Primary Purpose of Position

The RN Trainer serves a dual role as an Access Registered Nurse delivering direct patient care across NSCH sites (60%) and as a clinical education and onboarding lead for the nursing team (40%). This position supports the sustainability of the Director of Nursing and Nurse Manager roles and the resilience of the RN Workforce by building out a durable RN onboarding structure, escalation pathway, and standardized workflows/SOPs, while remaining an active clinical presence that keeps training grounded in real site conditions.

Requirements

Essential Functions

Clinical Practice - Access RN (~60%)

• Provides direct and indirect nursing care across Salem, Peabody, and Gloucester sites as assigned, including RN visits, medication refill management, and patient triage/assessment (telehealth and/or in-person).
• Follows standing orders to complete nurse visits for chronic disease management, including but not limited to medication for opioid use disorder treatment, hypertension, diabetes
• Administers immunizations (IM, sub-Q) and medications (oral, inhaled, nasal, IM, sub-Q; performs procedures including EKGs, suture/staple removals, wound care, ear irrigations, PPD placement/read, and vital sign assessment
• Provides health education to patients and families to support self-management and self-empowerment in maintaining optimal health
• Completes patient forms within RN scope of practice, including prior authorization forms
• Coordinates with care team members outside the health center (specialists, visiting nurses) to support continuity of care
• Covers Epic in-basket management across sites as needed to support continuity during staffing gaps
• Provides triage coverage in partnership with site triage nurse teams
• Collaborates and communicates with primary care providers and care team members - including huddle participation - to ensure quality, continuity of care, and a smooth clinical workday
• Maintains accurate, timely documentation consistent with NSCH nursing standards
• Helps provide RN access at whichever site has the greatest need - creating the cross-site visibility and lived experience as an RN needed to standardize training and workflows, and allowing for mentorship relationships and elbow support to happen organically

Training, Onboarding & Clinical Skills Mastery (~40%)

• Designs, implements, and continuously improves a standardized new hire RN onboarding program (oversight of RN visit ramp-up, mentorship pairing, Epic RN workflow training including RN TH and on-site visits, RN skills competency checklists)
• In collaboration with the DON and Director of Clinical Training, develops a clinical training program for continued education for the RNs based on the needs and deficiencies.
• Develops a needs assessment survey for nurses to assess educational and training needs.
• Serves as a first-line clinical resource/mentor for newly onboarded and existing RNs, including real-time shadowing and precepting
• Develops Student RN Internship infrastructure in collaboration with Nursing Leadership
• Develops and maintains a clear escalation chain/support structure for RNs facing clinical or workflow questions
• Collaborates with the DON, site Medical Directors, and CMO to develop, review, and implement nursing workflows, SOPs, and standing orders (e.g., medication refill protocols, triage protocols, immunization administration)
• Identifies workflow gaps or inconsistencies across sites through direct clinical access experience and proposes standardized solutions
• Uses data trends from clinical practice to drive self-directed learning, performance improvement, and updates to training content
• Tracks RN competency completion and documents training outcomes
• Ensures RNs complete all trainings required for compliance reasons such as DPH and FTCA
• Participates in nursing huddles/meetings across sites to reinforce training consistency and surface emerging issues
• Supports the DON in nursing productivity and staffing initiatives by translating training/workflow needs into actionable plans

Requirements

• Current RN license in the Commonwealth of Massachusetts
• Current CPR certification
• Minimum 5 years of RN experience in an ambulatory/primary care or FQHC setting
• Demonstrated ability to train, mentor, or precept other nurses
• Strong working knowledge of EHR systems (Epic) including in-basket management
• Excellent communication, organizational, and critical thinking skills
• Ability to travel between Salem, Peabody, and Gloucester sites; some evening/Saturday coverage may be required
• Sensitivity/skill working with complex patient populations (SUD, homelessness, serious mental illness, etc.)
• Bilingual Spanish/Portuguese preferred

As a health center, NSCH ensures that all employees comply with the annual requirements for vaccinations and health screenings. All employees must be vaccinated against COVID-19 as a condition of their employment unless they have been granted a religious or medical exception. Proof of COVID-19 vaccination must be provided, and prospective employees must be vaccinated before their first day of employment, submitting their vaccination record and pre-hire paperwork. If you need to request an exemption from the vaccine requirement or have any inquiries regarding this policy, please get in touch with the Human Resources Department at [email protected].

At North Shore Community Health, our commitment lies in fostering a diverse workforce. If you're enthusiastic about this position but feel that your previous experience is not fully aligned with the requirement in the job description, we still encourage you to apply! Your skills could be a great fit for this role or other opportunities within North Shore Community Health.

Living on the North Shore

With facilities in Salem, Peabody, and Gloucester, NSCH offers access to New England's coastal charm just thirty minutes outside of Boston. The North Shore is connected to the city via the Rockport Commuter Rail line, which makes stops in Salem and Gloucester. The North Shore has plenty to offer, with a rich history and thriving cultural scene.

For Information Please Contact:

Talent Acquisition Department

North Shore Community Health

[email protected]

Salary Description

$93,000 - $115,000