jobs in Dowagiac, MI

Nursing Jobs in Dowagiac, MI

Advanced Practice Provider (APP) Physician Assistant / Nurse Practitioner – Orthopedic Walk-In Clinic / Urgent Care - South Bend Orthopaedics

$90,000 - $120,000 / year

Overview Founded in 1947, South Bend Orthopaedics (SBO), a proud partner of OrthoAlliance, provides specialized care for musculoskeletal surgery, orthopedic rehabilitation and the treatment of sports and work-related injuries. SBO has served northern Indiana and southwest Michigan for decades and has been the orthopaedic surgeons for the University of Notre Dame Athletics Department since 1949. Services include joint replacement, sports medicine, upper and lower extremity surgery, pain management, imaging and physical and occupational therapy. With 20 physicians and a team of advanced practitioners, SBO delivers comprehensive orthopedic care across multiple locations. As part of OrthoAlliance – an organization within SCA Health – SBO is connected to a broader network dedicated to advancing patient care and expanding access to quality-driven orthopedic services. At SCA Health, we believe health care is about people – the patients we serve, the physicians we support and the teammates who push us forward. Behind every successful facility, procedure or innovation is a team of 15,000+ professionals working together, learning from each other and living out the mission, vision and values that define our organization. As part of Optum, SCA Health is redefining specialty care by developing more accessible, patient-centered practice solutions for a network of more than 370 ambulatory surgical centers, over 400 specialty physician practice clinics and numerous labs and surgical hospitals. Our work spans a broad spectrum of services, all designed to support physicians, health systems and employers in delivering efficient, value-based care to patients without compromising quality or autonomy. What sets SCA Health apart isn’t just what we do, it’s how we do it . Each decision we make is rooted in seven core values : Clinical quality Integrity Service excellence Teamwork Accountability Continuous improvement Inclusion Our values aren’t empty words – they inform our attitudes, actions and culture. At SCA Health, your work directly impacts patients, physicians and communities. Here, you’ll find opportunities to build your career alongside a team that values your expertise, invests in your success, and shares a common mission to care for patients, serve physicians and improve health care in America. At SCA Health, we offer a comprehensive benefits package to support your health, well-being, and financial future. Our offerings include medical, dental, and vision coverage, 401k plan with company match, paid time off, life and disability insurance, and more. Please visit, https://careers.sca.health/why-sca, to learn more about our benefits. Your ideas should inspire change. If you join our team, they will . Responsibilities South Bend Orthopaedics is seeking a Full-Time Physician Assistant or Nurse Practitioner to join our Orthopedic Walk-In / Urgent Care Clinic. This is an exciting opportunity for a motivated APP to serve as a primary point of care for patients presenting with acute musculoskeletal injuries and conditions — without an appointment. In this fast-paced, rewarding role, the APP will independently evaluate and manage a broad range of orthopedic urgent care needs, from fractures and dislocations to sprains, lacerations, and overuse injuries. The ideal candidate thrives in a high-volume environment, makes confident clinical decisions, and is passionate about delivering timely, high-quality care to the community. This position offers consistent hours with no overnight call, making it an excellent work/life balance opportunity for experienced APPs seeking a dynamic clinical setting. Responsibilities Evaluate and treat patients presenting with acute orthopedic injuries and musculoskeletal complaints on a walk-in basis Obtain patient histories, perform focused physical examinations, and formulate differential diagnoses Order, perform, and interpret diagnostic imaging including X-rays and MRI Apply and manage casts, splints, and braces for fractures and acute injuries Perform joint aspirations, injections, and wound care including laceration repair Develop and implement individualized treatment plans for acute and sub-acute orthopedic conditions Triage patients appropriately, referring to SBO physicians or surgeons when operative or specialized intervention is indicated Coordinate follow-up care and communicate effectively with patients, families, and referring providers Maintain accurate, timely documentation using the electronic medical record (EMR) system Collaborate with the broader SBO clinical team to ensure continuity of care Qualifications Graduate of an accredited Physician Assistant or Advanced Practice Registered Nurse program Current national certification (NCCPA for PA; ANCC, NPCC, or AANP for NP) Active Indiana license with no restrictions Controlled substance license and DEA registration Certification in Basic Life Support (BLS) and Advanced Cardiovascular Life Support (ACLS) Ability to work independently in a high-volume, fast-paced clinical environment Strong clinical decision-making skills and comfort managing a broad scope of acute orthopedic presentations Orthopedic or urgent care experience preferred but not required Proficiency with electronic medical records (EMR) USD $90,000.00/Yr. USD $120,000.00/Yr.

