Nursing Jobs in Shepherd, MI

Department : Emergency Services Daily Work Times: 7:00am - 7:00pm Shift: Days Scheduled Bi-Weekly Hours : 72 Position Summary: Coordinates total nursing care for patients, participates in patient and family teaching and provides leadership by working cooperatively with ancillary nursing and other patient team personnel in maintained standards for professional nursing practice in the clinical setting. The Registered Nurse is held accountable to the ethical and professional standards as defined in the ANA Code for Nurses, the ANA Nursing’s Social Policy Statement, the State of Michigan Public Health code and the ANA and Specialty Nursing Standards of Clinical Practice. The Registered Nurse is also accountable to adhering to the standards set by regulatory agencies such as but not limited to the American Osteopathic Association (AOA), Conditions of Participation of Healthcare Finance Administration (HCFA), and Michigan Occupational Health and Safety (MIOSHA). These accountabilities require individual competence in nursing practice, and the recognition and responsible acceptance of individual actions and judgments. Unit Based Competencies – Emergency Assesses patients for suicidal tendencies and ideations, as indicated. Assesses and treats pediatric fever, utilizing age specific competencies. Appropriately assesses and treats abdominal pain and headaches in patients of all ages. In collaboration with other healthcare team members, assesses and treats lacerations and extremity injuries. Assesses adult patients for dyspnea and provides treatment as indicated. Based on the patient’s clinical condition, administers high risk medications safely, effectively and accurately. Effectively manages the care of the trauma patient in collaboration with other members of the healthcare team. Effectively assesses and manages the care of the stroke patient in collaboration with other members of the healthcare team. Transfuses blood in a safe and timely manner Safely handles body fluids contaminated by toxic chemicals to protect patients, healthcare workers and the public. Required: Education - Graduate of an approved registered nursing program. Must have a current Michigan Registered Nurse license BLS Certification Must become ALS certified within three (3) months of date of hire or transfer Must become PALS certified within six (6) months of date of hire or transfer TNCC (Trauma Nursing Core Curriculum) within 1 year of hire or transfer Preferred: Six (6) months ER and/or ICU experience within the last two (2) years and/or meet internal posting criteria. One year hospital practice as a registered nurse Additional Information Schedule: Full-time Requisition ID: 26004469 Daily Work Times: 7:00am - 7:00pm Hours Per Pay Period: 72 On Call: No Weekends: Yes 
Summary The Registered Nurse (RN) functions primarily in direct patient care, and demonstrates “competent” clinical practice. This position triages patients, obtains patient history and vital signs and assesses patients. Acts independently to initiate immediate care in the absence of a physician in life threatening situations. Provides care for the acutely ill as well as the non-acute patient. Performs multiple procedures utilizing both complex and simple nursing skills and assists the physician with their procedures. Provides comfort, both physical and psychological, to the patient, their family and visitors. Provides discharge and follow-up instructions to the patient and family. Answers the ambulance radios and, without assistance, gives appropriate orders for pre-hospital care. Works with multiple types of sophisticated equipment and handles various types of patients in a frequently stressful environment. Responsibilities (25%)* Performs nursing assessments, intervenes appropriately and promptly, and participates in care planning. (25%)* Regularly assesses patient’s/client’s needs and provides skilled nursing services as prescribed by the physician authorized plan of care, and accepted standards of nursing practice. (20%)* Processes physician/provider orders accurately, completely, and in a timely manner, and does follow up regarding medication changes and order clarifications. (15%)* Evaluates effectiveness of treatment plan and makes suggestions or facilitates changes in plan to improve patient care. (15%)* Actively participates in updating/ revising the treatment plan in collaboration with other team members, utilizing current information. Other Duties And Responsibilities Uses physical assessment techniques (auscultation, percussion, palpation, observation) to identify patients physical problems and their patient care needs. Recognizes self-limitations and seeks out appropriate resources. Possess clinical competence in airway management, cardiac monitoring, Intravenous (IV) therapy, blood gas analysis, venipuncture and physical assessment. Reassesses patient health status and identifies significant changes in conditions. Individualizes plan of care. Coordinates the prescribed plans with orders on health care team. Communicates pertinent aspects of care to patient, family, or other health care workers. Initiates home health referrals when appropriate. Sets priorities and implements nursing measures which correlate with identified plan and standard of care. Recognizes change in patient’s condition and takes action to manage, reduce, or eliminate symptoms and promote comfort. Demonstrates respect for patient’s dignity and privacy. Documents nursing intervention and patients response. Maintains a safe patient environment and takes actions to prevent risk situations Provides for patient/family education – explains about all procedures, utilizes available educational materials, documents any instructions given to family. Has effective interpersonal skills with customers. Assists peers in patient care activities. Recognizes stress in others and uses positive coping techniques. Sets goals and prioritizes Emergency Department care to patients according to acuity. Is accountable in following medical center policy and procedures and work attendance. Participates in continuing education program, Medial Center Computer-based-learning modules, and ED In-service training and ED Skills Day. MyMichigan Health is a technology driven organization and employees need to demonstrate competency in Microsoft® Windows. An employee may be required to participate in further learning opportunities offered by MyMichigan Health. Certifications and Licensures Credential: ACLS: Advanced Cardiac Life Support Equivalent Experience: Within 12 months of hire or transfer Credential: BLS: Basic Life Support Equivalent Experience: Within 3 months of hire or transfer Credential: TNCC: Trauma Nurse Core Course or ATCN Equivalent Experience: Within 12 months of hire or transfer Credential: PALS: Ped Advance Life Support Equivalent Experience: Within 24 months of hire or transfer Credential: RN: Registered Nurse Equivalent Experience: Knowledge of nursing technique as normally acquired through completion of at least an Associate's Degree in Nursing culminating in licensure in the State of Michigan. Knowledge of nursing skills as normally acquired through 2 years experience working in the medical center or similar setting. Credential: ENPC: Emerg Nurse Pediatric Course Equivalent Experience: Within 12 months of hire or transfer. This is a one-time requirement for this position. Credential: TEAM ADVANCED: Techniques for Effective Aggression Mgt Equivalent Experience: Within 6 months of hire or transfer (Employees who are in this position on or before 12/31/2023 will have 24 months to complete this certification) Credential: NIMS IS 100: NIMS IS 100 Introduction Incident Command System Equivalent Experience: Within 6 months of hire or transfer Credential: NIMS IS 700: NIMS IS 700 Introduction National Incident Mgt System Equivalent Experience: Within 6 months of hire or transfer Required Education Education: Associate degree in nursing, bachelors preferred Other Information Experience, Training And Skills Knowledge of nursing skills as normally acquired through 2 years’ experience working in the medical center or similar setting. Weekend RN positions require a minimum of two years’ experience. Physical/Mental Requirements And Typical Working Conditions Exposure to stressful situations, including those involving public contact, as well as, trauma, grief and death. Able to wear personal protective equipment that includes latex materials or appropriate substitute if required for your position. Is able to move freely about facility with or without an assisted device and must be able to perform the functions of the job as outlined in the job description. Overall vision and hearing is necessary with or without assisted device(s). Frequently required to sit/stand/walk for long periods of time. May require frequent postural changes such as stooping, kneeling or crouching. Some exposure to blood borne pathogens and other potentially infectious material. Must follow MyMichigan Health bloodborne pathogen and TB testing as required. Ability to handle multiple tasks, get along with others, work independently, regular and predictable attendance and ability to stay awake. Overall dexterity is required including handling, reaching, grasping, fingering and feeling. May require repetition of these movements on a regular to frequent basis. Physical Demand Level: Medium. Must be able to occasionally (0-33% of the workday) lift or carry 21-50 lbs., frequently 34-66% of the workday 20 lbs. and or Walk/Stand/Push/Pull of Arm/Leg controls and constantly (67-100% or the workday) 10 lbs. Equivalent Experience And Other Comments (Education) Other Comments #Indeed1RN 
Summary The ED/SSU RN functions primarily in direct patient care, and demonstrates “competent” clinical practice with a variety of patients. The RN in the ED/SSU works as part of a team with a common goal of offering patient centered, timely care, in a safe and friendly environment. The RN in this position offers individualized compassionate care to emergency department patients, observation patients, and outpatients. The RN acts to initiate immediate care in the absence of a physician, in life threatening situations. The RN pleasantly provides nonjudgmental care for the acutely ill, as well as the non-acute patient. This position requires the ability to perform multiple procedures, utilizing both complex and simple nursing skills. This position requires assisting the physician and other members of the team to provide relationship based patient centered care. The RN provides comfort, both physically and psychologically, to patients, their families, and visitors utilizing the Relationship Based Care Model. Registered nurses shall provide patient specific discharge and follow-up instructions to the patient and family using appropriate language for the patient and family’s psychosocial intellect. This position requires the ability to communicate with EMS on a daily basis. The RN must be able to relay appropriate orders from the physician for pre-hospital care in a friendly and respectful manner. The RN in this role works with multiple types of sophisticated equipment and handles various types of patients in a friendly and frequently stressful environment. Responsibilities Essential: 40%* The RN as part of a multidisciplinary team, maintains a friendly customer oriented attitude at all times. It is expected that all team members will work together to provide the best possible care to MyMichigan Health’s staff, patients, families, visitors, community members, and any other person that is encountered while representing MyMichigan Health. It is expected that at all times the RN will treat every person they encounter with non-judgmental: kindness, compassion, respect and relationship based care. 30%* Regularly assesses patient’s needs and provides skilled nursing services as prescribed by the physician’s authorized plan of care and accepted standards of evidence based nursing practice. Provides direct patient care including medication administration, treatments, education, call lights, assisting with transfers, responding to alarms, and other duties as assigned. 20%* Evaluates effectiveness of treatment plan and makes suggestions or participates in updating/revising the treatment plan in collaboration with other team members, utilizing current information to improve patient care. 10%* The RN is knowledgeable and compliant with all local, state, and federal regulations and guidelines. The RN maintains knowledge of MyMichigan Health and ED/SSU specific policies and procedures relating to the care provided, guides patient teaching, and maintains professional nursing standards. Certifications and Licensures Credential: RN: Registered Nurse Equivalent Experience: Qualification Source: Essential: true Credential: DIMC: Dysrhythmia Interpretation Man Equivalent Experience: Dysthrymthia Interpretation Monitoring (DIM) Certification or comparable cardiac rhythm knowledge required within 12 months of hire or transfer. Qualification Source: Essential: true Credential: BLS: Basic Life Support Equivalent Experience: Within 1 month of hire or transfer Qualification Source: AHA Essential: true Credential: ACLS: Advanced Cardiac Life Support Equivalent Experience: Within 12 months of hire or transfer Qualification Source: Essential: true Credential: PALS: Ped Advance Life Support Equivalent Experience: Within 12 months of hire or transfer Qualification Source: Essential: true Credential: ENPC: Emerg Nurse Pediatric Course Equivalent Experience: Within 12 months of hire or transfer Qualification Source: Essential: true Credential: TNCC: Trauma Nurse Core Course or ATCN Equivalent Experience: Within 12 months of hire or transfer Qualification Source: Essential: true Credential: TEAM ADVANCED: Techniques for Effective Aggression Mgt Equivalent Experience: Within 6 months of hire or transfer (Employees who are in this position on or before 12/31/2023 will have 24 months to complete this certification) Qualification Source: Essential: true Required Education Education: Associates Degree Equivalent Experience: Education Specialization: NRG Essential: true Other Information Other Responsibilities: Demonstrates the MyMichigan Health mission, vision and values. Behaves in a pleasant, courteous, and professional manner at all times with MyMichigan Health’s staff, patients, families, visitors, community members, and any other persons encountered while representing MyMichigan Health. Maintains a therapeutic relationship with the patient, family and other health care providers to assure that patient care goals have been accomplished. Demonstrates the ability to interpret information and report pertinent data to the physician. Educate patient/family according to assessed learning needs considering readiness, ability, preferences, and cultural / spiritual variables. Demonstrates the ability to organize and prioritize the needs of groups of patients or an individual patient. Demonstrates a general ability to manage assignments and perform routine duties within both the ED and SSU. Instructs other team members when appropriate, explaining goals and rationale for individualized care. Uses physical assessment techniques (auscultation, percussion, palpation, and observation) to identify patient’s physical problems and their patient care needs. Recognizes self-limitations and seeks out appropriate resources. Provides For The Age Specific Needs Of The Population Served According To Department Standards And Policies/procedures As Evidenced By Observation, Documentation And Peer Feedback For The Following: Neonate/Infant - Birth to 1 year Toddler - 1 to 4 years Child - 5 to 12 years Adolescent - 13 to 17 years Adult - 18 to 64 years Later Adult - 65 years and older Documents in an accurate, clear, and concise way that includes pertinent clinical data utilizing both electronic and paper format. Participates in regulatory surveys. Participates in the performance improvement activities including but not limited to shared governance system councils and unit council. Assists with orientation, ongoing competencies, and students. Maintains knowledge with current trends and professional standards within a specialty. Demonstrates understanding of role in emergency preparedness procedures. Will be responsible to work on-call, as scheduled. All other duties as assigned. REQUIRED EDUCATION, EXPERIENCE, TRAINING AND SKILLS: Knowledge of nursing technique as normally acquired through completion of an Associate’s Degree in nursing culminating in RN Licensure in the State of Michigan. Interpersonal skills needed to communicate successfully with individuals and groups and interact with people at all levels to communicate ideas and concepts in a clear and understandable manner. Mandatory tuberculosis (TB) testing must be done annually. Mandatory Occupational Safety and Health Administration (OSHA) training must be completed annually according to the Exposure Control Plan. Dysthrymthia Interpretation Monitoring (DIM) Certification or comparable cardiac rhythm knowledge required within 12 months of hire or transfer. Health Care Provider Basic Life Support (BLS) Certification within 30 days of hire or transfer. Advanced Cardiac Life Support (ACLS) Certification required within 12 months of hire or transfer. Pediatric Advanced Life Support (PALS) required within 12 months or hire or transfer. Emergency Nurse Pediatric Course (ENPC) required within 12 months of hire or transfer. Trauma Nursing Core Course (TNCC) required within 12 months of hire or transfer. CPI (Crisis Prevention Intervention) within 6 months of hire, and annually thereafter. MyMichigan Health is a technology driven organization and employees need to demonstrate competency in Microsoft® Windows. An employee may be required to participate in further learning opportunities offered by MyMichigan Health. Preferred Education, Experience, Training And Skills: Neonatal Resuscitation Program (NRP) Certified Emergency Nurse (CEN) Certification Bachelors in Science of Nursing (BSN) One year of Emergency Department experience. PHYSICAL/MENTAL REQUIREMENTS AND TYPICAL WORKING CONDITIONS: Exposure to stressful situations, including those involving public contact, as well as, trauma, grief and death. Able to wear personal protective equipment that includes latex materials or appropriate substitute if required for your position. Is able to move freely about facility with or without an assisted device and must be able to perform the functions of the job as outlined in the job description. Overall vision and hearing is necessary with or without assisted device(s). Frequently required to sit/stand/walk for long periods of time. May require frequent postural changes such as stooping, kneeling or crouching. Some exposure to blood borne pathogens and other potentially infectious material. Must follow MyMichigan Health bloodborne pathogen and TB testing as required. Ability to handle multiple tasks, get along with others, work independently, regular and predictable attendance and ability to stay awake. Overall dexterity is required including handling, reaching, grasping, fingering and feeling. May require repetition of these movements on a regular to frequent basis. Physical Demand Level: Medium. Must be able to occasionally (0-33% of the workday) lift or carry 21-50 lbs., frequently 34-66% of the workday 20 lbs. and or Walk/Stand/Push/Pull of Arm/Leg controls and constantly (67-100% or the workday) 10 lbs. 
