RN Jobs in Seward, NE

Summary GENERAL SUMMARY: Conducts day-to-day activities for the clinical, financial and utilization coordination of the patient’s hospital experience. Proactively consults with the interdisciplinary team which includes, but is not limited to, hospital patient care staff, physicians, patient support, and family to ensure the patient’s hospital stay meets medical necessity and insurance authorizations are obtained to facilitate the financial well-being of the patient and hospital. Acts as the contact for the Utilization Management (UM) staff for day-to-day questions and guidance. Shares meeting responsibilities with the manager representing UM in meetings inside and outside the department. Serves as the Subject Matter Expert (SME) for the whole department both inside and outside the department. Assists with scheduling, assigning workflow, and various employee instructions both educational and corrective. PRINCIPAL JOB FUNCTIONS: 1. *Commits to the mission, vision, beliefs and consistently demonstrates our core values. 2. *Acts as manager when manager is unavailable. 3. *Serves as the subject matter expert for the Utilization Management department for utilization review activities, including concurrent and retrospective reviews as required. 4. *In conjunction with the manager, assists in streamlining operations and maximization of UM tools. 5. *In conjunction with the manager, attends Operational and Revenue Cycle meetings as needed representing the Utilization Management department, and attends the UM Committee meeting. 6. *Acts as the day-to-day contact for the Utilization Department staff to approve last-minute requests for time off, assists with assignments, schedules, and helps manager with employee situations. 7. *Performs duties as a Utilization Management RN by determining the medical necessity of requests by performing first level reviews and using approved evidence-based guidelines/criteria. 8. Takes UM-RN staff shifts as needed by performing utilization review activities, including concurrent and retrospective reviews as required. 9. *Collaborates with the patient’s provider and other healthcare team members in managing the patient’s length of stay and determining the continuing medical necessity of continued stays. 10. *Refers cases to reviewing physician when the treatment request does not meet criteria per appropriate algorithm. 11. *Participates in concurrent and retrospective denials and appeals process by researching issues surrounding the denial, participating in all levels of the appeal and process follow-up. 12. *Serves as an internal and external resource regarding appropriate level of care; admission status/classification; Medicare/Medicaid rules, regulations, and policies; third party and managed care contracts; discharge planning; and length of stay. 13. Ensures appropriate resource utilization relevant to the financial, regulatory, and clinical aspects of care; proposes alternative treatment to ensure a cost effective and efficient plan of care. 14. *Maintains awareness of financial reimbursement methodology, utilization management, payer/reimbursement practices and regulations and participates in resource stewardship. 15. *Promotes quality improvement initiatives and health care outcomes based on currently accepted clinical practice guidelines and total quality improvement initiatives. 16. Maintains professional growth and development through seminars, workshops, and professional affiliations to keep abreast of latest trends in field of expertise. 17. Participates in meetings, committees and department projects as assigned. 18. Performs other related projects and duties as assigned. (Essential Job functions are marked with an asterisk “*.” Refer to the Job Description Guide for the definition of essential and non-essential job functions.) Attach Addendum for positions with slightly distinct roles or work-specific differences as needed. REQUIRED KNOWLEDGE, SKILLS AND ABILITIES: 1. Maintains clinical competency as required for the unit including but not limited to age-specific competencies relative to patient’s growth and developmental needs, annual skill competency verification and mandatory education and competencies. 2. Knowledge of governmental and third-party payer regulations and requirements related to patient hospitalization and acute rehabilitation admission, stay and discharge activities (i.e. CMS). 3. Knowledge of computer hardware equipment and software applications relevant to work functions. 4. Skills in conflict diffusion and resolution. 5. Ability to communicate effectively both verbally and in writing. 6. Ability to perform crucial conversations with desired outcomes. 7. Ability to establish and maintain effective working relationships with all levels of personnel and medical staff. 8. Ability to problem solve and engage independent critical thinking skills. 9. Ability to maintain confidentiality relevant to sensitive information. 10. Ability to prioritize work demands and work with minimal supervision. 11. Ability to maintain regular and punctual attendance. EDUCATION AND EXPERIENCE: Current Registered Nurse licensure from the State of Nebraska or approved compact state of residence as defined by the Nebraska Nurse Practice Act required. Minimum of Five (5) years utilization management experience required. OTHER CREDENTIALS / CERTIFICATIONS: Basic Life Support (CPR) certification required. Bryan Health recognizes American Heart Association (for healthcare professionals), American Red Cross (for healthcare professionals) and the Military Training Network. PHYSICAL REQUIREMENTS: (Physical Requirements are based on federal criteria and assigned by Human Resources upon review of the Principal Job Functions.) (DOT) – Characterized as sedentary work requiring exertion up to 10 pounds of force occasionally and/or a negligible amount of force frequently to lift, carry, push, pull, or otherwise move objects, including the human body.