3 weeks ago

Registered Nurse Night Shift

Ernest Health Mishawaka, IN

Overview Registered Nurse - Full Time - Nights - Mishawaka, Indiana We have a great opportunity for a Registered Nurse in Mishawaka, Indiana. Join our world-class team of driven, passionate healthcare professionals who are focused on service excellence and providing top quality care! At Rehabilitation Hospital of Northern Indiana we strive to attract, retain, develop, and empower our employees, supporting them in their professional growth with career advancement opportunities and a path to success within our organization. At Rehabilitation Hospital of Northern Indiana , we are passionate about patient care! We provide specialized inpatient and outpatient rehabilitative services to our patients who are often recovering from disabilities caused by injuries, illnesses, or chronic medical conditions. At our 40-bed hospital, we provide specialized treatment in the Northern Indiana. We see patients who often are recovering from disabilities caused by injuries, illnesses, or chronic medical conditions. As a participating hospital of Ernest Health, we offer robust recognition, wellness, and retention programs. These programs focus to enhance the employees’ work experience, recognize, and celebrate achievements. We also encourage employees to share their work experience through “My Ernest Journey” and through our Engagement Survey, where our approach is “You Spoke, We Listened”. These platforms provide additional avenues for employees to give feedback about their work experience and share what is important to them. Our hospital offers comprehensive benefits, designed to support your health and financial well-being. Benefits: PPO and High Deductible Medical Plan options Flexible and Health Saving account options available Dental and Vision coverage 401K with employer matching Life insurance Short-and-long term disability Competitive compensation and shift differentials. CRRN/CCRN pay! Wellness & Work Life balance: Employee Assistance Program Wellness Program with quarterly wellness challenges with participation incentives. Earned Time Off - Start accruing vacation time on start date. Professional Growth: Clinical Career Ladder bonus program Nursing Preceptor bonus program House Supervisor Training What you bring: A passion for providing patient care, strong clinical skills, and a strong collaborator with Physicians and Therapists. Degree from an accredited Nursing Program. Current State Registered Nurse License. Current CPR Qualifications Required Skills: Successful completion of accredited Registered Nursing program required. Bachelor of Science in Nursing degree preferred. Current state license as a Registered Nurse required. Current CPR Certification required. One (1) year recent experience preferred. Acute care setting preferred. ACLS certification preferred in LTACH and Texas hospitals. Additional Qualifications/Skills: Knowledge of and adherence to current nursing theory and practice, infection control, and wound care standards of practice. Knowledge of accreditation standards to ensure adherence to all standards set forth by state and accrediting agencies of TJC and CMS. Knowledge of clinical operations and procedures, and utilizes proper policies, procedures, and guidelines in caring for patients. Demonstrates critical thinking skills. Demonstrates general computer skills including: data entry, word processing, email, and record management. Effective organizational and time management skills. Effective written and verbal communication skills. Ability to maintain proper levels of confidentiality. Ability to work closely and professionally with others. Ability to maintain quality, safety, and/or infection control standards. Responsibilities The Registered Nurse provides professional nursing care to patients within assigned unit. The role is also responsible for patient assessments, planning, supervising, interventions, and evaluations designed to prevent complications of physical disability, restore optimal functioning, and help the patient adapt to an altered life style. Integrates the hospital’s mission and “Guiding Principles” into daily practice.

