MAIN FUNCTION: Provides nursing care to patients in an efficient, professional, compassionate and caring manner. Directs the activities of paraprofessional as they provide care. Responsible for assuring effective communication with patients, support persons and members of the healthcare team. Responsible for implementing nursing care of assigned patients via the Nursing Process including assessment, diagnosis, planning, implementation and evaluation. Acts in compliance with hospital, Nursing Department policies/procedures and the Nurse Practice Act of the State of Ohio. Follows WCH Nursing Philosophy and practice model which are derived from the Synergy model and appropriate Service Standards as outlined in Employee Handbook. RESPONSIBLE TO: Department Director, Clinical Manager, Charge Nurses MUST HAVE REQUIREMENTS : Active license in the State of Ohio Maintain a current AHA (American Heart Association) Healthcare Provider BLS card while in this position. Maintain a current ACLS and PALS card while in this position. At least one year of PACU, ED or Critical Care experience. PACU call - live within 30 minutes of hospital PREFERRED ATTRIBUTES: BSN Clinical Certification OTHER REQUIREMENTS: Employees in this position may be: Exposed to blood, body fluids and/or airborne pathogens and are required to wear personal protective equipment Employees in this position must be able to push, pull, lift, carry, turn, crouch, and bend as necessary to complete nursing care tasks Required to take "on call" status Subject to STHR (short term hour reduction) according to policy DUTIES: Maintains appropriate clinical skills: Administers care according to WCH/unit policy/procedure, current standards of care and Ohio Nurse Practice Act Performs assessments/reassessments and documentation relevant to patient's condition, needs and age, per nursing documentation guidelines. Communicates changes in patient condition to physician in timely manner and suggests possible interventions and course of care as appropriate in a collaborative manner. Initiates, evaluates and reviews plan of care Provides age appropriate health teaching related to diagnosis, identified patient/family needs and medication, using available teaching resources and assuring patient family understanding by teach back Administers medication safely: Correctly demonstrates use of CPOE(Computer Physician Order Entry) Demonstrates knowledge of drug purpose and effectiveness as related to diagnosis Follows 6 rights of medication administration Demonstrates appropriate/safe medication handling/administration Reassesses and documents effectiveness of medication Assures team members huddle and round on patients to : Evaluate the environment to assure safety & infection control standards are met Evaluate the care provided to assure it is based on practice standards and evidence based practice Evaluate the educational plan and its implementation; assessing for and addressing gaps in care Evaluate for any additional /alternative care needs, and patient/family satisfaction Evaluate adherence to nursing practice standards of care and documentation of care by the nurse and team members Coordinate work to achieve maximum productivity. Able to multitask and prioritize workload. Work habits are consistently adjusted to accommodate multiple responsibilities and are prioritized and completed in a timely manner. Demonstrate reasonable and rational judgment in decision making Other duties as assigned by management team Three 12/hr days a week with varied start times.
Utilization Review Nurse MAIN FUNCTION: The Utilization Management Nurse Reviewer serves as the Subject Matter Expert for the organization for patient admission status (inpatient and observation) and works with Providers, Care Management, and the Revenue Cycle team in a consultative manner to ensure appropriate admission status. The UM RN protects the financial interests of the organization by ensuring that the UM review cycle is successfully completed from the point of admission through and including appeal of any denials received. The UM RN is an integral part of the Revenue Cycle team by tracking and trending payer issues and reporting the same to team leaders in order to address identified concerns with payer representatives. REPORTS TO: Manager of Utilization & Denials and System Director of Revenue Cycle MUST HAVE REQUIREMENTS: LPN or RN possessing an active Ohio or Multi State license 3-5 years clinical nursing experience in varied settings 1-3 year UM experience in an acute care setting Experience using InterQual and/or MCG criteria Solid working knowledge of reimbursement methodology Strong organization, prioritization and delegation skills. Demonstrated emotional intelligence – self-control, self-awareness, social awareness and relationship management. Excellent oral and written communication Ability to work independently in a fast-paced environment, meeting all deadlines. Ability to problem solve complex, multifaceted situations. Ability to use computers and analytical software. PREFERRED ATTRIBUTES: Bachelor’s degree. UM certification. Strong background in Medicare/Medicaid regulations related to UM and billing compliance. Experience using MCG Indicia tools. POSITION EXPECTATIONS: All expectations detailed below are considered Americans with Disabilities Act (ADA) essential. Follows Appropriate Service Standards Clinical review of 100% of acute bedded patients admitted to inpatient or observation against medical necessity criteria (InterQual or MCG) utilizing provided tools (Meditech, MCG Indicia, payer portals) and prescribed process for appropriateness of status. Clinical review includes the life cycle of the admission, starting with initial case review (ICR) through and