
• Provide health education and counseling on work‑related risks and preventive practices.
• Educate staff on exposure protocols and proper PPE use.
• Serve as a resource to management regarding workplace safety and employee health.
• Notify public health agencies when required (e.g., reportable diseases).
• Communicate with external providers (e.g., specialists, rehabilitation services) regarding occupational injuries.
• Document all encounters, including emails, phone calls, and follow‑up, in the electronic medical record system while ensuring confidentiality of medical information.
• Maintain logs for compliance reporting (e.g., TB conversions, respirator fit tests).
• Participate in quality improvement initiatives related to employee health.
• Contribute to policy development for exposure protocols, injury prevention, and employee safety initiatives.
• Participate in employee wellness and vaccination campaigns.

• Associate’s Degree in Nursing (required).
• Minimum of three (3) years of active clinical practice experience as a Registered Nurse (required).
• Bachelor of Science in Nursing (BSN) or currently…