Medical Assistant Walk In Clinic

Corewell Health St. Joseph, MI

Job Summary Under the direction of a licensed professional, the Medical Assistant performs and oversees functions within scope of practice related to the clinical activities, including but not limited to: maintaining patient flow by assisting and promoting the delivery of health care, performs technical procedures and clinically-oriented activities. The Medical Assistant will assist management in achieving office efficiencies in accordance with stated policies/procedures to ensure efficient operations with a focus on supporting physicians, clinic staff and management, which embodies the "Service First" philosophy to promote customer satisfaction. Essential Functions Facilitates efficient and effective patient flow including preparing the patient for the visit/admission and providing specific services and education as determined by the providers in accordance with scope of practice. Performs necessary administrative duties to ensure all information is current and updated. Includes maintenance and monitoring of electronic health record. Maintains and cleans environment, work area, equipment and communicates any equipment malfunctions to appropriate department/unit personnel. Greets and communicates with patients and families in a manner consistent with care and respect. Communicates, collaborates and anticipates the needs of the other members of the health care team in order to ensure continuity and quality of care and coordination of services. Collects, monitors and reports patient data/needs to licensed team members as directed. Follows documentation standards. Demonstrates high standard of moral and ethical behavior. Commits to continuous improvement of patient experience, which includes patient safety, quality of care and excellent service. Advocates for privacy, confidentiality and security of patient, staff and organizational data. Adheres to the organization’s published values, standards and policies. Engages in continuous study of the entire professional field, including best practices, to maintain the professional competence, knowledge and skills necessary for the satisfactory performance of all assigned responsibilities. Completes required continuous training and education, including department specific requirements. Assists providers with examinations, procedures and/or treatments by preparing patient and ensuring appropriate supplies/equipment are readily available. Prepares, administers and documents medications that are within scope of practice and directed by the provider. Qualifications Required High School Diploma or equivalent Successful completion of an accredited, hands-on competency-based Medical Assistant training program. Online-only programs do not qualify. CRT-Medical Assistant, Certified (CMA) - AAMA American Association of Medical Assistants 120 Days Or CRT-Medical Assistant, Certified (CCMA) - NHA National Health career Association 120 Days Or CRT-Medical Assistant, Certified (NCMA) - NCCT National Center for Competency Testing 120 Days Or CRT-Medical Assistant, Certified (NRCMA) - NAHP National Association for Health Professionals 120 Days Or CRT-Medical Assistant, Registered (RMA) - AMT American Medical Technologists 120 Days CRT-Basic Life Support (BLS) - AHA American Heart Association 90 Days Or CRT-Basic Life Support (BLS) - ARC American Red Cross 90 Days Preferred 1 year of relevant experience Working in a physician practice or healthcare setting How Corewell Health cares for you Comprehensive benefits package to meet your financial, health, and work/life balance goals. Learn more here . On-demand pay program powered by Payactiv Discounts directory with deals on the things that matter to you, like restaurants, phone plans, spas, and more! Optional identity theft protection, home and auto insurance Traditional and Roth retirement options with service contribution and match savings Eligibility for benefits is determined by employment type and status Primary Location SITE - Care Center Royalton - 3900 Hollywood Rd - St Joseph Department Name Urgent Care Royalton - Medical Group South Employment Type Full time Shift Day (United States of America) Weekly Scheduled Hours 40 Hours of Work 8 a.m. to 8 p.m. Days Worked Variable days Weekend Frequency Variable weekends CURRENT COREWELL HEALTH TEAM MEMBERS – Please apply through Find Jobs from your Workday team member account. This career site is for Non-Corewell Health team members only. Corewell Health is committed to providing a safe environment for our team members, patients, visitors, and community. We require a drug-free workplace and require team members to comply with the MMR, Varicella, Tdap, and Influenza vaccine requirement if in an on-site or hybrid workplace category. We are committed to supporting prospective team members who require reasonable accommodations to participate in the job application process, to perform the essential functions of a job, or to enjoy equal benefits and privileges of employment due to a disability, pregnancy, or sincerely held religious belief. Corewell Health grants equal employment opportunity to all qualified persons without regard to race, color, national origin, sex, disability, age, religion, genetic information, marital status, height, weight, gender, pregnancy, sexual orientation, gender identity or expression, veteran status, or any other legally protected category. An interconnected, collaborative culture where all are encouraged to bring their whole selves to work, is vital to the health of our organization. As a health system, we advocate for equity as we care for our patients, our communities, and each other. From workshops that develop cultural intelligence, to our inclusion resource groups for people to find community and empowerment at work, we are dedicated to ongoing resources that advance our values of diversity, equity, and inclusion in all that we do. We invite those that share in our commitment to join our team. You may request assistance in completing the application process by calling 616.486.7447.

