Registered Nurse - Acute Care - Per Diem

Position Details: Per Diem - Robert Packer Hospital - Towanda Campus – Acute Care unit Department Details: Acute Care Towanda is a 10-bed acute care unit that primarily focuses on an interdisciplinary care approach for medical patients with the Medical Hospitalist Service. All bedside acute care nurses at Guthrie benefit from the added support of our Virtual RNs located in our Pulse Center. They provide assistance with a variety of tasks, enabling bedside nurses to spend more time on direct patient care. Position Summary: The Registered Nurse (RN) provides professional, comprehensive nursing care for patients in an acute care environment. Accountable for the delivery of coordinated, safe, compassionate, therapeutic, evidence-based quality care to patients and families, based on individual physical, emotional, and spiritual needs, and appropriate care strategies throughout the lifespan. Practices in accordance with the Nurse Practice Act in the state of employment, the American Nurses Association (ANA) Code of Ethics for Nurses, and the ANA scope and standards of practice. Essential functions and specific skills for the job are found in the unit specific onboarding checklist and in standards that are applicable to the specialty. Education, License, & Certification(s): - Registered Nurse in the State of Practice - BSN in Nursing preferred - Any previously agreed upon effective date for obtaining a Bachelor's degree in nursing between individuals and facilities will remain in effect, including those who transition to their position from the NLRN Program - Any contract with specific time frames for obtaining a bachelor’s degree in nursing will supersede the above point and will remain in effect - Specialty Certification is preferred - BLS certification - ACLS is unit dependent Experience: The Registered Nurse must be a registered nurse currently licensed in the state of employment with at least one year of experience. Alternately, the Registered Nurse may have less than one year of experience if they have been transitioned to their position from the Newly Licensed Registered Nurse Residency (NLRN) Program. The Registered Nurse must meet the individual nursing unit specifications regarding educational requirements during employment. Must maintain BLS certification. ACLS is unit dependent. Specifications regarding educational requirements during employment are determined by the Nursing Department and Nursing Unit. Essential Functions: - Employs Nursing Professional Practice: Assesses, diagnoses, plans, implements, and evaluates patients' care. Develops updates and coordinates the patients' plan of care to achieve patient goals and to optimize outcomes and transitions across the continuum. Monitors, records, and communicates patient condition as appropriate. Performs and maintains the currency of essential competencies as required by a specific area of hire and population served - Advocates: Effectively advocates for ethical and holistic care by partnering in care planning to promote the autonomy, dignity, rights, values, and beliefs of those we serve - Facilitates Learning: Fosters a learning environment for patients/families, nursing, and other members of the healthcare team, including student; Facilities formal and informal learning for patients/families, nursing, other members of the healthcare team, and community - Aligns Practice with Safety and Quality: Accountable for safety, identifies and corrects problems, and integrates evidence and best practice into nursing care; uses data and evidence to improve patient outcomes. Aligns patient safety, self-safety, and environmental safety as equally important for best outcomes - Engages in Professional Development: Engages in ongoing professional development; practices at the top of license within the legal parameters of the Nurse Practice Act, the ANA Code of Ethics for Nurses, and specialty standards. Promotes a culture of inquiry that explores, integrates, and disseminates research and evidence-based practice - Leader in Practice Setting & Community: demonstrates leadership as change agents using the collaborative leadership skills of advocacy, influence and innovation. In partnering with colleagues appropriately delegates, coordinates care, and collaborates with others as equal members of the inter-professional care team to integrate nursing knowledge. Models professional behaviors as a representative of the nursing profession. Participates in the planning and presentation of educational programs - It is understood that this description is not intended to be all-inclusive and that other duties may be assigned as necessary in the performance of the position Other Duties: - Proficiency in Information Technology, such as electronic health records, communication systems, computers, and equipment necessary to perform essential functions of the position - Skilled to work with a wide range of staff as part of an interdisciplinary team, including physicians, nurses, and ancillary staff - Ability to use independent, critical judgment in all aspects of patient care delivery - Demonstrated interpersonal skills that convey a positive and supportive attitude - Ability to effectively manage multiple responsibilities, urgent responses, and challenging situations Benefits Summary: A nursing career with Guthrie means being part of a focused organization that provides each team member an opportunity to advance and grow. We have invested in resources to empower our employees to succeed and use their passion and talent to provide excellence. You take care of our patients. We take care of you. - Generous shift differentials - Career advancement opportunities - Tuition reimbursement - Excellent benefits - Experiential PTO accrual - Competitive salary - Rewarding career - Magnet driven - Refinancing support with SoFi To see why nurses love Guthrie, click HERE! “We are more than a team, we’re family. And we’re committed to hold each other to the highest professional standard so our patients get the best care every time they choose Guthrie.” – Jennifer Hepinger, RN