Starting at $16.50 **Day & Overnight Shifts Available!! Join our DYNAMIC team at Bickford Senior Living as a Certified Caregiver! The Certified Caregiver supports resident care within the branch, ensuring that Resident’s daily needs are met in a compassionate way that maintains their dignity, allowing them to live their life to the fullest! This position offers a full suite of benefits options that vary based on employment status. Some of the benefits include, but are not limited to: Full-time employees are eligible for all benefits (medical, dental, vision, and voluntary products) Part-time employees (29 or fewer hours per week) are eligible for Voluntary Life, Voluntary Short-Term Disability, Voluntary Long-Term Disability, Accident, Critical Illness, Identity Protection, and Cyber Monitoring Benefits start on the 1st of the month following 30 days of employment Prescription savings plans All employees are eligible for 401(k) with employer match Pay available daily "There is no higher calling, no greater purpose than a caregiver. Somehow, we’ve come to believe that caregiving is just for some of us and not all. Yet, at our core, we are all made to love, connect, to extend ourselves in service to others. The question is… do we have the will to love, do what it takes, and risk ourselves in caring, even when the burden is great? In times of happiness and sadness, we are that caregiver” - www.bickfordseniorliving.com/caregivers-manifesto RESPONSIBILITIES & QUALIFICATIONS Responsibilities: Know the residents you serve, providing care based on their service plans. Assist in all aspects of a resident’s daily life, including activities of daily living, meal service, and social engagement. Appropriately communicate with branch clinical leadership when a resident’s needs change. Knowledge of how to approach and care for residents with dementia. Qualifications: An active CNA License in good standing. High School Diploma or GED. Willing to take additional training or education, which specific states may require. CPR and First Aid certifications are required. Ability to handle multiple priorities. Possess written and verbal skills for effective communication. Competent in organizational and time management skills. Demonstrates good judgment, problem-solving, and decision-making skills ABOUT BICKFORD SENIOR LIVING: Bickford Senior Living is a community of caregivers who are dedicated to doing whatever it takes to enrich our resident’s happiness. Founded in 1991 in Olathe, Kansas, by the Eby Family. Mary Bickford, the matriarch of the family, was the first resident of a Bickford Branch and our namesake. That location became the start of a tradition of caring that has extended to over 50 locations in 7 states. Although Bickford Senior Living has grown in size… we pride ourselves in the family environment that is the foundation on which Bickford has served thousands of residents and employees throughout the years. www.bickfordseniorliving.com/our-story At Bickford, you will… Make a Difference Every Day We are passionate about our mission — to champion quality of life for all seniors. We deliver high-quality care with a personal touch and encourage our residents to enjoy life to the fullest. Be Part of a Uniquely Supportive Community The care-focused environment we create for residents extends to our team members. We offer programs, rewards, and benefits to help you live your best. Ignite Your Potential We believe potential has no limits. We offer best-in-class leadership development programs designed to grow our leaders. We are committed to helping our team members achieve their career goals. #INDMP 
Summary Under direct supervision of the provider, will be responsible for patient assessment and care, and maintaining appropriate documentation. This position must have basic knowledge of specialty and/or primary care and able to assess, plan, implement and evaluate care for patients. This position is responsible for coordinating care to assure high quality, compassionate patient care is provided. They will maintain and oversee patients at the office locations and will act as the liaison with other organizations and departments. This position may be required to order all medical, pharmacy supplies, and office supplies to manage patient care. They will assure compliance with all the policies/procedures of MyMichigan Health and follow Occupational Safety and Health Administration (OSHA) guidelines, Clinical Laboratory Improvement Amendments (CLIA) regulations, and all appropriate regulatory agencies. They will coordinate with and train any new employees, students and float staff as required. The clinical person will provide patient education, assist with specialty care modalities, symptom management, be available for emergencies, monitor for compliance and the effects of care management with high risk patients, educate on prescriptions and teach the patient and family the reasons for the medication and side effects, coordinate and ensure continuity of care with other providers. Also, may perform general office duties (keyboarding, filing, telephone, computer and office equipment) as needed. The expectations outlined in this job description may vary slightly depending on the practice in which you are assigned. Your immediate supervisor will be able to clarify your responsibilities for you. Responsibilities (20%)* Triages all calls, schedules daily urgent/emergent add-ons, receives and relays test results, processes medication refills, supports, directs and refers patients for consults and/or testing and insurance pre-certification and documentation. (20%)* Provides complete patient assessment within their scope of their licensure. Greets patients and/or family, performs routine pre-examination procedures including vital signs, assessing and recording objective and subjective data concerning presenting condition. Updates and maintains an accurate patient record by performing but not limited to, orders reconciliation, secure messaging (if available) and other tasks as assigned. Performs medication reconciliation, enters allergy reaction type, processes refills within the scope of their certification. (20%)* Coordinates the care team with the care indicated by the provider, and works with the patient and families with the disease process and/or care management. (20%)* Assists provider with examinations and procedures. (20%)* Prepares and cleans the patient area, sets up equipment, cleans and facilitates room set up after a procedure. Disposes of contaminated supplies and sterilizes medical instruments. Other Duties And Responsibilities Demonstrates critical thinking for patient management. Provides for the age specific needs of the population served according to standards and policies/procedures as evidenced by observation, documentation and peer feedback. Maintains medical supplies to assure consistent supply levels to meet the needs of the patients. Understands necessary computer functions in the office setting: Michigan Automated Prescription System (MAPS), Michigan Care Improvement Registry (MCIR), Practice Management, Electronic Medical Records, Laboratory information system (LIS), Emageon, dictation systems, and any other necessary programs to assist providers and staff. If applicable, maybe required to travel to satellite clinics. Maintains a system for accurately documenting and coding in the medical record as appropriate per policy. Participate in annual review for quality and completeness as necessary. Management of the patient symptoms as directed by the provider. Coordinates and ensure continuity of care with other providers. MyMichigan Health is a technology driven organization and employees need to demonstrate Competency in Microsoft® Windows. Certifications and Licensures BLS - Basic Life Support Required Equivalent Experience - Within 1 month of hire or transfer RN - Registered Nurse Required Required Education Education: Associates Degree Comments: BSN is preferred. Other Information Experience, Training And Skills Working knowledge of the organization’s Infor, Electronic Medical Records, and Practice Management programs preferred or knowledge of similar software. PC software knowledge must include: Excel and Word. Knowledge of medical office policies, practices and procedures as normally acquired through three to five years working in the health care system or similar setting. Excellent interpersonal skills needed to communicate successfully with individuals and interact with people at all levels to communicate concepts in a clear and understandable manner. Physical/Mental Requirements And Typical Working Conditions Exposure to stressful situations, including those involving public contact, as well as, trauma, grief and death. Able to wear personal protective equipment that includes latex materials or appropriate substitute if required for your position. Is able to move freely about facility with or without an assisted device and must be able to perform the functions of the job as outlined in the job description. Overall vision and hearing is necessary with or without assisted device(s). Frequently required to sit/stand/walk for long periods of time. May require frequent postural changes such as stooping, kneeling or crouching. Some exposure to blood borne pathogens and other potentially infectious material. Must follow MyMichigan Health bloodborne pathogen and TB testing as required. Ability to handle multiple tasks, get along with others, work independently, regular and predictable attendance and ability to stay awake. Overall dexterity is required including handling, reaching, grasping, fingering and feeling. May require repetition of these movements on a regular to frequent basis. Physical Demand Level: Light. Must be able to occasionally (0-33% of the workday) lift or carry 11-20 lbs., frequently (34-66% of the workday) 10 lbs. and or Walk/Stand/Push/Pull of Arm/Leg controls. Equivalent Experience And Other Comments (Education) Other Comments 
Summary This position has basic knowledge of neonatal care and is able to assess, plan, implement and evaluate care for maternity patients. Responsibilities (40%)* Regularly assesses patient’s/client’s needs and provides skilled nursing services as prescribed by the physician authorized plan of care, and accepted standards of nursing practice. (20%)* Provides direct resident care including medication administration, treatments, call lights, assisting with transfers, responding to alarms, etc. (20%)* Evaluates effectiveness of treatment plan and makes suggestions or participates in updating/revising the treatment plan in collaboration with other team members, utilizing current information to improve patient care. (10%)* Processes physician/provider orders and performs physician ordered care accurately, completely and in a timely manner. (10%) Follows up regarding medication changes and order clarifications as requested. Certifications and Licensures Credential: BLS: Basic Life Support Equivalent Experience: Within 1 month of hire or transfer Qualification Source: AHA Essential: true Credential: RN: Registered Nurse Qualification Source: MI Essential: true Credential: NRP: Neonatal Resuscitation Equivalent Experience: Within 12 months of hire or transfer Essential: true Credential: TEAM ADVANCED: Techniques for Effective Aggression Management Equivalent Experience: Within 6 months of hire or transfer (Employees who are in this position on or before 12/31/2023 will have 24 months to complete this certification) Essential: true Required Education Education: Associates Degree in Nursing required. Equivalent Experience: Bachelor's Degree in Nursing preferred. Education Specialization: NRG Essential: true Other Information Other Duties And Responsibilities Demonstrates the ability to interpret information and reports pertinent data to the physician, including pertinent clinical information. Assess learning needs considering readiness, ability, preferences, and cultural / spiritual variables. Provide education to meet the individual needs and ability to learn. Participates in care conferences as assigned. Develops and maintains good working rapport with interdisciplinary personnel to meet the needs of each patient. Coordinates care provided by patient care technicians. Demonstrates the ability to organize and prioritize the needs of groups of patients or an individual patient. Demonstrates a general ability to manage assignments and perform routine duties on the unit. Instructs other team members when appropriate, explaining goals and rationale for individualized care. Implements clinical and technical aspects of care in accordance with established policies and procedures. Demonstrates understanding of clinical pathways and utilizes appropriately. Remains calm and efficient when working in stressful situations. Documents in an accurate, clear, and concise way and includes pertinent clinical data. Shares information and reports significant changes and/or abnormal findings to appropriate team members. Participates in regulatory surveys. Participates in the performance improvement activities. Assists with orientation and ongoing competencies. Provides a safe and secure environment for patient care. Attend and participate in professional association activities and programs to assure being current on regulations, guidelines, and professional standards. Remain current on new developments by reading professional journals, and attending seminars. Demonstrates understanding of role in emergency preparedness procedures. Obtains prenatal history (prenatal Labor and Delivery (L&D) records) and antenatal care, gathering data and identifying risk factors. Performs physical assessment. Performs Loepold’s maneuvers for fetal position. Assesses fetal heart rate and identifies maternal-fetal risk factors. Palpates uterus to assess frequency, length and quality of contractions. Distinguishes, reports and records normal and abnormal conditions. Identifies life-threatening/emergency situations. Formulates conclusions, making a diagnosis. Decides when to do or not to do a vaginal examination on the laboring patient. Assesses and evaluates dilatation and effacement of the cervix and station of presenting part via sterile vaginal examination. Graphs labor process based on Friedman labor curve. Distinguishes true labor from false labor. Assesses and evaluates suspected rupture of membranes. Visualizes pooling of amniotic fluid. Uses nitrazine paper to prepare slide for fern test. Performs and/or assists with sterile speculum examinations. Assesses and documents family interaction/support system. Identifies support person and desired birthing plan. Assesses effectiveness of patient’s/family’s current coping mechanisms. Evaluates level of childbirth preparation. Explains diet and activity orders during labor. Communicates and documents admission data with physician, nursing staff, family and appropriate personnel. Prioritizes and delivers care based on information obtained from maternal-fetal labor assessment of status and initial exam. Identifies those patients with high-risk conditions that may require consultation and/or transportation to a tertiary center. Assesses patient during all stages of labor, obtaining vital signs, fetal heart rate and patterns, and amount, color, and odor of amniotic fluid, etc. Continuously updates nursing care plan. Identifies common analgesic drugs, contraindications, dosage parameters, and acceptable routes of administration. Identifies and promptly initiates appropriate nursing intervention for maternal and/or fetal side effects of medication and/or complications. Sets up sterile delivery or operating instrument table using strict aseptic technique according to specific physician’s request. Ensures presence and proper functioning of emergency/resuscitation equipment for mother and newborn and radiant warmer for infant if appropriate. Positions patient in desired delivery position, utilizing physiologic positioning. Performs perineum or abdominal scrub using sterile technique. Instructs coach/family in appropriate attire and hand washing technique per medical center protocol. Notes and documents time of birth. Assesses Apgar scores at one and five minutes after birth. Assists with stabilization of at-risk neonate and performs cardiopulmonary resuscitation if indicated. Performs preliminary physical assessment for obvious physical abnormalities and notifies physician if abnormalities are noted. Correctly identifies newborn and mother, applying identification bracelets to both. Obtains necessary cord blood samples and sends them to the laboratory. Initiates newborn eye prophylaxis after initial bonding per Medical Center protocol. Assists in initial infant-parent-family bonding. Encourages immediate touch and eye contact as soon as possible after delivery. Answers Patient-family Questions About Newborn. Assists with initial breastfeeding. Notes and records delivery time of placenta. Notes and documents condition/ intactment of placenta and number of vessels in umbilical cord. Obtains cultures or specimen for laboratory analysis if indicated. Assesses and documents maternal vital signs every 15 minutes for first hour, more frequently if the patient’s condition warrants, and until stable per Medical Center protocol. Institutes uterine massage and/or applies perineal ice pack if indicated. Assesses for maternal discomfort and distended bladder and uses nursing intervention if needed. Encourages and promotes the bonding process. Explains post-delivery procedures and postpartum routine to patient and family. Prepares patient for transfer to postpartum status and/or gives discharge instructions to mother for self and infant care. If indicated, administers and documents oxytocin for induction/augmentation of labor after a physician, nurse midwife or qualified intrapartum nurse examines the patient. Performs continuous electronic fetal monitoring and immediately discontinues oxytocin if there is maternal-fetal intolerance. Develops a nursing plan of care based on appropriate data and rationale. Monitors status of patient and fetus if antepartum. Monitors status of infant. Performs physical care, technical procedures and maintains a therapeutic environment. Intervenes in emergency situations. Evaluates and initiates changes in plan of care based on changes in status of patient. Evaluates and initiates changes in plan of nursing care based on changes in status of infant. Collaborates with other health care providers in order to achieve optimal outcomes. Performs neonatal resuscitation if needed. All other duties as assigned. Experience, Training And Skills Interpersonal skills needed to communicate successfully with individuals and groups and interact with people at all levels to communicate ideas and concepts in a clear and understandable manner. MyMichigan Health is a technology driven organization and employees need to demonstrate competency in Microsoft® Windows. An employee may be required to participate in further learning opportunities offered by MyMichigan Health. Physical/Mental Requirements And Typical Working Conditions Exposure to stressful situations, including those involving public contact, as well as, trauma, grief and death. Able to wear personal protective equipment that includes latex materials or appropriate substitute if required for your position. Is able to move freely about facility with or without an assisted device and must be able to perform the functions of the job as outlined in the job description. Overall vision and hearing is necessary with or without assisted device(s). Frequently required to sit/stand/walk for long periods of time. May require frequent postural changes such as stooping, kneeling or crouching. Some exposure to blood borne pathogens and other potentially infectious material. Must follow MyMichigan Health bloodborne pathogen and TB testing as required. Ability to handle multiple tasks, get along with others, work independently, regular and predictable attendance and ability to stay awake. Overall dexterity is required including handling, reaching, grasping, fingering and feeling. May require repetition of these movements on a regular to frequent basis. Physical Demand Level: Medium. Must be able to occasionally (0-33% of the workday) lift or carry 21-50 lbs., frequently 34-66% of the workday 20 lbs. and or Walk/Stand/Push/Pull of Arm/Leg controls and constantly (67-100% or the workday) 10 lbs. 