Utilization Management RN- Denials

Summary GENERAL SUMMARY: Conducts day-to-day activities for the clinical, financial and utilization coordination of the patient’s hospital experience. Proactively consults with the interdisciplinary team which includes, but is not limited to, hospital patient care staff, physicians, patient support and family to ensure the patient’s hospital stay meets medical necessity and insurance authorizations are obtained in order to facilitate the patient’s and hospitals financial well-being. PRINCIPAL JOB FUNCTIONS: 1. *Commits to the mission, vision, beliefs and consistently demonstrates our core values. 2. *Performs utilization review activities, including concurrent and retrospective reviews as required. 3. *Determines the medical necessity of request by performing first level reviews, using approved evidence based guidelines/criteria. 4. *Collaborates with the patient’s provider and other healthcare team members in managing the patient’s length of stay and determining the continuing medical necessity of continued stays. 5. *Refers cases to reviewing physician when the treatment request does not meet criteria per appropriate algorithm. 6. *Participates in concurrent and retrospective denials and appeals process by researching issues surrounding the denial, participating in all levels of the appeal and process follow-up. 7. *Serves as an internal and external resource regarding appropriate level of care; admission status/classification; Medicare/Medicaid rules, regulations, and policies; 3rd party and managed care contracts; discharge planning; and length of stay. 8. Ensures appropriate resource utilization relevant to the financial, regulatory and clinical aspects of care; proposes alternative treatment to ensure a cost effective and efficient plan of care. 9. *Maintains awareness of financial reimbursement methodology, utilization management, payer/reimbursement practices and regulations and participates in resource stewardship. 10. *Promotes quality improvement initiatives and health care outcomes based on currently accepted clinical practice guidelines and total quality improvement initiatives. 11. Maintains professional growth and development through seminars, workshops, and professional affiliations to keep abreast of latest trends in field of expertise. 12. Participates in meetings, committees and department projects as assigned. 13. Performs other related projects and duties as assigned. (Essential Job functions are marked with an asterisk “*”. Refer to the Job Description Guide for the definition of essential and non-essential job functions.) Attach Addendum for positions with slightly different roles or work-specific differences as needed. REQUIRED KNOWLEDGE, SKILLS AND ABILITIES: 1. Maintains clinical competency as required for the unit including but not limited to age-specific competencies relative to patient’s growth and developmental needs, annual skill competency verification and mandatory education and competencies. 2. Knowledge of governmental and third party payer regulations and requirements related to patient hospitalization and acute rehabilitation admission, stay and discharge activities, i.e., CMS, CARF, FIM (TM). 3. Knowledge of computer hardware equipment and software applications relevant to work functions. 4. Skill in conflict diffusion and resolution. 5. Ability to communicate effectively both verbally and in writing. 6. Ability to perform crucial conversations with desired outcomes. 7. Ability to establish and maintain effective working relationships with all levels of personnel and medical staff. 8. Ability to problem solve and engage independent critical thinking skills. 