Hospice Nurse RN

Bickford of Saginaw Township Bridgeport Township, MI

Director of Nursing

Join our DYNAMIC team at Bickford Senior Living as a Health & Wellness Director! The HWD is the clinical leader who supports the clinical operations within the branch. This position works closely with the Director to ensure the branch is a thriving and vibrant environment for our residents! This position offers a full suite of benefits options that vary based on employment status. Some of the benefits include, but are not limited to: Full-time employees are eligible for all benefits (medical, dental, vision, and voluntary products) Part-time employees (29 or fewer hours per week) are eligible for Voluntary Life, Voluntary Short-Term Disability, Benefits start the 1 st of the month following 30 days of employment! *full-time employees* Benefits start on the 1st of the month following 30 days of employment Prescription savings plans All employees are eligible for 401(k) with employer match Pay available daily Bonus eligible Bonus eligible "There is no higher calling, no greater purpose than a caregiver. Somehow, we’ve come to believe that caregiving is just for some of us and not all. Yet, at our core, we are all made to love, connect, to extend ourselves in service to others. The question is… do we have the will to love, do what it takes, and risk ourselves in caring, even when the burden is great? In times of happiness and sadness, we are that caregiver” - www.bickfordseniorliving.com/caregivers-manifesto RESPONSIBILITIES & QUALIFICATIONS Responsibilities: Works with caregivers to ensure the principles of assisted living and Bickford’s culture are integrated into all aspects of resident care. Develop and participate in the on-call schedule to support clinical needs after hours. Maintain regulatory compliance. Communicate proactively and effectively with residents/families to enhance their engagement. Oversees and manages the process and employees who administer resident. medications ensuring medications are delivered to residents in accordance with their physician’s orders. Coordinate health care services with external care providers and physicians to ensure resident needs are met. Manages partnerships with local vendors to ensure quality external care providers are servicing the residents within the branch. Qualifications: RN license. Willing to take additional training or education, which specific states may require. CPR and First Aid certifications are required. Ability to handle multiple priorities. Possess written and verbal skills for effective communication. Competent in organizational and time management skills. Demonstrates good judgment, problem-solving, and decision-making skills. ABOUT BICKFORD SENIOR LIVING: Bickford Senior Living is a community of caregivers who are dedicated to doing whatever it takes to enrich our resident’s happiness. Founded in 1991 in Olathe, Kansas, by the Eby Family. Mary Bickford, the matriarch of the family, was the first resident of a Bickford Branch and our namesake. That location became the start of a tradition of caring that has extended to over 50 locations in 7 states. Although Bickford Senior Living has grown in size… we pride ourselves in the family environment that is the foundation on which Bickford has served thousands of residents and employees throughout the years. www.bickfordseniorliving.com/our-story At Bickford, you will… Make a Difference Every Day We are passionate about our mission — to champion quality of life for all seniors. We deliver high-quality care with a personal touch and encourage our residents to enjoy life to the fullest. Be Part of a Uniquely Supportive Community The care-focused environment we create for residents extends to our team members. We offer programs, rewards, and benefits to help you live your best. Ignite Your Potential We believe potential has no limits. We offer best-in-class leadership development programs designed to grow our leaders. We are committed to helping our team members achieve their career goals.