RN

Per Diem

3 months ago

RN Acute Case Manager - System Care Management - Per Diem

Guthrie Troy, PA

Position Summary: The Acute Case Manager utilizes industry accepted processes for achieving optimal patient, clinical, and operational outcomes timely, coordinated, and in cost effective manners. The Acute Case Manager has the responsibility, accountability, and authority for coordinating the medical management of hospital patients, using outcomes-based approaches. The Acute Case Manager supports the healthcare team in assessing, planning, and facilitating individualized continuum of care plan for patients, based on assessed needs and available resources. The Acute Case Manager monitors clinical approaches and make recommendations for alternate levels of care. The Acute Case Manager also performs Utilization Management throughout the continuum of care in collaboration with other internal and external offices, payors, and providers. The Acute Case Manager collaborates cooperatively with the patient and members of the interdisciplinary health care team. The Acute Case Manager takes a proactive approach to ensuring the integration of both clinical and operational outcomes through analysis of clinical and financial data, including length of stay and DRG profiling. Education, License & Cert: RN Bachelor of Science degree in Nursing (BSN) or, a Bachelor of Arts (BA) degree in addition to a degree in Nursing. A registered nurse with five (5) years relevant experience willing to pursue a BSN or BA degree will be considered. Must obtain BSN within two (2) years of hire. Individual consideration may be given to a registered nurse, with significant clinical experience, who holds a bachelor’s degree in a related field. Experience: BSN or BA with a minimum of five (5) years relevant experience who demonstrates leadership and autonomy in nursing practice. a) Utilize critical thinking skills to create and or develop a clinical program or position and b) Demonstrated leadership skills for a licensed degree exception, there must be a significant depth of clinical experience: five (5) years of experience in an acute care setting with strong care management, utilization review, and payer knowledge. A Case Management certification or obtaining a Case Management certification within one (1) year of eligibility is encouraged. Essential Functions: 1) The Acute Case Manager collaborates to support that the right care is provided to patients in the right setting with a broad spectrum of health and community providers. a) Works closely with the Medical Director and other members of the healthcare team to provide appropriate medical management and resource utilization utilizing established/approved criteria. b) Educates the physician and other healthcare team members regarding the coordination of care processes of the patient across the continuum of care. c) Entity specific acute case manager may need to participate in an on‐ call system to ensure 24‐ hour accessibility and accountability to meet patient needs. d) Serves as patient advocate in representing the patient’s best interests to the providers. e) Procures insurance authorizations where indicated to ensure appropriate, cost effective care. f) Acts as an institutional advocate by managing care in a cost-effective manner and communicating with third party payers. 2) Coordinates medical management through ongoing interaction with the patient and family/caregivers, physician and other health care providers to achieve designated clinical, operational and financial outcomes. a) Facilitates clinically appropriate treatment and coordinates flow of services by acting as a focal point for communication for healthcare team members, patient, provider, and payer. b) Supports development, integration, and monitoring. c) Maintains accountability for coordination of care processes for the patient during the acute care phase, and during the transition phase to outpatient services. d) Initiates and participates in patient care conferences as appropriate. e) Completes nursing assessment forms in the system. f) Addresses PRI and other referral procedures as needed for continuing care needs. g) Provides leadership for clinical staff regarding complex patient care concerns and/or care of patients who do not achieve expected outcomes. 