Summary The Registered Nurse (RN) functions primarily in direct patient care, and demonstrates “competent” clinical practice. This position triages patients, obtains patient history and vital signs and assesses patients. Acts independently to initiate immediate care in the absence of a physician in life threatening situations. Provides care for the acutely ill as well as the non-acute patient. Performs multiple procedures utilizing both complex and simple nursing skills and assists the physician with their procedures. Provides comfort, both physical and psychological, to the patient, their family and visitors. Provides discharge and follow-up instructions to the patient and family. Answers the ambulance radios and, without assistance, gives appropriate orders for pre-hospital care. Works with multiple types of sophisticated equipment and handles various types of patients in a frequently stressful environment. Responsibilities (25%)* Performs nursing assessments, intervenes appropriately and promptly, and participates in care planning. (25%)* Regularly assesses patient’s/client’s needs and provides skilled nursing services as prescribed by the physician authorized plan of care, and accepted standards of nursing practice. (20%)* Processes physician/provider orders accurately, completely, and in a timely manner, and does follow up regarding medication changes and order clarifications. (15%)* Evaluates effectiveness of treatment plan and makes suggestions or facilitates changes in plan to improve patient care. (15%)* Actively participates in updating/ revising the treatment plan in collaboration with other team members, utilizing current information. OTHER DUTIES AND RESPONSIBILITIES: Uses physical assessment techniques (auscultation, percussion, palpation, observation) to identify patients physical problems and their patient care needs. Recognizes self-limitations and seeks out appropriate resources. Possess clinical competence in airway management, cardiac monitoring, Intravenous (IV) therapy, blood gas analysis, venipuncture and physical assessment. Reassesses patient health status and identifies significant changes in conditions. Individualizes plan of care. Coordinates the prescribed plans with orders on health care team. Communicates pertinent aspects of care to patient, family, or other health care workers. Initiates home health referrals when appropriate. Sets priorities and implements nursing measures which correlate with identified plan and standard of care. Recognizes change in patient’s condition and takes action to manage, reduce, or eliminate symptoms and promote comfort. Demonstrates respect for patient’s dignity and privacy. Documents nursing intervention and patients response. Maintains a safe patient environment and takes actions to prevent risk situations Provides for patient/family education – explains about all procedures, utilizes available educational materials, documents any instructions given to family. Has effective interpersonal skills with customers. Assists peers in patient care activities. Recognizes stress in others and uses positive coping techniques. Sets goals and prioritizes Emergency Department care to patients according to acuity. Is accountable in following medical center policy and procedures and work attendance. Participates in continuing education program, Medial Center Computer-based-learning modules, and ED In-service training and ED Skills Day. MyMichigan Health is a technology driven organization and employees need to demonstrate competency in Microsoft® Windows. An employee may be required to participate in further learning opportunities offered by MyMichigan Health. Certifications and Licensures Credential: ACLS: Advanced Cardiac Life Support Equivalent Experience: Within 12 months of hire or transfer Qualification Source: Essential: true Credential: BLS: Basic Life Support Equivalent Experience: Within 3 months of hire or transfer Qualification Source: AHA Essential: true Credential: TNCC: Trauma Nurse Core Course or ATCN Equivalent Experience: Within 12 months of hire or transfer Qualification Source: Essential: true Credential: PALS: Ped Advance Life Support Equivalent Experience: Within 24 months of hire or transfer Qualification Source: Essential: true Credential: RN: Registered Nurse Equivalent Experience: Knowledge of nursing technique as normally acquired through completion of at least an Associate's Degree in Nursing culminating in licensure in the State of Michigan. Knowledge of nursing skills as normally acquired through 2 years experience working in the medical center or similar setting. Qualification Source: MI Essential: true Credential: ENPC: Emerg Nurse Pediatric Course Equivalent Experience: Within 12 months of hire or transfer. This is a one-time requirement for this position. Qualification Source: Essential: true Credential: TEAM ADVANCED: Techniques for Effective Aggression Mgt Equivalent Experience: Within 6 months of hire or transfer (Employees who are in this position on or before 12/31/2023 will have 24 months to complete this certification) Qualification Source: Essential: true Credential: NIMS IS 100: NIMS IS 100 Introduction Incident Command System Equivalent Experience: Within 6 months of hire or transfer Qualification Source: Essential: true Credential: NIMS IS 700: NIMS IS 700 Introduction National Incident Mgt System Equivalent Experience: Within 6 months of hire or transfer Qualification Source: Essential: true Required Education Education: Associate degree Nursing Other Information EXPERIENCE, TRAINING AND SKILLS: Knowledge of nursing skills as normally acquired through 2 years’ experience working in the medical center or similar setting. Weekend RN positions require a minimum of two years’ experience. PHYSICAL/MENTAL REQUIREMENTS AND TYPICAL WORKING CONDITIONS: Exposure to stressful situations, including those involving public contact, as well as trauma, grief and death. Able to wear personal protective equipment that includes latex materials or appropriate substitute if required for your position. Is able to move freely about facility with or without an assisted device and must be able to perform the functions of the job as outlined in the job description. Overall vision and hearing is necessary with or without assisted device(s). Frequently required to sit/stand/walk for long periods of time. May require frequent postural changes such as stooping, kneeling or crouching. Some exposure to blood borne pathogens and other potentially infectious material. Must follow MyMichigan Health bloodborne pathogen and TB testing as required. Ability to handle multiple tasks, get along with others, work independently, regular and predictable attendance and ability to stay awake. Overall dexterity is required including handling, reaching, grasping, fingering and feeling. May require repetition of these movements on a regular to frequent basis. Physical Demand Level: Medium. Must be able to occasionally (0-33% of the workday) lift or carry 21-50 lbs., frequently 34-66% of the workday 20 lbs. and or Walk/Stand/Push/Pull of Arm/Leg controls and constantly (67-100% or the workday) 10 lbs. Equivalent Experience And Other Comments (Education) Other Comments #Indeed1RN 
Summary Under direct supervision of the provider, will be responsible for patient assessment and care, and maintaining appropriate documentation. This position must have basic knowledge of specialty and/or primary care and able to assess, plan, implement and evaluate care for patients. This position is responsible for coordinating care to assure high quality, compassionate patient care is provided. They will maintain and oversee patients at the office locations and will act as the liaison with other organizations and departments. This position may be required to order all medical, pharmacy supplies, and office supplies to manage patient care. They will assure compliance with all the policies/procedures of MyMichigan Health and follow Occupational Safety and Health Administration (OSHA) guidelines, Clinical Laboratory Improvement Amendments (CLIA) regulations, and all appropriate regulatory agencies. They will coordinate with and train any new employees, students and float staff as required. The clinical person will provide patient education, assist with specialty care modalities, symptom management, be available for emergencies, monitor for compliance and the effects of care management with high risk patients, educate on prescriptions and teach the patient and family the reasons for the medication and side effects, coordinate and ensure continuity of care with other providers. Also, may perform general office duties (keyboarding, filing, telephone, computer and office equipment) as needed. The expectations outlined in this job description may vary slightly depending on the practice in which you are assigned. Your immediate supervisor will be able to clarify your responsibilities for you. Responsibilities (20%)* Triages all calls, schedules daily urgent/emergent add-ons, receives and relays test results, processes medication refills, supports, directs and refers patients for consults and/or testing and insurance pre-certification and documentation. (20%)* Provides complete patient assessment within their scope of their licensure. Greets patients and/or family, performs routine pre-examination procedures including vital signs, assessing and recording objective and subjective data concerning presenting condition. Updates and maintains an accurate patient record by performing but not limited to, orders reconciliation, secure messaging (if available) and other tasks as assigned. Performs medication reconciliation, enters allergy reaction type, processes refills within the scope of their certification. (20%)* Coordinates the care team with the care indicated by the provider, and works with the patient and families with the disease process and/or care management. (20%)* Assists provider with examinations and procedures. (20%)* Prepares and cleans the patient area, sets up equipment, cleans and facilitates room set up after a procedure. Disposes of contaminated supplies and sterilizes medical instruments. Other Duties And Responsibilities Demonstrates critical thinking for patient management. Provides for the age specific needs of the population served according to standards and policies/procedures as evidenced by observation, documentation and peer feedback. Maintains medical supplies to assure consistent supply levels to meet the needs of the patients. Understands necessary computer functions in the office setting: Michigan Automated Prescription System (MAPS), Michigan Care Improvement Registry (MCIR), Practice Management, Electronic Medical Records, Laboratory information system (LIS), Emageon, dictation systems, and any other necessary programs to assist providers and staff. If applicable, maybe required to travel to satellite clinics. Maintains a system for accurately documenting and coding in the medical record as appropriate per policy. Participate in annual review for quality and completeness as necessary. Management of the patient symptoms as directed by the provider. Coordinates and ensure continuity of care with other providers. MyMichigan Health is a technology driven organization and employees need to demonstrate Competency in Microsoft® Windows. Employees may be required to participate in further learning opportunities offered by MyMichigan Health. Other duties as assigned. Certifications and Licensures BLS: Basic Life Support Within 1 month of hire or transfer RN: Registered Nurse Required Education Associate's degree is required BSN in nursing is preferred Other Information Experience, Training And Skills Working knowledge of the organization’s Infor, Electronic Medical Records, and Practice Management programs preferred or knowledge of similar software. PC software knowledge must include: Excel and Word. Knowledge of medical office policies, practices and procedures as normally acquired through three to five years working in the health care system or similar setting. Excellent interpersonal skills needed to communicate successfully with individuals and interact with people at all levels to communicate concepts in a clear and understandable manner. Physical/Mental Requirements And Typical Working Conditions Exposure to stressful situations, including those involving public contact, as well as, trauma, grief and death. Able to wear personal protective equipment that includes latex materials or appropriate substitute if required for your position. Is able to move freely about facility with or without an assisted device and must be able to perform the functions of the job as outlined in the job description. Overall vision and hearing is necessary with or without assisted device(s). Frequently required to sit/stand/walk for long periods of time. May require frequent postural changes such as stooping, kneeling or crouching. Some exposure to blood borne pathogens and other potentially infectious material. Must follow MyMichigan Health bloodborne pathogen and TB testing as required. Ability to handle multiple tasks, get along with others, work independently, regular and predictable attendance and ability to stay awake. Overall dexterity is required including handling, reaching, grasping, fingering and feeling. May require repetition of these movements on a regular to frequent basis. Physical Demand Level: Light. Must be able to occasionally (0-33% of the workday) lift or carry 11-20 lbs., frequently (34-66% of the workday) 10 lbs. and or Walk/Stand/Push/Pull of Arm/Leg controls. 
