Utilization Management Nurse Consultant

2 days ago

Registered Nurse RN

Summary The major goal of the nurse is to provide quality nursing care to patients throughout Imaging Services. Provides direct patient care by providing pre/post and intra-procedural care for minimally invasive procedures in: Diagnostic Radiology, CT Scanning, Ultrasound, Nuclear Medicine, MRI, Mammography, and respiratory department. This position performs a variety of integrated functions, intuitively, using the nursing process of assessing and identifying needs, planning care, implementing appropriate intervention, documenting, and evaluating outcome while applying a broad nursing knowledge in a caring, concerned manner. Responsibilities (30%)* Assesses and monitors patient condition and initiates appropriate nursing intervention to include physical, emotional, psychosocial and family support. (30%)* Plans patient care to include organization and coordination of all aspects according to the patient's perceived need and implements the patient's plan of care to include demonstration of proficiency (according to hospital policy and procedure) in nursing skills. (20%)* Evaluates the patient progress by correlating patient information with nursing knowledge to determine if goals are being met according to the patient's plan of care. (20%)* Instructs patient and family regarding treatment and outcome and assists when needed with proper procurement of consent forms and incident reports and communicates interactions, both verbal and written, that clearly and positively accomplish desired patient care as a collaborative effort. OTHER DUTIES AND RESPONSIBILITIES: Minimum of 3 years critical care experience preferred. Functions as a patient advocate and provides patient care to inpatients and outpatients by meeting the physical and emotional needs of patient and family. Assists with contrast reactions and intervenes when a patient develops problems or in emergency situations. Assists radiologists, cardiologists, and pulmonologists with procedures and treatments that require professional nursing skills. Administers medication (as needed), and monitors controlled substances as required by regulatory agencies. Complies with policies and procedures as well as other regulatory agencies. Functions as an assistant using sterile technique during procedures. Demonstrates skills in using special equipment such as monitors, infusion pumps, pacemakers, oxygen equipment, and respirators. Assists with research projects and performs follow up procedures. Assists in development of educational programs for imaging staff including patient care, safety, and infection control. Provides educational programs regarding the Imaging nurses role continuity of patient care, and topics related to radiology. Assists with orientation of other nurses. Demonstrates professional development by promoting clinical knowledge development, improving strategies for comparing clinical judgment through the development and implementation of research projects and continuing education. Acts as a resource person for nursing, medical and Imaging Services staff and a liaison between Imaging and nursing units. Documents patient status and care given while utilizing verbal and written communication with physicians, radiologists, technologists, and nursing units regarding patient status, treatment and outcome. Assists with the provision of nursing care for critically ill patients transferred to the department. Areas of nurse functions include: Imaging Services, MRI, respiratory department, and Center for Women's Health. 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: ACLS: Advanced Cardiac Life Support Equivalent Experience: Within 12 months of hire or transfer Qualification Source: Essential: true Credential: BLS: Basic Life Support Equivalent Experience: Within 1 month of hire or transfer Qualification Source: AHA Essential: true Credential: RN: Registered Nurse Equivalent Experience: Qualification Source: Essential: true Required Education Education: Associates Degree Equivalent Experience: Bachelors Degree preferred. Education Specialization: Essential: true Other Information EXPERIENCE, TRAINKING AND SKILLS: Works effectively with a variety of professional and ancillary personnel. Mandatory Occupational Safety and Health Administration (OSHA) training must also be completed annually according to the Exposure Control Plan. 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.