including resolution of any claims denied for status or medical necessity. Ensures continued stay reviews are submitted timely per the payer’s requirements, and that responses from the payer include coverage for all days of the stay. Monitors submitted cases for a response from the payer in a timely manner to respond appropriately to any threatened or actual denials immediately to avoid the appeal process whenever possible. Submits reconsiderations immediately (when available) according to the prescribed process. Confers with the Physician Risk Advisor (PRA) on any concerns with current patient status, then communicates needed changes to the attending provider via provided communication tools. Fully documents all case reviews in MCG Indicia/Meditech, including all pertinent information, such as method and proof of submission of all case reviews, results of case reviews and any denials received, communication with PRA and attending providers. Facilitates Peer-to-peer opportunities between the attending provider and the payer. Attends the daily huddle with Care Management and PRA to keep apprised of any changes, and to contribute to the huddle as the Subject Matter Expert on status. Strong collaboration with Care Management, serving as the SME for utilization and status. Ensures that denials are identified in the prescribed manner and ensures all appeals are submitted timely to the payer. Adheres to department productivity standards (35-40 reviews per shift) Assigns submitted appeals to the UM Clerical support team member for follow-up on appeal response. Collaborates with the Manager of Utilization & Denials to identify opportunities for improvement through daily work processes and communicates to leadership. Collaborates with the PRA, Revenue Cycle Director and Manager of Utilization & Denials for issues/concerns to submit to the quarterly UM Committee. Performs other duties as assigned, including but not limited to: Demonstrates professional responsibility required of a Utilization Review Nurse. Complies with all department and organization policies at all times. Maintains compliance with all state/federal guidelines and standards, as well as CMS Conditions of Participation. Demonstrates a positive attitude, openness to change and responsiveness to constructive feedback. Revised: 10/16/25 Approved: TMMYERS Monday-Friday 0800-1630, occasional weekend shifts as needed
MAIN FUNCTION: Provides nursing care to patients in an efficient, professional, compassionate and caring manner. Directs the activities of paraprofessional as they provide care. Responsible for assuring effective communication with patients, support persons and members of the healthcare team. Responsible for implementing nursing care of assigned patients via the Nursing Process including assessment, diagnosis, planning, implementation and evaluation. Acts in compliance with hospital, Nursing Department policies/procedures and the Nurse Practice Act of the State of Ohio. Follows WCH Nursing Philosophy and practice model which are derived from the Synergy model and appropriate Service Standards as outlined in Employee Handbook. RESPONSIBLE TO: Department Director, Clinical Manager, Charge Nurses MUST HAVE REQUIREMENTS : Active license in the State of Ohio Maintain a current AHA (American Heart Association) Healthcare Provider BLS card while in this position. PREFERRED ATTRIBUTES: BSN Clinical Certification OTHER REQUIREMENTS: Employees in this position may be: Exposed to blood, body fluids and/or airborne pathogens and are required to wear personal protective equipment Employees in this position must be able to push, pull, lift, carry, turn, crouch, and bend as necessary to complete nursing care tasks Required to take "on call" status Reassigned to another nursing unit to provide nursing care within current job description Subject to STHR (short term hour reduction) according to policy DUTIES: Maintains appropriate clinical skills: Administers care according to WCH/unit policy/procedure, current standards of care and Ohio Nurse Practice Act Performs assessments/reassessments and documentation relevant to patient's condition, needs and age, per nursing documentation guidelines. Communicates changes in patient condition to physician in timely manner and suggests possible interventions and course of care as appropriate in a collaborative manner. Initiates, evaluates and reviews plan of care Provides age appropriate health teaching related to diagnosis, identified patient/family needs and medication, using available teaching resources and assuring patient family understanding by teach back Administers medication safely: Correctly demonstrates use of CPOE(Computer Physician Order Entry) Demonstrates knowledge of drug purpose and effectiveness as related to diagnosis Follows 6 rights of medication administration Demonstrates appropriate/safe medication handling/administration Reassesses and documents effectiveness of medication Assures team members huddle and round on patients to : Evaluate the environment to assure safety & infection control standards are met Evaluate the care provided to assure it is based on practice standards and evidence based practice Evaluate the educational plan and its implementation; assessing for and addressing gaps in care Evaluate for any additional /alternative care needs, and patient/family satisfaction Evaluate adherence to nursing practice standards of care and documentation of care by the nurse and team members Coordinate work to achieve maximum productivity. Able to multitask and prioritize workload. Work habits are consistently adjusted to accommodate multiple responsibilities and are prioritized and completed in a timely manner. Demonstrate reasonable and rational judgment in decision making Other duties as assigned by management team 7pm-7am 24 hours/week
