Registered Nurse

Position Summary

The Per Diem Registered Nurse provides high-quality, individualized nursing care to patients and families at Essential Pediatrics, a concierge pediatric practice. This as-needed position primarily provides clinical coverage during scheduled staff absences, vacations, illness, and periods of increased patient-care demand. The nurse works collaboratively with the physicians and practice team to maintain continuity of care and a responsive, personalized patient experience.

Schedule and Availability

Shifts are offered based on practice needs and scheduled by mutual agreement; there is no fixed weekly schedule or guaranteed number of hours. Typical office hours are Monday–Friday, 8:30 a.m.–4:30 p.m., and Saturday, 8:30 a.m.–12:00 p.m. Coverage may include full or partial shifts, including occasional short-notice needs. Availability outside accepted shifts is not routinely expected.

Essential Duties and Responsibilities

Pediatric Nursing and Clinical Care

• Provide attentive, family-centered nursing care and assist physicians with patient visits, assessments, and procedures.

• Room patients, prepare exam rooms, obtain vital signs, and conduct hearing and vision screenings.

• Administer immunizations and medications in accordance with physician orders, clinical protocols, and applicable requirements.

• Perform appropriate nursing procedures, including ear lavage, suture or staple removal, minor wound care, dressing changes, and fitting simple orthopedic supports.

• Respond to patient and family questions; provide clear education and reinforce physician care plans.

• As assigned, triage incoming calls, texts, and patient-portal messages using established nursing protocols; promptly escalate urgent or complex concerns to a physician.

Patient Flow and Care Coordination

• Review relevant charts before visits; assist with scheduling, reminders, questionnaires, and visit preparation as needed.

• Support patient follow-up, test-result communication, referrals, specialty appointments, and other time-sensitive care coordination during assigned shifts.

• Assist with new-patient onboarding when needed, including obtaining and entering prior records, growth data, birth history, and immunization history in Athena.

• Document care accurately and promptly in the electronic health record and provide clear handoffs on unresolved patient needs at the end of each shift.

Laboratory, Vaccines, and Clinical Readiness

• Perform point-of-care testing, required quality controls, and appropriate specimen collection, labeling, processing, and packaging.

• Support lab-result follow-up and vaccine administration, documentation, inventory checks, and storage procedures as assigned.

• Prepare, stock, and maintain exam rooms, clinical supplies, and routine or emergency equipment; promptly report safety or supply concerns.

• Follow practice policies regarding patient confidentiality, infection prevention, clinical documentation, and relevant laboratory and vaccine requirements.

Qualifications

• Active, unrestricted Registered Nurse license in Massachusetts; current Basic Life Support (BLS) certification.

• Pediatric nursing or outpatient clinical experience preferred, including comfort with immunizations, patient education, and nursing triage.

• Strong clinical judgment, organizational skills, and an approachable, service-oriented communication style with children and families.

• Ability to learn practice workflows quickly, use an electronic health record (Athena experience preferred), and integrate smoothly with a small clinical team.

• Dependable, flexible, and able to provide on-site coverage for mutually agreed-upon shifts.

Physical Requirements and Work Environment

Work is performed in a clinical office with direct patient interaction. The role requires standing, walking, moving throughout the practice, assisting pediatric patients as needed, and occasionally lifting medical supplies or equipment.