Hospice Registered Nurse Case Manager

JOB DESCRIPTION SUMMARY The registered nurse plans, organizes and directs hospice care and is experienced in nursing, with emphasis on community health education/experience. The professional nurse builds from the resources of the community to plan and direct services to meet the needs of individual and families within their homes and communities. ESSENTIAL JOB FUNCTIONS/RESPONSIBILITIES Patient Care 1. Completes an initial, comprehensive and ongoing comprehensive assessment of patient and family to determine hospice needs. Provides a complete physical assessment and history of current and previous illness(es). 2. Provides professional nursing care by utilizing all elements of nursing process. 3. Assesses and evaluates patient’s status by: A. Writing and initiating plan of care B. Regularly re-evaluating patient and family/caregiver needs C. Participating in revising the plan of care as necessary 4. Initiates the plan of care and makes necessary revisions as patient status and needs change. 5. Uses health assessment data to determine nursing diagnosis. 6. Develops a care plan that establishes goals, based on nursing diagnosis and incorporates palliative nursing actions. Includes the patient and the family in the planning process. 7. Initiates appropriate preventive and rehabilitative nursing procedures. Administers medications and treatments as prescribed by the physician in the physician’s plan of care. 8. Counsels the patient and family in meeting nursing and related needs. 9. Provides health care instructions to the patient as appropriate per assessment and plan. 10. Assists the patient with the activities of daily living and facilitates the patient’s efforts toward self-sufficiency and optional comfort care. Job Title/Position: Registered Nurse 11. Acts as Case Manager when assigned by Clinical Supervisor and assumes responsibility to coordinate patient care for assigned caseload. Communication 1. Completes, maintains and submits accurate and relevant clinical notes regarding patient’s condition and care given. Records pain/symptom management changes/outcomes as appropriate. 2. Communicates with the physician regarding the patient’s needs and reports changes in the patient’s condition; obtains/receives physicians’ orders as required. 3. Communicates with community health related persons to coordinate the care plan. 4. Teaches the patient and family/caregiver self-care techniques as appropriate. Provides medication, diet and other instructions as ordered by the physician and recognizes and utilizes opportunities for health counseling with patients and families/caregivers. Works in concert with the interdisciplinary group. 5. Provides and maintains a safe environment for the patient. 6. Assists the patient and family/caregiver and other team members in providing continuity of care. 7. Works in cooperation with the family/caregiver and hospice interdisciplinary group to meet the emotional needs of the patient and family/caregiver. 8. Attends interdisciplinary group meetings. Additional Duties 1. Participates in on-call duties as defined by the on-call policy. 2. Ensures that arrangements for equipment and other necessary items and services are available. 3. Supervises ancillary personnel and delegates responsibilities when required. 4. Assumes responsibility for personal growth and development and maintains and upgrades professional knowledge and practice skills through attendance and participation in continuing education and inservice classes. 5. Fulfills the obligation of requested and/or accepted case assignments. 6. Actively participates in quality assessment performance improvement teams and activities. Job Title/Position : Registered Nurse POSITION QUALIFICATIONS 1. Graduate of National League of Nursing accredited school of nursing. 2. Current licensure in State. 3. Registered nurses shall have a minimum of (a) one (1) year of experience as a professional nurse within the last three (3) years; OR have a baccalaureate degree in nursing from a program accredited by the National League of Nursing and a current RN license. Minimum of two (2) years’ experience, at least one of which is in the area of public health, home care, or hospice nursing is preferred. 4. Management experience not required. Responsible for supervising hospice aides.

