Nursing Jobs in Hastings, NE

RN Full-time
Bryan Health

GIRMC Clinical Resource Nurse

Bryan Health Grand Island, NE
Summary GENERAL SUMMARY: Serves as a clinical resource for the patient care units, collaborates with nurse leaders, medical staff and nursing staff and provides expert clinical support to improve patient care and patient outcomes. Plans, directs, and coordinates new employee orientation, initial and ongoing competency skills assessment, development, and clinical knowledge growth for staff involved in clinical practice. Facilitates learning and development of critical thinking skills utilizing a variety of teaching methods. Ensures adherence to established clinical policies, protocols, regulations, and standards. PRINCIPAL JOB FUNCTIONS: 1. *Commits to the mission, vision, beliefs and consistently demonstrates our core values. 2. *Exemplifies a leadership role by modeling the mission, beliefs, and behaviors of the Medical Center; promotes and models highly effective interpersonal relationships. 3. *Assists in concurrent and retrospective resolution of patient, family, and/or physician concerns and complaints; collaborates with the Clinical Educator and Nurse Manager to ensure daily leader/patient rounding is completed for each patient. 4. *Provides regular presence on night shift in support of new staff and ongoing staff competence assessment and development. 5. May participate with the Nurse Manager/Assistant Nurse Manager of the unit in the process of interviewing and hiring of staff for the unit/area assigned; promotes the recognition and retention of staff. 6. *Ensures that existing policies and procedures are adhered to during daily interactions with staff. 7. *Assists and supports the Clinical Educator and Nurse Manager with communicating and implementing unit/area changes. Collaborates with manager to ensure continued maintenance of changes. 8. *Timely, objectively, and constructively coaches staff as appropriate when practice and/or safety issues are observed or reported; communicates with the Nurse Manager if a colleague fails to respond to proper guidance or adhere to standards expected for quality care; documents corrective actions and reviews with staff as appropriate. 9. *Maintains a high level of competency in direct patient care and demonstrates clinical proficiency in assigned area of nursing care by applying evidence-based practice in the clinical setting. 10. *Takes patient care assignments or charge role during volume or acuity changes or during increased staffing demand. 11. Appropriately uses, explains, and evaluates clinical equipment, the electronic medical record (EMR) and downtime documentation system. 12. *Facilitates learning, development of critical thinking skills and all facets of practice by assessing learning and developmental needs of nursing staff, preceptors and departmental personnel and developing effective learning strategies. 13. Demonstrates, teaches and evaluates critical thinking skills in all aspects of clinical practice. 14. Develops education and appropriate competencies based on evidence-based practice for population specific, condition-specific and treatment protocols including medication and equipment. 15. Models appropriate learning methodologies to promote mastery of competencies in assigned area of nursing care. 16. Facilitates the orientation schedule and training methods with the orientee, preceptor and manager including online orientation and monitors progress of orientee during formal orientation and through the completion of initial classes. 17. Tracks completion of mandatory training requirements for all staff. 18. Maintains or assists with competency files and records maintenance. 19. Collaborates with other departments/units and educators for effective use of education resources. 20. *Participates in performance and improvement projects in collaboration with other clinical staff and interdisciplinary teams including performance audits related to work responsibilities; evaluating safety practices; supporting the evaluation of new products and equipment; monitoring new research for best practice and promoting new practices and technology with staff and physicians. 21. Provides input into performance improvement opportunities and communicates performance/process outcomes to staff. 22. Utilizes the findings from quality improvement efforts (including HCAHPS/NRC and physician partnership survey scores) to enhance patient care, customer satisfaction (physicians and patients/families), and cost-effectiveness of services. 23. Assists with monitoring and editing of time and attendance software as needed. 24. Assists with staffing and scheduling, under direction of unit manager. 25. Maintains competence and education to function as charge nurse and preceptor, when necessary. 26. Maintains professional growth and development through seminars, workshops, and professional affiliations to keep abreast of latest trends in field of expertise. 27. Participates in meetings, committees and department projects as assigned. 28. Performs other related projects and duties as assigned. REQUIRED KNOWLEDGE, SKILLS AND ABILITIES: 1. Maintains clinical competency as required for the unit including but not limited to age-specific competencies relative to patient’s growth and developmental needs, annual skill competency verification and mandatory education and competencies. 2. Knowledge of service-related Joint Commission and Centers for Medicare and Medicaid Services Standards. 3. Knowledge of system and change management principles and their application within the healthcare environment. 4. Knowledge of computer equipment and software applications relevant to work functions. 5. Skill in the use of Electronic Medical Record, other clinical applications, and common organizational software. 6. Ability to apply adult learning principles and diverse teaching strategies. 7. Ability to communicate effectively both verbally and in writing. 8. Ability to prioritize work demands and work with minimal supervision. 9. Ability to appropriately work independently, take direction and collaborate with others. 10. Ability to establish and maintain effective working relationships with all levels of personnel, medical staff, volunteer and ancillary departments including diverse patient populations and community groups. 11. Ability to problem solve and engage independent critical thinking skills. 12. Ability to maintain confidentiality relevant to sensitive information. 13. Ability to maintain regular and punctual attendance. EDUCATION AND EXPERIENCE: Current Registered Nurse licensure from the State of Nebraska or approved compact state of residence as defined by the Nebraska Nurse Practice Act required. Bachelor of Science degree in Nursing required within three (3) years of hire, if not yet obtained. Must begin to pursue BSN immediately upon hire if not a current BSN. Charge/supervisory experience preferred. OTHER CREDENTIALS / CERTIFICATIONS: Basic Life Support (CPR) certification required. Bryan Health recognizes American Heart Association (for healthcare professionals), American Red Cross (for healthcare professionals) and the Military Training Network. Certification in specialty based on department requirements required within twelve (12) months of hire. May serve as an instructor for BLS, ACLS, and/or PALS/NRP based on business need and completion of the required instructor training.
RN Mother-Baby OR Pediatric Full-time
Mary Lanning Healthcare

Maternal Child RN (Labor Nurse)

Mary Lanning Healthcare Hastings, NE
Job Description: Seeking a talented RN to join our team in Labor & Delivery. This position works under general supervision while assessing, planning, implementing and evaluating the nursing care required to meet the needs of the patient. Job duties include (but not limited to): Performs complete patient assessments and communicates to the providers. Documents and maintains accurate nursing records. Functions as patient advocate between patient, physicians, other healthcare providers, administration, etc., as needed, and interacts professionally with patients and family members. Initiates diagnostic, preventative and rehabilitative nursing procedures as appropriate to the patient's care and safety. Administers medications to patients in accordance with approved standards of nursing knowledge and competency, based on age of patient, patient's clinical condition and physician orders. Other duties as assigned. LABOR AND DELIVERY RN specific duties include: Conducts complete history and assessment of the pregnant woman for confirmation of active labor and identification of risk factors. Provides continuous assessment and physical and emotional support for the woman in labor and her supportive person, including relaxation and breathing techniques and other non-pharmacological methods of pain control used for each stage of labor. Provides appropriate fetal assessment by periodic FHR auscultation and EFM, both externally and internally. Demonstrates knowledge of reassuring and non-reassuring FHR patterns and provides appropriate interventions and evaluation. Assists primary caregiver with insertion of IUPC and management of amnioinfusion. Provides assessments, interventions and evaluations of the woman experiencing augmentation and induction of labor and chemical cervical ripening. Provides assistance as needed to the anesthesia provider. Monitors the effects of analgesia and anesthesia on the mother and her fetus and provides appropriate interventions and evaluation. Prepares the delivery area to provide a safe and secure environment for vaginal or Cesarean birth. Circulates during vaginal and Cesarean birth to provide assistance to the primary care giver and surgical team as directed and provides care of the mother and her support person(s). Provides assistance with forceps and vacuum delivery if needed. Assists with the care of the newborn as needed. Documents identification of the newborn and all observations and procedures. Provides assessment and support of the newly delivery patient (vaginal or Cesarean birth) using knowledge of the physiologic and psychological adaptation during this period. Recognizes deviation from normal and initiates appropriate intervention. Assesses the breastfeeding mother to begin as soon as both are stable and identifies breastfeeding problems and takes appropriate nursing actions. Makes referral to lactation consultant as necessary. Initiates appropriate intervention. Provides ongoing planning and education throughout the hospital stay, to prepare for self care and family adjustment. Assesses the educational needs of the family and identifies barriers to learning. Assesses bonding and promotes positive bonding behaviors. Makes referrals as necessary. Recognizes emergency situations such as precipitous birth, prolapsed cord, ruptured uterus or hemorrhagic disorders and intervenes appropriately. Collaborates with primary caregiver and implements a plan of care for the high risk intrapartum patient with hypertension in pregnancy, and other medical, surgical and emotional problems such as: infection, diabetes, cardiac disease, autoimmune disorders, trauma and depression. Helps meet the special needs of the woman and her family experiencing loss and grief. Prepares and assists with transfer of high risk obstetrical patients to Level III medical centers. Provides postoperative care and teaching for the gynecological and ophthalmology patients. Attains competency in Fetal Heart Rate monitoring. Completes OB Course. Attains and maintains NRP Certification Position Requirements: EDUCATION: Associate Degree in Nursing required (Bachelor's preferred). EXPERIENCE: One year experience with maternal child nursing preferred. CERTIFICATE, LICENSES, REGISTRATIONS: BLS certification required. Current registered nursing (RN) license or Temporary permit from the State of NE required. NRP and Basic Fetal Monitoring to be obtained within one year of hire. We are an equal opportunity employer and all qualified applicants will receive consideration for employment without regard to race, color, religion, sex, national origin, sexual orientation, gender identity, disability status, protected veteran status, or any other characteristic protected by law.
RN Mother-Baby OR Pediatric Full-time
Mary Lanning Healthcare