Hospice

Full-time

3 weeks ago

Hospice Registered Nurse

Gentiva Mishawaka, IN

Overview Lead with Heart. Be the Difference. Transform End-of-Life Care. Join our company, where every day is an opportunity to deliver personalized, meaningful hospice and palliative care to patients facing life-limiting illness. We support patients and their families with dignity, comfort, and love. What You'll Do as a Hospice RN / RN Case Manager: Be the primary point of contact for patients and families, guiding them through every step of their hospice journey. Deliver and document skilled, hands-on nursing care based on each patient’s individualized Plan of Care—in their home, assisted living, or wherever they call home. Perform initial and ongoing assessments to monitor patient condition and adjust care as needed. Collaborate with an interdisciplinary team—including physicians, LPNs, CNAs, social workers, chaplains, and others—to build and refine personalized care plans. Provide emotional, physical, and spiritual support not just to the patient, but to their loved ones as well—offering education, comfort, and bereavement guidance. Teach caregivers how to care for their loved one safely and confidently, offering both practical training and emotional reassurance. Communicate important updates in patient condition to the care team, ensuring timely and appropriate interventions. Maintain accurate, up-to-date clinical documentation and follow infection control and compliance standards. Support the organization's quality improvement and scheduling initiatives to ensure care is consistent, compassionate, and efficient. Help patients and families understand and navigate topics such as: Medication administration Hospice philosophy and services Symptom and pain management End-of-life processes and expectations Essential Functions Job Responsibilities Perform comprehensive patient assessments and reassessments including in-person/telephonic RN assessments/screenings and provide education to patients, family members and caregivers as appropriate. Deliver skilled nursing interventions and symptom management aligned with goals of care. Develop and update individualized plans of care including patient visit frequency to meet individual needs and risk identification. Coordinate care across interdisciplinary teams including consultation with physicians and nurse partitioners. Provide patient and caregiver education regarding disease process, self-care techniques, end-of-life care, medications, nutrition and dietary needs. Communicate change in condition, or signs and symptoms of decline to appropriate provider (e.g., NP, PCP, Hospice Physician). Support the continuity of care by recognizing and supporting home health, palliative and hospice referrals as appropriate and recognizing and supporting transitions in levels of care. Document timely clinical records on all patients including screening/assessment findings, physician orders, progress notes, and care plans. Maintain effective working relationships with IDG, and involve team when patient's care plan warrants team participation to achieve desired outcome. Participate in on-call and patient support activities as applicable, conducting on-call services in a clinically competent and responsive manner. Core Competencies Clinical excellence and sound judgment Patient-centered communication and empathy Interdisciplinary collaboration Accountability and regulatory compliance Adaptability and critical thinking Timeliness of patient visits and documentation Accuracy and completeness of clinical records Patient and caregiver satisfaction Compliance with regulatory and policy standards Participation in team collaboration and IDG activities About You To perform this job successfully, an individual must be able to perform each essential duty satisfactorily. The requirements listed below are representative of the knowledge, skill, and/or ability required. Education: Registered Nurse Experience: A minimum of one (1) year experience as an RN, either in acute care hospital, oncology, long-term care, hospice or home health. School internships and clinical hours may be considered as experience in individual cases. Hospice or palliative care experience preferred Licenses, Certifications and/or Registration: Current license to practice nursing in the state of requested employment CPR Certification Current automobile insurance and valid driver’s license Specialized Knowledge and Skills: Knowledge of terminally ill patients and their families along with understanding of hospice; ability to apply knowledge of the special needs of hospice patient and families; knowledge of roles of all disciplines providing hospice services; excellent patient assessment skills; knowledge of community resources; good oral and written communication skills; documentation and program management; knowledge of general nursing practice; thorough knowledge of managed care principles, regulatory guidelines (i.e., Medicare, Medicaid, ACHC, and human resource management principles). Working Conditions: Patient’s homes and/or institutional setting and automobile. Potential exposure to infections, communicable diseases, odors, blood, excreta and hazardous materials. Personal Traits, Qualities and Aptitudes: Sensitivity to the impact of life and death issues faced by individuals with terminal illness; tact in dealing with these patients and their families; ability to support others at a time of crisis. Must be able to demonstrate flexibility by performing a variety of tasks, often changing from one to another of a different nature without loss of efficiency or composure. Communicate effectively with people of all socioeconomic backgrounds. Responsible functioning in the work place, maturity, cooperation, flexibility, tact in dealing with co-workers and all members of the hospice team. Equipment/Tools/Work-Aids: Must be able to effectively operate nursing assessment tools, computers, facsimile equipment, copier and cell phone/beeper. Must have and maintain transportation to be used for work. We Offer Benefits for All Associates (Full-Time, Part-Time & Per Diem): Competitive Pay 401(k) with Company Match Career Advancement Opportunities National & Local Recognition Programs Teammate Assistance Fund Additional Full-Time Benefits: Medical, Dental, Vision Insurance Mileage Reimbursement or Fleet Vehicle Program Generous Paid Time Off + 7 Paid Holidays Wellness Programs (Telemedicine, Diabetes Management, Joint & Spine Concierge Care) Education Support & Tuition Assistance (ASN to BSN, BSN to MSN) Free Continuing Education Units (CEUs) Company-paid Life & Long-Term Disability Insurance Voluntary Benefits (Pet, Critical Illness, Accident, LTC) Ready to Join a Team That Cares? Apply now to become part of our Hospice Nursing team and help make every moment count for our patients and their loved ones. Legalese This is a safety-sensitive position Employee must meet minimum requirements to be eligible for benefits Where applicable, employee must meet state specific requirements We are proud to be an EEO employer We maintain a drug-free workplace ReqID: 2026-136718 Category: Registered Nurses Position Type: Full-Time Company: Heartland Hospice