RN

OR

Full-time

16 hours ago

Registered Nurse - Operating Room

The Christ Hospital Health Network Bridgetown North, OH

Job Description The practice of nursing requires specialized knowledge, judgment, and skills to provide care to groups and individuals. The RN utilizes knowledge derived from the principles of biological, physical, behavioral, social, and nursing sciences to assess, plan, implement, and evaluate patient care. All care is provided based on the concepts inherent in the model of care for TCH which promotes an on-going partnership between patients and families and the team of healthcare providers. The care is culturally based and age specific. The RN adheres to American Nursing Association (ANA) code of ethics and to the scope of practice described in the Ohio Nurse Practice Act. Responsibilities The Nursing Process Assessment - Demonstrates the nursing skills to complete a holistic assessment of the patient's physical, psychosocial, spiritual, and education needs utilizing The Christ Hospital Professional Practice Model. 1. Understands signs and symptoms and data related to the patient's presenting needs and actual or potential nursing diagnosis. 2. Recognizes and appropriately reports to the physician and charge RN pertinent abnormal data and changes in the patient's condition. 3. Utilizes appropriate handoff methods to collaborate with other healthcare team members to communicate pertinent data regarding patient's physiological and psychological data. 4. Assesses patient, family, and environment for safety risks, proactively seeks out and performs safety initiatives. Diagnosis and Planning - Utilizes collected data to establish and prioritize a list of actual, and potential, individualized patient problems and needs. 1. Prepares, coordinates, and revises multidisciplinary plan of care in collaboration with the patient and family to be supportive of the TCH model of care/Patient and Family Centered care. For each problem a measurable goal is set. 2. Communicates the plan of care utilizing SBAR and handoff processes with all team members. 3. Establish priorities of care, discusses plan of care during shift report, and participates in care conferences. 4. Initiates discharge planning upon admission, makes appropriate referrals consistent with the anticipated length of stay. Implementation - The method of providing evidence based, quality care is based on assessed needs and standards of care while adhering to hospital policy and procedures to achieve set goals. 1. Performs and delegates nursing actions based on appropriate orders demonstrates critical thinking and accountability for appropriate implementation. 2. Provides ongoing, individualized holistic patient and family education based on needs and plan of care in collaboration with the multidisciplinary team. 3. Demonstrates critical thinking upon review of physician orders, making appropriate referrals, & contacts other health team professionals. 4. Responds to emergency situations that require an immediate, controlled precision in a skillful manner. 5. Implements measures to prevent contamination and/or transmission of disease to include the use of appropriate protective devices and equipment to prevent injury and maintain a safe environment. Evaluation - Continuously evaluates nursing practice related to the plan of care in relation to the standards of care established through evidence-based literature and standards established by professional organization that have been built into order sets in the electronic medical record, the individual plan of care, and patient outcomes and goals. 1. Evaluates effectiveness of nursing care interventions, adjusts or continues with plan of care based on patient and family response. 2. Maintains continuity of care by continuous evaluation during "handoff" report, rounding, and upon transfers to other specialty units and post care facilities. Documentation Nursing process is accurately and concisely documented in the patient's electronic medical record reflecting the plan of care as implemented by the patient, family, and multidisciplinary team. Documents information in a timely manner, according to hospital policy, to include the plan of care, accurate updates, teaching and the patients' and family response to care. Leadership and Professional Development Demonstrates leadership skills such as the ability to motivate, educate, delegate, and mentor peers and other members of the healthcare team while effectively managing the care of patients and family members. Assumes responsibility and accountability for professional growth and development. Contributes to the professional development of peers, colleagues, and others. 1. Participates in 75% of staff meetings and 75% of council meetings as appropriate. 2. Participates in unit based activities/initiatives for performance improvement, evidence based projects, and research as needed. 3. Participates in council activities and task forces to improve competencies of self, co-workers, and staff members related to patient care. 4. Supports self and peers in professional growth and development utilizing resources and opportunities within and outside of The Christ Hospital. 5. Participates in self and peer review activities to include the positive recognition of peers and staff on a regular basis. 6. Acts as a resource, educator and preceptor for multidisciplinary team members, staff and nursing students, continuously evaluating and documenting competency. . 7. Maintains competency in POC (point of care) testing for unit specific nursing practice. 8. The following are strongly encouraged: a. Participation in the professional advancement program. b. Certification specific to work area of professional practice when eligible. c. Participation in chosen professional organizations and conferences. d. Participation in development and maintenance of research activities. e. Participation in community service activities. Employee Responsibilities Complies with organization and department policies and required training. Completes all educational requirements to maintain competency related to specific population of patient and/or regulatory agencies (Healthstream education 100% on-time completion and attendance for annual education day). Submits required tests and paperwork in a timely manner without management interventions. Attendance Follows the time and attendance policy; reports to work on time, maintains a good attendance record, has badge and uses it to clock in and out, makes requests for tie off as far in advance as possible, etc. Qualifications KNOWLEDGE AND SKILL: Please describe any specialized knowledge or skills, which are REQUIRED to perform the position duties. Do not list personal credentials of the current jobholder that would not be required if the job were being filled. List any special education required for this position. EDUCATION: • TCH does hire AD and Diploma nurses; however all nurses hired after January 2010 must receive their BSN within 5 years of the date of hire. RN's who were employed at TCH prior to January 2010, and have more than 20 years of experience as an RN are permitted to pursue their BSN on a voluntary basis. A MSN or DNP are not required but supersede the requirement for the BSN. YEARS OF EXPERIENCE: None required REQUIRED SKILLS AND KNOWLEDGE: The RN demonstrates the knowledge, abilities, and skills to provide age and culturally specific patient care and education. The RN effectively communicates with peers, utilizes appropriate channels of communication and maintains absolute confidentiality. The RN maintains competence and demonstrates evidence of continuing professional growth. The RN demonstrates the ability to accept and implement change and the ability to work in a culturally diverse setting. LICENSES & CERTIFICATIONS: The RN holds a current licensure to practice nursing in Ohio. Membership in professional organizations is desirable. BLS certification is required prior to patient contact. ACLS is required within 6 months of hire in step-down and ICU areas. Certification in area of clinical specialty is expected within five years of eligibility.