Maternal Child RN (Labor Nurse)

Mary Lanning Healthcare Hastings, NE
Job Description: Seeking a talented RN to join our team in Labor & Delivery. This position works under general supervision while assessing, planning, implementing and evaluating the nursing care required to meet the needs of the patient. Job duties include (but not limited to): Performs complete patient assessments and communicates to the providers. Documents and maintains accurate nursing records. Functions as patient advocate between patient, physicians, other healthcare providers, administration, etc., as needed, and interacts professionally with patients and family members. Initiates diagnostic, preventative and rehabilitative nursing procedures as appropriate to the patient's care and safety. Administers medications to patients in accordance with approved standards of nursing knowledge and competency, based on age of patient, patient's clinical condition and physician orders. Other duties as assigned. LABOR AND DELIVERY RN specific duties include: Conducts complete history and assessment of the pregnant woman for confirmation of active labor and identification of risk factors. Provides continuous assessment and physical and emotional support for the woman in labor and her supportive person, including relaxation and breathing techniques and other non-pharmacological methods of pain control used for each stage of labor. Provides appropriate fetal assessment by periodic FHR auscultation and EFM, both externally and internally. Demonstrates knowledge of reassuring and non-reassuring FHR patterns and provides appropriate interventions and evaluation. Assists primary caregiver with insertion of IUPC and management of amnioinfusion. Provides assessments, interventions and evaluations of the woman experiencing augmentation and induction of labor and chemical cervical ripening. Provides assistance as needed to the anesthesia provider. Monitors the effects of analgesia and anesthesia on the mother and her fetus and provides appropriate interventions and evaluation. Prepares the delivery area to provide a safe and secure environment for vaginal or Cesarean birth. Circulates during vaginal and Cesarean birth to provide assistance to the primary care giver and surgical team as directed and provides care of the mother and her support person(s). Provides assistance with forceps and vacuum delivery if needed. Assists with the care of the newborn as needed. Documents identification of the newborn and all observations and procedures. Provides assessment and support of the newly delivery patient (vaginal or Cesarean birth) using knowledge of the physiologic and psychological adaptation during this period. Recognizes deviation from normal and initiates appropriate intervention. Assesses the breastfeeding mother to begin as soon as both are stable and identifies breastfeeding problems and takes appropriate nursing actions. Makes referral to lactation consultant as necessary. Initiates appropriate intervention. Provides ongoing planning and education throughout the hospital stay, to prepare for self care and family adjustment. Assesses the educational needs of the family and identifies barriers to learning. Assesses bonding and promotes positive bonding behaviors. Makes referrals as necessary. Recognizes emergency situations such as precipitous birth, prolapsed cord, ruptured uterus or hemorrhagic disorders and intervenes appropriately. Collaborates with primary caregiver and implements a plan of care for the high risk intrapartum patient with hypertension in pregnancy, and other medical, surgical and emotional problems such as: infection, diabetes, cardiac disease, autoimmune disorders, trauma and depression. Helps meet the special needs of the woman and her family experiencing loss and grief. Prepares and assists with transfer of high risk obstetrical patients to Level III medical centers. Provides postoperative care and teaching for the gynecological and ophthalmology patients. Attains competency in Fetal Heart Rate monitoring. Completes OB Course. Attains and maintains NRP Certification Position Requirements: EDUCATION: Associate Degree in Nursing required (Bachelor's preferred). EXPERIENCE: One year experience with maternal child nursing preferred. CERTIFICATE, LICENSES, REGISTRATIONS: BLS certification required. Current registered nursing (RN) license or Temporary permit from the State of NE required. NRP and Basic Fetal Monitoring to be obtained within one year of hire. We are an equal opportunity employer and all qualified applicants will receive consideration for employment without regard to race, color, religion, sex, national origin, sexual orientation, gender identity, disability status, protected veteran status, or any other characteristic protected by law.
CNA Full-time
Mary Lanning Healthcare

Patient Care Tech (CNA)-BSU (Day Shift)

Mary Lanning Healthcare Hastings, NE
Job Description: Seeking a Patient Care Technician (CNA) to collaborate with our patients and staff to uphold compassionate clinical care and clerical support. Under the direction of a Registered Nurse, the CNA will be responsible for: Assisting patients with activities pertaining to their individual needs for daily living. Communicating patient care needs, change in condition, observations and responses to the appropriate RN. Documenting information related to patient responses and/or patient care activities on the appropriate tool. Providing basic care in a timely, and courteous, manner that encourages physical and mental comfort amongst patients and families. Other duties as assigned. This position is a great opportunity for an individual who is flexible, patient, and skilled at clear communication and critical thinking. Position Requirements: EDUCATION : High school diploma or General Education Degree (GED) preferred. EXPERIENCE : Six months to 1 year in healthcare as a CNA preferred. CERTIFICATIONS : Nursing Assistant (CNA) license from the State of Nebraska required. BLS certification required within 90 days of hire. CPI certification within 90 days of hire. We are an equal opportunity employer and all qualified applicants will receive consideration for employment without regard to race, color, religion, sex, national origin, sexual orientation, gender identity, disability status, protected veteran status, or any other characteristic protected by law.
RN ICU Full-time
Bryan Health

GIRMC Staff RN-ICU

Bryan Health Grand Island, NE
Summary GENERAL SUMMARY: Responsible for meeting patient priority needs by assessing, participating in interdisciplinary care planning, providing and /or delegating care and evaluating patient responses and progress toward clinical outcomes. Contributes to an efficient and effective work environment through activities including professional communication and documentation, precepting and/or resourcing of others. Supervises Licensed Practical Nurses and/or other support staff in the delivery of patient care as described in Nebraska Statute 38. PRINCIPAL JOB FUNCTIONS: 1. *Commits to the mission, vision, beliefs and consistently demonstrates our core values. 2. *Initiates assessment and reassessment based on the patient’s presenting problems/needs in accordance with Bryan Medical Center’s procedures. 3. *Synthesizes pertinent initial and ongoing patient data to identify nursing priorities for care and desired outcomes/goals. 4. *Integrates appropriate standards of care into the patient’s plan of care based on the diagnosis and patient-specific needs. 5. *Executes therapeutic and/or supportive interventions. 6. *Provides education for the patient and family to meet identified patient needs according to their needs, abilities, preferences and readiness to learn. 7. *Evaluates the patient’s response to and effectiveness of interventions. 8. *Evaluates patient’s progress toward established outcomes. 9. *Incorporates cultural considerations into the plan/delivery of care. 10. *Includes family, significant other, or identified support person in the care of the patient as appropriate. 11. *Documents patient care and related information according to Bryan Medical Center procedures for documentation. 12. *Provides care in collaboration with other members of the interdisciplinary team. 13. *Facilitates patient’s transition to the next level of care. 14. Assumes responsibility in a shared or delegated assignment and supports team member’s practices through timely communication. 15. Serves as a role model to colleagues, students and other care providers. 16. *Actively participates in continued learning opportunities and continued self-development pertinent to the work unit and duties of the job. 17. Integrates evidence based research findings into practice in accordance with policy and procedure. 18. Engages in department specific and organizational performance improvement initiatives. 19. Appropriately utilizes all safety equipment when indicated and as defined by organizational procedure (i.e. lifting equipment, PPE, sharps, etc.). 20. Maintains professional growth and development through seminars, workshops, and professional affiliations to keep abreast of latest trends in field of expertise. 21. Participates in meetings, committees and department projects as assigned. 22. Performs other related projects and duties as assigned. REQUIRED KNOWLEDGE, SKILLS AND ABILITIES: 1. Maintains clinical competency as required for the unit of assignment including but not limited to population-specific competencies and participates in annual skill competency verification. 2. Knowledge of federal and state regulations related to nursing applications and relative practice area. 3. Knowledge of computer hardware equipment and software applications relevant to work functions. 4. Ability to communicate effectively both verbally and in writing. 5. Ability to delegate, provide instruction and evaluate the work of LPN’s and unlicensed professional 6. Ability to maintain confidentiality of patient information. 7. Ability to exercise professional judgment, courtesy and tact in daily interactions with others. 8. Ability to establish and maintain effective working relationships with health care team members and diverse patient populations. 9. Ability to work in a fast-paced environment relevant to changing patient needs, including work with patients with acute, chronic, and complex disease processes, and those who are dying. 10. Ability to maintain regular and punctual attendance. EDUCATION AND EXPERIENCE: Current Registered Nurse licensure from the State of Nebraska or approved compact state of residence as defined by the Nebraska Nurse Practice Act. Must provide evidence of certification and/or instruction for practice area as required by State or Federal standards/regulations. OTHER CREDENTIALS / CERTIFICATIONS: Basic Life Support (CPR) certification required. Bryan Health recognizes American Heart Association (
RN ICU Full-time
Mary Lanning Healthcare