Bring the care, skip the chaos. Love your work again!! Are you a Registered Nurse who's amazing at what you do - but tired of call lights, crowded units, and 12 hour marathons? Come join a home health team where your skills, time, and compassion actually matter. Why Home Health? Because one patient at a time means: Real connections, not revolving doors Care that's personal, not rushed Autonomy, flexibility, and a calmer pace Seeing the impact of your work every single day What you'll do: Provide skilled nursing care in patients' homes Perform assessments, wound care, medication management, and patient education Collaborate with physicians, therapists, and care teams Be a trusted guide for patients and families during their journey What we need: Current and valid RN license in the state MI Previous experience in home health a plus but willing to train Strong assessment, critical thinking skills, communication and interpersonal skills Ability to work independently and as part of a team Valid driver's license and reliable transportation Basic Life Support (BLS) certification Must be able to pass a drug screen and background check What you'll get: Competitive pay Flexible scheduling (hello, work-life balance!) Supportive leadership that actually has your back Mileage reimbursement Training, growth, and a team that feels like a team 401K Retirement Plan for full time Medical benefits Available for 30+ Hourly Employees Paid general orientation, PTO Employee Appreciation program, rewarding Work Environment The best part? You'll leave work knowing you truly made a difference - without feeling completely drained. 
Summary 14K sign on bonus for qualified candidates This position performs a variety of integrated functions, intuitively, using the nursing process while applying a broad nursing knowledge in a caring, concerned manner. Responsibilities (25%)* Assesses patient for physical, emotional, psych/social and family support. (25%)* Organizes and coordinates all aspects of patient care according to the patient’s real and/or perceived needs. (25%)* Evaluates patient progress by correlating patient information with nursing knowledge to determine if goals are being met according to the patient’s plan of care or clinical path. (25%)* Consults and collaborates with members of the health care team in planning and implementing total patient care for individuals. OTHER DUTIES AND RESPONSIBILITIES: Demonstrates proficiency (according to hospital and unit policy and procedure) in nursing skills to carry out the patient’s plan of care. Communicates interactions, both verbal and written, that clearly and positively accomplish desired patient care as a collaborative effort. Educates patients and families. Provides teaching, support and coordination of health care plans for patient and family through the acute phase of illness, as needed. Promotes clinical knowledge development including critical thinking skills and improves strategies for comparing clinical judgment through research and continuing education. In the performance of the regular job duties, it is appropriate for this job code to have access to the medication room and supply room for the purpose of stocking. Other duties as assigned. Certifications and Licensures Credential: ACLS: Advanced Cardiac Life Support Equivalent Experience: Within 12 months of hire or transfer Qualification Source: Essential: true Credential: DIMC: Dysrhythmia Interpretation Man Equivalent Experience: Within 12 months of hire or transfer Qualification Source: Essential: true Credential: BLS: Basic Life Support Equivalent Experience: Within 3 months of hire or transfer Qualification Source: AHA Essential: true Credential: RN: Registered Nurse Equivalent Experience: Qualification Source: MI Essential: true Credential: TEAM ADVANCED: Techniques for Effective Aggression Mgt Equivalent Experience: Within 6 months of hire or transfer (Employees who are in this position on or before 12/31/2023 will have 24 months to complete this certification) Qualification Source: Essential: true Required Education Education: ASSOC Equivalent Experience: Bachelor's degree in nursing preferred. Education Specialization: NRG Essential: true Other Information EXPERIENCE, TRAINING AND SKILLS: Completion of orientation process as directed by the Progressive Care Unit (PCU) nurse manager and critical care educator. Interpersonal skills needed to communicate successfully with individuals and groups and interact with people at all levels to communicate ideas and concepts in a clear and understandable manner. MyMichigan Health is a technology driven organization and employees need to demonstrate competency in Microsoft® Windows. An employee may be required to participate in further learning opportunities offered by MyMichigan Health. PCCN certification preferred. PHYSICAL/MENTAL REQUIREMENTS AND TYPICAL WORKING CONDITIONS: Exposure to stressful situations, including those involving public contact, as well as, trauma, grief and death. Able to wear personal protective equipment that includes latex materials or appropriate substitute if required for your position. Is able to move freely about facility with or without an assisted device and must be able to perform the functions of the job as outlined in the job description. Overall vision and hearing is necessary with or without assisted device(s). Frequently required to sit/stand/walk for long periods of time. May require frequent postural changes such as stooping, kneeling or crouching. Some exposure to blood borne pathogens and other potentially infectious material. Must follow MyMichigan Health bloodborne pathogen and TB testing as required. Ability to handle multiple tasks, get along with others, work independently, regular and predictable attendance and ability to stay awake. Overall dexterity is required including handling, reaching, grasping, fingering and feeling. May require repetition of these movements on a regular to frequent basis. Physical Demand Level: Medium. Must be able to occasionally (0-33% of the workday) lift or carry 21-50 lbs., frequently 34-66% of the workday 20 lbs. and or Walk/Stand/Push/Pull of Arm/Leg controls and constantly (67-100% or the workday) 10 lbs. Equivalent Experience And Other Comments (Education) Education: ASSOC Equivalent Experience: Bachelor's degree in nursing preferred. Education Specialization: NRG Essential: true Other Comments #Indeed1RN 
Field Nurse Practitioner / Physician Assistant Pay - ~$100 per completed assessment + paid mileage Schedule - Flexible weekdays | No evenings, weekends, or on‑call Work Model - 1099 Independent Contractor (PRN) Designed for NPs and PAs seeking reliable, ongoing PRN income with structure and support. About the Role Advantmed is seeking a licensed, dependable Nurse Practitioner (NP) or Physician Assistant (PA) to conduct structured, in-home wellness and risk adjustment assessments for diverse patient populations with varying healthcare needs This PRN role offers flexibility with consistent visit availability and strong operational support. It is best suited for clinicians who value autonomy, professionalism, and accountability, and are looking for steady supplemental income - not short-term or ad hoc work. Why Advantmed Partnering with 40+ health plans and supporting 1M+ providers nationwide 99% Provider Satisfaction and 97% Member Satisfaction 30%+ In Home Assessment completion rates, even in complex populations Clinically led, quality-first organization with standardized visits and strong QA Technology-enabled workflows and structured training from day one Why You’ll Like This Role Paid training and standardized onboarding ~$100 per completed visit + mileage reimbursement Most providers complete 4–5 visits per day, based on availability Visits ready to schedule immediately Choose your own weekday availability Dedicated coordinators, scheduling, and tech support Predictable workflows with clinical and operational support What You’ll Do Conduct in-home Annual Wellness Visits and chronic condition assessments Perform focused histories, physical exams, vitals, medication reviews, and screenings Complete screenings including: Hemoglobin A1C Spirometry KED (Kidney Health Evaluation) DRE (Diabetic Retinal Exam) FIT (Fecal Immunochemical Test) Educate members on preventive care and chronic disease management Document visits in the EMR to support value-based care and risk adjustment Operate within NP or PA scope of practice and state regulatory guidelines All assessments are standardized, with full training, equipment guidance, and EMR support provided. Important Role Expectations This is a 1099 PRN role requiring consistency and reliability: Maintain ongoing monthly availability Be responsive during onboarding and scheduling Honor confirmed visits and assignments Work independently and professionally in the field Minimum commitment: ~30 hours per month, ongoing (Not intended for casual or short-term engagement) Travel daily within a ~55-mile radius of the assigned county Adhere to state-specific supervision or collaboration requirements (for PAs where applicable) Qualifications Active, unencumbered NP or PA license in the applicable state Ability to practice within applicable state guidelines, including supervision / collaboration requirements (for PAs) 3+ years of patient care experience preferred Comfortable with EMR systems and independent field-based work In-home or risk adjustment experience preferred Willing to obtain additional licensure if needed (supported by Advantmed) What Advantmed Offers Competitive per-visit compensation Paid mileage Flexible, provider-driven scheduling Pre-scheduled appointments with confirmation support Dedicated coordinator and clinical escalation support Modern, technology-enabled documentation workflows 
Position Summary: Assists surgeons and other medical professionals in operating rooms and similar environments. Prepares patients, rooms and equipment for pending surgical procedures. Assists during those procedures as part of the surgical team. Essential Functions and Responsibilities : Prepares operating rooms, ensuring that all equipment and supplies needed for the procedure are properly disinfected, assembled and in working order. Ensures the preparation and maintenance of the sterile field in operating room. Provides supportive care during the pre-operative phase. Prepares patient's skin for surgery; moves and positions patients in the operating room; monitors vital signs and observes status. During surgery performs scrub functions including passing sterile surgical equipment to surgeons, may cut sutures, tracking items used/performing instrument counts, collecting and labeling specimens taken and helping dress a patient's wounds. May transport patient after procedure. Ensures that operating rooms are clean, sterile and stocked prior to next procedure. Performs clerical duties such as ordering supplies, maintaining logs, pulling up and/or entering patient information, doing inventory and supporting the administrative and clerical staff as needed. Required: High school diploma or equivalent. Completion of an accredited surgical technology training program with a minimum of one month of directly related clinical experience; OR Completion of the Surgical Technologist Apprentice Program with Tech in Surgery – Certified (TS-C) certification from the National Center for Competency Testing (NCCT) within one year of program completion; OR Two years’ experience as a Surgical Technologist BLS certification. Preferred: One year of experience. Completion of an accredited surgical technology training program and certification as a Surgical Technologist from the National Board of Surgical Technology and Surgical Assisting (NBSTSA) with a minimum of one month directly related clinical experience; OR Tech in Surgery – Certified (TS-C) certification from the National Center for Competency Testing (NCCT) with two years of experience working as a non-certified Surgical Technologist. Additional Information Schedule: Per Diem Requisition ID: 26003756 Daily Work Times: Variable Hours Per Pay Period: 0 On Call: Yes Weekends: No 
Summary 14K for 2-year sign on bonus for qualified candidates This position possesses the knowledge to assess, implement and monitor the patient care for outpatients that are assigned to observation status. Employees who are in the casual position are required to pick up shifts as outlined in the Midland Nursing Casual Employee Policy. Responsibilities (30%) * Regularly assesses patients/clients needs and provides skilled nursing services as prescribed by the physician authorized plan of care, and accepted standards of nursing practice. (30%) * Provides direct patient care, including medication administration, treatments, call lights, assisting with transfers, responding to alarms, etc. (20%) * Evaluates effectiveness of treatment plan and makes suggestions or participates in updating/revising the treatment plan in collaboration with other team members, utilizing current information to improve patient care. (10%) * Processes physician/provider orders and performs physician ordered care accurately, completely and in a timely manner. (10%) * Follows up regarding medication changes and order clarifications. OTHER DUTIES AND RESPONSIBILITIES: Demonstrates the ability to interpret information and reports pertinent data to the physician, including pertinent clinical information. Assess learning needs considering readiness, ability, preferences, and cultural / spiritual variables. Provide education to meet the individual needs and ability to learn. Participates in care conferences as assigned. Develops and maintains good working rapport with interdisciplinary personnel to meet the needs of each patient. Coordinates care provided by patient care technicians. Demonstrates the ability to organize and prioritize the needs of groups of patients or an individual patient. Demonstrates a general ability to manage assignments and perform routine duties on the unit. Instructs other team members when appropriate, explaining goals and rationale for individualized care. Implements clinical and technical aspects of care in accordance with established policies and procedures. Demonstrates understanding of clinical pathways and utilizes appropriately. Remains calm and efficient when working in stressful situations. Documents in an accurate, clear, and concise way and includes pertinent clinical data. Shares information and reports significant changes and/or abnormal findings to appropriate team members. Participates in regulatory surveys. Participates in the performance improvement activities. Assists with orientation and ongoing competencies. Provides a safe and secure environment for patient care. Attend and participate in professional association activities and programs to assure being current on regulations, guidelines, and professional standards. Remains current on new developments by reading professional journals, and attending seminars. Demonstrates understanding of role in emergency preparedness procedures. Assesses both the physical and psychological needs of patients through completion of the nursing history and admission assessment. Possess sound critical thinking skills in the initiation of appropriate protocols and clinical pathways based on initial assessment findings. Initiates physician orders, completes appropriate consent forms and coordinates care with other hospital departments to ensure timely disposition of patients either to discharge or to inpatient status. Documents in accordance with medical center policy. Initiates a teaching plan appropriate to the identified needs and the patients level of understanding. Communicates effectively with patients, families, and physicians to assure that appropriate care is provided. Demonstrates an understanding of all medications administered for care of the patient and performs these duties in accordance with hospital policy and documentation standards. Evaluates patient progress toward discharge and, if necessary, initiates additional interventions. Provides written discharge instructions with a complete knowledge of physician preference and discharge routine. Maintains a therapeutic relationship with the patient, family and other health care providers to assure that patient care goals have been accomplished. Completes appropriate documentation. Other duties as assigned. Certifications and Licensures Credential: BLS: Basic Life Support Equivalent Experience: Within 3 months of hire or transfer. Qualification Source: AHA Essential: true Credential: DIMC: Dysrhythmia Interpretation Man Equivalent Experience: Employees hired after January 1, 2025, are required to take, and pass Telemetry Monitoring and management class (DIMC) within 12 months of hire or transfer. Qualification Source: Essential: true Credential: RN: Registered Nurse Equivalent Experience: Qualification Source: MI Essential: true Credential: TEAM ADVANCED: Techniques for Effective Aggression Mgt Equivalent Experience: Within 6 months of hire or transfer (Employees who are in this position on or before 12/31/2023 will have 24 months to complete this certification) Qualification Source: Essential: true Required Education Education: ASSOC Equivalent Experience: Bachelor's degree in nursing preferred. Education Specialization: NRG Essential: true Other Information EXPERIENCE, TRAINING AND SKILLS: Interpersonal skills needed to communicate successfully with individuals and groups and interact with people at all levels to communicate ideas and concepts in a clear and understandable manner. MyMichigan Health is a technology driven organization and employees need to demonstrate competency in Microsoft Windows. An employee may be required to participate in further learning opportunities offered by MyMichigan Health. PHYSICAL/MENTAL REQUIREMENTS AND TYPICAL WORKING CONDITIONS: Exposure to stressful situations, including those involving public contact, as well as, trauma, grief and death. Able to wear personal protective equipment that includes latex materials or appropriate substitute if required for your position. Is able to move freely about facility with or without an assisted device and must be able to perform the functions of the job as outlined in the job description. Overall vision and hearing is necessary with or without assisted device(s). Frequently required to sit/stand/walk for long periods of time. May require frequent postural changes such as stooping, kneeling or crouching. Some exposure to blood borne pathogens and other potentially infectious material. Must follow MyMichigan Health bloodborne pathogen and TB testing as required. Ability to handle multiple tasks, get along with others, work independently, regular and predictable attendance and ability to stay awake. Overall dexterity is required including handling, reaching, grasping, fingering and feeling. May require repetition of these movements on a regular to frequent basis. Physical Demand Level: Medium. Must be able to occasionally (0-33% of the workday) lift or carry 21-50 lbs., frequently 34-66% of the workday 20 lbs. and or Walk/Stand/Push/Pull of Arm/Leg controls and constantly (67-100% or the workday) 10 lbs. Equivalent Experience And Other Comments (Education) Education: ASSOC Equivalent Experience: Bachelor's degree in nursing preferred. Education Specialization: NRG Essential: true Other Comments #Indeed1RN 