Registered Nurse - Operating Room - Full Time - Days

The Christ Hospital Health Network Bridgetown North, OH

Job Description The practice of nursing requires specialized knowledge, judgment, and skills to provide care to groups and individuals. The RN utilizes knowledge derived from the principles of biological, physical, behavioral, social, and nursing sciences to assess, plan, implement, and evaluate patient care. All care is provided based on the concepts inherent in the model of care for TCH which promotes an on-going partnership between patients and families and the team of healthcare providers. The care is culturally based and age specific. The RN adheres to American Nursing Association (ANA) code of ethics and to the scope of practice described in the Ohio Nurse Practice Act. Responsibilities The Nursing Process Assessment - Demonstrates the nursing skills to complete a holistic assessment of the patient's physical, psychosocial, spiritual, and education needs utilizing The Christ Hospital Professional Practice Model. 1. Understands signs and symptoms and data related to the patient's presenting needs and actual or potential nursing diagnosis. 2. Recognizes and appropriately reports to the physician and charge RN pertinent abnormal data and changes in the patient's condition. 3. Utilizes appropriate handoff methods to collaborate with other healthcare team members to communicate pertinent data regarding patient's physiological and psychological data. 4. Assesses patient, family, and environment for safety risks, proactively seeks out and performs safety initiatives. Diagnosis and Planning - Utilizes collected data to establish and prioritize a list of actual, and potential, individualized patient problems and needs. 1. Prepares, coordinates, and revises multidisciplinary plan of care in collaboration with the patient and family to be supportive of the TCH model of care/Patient and Family Centered care. For each problem a measurable goal is set. 2. Communicates the plan of care utilizing SBAR and handoff processes with all team members. 3. Establish priorities of care, discusses plan of care during shift report, and participates in care conferences. 4. Initiates discharge planning upon admission, makes appropriate referrals consistent with the anticipated length of stay. Implementation - The method of providing evidence based, quality care is based on assessed needs and standards of care while adhering to hospital policy and procedures to achieve set goals. 1. Performs and delegates nursing actions based on appropriate orders demonstrates critical thinking and accountability for appropriate implementation. 2. Provides ongoing, individualized holistic patient and family education based on needs and plan of care in collaboration with the multidisciplinary team. 3. Demonstrates critical thinking upon review of physician orders, making appropriate referrals, & contacts other health team professionals. 4. Responds to emergency situations that require an immediate, controlled precision in a skillful manner. 5. Implements measures to prevent contamination and/or transmission of disease to include the use of appropriate protective devices and equipment to prevent injury and maintain a safe environment. Evaluation - Continuously evaluates nursing practice related to the plan of care in relation to the standards of care established through evidence-based literature and standards established by professional organization that have been built into order sets in the electronic medical record, the individual plan of care, and patient outcomes and goals. 1. Evaluates effectiveness of nursing care interventions, adjusts or continues with plan of care based on patient and family response. 2. Maintains continuity of care by continuous evaluation during "handoff" report, rounding, and upon transfers to other specialty units and post care facilities. Documentation Nursing process is accurately and concisely documented in the patient's electronic medical record reflecting the plan of care as implemented by the patient, family, and multidisciplinary team. Documents information in a timely manner, according to hospital policy, to include the plan of care, accurate updates, teaching and the patients' and family response to care. Leadership and Professional Development Demonstrates leadership skills such as the ability to motivate, educate, delegate, and mentor peers and other members of the healthcare team while effectively managing the care of patients and family members. Assumes responsibility and accountability for professional growth and development. Contributes to the professional development of peers, colleagues, and others. 1. Participates in 75% of staff meetings and 75% of council meetings as appropriate. 2. Participates in unit based activities/initiatives for performance improvement, evidence based projects, and research as needed. 3. Participates in council activities and task forces to improve competencies of self, co-workers, and staff members related to patient care. 4. Supports self and peers in professional growth and development utilizing resources and opportunities within and outside of The Christ Hospital. 5. Participates in self and peer review activities to include the positive recognition of peers and staff on a regular basis. 6. Acts as a resource, educator and preceptor for multidisciplinary team members, staff and nursing students, continuously evaluating and documenting competency. . 7. Maintains competency in POC (point of care) testing for unit specific nursing practice. 8. The following are strongly encouraged: a. Participation in the professional advancement program. b. Certification specific to work area of professional practice when eligible. c. Participation in chosen professional organizations and conferences. d. Participation in development and maintenance of research activities. e. Participation in community service activities. Employee Responsibilities Complies with organization and department policies and required training. Completes all educational requirements to maintain competency related to specific population of patient and/or regulatory agencies (Healthstream education 100% on-time completion and attendance for annual education day). Submits required tests and paperwork in a timely manner without management interventions. Attendance Follows the time and attendance policy; reports to work on time, maintains a good attendance record, has badge and uses it to clock in and out, makes requests for tie off as far in advance as possible, etc. Qualifications KNOWLEDGE AND SKILL: Please describe any specialized knowledge or skills, which are REQUIRED to perform the position duties. Do not list personal credentials of the current jobholder that would not be required if the job were being filled. List any special education required for this position. EDUCATION: • TCH does hire AD and Diploma nurses; however all nurses hired after January 2010 must receive their BSN within 5 years of the date of hire. RN's who were employed at TCH prior to January 2010, and have more than 20 years of experience as an RN are permitted to pursue their BSN on a voluntary basis. A MSN or DNP are not required but supersede the requirement for the BSN. YEARS OF EXPERIENCE: None required REQUIRED SKILLS AND KNOWLEDGE: The RN demonstrates the knowledge, abilities, and skills to provide age and culturally specific patient care and education. The RN effectively communicates with peers, utilizes appropriate channels of communication and maintains absolute confidentiality. The RN maintains competence and demonstrates evidence of continuing professional growth. The RN demonstrates the ability to accept and implement change and the ability to work in a culturally diverse setting. LICENSES & CERTIFICATIONS: The RN holds a current licensure to practice nursing in Ohio. Membership in professional organizations is desirable. BLS certification is required prior to patient contact. ACLS is required within 6 months of hire in step-down and ICU areas. Certification in area of clinical specialty is expected within five years of eligibility.

