Per Diem Registered Nurse

Primary Purpose of Position

North Shore Community Health (NSCH) is an industry leader in exceptional community healthcare delivery. Under the general direction of the Clinical Nurse Manager, the Per Diem Registered Nurse will provide direct and indirect nursing care and patient education within the scope of their licensure.

This position offers flexible scheduling and a combination of remote and onsite work. The Per Diem RN is expected to work at least one shift per month
, which may be completed remotely
, and one onsite shift at least every three (3) months at one of NSCH’s health centers (Salem, Peabody, or Gloucester). The nurse should also be willing to assist with or learn triage and Medication for Opioid Use Disorder (MOUD) care via Telehealth to support patient access and continuity of care.

The Per Diem nurse will help manage medication refills and address patient needs both in person and by phone, while partnering with the triage nurse team for patient assessment. The Registered Nurse must collaborate effectively with the site supervisor, medical director, and other health center team members to foster a safe, efficient, and positive work environment. As a valued member of our team, you will work with racially, ethnically, and culturally diverse staff—requiring cultural competence and a strong commitment to equity in care.

• Assesses an individual’s basic health status and related patient care needs for patients who call the clinic or who present for scheduled or unscheduled care
• Analyzes and interprets data and makes informed judgments related to patient care
• Evaluates outcomes of basic nursing interventions and initiates changes in care plans
• Collaborates and communicates with primary care providers and other care team members to ensure quality and continuity of care, including participation in huddles to help ensure a smooth workday and maximize time with patients in the clinic.
• Reviews refill requests from pharmacy and patients based on medication refill protocol; reconciles patient medication lists and attaches pertinent information necessary for the provider to authorize the refill
• Administers immunizations and medications and performs other procedures as needed, including but not limited to EKGs, suture removals, wound dressing changes, ear irrigations, PPD application and interpretation, and blood pressure checks
• Maintains accurate and timely documentation of all nursing care and patient communication, including phone notes, nursing visit notes, and immunization or medication administration documentation
• Completes patient forms to the furthest extent possible when needed within the scope of nursing practice, including prior authorization forms
• Provides health education to individuals and families to further patient self‑management and self‑empowerment and to help patients maintain/sustain an optimal level of health
• Communicates with members of the patient’s care team outside of the health center as needed, for instance, with specialists or visiting nurses, to help with the coordination of care
• Manages vaccination supply and ordering, including proper vaccination storage and handling
• Uses information about data trends for self‑directed learning and performance improvement
• Provides coverage at other NSCH clinical sites or call centers as needed
• Performs additional duties to fulfill NSCH's mission as assigned

• College Degree from an accredited school of nursing, current license to practice as an RN in the Commonwealth of Massachusetts
• Current CPR certification
• Ability to function effectively both as a leader and a member of a team, as well as a proven ability to work independently
• Ability to work in a culturally diverse environment
• Excellent communication and interpersonal skills
• Approaches work with an eye for problem‑solving and with a positive attitude
• Maintains a high level of customer service with both patients and coworkers
• Possesses strong critical thinking skills and can prioritize and address many competing demands
• Must recognize and respond quickly to patient and/or unit condition changes
• Preference will be given to bilingual/bicultural individuals who can speak…