Summary Under direct supervision of the provider, will be responsible for patient assessment and care, and maintaining appropriate documentation. This position must have basic knowledge of specialty and/or primary care and able to assess, plan, implement and evaluate care for patients. This position is responsible for coordinating care to assure high quality, compassionate patient care is provided. They will maintain and oversee patients at the office locations and will act as the liaison with other organizations and departments. This position may be required to order all medical, pharmacy supplies, and office supplies to manage patient care. They will assure compliance with all the policies/procedures of MyMichigan Health and follow Occupational Safety and Health Administration (OSHA) guidelines, Clinical Laboratory Improvement Amendments (CLIA) regulations, and all appropriate regulatory agencies. They will coordinate with and train any new employees, students and float staff as required. The clinical person will provide patient education, assist with specialty care modalities, symptom management, be available for emergencies, monitor for compliance and the effects of care management with high risk patients, educate on prescriptions and teach the patient and family the reasons for the medication and side effects, coordinate and ensure continuity of care with other providers. Also, may perform general office duties (keyboarding, filing, telephone, computer and office equipment) as needed. The expectations outlined in this job description may vary slightly depending on the practice in which you are assigned. Your immediate supervisor will be able to clarify your responsibilities for you. Responsibilities (20%)* Triages all calls, schedules daily urgent/emergent add-ons, receives and relays test results, processes medication refills, supports, directs and refers patients for consults and/or testing and insurance pre-certification and documentation. (20%)* Provides complete patient assessment within their scope of their licensure. Greets patients and/or family, performs routine pre-examination procedures including vital signs, assessing and recording objective and subjective data concerning presenting condition. Updates and maintains an accurate patient record by performing but not limited to, orders reconciliation, secure messaging (if available) and other tasks as assigned. Performs medication reconciliation, enters allergy reaction type, processes refills within the scope of their certification. (20%)* Coordinates the care team with the care indicated by the provider, and works with the patient and families with the disease process and/or care management. (20%)* Assists provider with examinations and procedures. (20%)* Prepares and cleans the patient area, sets up equipment, cleans and facilitates room set up after a procedure. Disposes of contaminated supplies and sterilizes medical instruments. Other Duties And Responsibilities Demonstrates critical thinking for patient management. Provides for the age specific needs of the population served according to standards and policies/procedures as evidenced by observation, documentation and peer feedback. Maintains medical supplies to assure consistent supply levels to meet the needs of the patients. Understands necessary computer functions in the office setting: Michigan Automated Prescription System (MAPS), Michigan Care Improvement Registry (MCIR), Practice Management, Electronic Medical Records, Laboratory information system (LIS), Emageon, dictation systems, and any other necessary programs to assist providers and staff. If applicable, maybe required to travel to satellite clinics. Maintains a system for accurately documenting and coding in the medical record as appropriate per policy. Participate in annual review for quality and completeness as necessary. Management of the patient symptoms as directed by the provider. Coordinates and ensure continuity of care with other providers. MyMichigan Health is a technology driven organization and employees need to demonstrate Competency in Microsoft® Windows. Certifications and Licensures BLS - Basic Life Support Required Equivalent Experience - Within 1 month of hire or transfer RN - Registered Nurse Required Required Education Education: Associates Degree Comments: BSN is preferred. Other Information Experience, Training And Skills Working knowledge of the organization’s Infor, Electronic Medical Records, and Practice Management programs preferred or knowledge of similar software. PC software knowledge must include: Excel and Word. Knowledge of medical office policies, practices and procedures as normally acquired through three to five years working in the health care system or similar setting. Excellent interpersonal skills needed to communicate successfully with individuals and interact with people at all levels to communicate concepts in a clear and understandable manner. Physical/Mental Requirements And Typical Working Conditions Exposure to stressful situations, including those involving public contact, as well as, trauma, grief and death. Able to wear personal protective equipment that includes latex materials or appropriate substitute if required for your position. Is able to move freely about facility with or without an assisted device and must be able to perform the functions of the job as outlined in the job description. Overall vision and hearing is necessary with or without assisted device(s). Frequently required to sit/stand/walk for long periods of time. May require frequent postural changes such as stooping, kneeling or crouching. Some exposure to blood borne pathogens and other potentially infectious material. Must follow MyMichigan Health bloodborne pathogen and TB testing as required. Ability to handle multiple tasks, get along with others, work independently, regular and predictable attendance and ability to stay awake. Overall dexterity is required including handling, reaching, grasping, fingering and feeling. May require repetition of these movements on a regular to frequent basis. Physical Demand Level: Light. Must be able to occasionally (0-33% of the workday) lift or carry 11-20 lbs., frequently (34-66% of the workday) 10 lbs. and or Walk/Stand/Push/Pull of Arm/Leg controls. 
By clicking the “Apply” button, I understand that my employment application process with Takeda will commence and that the information I provide in my application will be processed in line with Takeda’s Privacy Notice and Terms of Use . I further attest that all information I submit in my employment application is true to the best of my knowledge. Job Description Please take this virtual tour to get a sneak peek of one of our Plasma Donation Centers. About BioLife Plasma Services Every day, the donors you meet will motivate you. The high-quality plasma you collect will become life-changing medicines. Here, a commitment to customer service and quality is expected. You will report to the Plasma Center Manager and will perform as a Medical Support Specialist (Plasma Center Nurse) to support plasma center operations. BioLife Plasma Services is a subsidiary of Takeda Pharmaceutical Company Ltd. About the role: Every day, the donors you meet will motivate you. The high-quality plasma you collect will become life-changing medicines. Here, a commitment to customer service and quality is expected. You will determine donor eligibility to donate plasma, management of donor adverse events, review of laboratory test results, and donor notification of unsuitable test results. The Medical Support Specialist (Plasma Center Nurse) works under the guidance of the Center Manager (or Assistant Manager as applicable) for operational guidance and under the management of the Center Physician for medical issues. The Medical Support Specialist will be familiar with regulations of the plasma collection industry or a manufacturing environment. The Medical Support Specialist follows guidance provided by BioLife Medical Affairs and provides center level support of environmental, health and safety (EHS). How you will contribute You will determine donor eligibility; to include, proper management of informed consent, AIDS education and confidential self-exclusion, medical history interview and acceptance requirements, physical examination, blood testing, and reviewing Serological Protein Electrophoresis (SPE). You will evaluate donor reaction(s), which occurs at the facility as outlined in the SOPs. Follow applicable SOPs for medical emergencies including the development of Center Physician's standing orders and donor transport to emergency care facilities. You will refer to the Center Physician or Medical Affairs (as applicable) when in need of providing unacceptable findings to donors, or guidance concerning medical or technical issues, including donor safety and eligibility. You will support the Hepatitis B and Seasonal Flu vaccination programs for employees as applicable. You will manage employee incidents and determine whether further evaluation is required by occupational health/ER. Refer to EHS guidance regarding employee incidents. You can be a Pandemic Coordinator when authorized by EHS and support investigations associated with pandemic threats within the local community as indicated by EHS or Medical Affairs. What you bring to Takeda: High school diploma or equivalent to including graduate equivalent of a recognized educational nursing program with state requirements Currently licensed or certified in the state where responsibilities will be assigned: LPN or LVN Current Cardiopulmonary Resuscitation (CPR) and AED certification Fulfill state requirements (in state of licensure) for basic IV therapy Satisfactorily complete the FDA approved training requirements for BioLife Medical Support Specialist Two years in a clinical or hospital setting What Takeda can offer you: Every day at Takeda, we feel good knowing that what we do helps improve the lives of patients with rare diseases. At BioLife, while you focus on our donors, we will support you. We offer a purpose you can believe in, a team you can count on, opportunities for career growth, and a comprehensive benefits program to include medical/dental, paid time off and retirement benefits, all in a fast-paced, friendly environment. More about us: At Takeda, we are transforming patient care through the development of novel specialty pharmaceuticals and best in class patient support programs. Takeda is a patient-focused company that will inspire and empower you to grow through life-changing work. Certified as a Global Top Employer, Takeda offers stimulating careers, encourages innovation, and strives for excellence in everything we do. We foster an inclusive, collaborative workplace, in which our teams are united by an unwavering commitment to bring Better Health and a Brighter Future to people around the world. BioLife Compensation and Benefits Summary We understand compensation is an important factor as you consider the next step in your career. W e are committed to equitable pay for all employees, and we strive to be more transparent with our pay practices. For Location: USA - MI - Mt Pleasant U.S. Hourly Wage Range: $23.04 - $31.68 The estimated hourly wage range reflects an anticipated range for this position. The actual hourly wage offered may depend on a variety of factors, including the qualifications of the individual applicant for the position, years of relevant experience, specific and unique skills, level of education attained, certifications or other professional licenses held, and the location in which the applicant lives and/or from which they will be performing the job. The actual hourly wage offered will be in accordance with state or local minimum wage requirements for the job location. U.S. based employees may be eligible for short-term incentives. U.S. based employees may be eligible to participate in medical, dental, vision insurance, a 401(k) plan and company match, short-term and long-term disability coverage, basic life insurance, a tuition reimbursement program, paid volunteer time off, company holidays, and well-being benefits, among others. U.S. based employees are also eligible to receive, per calendar year, up to 80 hours of sick time, and new hires are eligible to accrue up to 120 hours of paid vacation. EEO Statement Takeda is proud in its commitment to creating a diverse workforce and providing equal employment opportunities to all employees and applicants for employment without regard to race, color, religion, sex, sexual orientation, gender identity, gender expression, parental status, national origin, age, disability, citizenship status, genetic information or characteristics, marital status, status as a Vietnam era veteran, special disabled veteran, or other protected veteran in accordance with applicable federal, state and local laws, and any other characteristic protected by law. Locations USA - MI - Mt Pleasant Worker Type Employee Worker Sub-Type Regular Time Type Part time Job Exempt No 