Registered Nurse RN

Summary The registered nurse will perform direct patient/resident care and delegation to patient care technicians in providing care and comfort to the residents. Knowledge and compliance with all local, state and federal regulations and guidelines relating to facility care will be maintained. This position has basic medical/surgical knowledge in order to care for general surgical and orthopedic surgical patients. Responsibilities (30%)* Regularly assesses patient�s/client�s needs and provides skilled nursing services as prescribed by the physician authorized plan of care, and accepted standards of nursing practice. (30%)* Provides direct resident care, including medication administration, treatments, call lights, assisting with transfers, responding to alarms, etc. (20%)* Evaluates effectiveness of treatment plan and makes suggestions or participates in updating/revising the treatment plan in collaboration with other team members, utilizing current information to improve patient care. (10%)* Processes physician/provider orders and performs physician ordered care accurately, completely and in a timely manner. (10%)* Follows up regarding medication changes and order clarifications. OTHER DUTIES AND RESPONSIBILITIES: Demonstrates the ability to interpret information and reports pertinent data to the physician, including pertinent clinical information. Assess learning needs considering readiness, ability, preferences, and cultural / spiritual variables. Provide education to meet the individual needs and ability to learn. Participates in care conferences as assigned. Develops and maintains good working rapport with interdisciplinary personnel to meet the needs of each patient. Coordinates care provided by patient care technicians. Demonstrates the ability to organize and prioritize the needs of groups of patients or an individual patient. Demonstrates a general ability to manage assignments and perform routine duties on the unit. Instructs other team members when appropriate, explaining goals and rationale for individualized care. Implements clinical and technical aspects of care in accordance with established policies and procedures. Demonstrates understanding of clinical pathways and utilizes appropriately. Remains calm and efficient when working in stressful situations. Documents in an accurate, clear, and concise way and includes pertinent clinical data. Shares information and reports significant changes and/or abnormal findings to appropriate team members. Participates in regulatory surveys. Participates in the performance improvement activities. Assists with orientation and ongoing competencies. Provides a safe and secure environment for patient care. Attend and participate in professional association activities and programs to assure being current on regulations, guidelines, and professional standards. Remains current on new developments by reading professional journals, and attending seminars. Demonstrates understanding of role in emergency preparedness procedures. Sets up and assists with central line and chest tube insertion and care for these tubes according to policy and procedure. Inserts cantor tubes, nasogastric tubes, and feeding tubes per physician order, following proper procedure. Inserts and provides care for IV's. Provides routine care and instruction of Suprapubic (SP) catheters and surgical drains following physician order. Provides proper care for drains and removal of same. Removes sutures and skin clips, provides routine ostomy care and irrigates and packs wounds, following physician order, procedure and care plan. Does accurate Central Venous Pressure (CVP) reading, according to physician order and following proper procedure. Sets up, instructs and monitors use of PCA. Obtains doppler pulses following proper procedure. Provides routine care of gastrostomy/jejunostomy tubes according to procedure and physician orders. Assists in heparin therapy protocol per procedures. Applies basic traction, splints, braces, and Continuous Passive motion (CPM) machines following procedure and physician order. Cuts and trims casts, removes wound drains following physician order and procedure. Maintains total hip and total knee precaution measures and instructs patients. Other duties as assigned. Certifications and Licensures Credential: RN: Registered Nurse Equivalent Experience: Qualification Source: Essential: true Required Education Education: ASSOC Equivalent Experience: Education Specialization: NRG Essential: true Other Information EXPERIENCE, TRAINING AND SKILLS: MyMichigan Health is a technology driven organization and employees need to demonstrate competency in Microsoft� Windows. An employee may be required to participate in further learning opportunities offered by MyMichigan Health. PHYSICAL/MENTAL REQUIREMENTS AND TYPICAL WORKING CONDITIONS: Exposure to stressful situations, including those involving public contact, as well as, trauma, grief and death. Able to wear personal protective equipment that includes latex materials or appropriate substitute if required for your position. Is able to move freely about facility with or without an assisted device and must be able to perform the functions of the job as outlined in the job description. Overall vision and hearing is necessary with or without assisted device(s). Frequently required to sit/stand/walk for long periods of time. May require frequent postural changes such as stooping, kneeling or crouching. Some exposure to blood borne pathogens and other potentially infectious material. Must follow MyMichigan Health bloodborne pathogen and TB testing as required. Ability to handle multiple tasks, get along with others, work independently, regular and predictable attendance and ability to stay awake. Overall dexterity is required including handling, reaching, grasping, fingering and feeling. May require repetition of these movements on a regular to frequent basis. Physical Demand Level: Medium. Must be able to occasionally (0-33% of the workday) lift or carry 21-50 lbs., frequently 34-66% of the workday 20 lbs. and or Walk/Stand/Push/Pull of Arm/Leg controls and constantly (67-100% or the workday) 10 lbs. Equivalent Experience And Other Comments (Education) Education: ASSOC Equivalent Experience: Education Specialization: NRG Essential: true Other Comments Credential: RN: Registered Nurse Qualification Source: Essential: true

Outpatient

Medical Office Nurse RN - Device Clinic - Cardiology (Saginaw)