9. Ability to maintain confidentiality relevant to sensitive information. 10. Ability to prioritize work demands and work with minimal supervision. 11. Ability to maintain regular and punctual attendance. ADDITIONAL JOB FUNCTIONS: In addition to the principal job functions contained on the primary job descriptions, the following duties are also required in the department noted above. 1. Responsible for performing clinical review and analysis in support of the denials team in managing patient medical denials through the request of documentation and assistance in preparing cases for presentation and evaluation. Collaborates with utilization management, case management, revenue cycle, and the physician advisor. Partners with the physician advisor to develop and defend clinical positions on denied cases 2. Reviews all denial accounts for categorization, level of appeal, and special requirements for initiating appeals evaluating medical necessity and level of care. 3. Reviews and compiles required denial documentation and submits in a timely manner to ensure compliance with required timelines. 4. Supports the appeal process by ensuring that proper documentation is provided to support appeals of unauthorized inpatient days or days denied for lack of documentation. 5. Manages new denials. Reviews hospital records for medical necessity and routes to the appropriate teams or personnel. Identifies gaps in clinical documentation and initiates appropriate clinical or operational interventions. Screens new denials and assigns preliminary denial reasons. Analyzes denial trends and determines root causes from a clinical perspective, validating or challenging payer denial rationale 6. Tracks and documents tasks to assist in preparing and following up on pending cases. Maintains documentation of clinical determinations and appeal activities, ensuring accuracy and compliance with regulatory and payer requirements. 7. Tracks and monitors concurrent and retrospective cases within electronic records. 8. Assists in auditing for administrative and medical necessity denials and identify opportunities for improvement in clinical documentation and utilization practices. Enters and schedules Peer to Peer reviews when necessary. 9. Assists with paperwork and follow-up of self-denied cases, and Condition Code W2s. 10. Assists in gathering data for performance of retrospective denials. Analyzes clinical denial data to identify trends, patterns, and opportunities for process improvement, and provides recommendations to clinical and operational leadership. EDUCATION AND EXPERIENCE: Two (2) years of utilization management experience with strong knowledge of the denials process and payor behaviors is preferred. EDUCATION AND EXPERIENCE: Current Registered Nurse licensure from the State of Nebraska or approved compact state of residence as defined by the Nebraska Nurse Practice Act. Two (2) years recent clinical experience required. Prior care coordination and/or utilization management experience preferred. OTHER CREDENTIALS / CERTIFICATIONS: Basic Life Support (BLS) certification required. Bryan Health recognizes American Heart Association (for healthcare professionals), American Red Cross (for healthcare professionals) and the Military Training Network. PHYSICAL REQUIREMENTS: (Physical Requirements are based on federal criteria and assigned by Human Resources upon review of the Principal Job Functions.) (DOT) – Characterized as sedentary work requiring exertion up to 10 pounds of force occasionally and/or a negligible amount of force frequently to lift, carry, push, pull, or otherwise move objects, including the human body.