3) Identifies individual patient discharge needs in collaboration with other clinical team members beginning upon initial admission assessment and continued reassessment throughout an episode of care. Takes the initiative in working with the interdisciplinary health care team and patient/family to identify a treatment regime which streamlines care, reduces or controls costs and enhances patient outcomes. a) Assists in the implementation of discharge planning as necessary, through concurrent monitoring and reevaluation, to accommodate changes in treatment or progress. Anticipates changes in treatment and develops contingency plans. b) Ensures patient understanding of rights, choices, and consequences. c) Completes referral procedures to the appropriate institutional, community, or specialized resources. 4) Integrates patient information, clinical/financial/operational data and evaluates the impact upon patient, clinical, and financial outcomes. Identifies opportunities to continue or reduce costs and optimize case reimbursement. a) Identifies cost/clinical outlier patients for intensive case management and facilitates evaluation of alternative care options. b) Maintains compliance with documentation requirements and guidelines of third-party payers, regulatory and government agencies. c) Participates in long‐ range planning to meet the needs high risk patients and/or population. 5) Demonstrates leadership skills including effective written and verbal communication, conflict resolution, problem solving and critical thinking, organizational and time management skills and appropriate delegation. a) Develops and promotes collaborative relationships with other members of the Guthrie Healthcare System Enterprise and community resources, including home health agencies, DME companies, nursing homes, etc., to explore alternate care options to meet identified patient care needs. b) Maintains a positive and professional relationship with payers that supports continued managed care contracts. c) Articulates the primary objectives of Care Coordination processes to all members of the health care/leadership team and others as necessary. 6) Participates in performance improvement and educational activities. a) Incorporates available current evidence-based data for clinical care management. b) Demonstrates knowledge of federal, state and system regulations and aligns practice to comply with such. c) Serves as an educational resource for other members of the healthcare team in regards to changes in reimbursement and /or utilization requirements. d) Maintains 8 hours of continuing education per year. e) Contributes to Performance Improvement (PI) activities through both individual and aggregate data monitoring. Initiates and provides leadership for performance improvement activities as appropriate based upon outcome data and or problematic issues. 7. Validates authorization/certification process for elective short procedures and urgent inpatient care services in collaboration with physician offices and other hospital departments as appropriate. a. Screen the appropriate level of care or service for hospital inpatient admissions and short procedures by translating clinical information to Utilization Management requirements using pre‐ determined criteria. b. Documents UR findings in appropriate computer system and screen. c. Utilizes reports and other mechanisms to identify cases for UR screening and follows procedures for follow up as necessary. Other Duties: 1. It is understood that this description is not intended to be all‐ inclusive and that other duties may be assigned as necessary in the performance of this position. 2. Travel for this position is sometimes required. 3. Participation in community and employee engagement activities is required.

