Registered Nurse (RN)

General Summary: The Nurse Navigator functions as a member of a multidisciplinary team as an advocate, liaison, educator, and support across the continuum of care. She/he is responsible for ensuring patients receive quality and comprehensive services. While She/he will serve as a clinical resource with expertise in care management, this position also assists with informed decision making; collaborating with other members of the team to allow for timely screening, diagnosis, treatment, and supportive care throughout the patient experience. The Nurse Navigator will provide individualized assistance to patients, families, and caregivers to help identify and overcome barriers that may hinder quality and timely care. He/she will serve as a liaison throughout the facility and in the community regarding services provided for this unique patient population. He/she will provide expert nursing care, which includes: direct clinical practice, consultation, education and research. Requirements: Current RN License in the State of Michigan Bachelors of Science in Nursing, preferred Oncology Certified Nurse, preferred (if in Oncology Department) Three (3) years of clinical nursing experience Education and or experience in one or more of the following is preferred: Outcomes; data analysis, project management, education, case management, or utilization management Knowledge of nursing principles practices and process Knowledge of case management principles practices and process Knowledge of patient teaching principles practices and process Strong problem solving, decision making and critical thinking skills Excellent leadership, organizational, written, and verbal communication skills, and excellent interpersonal skills Must be able to work in a self-directed environment, with an ability to work with and lead teams Excellent presentation skills Microsoft Office competency Essential Functions and Responsibilities: Assists patients in understanding their diagnosis, treatment options, and the resources available, including educating eligible patients about appropriate clinical research studies and technologies. Assesses the patient’s ability to navigate the increasingly complex healthcare continuum, assists in identifying potential barriers to timely and appropriate health care, and develops plan of care to overcome such barriers Serves as a liaison between the patient and family, primary care physicians, internal and external care providers, specialists, and social services Facilitates appointments for consults and support services within established service standards, including social workers, dietitians, physician, etc. Assists in developing patient education programs and tools as needed Follows patients throughout the care continuum, including inpatient admissions, and collaborate with inpatient care management resources as needed Works with Registry staff and others to collect data, track outcomes, and support strategic planning processes Establishes and promotes a collaborative relationship with physicians, other Nurse Navigators, payers, and other members of the healthcare team Assists in direct patient care as necessary Performs other duties as assigned. These may include but are not limited to: Maintaining a current knowledge base of department processes, protocols and procedures, pursuing self-directed learning and continuing education opportunities, and participating on committees, task forces, and work groups as determined by management.

Registered Nurse (RN) - UMHP Specialty/Procedural - Interventional Radiology * Day 40hrs/wk

General Purpose of Job : Under the direction of the Practice Leadership, provides patient care within specialty and procedural service lines requiring advanced clinical competencies and technical skills. Performs patient assessment, administers treatments and medications, assists with procedures, and supports diagnostic testing. Conducts telephone triage using established protocols and documents care in the medical record. Coordinates care across the continuum, serving as a liaison with providers and external partners. Applies the nursing process to promote optimal patient outcomes and collaborates with the care team to ensure effective care coordination. May provide guidance and direction to clinical support staff. Knowledge, Skills and Experience (If something is not required but is preferred, enter preferred at the end of sentence). Education : Bachelor of Science in Nursing (BSN), preferred. License / Certification / Registration : Current State of Michigan License (unrestricted) as a Registered Nurse (RN) Current Basic Life Support (BLS/CPR) required. HPE Infusion/Cancer Center Infusion RN: Must obtain ONS/ONCC Chemotherapy Immunotherapy Certificate prior to administering chemotherapy. Cardiovascular Physician Practice: ACLS, CV-BC required within 1 year of hire. Wound: ACLS, HBO certifications required within 1 year of hire. Experience : Previous outpatient experience and/or experience in specialty preferred. Skills & Abilities : Excellent interpersonal, verbal and written communication skills Exhibits creative problem solving and critical thinking skills Possesses excellent time management, coordination and organization skills Delivers clinical therapeutic services in the office setting appropriate for all ages Ability to triage and manage complex clinical issues utilizing assessment skills and protocols Ability to work independently as well as in a team environment Capable of adapting to changes in health care with the goal of improving quality, efficiency and cost effectiveness of care Essential Duties : This job description is intended to cover the minimum essential duties assigned on a regular basis. Team members may be asked to perform additional duties as assigned by their leader. Leadership has the right to alter or modify the duties of the position. Conducts telephone triage according to established clinical protocols educating patients and guiding them to appropriate care. Maintains an active nursing appointment schedule for assisting providers in the management of patients with acute and chronic conditions. Identifies patient care requirements by completing the nursing process. Provides condition specific patient education and anticipatory guidance under the direction of providers. Assists care manager and provider in follow-up management of post-hospitalized or post emergency room visits. Screens patients for care opportunities and collaborates with treating provider to identify referrals to care management. Communicates and coordinates with care team on clinical issues related to patient care. Administers medication and treatment according clinical protocols and provider oversight. Document concise, accurate and timely information in the patient care record, and completes forms associated with patient care. Establishes a compassionate environment by providing patients with emotional support and comfort. Protects patients and employees by adhering to infection prevention and control standards. Maintains and protects patient confidentiality. Perform efficiently in emergency patient situations following established standards, remaining calm, informing appropriate persons, and documenting events. Maintain a current knowledge base and use standards of care in professional practice. Assume responsibility for own practice including appearance, attendance, punctuality and flexibility in scheduling. Pursue self-directed learning experiences, continuing education, and seek direction when necessary. Participate in peer review, quality assurance, standards development, and research activities. Demonstrate awareness of legal issues in all aspects of patient care and department function and strive to manage situations in a reduced risk manner.