ICU Nurse (RN)

Mary Lanning Healthcare Hastings, NE
Job Description: Seeking a talented Registered Nurse (RN) to join our team on the Intensive Care Unit (ICU) . This position works under general supervision while assessing, planning, implementing and evaluating the nursing care required to meet the needs of the patient. Job duties include (but not limited to): Performs complete patient assessments and communicates to the providers. Documents and maintains accurate nursing records. Functions as patient advocate between patient, physicians, other healthcare providers, administration, etc., as needed, and interacts professionally with patients and family members. Initiates diagnostic, preventative and rehabilitative nursing procedures as appropriate to the patient's care and safety. Administers medications to patients in accordance with approved standards of nursing knowledge and competency, based on age of patient, patient's clinical condition and physician orders. Other duties as assigned. Position Requirements: EDUCATION: Associate Degree in Nursing required (Bachelor's preferred). EXPERIENCE: 2 years of nursing or previous preceptorship within ICU unit at MLH preferred. CERTIFICATE, LICENSES, REGISTRATIONS: BLS certification required. Current registered nursing (RN) license or Temporary permit from the State of NE required. ACLS certification to be obtained within 6 months of hire. We are an equal opportunity employer and all qualified applicants will receive consideration for employment without regard to race, color, religion, sex, national origin, sexual orientation, gender identity, disability status, protected veteran status, or any other characteristic protected by law.
RN PCU Pediatric Full-time
Mary Lanning Healthcare

PCU/Peds Nurse (RN)

Mary Lanning Healthcare Hastings, NE
Job Description: Seeking a talented Registered Nurse (RN) to join our team on the Progressive Care Unit ( PCU )/Pediatrics . This position works under general supervision while assessing, planning, implementing and evaluating the nursing care required to meet the needs of the patient. Job duties include (but not limited to): Performs complete patient assessments and communicates to the providers. Documents and maintains accurate nursing records. Functions as patient advocate between patient, physicians, other healthcare providers, administration, etc., as needed, and interacts professionally with patients and family members. Initiates diagnostic, preventative and rehabilitative nursing procedures as appropriate to the patient's care and safety. Administers medications to patients in accordance with approved standards of nursing knowledge and competency, based on age of patient, patient's clinical condition and physician orders. Other duties as assigned. Position Requirements: EDUCATION: Associate Degree in Nursing required (Bachelor's preferred). EXPERIENCE: Previous clinical experience in progressive care unit is preferred. CERTIFICATE, LICENSES, REGISTRATIONS: BLS certification required. Current registered nursing (RN) license or Temporary permit from the State of NE required. Completion of Basic Arrhythmia class and ACLS within 1 year of employment is required. We are an equal opportunity employer and all qualified applicants will receive consideration for employment without regard to race, color, religion, sex, national origin, sexual orientation, gender identity, disability status, protected veteran status, or any other characteristic protected by law.
RN Full-time
Mary Lanning Healthcare

Behavioral Services Unit - RN (Night Shift)

Mary Lanning Healthcare Hastings, NE
Job Description: Individual is eligible for either $15,000 Starting Benefit or up to $12,000 Tuition Assistance . Seeking a talented Registered Nurse (RN) to join our team on the Behavioral Services Unit ( BSU) . This position works under general supervision while assessing, planning, implementing and evaluating the nursing care required to meet the needs of the patient. Job duties include (but not limited to): Performs complete patient assessments and communicates to the providers. Documents and maintains accurate nursing records. Functions as patient advocate between patient, physicians, other healthcare providers, administration, etc., as needed, and interacts professionally with patients and family members. Initiates diagnostic, preventative and rehabilitative nursing procedures as appropriate to the patient's care and safety. Administers medications to patients in accordance with approved standards of nursing knowledge and competency, based on age of patient, patient's clinical condition and physician orders. Other duties as assigned. DEPARTMENT SPECIFIC JOB DUTIES: Thoroughly assess adult patients for suicide risk. Complete risk assessment. Take necessary precautions to keep patients safe. Thoroughly assess adult patients for risk to others. Complete Duty to Warn when appropriate. Take necessary precautions to keep all patients safe. Complete Psychiatric Nursing Screen for patients on medical floors when indicated. Use Crisis Prevention Intervention methods when de-escalating patients. Interact with patient’s family for support and education. Complete Geriatric phone assessment as part of evaluating the Nursing Home patient prior to admission. Consistently strive to reduce restraints. If restraints are utilized staff will follow all procedures and policies for patient and staff safety. Ensure 15 minute patient rounds are completed 24/7. Provide therapeutic educational groups. Provide education regarding medications and follow-up appointments with patient and support system at discharge. Follow through with treatment team recommendations and individualized patient approach plan. Follow legal protocols in the treatment of patients un Emergency Protective Custody, Police Holds, Mental Health Commitment, Against Medical Advice discharges, Obligation to Report situations. Follow established protocols regarding special precautions ( elopement, suicide, one-to-one observation, violence to others, etc. Triage psychiatric emergencies. Position Requirements: EDUCATION: Associate Degree in Nursing required (Bachelor's preferred). EXPERIENCE: Previous clinical experience in specific clinical unit preferred. CERTIFICATE, LICENSES, REGISTRATIONS: BLS certification required. Current registered nursing (RN) license or Temporary permit from the State of NE required. Crisis Prevention/Intervention (CPI) certification must be completed within 6 months of hire. We are an equal opportunity employer and all qualified applicants will receive consideration for employment without regard to race, color, religion, sex, national origin, sexual orientation, gender identity, disability status, protected veteran status, or any other characteristic protected by law.
RN Med-Surg Per Diem
Bryan Health

GIRMC Staff RN-Med/Surg

Bryan Health Grand Island, NE
Summary GENERAL SUMMARY: Responsible for meeting patient priority needs by assessing, participating in interdisciplinary care planning, providing and /or delegating care and evaluating patient responses and progress toward clinical outcomes. Contributes to an efficient and effective work environment through activities including professional communication and documentation, precepting and/or resourcing of others. Supervises Licensed Practical Nurses and/or other support staff in the delivery of patient care as described in Nebraska Statute 38. PRINCIPAL JOB FUNCTIONS: 1. *Commits to the mission, vision, beliefs and consistently demonstrates our core values. 2. *Initiates assessment and reassessment based on the patient’s presenting problems/needs in accordance with Bryan Medical Center’s procedures. 3. *Synthesizes pertinent initial and ongoing patient data to identify nursing priorities for care and desired outcomes/goals. 4. *Integrates appropriate standards of care into the patient’s plan of care based on the diagnosis and patient-specific needs. 5. *Executes therapeutic and/or supportive interventions. 6. *Provides education for the patient and family to meet identified patient needs according to their needs, abilities, preferences and readiness to learn. 7. *Evaluates the patient’s response to and effectiveness of interventions. 8. *Evaluates patient’s progress toward established outcomes. 9. *Incorporates cultural considerations into the plan/delivery of care. 10. *Includes family, significant other, or identified support person in the care of the patient as appropriate. 11. *Documents patient care and related information according to Bryan Medical Center procedures for documentation. 12. *Provides care in collaboration with other members of the interdisciplinary team. 13. *Facilitates patient’s transition to the next level of care. 14. Assumes responsibility in a shared or delegated assignment and supports team member’s practices through timely communication. 15. Serves as a role model to colleagues, students and other care providers. 16. *Actively participates in continued learning opportunities and continued self-development pertinent to the work unit and duties of the job. 17. Integrates evidence based research findings into practice in accordance with policy and procedure. 18. Engages in department specific and organizational performance improvement initiatives. 19. Appropriately utilizes all safety equipment when indicated and as defined by organizational procedure (i.e. lifting equipment, PPE, sharps, etc.). 20. Maintains professional growth and development through seminars, workshops, and professional affiliations to keep abreast of latest trends in field of expertise. 21. Participates in meetings, committees and department projects as assigned. 22. Performs other related projects and duties as assigned. REQUIRED KNOWLEDGE, SKILLS AND ABILITIES: 1. Maintains clinical competency as required for the unit of assignment including but not limited to population-specific competencies and participates in annual skill competency verification. 2. Knowledge of federal and state regulations related to nursing applications and relative practice area. 3. Knowledge of computer hardware equipment and software applications relevant to work functions. 4. Ability to communicate effectively both verbally and in writing. 5. Ability to delegate, provide instruction and evaluate the work of LPN’s and unlicensed professional 6. Ability to maintain confidentiality of patient information. 7. Ability to exercise professional judgment, courtesy and tact in daily interactions with others. 8. Ability to establish and maintain effective working relationships with health care team members and diverse patient populations. 9. Ability to work in a fast-paced environment relevant to changing patient needs, including work with patients with acute, chronic, and complex disease processes, and those who are dying. 10. Ability to maintain regular and punctual attendance. EDUCATION AND EXPERIENCE: Current Registered Nurse licensure from the State of Nebraska or approved compact state of residence as defined by the Nebraska Nurse Practice Act. Must provide evidence of certification and/or instruction for practice area as required by State or Federal standards/regulations. OTHER CREDENTIALS / CERTIFICATIONS: Basic Life Support (CPR) certification required. Bryan Health recognizes American Heart Association (for healthcare professionals), American Red Cross (for healthcare professionals) and the Military Training Network.
RN Med-Surg Full-time
Bryan Health