Registered Nurse Unit Manager - Full Time - Days

Cayuga Medical Center Montour Falls, NY

$94,993.60 - $129,459.20 / year

Registered Nurse Unit Manager - Full Time - Days Cayuga Health and its affiliates are the region's leading healthcare system and most trusted providers of integrated health services, empowering our people in our mission to equitably improve the well-being of the communities we serve. Our commitment to providing extraordinary healthcare begins with our team of extraordinary professionals who are continuously discovering clinical innovations and enhancing access to the most up-to-date facilities, equipment, technologies, and research protocols. Cayuga Health's commitment to our employees includes competitive compensation, comprehensive employee benefits programs, and the opportunity to explore and build a career in healthcare through our many professional development programs. Seneca View Nursing Facility is looking for a Unit Manager. The candidate must perform the primary functions of a professional nurse leader in assessing, planning, implementing and evaluating the care of all patients, regardless of age in their unit on a 24 hour basis. Clinical administrative responsibility for the Nursing Unit on a 24-hour basis. Directs, teaches and supervises staff members in providing quality resident care. Responsible for ensuring continuity of patient care with other shifts. Responsible for meeting regulatory agency standards of care for their unit. Manages all assigned personnel, supplies and equipment in their unit. Promotes teamwork with staff, physicians and personnel of other department. Roles and Responsibilities: Directing, coordinating, and supervising the activities of all nursing staff engaged in designated unit Authority, responsibility, and accountability for the overall management of residents on a designated unit Responsible for transmitting each unit's staff concerns to the appropriate department supervisor. Maintenance of Resident Care Plans and the overall management of resident care Other duties as assigned Required Skills and Experience: Graduate of an accredited nursing program Current BLS Certification Current NYS RN license Clinical nursing experience including supervision, training and/or experience in gerontology or rehabilitative nursing, Demonstrated leadership abilities; able to work in stressful situations, Ability to work long shifts Preferred Skills and Experience Bachelor's Degree - Nursing Physical Requirements: May required lifting (up to50 lbs), may require sitting or standing for long periods. Must be able to physically operate the equipment required for the job. Location and Travel Requirements: Onsite - Seneca View Skilled Nursing Facility - 220 Steuben Street Montour Falls, NY 14865 Shift - Days Pay Range Disclosure $94.993.60 to 129.459.20 per year Cayuga Health System and its affiliates are committed to treating all patients, providers, staff and volunteers equitably and with dignity, ensuring the highest levels of safety, care and respect, and striving to recognize and overcome biases and policies that contribute to disparities in healthcare access, equitable care and positive health outcomes for all. We are proud to be an Equal Employment Opportunity employer, supporting the growth and health of our employees and community by embracing the rich diversity, needs and circumstances of all peoples and prioritizing opportunities to build a diverse and inclusive workplace. We do not discriminate based upon race, religion, color, national origin, gender (including pregnancy, childbirth, or related medical conditions), sexual orientation, gender identity, gender expression, age, status as a protected veteran, status as an individual with a disability, or other applicable protected characteristics. If you require reasonable accommodation to complete a job application, pre-employment testing, a job interview or to otherwise participate in the hiring process, please contact the Cayuga Health Talent Acquisition team at talentacquisition@cayugahealth.org . I certify that the information contained in this application is correct and complete to the best of my knowledge. I understand that any falsification or omission of information may disqualify me from further consideration for employment or, if hired, may result in termination. In consideration for my employment, I agree to abide by the rules and regulations of the company, which rules may be changed, withdrawn, added, or interpreted at any time, at the company's sole option and without prior notice to me. I understand that any hiring decision is contingent upon my successful completion of all of the Company's lawful pre-employment/post-offer checks, which may include a background check, drug screen, employment references, and licensing review. If I am made a conditional offer of employment, I agree to execute any consent forms necessary for the Company to conduct its lawful pre-employment/post-offer checks. Such checks will not be conducted until allowed under applicable federal, state, and local law. I understand if I have a criminal background, it will not automatically disqualify me from employment unless otherwise required by law. I agree to execute any consent forms necessary for the Company to conduct its lawful pre-employment checks. I also understand that the Company is a drug and alcohol-free workplace and has a drug and alcohol testing program consistent with applicable federal, state, and local law. I understand that after a conditional offer of employment, I must submit to and pass a pre-employment drug test as a condition of employment.