By clicking the “Apply” button, I understand that my employment application process with Takeda will commence and that the information I provide in my application will be processed in line with Takeda’s Privacy Notice and Terms of Use . I further attest that all information I submit in my employment application is true to the best of my knowledge. Job Description Please take this virtual tour to get a sneak peek of one of our Plasma Donation Centers. About BioLife Plasma Services Every day, the donors you meet will motivate you. The high-quality plasma you collect will become life-changing medicines. Here, a commitment to customer service and quality is expected. You will report to the Plasma Center Manager and will perform as a Medical Support Specialist (Plasma Center Nurse) to support plasma center operations. BioLife Plasma Services is a subsidiary of Takeda Pharmaceutical Company Ltd. About the role: Every day, the donors you meet will motivate you. The high-quality plasma you collect will become life-changing medicines. Here, a commitment to customer service and quality is expected. You will determine donor eligibility to donate plasma, management of donor adverse events, review of laboratory test results, and donor notification of unsuitable test results. The Medical Support Specialist (Plasma Center Nurse) works under the guidance of the Center Manager (or Assistant Manager as applicable) for operational guidance and under the management of the Center Physician for medical issues. The Medical Support Specialist will be familiar with regulations of the plasma collection industry or a manufacturing environment. The Medical Support Specialist follows guidance provided by BioLife Medical Affairs and provides center level support of environmental, health and safety (EHS). How you will contribute You will determine donor eligibility; to include, proper management of informed consent, AIDS education and confidential self-exclusion, medical history interview and acceptance requirements, physical examination, blood testing, and reviewing Serological Protein Electrophoresis (SPE). You will evaluate donor reaction(s), which occurs at the facility as outlined in the SOPs. Follow applicable SOPs for medical emergencies including the development of Center Physician's standing orders and donor transport to emergency care facilities. You will refer to the Center Physician or Medical Affairs (as applicable) when in need of providing unacceptable findings to donors, or guidance concerning medical or technical issues, including donor safety and eligibility. You will support the Hepatitis B and Seasonal Flu vaccination programs for employees as applicable. You will manage employee incidents and determine whether further evaluation is required by occupational health/ER. Refer to EHS guidance regarding employee incidents. You can be a Pandemic Coordinator when authorized by EHS and support investigations associated with pandemic threats within the local community as indicated by EHS or Medical Affairs. What you bring to Takeda: High school diploma or equivalent to including graduate equivalent of a recognized educational nursing program with state requirements Currently licensed or certified in the state where responsibilities will be assigned: Registered Nurse (RN), Nurse Practitioner (NP) or Physician Assistant (PA) Current Cardiopulmonary Resuscitation (CPR) and AED certification Fulfill state requirements (in state of licensure) for basic IV therapy Satisfactorily complete the FDA approved training requirements for BioLife Medical Support Specialist Two years in a clinical or hospital setting What Takeda can offer you: Every day at Takeda, we feel good knowing that what we do helps improve the lives of patients with rare diseases. At BioLife, while you focus on our donors, we will support you. We offer a purpose you can believe in, a team you can count on, opportunities for career growth, and a comprehensive benefits program to include medical/dental, paid time off and retirement benefits, all in a fast-paced, friendly environment. More about us: At Takeda, we are transforming patient care through the development of novel specialty pharmaceuticals and best in class patient support programs. Takeda is a patient-focused company that will inspire and empower you to grow through life-changing work. Certified as a Global Top Employer, Takeda offers stimulating careers, encourages innovation, and strives for excellence in everything we do. We foster an inclusive, collaborative workplace, in which our teams are united by an unwavering commitment to bring Better Health and a Brighter Future to people around the world. BioLife Compensation and Benefits Summary We understand compensation is an important factor as you consider the next step in your career. W e are committed to equitable pay for all employees, and we strive to be more transparent with our pay practices. For Location: USA - MI - Mt Pleasant U.S. Hourly Wage Range: $31.68 - $43.56 The estimated hourly wage range reflects an anticipated range for this position. The actual hourly wage offered may depend on a variety of factors, including the qualifications of the individual applicant for the position, years of relevant experience, specific and unique skills, level of education attained, certifications or other professional licenses held, and the location in which the applicant lives and/or from which they will be performing the job. The actual hourly wage offered will be in accordance with state or local minimum wage requirements for the job location. U.S. based employees may be eligible for short-term incentives. U.S. based employees may be eligible to participate in medical, dental, vision insurance, a 401(k) plan and company match, short-term and long-term disability coverage, basic life insurance, a tuition reimbursement program, paid volunteer time off, company holidays, and well-being benefits, among others. U.S. based employees are also eligible to receive, per calendar year, up to 80 hours of sick time, and new hires are eligible to accrue up to 120 hours of paid vacation. EEO Statement Takeda is proud in its commitment to creating a diverse workforce and providing equal employment opportunities to all employees and applicants for employment without regard to race, color, religion, sex, sexual orientation, gender identity, gender expression, parental status, national origin, age, disability, citizenship status, genetic information or characteristics, marital status, status as a Vietnam era veteran, special disabled veteran, or other protected veteran in accordance with applicable federal, state and local laws, and any other characteristic protected by law. Locations USA - MI - Mt Pleasant Worker Type Employee Worker Sub-Type Regular Time Type Part time Job Exempt No 
Department: Home Health Daily Work Times: Variable Shift: Days Scheduled Bi-Weekly Hours: 0 Position Summary: Implements the agency program of full time professional nursing service to patients in their homes under the supervision of the Clinical Services Supervisor in accordance with agency standards and policies. Essential Functions and Responsibilities: Initiates and provides medically prescribed skilled nursing care and/or health counseling that contributes to the treatment of the medical condition, achievement of the rehabilitation potential, and/or reduction of pain and other symptoms. Makes the initial visit to assess the patient’s physical and emotional status, needs, and resources through observation, interview and analysis of records. Prepares the nursing plan of care, in accordance with the physician’s plan of treatment, based on problems identified in the nursing assessment and provides patient teaching using the Care Plan/Standard of Care. Interprets to the patient and family the implications of the diagnosis and nature of the treatment, consistent with the Physician’s instruction. Provides emotional support and encouragement to help the patient and family accept and adjust to the effects of disease, disability, or dying. Supervises and evaluates patient self care or care given by others. Notifies physician and Clinical Services Supervisor of changes in patient condition. Required: Graduate of an accredited school of nursing. Preference will be given to applicants with educational preparation appropriate to the immediate or long-range needs of the agency. Current license to practice as a Registered Nurse in the State of Michigan. Minimum of one to two years of med/surg, critical care or demonstrated experience in a specialty area. Current Michigan driver’s license and proof of valid automobile insurance. Preferred: Two years hospital experience. Experience in a certified home health agency. Additional Information Schedule: Per Diem Requisition ID: 26002127 Daily Work Times: varies Hours Per Pay Period: 0 On Call: Yes Weekends: Yes 
Department : 3 W Daily Work Times: 7:00 pm - 7:30 am Shift: Nights Scheduled Bi-Weekly Hours : 72 Position Summary: Coordinates total nursing care for patients, participates in patient and family teaching and provides leadership by working cooperatively with ancillary nursing and other patient team personnel in maintained standards for professional nursing practice in the clinical setting. The Registered Nurse recognizes that each patient is a unique individual and has the right to quality nursing care that ensures mutual goal setting between the Registered Nurse and the patient and that the Registered Nurse assures patient rights and privacy are protected.The Registered Nurse is held accountable to the ethical and professional standards as defined in the ANA Code for Nurses, the ANA Nursing’s Social Policy Statement, the State of Michigan Public Heath code and the ANA and Specialty Nursing Standards of Clinical Practice.The Registered Nurse is also accountable to adhering to the standards set by regulatory agencies such as but not limited to the American Osteopathic Association (AOA), Conditions of Participation of Healthcare Finance Administration (HCFA), and Michigan Occupational Health and Safety (MIOSHA). These accountabilities require individual competence in nursing practice, and the recognition and responsible acceptance of individual actions and judgments. Essential Functions and Responsibilities: Exhibits core values in interactions with others. Pride in our organization and enthusiasm for our work. Respect and caring for our customers and each other. Integrity in our conduct and character. Required: Education - Graduate of an approved registered nursing program. Must have a current Michigan Registered Nurse license. BLS Certification required Must complete basic dysrhythmia course within one (1) year of date of accepting position. Preferred: PALS Certification Additional Information Schedule: Full-time Requisition ID: 26002601 Daily Work Times: 7:00 pm - 7:30 am Hours Per Pay Period: 72 On Call: No Weekends: Yes 
Summary 14K sign on bonus for qualified candidates This position has basic medical/surgical knowledge in order to care for general surgical, vascular, thoracic, gastrointestinal, and orthopedic surgical patients, which may include surgical step-down patient population. Employees who are in the casual position are required to pick up shifts as outlined in the Midland Nursing Casual Employee Policy. Responsibilities (30%) * Regularly assesses patients/clients needs and provides skilled nursing services as prescribed by the physician authorized plan of care, and accepted standards of nursing practice. (30%) * Provides direct patient care, including medication administration, treatments, call lights, assisting with transfers, responding to alarms, etc. (20%) * Evaluates effectiveness of treatment plan and makes suggestions or participates in updating/revising the treatment plan in collaboration with other team members, utilizing current information to improve patient care. (10%) * Processes physician/provider orders and performs physician ordered care accurately, completely and in a timely manner. (10%) * Follows up regarding medication changes and order clarifications. OTHER DUTIES AND RESPONSIBILITIES: Demonstrates the ability to interpret information and reports pertinent data to the physician, including pertinent clinical information. Assess learning needs considering readiness, ability, preferences, and cultural / spiritual variables. Provide education to meet the individual needs and ability to learn. Participates in care conferences as assigned. Develops and maintains good working rapport with interdisciplinary personnel to meet the needs of each patient. Coordinates care provided by patient care technicians. Demonstrates the ability to organize and prioritize the needs of groups of patients or an individual patient. Demonstrates a general ability to manage assignments and perform routine duties on the unit. Instructs other team members when appropriate, explaining goals and rationale for individualized care. Implements clinical and technical aspects of care in accordance with established policies and procedures. Demonstrates understanding of clinical pathways and utilizes appropriately. Remains calm and efficient when working in stressful situations. Documents in an accurate, clear, and concise way and includes pertinent clinical data. Shares information and reports significant changes and/or abnormal findings to appropriate team members. Participates in regulatory surveys. Participates in the performance improvement activities. Assists with orientation and ongoing competencies. Provides a safe and secure environment for patient care. Attend and participate in professional association activities and programs to assure being current on regulations, guidelines, and professional standards. Remains current on new developments by reading professional journals and attending seminars. Demonstrates understanding of role in emergency preparedness procedures. Provides care for appropriate tubes, lines, drains and devices per physician orders. This may include removal. Inserts and provides care for IV's. Monitors and initiates the need to institute safety measures to prevent patient injury. All other duties as assigned. Certifications and Licensures Credential: BLS: Basic Life Support Equivalent Experience: Within 3 months of hire or transfer. Qualification Source: AHA Essential: true Credential: RN: Registered Nurse Equivalent Experience: Qualification Source: MI Essential: true Credential: TEAM ADVANCED: Techniques for Effective Aggression Mgt Equivalent Experience: Within 6 months of hire or transfer (Employees who are in this position on or before 12/31/2023 will have 24 months to complete this certification) Qualification Source: Essential: true Credential: ACLS: Advanced Cardiac Life Support Equivalent Experience: Within 6 months of hire or transfer (Employees who are in this position on or before 12/31/2023 will have 24 months to complete this certification). Qualification Source: AHA Essential: true Credential: DIMC: Dysrhythmia Interpretation Man Equivalent Experience: Employees hired after January 1, 2025, are required to take, and pass Telemetry Monitoring and management class (DIMC) within 12 months of hire or transfer. Qualification Source: Essential: true Required Education Education: ASSOC Equivalent Experience: Bachelor's degree in nursing preferred. Education Specialization: NRG Essential: true Other Information EXPERIENCE, TRAINING AND SKILLS: Interpersonal skills needed to communicate successfully with individuals and groups and interact with people at all levels to communicate ideas and concepts in a clear and understandable manner. MyMichigan Health is a technology driven organization and employees need to demonstrate competency in Microsoft Windows. An employee may be required to participate in further learning opportunities offered by MyMichigan Health. PHYSICAL/MENTAL REQUIREMENTS AND TYPICAL WORKING CONDITIONS: Exposure to stressful situations, including those involving public contact, as well as trauma, grief and death. Able to wear personal protective equipment that includes latex materials or appropriate substitute if required for your position. Is able to move freely about facility with or without an assisted device and must be able to perform the functions of the job as outlined in the job description. Overall vision and hearing are necessary with or without assisted device(s). Frequently required to sit/stand/walk for long periods of time. May require frequent postural changes such as stooping, kneeling or crouching. Some exposure to blood borne pathogens and other potentially infectious material. Must follow MyMichigan Health bloodborne pathogen and TB testing as required. Ability to handle multiple tasks, get along with others, work independently, regular and predictable attendance and ability to stay awake. Overall dexterity is required including handling, reaching, grasping, fingering and feeling. May require repetition of these movements on a regular to frequent basis. Physical Demand Level: Medium. Must be able to occasionally (0-33% of the workday) lift or carry 21-50 lbs., frequently 34-66% of the workday 20 lbs. and or Walk/Stand/Push/Pull of Arm/Leg controls and constantly (67-100% or the workday) 10 lbs. Equivalent Experience And Other Comments (Education) Education: ASSOC Equivalent Experience: Bachelor's degree in nursing preferred. Education Specialization: NRG Essential: true Other Comments #Indeed1RN 
