Latest Nursing and Nursing Support Jobs
$68,000 - $115,000 / year
191301 Job Description Performs an age specific plan of care for designated group of patients using the nursing process of assessment, diagnosis, outcome identification, planning, implementation, and evaluation of patient care. Collaborates with physicians and other health team members in coordinating and implementing procedures and treatments. Uses leadership skills/clinical judgment in coordinating patient care and directing/delegating activities of the patient care unit team. Job Responsibility Conducts patient interview, explains policies and procedures to patient/ significant others, reviews patient’s chart and answers questions correctly and courteously; assesses gastrointestinal, cardiovascular, respiratory, renal and neurological health status; determines mobility, sensory deficits, prostheses use, and skin condition and adjusts plan of care, as appropriate, assesses level of pain and pain management; communicates/documents patient’s physiologic health status and plan of care; Assesses patient’s psychosocial health status; elicits perception of medical/nursing care and the expectation of care; determines coping mechanism, knowledge level, and ability to comprehend; identifies cultural/ethnic requirements to reduce anxiety and ensure patient satisfaction; communicates and documents psychological status and care plan of support groups, counseling services, and social services; Identifies patient outcome; develops criteria for measurement of patient outcomes; identifies actual/potential patient problems; identifies patient’s need for teaching based on psychosocial and developmental assessment. Develops patient outcome statement (s) and establishes individualized patient goals; Identifies care activities and establishes the priorities necessary to achieve expected outcome; coordinates the cost-effective use of supplies, equipment and medication to achieve expected outcome; documents the plan of care and collaborates with physicians and other health team members; Implements the plan of care; maintains constant vigilance over patients care to ensure that safety precautions/needs are followed (side rails up, call lights and bedside stand within reach, etc.; exercises professional skills related to the plan of care; reassesses patients as needed and appropriately revises plan of care; correctly administers prescribed treatments; correctly uses equipment necessary for patient care; provides emotional support to patient and significant other; applies scientific principles in performing procedures; carries them out safely, timely and efficiently; makes accurate observations of patient’s conditions during treatments/procedures; reports and records same as appropriate; keeps accurate documentation of patient’s treatment, activity and condition, as well as patient’s responses to medical and nursing interventions; uses appropriate methods of documentation according to departmental policy; acts rapidly and effectively during any emergency situation, managing self, patients and other employees; provides a calm, quiet, restful atmosphere; communicates effectively with the patient’s family or caretakers; participates in planning for discharge and coordinates referrals, as appropriate; provides discharge instructions to patient and significant other; evaluates care provided for patient outcome. Demonstrates ability to measure effectiveness of care provided and documents same; performs variance analysis related to outcome data for performance improvement; designs, implements, and evaluates systems to improve care in unit; keeps accurate documentation of patient’s treatment, activity and condition; uses appropriate methods of documentation according to departmental policy. Collaborates with other care team members in planning and carrying out treatment regimen; provides direction to other members of the care team; collaborates with the appropriate physician on patient’s plan of care. Accurately interprets and implements treatment regimen as prescribed by the Physician; assists the Physician during treatments and/or diagnostic procedures; keeps Patient Care Manager/designee and/or physician, abreast of changes in patient’s condition and/or treatments, as appropriate; uses clinical judgment in delegating assignments in providing patient care, and ensures that assignments are completed in a timely fashion. Performs grade I-IV Decubitus Care; performs preventive skin care measures; applies simple dressings, maintaining principles of aseptic technique; applies warm and cold compresses, consistent with facility procedure; performs irrigations, consistent with Facility procedure; performs other procedures related to skin care, as necessary. Administers medications correctly and safely; correctly identifies medication in terms of action, dosage, side effects, and implications for the patient; meets standard on medication administration examination; demonstrates preparation of local solutions. Administers and documents medication correctly; educates patients and significant others related to drug and food interactions; educates patients and significant others related to drug and food interactions. Participates in patient and family education; provides patient with an explanation of his/her condition as indicated; communicates assessment data in an orderly fashion by recording, updating and verbalizing pertinent information to care team members and to appropriate agencies; recognizes and utilizes health teaching opportunities and resources /materials available for this teaching; provides for early discharge planning and appropriate referrals for post-hospital care; evaluates the effectiveness of teaching by feedback from patient/ family and documents same. Performs related duties as required. All responsibilities noted here are considered essential functions of the job under the Americans with Disabilities Act. Duties not mentioned here, but considered related are not essential functions. Job Qualification Graduate from an accredited School of Nursing. Bachelor’s Degree in Nursing, preferred. Must be enrolled in an accredited BSN program within two (2) years and obtain a BSN Degree within five (5) years of job entry date. Current License to practice as a Registered Professional Nurse in New York State required, plus specialized certifications as needed. Endocrinology term experience preferred 1-2 years of inpatient/outpatient experience preferred Additional Salary Detail The salary range and/or hourly rate listed is a good faith determination of potential base compensation that may be offered to a successful applicant for this position at the time of this job advertisement and may be modified in the future.When determining a team member's base salary and/or rate, several factors may be considered as applicable (e.g., location, specialty, service line, years of relevant experience, education, credentials, negotiated contracts, budget and internal equity). 