Critical Care Registered Nurse

The Christ Hospital Health Network Bridgetown North, OH

Job Description Ready to help shape the future of Cincinnati's #1 Hospital? Your passion to make a difference is something we share. As a registered nurse at the Christ Hospital Health Network, you'll join an inclusive team committed to your success. You'll be respected as an individual and celebrated for your achievements. You'll discover a range of powerful opportunities to grow-and experience the support of your leaders every step of the way. Your voice and experience will be valued as you mentor others, participate in unit-based and system-wide councils and share your vital feedback. Because when you continue to thrive, we continue to improve the health of our community and create exceptional outcomes. Here's how you'll thrive: Work alongside the best at Cincinnati's #1 Hospital, 10 years and counting Magnet designated hospital with the region's best nurse-patient ratio allowing you to deliver exceptional patient care in a nurturing work environment Flexible self-scheduling empowers your work-life balance Endless opportunities to grow with a renowned clinical advancement program, plus continued education and mentorship opportunities across units Direct access to executive leaders through semi-monthly roundtable events Team member resource groups ready for your voice Here's what makes us the best and separates us from the rest: New Virtual Nursing system on designated units Hercules Mattresses for easy repositioning of patients Shared Leadership Council structure Clinical Advancement Program Smartphones for easy EMR Documentation and enhanced communication Paid Parental Leave program Tuition Assistance and support of initial certifications Dedicated Professional Development Specialists provide in-person, consistent, individualized residency support and guidance through the first year of nursing practice Responsibilities Here's how you'll deliver best-in-class care: The Christ Hospital Health Network Nursing Process Assessment - You'll deliver comprehensive care by assessing the patient's physical, emotional, spiritual, and educational needs utilizing The Christ Hospital Health Network Professional Practice Model - all while continuing to collaborate with your healthcare team Diagnosis & Planning - Working closely with the patient and family, you'll create personalized care plans that prioritize patient needs and goals. Implementation - You'll be providing evidence-based, best-in-class care by educating patients and families, executing well-planned interventions and utilizing hospital policies and procedures. Evaluation - You'll monitor and adjust care based on patient outcomes and evidence-based practices. Leadership & Professional Development - Working closely with your Clinical Manager, you will take an active role in driving improvement and achieving better outcomes through the development and evaluation of Performance Improvement (PI) initiatives. You'll be an advocate for High Reliability principles to enhance patient care and operational efficiency while using data to fuel progress. You'll also demonstrate your leadership skills by motivating, educating, delegating, and mentoring peers and team members, while managing patient care effectively. Qualifications Here are your additional requirements: Documentation - You'll accurately and concisely document the nursing process in the patient's electronic medical record, reflecting the implemented plan of care by the patient, family, and healthcare team. You'll also ensure timely documentation of care, updates, education, and the patient's and family's responses, in line with hospital policy. Team Member Responsibilities - As a healthcare team member, your responsibilities will include adhering to all organizational and department policies, completing required training, meeting all educational requirements while demonstrating your commitment to continuous learning and providing the legendary patient care The Christ Hospital Health Network is known for over the last 130 years. Licenses & Certifications Current RN licensure in the state of employment. BLS