GIRMC Staff RN-Med/Surg

Bryan Health Grand Island, NE
Summary GENERAL SUMMARY: Responsible for meeting patient priority needs by assessing, participating in interdisciplinary care planning, providing and /or delegating care and evaluating patient responses and progress toward clinical outcomes. Contributes to an efficient and effective work environment through activities including professional communication and documentation, precepting and/or resourcing of others. Supervises Licensed Practical Nurses and/or other support staff in the delivery of patient care as described in Nebraska Statute 38. PRINCIPAL JOB FUNCTIONS: 1. *Commits to the mission, vision, beliefs and consistently demonstrates our core values. 2. *Initiates assessment and reassessment based on the patient’s presenting problems/needs in accordance with Bryan Medical Center’s procedures. 3. *Synthesizes pertinent initial and ongoing patient data to identify nursing priorities for care and desired outcomes/goals. 4. *Integrates appropriate standards of care into the patient’s plan of care based on the diagnosis and patient-specific needs. 5. *Executes therapeutic and/or supportive interventions. 6. *Provides education for the patient and family to meet identified patient needs according to their needs, abilities, preferences and readiness to learn. 7. *Evaluates the patient’s response to and effectiveness of interventions. 8. *Evaluates patient’s progress toward established outcomes. 9. *Incorporates cultural considerations into the plan/delivery of care. 10. *Includes family, significant other, or identified support person in the care of the patient as appropriate. 11. *Documents patient care and related information according to Bryan Medical Center procedures for documentation. 12. *Provides care in collaboration with other members of the interdisciplinary team. 13. *Facilitates patient’s transition to the next level of care. 14. Assumes responsibility in a shared or delegated assignment and supports team member’s practices through timely communication. 15. Serves as a role model to colleagues, students and other care providers. 16. *Actively participates in continued learning opportunities and continued self-development pertinent to the work unit and duties of the job. 17. Integrates evidence based research findings into practice in accordance with policy and procedure. 18. Engages in department specific and organizational performance improvement initiatives. 19. Appropriately utilizes all safety equipment when indicated and as defined by organizational procedure (i.e. lifting equipment, PPE, sharps, etc.). 20. Maintains professional growth and development through seminars, workshops, and professional affiliations to keep abreast of latest trends in field of expertise. 21. Participates in meetings, committees and department projects as assigned. 22. Performs other related projects and duties as assigned. REQUIRED KNOWLEDGE, SKILLS AND ABILITIES: 1. Maintains clinical competency as required for the unit of assignment including but not limited to population-specific competencies and participates in annual skill competency verification. 2. Knowledge of federal and state regulations related to nursing applications and relative practice area. 3. Knowledge of computer hardware equipment and software applications relevant to work functions. 4. Ability to communicate effectively both verbally and in writing. 5. Ability to delegate, provide instruction and evaluate the work of LPN’s and unlicensed professional 6. Ability to maintain confidentiality of patient information. 7. Ability to exercise professional judgment, courtesy and tact in daily interactions with others. 8. Ability to establish and maintain effective working relationships with health care team members and diverse patient populations. 9. Ability to work in a fast-paced environment relevant to changing patient needs, including work with patients with acute, chronic, and complex disease processes, and those who are dying. 10. Ability to maintain regular and punctual attendance. EDUCATION AND EXPERIENCE: Current Registered Nurse licensure from the State of Nebraska or approved compact state of residence as defined by the Nebraska Nurse Practice Act. Must provide evidence of certification and/or instruction for practice area as required by State or Federal standards/regulations. OTHER CREDENTIALS / CERTIFICATIONS: Basic Life Support (CPR) certification required. Bryan Health recognizes American Heart Association (for healthcare professionals), American Red Cross (for healthcare professionals) and the Military Training Network.
RN Outpatient Full-time
Mary Lanning Healthcare

OPS RN-Outpatient Surgery

Mary Lanning Healthcare Hastings, NE
Job Description: The Outpatient Surgery Nurse works under general supervision while assessing, planning, implementing and evaluating the nursing care required to meet the needs of the patient. Job duties include (but not limited to): Performs complete patient assessments and communicates to the providers. Documents and maintains accurate nursing records. Functions as patient advocate between patient, physicians, other healthcare providers, administration, etc., as needed, and interacts professionally with patients and family members. Initiates diagnostic, preventative and rehabilitative nursing procedures as appropriate to the patient's care and safety. Administers medications to patients in accordance with approved standards of nursing knowledge and competency, based on age of patient, patient's clinical condition and physician orders. Assists anesthesia personnel in preoperative and pain management area. Maintains certification in Advance Cardiac Life Support (ACLS). Take call with PACU as second RN with a response time of 20 minutes. Verifies patient’s identity, operative procedure, operative site, surgeon and consent. Evaluates patient’s psychosocial, preoperative and postoperative status; including level of understanding and perception of surgery. Verifies patient’s allergies, NPO status, and medications. Initiates patient notification for scheduling of pre-admission testing. Accurately completes preoperative / postoperative patient phone interview / calls. Demonstrates knowledge of surgical interventions and uses of anesthesia in planning care. Demonstrates through practice, the understanding of basic principles of aseptic technique as applied in the OPS areas of practice. Demonstrates knowledge of endoscopy procedures and ability to function independently within the scope of nursing practice in the endoscopy suite. Correctly collects and accurately labels specimens. Other duties as assigned. Position Requirements: EDUCATION: Associate Degree in Nursing required (Bachelor's preferred). EXPERIENCE: Previous clinical experience in specific clinical unit preferred. CERTIFICATE, LICENSES, REGISTRATIONS: BLS and ACLS certification required. Current registered nursing (RN) license or Temporary permit from the State of NE required. We are an equal opportunity employer and all qualified applicants will receive consideration for employment without regard to race, color, religion, sex, national origin, sexual orientation, gender identity, disability status, protected veteran status, or any other characteristic protected by law.
RN OR Full-time
Mary Lanning Healthcare

OR Surgery Nurse (RN)

Mary Lanning Healthcare Hastings, NE
Job Description: Seeking a talented RN to join our team in the Surgery Department. The Surgery Nurse works under general supervision while assessing, planning, implementing and evaluating the nursing care required to meet the needs of the patient. Job duties include (but not limited to): Performs complete patient assessments and communicates to the providers. Documents and maintains accurate nursing records. Functions as patient advocate between patient, physicians, other healthcare providers, administration, etc., as needed, and interacts professionally with patients and family members. Initiates diagnostic, preventative and rehabilitative nursing procedures as appropriate to the patient's care and safety. Administers medications to patients in accordance with approved standards of nursing knowledge and competency, based on age of patient, patient's clinical condition and physician orders. Other duties as assigned. DEPARTMENT SPECIFIC JOB DUTIES: Verification of patient’s identity, operative procedure, operative site, surgeon and consent. Follows standard procedures and aseptic principles of practice for surgical interventions, along with preferences of surgeons and anesthesiologists, when planning for intraoperative care. Anticipate needs of surgeons and/or specific procedures. Performs sponge, instrument and needle counts according to policy and procedure. Applies principles of proper body alignment during transfer and positioning of patient. Ensures safety of patient during the use of electrical equipment (i.e. electrosurgical cautery units). Correctly collects and accurately labels specimens. Documents and maintains accurate OR nursing records including: intraoperative care, patient’s condition, medications, treatment, responses and assessment of changes, etc. Identifies, labels, and dispenses medications and solutions safely. Assists anesthesia as requested by anesthesia personnel. Demonstrates ability to assist in ACLS interventions. Maintains surgeons’ preference books Become proficient in scrubbing and circulating duties for all specialties. Fill in other duties as needed to meet OR staffing such as housekeeping and workroom duties. Cover call shifts as assigned with a 15 minute response time. Assist in the orientation of new staff/students Assist in the maintenance of a clean, dust-free environment. Coordinate or assist in the coordination of specialty supplies. Functions as a patient advocate between patient, physician, other healthcare providers, administration, etc., as needed, and interacts professionally with patient and family members. Position Requirements: EDUCATION: Associate Degree in Nursing required (Bachelor's preferred). EXPERIENCE: 1 year in surgical nursing experience preferred. CERTIFICATE, LICENSES, REGISTRATIONS: BLS certification required. CNOR, ACLS certification preferred. Current registered nursing (RN) license or Temporary permit from the State of NE required. We are an equal opportunity employer and all qualified applicants will receive consideration for employment without regard to race, color, religion, sex, national origin, sexual orientation, gender identity, disability status, protected veteran status, or any other characteristic protected by law.
CMA Full-time
Bryan Health