Summary This position has basic knowledge of neuroscience and general medical overflow diagnoses and is able to assess, plan, implement and evaluate care for these patients. Employees who are in the casual position are required to pick up shifts as outlined in the Midland Nursing Casual Employee Policy. Responsibilities (30%) * Regularly assesses patients/clients needs and provides skilled nursing services as prescribed by the physician authorized plan of care, and accepted standards of nursing practice. (30%) * Provides direct patient care, including medication administration, treatments, call lights, assisting with transfers, responding to alarms, etc. (20%) * Evaluates effectiveness of treatment plan and makes suggestions or participates in updating/revising the treatment plan in collaboration with other team members, utilizing current information to improve patient care. (10%) * Processes physician/provider orders and performs physician ordered care accurately, completely and in a timely manner. (10%) * Follows up regarding medication changes and order clarifications. OTHER DUTIES AND RESPONSIBILITIES: Demonstrates the ability to interpret information and reports pertinent data to the physician, including pertinent clinical information. Assess learning needs considering readiness, ability, preferences, and cultural / spiritual variables. Provide education to meet the individual needs and ability to learn. Participates in care conferences as assigned. Develops and maintains good working rapport with interdisciplinary personnel to meet the needs of each patient. Coordinates care provided by patient care technicians. Demonstrates the ability to organize and prioritize the needs of groups of patients or an individual patient. Demonstrates a general ability to manage assignments and perform routine duties on the unit. Instructs other team members when appropriate, explaining goals and rationale for individualized care. Implements clinical and technical aspects of care in accordance with established policies and procedures. Demonstrates understanding of clinical pathways and utilizes appropriately. Remains calm and efficient when working in stressful situations. Documents in an accurate, clear, and concise way and includes pertinent clinical data. Shares information and reports significant changes and/or abnormal findings to appropriate team members. Participates in regulatory surveys. Participates in the performance improvement activities. Assists with orientation and ongoing competencies. Provides a safe and secure environment for patient care. Attend and participate in professional association activities and programs to assure being current on regulations, guidelines, and professional standards. Remains current on new developments by reading professional journals, and attending seminars. Demonstrates understanding of role in emergency preparedness procedures. Performs and documents neurological assessments on all neuro patients, on admission and in accordance with established standards. Demonstrates comprehensive knowledge of neuro disease processes by correlating assessment findings with nursing knowledge to formulate interdisciplinary care plans that are measurable and achievable. Implements and monitors teaching plans that will assist patients in adapting to needed lifestyle changes. Makes appropriate team assignments, based on staff expertise and patient need. Monitors and initiates the need to institute safety measures to prevent patient injury. All other duties as assigned. Certifications and Licensures Credential: BLS: Basic Life Support Equivalent Experience: Within 3 months of hire or transfer into position. Qualification Source: AHA Essential: true Credential: RN: Registered Nurse Equivalent Experience: Qualification Source: MI Essential: true Credential: TEAM ADVANCED: Techniques for Effective Aggression Mgt Equivalent Experience: Within 6 months of hire or transfer (Employees who are in this position on or before 12/31/2023 will have 24 months to complete this certification) Qualification Source: Essential: true Credential: ACLS: Advanced Cardiac Life Support Equivalent Experience: Within 6 months of hire or transfer (Employees who are in this position on or before 12/31/2023 will have 24 months to complete this certification). Qualification Source: AHA Essential: true Credential: DIMC: Dysrhythmia Interpretation Man Equivalent Experience: Employees hired after January 1, 2025, are required to take, and pass Telemetry Monitoring and management class (DIMC) within 12 months of hire or transfer. Qualification Source: Essential: true Credential: NIHSS: National Inst of Health Stroke Scale National Stroke Assoc Equivalent Experience: Within 6 months of hire or transfer into position. Qualification Source: Essential: true Required Education Education: ASSOC Equivalent Experience: Bachelor's degree in nursing preferred. Education Specialization: NRG Essential: true Other Information EXPERIENCE, TRAINING AND SKILLS: Interpersonal skills needed to communicate successfully with individuals and groups and interact with people at all levels to communicate ideas and concepts in a clear and understandable manner. Required to take 8 hours of stroke training annually. MyMichigan Health is a technology driven organization and employees need to demonstrate competency in Microsoft Windows. An employee may be required to participate in further learning opportunities offered by MyMichigan Health. PHYSICAL/MENTAL REQUIREMENTS AND TYPICAL WORKING CONDITIONS: Exposure to stressful situations, including those involving public contact, as well as trauma, grief and death. Able to wear personal protective equipment that includes latex materials or appropriate substitute if required for your position. Is able to move freely about facility with or without an assisted device and must be able to perform the functions of the job as outlined in the job description. Overall vision and hearing are necessary with or without assisted device(s). Frequently required to sit/stand/walk for long periods of time. May require frequent postural changes such as stooping, kneeling or crouching. Some exposure to blood borne pathogens and other potentially infectious material. Must follow MyMichigan Health bloodborne pathogen and TB testing as required. Ability to handle multiple tasks, get along with others, work independently, regular and predictable attendance and ability to stay awake. Overall dexterity is required including handling, reaching, grasping, fingering and feeling. May require repetition of these movements on a regular to frequent basis. Physical Demand Level: Medium. Must be able to occasionally (0-33% of the workday) lift or carry 21-50 lbs., frequently 34-66% of the workday 20 lbs. and or Walk/Stand/Push/Pull of Arm/Leg controls and constantly (67-100% or the workday) 10 lbs. Equivalent Experience And Other Comments (Education) Education: ASSOC Equivalent Experience: Bachelor's degree in nursing preferred. Education Specialization: NRG Essential: true Other Comments #Indeed1RN 
Summary This position has basic medical/surgical knowledge in order to care for general surgical, vascular, thoracic, gastrointestinal, and orthopedic surgical patients, which may include surgical step-down patient population. Employees who are in the casual position are required to pick up shifts as outlined in the Midland Nursing Casual Employee Policy. Responsibilities (30%) * Regularly assesses patients/clients needs and provides skilled nursing services as prescribed by the physician authorized plan of care, and accepted standards of nursing practice. (30%) * Provides direct patient care, including medication administration, treatments, call lights, assisting with transfers, responding to alarms, etc. (20%) * Evaluates effectiveness of treatment plan and makes suggestions or participates in updating/revising the treatment plan in collaboration with other team members, utilizing current information to improve patient care. (10%) * Processes physician/provider orders and performs physician ordered care accurately, completely and in a timely manner. (10%) * Follows up regarding medication changes and order clarifications. OTHER DUTIES AND RESPONSIBILITIES: Demonstrates the ability to interpret information and reports pertinent data to the physician, including pertinent clinical information. Assess learning needs considering readiness, ability, preferences, and cultural / spiritual variables. Provide education to meet the individual needs and ability to learn. Participates in care conferences as assigned. Develops and maintains good working rapport with interdisciplinary personnel to meet the needs of each patient. Coordinates care provided by patient care technicians. Demonstrates the ability to organize and prioritize the needs of groups of patients or an individual patient. Demonstrates a general ability to manage assignments and perform routine duties on the unit. Instructs other team members when appropriate, explaining goals and rationale for individualized care. Implements clinical and technical aspects of care in accordance with established policies and procedures. Demonstrates understanding of clinical pathways and utilizes appropriately. Remains calm and efficient when working in stressful situations. Documents in an accurate, clear, and concise way and includes pertinent clinical data. Shares information and reports significant changes and/or abnormal findings to appropriate team members. Participates in regulatory surveys. Participates in the performance improvement activities. Assists with orientation and ongoing competencies. Provides a safe and secure environment for patient care. Attend and participate in professional association activities and programs to assure being current on regulations, guidelines, and professional standards. Remains current on new developments by reading professional journals and attending seminars. Demonstrates understanding of role in emergency preparedness procedures. Provides care for appropriate tubes, lines, drains and devices per physician orders. This may include removal. Inserts and provides care for IV's. Monitors and initiates the need to institute safety measures to prevent patient injury. All other duties as assigned. Certifications and Licensures Credential: BLS: Basic Life Support Equivalent Experience: Within 3 months of hire or transfer. Qualification Source: AHA Essential: true Credential: RN: Registered Nurse Equivalent Experience: Qualification Source: MI Essential: true Credential: TEAM ADVANCED: Techniques for Effective Aggression Mgt Equivalent Experience: Within 6 months of hire or transfer (Employees who are in this position on or before 12/31/2023 will have 24 months to complete this certification) Qualification Source: Essential: true Credential: ACLS: Advanced Cardiac Life Support Equivalent Experience: Within 6 months of hire or transfer (Employees who are in this position on or before 12/31/2023 will have 24 months to complete this certification). Qualification Source: AHA Essential: true Credential: DIMC: Dysrhythmia Interpretation Man Equivalent Experience: Employees hired after January 1, 2025, are required to take, and pass Telemetry Monitoring and management class (DIMC) within 12 months of hire or transfer. Qualification Source: Essential: true Required Education Education: ASSOC Equivalent Experience: Bachelor's degree in nursing preferred. Education Specialization: NRG Essential: true Other Information EXPERIENCE, TRAINING AND SKILLS: Interpersonal skills needed to communicate successfully with individuals and groups and interact with people at all levels to communicate ideas and concepts in a clear and understandable manner. MyMichigan Health is a technology driven organization and employees need to demonstrate competency in Microsoft Windows. An employee may be required to participate in further learning opportunities offered by MyMichigan Health. PHYSICAL/MENTAL REQUIREMENTS AND TYPICAL WORKING CONDITIONS: Exposure to stressful situations, including those involving public contact, as well as trauma, grief and death. Able to wear personal protective equipment that includes latex materials or appropriate substitute if required for your position. Is able to move freely about facility with or without an assisted device and must be able to perform the functions of the job as outlined in the job description. Overall vision and hearing are necessary with or without assisted device(s). Frequently required to sit/stand/walk for long periods of time. May require frequent postural changes such as stooping, kneeling or crouching. Some exposure to blood borne pathogens and other potentially infectious material. Must follow MyMichigan Health bloodborne pathogen and TB testing as required. Ability to handle multiple tasks, get along with others, work independently, regular and predictable attendance and ability to stay awake. Overall dexterity is required including handling, reaching, grasping, fingering and feeling. May require repetition of these movements on a regular to frequent basis. Physical Demand Level: Medium. Must be able to occasionally (0-33% of the workday) lift or carry 21-50 lbs., frequently 34-66% of the workday 20 lbs. and or Walk/Stand/Push/Pull of Arm/Leg controls and constantly (67-100% or the workday) 10 lbs. Equivalent Experience And Other Comments (Education) Education: ASSOC Equivalent Experience: Bachelor's degree in nursing preferred. Education Specialization: NRG Essential: true Other Comments #Indeed1RN 
Summary The radiation oncology nurse works closely with the Radiation Oncologist and radiation oncology team in total care of the patient. They develop and implement an individualized plan of care for each patient. Distributes and explains information regarding treatments and department procedures. Informs patient’s regarding implants, brachytherapy and other special procedures. Obtains current medical history and assists with physical exams. Works with the physicist, physician and staff in coordinating activities throughout the department. Responsibilities (35%)* The radiation oncology nurse works closely with the Radiation Oncologist and radiation oncology team in total care of the patient. They develop and implement an individualized plan of care for each patient. Distributes and explains information regarding treatments and department procedures. Informs patient’s regarding implants, brachytherapy and other special procedures. Obtains current medical history and assists with physical exams. Works with the physician to implement and evaluate an individualized plan of care for each patient referred for radiation therapy on a regular basis. (25%)* Records and reports to physician patient daily clinical data, i.e., labs and images. Implements special interventions for patients with abnormalities as ordered per radiation oncologist. Has a full understanding of the electronic medical record and uses it to document all clinical data and notes. (15%)* Observe and monitor physical and psychological effects of radiation therapy. Responds to acute and emergent changes in patient condition within the department. Offers phone consultation to patients experiencing treatment difficulties. (15%)* Performs nursing care procedures. Coordinates the ordering/dispensing of medications under the direction of the Radiation Oncologist. Complete in depth education regarding radiation therapy to the patient. (10%)* Coordinates hospital transfers and admissions. Acts as liaison between admitting physician and radiation oncologist. Coordinates referral of patients to subspecialties and to University settings when ordered per physician. Responsible for transfer of appropriate information and education to patient and family. Other Duties And Responsibilities Maintains compliance with State and JCAHO requirements in regard to radiation safety and protection for patients and staff. Attends scheduled in-services to review policy/procedure and safety measures. Participates in process improvement activities. Contributes to the development of students in the department and is responsible for teaching and completing radiation therapy student competencies. May be asked to rotate to another Radiation Therapy center to cover staff shortages or fluctuations in patient volume. Has a thorough understanding of proper billing practices and is able to use site specific office management system for scheduling and billing. Performs and documents proper charge capture for all procedures performed. MyMichigan Health is a technology driven organization and employees need to demonstrate competency in Microsoft® Windows. An employee may be required to participate in further learning opportunities offered by MyMichigan Health. Other duties as assigned. Certifications and Licensures Credential: BLS: Basic Life Support Equivalent Experience: Within 1 month of hire or transfer Qualification Source: AHA Essential: true Credential: RN: Registered Nurse Equivalent Experience Qualification Source: MI Essential: true Required Education Education: Associates Degree Equivalent Experience: Bachelor's degree in nursing preferred. Education Specialization: NRG Essential: true Other Information Experience, Training And Skills Knowledge of general nursing technique with knowledge of organizational functions, policies and regulations including current and evolving trends and developments in the field. Demonstrates the ability to effectively communicate with others in person and on the telephone. Radiation Oncology Nursing Experience Preferred. Knowledge and experience with the current radiation oncology electronic medical record used in the clinic/department preferred. Physical/Mental Requirements And Typical Working Conditions Exposure to stressful situations, including those involving public contact, as well as, trauma, grief and death. Able to wear personal protective equipment that includes latex materials or appropriate substitute if required for your position. Is able to move freely about facility with or without an assisted device and must be able to perform the functions of the job as outlined in the job description. Overall vision and hearing is necessary with or without assisted device(s). Frequently required to sit/stand/walk for long periods of time. May require frequent postural changes such as stooping, kneeling or crouching. Some exposure to blood borne pathogens and other potentially infectious material. Must follow MyMichigan Health bloodborne pathogen and TB testing as required. Ability to handle multiple tasks, get along with others, work independently, regular and predictable attendance and ability to stay awake. Overall dexterity is required including handling, reaching, grasping, fingering and feeling. May require repetition of these movements on a regular to frequent basis. Physical Demand Level: Medium. Must be able to occasionally (0-33% of the workday) lift or carry 21-50 lbs., frequently 34-66% of the workday 20 lbs. and or Walk/Stand/Push/Pull of Arm/Leg controls and constantly (67-100% or the workday) 10 lbs. 