About the Role: As a State Tested Nursing Assistant (STNA) in a Hospital-Based Skilled Nursing Facility (SNF), you will play a crucial role in providing high-quality care to patients during their recovery process. Your primary responsibility will be to assist patients with daily living activities, ensuring their comfort and well-being. You will work closely with a multidisciplinary team to implement care plans and monitor patient progress. This position requires a compassionate approach, as you will be interacting with patients and their families, providing emotional support and education. Ultimately, your efforts will contribute to enhancing the overall patient experience and promoting a positive healing environment. Minimum Qualifications: Current State Tested Nursing Assistant certification. High school diploma or equivalent. Basic life support (BLS) certification. Preferred Qualifications: Previous experience in a skilled nursing facility or hospital setting. Knowledge of electronic health record (EHR) systems. Additional certifications in geriatric care or rehabilitation. Responsibilities: Assist patients with personal hygiene, grooming, and daily living activities. Monitor and record vital signs, reporting any changes to nursing staff. Support patients in mobility and physical therapy exercises as directed. Maintain a clean and safe environment for patients, adhering to infection control protocols. Communicate effectively with patients, families, and healthcare team members to ensure continuity of care. Skills: The required skills for this position include strong interpersonal communication, which is essential for building rapport with patients and their families. Attention to detail is crucial when monitoring vital signs and documenting patient care, ensuring accurate information is relayed to the nursing staff. Compassion and empathy are vital in providing emotional support to patients during their recovery. Time management skills will help you prioritize tasks effectively in a fast-paced environment. Preferred skills, such as familiarity with EHR systems, will enhance your ability to document care efficiently and contribute to a seamless workflow within the healthcare team. 6a-6:30p 24 hours/week
MAIN FUNCTION: Provides nursing care to patients in an efficient, professional, compassionate and caring manner. Directs the activities of paraprofessional as they provide care. Responsible for assuring effective communication with patients, support persons and members of the healthcare team. Responsible for implementing nursing care of assigned patients via the Nursing Process including assessment, diagnosis, planning, implementation and evaluation. Acts in compliance with hospital, Nursing Department policies/procedures and the Nurse Practice Act of the State of Ohio. Follows WCH Nursing Philosophy and practice model which are derived from the Synergy model and appropriate Service Standards as outlined in Employee Handbook. RESPONSIBLE TO: Department Director, Clinical Manager, Charge Nurses MUST HAVE REQUIREMENTS : Active license in the State of Ohio Maintain a current AHA (American Heart Association) Healthcare Provider BLS card while in this position. PREFERRED ATTRIBUTES: BSN Clinical Certification OTHER REQUIREMENTS: Employees in this position may be: Exposed to blood, body fluids and/or airborne pathogens and are required to wear personal protective equipment Employees in this position must be able to push, pull, lift, carry, turn, crouch, and bend as necessary to complete nursing care tasks Required to take "on call" status Reassigned to another nursing unit to provide nursing care within current job description Subject to STHR (short term hour reduction) according to policy DUTIES: Maintains appropriate clinical skills: Administers care according to WCH/unit policy/procedure, current standards of care and Ohio Nurse Practice Act Performs assessments/reassessments and documentation relevant to patient's condition, needs and age, per nursing documentation guidelines. Communicates changes in patient condition to physician in timely manner and suggests possible interventions and course of care as appropriate in a collaborative manner. Initiates, evaluates and reviews plan of care Provides age appropriate health teaching related to diagnosis, identified patient/family needs and medication, using available teaching resources and assuring patient family understanding by teach back Administers medication safely: Correctly demonstrates use of CPOE(Computer Physician Order Entry) Demonstrates knowledge of drug purpose and effectiveness as related to diagnosis Follows 6 rights of medication administration Demonstrates appropriate/safe medication handling/administration Reassesses and documents effectiveness of medication Assures team members huddle and round on patients to : Evaluate the environment to assure safety & infection control standards are met Evaluate the care provided to assure it is based on practice standards and evidence based practice Evaluate the educational plan and its implementation; assessing for and addressing gaps in care Evaluate for any additional /alternative care needs, and patient/family satisfaction Evaluate adherence to nursing practice standards of care and documentation of care by the nurse and team members Coordinate work to achieve maximum productivity. Able to multitask and prioritize workload. Work habits are consistently adjusted to accommodate multiple responsibilities and are prioritized and completed in a timely manner. Demonstrate reasonable and rational judgment in decision making Other duties as assigned by management team 7p-7a, 3 nights/week 36 hours