Certified Medical Assistant-Prairie Center Internal Medicine

Bryan Health Grand Island, NE
Summary GENERAL SUMMARY: Assists physicians with examinations and procedures to serve the medical needs of patients with various health conditions in a professional, confidential, and caring manner. Coordinates the flow of patients, phone calls, lab work, and nurse visits to facilitate quality patient care and customer service goals. Provides professional care within the educational background of the Medical Assistant and in compliance with any applicable licensure/certification requirement and organization policy and procedures. PRINCIPAL JOB FUNCTIONS: 1. *Commits to the mission, vision, beliefs and consistently demonstrates our core values. 2. *Maintains flow of patients in accordance with time of appointment in order to avoid delays for the provider and undue waiting for patients. 3. *Keeps the exam rooms clean, disinfected and stocked with necessary supplies. 4. *Obtains vital signs, reason for visit and list of medications from patients and prepares patient for visit. 5. *Assists the medical provider with all examinations and procedures. 6. Schedules outpatient tests and procedures at hospitals by telephone in a timely manner; adheres to the referral process of the practice. 7. Schedules follow-up procedure/appointments and specialty appointments. 8. Updates patient demographics and immunization forms as needed. 9. Administers immunizations and medications as directed by medical provider. 10. Performs patient call processing as needed. 11. Performs audiometry, eye exams, EKG’s, and spirometry as assigned. 12. Assists with front desk duties as needed. 13. Maintains professional growth and development through seminars, workshops, and professional affiliations to keep abreast of latest trends in field of expertise. 14. Participates in meetings, committees and department projects as assigned. 15. Performs other related projects and duties as assigned. EDUCATION AND EXPERIENCE: High School diploma or equivalency required. Certification as a Certified Medical Assistant (CMA), Clinical Certified Medical Assistant (CCMA) or Registered Medical Assistant (RMA) required. Current listing on the Nebraska Medication Aide registry required. Graduation from a Medical Assistant (MA) program preferred. OTHER CREDENTIALS / CERTIFICATIONS: Basic Life Support (CPR) certification required. Bryan Health recognizes American Heart Association (for healthcare professionals), American Red Cross (for healthcare professionals) and the Military Training Network.
CNA Full-time
Bryan Health

Certified Nursing Assistant-Prairie Center Internal Medicine

Bryan Health Grand Island, NE
Summary GENERAL SUMMARY: Accompanies physicians with examinations and procedures to serve the medical needs of patients with various health conditions in a professional, confidential, and caring manner. Coordinates the flow of patients, phone calls, lab work, and nurse visits to facilitate quality patient care and customer service goals. Provides professional care within the educational background of the Certified Nursing Assistant (CNA) and in compliance with any applicable licensure/certification requirement and organization policy and procedures. Responsible for serving on the ambulatory care team for an assigned area including direct patient care as an unlicensed professional and under the direct supervision of a Registered Nurse (RN), Physician or APP. Incorporates the primary job functions of a certified nursing assistant (CNA) and other duties related to the care of patients, dependent upon the work area and/or patient populations to which they are assigned. Reports to BPN Practice Manager. Employees holding nursing licensure will be held accountable to Nebraska nursing licensure requirements, and must maintain licensure or an active Nebraska CNA. PRINCIPAL JOB FUNCTIONS: 1. *Commits to the mission, vision, beliefs and consistently demonstrates our core values. 2. *Maintains flow of patients in accordance with time of appointment in order to avoid delays for the provider and undue waiting for patients. 3. *Keeps the exam rooms clean, disinfected and stocked with necessary supplies. 4. *Obtains vital signs, height and weight and prepares patient for visit. 5. *Assists the medical provider with examinations and procedures under the direction of the medical provider or Registered Nurse. 6. Schedules outpatient tests and procedures at hospitals by telephone in a timely manner; adheres to the referral process of the practice. 7. Schedules follow-up procedure/appointments and specialty appointments. 8. Updates patient demographics and immunization forms as needed. 9. Performs patient call processing as needed. 10. Assists with front desk duties as needed. 11. *Recognizes and reacts to emergency procedures per role and policies/procedures. 12. *Answers telephones and assigned communication devices as appropriate and relays information as necessary. Refers all physician/advanced practice provider telephone orders to a licensed professional. 13. *Assists with patient care that is consistent with standards of care and clinical priorities determined by the RN, physician or APP with the nature of the clinic, BPN policies and procedures, demonstrated competencies, and with consideration given to risk management and infection control practices. 14. *Performs and documents routine direct nursing care tasks according to identified age-specific needs. 15. Maintains professional growth and development through seminars, workshops, and professional affiliations to keep abreast of latest trends in field of expertise. 16. Participates in meetings, committees and department projects as assigned. 17. Performs other related projects and duties as assigned. EDUCATION AND EXPERIENCE: High School diploma or equivalency required . Active Nebraska Certified Nursing Assistant (CNA) credential required. Six (6) months CNA experience preferred. OTHER CREDENTIALS / CERTIFICATIONS: Basic Life Support (CPR) certification required. Bryan Health recognizes American Heart Association (for healthcare professionals), American Red Cross (for healthcare professionals) and the Military Training Network.
RN Outpatient Full-time
Mary Lanning Healthcare

RN-Outpatient and Clinic Quality Coordinator

Mary Lanning Healthcare Hastings, NE
Job Description: 1. Adheres to Mary Lanning Healthcare’s Mission, Vision, and Values. 2. Adheres to Mary Lanning Healthcare’s Standards of Behavior. 3. Works in conjunction with Director(s) of Clinic Operations, Chief Medical Officer (CMO), and the Director of Quality Services to oversee physician/provider measure selection, data collection, analysis, and reporting related to local, regional, and national quality benchmarks. 4. Understanding of Centers for Medicare and Medicaid Services (CMS) regulations as related to outpatient regulations, quality, and risk. 5. Assists in required reporting of outpatient and clinic quality data to regulatory agencies. 6. Understanding of Joint Commission requirements as related to outpatient and clinic departments. 7. Identify and interpret data to determine positive and negative trends as well as gaps in quality performance in outpatient and clinic areas. 8. Utilizes data to drive process improvement in outpatient and clinic areas. 9. Understanding and usage of Green Belt, Plan Do Check Act, Failure Mode Effect Analysis, Root Cause Analysis, and other strategies to assist in process improvement efforts with clinic and outpatient leadership. 10. Work closely with Inpatient Quality Coordinator to collaborate between outpatient, clinic and inpatient departments when needed. 11. Review risk and patient safety data, occurrence reports and safety surveys for outpatient and clinic areas for opportunities for improvement and collaborate with clinic leadership. 12. Meet regularly with clinic and outpatient leadership to review quality data, trends, and outcomes. 13. Assists in planning Quality Services metrics to be utilized for provider contracts along with clinic leadership. 14. Participates in patient experience initiatives and is knowledgeable in-patient experience data as related to outpatient and clinic departments. 15. Assists with creation and updates of clinic and outpatient policies and procedures as needed. 16. Oversees Value Based Contracts/Programs and collaborates with clinic leadership as well as coding/finance on a regular basis regarding quality data and financial incentives related to contracts/programs. 17. Participates in local program learning sessions, webinars and formal educational offerings as related to position. 18. Assesses gaps in organizational and departmental performance and recommends improvement methods and processes to address. 19. Work closely with identified projects to develop and deploy work plans, improve patient safety and guide through change management. We are an equal opportunity employer and all qualified applicants will receive consideration for employment without regard to race, color, religion, sex, national origin, sexual orientation, gender identity, disability status, protected veteran status, or any other characteristic protected by law.
NP Contract
Advantmed

Field Nurse Practitioner - Grand Island, Nebraska

Advantmed Grand Island, NE
About Advantmed Advantmed is a leading provider of risk adjustment, quality improvement and value-based solutions to health plans and providers. We drive market leading performance with integrated technology, service, and program solutions that optimize the risk and quality performance of our partners. Our solutions focus on identifying, managing, and documenting risk and quality performance, and the proactive clinical engagement of high acuity populations. The building B.L.O.C.K.S. of our team’s success! Bring the fun Leverage together for better Outperform yourself Care at every touchpoint Keep your word. Keep it real Stay curious & listen well Primary Purpose: We are proud of the quality care we provide members, and our team is rapidly expanding to meet the demands of our growing business; we are seeking a highly skilled and compassionate certified Nurse Practitioner to join our Advantmed provider network. In this role, you will be responsible for conducting in-home wellness risk adjustment assessments for Medicare members and other at-risk populations. Your primary objective will be to assess the overall health and well-being of member beneficiaries to ensure accurate and comprehensive risk adjustment coding, leading to greater value-based care. This role is 1099 (PRN) and offers tremendous flexibility and opportunity for those who are balancing competing priorities. Learn more about our primary purpose here Follow us on LinkedIn: https://www.linkedin.com/company/advantmed NP Responsibilities: In-home Clinical Assessments Travel to members’ homes and conduct comprehensive health evaluations Conduct Annual Wellness Visits and health assessments for members with chronic conditions. Perform: Medical history and physical examinations Review of systems Vital signs collection Medication review and reconciliation Possible preventive health screenings Hemoglobin A1C Spirometry KED (Kidney Health Evaluation) DRE (Diabetic Retinal Exam) FIT Patient Education & Engagement Deliver preventive health education and counseling opportunities. Educate patients on ongoing health monitoring, medication adherence, and chronic condition management. Support informed decision-making and ensure true, informed consent. Engage in goals of care discussions when appropriate. Care Coordination & Quality Support Identify clinically relevant diagnoses for care management and risk adjustment documentation. Communicate findings used to generate post visit summaries for the primary care provider. Identify and help close quality care gaps (e.g., screenings, labs, follow-ups). Collaborate enthusiastically with the broader care team to enhance clinical quality and patient experience. Compliance & Professional Standards Adhere to HIPAA regulations and safeguard protected health information (PHI). Maintain accurate, timely, and compliant EMR documentation. Perform additional duties as assigned in alignment with organizational goals. An enthusiastic collaborator contributing to the enhancement of care delivery Providers are expected to commit a minimum of 30 hours per month Locations: Grand Island, Nebraska Travel Requirements Daily travel expectations remain within a 55-mile radius of the assigned home location. NP Qualifications: Must have a valid unencumbered NP License for the state you will be working in This role requires travel up to a maximum 55-mile radius originating in the assigned job posting county Preference is given to weekday schedules Preference is given to standard working hour schedules Previous in-home risk assessment experience preferred Previous 1099 (PRN) experience is preferred but not required 3 years patient care experience preferred (primary care/adult/geriatric, EMR) May be requested to obtain additional NP licensure supported by Advantmed Access to reliable transportation that will enable you to travel to members’ homes within a designated area Strong ability to work within our EMR system Ability to work independently Bilingual is a plus Advantmed offers: Competitive compensation of ~$100 per completed in-home health assessment Paid mileage Flexible work schedule, choose your own schedule No on call Visits ready to be scheduled immediately Appointment confirmation support Dedicated coordinator support Advanced member scheduling coverage State of art technology
RN Part-time
DaVita Kidney Care