Staff RN-Adult Psychiatry

Summary SUMMARY The Staff Registered Nurse (RN) is responsible for meeting patient's priority needs by assessing, participating in interdisciplinary care planning, providing and /or delegating care and evaluating patients' responses and progress toward clinical outcomes. The Staff RN contributes to an efficient and effective work environment through activities including professional communication and documentation, preceptoring and/or resourcing of others. The Staff RN supervises Licensed Practical Nurses and/or other support staff in the delivery of patient care as described in Nebraska Statute 38. RESPONSIBILITIES INCLUDE BUT ARE NOT LIMITED TO: *Commits to the mission, vision, beliefs and consistently demonstrates our core values. *Initiates assessment and reassessment based on the patient's presenting problems/needs in accordance with Bryan Medical Center's procedures. *Synthesizes pertinent initial and ongoing patient data to identify nursing priorities for care and desired outcomes/goals. *Integrates appropriate standards of care into the patient's plan of care based on the diagnosis and age-specific needs. *Executes therapeutic and/or supportive interventions. *Provides education for the patient and family to meet identified patient needs according to their needs, abilities, preferences and readiness to learn. *Evaluates the patient's response to and effectiveness of interventions. *Evaluates patient's progress toward established outcomes. *Incorporates cultural considerations into the plan/delivery of care. *Includes family or significant others in the care of the patient as appropriate. *Documents patient care and related information according to Bryan Medical Center procedures for documentation. *Provides care in conjunction with other members of the interdisciplinary team. *Facilitates patient's transition to the next level of care. *Actively participates in continued learning opportunities and continued self-development pertinent to the work unit and duties of the job. QUALIFICATIONS: Current Registered Nurse licensure from the State of Nebraska or approved compact state of residence as defined by the Nebraska Nurse Practice Act. Must provide evidence of certification and/or instruction for practice area as required by State or Federal standards/regulations. Basic Life Support (CPR) certification required.

Staff RN-Mental Health Observation

Summary SUMMARY The Staff Registered Nurse (RN) is responsible for meeting patient's priority needs by assessing, participating in interdisciplinary care planning, providing and /or delegating care and evaluating patients' responses and progress toward clinical outcomes. The Staff RN contributes to an efficient and effective work environment through activities including professional communication and documentation, preceptoring and/or resourcing of others. The Staff RN supervises Licensed Practical Nurses and/or other support staff in the delivery of patient care as described in Nebraska Statute 38. RESPONSIBILITIES INCLUDE BUT ARE NOT LIMITED TO: *Commits to the mission, vision, beliefs and consistently demonstrates our core values. *Initiates assessment and reassessment based on the patient's presenting problems/needs in accordance with Bryan Medical Center's procedures. *Synthesizes pertinent initial and ongoing patient data to identify nursing priorities for care and desired outcomes/goals. *Integrates appropriate standards of care into the patient's plan of care based on the diagnosis and age-specific needs. *Executes therapeutic and/or supportive interventions. *Provides education for the patient and family to meet identified patient needs according to their needs, abilities, preferences and readiness to learn. *Evaluates the patient's response to and effectiveness of interventions. *Evaluates patient's progress toward established outcomes. *Incorporates cultural considerations into the plan/delivery of care. *Includes family or significant others in the care of the patient as appropriate. *Documents patient care and related information according to Bryan Medical Center procedures for documentation. *Provides care in conjunction with other members of the interdisciplinary team. *Facilitates patient's transition to the next level of care. *Actively participates in continued learning opportunities and continued self-development pertinent to the work unit and duties of the job. QUALIFICATIONS: Current Registered Nurse licensure from the State of Nebraska or approved compact state of residence as defined by the Nebraska Nurse Practice Act. Must provide evidence of certification and/or instruction for practice area as required by State or Federal standards/regulations. Basic Life Support (CPR) certification required.

Clinic RN-Northpointe Family Medicine

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

Clinic RN-Northpointe Family Medicine

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

Staff RN-PICC

Summary GENERAL SUMMARY: The Vascular Access RN places midlines, PICC’s and peripheral IV’s with ultrasound guidance. A Vascular Access nurse is an integral part of the Bryan Health care team. This nurse works with a diverse population of patients: outpatient, inpatient, and ER patients. This nurse is supported by the Interventional Radiologists with difficult cases. Prior experience preferred but not required. Technical training for ultrasound will be provided during orientation. PRINCIPAL JOB FUNCTIONS: *Commits to the mission, vision, beliefs and consistently demonstrates our core values. *Properly utilizes monitors, infusion pumps and ultrasound equipment during patient procedures; ensures facility safety policies and procedures are followed. *Evaluates the patient's response to and effectiveness of nursing interventions; identifies life-threatening arrhythmias and takes appropriate action. *Maintains a sterile field. *Reinforces instructions to family and patient of post-procedure precautions. *Keeps blood and body fluids in check in accordance to OSHA and Medical Center guidelines. *Incorporates cultural considerations into the plan/delivery of care. *Accesses and administers drugs and biologicals that are pertinent to essential job functions in accordance with Medical Center procedures. EDUCATION AND EXPERIENCE: Current Registered Nurse licensure from the State of Nebraska or approved compact state of residence as defined by the Nebraska Nurse Practice Act. Basic Life Support (CPR) certification required. Bryan Health recognizes American Heart Association (for healthcare professionals), American Red Cross (for healthcare professionals) and the Military Training Network. Advanced Cardiac Life Support (ACLS) required.