Summary Under direct supervision of the provider, will be responsible for patient assessment and care, and maintaining appropriate documentation. This position must have basic knowledge of specialty and/or primary care and able to assess, plan, implement and evaluate care for patients. This position is responsible for coordinating care to assure high quality, compassionate patient care is provided. They will maintain and oversee patients at the office locations and will act as the liaison with other organizations and departments. This position may be required to order all medical, pharmacy supplies, and office supplies to manage patient care. They will assure compliance with all the policies/procedures of MyMichigan Health and follow Occupational Safety and Health Administration (OSHA) guidelines, Clinical Laboratory Improvement Amendments (CLIA) regulations, and all appropriate regulatory agencies. They will coordinate with and train any new employees, students and float staff as required. The clinical person will provide patient education, assist with specialty care modalities, symptom management, be available for emergencies, monitor for compliance and the effects of care management with high risk patients, educate on prescriptions and teach the patient and family the reasons for the medication and side effects, coordinate and ensure continuity of care with other providers. Also, may perform general office duties (keyboarding, filing, telephone, computer and office equipment) as needed. The expectations outlined in this job description may vary slightly depending on the practice in which you are assigned. Your immediate supervisor will be able to clarify your responsibilities for you. Responsibilities (20%)* Triages all calls, schedules daily urgent/emergent add-ons, receives and relays test results, processes medication refills, supports, directs and refers patients for consults and/or testing and insurance pre-certification and documentation. (20%)* Provides complete patient assessment within their scope of their licensure. Greets patients and/or family, performs routine pre-examination procedures including vital signs, assessing and recording objective and subjective data concerning presenting condition. Updates and maintains an accurate patient record by performing but not limited to, orders reconciliation, secure messaging (if available) and other tasks as assigned. Performs medication reconciliation, enters allergy reaction type, processes refills within the scope of their certification. (20%)* Coordinates the care team with the care indicated by the provider, and works with the patient and families with the disease process and/or care management. (20%)* Assists provider with examinations and procedures. (20%)* Prepares and cleans the patient area, sets up equipment, cleans and facilitates room set up after a procedure. Disposes of contaminated supplies and sterilizes medical instruments. Certifications and Licensures Credential: RN: Registered Nurse Equivalent Experience Qualification Source: Essential: true Credential: BLS: Basic Life Support Equivalent Experience: Within 1 month of hire or transfer Qualification Source: AHA Essential: true Required Education Education: Associates Degree in Nursing required. Equivalent Experience: Bachelor's Degree in Nursing preferred. Education Specialization: NRG Essential: true Other Information Other Duties And Responsibilities Demonstrates critical thinking for patient management. Provides for the age specific needs of the population served according to standards and policies/procedures as evidenced by observation, documentation and peer feedback. Maintains medical supplies to assure consistent supply levels to meet the needs of the patients. Understands necessary computer functions in the office setting: Michigan Automated Prescription System (MAPS), Michigan Care Improvement Registry (MCIR), Practice Management, Electronic Medical Records, Laboratory information system (LIS), Emageon, dictation systems, and any other necessary programs to assist providers and staff. If applicable, maybe required to travel to satellite clinics. Maintains a system for accurately documenting and coding in the medical record as appropriate per policy. Participate in annual review for quality and completeness as necessary. Management of the patient symptoms as directed by the provider. Coordinates and ensure continuity of care with other providers. MidMichigan Health is a technology driven organization and employees need to demonstrate Competency in Microsoft® Windows. Employees may be required to participate in further learning opportunities offered by MidMichigan Health. Experience, Training And Skills Working knowledge of the organization’s Infor, Electronic Medical Records, and Practice Management programs preferred or knowledge of similar software. PC software knowledge must include: Excel and Word. Knowledge of medical office policies, practices and procedures as normally acquired through three to five years working in the health care system or similar setting. Excellent interpersonal skills needed to communicate successfully with individuals and interact with people at all levels to communicate concepts in a clear and understandable manner. Physical/Mental Requirements And Typical Working Conditions Exposure to stressful situations, including those involving public contact, as well as, trauma, grief and death. Able to wear personal protective equipment that includes latex materials or appropriate substitute if required for your position. Is able to move freely about facility with or without an assisted device and must be able to perform the functions of the job as outlined in the job description. Overall vision and hearing is necessary with or without assisted device(s). Frequently required to sit/stand/walk for long periods of time. May require frequent postural changes such as stooping, kneeling or crouching. Some exposure to blood borne pathogens and other potentially infectious material. Must follow MyMichigan Health bloodborne pathogen and TB testing as required. Ability to handle multiple tasks, get along with others, work independently, regular and predictable attendance and ability to stay awake. Overall dexterity is required including handling, reaching, grasping, fingering and feeling. May require repetition of these movements on a regular to frequent basis. P hysical Demand Level: Light. Must be able to occasionally (0-33% of the workday) lift or carry 11-20 lbs., frequently (34-66% of the workday) 10 lbs. and or Walk/Stand/Push/Pull of Arm/Leg controls.

