RQ4041737 Site: Mass General Brigham Incorporated Mass General Brigham relies on a wide range of professionals, including doctors, nurses, business people, tech experts, researchers, and systems analysts to advance our mission. As a not-for-profit, we support patient care, research, teaching, and community service, striving to provide exceptional care. We believe that high-performing teams drive groundbreaking medical discoveries and invite all applicants to join us and experience what it means to be part of Mass General Brigham. Job Summary The Access RN will lead critical system-wide coordination efforts by adopting a system mindset and leveraging their clinical expertise, situational awareness, and knowledge of MGB hospital capabilities to match patients with the right site of care efficiently and effectively. This centralized role aims to ensure timely access to care, reduce transfer delays, balance patient flow, activate standardized transfer pathways, and foster close collaboration with the multidisciplinary MGB PTAC team and site-based clinical and operational leaders. Essential Functions -Facilitates and coordinates closely with hospital bed management teams in the MGB Capacity Center to facilitate patient movement and placement across the system. -Elicits patient information from the referring MD and the outside facility nurse to allow appropriate patient triage and placement. Follows admission using the Transfer matrix and alternative pathways based on bed availability in collaboration with patient access services to appropriate beds based on bed availability and triage information. Collaborates with off-shift nurse administrators regarding ED, procedures, and inpatient arrivals. -Monitors the notification process for inpatient responding clinicians, appropriate documents including data collection, IPASS expect notes, transfer modules, emails, code activations, and reporting to senior leadership. Access nurses notify the team and inpatient service of admission via email to attending physicians; expect a note to be placed for house staff, and collaboration with the referring physician callback for specific information. -Serves as a department representative and consults with appropriate administrators, patient care unit leadership, procedural unit leadership, and access services during the extreme census—updates physicians and transferring facilities on bed availability. Attend daily huddles and represent the PTAC. -Responsible for making critical decisions on directing patients to the appropriate care pathway across various diagnoses, clinical scenarios, and operationally challenging situations. -Identifies patients who are safe and appropriate for standardized transfer pathways that avoid the ED and/or reduce the load on inpatient bed capacity at MGB hospitals. Coordinate these transfers with hospital-based and other MGB asset-based physicians, nurses, and capacity leaders. Qualifications Education