CNA

3 weeks ago

Certified Nursing Assistant CNA

Brookdale Senior Living Granger, IN

Recognized by Newsweek in 2024 and 2025 as one of America's Greatest Workplaces for Diversity Grow your career with Brookdale! Our CNA’s have the option to explore exciting opportunities for advancement in positions such as Medication Technicians (QMAP), Home Care Aides and Nurses. Make Lives Better Including Your Own. If you want to work in an environment where you can become your best possible self, join us! You’ll earn more than a paycheck; you can find opportunities to grow your career through professional development, as well as ongoing programs catered to your overall health and wellness. Full suite of health insurance, life insurance and retirement plans are available and vary by employment status. Part and Full Time Benefits Eligibility Medical, Dental, Vision insurance 401(k) Associate assistance program Employee discounts Referral program Early access to earned wages for hourly associates (outside of CA) Optional voluntary benefits including ID theft protection and pet insurance Full Time Only Benefits Eligibility Paid Time Off Paid holidays Company provided life insurance Adoption benefit Disability (short and long term) Flexible Spending Accounts Health Savings Account Optional life and dependent life insurance Optional voluntary benefits including accident, critical illness and hospital indemnity Insurance, and legal plan Tuition reimbursement Base pay in range will be determined by applicant’s skills and experience. Temporary associates are not benefits eligible but may participate in the company’s 401(k) program. Veterans, transitioning active duty military personnel, and military spouses are encouraged to apply. To support our associates in their journey to become a U.S. citizen, Brookdale offers to advance fees for naturalization (Form N-400) application costs, up to $725, less applicable taxes and withholding, for qualified associates who have been with us for at least a year. The application window is anticipated to close within 30 days of the date of the posting. Our Certified Nursing Assistant – CNA (State Tested Nursing Assistant-STNA in Ohio) work with community management to provide seniors with personalized care, and give resident status updates at the beginning and end of each shift. Nursing assistants check in with residents, assist with dining and personal care needs, and perform vital sign checks and clinical procedures according to community policy. Provide assistance with activities of daily living (showers, bathroom assistance, dressing/grooming) Successful completion of State CNA/STNA course is required. Must maintain certification. Brookdale is an equal opportunity employer and a drug-free workplace.