RN - Registered Nurse - Observation Unit * Nights - 36hrs/wk (New Hire Incentive)

General Purpose of Job : The RN Staff Nurse is a professional care giver who assumes responsibility and accountability for a group of patients for a designated time frame and provides care to these patients via therapeutic use of self, the nursing process, the environment / instrumentation, and other health care team members. Assigns and directs the work of related staff. Knowledge, Skills and Experience : Bachelor of Science in Nursing preferred. Michigan Registered Professional Nurse licensure required. Current Basic Life Support (BLS/CPR) provider—required. Endoscopy RN: Current Advanced Cardiac Life Support (ACLS) provider preferred. Must obtain ACLS certification within 60 days of hire or placement in the unit. Level 4/Level 5 RN: Current Advanced Cardiac Life Support (ACLS) provider preferred. Must obtain ACLS certification within one year of hire or placement in the unit. Level 4/Level 5 RN: Competence in basic cardiac dysrhythmia interpretation required, will train. Level 6: Current Pediatric Advanced Life Support (PALS) provider preferred. ED: Current Pediatric Advanced Life Support (PALS) provider preferred. Must obtain PALS certification within six months of hire or placement in the unit. Advanced Cardiac Life Support (ACLS) certification within three (3) months after hire or transfer. Must maintain ACLS certification with re-certification every two (2) years. IR/NEURO IR RN: Current Advanced Cardiac Life Support (ACLS) must be obtained within 30 days of hire or transfer. Previous experience in specialty preferred. Essential Duties : ASSESSMENT—Assess the patient's condition and physical, psychological, cognitive, social, rehabilitative, and discharge needs. PLANNING—Develop a plan of care using nursing diagnoses and setting patient outcome goals. IMPLEMENTATION—Implement nursing plan of care and physician's orders. IMPLEMENTATION—Establish priorities of patient care based on essential patient needs and available resources of time, personnel, equipment and supplies. IMPLEMENTATION—Perform nursing procedures, assist physicians, and use equipment following established standards. EVALUATION—Evaluate the patient’s response to nursing interventions and physician ordered therapy / diagnostics. Update or modify plan of care to meet the current needs of the patient. PATIENT EDUCATION—Educate the patient and significant others based on the cognitive needs of each and defined by patient outcome goals. DOCUMENTATION—Document concise, accurate and timely information in the patient care record. PATIENT/FAMILY RIGHTS—Demonstrate knowledge of and respect for patient and significant others’ rights, including confidentiality. SAFETY/RISK MANAGEMENT—Follow established standards in provision for safety. LEGAL ISSUES—Demonstrate awareness of legal issues in all aspects of patient care and department function and strive to manage situations in a reduced risk manner. EMERGENCIES—Perform efficiently in emergency patient situations following established standards, remaining calm, informing appropriate persons, and documenting events. KNOWLEDGE BASE—Maintain a current knowledge base and use standards of care in professional practice. PROFESSIONALISM—Assume responsibility for own practice including appearance, attendance, punctuality and flexibility in scheduling. SELF EDUCATION—Pursue self-directed learning experiences, continuing education, and seek direction when necessary. STAFF DEVELOPMENT—Participate in and promote staff development activities and achievement of department goals. QUALITY ASSURANCE/STANDARDS DEVELOPMENT—Participate in peer review, quality assurance, standards development, and research activities. COORDINATION/ORGANIZATION—Use delegation skills and therapeutic use of self to coordinate and organize patient care delivery. COORDINATION/ORGANIZATION—Set priorities in work using effective time management and support personnel to complete assigned work. PROBLEM SOLVING/DECISION MAKING—Practice effective problem identification and resolution skills as a method of sound decision making. COMMUNICATION—Use written and oral communication through designated channels to attain desired patient outcomes as well as department and hospital goals. STAFFING—Demonstrate flexibility in staffing patterns and resolution of staffing conflicts; participate in temporary assignment measures. ORIENTATION-Successful completion of unit-specific core competencies as defined in the orientation checklist. DELEGATION--Evaluates and identifies patient needs and assigns appropriate staff to address specific individual patient needs. Directs and reviews the work of support staff to assure nursing care plan is fully implemented and patient needs are addressed. Assumes supervisory duty for department employees in absence of Clinical Director and Clinical Coordinator per HR-45 policy.