$138,489 - $213,657 / year
How to Apply This is an Advanced Practice Professional (APP) job opening. Both qualified NP and PA applicants will be considered. PAs are directed to apply to job # 279374 and NPs are directed to apply to job # 279373 A total of two (2), 0.9375 FTE, Advanced Practice Professional (either NP or PA) will be hired to fill this job opening. Mission Statement Michigan Medicine improves the health of patients, populations and communities through excellence in education, patient care, community service, research and technology development, and through leadership activities in Michigan, nationally and internationally. Our mission is guided by our Strategic Principles and has three critical components; patient care, education and research that together enhance our contribution to society. Responsibilities* Position Summary The Structural Heart APP will provide expert clinical care to patients in both the Structural Heart clinic and Cardiac Procedure Unit (CPU). The APP will work collaboratively with attending physicians, nurses, procedural teams, and multidisciplinary colleagues to provide comprehensive, high-quality care across the continuum, including pre-procedure evaluation, intra-procedure support, post-procedure management, patient education, and care coordination. The APP may also participate in educational activities for healthcare professionals, quality improvement initiatives, and research-related activities. Responsibilities The Structural Heart APP will: Evaluate, diagnose, and treat patients with complex cardiovascular and structural heart conditions in outpatient clinic, inpatient consult, and procedural settings. Perform comprehensive patient assessments, including history and physical examinations, diagnostic review, and development of treatment plans. Assist with inpatient consults related to Structural Heart patients and procedures. Order, interpret, and manage laboratory studies, imaging, medications, and other diagnostic or therapeutic interventions as appropriate. Assess patient suitability for Structural Heart and cardiovascular procedures and assist with pre-procedure optimization. Obtain and document informed consent for procedures as appropriate and within scope of practice. Coordinate and manage patient care plans in collaboration with attending physicians, procedural teams, nursing, anesthesia, PACU, and multidisciplinary colleagues. Participate in Structural Heart and Cardiac Procedure Unit care, including pre-procedure, intra-procedure, and post-procedure management. Assist with procedural care as appropriate, including right and left heart catheterizations, coronary angiography, structural heart procedures, transcatheter valve procedures, PFO/ASD closures, mechanical circulatory support, and other advanced cardiovascular interventions under physician direction. Assist during Structural Heart procedures as needed. Assist in float of Pacemaker (temp) Place internal jugular lines and/or assist with vascular access as appropriate based on training, privileging, and institutional guidelines. Participate in procedural safety processes, including mini time-outs and required verification steps. Assist with sedation management in accordance with institutional policies, scope of practice, and procedural needs. Complete procedure notes, reports, post-procedure notes, and other required documentation accurately and in a timely manner. Provide patient hand-off to PACU or appropriate recovery/unit teams following procedures. Manage acute and chronic cardiovascular conditions, including coronary artery disease, heart failure, valvular disease, atrial and ventricular arrhythmias, peripheral vascular disease, and other related conditions. Assist in triage and management of post-procedure complications, concerns, and follow-up needs. Support discharge planning and provide patient/family education regarding diagnosis, treatment options, procedures, medications, recovery, restrictions, follow-up, and ongoing care needs. Provide timely communication with patients, families, referring providers, and internal/external care teams. Collaborate with nursing, advanced practice providers, physicians, and other healthcare professionals to ensure safe transitions of care. Maintain complete, accurate, and timely documentation in the medical record. Participate in quality improvement, process improvement, and program development activities. Support development and maintenance of clinical protocols, procedures, and standards of care. Participate in educational activities and support clinical learning for staff, trainees, and colleagues. Participate in research projects or studies in collaboration with faculty and staff as appropriate. Maintain compliance with Joint Commission standards and all institutional, regulatory, and professional requirements. Required Qualifications* Np Current licensure to practice as a Registered Nurse and Nurse Practitioner specialty certification in the State of Michigan. Current specialty certification to practice as an Adult-Gerontology Acute Care Nurse Practitioner or Acute Care Nurse Practitioner. Graduate of an accredited Nurse Practitioner program. Certification as a Nurse Practitioner recognized by the National Council of State Boards of Nursing (NCSBN). Current DEA registration required Current AHA BLS certification Current AHA ACLS certification Pa Successful completion of a Physician Assistant program accredited by Accreditation Review Commission on Education for the Physician Assistant or one of its predecessor agencies. Certification by the National Commission on Certification for Physician Assistants. Current license to practice as a Physician Assistant in the State of Michigan. State of Michigan Controlled Substance License Required Current DEA registration required Current AHA BLS certification Current AHA ACLS certification Note Employment is contingent upon successful completion of the credentialing and privileging process. In order to be considered for this position the applicant must have met or will have