Registered Nurse

DaVita Kidney Care Grand Island, NE
Posting Date 03/13/2026 203 E. Stolley Park RdSuite G, Grand Island, Nebraska, 68801-8207, United States of America DaVita is seeking a Registered Nurse to join our outpatient dialysis team. In this role, you'll provide life-saving care to patients with end-stage renal disease or chronic kidney conditions. No dialysis experience required—just a commitment to compassionate, high-quality care. . Responsibilities: Deliver direct patient care in an outpatient dialysis setting Monitor patients, manage treatment plans, and respond to health changes Collaborate with a supportive clinical team, including Patient Care Technicians Educate patients and families on kidney health and treatment options Float to nearby clinics as needed; flexible schedule required What to Expect: Fast-paced, hands-on environment Long-term patient relationships Broad nursing skill application with medically complex patients Paid training provided Schedule: Flexible shifts including mornings, evenings, weekends, and holidays Training may occur at a clinic other than your home location Qualifications: RN license in the state of practice ADN required; BSN preferred Basic computer proficiency Reliable transportation for potential floating Preferred (Not Required): Experience in ICU, CCU, ER, or Med Surg CNN/CDN certification Benefits: Medical, dental, vision, and 401(k) match Paid time off and PTO cash-out Family support: EAP, Headspace, parental leave, backup child/elder care Career growth and tuition support Join DaVita and help patients live better, healthier lives. Apply today. #LI-CC3 At DaVita, we strive to be a community first and a company second. We want all teammates to experience DaVita as "a place where I belong." Our goal is to embed belonging into everything we do in our Village, so that it becomes part of who we are. We are proud to be an equal opportunity workplace and comply with state and federal affirmative action requirements. Individuals are recruited, hired, assigned and promoted without regard to race, national origin, religion, age, color, sex, sexual orientation, gender identity, disability, protected veteran status, or any other protected characteristic. This position will be open for a minimum of three days. For location-specific minimum wage details, see the following link: DaVita.jobs/WageRates Compensation for the role will depend on a number of factors, including a candidate’s qualifications, skills, competencies and experience. DaVita offers a competitive total rewards package, which includes a 401k match, healthcare coverage and a broad range of other benefits. Learn more at https://careers.davita.com/benefits Colorado Residents: Please do not respond to any questions in this initial application that may seek age-identifying information such as age, date of birth, or dates of school attendance or graduation. You may also redact this information from any materials you submit during the application process. You will not be penalized for redacting or removing this information.
RN Utilization Review Full-time
Bryan Health

Utilization Management RN

Bryan Health Grand Island, NE
Summary GENERAL SUMMARY: Conducts day-to-day activities for the clinical, financial and utilization coordination of the patient’s hospital experience. Proactively consults with the interdisciplinary team which includes, but is not limited to, hospital patient care staff, physicians, patient support and family to ensure the patient’s hospital stay meets medical necessity and insurance authorizations are obtained in order to facilitate the patient’s and hospitals financial well-being. PRINCIPAL JOB FUNCTIONS: 1. *Commits to the mission, vision, beliefs and consistently demonstrates our core values. 2. *Performs utilization review activities, including concurrent and retrospective reviews as required. 3. *Determines the medical necessity of request by performing first level reviews, using approved evidence based guidelines/criteria. 4. *Collaborates with the patient’s provider and other healthcare team members in managing the patient’s length of stay and determining the continuing medical necessity of continued stays. 5. *Refers cases to reviewing physician when the treatment request does not meet criteria per appropriate algorithm. 6. *Participates in concurrent and retrospective denials and appeals process by researching issues surrounding the denial, participating in all levels of the appeal and process follow-up. 7. *Serves as an internal and external resource regarding appropriate level of care; admission status/classification; Medicare/Medicaid rules, regulations, and policies; 3rd party and managed care contracts; discharge planning; and length of stay. 8. Ensures appropriate resource utilization relevant to the financial, regulatory and clinical aspects of care; proposes alternative treatment to ensure a cost effective and efficient plan of care. 9. *Maintains awareness of financial reimbursement methodology, utilization management, payer/reimbursement practices and regulations and participates in resource stewardship. 10. *Promotes quality improvement initiatives and health care outcomes based on currently accepted clinical practice guidelines and total quality improvement initiatives. 11. Maintains professional growth and development through seminars, workshops, and professional affiliations to keep abreast of latest trends in field of expertise. 12. Participates in meetings, committees and department projects as assigned. 13. Performs other related projects and duties as assigned. REQUIRED KNOWLEDGE, SKILLS AND ABILITIES: 1. Maintains clinical competency as required for the unit including but not limited to age-specific competencies relative to patient’s growth and developmental needs, annual skill competency verification and mandatory education and competencies. 2. Knowledge of governmental and third party payer regulations and requirements related to patient hospitalization and acute rehabilitation admission, stay and discharge activities, i.e., CMS, CARF, FIM (TM). 3. Knowledge of computer hardware equipment and software applications relevant to work functions. 4. Skill in conflict diffusion and resolution. 5. Ability to communicate effectively both verbally and in writing. 6. Ability to perform crucial conversations with desired outcomes. 7. Ability to establish and maintain effective working relationships with all levels of personnel and medical staff. 8. Ability to problem solve and engage independent critical thinking skills. 9. Ability to maintain confidentiality relevant to sensitive information. 10. Ability to prioritize work demands and work with minimal supervision. 11. Ability to perform crucial conversations with desired outcomes. 12. Ability to maintain regular and punctual attendance. EDUCATION AND EXPERIENCE: Current Registered Nurse licensure from the State of Nebraska or approved compact state of residence as defined by the Nebraska Nurse Practice Act. Minimum of two (2) years recent clinical experience required. Prior care coordination and/or utilization management experience preferred. OTHER CREDENTIALS / CERTIFICATIONS: Basic Life Support (CPR) certification required. Bryan Health recognizes American Heart Association (for healthcare professionals), American Red Cross (for healthcare professionals) and the Military Training Network.
RN Full-time
Bryan Health