required before patient contact. ACLS required within 6 months of hire in step-down and ICU areas. Unit specific certifications may be required. More about our CVICU unit: The Cardiovascular Intensive Care Unit (CVICU) is a 16-bed cardiovascular recovery and intensive care unit. It is a fast-paced environment where state-of-the-art technology, nationally recognized standards of care and critical thinking skills are utilized by the all-RN staff to provide compassionate patient and family-centered care. Staff on this unit are highly proficient in pre-operative and intra-operative support as well as immediate post-operative phases of cardiovascular procedures. This includes open heart surgery, ventricular assist device implantation, and various interventional procedures including transcatheter aortic valve replacement. Acute cardiology and heart failure patients also receive care in CVICU, along with overflow medical and surgical intensive care patients. Staff expertly manage all types of invasive lines, medications, hemodynamic needs, intra-aortic balloon pumps, continuous dialysis and ultrafiltration machines, and various ventricular assist devices. The success of their nursing staff is their number one priority and is supported through their encouraging environment of comradery and mentorship.

RN

Full-time

1 day ago

Assistant Director of Nursing (ADON) Behavioral Unit

Cedars of Lebanon Lebanon, OH

Assistant Director of Nursing (ADON) Behavioral Unit Join our team at Cedars of Lebanon, where we are dedicated to providing exceptional nursing care and rehabilitation services to our residents. We are seeking a highly motivated and experienced Registered Nurse (RN) to fill the role of Assistant Director of Nursing (ADON) Behavioral Unit . As a key member of our leadership team, you will provide guidance and support to our nursing staff, ensuring high-quality patient care and regulatory compliance. About the Role: As Assistant Director of Nursing (ADON) Behavioral Unit, you will play a vital role in leading our nursing department in our behavioral unit. Your responsibilities will include assisting in the planning, development, organization, implementation, evaluation, and direction of the nursing department, participating in recruiting and selecting department personnel, and developing and conducting regular in-service training classes. Additionally, you will coordinate the RAI process, supervise and guide the completion of assessments, facilitate care plan conferences, and manage the care planning process to ensure high-quality patient care. Responsibilities: • Assist in the planning, development, organization, implementation, evaluation, and direction of the nursing department in our behavioral unit • Participate in recruiting, selecting, and training of competent department personnel • Develop and conduct regular in-service training classes to ensure nursing staff have the knowledge and skills required by federal and state regulations • Coordinate the RAI process, ensuring timely and accurate completion of MDS, CAA's, and Interdisciplinary Care Plans • Supervise and guide the completion of assessments, including inputting and transmitting MDS data to the state • Facilitate care plan conferences and monthly Quality Management meetings • Manage the care planning process to ensure high-quality patient care Requirements: • Current RN license required • Experience in long-term care settings • 2 years of management experience preferred • Excellent communication skills About Us: At Cedars of Lebanon, we are committed to resident satisfaction and providing services that recognize the specific needs of each individual in our care. Our professional, dedicated staff provide both skilled and non-skilled quality services in a family-oriented atmosphere. We strive to maintain the individual dignity, privacy, and respect of each resident. Join our team today and take the first step towards a rewarding career! Apply now to become our new Assistant Director of Nursing (ADON) Behavioral Unit at Cedars of Lebanon! IND123

Hospice Registered Nurse Case Manager (RN)

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