met all the required qualifications prior to the start date of employment. RESUME REQUIRED (for Both Internal & External Applicants) You must attach a complete and accurate resume with month and year at previous positions to be fully considered for this position. Desired Qualifications* One or more years of full-time APP experience. Experience managing complex cardiology patients, including patients with heart failure, coronary artery disease, valvular disease, arrhythmias, peripheral vascular disease, and other advanced cardiovascular conditions. Five or more years of clinical experience in a cardiac ICU, catheterization lab, cardiac step-down unit, or comparable cardiovascular setting. Experience in a first-assist or procedural role, including assisting with vascular access, procedural preparation, intra-procedure support, and interpretation of coronary angiography or complex coronary anatomy. Demonstrated knowledge of adult cardiac physiology, particularly ECG and right-heart catheterization hemodynamic interpretation. Demonstrated motivation and dedication to problem-solving and decision-making. Strong analytical skills with the ability to prioritize assignments and manage a busy clinical environment. Excellent computer skills, including documentation and order entry. Patient- and family-centered communication style. Demonstrated ability to coordinate and manage complex patient care in collaboration with multidisciplinary teams. Experience advancing the education and clinical development of others through prior clinical instructional roles. Physical Requirements Requires moderate physical effort, including lifting, pushing, and pulling up to 15 pounds or more, and standing for prolonged periods. Why Join Michigan Medicine? Michigan Medicine is one of the largest health care complexes in the world and has been the site of many groundbreaking medical and technological advancements since the opening of the U-M Medical School in 1850. Michigan Medicine is comprised of over 30,000 employees and our vision is to attract, inspire, and develop outstanding people in medicine, sciences, and healthcare to become one of the world?s most distinguished academic health systems. In some way, great or small, every person here helps to advance this world-class institution. Work at Michigan Medicine and become a victor for the greater good. Michigan Medicine offers a competitive salary with excellent benefits! Salary range: $138,489 - $213,657 / year What benefits can you look forward to? Flexible Health, Dental, and Vision Plans Retirement Savings Plans with 2:1 Matching Group Term Life Insurance Long Term Disability Plan Generous Time Off Allowances $2200 Annual Professional Development Funds (0.5 FTE Appointment or above) Paid Release Time for Professional Education Activities Paid Maternity and Parental Leave Tuition Support Progam Wellness Plans Work/Life Resources Nursing Specific Info Employment is contingent upon successful completion of the credentialing and privileging process. Nursing Specific Info Required qualifications must be met by the candidate in order to be interviewed and considered for the position. Applicants who have left the UMPNC bargaining unit must include on their resume dates of past employment including months and years of service along with effort. Positions less than 20 hours/week may be combined. If you have questions regarding this posting or would like assistance with nursing opportunities please contact Nurse Recruitment at (734) 936-5183. Modes of Work Positions that are eligible for hybrid or mobile/remote work mode are at the discretion of the hiring department. Work agreements are reviewed annually at a minimum and are subject to change at any time, and for any reason, throughout the course of employment. Learn more about the work modes. Work Schedule Appointment: 37.5 hours per week, 12.5-hour shifts Shift/Hours: Must be flexible with hours based on clinical and procedural needs. Location: Cardiovascular Center Additional Information The U-M Cardiovascular Center is committed to advancing medicine and serving humanity through living and teaching our core values of Respect and Compassion, Collaboration, Innovation, and Commitment to Excellence. Each Cardiovascular Center employee is expected to demonstrate these values in every interaction and contribute to a positive, inclusive, and respectful work environment. Union Affiliation This position is covered under the collective bargaining agreement between the U-M and the Michigan Nurses Association and the U-M Professional Nurse Council union, which contains and settles all matters with respect to wages, benefits, hours and other terms and conditions of employment. Background Screening Michigan Medicine conducts background screening and pre-employment drug testing on job candidates upon acceptance of a contingent job offer and may use a third party administrator to conduct background screenings. Background screenings are performed in compliance with the Fair Credit Report Act. Pre-employment drug testing applies to all selected candidates, including new or additional faculty and staff appointments, as well as transfers from other U-M campuses. Contact Information If you have questions regarding this posting or would like assistance with Advanced Practice Nursing opportunities please contact Nurse and Physician Assistant Recruitment at (734) 936-5183 or e-mail [email protected]. For a current listing of all open APRN job opportunities at Michigan Medicine, please visit www.UMnursing.org. Application Deadline Job openings are posted for a minimum of seven calendar days. This job may be removed from posting boards and filled anytime after the minimum posting period has ended. U-M EEO Statement The University of Michigan is an Equal Opportunity Employer. We are committed to providing an environment of mutual respect where equal employment opportunities are available to all applicants, including protected veterans and individuals with disabilities. 
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