Med-Surg

RN - Registered Nurse - Ortho Trauma Med-Surg * Days - 36hrs/wk (New Hire Incentive)

General Purpose of Job : The RN Staff Nurse is a professional care giver who assumes responsibility and accountability for a group of patients for a designated time frame and provides care to these patients via therapeutic use of self, the nursing process, the environment / instrumentation, and other health care team members. Assigns and directs the work of related staff. Knowledge, Skills and Experience : Bachelor of Science in Nursing preferred. Michigan Registered Professional Nurse licensure required. Current Basic Life Support (BLS/CPR) provider—required. Endoscopy RN: Current Advanced Cardiac Life Support (ACLS) provider preferred. Must obtain ACLS certification within 60 days of hire or placement in the unit. Level 4/Level 5 RN: Current Advanced Cardiac Life Support (ACLS) provider preferred. Must obtain ACLS certification within one year of hire or placement in the unit. Level 4/Level 5 RN: Competence in basic cardiac dysrhythmia interpretation required, will train. Level 6: Current Pediatric Advanced Life Support (PALS) provider preferred. ED: Current Pediatric Advanced Life Support (PALS) provider preferred. Must obtain PALS certification within six months of hire or placement in the unit. Advanced Cardiac Life Support (ACLS) certification within three (3) months after hire or transfer. Must maintain ACLS certification with re-certification every two (2) years. IR/NEURO IR RN: Current Advanced Cardiac Life Support (ACLS) must be obtained within 30 days of hire or transfer. Previous experience in specialty preferred. Essential Duties : ASSESSMENT—Assess the patient's condition and physical, psychological, cognitive, social, rehabilitative, and discharge needs. PLANNING—Develop a plan of care using nursing diagnoses and setting patient outcome goals. IMPLEMENTATION—Implement nursing plan of care and physician's orders. IMPLEMENTATION—Establish priorities of patient care based on essential patient needs and available resources of time, personnel, equipment and supplies. IMPLEMENTATION—Perform nursing procedures, assist physicians, and use equipment following established standards. EVALUATION—Evaluate the patient’s response to nursing interventions and physician ordered therapy / diagnostics. Update or modify plan of care to meet the current needs of the patient. PATIENT EDUCATION—Educate the patient and significant others based on the cognitive needs of each and defined by patient outcome goals. DOCUMENTATION—Document concise, accurate and timely information in the patient care record. PATIENT/FAMILY RIGHTS—Demonstrate knowledge of and respect for patient and significant others’ rights, including confidentiality. SAFETY/RISK MANAGEMENT—Follow established standards in provision for safety. LEGAL ISSUES—Demonstrate awareness of legal issues in all aspects of patient care and department function and strive to manage situations in a reduced risk manner. EMERGENCIES—Perform efficiently in emergency patient situations following established standards, remaining calm, informing appropriate persons, and documenting events. KNOWLEDGE BASE—Maintain a current knowledge base and use standards of care in professional practice. PROFESSIONALISM—Assume responsibility for own practice including appearance, attendance, punctuality and flexibility in scheduling. SELF EDUCATION—Pursue self-directed learning experiences, continuing education, and seek direction when necessary. STAFF DEVELOPMENT—Participate in and promote staff development activities and achievement of department goals. QUALITY ASSURANCE/STANDARDS DEVELOPMENT—Participate in peer review, quality assurance, standards development, and research activities. COORDINATION/ORGANIZATION—Use delegation skills and therapeutic use of self to coordinate and organize patient care delivery. COORDINATION/ORGANIZATION—Set priorities in work using effective time management and support personnel to complete assigned work. PROBLEM SOLVING/DECISION MAKING—Practice effective problem identification and resolution skills as a method of sound decision making. COMMUNICATION—Use written and oral communication through designated channels to attain desired patient outcomes as well as department and hospital goals. STAFFING—Demonstrate flexibility in staffing patterns and resolution of staffing conflicts; participate in temporary assignment measures. ORIENTATION-Successful completion of unit-specific core competencies as defined in the orientation checklist. DELEGATION--Evaluates and identifies patient needs and assigns appropriate staff to address specific individual patient needs. Directs and reviews the work of support staff to assure nursing care plan is fully implemented and patient needs are addressed. Assumes supervisory duty for department employees in absence of Clinical Director and Clinical Coordinator per HR-45 policy.

Med-Surg

RN - Registered Nurse - Ortho Trauma Med-Surg * Nights - 36hrs/wk (New Hire Incentive)