Resigstered Nurse Unit Manager - Full Time - Days

Cayuga Medical Center Montour Falls, NY

$94,993.60 - $129,459.20 / year

Registered Nurse Unit Manager - Full Time - Days Cayuga Health and its affiliates are the region's leading healthcare system and most trusted providers of integrated health services, empowering our people in our mission to equitably improve the well-being of the communities we serve. Our commitment to providing extraordinary healthcare begins with our team of extraordinary professionals who are continuously discovering clinical innovations and enhancing access to the most up-to-date facilities, equipment, technologies, and research protocols. Cayuga Health's commitment to our employees includes competitive compensation, comprehensive employee benefits programs, and the opportunity to explore and build a career in healthcare through our many professional development programs. Seneca View Nursing Facility is looking for a Unit Manager. The candidate must perform the primary functions of a professional nurse leader in assessing, planning, implementing and evaluating the care of all patients, regardless of age in their unit on a 24 hour basis. Clinical administrative responsibility for the Nursing Unit on a 24-hour basis. Directs, teaches and supervises staff members in providing quality resident care. Responsible for ensuring continuity of patient care with other shifts. Responsible for meeting regulatory agency standards of care for their unit. Manages all assigned personnel, supplies and equipment in their unit. Promotes teamwork with staff, physicians and personnel of other department. Roles and Responsibilities: Directing, coordinating, and supervising the activities of all nursing staff engaged in designated unit Authority, responsibility, and accountability for the overall management of residents on a designated unit Responsible for transmitting each unit's staff concerns to the appropriate department supervisor. Maintenance of Resident Care Plans and the overall management of resident care Other duties as assigned Required Skills and Experience: Graduate of an accredited nursing program Current BLS Certification Current NYS RN license Clinical nursing experience including supervision, training and/or experience in gerontology or rehabilitative nursing, Demonstrated leadership abilities; able to work in stressful situations, Ability to work long shifts Preferred Skills and Experience Bachelor's Degree - Nursing Physical Requirements: May required lifting (up to50 lbs), may require sitting or standing for long periods. Must be able to physically operate the equipment required for the job. Location and Travel Requirements: Onsite - Seneca View Skilled Nursing Facility - 220 Steuben Street Montour Falls, NY 14865 Shift - Days Pay Range Disclosure $94.993.60 to 129.459.20 per year Cayuga Health System and its affiliates are committed to treating all patients, providers, staff and volunteers equitably and with dignity, ensuring the highest levels of safety, care and respect, and striving to recognize and overcome biases and policies that contribute to disparities in healthcare access, equitable care and positive health outcomes for all. We are proud to be an Equal Employment Opportunity employer, supporting the growth and health of our employees and community by embracing the rich diversity, needs and circumstances of all peoples and prioritizing opportunities to build a diverse and inclusive workplace. We do not discriminate based upon race, religion, color, national origin, gender (including pregnancy, childbirth, or related medical conditions), sexual orientation, gender identity, gender expression, age, status as a protected veteran, status as an individual with a disability, or other applicable protected characteristics. If you require reasonable accommodation to complete a job application, pre-employment testing, a job interview or to otherwise participate in the hiring process, please contact the Cayuga Health Talent Acquisition team at talentacquisition@cayugahealth.org . I certify that the information contained in this application is correct and complete to the best of my knowledge. I understand that any falsification or omission of information may disqualify me from further consideration for employment or, if hired, may result in termination. In consideration for my employment, I agree to abide by the rules and regulations of the company, which rules may be changed, withdrawn, added, or interpreted at any time, at the company's sole option and without prior notice to me. I understand that any hiring decision is contingent upon my successful completion of all of the Company's lawful pre-employment/post-offer checks, which may include a background check, drug screen, employment references, and licensing review. If I am made a conditional offer of employment, I agree to execute any consent forms necessary for the Company to conduct its lawful pre-employment/post-offer checks. Such checks will not be conducted until allowed under applicable federal, state, and local law. I understand if I have a criminal background, it will not automatically disqualify me from employment unless otherwise required by law. I agree to execute any consent forms necessary for the Company to conduct its lawful pre-employment checks. I also understand that the Company is a drug and alcohol-free workplace and has a drug and alcohol testing program consistent with applicable federal, state, and local law. I understand that after a conditional offer of employment, I must submit to and pass a pre-employment drug test as a condition of employment.

