Search for more jobs

Primary Care Nurse Manager

Location: Boston, MA
Post Date: 4/2/2020
The Primary Care Nurse Manager will help implement transformational practices that will result in a high-functioning patient centered medical home. The Primary Care Nurse Manager will work under the direction of the Director of Operations, Primary Care. The Nurse Manager will participate in the oversight of the Primary Care Nursing Practice, with a focus on the management of patients with complex illness, including addiction and behavioral health conditions. This position will oversee the Narcotics Management Program for Providers with patients prescribed chronic opioids. This position requires a broad knowledge of clinical care and systems' management, case management expertise, prudent nursing judgment, health care reimbursement, sound problem solving skills, independent thinking, excellent organizational and interpersonal skills, creativity, flexibility, and the ability to multi-task.


Clinical Transformation

  • Collaborates with Clinical and Administrative leadership to transform the model of care in the department to create a high-functioning patient centered practice.
  • Collaborates in the development of philosophy, goals, objectives and programs of the Primary Care Practice.
  • Promotes and supports collaborative practice and policy and program development within the Primary Care Practice.
  • Leads key initiatives associated with performance in the Medicaid ACO and other risk contracts such as chronic disease management, improved transitions of care and reduction in total medical expense.
  • Analyzes information, develops strategies to improve operations and enhance service delivery; implements changes in conjunction with and advise from the management team. Acts as the liaison with other hospital departments to resolve problems that interfere with the efficient operation of the practices.

Quality of Care

  • Fosters the development of a work environment conducive to the delivery of superior nursing care and appropriate staff retention/recruitment.
  • Develops and implements strategies for ensuring compliance with patient care standards, laws, regulations, collective bargaining agreements, and the standards and requirements of the various professional organizations and regulatory agencies.
  • Participates in continuous multidisciplinary quality improvement initiatives in collaboration with members of a multidisciplinary team.
  • Gathers, interprets, and disseminates information on hospital-wide policies, new programs and other pertinent information to managers and staff.
  • Collaborates with other agencies and groups within the community to enhance patient care services.
  • Provides leadership to hospital-wide and nursing organization committees by either committee participation or direct leadership responsibility.
  • Assumes a leadership role in a changing healthcare environment and participates in the change process at various levels in the organization.

Customer Service

  • Ensures that practices provide service/care that meets or exceeds patient care standards.
  • Seeks patient feedback on service delivery for both providers and staff, taking immediate steps to respond to any complaints or indications of insufficient levels of service.
  • Ensures that all staff recognizes that customers are both internal (employees, physicians, other departments) and external (patients, families, insurers) and demonstrates skills appropriate to good service (reliability, empathy, courtesy, etc.). Ensures that staff responds promptly and appropriately to customer needs. Ensure that staff effectively communicates with customers to address needs and problems.
  • Ensures that staff maintains confidentiality for all patient interactions.

Personnel Management

  • Hires, disciplines, and fires nursing staff, within the prescribed policies of the hospital. Interprets and enforces hospital and practice policies for all employees; ensures conformance to Boston Medical Center labor agreements and grievance process. Represents the department at labor/management hearings; assists in preparation of materials for hearings and arbitration cases, as needed. Works collaboratively with Medical Director and/or physicians to ensure consistency and commitment to practices' goals and policies.
  • Establishes standards for an excellent customer service environment in which all patients and staff are treated with dignity and respect. Trains and evaluates staff in customer service techniques.
  • Assesses the adequacy of staffing levels for clinical nursing staff and makes recommendations to management regarding additional staffing needs or role changes. Assigns and monitors staff workload to ensure maximum productivity; creates an atmosphere and conditions that motivate employees to work at optimal efficiency.
  • Monitors employee needs for training. Develops annual training and development plans and makes appropriate arrangements for training in conjunction with each employee. Communicates practices' goals to employees and fosters a work environment that motivates employees to achieve these goals.
  • Completes employee performance reviews within a timely manner, and in accordance with BMC policy. Provides ongoing assessment and feedback to all employees; develops performance improvement plans where appropriate.
  • Evaluates and approves schedule changes and requests for time off, ensuring that the staffing needs of the departments are met. Works to resolve any wage, benefit or human resources related problems. Oversees payroll, and maintains system to document employee absenteeism.