GIRMC Staff RN-OR

Bryan Health Grand Island, NE
Summary GENERAL SUMMARY: Responsible for meeting patient’s priority needs by assessing, participating in interdisciplinary care planning, providing and/or delegating care based on patient needs and evaluating patients’ responses. Contributes to an efficient and effective work environment through activities including professional communication and documentation, precepting and/or resourcing of others. Supervises support staff in the delivery of patient care as described in Nebraska Statute. PRINCIPAL JOB FUNCTIONS: 1. *Commits to the mission, vision, beliefs and consistently demonstrates our core values. 2. *Initiates assessment and reassessment based on the patient’s presenting problems/needs in accordance with Grand Island Regional Medical Center’s procedures. 3. *Synthesizes pertinent initial and ongoing patient data to identify nursing priorities for care and desired outcomes/goals. 4. *Executes therapeutic and/or supportive interventions, consistent with perioperative procedures. 5. Evaluates the patient’s response to and effectiveness of interventions. 6. Evaluates patient’s progress toward established outcomes. 7. Incorporates cultural considerations into the plan/delivery of care. 8. *Documents patient care and related information according to Grand Island Regional Medical Center procedures for documentation. 9. *Administers medications to the patient in accordance with approved standards of nursing knowledge and competency, based on the age of the patient, the patient’s clinical condition and physician orders. 10. Ensures pre-op checklist is complete (H&P, consent, test results, antibiotic, etc) before transferring patient to OR. 11. *Accurately records, handles and labels specimens; demonstrates care of specimens. 12. Assists anesthesia with intubation, extubation and monitoring as needed. 13. Ensures operating rooms are stocked and equipped after cases and end of day. 14. Cleans and prepares rooms between procedures to ensure efficient turnovers. 15. *Includes family, significant other, or identified support person in the care of the patient as appropriate. 16. Integrates evidence based research findings into practice in accordance with policy and procedure. 17. Appropriately utilizes all safety equipment when indicated and as defined by organizational procedure (I.E. lifting equipment, PPE, sharps, etc. 18. Provides care in conjunction with other members of the interdisciplinary team. 19. Facilitates patient’s transition to the next level of care. 20. Assumes responsibility in a shared or delegated assignment and supports team member’s practices through timely communication. 21. Serves as a role model to colleagues, students and other care providers. 22. Maintains professional growth and development through seminars, workshops, and professional affiliations to keep abreast of latest trends in field of expertise. 23. Participates in meetings, committees and department projects as assigned. 24. Performs other related projects and duties as assigned. REQUIRED KNOWLEDGE, SKILLS AND ABILITIES: 1. Maintains clinical competency as required for the unit including but not limited to age-specific competencies relative to patient’s growth and developmental needs, annual skill competency verification and mandatory education and competencies. 2. Knowledge of federal and state regulations related to nursing applications and relative practice area. 3. Knowledge of computer hardware equipment and software applications relevant to work functions. 4. Ability to communicate effectively both verbally and in writing. 5. Ability to establish and maintain effective working relationships with all levels of personnel and medical staff. 6. Ability to work in a fast-paced environment relevant to changing patient needs, including work with patients with acute, chronic, and complex disease processes, and those who are dying. 7. Ability to problem solve and engage independent critical thinking skills. 8. Ability to maintain confidentiality relevant to sensitive information. 9. Ability to prioritize work demands and work with minimal supervision. 10. Ability to maintain regular and punctual attendance. EDUCATION AND EXPERIENCE: Current Registered Nurse licensure from the State of Nebraska or approved compact state of residence as defined by the Nebraska Nurse Practice Act. Must provide evidence of certification and/or instruction for practice area as required by State or Federal standards/regulations. OTHER CREDENTIALS / CERTIFICATIONS: Basic Life Support (CPR) certification required. Bryan Health recognizes American Heart Association (for healthcare professionals), American Red Cross (for healthcare professionals) and the Military Training Network. Advanced Cardiac Life Support (ACLS) and Pedatric Advanced Life Support (PALS) required within 6 months of employment. Additional credentials and certifications required for practice area.
RN Med-Surg Full-time
Bryan Health

GIRMC Staff RN-Med/Surg

Bryan Health Grand Island, NE
Summary GENERAL SUMMARY: Responsible for meeting patient priority needs by assessing, participating in interdisciplinary care planning, providing and /or delegating care and evaluating patient responses and progress toward clinical outcomes. Contributes to an efficient and effective work environment through activities including professional communication and documentation, precepting and/or resourcing of others. Supervises Licensed Practical Nurses and/or other support staff in the delivery of patient care as described in Nebraska Statute 38. PRINCIPAL JOB FUNCTIONS: 1. *Commits to the mission, vision, beliefs and consistently demonstrates our core values. 2. *Initiates assessment and reassessment based on the patient’s presenting problems/needs in accordance with Bryan Medical Center’s procedures. 3. *Synthesizes pertinent initial and ongoing patient data to identify nursing priorities for care and desired outcomes/goals. 4. *Integrates appropriate standards of care into the patient’s plan of care based on the diagnosis and patient-specific needs. 5. *Executes therapeutic and/or supportive interventions. 6. *Provides education for the patient and family to meet identified patient needs according to their needs, abilities, preferences and readiness to learn. 7. *Evaluates the patient’s response to and effectiveness of interventions. 8. *Evaluates patient’s progress toward established outcomes. 9. *Incorporates cultural considerations into the plan/delivery of care. 10. *Includes family, significant other, or identified support person in the care of the patient as appropriate. 11. *Documents patient care and related information according to Bryan Medical Center procedures for documentation. 12. *Provides care in collaboration with other members of the interdisciplinary team. 13. *Facilitates patient’s transition to the next level of care. 14. Assumes responsibility in a shared or delegated assignment and supports team member’s practices through timely communication. 15. Serves as a role model to colleagues, students and other care providers. 16. *Actively participates in continued learning opportunities and continued self-development pertinent to the work unit and duties of the job. 17. Integrates evidence based research findings into practice in accordance with policy and procedure. 18. Engages in department specific and organizational performance improvement initiatives. 19. Appropriately utilizes all safety equipment when indicated and as defined by organizational procedure (i.e. lifting equipment, PPE, sharps, etc.). 20. Maintains professional growth and development through seminars, workshops, and professional affiliations to keep abreast of latest trends in field of expertise. 21. Participates in meetings, committees and department projects as assigned. 22. Performs other related projects and duties as assigned. REQUIRED KNOWLEDGE, SKILLS AND ABILITIES: 1. Maintains clinical competency as required for the unit of assignment including but not limited to population-specific competencies and participates in annual skill competency verification. 2. Knowledge of federal and state regulations related to nursing applications and relative practice area. 3. Knowledge of computer hardware equipment and software applications relevant to work functions. 4. Ability to communicate effectively both verbally and in writing. 5. Ability to delegate, provide instruction and evaluate the work of LPN’s and unlicensed professional 6. Ability to maintain confidentiality of patient information. 7. Ability to exercise professional judgment, courtesy and tact in daily interactions with others. 8. Ability to establish and maintain effective working relationships with health care team members and diverse patient populations. 9. Ability to work in a fast-paced environment relevant to changing patient needs, including work with patients with acute, chronic, and complex disease processes, and those who are dying. 10. Ability to maintain regular and punctual attendance. EDUCATION AND EXPERIENCE: Current Registered Nurse licensure from the State of Nebraska or approved compact state of residence as defined by the Nebraska Nurse Practice Act. Must provide evidence of certification and/or instruction for practice area as required by State or Federal standards/regulations. OTHER CREDENTIALS / CERTIFICATIONS: Basic Life Support (CPR) certification required. Bryan Health recognizes American Heart Association (for healthcare professionals), American Red Cross (for healthcare professionals) and the Military Training Network.
Student Nurse Per Diem
Bryan Health

GIRMC Student Nurse Technician

Bryan Health Grand Island, NE
Summary GENERAL SUMMARY: Responsible for serving on the patient care team for an assigned area including direct patient care as an unlicensed professional and under the direct supervision of a Registered Nurse (RN). Incorporates the primary job functions of a certified nursing assistant (CNA) and other duties related to the care of patients, dependent upon the work area and/or patient populations to which they are assigned. Reports to Nurse Manager, Charge Nurse, House Supervisor or Staff RN. Incumbents holding nursing licensure will be held accountable to Nebraska nursing licensure requirements and must maintain licensure or an active Nebraska CNA. PRINCIPAL JOB FUNCTIONS: 1. *Commits to the mission, vision, beliefs and consistently demonstrates our core values. . 2. *Recognizes and reacts to emergency procedures per role and policies/procedures. 3. *Answers telephones and assigned communication devices as appropriate and relays information as necessary. Refers all physician telephone orders to a licensed professional. 4. *Assists with patient care that is consistent with standards of care and clinical priorities determined by the RN with the nature of the area/unit, patient care division policies and procedures, demonstrated competencies, and with consideration given to risk management and infection control practices. 5. *Performs and documents routine direct nursing care tasks according to identified age-specific needs. 6. Obtains and records vitals, height, weight, and bedside glucose results; reports results to appropriate personnel. 7. *Performs Activities of Daily Living (ADLs) for assigned patients and documents in the EMR. 8. *Responsible for labeling and securing patient care belongings and ensuring that the patient room is safe and uncluttered. 9. *Distributes patient’s meals/water and assists with feeding of patients as needed. 10. Assists with ambulation, lifting and positioning according to procedure, including the appropriate use of patient lift devices and use of good body mechanics. 11. Assists with transporting patients, including at time of transfer and/or dismissal. 12. *Assists patients with elimination needs and measures/records bodily elimination in medical record. 13. Bathes patients as directed by the RN and documents in EHR. 14. Participates as a member of the team in Hourly Patient Rounds to proactively address patient needs. 15. Provides close observation or one-to-one care, as directed by the RN, to prevent patients from wandering or potential injury. 16. Collects, accurately labels and transports specimens to lab as required. 17. Assists with dressing changes, applying splints, setting up suturing and procedures, and wound care on closed wounds as directed by RN. 18. *Cleans, stocks and cares for supplies and equipment in assigned work area. 19. Collaborates with other departments to coordinate exams and treatments, minimizing fragmentation and enhancing patient satisfaction. 20. Assists in collecting specific information from patients and contributes to admission, transfer and dismissal processes when delegated by a RN, and with responsibility for patient assessment being performed by a RN; assures timely reporting and recording of patient's Electronic Medical Record (EMR). 21. Maintains professional growth and development through seminars, workshops, and professional affiliations to keep abreast of latest trends in field of expertise. 22. Participates in meetings, committees and department projects as assigned. 23. Performs other related projects and duties as assigned. REQUIRED KNOWLEDGE, SKILLS AND ABILITIES: 1. Maintains clinical competency as required for the unit including but not limited to age-specific competencies relative to patient’s growth and developmental needs, annual skill competency verification and mandatory education and competencies. 2. Knowledge of computer hardware equipment and software applications relevant to work functions. 3. Knowledge of general hospital processes and procedures. 4. Ability to work in a fast-paced environment related to changing patient needs, including work with patients with acute, chronic and complex disease processes, and those who are dying. 5. Ability to practice proper body mechanics to ensure personal and customer/patient safety. 6. Ability to recognize and react to emergency procedures per role and policies/procedures. 7. Ability to communicate effectively both verbally and in writing. 8. Ability to perform crucial conversations with desired outcomes. 9. Ability to establish and maintain effective working relationships with all levels of personnel and medical staff. 10. Ability to problem solve and engage independent critical thinking skills. 11. Ability to maintain confidentiality relevant to sensitive information. 12. Ability to prioritize work demands and work with minimal supervision. 13. Ability to maintain regular and punctual attendance. EDUCATION AND EXPERIENCE: Current enrollment and in good standing in a Nursing Program such as an accredited Baccalaureate Nursing Program or RN Associate Degree program required. Active Nebraska Certified Nursing Assistant (CNA) credential required. Six (6) months CNA experience preferred. Patient Care Technicians working primarily in the Emergency Department may have additional competencies specific to their population. OTHER CREDENTIALS / CERTIFICATIONS: Basic Life Support (CPR) certification required. Bryan Health recognizes American Heart Association (for healthcare professionals), American Red Cross (for healthcare professionals) and the Military Training Network.
CNA Med-Surg Full-time
Mary Lanning Healthcare