Assistant Nurse Manager - Emergency Department - Nights

Cayuga Medical Center Montour Falls, NY

$43 - $54.13 / hour

Cayuga Health and its affiliates are the region's leading healthcare system and most trusted providers of integrated health services, empowering our people in our mission to equitably improve the well-being of the communities we serve. Our commitment to providing extraordinary healthcare begins with our team of extraordinary professionals who are continuously discovering clinical innovations and enhancing access to the most up-to-date facilities, equipment, technologies, and research protocols. Cayuga Health's commitment to our employees includes competitive compensation, comprehensive employee benefits programs, and the opportunity to explore and build a career in healthcare through our many professional development programs. Assistant Nurse Manager The Assistant Nurse Manager will provide daily operational oversight while working alongside colleagues and physicians to reach optimal outcomes. Provides and integrates clinical leadership and management of patient care, consistent with the philosophy and goals of the institution, department of nursing, and clinical service; develops and sustains an environment of excellence in patient / family service, growth and development of staff, and application of evidenced-based practice. The Assistant Nurse Manager collaborates with leadership to enhance patient experience, quality outcomes, nurse retention and recruitment, staff scheduling, and financial stewardship. The Assistant Nurse Manager plays a crucial role to ensure unit compliance for all Joint Commission patient care standards. Roles and Responsibilities: Demonstrates and promotes effective communication, respect and recognition to team members with consistent action toward a comfortable culture to result in nurse retention. Guides clinical management and administrative coordination of department utilizing interdisciplinary resources Assist with selecting, orienting, educating, scheduling, coaching, counseling, a nd evaluation of staff with Nurse Manager/Director consistent with principles of a caring, fair, and professional work environment. Ensures staff are well trained and familiar with all aspects of patient care. Participate in annual employee evaluations and process. Coordinates a high standard of care in accordance with regulations and standards. Assists leadership team by partnering with employees who are in an action plan or need to improve in the function of their role. Responsible for participating in shared decision-making within the established annual unit budget and for making recommendations and decisions which promote the cost-effective allocation of resources. Monitors productivity and coaches staff into flexibility Facilitates cost savings Coaches staff for continual delivery of high-quality nursing care in collaboration with Nurse Manager, Director, Clinical Educator, and other members of the leadership team through measurement of health outcomes against standards. Participates in quality improvement programs consistent with organizational goals. Required Skills and Experience: Education: Graduate of an accredited nursing program. Experience: Minimum of 2 years nursing experience, leadership experience strongly preferred. Licensure : Currently licensed in the State of New York as a Registered Professional Nurse. Certification : Will obtain BLS during introductory period, ACLS, PALS Preferred Skills and Experience: Previous leadership experience strongly preferred. BSN Physical Requirements: Repetitive use of hands and fingers (e.g., Use of computer keyboard); may require lifting and carrying light loads (up to 40 lbs), including boxes, equipment, IV solutions and stooping and kneeling (e.g., to pick up items from the floor, to remove and replace items on lower shelves and to file documents in lower file drawers); sitting, walking, or standing for long periods of time may be necessary; must be able physically to operate the equipment used for the job. Location and Travel Requirements: Onsite Compensation Disclosure: $43 to $54.13 per hour Cayuga Health System and its affiliates are committed to treating all patients, providers, staff and volunteers equitably and with dignity, ensuring the highest levels of safety, care and respect, and striving to recognize and overcome biases and policies that contribute to disparities in healthcare access, equitable care and positive health outcomes for all. We are proud to be an Equal Employment Opportunity employer, supporting the growth and health of our employees and community by embracing the rich diversity, needs and circumstances of all peoples and prioritizing opportunities to build a diverse and inclusive workplace. We do not discriminate based upon race, religion, color, national origin, gender (including pregnancy, childbirth, or related medical conditions), sexual orientation, gender identity, gender expression, age, status as a protected veteran, status as an individual with a disability, or other applicable protected characteristics. If you require reasonable accommodation to complete a job application, pre-employment testing, a job interview or to otherwise participate in the hiring process, please contact the Cayuga Health Talent Acquisition team at talentacquisition@cayugahealth.org .

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