LPN

3 weeks ago

LPN or LVN

Brookdale Senior Living Granger, IN

Recognized by Newsweek in 2024 and 2025 as one of America's Greatest Workplaces for Diversity Make Lives Better Including Your Own. If you want to work in an environment where you can become your best possible self, join us! You’ll earn more than a paycheck; you can find opportunities to grow your career through professional development, as well as ongoing programs catered to your overall health and wellness. Full suite of health insurance, life insurance and retirement plans are available and vary by employment status. Part and Full Time Benefits Eligibility Medical, Dental, Vision insurance 401(k) Associate assistance program Employee discounts Referral program Early access to earned wages for hourly associates (outside of CA) Optional voluntary benefits including ID theft protection and pet insurance Full Time Only Benefits Eligibility Paid Time Off Paid holidays Company provided life insurance Adoption benefit Disability (short and long term) Flexible Spending Accounts Health Savings Account Optional life and dependent life insurance Optional voluntary benefits including accident, critical illness and hospital indemnity Insurance, and legal plan Tuition reimbursement Base pay in range will be determined by applicant’s skills and experience. Temporary associates are not benefits eligible but may participate in the company’s 401(k) program. Veterans, transitioning active duty military personnel, and military spouses are encouraged to apply. To support our associates in their journey to become a U.S. citizen, Brookdale offers to advance fees for naturalization (Form N-400) application costs, up to $725, less applicable taxes and withholding, for qualified associates who have been with us for at least a year. The application window is anticipated to close within 30 days of the date of the posting. Assist in maintaining a physical, social and psychological environment in the best interest of residents. Monitor care of residents according to treatment plans prescribed by a physician as well as documenting responses to care plans. Nurses also administer medications, ensure cleanliness and security of medicine supply room and adhere to company systems, procedures and processes. LPN or LVN License Required per state regulations. Brookdale is an equal opportunity employer and a drug-free workplace.

Full-time

3 weeks ago

Night Registered Nurse RN 10K Sign on Bonus

Majestic Care of South Bend South Bend, IN

Night Registered Nurse, RN with $5,000 Sign on Bonus Hours: 6:00PM-6:30AM Shift Differential: $2 Majestic Care of South Bend is looking for Registered Nurses to join our team's mission and believe in our core values! Our mission: Through the hearts of our Care Team Members, we provide excellent healthcare to those we serve. Our Core Values... L - Listening E - Empathy A - Accountability D - Decisiveness This is how we create a culture to LEAD with Love. Position Overview: Majestic Care RNs render skilled technical nursing services to residents within an assigned unit/wing in support of medical care as directed by the nursing management team; supervises CNAs to ensure a high quality of care is provided to all residents in that unit. Key Responsibilities: Initiate and lead team conferences in development of individualized nursing care plans. Assess and document the residents’ condition and nursing needs. Accurately and promptly implement physicians’ orders. Administer medications, start IVs, and perform treatments for assigned residents and document that treatment as required by Majestic Care and local, state, and federal rules and regulations. Participate in orientation and in-service training for personnel. Assist physicians with special tests and procedures within the scope of state specified Nursing Practice Act. Report and record pertinent observations and reactions regarding residents. Coordinate nursing care of residents when scheduled for therapy or procedures by other departments. Assist with or institute emergency measures for sudden adverse developments in residents. Qualifications: Graduate of accredited school of nursing. Licensed as an RN in the state employed; license must be active, valid, and in good standing. Valid CPR teaching certificate preferred but not required. Majestic Difference Benefits: Quarterly Pay Increase Daily Pay Company-Paid Life Insurance Telehealth Services Double Pay on Holiday Care Team Member Relief Fund Shift Differential Join the Majestic Care team where compassion meets excellence! #HiMed

Part-time

3 weeks ago

Registered Nurse ( RN ) - Emergency Department ( ED ) - Bronson Lakeview Hospital - Part-time 8 Mids ( e/o weekend)