Med-Surg

Registered Nurse RN - Medical/Surgical

Summary $14,000 sign on bonus available to qualified candidates The Registered Nurse provides direct care to patients using the nursing process. This includes ongoing assessment of the total patient. The RN provides interventions to treat the presenting symptoms and evaluates the effect of nursing interventions and patient's responses. The RN functions as a team leader/member and resource to others. The RN delegates, oversees and provides direction to support staff. Collaborates with interdisciplinary team to establish goals and outcomes for each patient. The RN is responsible for meeting the needs of all types of patients. Responsibilities (40%)* Regularly assesses patient's needs and provides skilled nursing services as prescribed by the physician authorized plan of care and accepted standards of evidence based nursing practice. (30%)* Provides direct patient care including medication administration, treatments, education, call lights, assisting with transfers, responding to alarms, and other duties as appropriate. (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%)* The RN is knowledgeable and compliant with all local, state and federal regulations and guidelines as well as hospital specific policies and procedures relating to care provided in the medical center. OTHER DUTIES AND RESPONSIBILITIES Demonstrates the MyMichigan Health mission, vision and values. Behaves in a courteous, professional manner at all times with patients, visitors, and co-workers. Demonstrates the ability to interpret information and reports pertinent data to the physician. Educate patient/family according to assessed learning needs considering readiness, ability, preferences, and cultural / spiritual variables. 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. Demonstrates understanding of clinical pathways and utilizes appropriately. Maintains a professional demeanor in all situations. Documents in an accurate, clear, and concise way and includes pertinent clinical data. Shares information and reports significant changesand/or abnormal findings to appropriate team members in a timely manner. 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. Maintains knowledge with current trends and professional standards within a specialty. 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 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. 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 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. 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 Credential: DIMC: Dysrhythmia Interpretation Man Equivalent Experience: Telemetry Competency through testing or Telemetry Monitoring & Management class with passing score within 12 months of hire. Qualification Source: Essential: true Credential: PALS: Ped Advance Life Support Equivalent Experience: Within 12 months of hire or transfer Qualification Source: Essential: true Credential: TEAM ADVANCED: Techniques for Effective Aggression Mgt Equivalent Experience: Within 6 months of hire or transfer (Employees who are in this position on or before 12/31/2023 will have 24 months to complete this certification) Qualification Source: Essential: true Required Education Education: Associates Degree Equivalent Experience: BSN is preferred. Education Specialization: Essential: true Other Information EXPERIENCE, TRAINING AND SKILLS Speciality certification preferred. Interpersonal skills needed to communicate successfully with individuals and groups and interact with people at all levels to communicate ideas and concepts in a clear and understandable manner. This position must show knowledge, ability, and competence in treating unit specific patient populations. Must follow MyMichigan Health blood borne pathogen and TB testing as required. 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.

Outpatient

Medical Office Nurse RN - Family Practice Center (Alma)

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. 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. MyMichigan Health is a technology driven organization and employees need to demonstrate Competency in Microsoft® Windows. Certifications and Licensures BLS - Basic Life Support Required Equivalent Experience - Within 1 month of hire or transfer RN - Registered Nurse Required Required Education Education: Associates Degree Comments: BSN is preferred. Other Information 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. Physical 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. Equivalent Experience and Other Comments (Education) Other Comments

Registered Nurse RN

Summary $14,000 sign on bonus available to qualified candidates The Registered Nurse provides direct care to patients using the nursing process. This includes ongoing assessment of the total patient. The RN provides interventions to treat the presenting symptoms and evaluates the effect of nursing interventions and patient's responses. The RN functions as a team leader/member and resource to others. The RN delegates, oversees and provides direction to support staff. Collaborates with interdisciplinary team to establish goals and outcomes for each patient. The RN is responsible for meeting the needs of all types of patients. Responsibilities (40%)* Regularly assesses patient’s needs and provides skilled nursing services as prescribed by the physician authorized plan of care and accepted standards of evidence based nursing practice. (30%)* Provides direct patient care including medication administration, treatments, education, call lights, assisting with transfers, responding to alarms, and other duties as appropriate. (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%)* The RN is knowledgeable and compliant with all local, state and federal regulations and guidelines as well as hospital specific policies and procedures relating to care provided in the medical center. OTHER DUTIES AND RESPONSIBILITIES Demonstrates the MyMichigan Health mission, vision and values. Behaves in a courteous, professional manner at all times with patients, visitors, and co-workers. Demonstrates the ability to interpret information and reports pertinent data to the physician. Educate patient/family according to assessed learning needs considering readiness, ability, preferences, and cultural / spiritual variables. 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. Demonstrates understanding of clinical pathways and utilizes appropriately. Maintains a professional demeanor in all situations. Documents in an accurate, clear, and concise way and includes pertinent clinical data. Shares information and reports significant changesand/or abnormal findings to appropriate team members in a timely manner. 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. Maintains knowledge with current trends and professional standards within a specialty. 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 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. 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 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. Certifications and Licensures Credential: BLS: Basic Life Support Equivalent Experience: Within 1 month of hire or transfer Qualification Source: AHA Essential: true Credential: PALS: Ped Advance Life Support Equivalent Experience: Within 12 months of hire or transfer Qualification Source: Essential: true Credential: RN: Registered Nurse Equivalent Experience: Qualification Source: Essential: true Credential: DIMC: Dysrhythmia Interpretation Man Equivalent Experience: Telemetry Competency through testing or Telemetry Monitoring & Management class with passing score within 12 months of hire. Qualification Source: Essential: true Credential: TEAM ADVANCED: Techniques for Effective Aggression Mgt Equivalent Experience: Within 6 months of hire or transfer (Employees who are in this position on or before 12/31/2023 will have 24 months to complete this certification) Qualification Source: Essential: true Required Education Education: Associates Degree Equivalent Experience: BSN is preferred. Education Specialization: NRG Essential: true Other Information EXPERIENCE, TRAINING AND SKILLS Speciality certification preferred. Interpersonal skills needed to communicate successfully with individuals and groups and interact with people at all levels to communicate ideas and concepts in a clear and understandable manner. This position must show knowledge, ability, and competence in treating unit specific patient populations. Must follow MyMichigan Health blood borne pathogen and TB testing as required. 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.

Registered Nurse RN