Manager/Supervisor

Manager Nursing RN - Operating Room - Saginaw

Summary Under general direction of nursing leadership, the Manager RN position is responsible for planning, organizing, and directing of the operations and staff of the respective department. This position has 24-hour responsibility and accountability for planning, directing, coordinating, and evaluating nursing care to ensure optimal patient health outcomes in their respective department. This position links nursing leadership with nursing care through the application of organizational and nursing service policies, procedures, and care delivery model. The Manager RN uses the Code of Ethics for Nurses with Interpretive Statements to guide leadership and practice. The Manager RN attains knowledge and competence reflective of current nursing practice; promotes innovation and futuristic thinking by incorporating evidence based practice and research findings. Has responsibility for the Surgical Department. Is competent to assure provision of effective, high quality patient care, which includes coordinating clinical nursing practice and patient care delivery, managing surgery and personnel schedule, development of personnel, and compliance with regulatory and professional standards. Responsibilities 40%)* Coordination of Operating Room, PACU, Ambulatory Surgery and pain procedures. (30%)* Responsible for supervising care of patients in preoperative, perioperative, and post-operative phases. (30%)* Serves on Nursing Management Committee, Infection Control Committee, Safety committee, and any others that may apply. OTHER DUTIES AND RESPONSIBILITIES: Responsible for maintenance of quality monitors in OR with strict observance of medical and surgical asepsis. Responsible for monitors such as refrigerator temperature logs, eye wash station check, crash cart checks, and maintaining medication inventory. Participates in Performance Improvement activities. Responsible for observance of standard universal precautions for staff. Insures that hospital policies are followed regarding completion of history and physical, lab work, consents, consultations and assistants. Schedules surgeries and procedures according to surgeon and pain specialist designated privileges. Provides administration with monthly statistics of census, PI activities, chart review activities, and meeting minutes. Maintains records of preventative maintenance of anesthesia equipment, autoclaves, and appropriate OR Pain procedure equipment. Responds appropriately to variances in equipment. Responsible for monitoring and scheduling surgery, monitoring distribution of the surgery schedule. Responsible for scheduling personnel, including daily and call schedules for all levels of staff Will be responsible to fill in as OR staff member, and take call as needed. Responsible for reviewing and updating policies and procedures in collaboration with Radiology/Cardiology Manager, Administration and/or Infection Control Manager in accordance with current standards. Conducts and maintains annual evaluations. Conducts staff competency reviews. Conducts staff meetings and in-services and maintains documentation of competency reviews and meeting attendance. Responsible for new employee orientation. Responsible for ordering supplies and equipment as needed and planning for capital equipment. Responsible to schedule equipment maintenance and repairs and monitor equipment for trends of breakage and recommendations for new. Responsible to collaborate with Radiology/Cardiology manager and Pain Clinic Supervisor to schedule and support Pain Procedures. Oversees sterile processing department in conjunction with infection control nurse to ensure policies are adhered to and environment is maintained in a clean/safe manner. Also orients new personnel and schedules CS aides, participates in budgetary considerations for central sterile, and evaluates sterile processing personnel. Responsible for performing and/or delegating charge posting. Ensures that all staff attend annually Net Learning BLS training ACLS training for RN’s. Competent to function in the OR staff nursing role, recovery nurse role, ambulatory surgery nurse and Pain Procedure staff role fulfilling each area of duties. Competent to assess the physiological health status of patients of all age groups. Assessment is age specific (pediatric, adult, and geriatric). Verifies operative procedure/operative site. Communicates variances to CRNA/physician prior to surgery. Complete s time-out on all procedures and ensures