MountainStar Healthcare Paw Paw, MI

CURRENT BRONSON EMPLOYEES - Please apply using the career worklet in Workday. This career site is for external applicants only. Love Where You Work! Team Bronson is compassionate, resilient and strong. We are driven by Positivity which inspires us to be our best and to go above and beyond for our patients, for one another, and for our community. If you’re ready for a rewarding new career, join Team Bronson and be part of the experience. Location BLH Bronson LakeView Hospital Title Registered Nurse ( RN ) - Emergency Department ( ED ) - Bronson Lakeview Hospital - Part-time 8 Mids ( e/o weekend) Under general supervision and in accordance with the policies, procedures and guidelines established within the organization, the unit, and the Michigan Public Health Code, the registered nurse manages the care delivery for patients in the organization throughout the length of stay to achieve quality outcomes and timely discharge by the following: utilizing the nursing process of assessment, planning, diagnosing, implementation and evaluation; coordinating the care provided by other professionals; delegating selected acts, tasks or functions that fall within the scope of professional nursing practice and the abilities of patient care assistants and universal service assistants; providing selected aspects of physical care within the scope of professional nursing practice as appropriate given the patient's level of acuity and complexity of care required; and documenting and communicating during each tour of duty the patient's response to care provided, consumption of resources and anticipated needs. Employees providing direct patient care must demonstrate competencies specific to the population served. Associate's degree in Nursing required Bachelor's degree in Nursing preferred, must obtain within 8 years of hire Licensed Registered Nurse in good standing for the state of Michigan As of December 29, 2013, any nurse hired by Bronson who does not hold a BSN (or higher nursing degree) will be given 8 years from date of hire date to obtain. If, after 8 years, the nurse has not met this requirement, employment will be terminated. BLS certification required by completion of core orientation Critical care or ALS as well as other certifications may be required for some RNs, unit specific Bronson LakeView Specific - Effective July 1, 2017 all new hires are expected to successfully obtain their BSN within 8 years of hire date. Bronson LakeView Specific : Emergency Department: SALT triage, ESI Triage, and NIH Stroke Scale to be completed within 90 days of hire date. Advanced Cardiac Life Support, Pediatric Advanced Life Support, and Trauma Nursing Core Course (TNCC only required for FT and part -time nurses) within 6 months of hire date. Special Care Unit: All nurses in department will need to have Pediatric Advance Life Support certification within 6 months of hire. Current driver's license in the state of Michigan and proof of insurance required for BAH • Ability to read, interpret, and analyze data from various computer systems and equipment in order to set an appropriate plan of action • Must be able to constantly communicate both verbally, in writing and electronically Work which produces high levels of mental/visual fatigue, e.g., interactive and repetitive or small detailed work requiring alertness and concentration for sustained periods of time, the operation of and full attention to a personal computer or CRT between 40 and 70 percent of the time. Involves regularly lifting of bulky or moderately heavy weights (i.e., up to 50 pounds), and occasionally assisting with heavier tasks or expending the equivalent effort in pushing, pulling, or otherwise handling material, equipment, and other objects. Standards of Practice: • The registered nurse collects comprehensive data pertinent to the patients’ health or the situation. o Assesses the patient’s physical and developmental needs o Analyzes assessment data to identify appropriate patient needs o Documents nursing history and age appropriate physical/emotional needs/strengths for assigned patients o Reviews vital signs to assess condition of patient and detect deviations from normal. • The registered nurse analyzes the assessment data to determine patient problems or issues o Uses the assessment data to identify patient problems o Confirms problems with patient and family when appropriate o Documents the expected outcomes and plan of care related to the problems through use of the clinical pathway and outcome teaching record • The registered nurse identified expected outcomes for a plan individualized to the patient o Utilizes the patient/family input when defining outcomes. Incorporates the patient values, ethical and cultural considerations. o Coordinates discharge planning for outcomes not achieved utilizing the continuum of care available. • The registered nurse develops a plan that prescribes interventions to attain expected outcomes. o Incorporates clinical pathways into the plan when appropriate o Develops individualized interventions with patient input when appropriate o Considers data from other members of the healthcare team when developing the plan of care • The registered nurse implements the identified plan. o Implements appropriate interventions. o Administers prescribed medication and treatment in accordance with approved nursing techniques and polices. o Utilizes evidence-based interventions specific to the patients plan o Maintains awareness of comfort and safety needs of the patient. o Initiates a patient education plan according to the individualized needs of the patient, and coordinates the implementation of the plan. o Manages the care plan for patients by organizing and delegation patient care interventions to be implemented. Evaluates the effectiveness of care given by self and others. • The registered nurse evaluates progress toward attainment of the expected outcomes o Evaluates the effectiveness of the planned interventions and the patient response toward achievement of the expected outcomes. o Documents the patient response toward the expected outcomes. Standards of Professional Performance: • The registered nurse systematically evaluates the quality and effectiveness of nursing practice. o Participates in quality improvement activities o Uses the results