Summary May be eligible for sign on bonus up to $7,500 Lake/Harrison/Clare service area 8 hour shifts, Monday – Friday with one weekend every 4 weeks. The Staff Registered Nurse provides professional and comprehensive nursing care within the scope of agency services. The target patient/client population for this position are those requiring skilled clinical home care services. Activities of this position are patient/client focused and utilize the nursing process of assessment, planning, intervention, and evaluation in accordance with nursing practice standards, physician orders, and agency policies and procedures. Responsibilities (20%)* Regularly assesses patient’s/client’s needs and provides skilled nursing services as prescribed by the physician authorized plan of care and accepted standards of nursing practice. (20%)* Initiates plan of care for assigned patients/clients and revises and adapts as necessary. (20%)* Provides nursing care (or arranges for services through specialized staff) through ongoing visits to a group of patients/clients, sharing the patient/client case load. (15%)* Coordinates patient/client care by evaluating outcomes and providing on-going feedback to others involved in care relative to patient status and changes needed on patient care plan. (15%)* Coordinates care provided by Licensed Practical Nurses (LPN) and Home Health Aides and supervises Licensed Practical Nurse (LPN) as needed. (10%)* Notifies physician of changes in patient/client condition and care needs and obtains new orders as needed. OTHER DUTIES AND RESPONSIBILITIES: Function as case manager for assigned case load if assigned. Implements preventative and rehabilitative nursing procedures and utilizes community and agency resources for optimum patient/client care. Utilizes Agency documentation system to record services provided according to agency, professional, and program standards. Assists in maintenance of patient/client records. Provides patients/clients/caregivers/physicians with the necessary information to promote informed decision making leading to the achievement of optimal level of independence and as required by regulatory agencies. Establishes a Home Health Aide care plan and supervises the Home Health Aide according to Agency guidelines. May make joint visits with other disciplines to assure consistency of care. Functions as part of multi-disciplinary team in coordinating care including planning for discharge. Acts as a preceptor to provide educational visit opportunities for students and will participate in orientation of new staff as assigned. Participates in Agency, community and/or home health organization activities as assigned appropriate. Participates in staff meetings, in-service education programs, and other opportunities for learning. Complies with documentation requirements for employee personnel and activity records as defined in Agency policy. Carries out work according to Agency policies and procedures in such a manner as to appropriately reflect Agency standards for timeliness, accuracy, and productivity. Maintains confidentiality of patient/client and Agency information. Adheres to the Agency standards related to personal appearance and behavior. Participates in weekend and holiday rotations and on-call duties as identified in personnel policies. Participates in Agency performance improvement process. Assists in Agency community education activities as requested. MyMichigan Health is a technology driven organization and employees need to demonstrate competency in Microsoft® Windows. An employee may be required to participate in further learning opportunities offered by MyMichigan Health. In summary: Participation in the patient’s coordination of care. Ongoing interdisciplinary assessment of the patients. Development and evaluation of the plan of care in partnership with the patient, representative (if any), and the caregiver (s). Provides services that are ordered by the physician as indicated on the plan of care. Conducts patient, caregiver, and family counseling and education. Prepares clinical notes in a timely manner. Communicates with all physicians involved in the plan of care and other health care practitioners (as needed) related to the current plan on care. Participates in the organization’s quality assessment and performance improvement program. Participates in organization – sponsored in-service training. Other duties as assigned. Certifications and Licensures Credential: BLS: Basic Life Support Equivalent Experience: Within 1 month of hire or transfer Qualification Source: AHA Credential: DRIVERSLIC: Drivers License Equivalent Experience: Credential: VEH INS: Vehicle Insurance Equivalent Experience: Credential: RN: Registered Nurse Equivalent Experience: Qualification Source: MI Credential: FINGERPRIN: Fingerprinting Equivalent Experience: Credential: TEAM ADVANCED: Techniques for Effective Aggression Mgt Equivalent Experience: Within 6 months of hire or transfer (Employees who are in this position on or before 12/31/2023 will have 24 months to complete this certification) Required Education Education: ASSOC Equivalent Experience: Education Specialization: NRG Other Information EXPERIENCE, TRAINING AND SKILLS: Able to function as part of a team. One year of direct patient care experience is preferred. Successful completion of Agency orientation and competency programs. Ability to communicate effectively, verbally and in writing and able to understand the English language. Ability to adapt to frequent changes. Ability to recognize needs and concerns of people and maintain constructive interpersonal relationships. Ability to work independently, demonstrating problem solving and organizational skills. Ability to drive under hazardous road conditions. Ability to work where employee may be exposed to communicable diseases in unpredictable home situations. PHYSICAL/MENTAL REQUIREMENTS AND TYPICAL WORKING CONDITIONS: Exposure to stressful situations, including those involving public contact, as well as, trauma, grief and death. Able to wear personal protective equipment that includes latex materials or appropriate substitute if required for your position. Is able to move freely about facility with or without an assisted device and must be able to perform the functions of the job as outlined in the job description. Overall vision and hearing is necessary with or without assisted device(s). Frequently required to sit/stand/walk for long periods of time. May require frequent postural changes such as stooping, kneeling or crouching. Some exposure to blood borne pathogens and other potentially infectious material. Must follow MyMichigan Health bloodborne pathogen and TB testing as required. Ability to handle multiple tasks, get along with others, work independently, regular and predictable attendance and ability to stay awake. Overall dexterity is required including handling, reaching, grasping, fingering and feeling. May require repetition of these movements on a regular to frequent basis. Physical Demand Level: Medium. Must be able to occasionally (0-33% of the workday) lift or carry 21-50 lbs., frequently 34-66% of the workday 20 lbs. and or Walk/Stand/Push/Pull of Arm/Leg controls and constantly (67-100% or the workday) 10 lbs. Other Comments #Indeed1RN 
We have an immediate need for staff in Midland, Michigan. Earn up to $400 in bonuses, in your first 90 days! Are you looking for a job where you can help a special person & build a rewarding relationship or looking to be recognized by your employer and have overall job satisfaction. Then you are looking for us! We are looking for that caregiver that is professional, caring, and compassionate. It is truly a rewarding career, and you will be joining an award-winning team, that will train and guide you along your career path. The perks of working as a caregiver with Right at Home: New & exciting caregiver app (AVA), where you earn points/money daily for completing routine tasks. Caregiver comments about AVA: “Love it”, “It’s a great program”, “Love getting rewards & gift cards”, & “Keeps me going”. Competitive Pay starts at $15.00/hour. Up to $250 Sign-on Bonus Up to $150 in new hire training bonuses Up to $150 in Employee and Client Referral Bonuses Weekly, Monthly, and Yearly – Caregiver Appreciation and Recognition Flexible Scheduling – we work with you to set your schedule. Weekly Paycheck & Direct Deposit Ongoing PAID Training! Personalized on-the-job training Medical Benefits – Including Health, Vision, Dental & Supplemental 24/7 Access to Schedules, Client Information, Payroll Information, & Training Recognition, celebrations, and great team interaction! Paid time off. When you join Right at Home, you will be surrounded by individuals who are just as dedicated to caring for their clients, as you are. You will also be supported by an administrative team that is focused on ensuring caregiver satisfaction & retention. Right at Home caregivers assist clients with non-medical daily chores, meals, transportation, and with activities of daily living, including bathing dressing, grooming, toileting, and transferring, based on the client’s individual care plan. Ideal candidates: Must be dependable, compassionate, & a team player. Must be 18 years of age and have a GED. Must have a driver’s license, auto insurance, & reliable transportation. Must be able to pass a background check & drug screen. Experience as a Caregiver is preferred Ability to lift 25-50 lbs, lift, stoop, bend, and have communication skills. 
Summary 14K sign on bonus for qualified candidates The medical oncology unit will consist of patients with a cancer diagnosis, medical step-down patients, and general medical overflow. This position has basic knowledge of pathophysiology of cancer and is able to assess, plan, implement and evaluate care for patients on this unit. Employees who are in the casual position are required to pick up shifts as outlined in the Midland Nursing Casual Employee Policy. Responsibilities (30%)* Regularly assesses patients/clients needs and provides skilled nursing services as prescribed by the physician authorized plan of care, and accepted standards of nursing practice. (30%)* Provides direct patient care, including nursing assessment, medication administration, treatments, call lights, assisting with transfers, responding to alarms, etc. (20%)* Evaluates effectiveness of treatment plan and patients' condition to make suggestions and participate in updating/revising the treatment plan in collaboration with other team members, utilizing current information and assessments to improve patient care. (10%)* Processes physician/provider orders and performs physician ordered care accurately, completely and in a timely manner. (10%)* Follows up regarding medication changes and order clarifications. OTHER DUTIES AND RESPONSIBILITIES: Demonstrates the ability to interpret information and reports pertinent data to the physician, including pertinent clinical information. Assess learning needs considering readiness, ability, preferences, and cultural / spiritual variables. Provide education to meet the individual needs and ability to learn. Participates in care conferences as assigned. Develops and maintains good working rapport with interdisciplinary personnel to meet the needs of each patient. Coordinates care provided by patient care technicians. Demonstrates the ability to organize and prioritize the needs of groups of patients or an individual patient. Demonstrates a general ability to manage assignments and perform routine duties on the unit. Instructs other team members when appropriate, explaining goals and rationale for individualized care. Implements clinical and technical aspects of care in accordance with established policies and procedures. Demonstrates understanding of clinical pathways and utilizes appropriately. Remains calm and efficient when working in stressful situations. Documents in an accurate, clear, and concise way and includes pertinent clinical data. Shares information and reports significant changes and/or abnormal findings to appropriate team members. Participates in regulatory surveys. Participates in the performance improvement activities. Assists with orientation and ongoing competencies. Provides a safe and secure environment for patient care. Attend and participate in professional association activities and programs to assure being current on regulations, guidelines, and professional standards. Remains current on new developments by reading professional journals, and attending seminars. Demonstrates understanding of role in emergency preparedness procedures Administers cardiac drips and chemotherapy per provider orders. Assesses patient for signs or symptoms of complications of cancer or treatment protocols. Accurately uses central lines for drawing blood, administering chemotherapy, etc. Interacts positively with patients and families during severe stress situations. Demonstrates critical thinking and integration of theory to practice for medical patients, oncology patients, medical step-down, and telemetry patients. Participates in Transition of Care course for first 12 months after hire or transfer to position. Monitors and initiates the need to institute safety measures to prevent patient injury. Other duties as assigned. Certifications and Licensures Credential: RN: Registered Nurse Equivalent Experience: Qualification Source: MI Essential: true Credential: BLS: Basic Life Support Equivalent Experience: Within 3 months of hire or transfer. Qualification Source: AHA Essential: true Credential: DIMC: Dysrhythmia Interpretation Man Equivalent Experience: Employees hired after January 1, 2025, are required to take, and pass Telemetry Monitoring and management class (DIMC) within 12 months of hire or transfer. Qualification Source: Essential: true Credential: ACLS: Advanced Cardiac Life Support Equivalent Experience: Within 6 months of hire or transfer (Employees who are in this position on or before 12/31/2023 will have 24 months to complete this certification). Qualification Source: AHA Essential: true Credential: TEAM ADVANCED: Techniques for Effective Aggression Mgt Equivalent Experience: Within 6 months of hire or transfer (Employees who are in this position on or before 12/31/2023 will have 24 months to complete this certification) Qualification Source: Essential: true Credential: ONS BIOCRT: ONS/ONCC Chemotherapy Bio Cert Equivalent Experience: Required within 12 months of hire or transfer into positions. Must be renewed every 24 months. Qualification Source: Essential: true Required Education Education: ASSOC Equivalent Experience: Bachelor's degree in nursing preferred. Education Specialization: NRG Essential: true Other Information EXPERIENCE, TRAINING AND SKILLS: The following education outline is intended for new hires or transfers who are new to Oncology Nursing. Any new hire or transfer who has already received their ONS Chemo / Bio safe handling card and/or their OCN certification is exempt from completing Cancer Basics or Chemotherapy Fundamentals. Chemotherapy Education Pathway: Full time & Part time RN Pass ONS Cancer Basics course within 6 months. Pass ONS Chemotherapy/ Biotherapy Fundamentals of Administration course within 12 months. Maintain ONS Chemotherapy/ Biotherapy Fundamentals of Administration or ONS Chemotherapy and Biotherapy Certificate course (if applicable) per ONS recommendations. Additional components of demonstrating competency for all nurses administering antineoplastic agents include: Demonstration of safety and proficiency in the preparation, administration, handling, and disposal of antineoplastic agents as defined in the ONS Chemotherapy/ Biotherapy Fundamentals of Administration course and or the ONS Chemotherapy and Biotherapy Certificate course. Demonstration of compliance with policy for management of chemotherapy spills and extravasation. Demonstration of skill in compliance with the health system's policy for accessing, dressing, and flushing a variety of vascular access devices including Hohn, PICCs, Groshong, Hickman, and implanted medports. Demonstration of skills in the assessment, planning, implementation, and evaluation of the oncology patient and family's learning needs. Interpersonal skills needed to communicate successfully with individuals and groups and interact with people at all levels to communicate ideas and concepts in a clear and understandable manner. MyMichigan Health is a technology driven organization and employees need to demonstrate competency in Microsoft Windows. An employee may be required to participate in further learning opportunities offered by MyMichigan Health. PHYSICAL/MENTAL REQUIREMENTS AND TYPICAL WORKING CONDITIONS: Exposure to stressful situations, including those involving public contact, as well as, trauma, grief and death. Able to wear personal protective equipment that includes latex materials or appropriate substitute if required for your position. Is able to move freely about facility with or without an assisted device and must be able to perform the functions of the job as outlined in the job description. Overall vision and hearing is necessary with or without assisted device(s). Frequently required to sit/stand/walk for long periods of time. May require frequent postural changes such as stooping, kneeling or crouching. Some exposure to blood borne pathogens and other potentially infectious material. Must follow MyMichigan Health bloodborne pathogen and TB testing as required. Ability to handle multiple tasks, get along with others, work independently, regular and predictable attendance and ability to stay awake. Overall dexterity is required including handling, reaching, grasping, fingering and feeling. May require repetition of these movements on a regular to frequent basis. Physical Demand Level: Medium. Must be able to occasionally (0-33% of the workday) lift or carry 21-50 lbs., frequently 34-66% of the workday 20 lbs. and or Walk/Stand/Push/Pull of Arm/Leg controls and constantly (67-100% or the workday) 10 lbs. Equivalent Experience And Other Comments (Education) Education: ASSOC Equivalent Experience: Bachelor's degree in nursing preferred. Education Specialization: NRG Essential: true Other Comments #Indeed1RN