OR and Pain Procedure staff meet this standard. Must attend 75% of all nursing, management, and inservice meetings. MyMichigan Health is a technology driven organization and employees need to demonstrate competency in Microsoft® Windows. An employee may be required to participate in further learning opportunities offered by MyMichigan Health. Certifications and Licensures Credential: CNOR: Peri-Operative Nurs-NCC Equivalent Experience: 2 years from hire date or transfer and maintain. (Employees who are in this position on or before 8/1/2024 will have 24 months to complete this certification) Qualification Source: Essential: true Credential: RN: Registered Nurse Equivalent Experience: Qualification Source: Essential: true Credential: BLS: Basic Life Support Equivalent Experience: Within 1 month of hire or transfer Qualification Source: AHA Essential: true Credential: NIMS IS 100: NIMS IS 100 Introduction Incident Command System Equivalent Experience: Within 6 months of hire or transfer Qualification Source: Essential: true Credential: NIMS IS 700: NIMS IS 700 Introduction National Incident Mgt System Equivalent Experience: Within 6 months of hire or transfer Qualification Source: Essential: true Credential: NIMS IS 200: NIMS IS 200 Basic Incident Command System Initial Response Equivalent Experience: Within 6 months of hire or transfer Qualification Source: Essential: true Required Education Education: BACH Equivalent Experience: Master's Degree in clinical or health related field preferred at the time of hire or transfer to position. Associate's prepared managers must enroll in a Bachelor's program with in 1 year of hire or transfer with completion in 3 years. Education Specialization: NRG Essential: true Other Information EXPERIENCE, TRAINING AND SKILLS: EXPERIENCE, TRAINING AND SKILLS: Knowledge of nursing practices and procedures as normally acquired through 4 years’ experience working in a Medical Center or similar setting. Knowledge of nursing leadership as normally acquired through working 2 years’ in a Medical Center or similar setting with involvement in supervision, charge nurse, project implementation, professional development program, shared governance leadership role, or equivalent. Two to five years of clinical experience as an operating room nurse. Demonstrates leadership abilities; able to work under stressful situations; and possesses good oral and written communication skills. PHYSICAL/MENTAL REQUIREMENTS AND TYPICAL WORKING CONDITIONS: Exposure to stressful situations, including those involving public contact, as well as, trauma, grief and death. Able to wear personal protective equipment that includes latex materials or appropriate substitute if required for your position. Is able to move freely about facility with or without an assisted device and must be able to perform the functions of the job as outlined in the job description. Overall vision and hearing is necessary with or without assisted device(s). Frequently required to sit/stand/walk for long periods of time. May require frequent postural changes such as stooping, kneeling or crouching. Some exposure to blood borne pathogens and other potentially infectious material. Must follow MyMichigan Health bloodborne pathogen and TB testing as required. Ability to handle multiple tasks, get along with others, work independently, regular and predictable attendance and ability to stay awake. Overall dexterity is required including handling, reaching, grasping, fingering and feeling. May require repetition of these movements on a regular to frequent basis. Physical Demand Level: Medium. Must be able to occasionally (0-33% of the workday) lift or carry 21-50 lbs., frequently 34-66% of the workday 20 lbs. and or Walk/Stand/Push/Pull of Arm/Leg controls and constantly (67-100% or the workday) 10 lbs. Equivalent Experience And Other Comments (Education) Education: BACH Equivalent Experience: Master's Degree in clinical or health related field preferred at the time of hire or transfer to position. Associate's prepared managers must enroll in a Bachelor's program with in 1 year of hire or transfer with completion in 3 years. Education Specialization: NRG Essential: true Other Comments Credential: CNOR: Peri-Operative Nurs-NCC Equivalent Experience: 2 years from hire date or transfer and maintain. (Employees who are in this position on or before 8/1/2024 will have 24 months to complete this certification) Qualification Source: Essential: true #Indeed1RN

3 weeks ago

Registered Nurse RN- Emergency Department