CNA Med Surg (Certified Nursing Assistant)

Mary Lanning Healthcare Hastings, NE
Job Description: Seeking a Certified Nursing Assistant (CNA) to collaborate with our patients and staff to uphold compassionate clinical care and clerical support. Under the direction of a Registered Nurse, the CNA will be responsible for: Assisting patients with activities pertaining to their individual needs for daily living. Communicating patient care needs, change in condition, observations and responses to the appropriate RN. Documenting information related to patient responses and/or patient care activities on the appropriate tool. Providing basic care in a timely, and courteous, manner that encourages physical and mental comfort amongst patients and families. Other duties as assigned. This position is a great opportunity for an individual who is flexible, patient, and skilled at clear communication and critical thinking. Position Requirements: EDUCATION : High school diploma or General Education Degree (GED) preferred. *Certification as a nurse assistant, completion of a basic nursing course, completion of Emergency Medical Technician training / certification, or completion of a hospital provided training course required. CNA required for placement in Skilled Nursing Units. Students in other health care related majors will be considered. EXPERIENCE : One month related experience and/or training preferred. CERTIFICATIONS : BLS certification required within 90 days of hire. We are an equal opportunity employer and all qualified applicants will receive consideration for employment without regard to race, color, religion, sex, national origin, sexual orientation, gender identity, disability status, protected veteran status, or any other characteristic protected by law.
RN PACU Full-time
Mary Lanning Healthcare

Recovery Room RN (PACU)

Mary Lanning Healthcare Hastings, NE
Job Description: The Recovery Room RN works under general supervision while assessing, planning, implementing and evaluating the nursing care required to meet the needs of the patient. Job duties include (but not limited to): Performs complete patient assessments and communicates to the providers. Documents and maintains accurate nursing records. Functions as patient advocate between patient, physicians, other healthcare providers, administration, etc., as needed, and interacts professionally with patients and family members. Initiates diagnostic, preventative and rehabilitative nursing procedures as appropriate to the patient's care and safety. Administers medications to patients in accordance with approved standards of nursing knowledge and competency, based on age of patient, patient's clinical condition and physician orders. Cover call shifts as assigned with a 20 minute response time. Other duties as assigned. Position Requirements: EDUCATION: Associate Degree in Nursing required (Bachelor's preferred). EXPERIENCE: Previous clinical experience in specific clinical unit preferred. CERTIFICATE, LICENSES, REGISTRATIONS: BLS/ACLS certifications required. Current registered nursing (RN) license or Temporary permit from the State of NE required. PALS/CPAN certifications preferred. We are an equal opportunity employer and all qualified applicants will receive consideration for employment without regard to race, color, religion, sex, national origin, sexual orientation, gender identity, disability status, protected veteran status, or any other characteristic protected by law.
LPN Full-time
Bryan Health

Bryan Heart Licensed Practical Nurse- Grand Island

Bryan Health Grand Island, NE
Summary GENERAL SUMMARY: Assists physicians with examinations and procedures to serve the medical needs of patients with various cardiac related health conditions in a professional, confidential, and caring manner. Coordinates the flow of patients, phone calls, lab work, and nurse visits to facilitate quality patient care and customer service goals. Provides professional nursing care as prescribed by the physician and in compliance with the Nebraska Nurse Practice Act, any applicable licensure/certification requirement and organizational policies and procedures. PRINCIPAL JOB FUNCTIONS: 1. *Commits to the mission, vision, beliefs and consistently demonstrates our core values. 2. *Performs nursing and other patient care activities to ensure the physical and psychological well-being of the patient. 3. *Screens patients for appropriate information to ensure the Electronic Health Record (EHR) is current. 4. *Prepares patient for examination treatment through BH’s rooming process; taking patient history and vital signs, completes medication reconciliation and accurately documents in the EHR available to the consulting physicians. 5. *Registers and maintains timely, complete information in the patients' EHR and charts to ensure accurate patient care. Posts tests and examination results immediately. 6. *Upon direct assignment, supports provider(s) in a primary role, coordinating and facilitating patient care and follow up to achieve quality patient care and customer service goals. 7. *Ensures that exam rooms are clean and well stocked with necessary equipment and supplies. 8. *Prepares equipment and aides physician during examination of patients. 9. *Performs electrocardiograms. 10. *Dispenses medication as directed. Observes and records patient's condition and reaction to drugs and treatments, and reports same to provider. 11. *Educates patients and their families about diagnostic procedures, medications, post-treatment instructions, nutrition and maintenance of general health and wellness. 12. *Understands diagnosis allowed for ordering tests/procedures to ensure reimbursement. 13. Assists Bryan Heart with pre-authorizations, release of information requests, FMLA certification, etc. 14. Responds to/refers incoming patient treatment-related phone calls. 15. Maintains patient confidentiality. 16. Manages work hours, supplies, and other clinical costs in line with fiscal responsibility and budget. 17. Attends meetings and participates on committees as assigned. 18. May assist provider in both Lincoln and Outreach Clinic sites. 19. Maintains professional growth and development through seminars, workshops, and professional affiliations to keep abreast of latest trends in field of expertise. 20. Participates in meetings, committees and department projects as assigned. 21. Performs other related projects and duties as assigned. (Essential Job functions are marked with an asterisk “*”. Refer to the Job Description Guide for the definition of essential and non-essential job functions.) Attach Addendum for positions with slightly different roles or work-specific differences as needed. EDUCATION AND EXPERIENCE: Graduation from an accredited professional nursing program required. Current licensure as a Licensed Practical Nurse (LPN) in the State of Nebraska required. Minimum of one (1) year nursing experience required, clinic nursing preferred.
LPN Outpatient Full-time
Bryan Health

Medical Office LPN-Prairie Center Internal Medicine

Bryan Health Grand Island, NE
Summary GENERAL SUMMARY: Assists physicians with examinations and procedures to serve the medical needs of patients with various health conditions in a professional, confidential, and caring manner. Coordinates the flow of patients, phone calls, lab work, and nurse visits to facilitate quality patient care and customer service goals. Provides professional nursing care as prescribed by the physician and in compliance with the Nebraska Nurse Practice Act, any applicable licensure/certification requirement and organizational policies and procedures. PRINCIPAL JOB FUNCTIONS: 1. *Commits to the mission, vision, beliefs and consistently demonstrates our core values. 2. *Maintains flow of patients in accordance with time of appointment in order to avoid delays for the provider and undue waiting for patients. 3. *Keeps the exam rooms clean, disinfected and stocked with necessary supplies. 4. *Obtains vital signs, reason for visit, allergies and list of medications from the patient and prepares patient for the visit. 5. *Assists the medical provider with all examinations and procedures. 6. *Schedules outpatient follow-up procedures/ appointments and specialty appointments. 7. *Collects subjective and objective data and contributes to the assessment of the patient; documents appropriately in the patient chart. 8. *Makes accurate and timely observations and documents changes in the patient’s condition in the patient chart. 9. *Retrieves messages and responds to calls from patients, pharmacies, hospitals, nursing homes and other medical offices by use of telephone and computer in a timely manner as delegated by licensed heath care provider (MD, RN, PA, NP). 10. *Explains tests and preparation as needed for adequate patient education. 11. Monitors inventory of supplies and communicates information to Office Manager. 12. *Administers injections, vital signs, vision and auditory testing as delegated. 13. Performs other related projects and duties as assigned. EDUCATION AND EXPERIENCE: Graduation from an accredited professional nursing program required. Current licensure as a Licensed Practical Nurse (LPN) in the State of Nebraska required. OTHER CREDENTIALS / CERTIFICATIONS: Basic Life Support (CPR) certification required. Bryan Health recognizes American Heart Association (for healthcare professionals), American Red Cross (for healthcare professionals) and the Military Training Network.