Opioid Management

  • Collaborates with Clinical and Administrative leadership to develop a best practice Opioid Management System that utilizes safe prescribing principles.
  • Provides guidance and support to Providers with patients prescribed chronic opioids.
  • Trains nurses in opioid management best practices.
  • Collaborates closely with the Office Based Opioid Treatment Program leadership and staff to maximize patient outcomes.

Management of Fiscal Resources

  • Prepare, monitor, and administer annual budgets for associated cost center (s) considering trends, projections, and department/hospital objectives and goals.
  • Develop, implement and evaluate corrective action plans for variances when appropriate.
  • Identify and prioritize capital budget needs for area(s) of responsibility.
  • Authorize labor and other expenditures to meet patient care needs for assigned clinical area. Compile and maintain practice statistics.
  • Produce reports on clinic activity, visit volume, panel size, etc. by computerized process as requested.
  • Demonstrate cost awareness by comparing and analyzing Center expenditures monthly and effectively utilizing space and supplies within budgetary constraints.

Management of Regulatory Standards

  • Remain current regarding standards of care established by the department, the profession, and regulatory agencies.
  • Participate in the development, interpretation, and implementation of ambulatory practice and patient care policies, standards, and guidelines.
  • Establish and maintain the unit in a state of “constant readiness” for DPH and/or Joint Commission review.

Other Duties

  • Identifies areas for own professional growth and assures responsibility for participating in experiences necessary to meet development needs.
  • Serves in Leadership role of Professional Organizations and presents at conferences.
  • Adhere to all of BMC's RESPECT behavioral standards and the Code of Conduct.
  • Exemplify the Primary Care Vision - As a leading adult primary care practice, we are where the diverse Boston community accesses high quality, team-based, compassionate, patient-centered care.
  • Perform other duties as needed.

Must adhere to all of BMC's RESPECT behavioral standards

(The above statements in this job description are intended to depict the general nature and level of work assigned to the employee(s) in this job. The above is not intended to represent an exhaustive list of accountable duties and responsibilities required).



Bachelor of Science in Nursing required

Masters degree in Nursing or a relevant field preferred


Licensed to practice as a Registered Nurse in the Commonwealth of Massachusetts


  • A minimum of 5 years of clinical experience is required.
  • A minimum of 2 years of previous experience managing patients with complex illness, including chronic pain, unhealthy substance use and behavioral health conditions.
  • A minimum of 2 years of previous experience involving judgment and decision making.
  • Ambulatory experience working in a health center or physician's office preferred.
  • Previous management experience preferred.



  • Knowledge of current medical practice patterns and models.
  • Knowledge of best practices related to opioid management.
  • Knowledge of evidenced based strategies for managing patients with complex illness.
  • Medical terminology and standard medical abbreviations.
  • Managed care concepts & various health care delivery systems.
  • Strong analytical, data management and PC skills
  • Excellent organizational and communication skills.
  • Excellent oral, written, and telephonic skills and abilities.
  • Superior interpersonal skills.
  • Strong competency working with hospital computer systems.
  • Competent using Microsoft word, PowerPoint, and Excel.
  • Ability to work well with physicians and ambulatory staff in a practice or health center setting.
  • Demonstrated ability to present and speak in front of groups.
  • Knowledge and skills to differentiate levels of care.
  • Ability to handle routine work, unexpected priorities, and multi-task.
  • Flexible about changing practice sites as patient needs indicate, helping colleagues at other practices and covering during vacations/unexpected illness/holiday time.
  • Understand confidentiality and the legal and ethical issues pertaining to it.

Req ID: 14436

Back to Top