of quality improvement activities to initiate changes in nursing practice. • The registered nurse attains knowledge and competency that reflects current nursing practice. o Participates in ongoing educational activities related to appropriate knowledge and professional issues. o Maintains professional records that provide evidence of competency and continued ongoing educational activities. • The registered nurse evaluates one’s own nursing practice in relation to professional practice standards and guidelines, relevant statues, rules and regulations. o Provides age appropriate care in a culturally and ethnically sensitive manner. o Participates in self-evaluation, identifying areas of strengths as well as areas benefiting from professional development. o Participates in systematic peer review as appropriate. • The registered nurse interacts with and contributes to the professional development of peers and colleagues. o Shares knowledge and skills with peers and colleagues o Maintains compassionate and caring relationships with peers and colleagues o Contributes to a supportive and healthy work environment. • The registered nurse collaborates with patient, family, and others in the conduct of nursing practice. o Partners with the multiple health disciplines to effect change and generate positive outcomes for the patient and family, based on the plan of care. • The registered nurse integrates ethical provisions in all areas of practice. o Delivers care in a manner that preserves and protects patient autonomy, dignity, confidentiality and rights. o Demonstrates a commitment to connecting with self and others through relationship centered care giving. o Serves as a patient advocate • The registered nurse integrates research finding into practice. o Uses research to improve the health of patients and the practice environment. o Participates in the various levels of research based on their level of education. Such activities may include: identifying clinical problems, participating in data collection, participating in the research committee, sharing research activities/finding with others, conducting research, analyzing data and trends of nursing practice to develop changes in nursing practice and utilizes evidence based practice in the development of policies, procedures and standards of practice in patient care. • The registered nurse considers factors related to safety, effectiveness, cost and impact on practice in the planning and delivery of nursing services. o Assigns or delegates tasks based on the needs and condition of the patient, potential for harm, complexity of the nursing activity, required problem solving and innovation, predictability of outcome, extent of patient interaction o Assists the patient and family in becoming informed consumers about the options, costs, risks and benefits of treatments and care. • The registered nurse provides leadership in the professional practice setting and the profession. o Participated in nursing councils, hospital and unit based committees as appropriate. o Attends at least 50% of unit staff meetings o Works to create and maintain professional, healthy work environment when representing Bronson in all settings (local, regional or nationally) • Responsibilities related to the Scrub RN o Interprets procedure card, assesses case cart for supplies prior to the scheduled procedure time. Identifies missing equipment and/or supplies and makes arrangements to acquire those supplies. o Applies knowledge of operative procedure and physician preferences by anticipating physicians' needs. o Observant of overt changes in patient's condition that indicates a problem has emerged. o Evaluates and updates case information, i.e., preference cards, broken or misplaced equipment, back-ordered supplies, and recommended changes in procedure. o Remains aware of the proper use of equipment and instruments, and discourages improper use and handling by co-workers & physicians. o Is observant of the changing needs of the operative field and the surgical team, anticipates potential needs, and takes appropriate actions. o Acts as the specialist and resource for circulators who may be unfamiliar with positioning devices, specialty equipment, and/or implants needed. o Assigned and responsible for after-hour call on a rotational basis. o Ability to perform scrub duties in multiple services; ie: neuro and ortho STII able to perform spinal fusions in bother services. For HDU Department Only: Additional on call requirements above and beyond regular scheduled hours For Bronson Lakeview Hospital and Bronson South Haven Hospital: The RN is responsible for completing the Workday CBL –“Swing beds”. This is an annual CBL that describes the difference in a swing bed patient versus an in-patient or observation patient. The RN will understand the documentation differences and the specific care required for each individual swing bed patient. Bronson South Haven Hospital and Bronson Lakeview Hospital employees who are approved to work in a Swing Bed Facility only: Employees may be expected to cover shifts at Bronson Lakeview Hospital and/or Bronson South Haven Hospital depending on patient acuity and staffing needs. Shift Second Shift Time Type Part time Scheduled Weekly Hours 24 Cost Center 4300 Trauma Emergency Center (BLH) Agency Use Policy and Agency Submittal Disclaimer Bronson Healthcare Group and its affiliates (“Bronson”) strictly prohibit the acceptance of unsolicited resumes from individual recruiters or third-party recruiting agencies ("Recruiters") in response to job postings or word of mouth. Unsolicited resumes sent to any employee of Bronson by Recruiters, without both a valid written agreement with Bronson and a direct written request from the Bronson Talent Acquisition Department for a specific job position, will be considered the property of Bronson. Furthermore, no fees will be owed or paid to Recruiters who submit resumes for unsolicited candidates, even if those candidates are hired. This policy applies regardless of whether the Recruiter has a pre-existing agreement with Bronson. Only candidates submitted through a specific written agreement with the Bronson Talent Acquisition Department for a named position are eligible for fee consideration. Please take a moment to watch a brief video highlighting employment with Bronson!