Utilization Management RN

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

Hybrid Scheduling Nurse-RN (9:00am to 6:00pm)

Summary GENERAL SUMMARY: Responsible for facilitating access to Medical Center services. Utilizes effective communication and documentation with physicians, physician staff, health care facilities, patients and patient representatives to collect and analyze pertinent clinical data as related to the procedure(s) scheduled, intervening to prevent problems that could result in adverse patient outcomes or delayed/cancelled procedures. Provides exemplary customer service and interacts in a professional, courteous manner with co-workers, physicians, patients and the public. PRINCIPAL JOB FUNCTIONS: 1. *Commits to the mission, vision, beliefs and consistently demonstrates our core values. 2. *Performs multi-resource appointment scheduling for inpatient/outpatient diagnostic and therapeutic services received from physician and/or physician staff. Obtains patient information including medical necessity/diagnosis, demographics, and pertinent clinical information as related to the procedure(s) scheduled. Collects and documents information beyond that listed in procedural questionnaire based on critical assessment of patient history. 3. *Integrates physical, mental and cultural considerations in scheduling of patient procedure(s), coordinating services to ensure the Medical Center is patient ready upon customer arrival. 4. *Collaborates with physician office staff to educate the patient/patient representative on preparation and understanding of scheduled procedure(s); clearly communicates instructions to patient and/or patient representative. 5. Provides recommendations and education to physician office staff commensurate with scope of practice in scheduling of procedure(s). 6. *Reviews and evaluates outpatient orders received from the physician and/or physician staff; uses clinical judgment /critical thinking to follow-up on appropriateness and completeness of physician orders as they relate to procedure(s) ordered. 7. *Receives and documents verbal physician orders. 8. Screens/determines appropriateness of level of care and admission status; notifies appropriate department(s) based on assessment of patient needs. 9. Enters order sets for procedures while coordinating with physician offices and performing departments. Reviews for accuracy to ensure all orders needed are entered and available. 10. Documents pre-certification/authorization/referral information when applicable. 11. *Prepares and provides patients with an estimate, if one is warranted, for their expected services. Collects and/or counsels on expected payment due. 12. *Keeps Patient Service Center and Scheduling Manager informed of issues related to procedures including but not limited to: necessary questionnaire revisions, updates related to departmental requests and need for new or revised procedure(s) build. 13. *Responsible for preceptoring and /or resourcing of peers. 14. *Assesses employee competencies and level of performance; cross trains employees into specialized areas and documents training. 15. Collaborates with management to plan and communicate changes to the work group. 16. *Serves as a liaison in building and maintaining professional relationships between physicians, physician office staff and other health care personnel. 17. Maintains professional growth and development through seminars, workshops, and professional affiliations to keep abreast of latest trends in field of expertise. 18. Participates in meetings, committees and department projects as assigned. 19. Performs other related projects and duties as assigned. (Essential Job functions are marked with an asterisk “*”. Refer to the Job Description Guide for the definition of essential and non-essential job functions.) Attach Addendum for positions with slightly different roles or work-specific differences as needed. EDUCATION AND EXPERIENCE: Current Registered licensure from the State of Nebraska or approved compact state of residence as defined by the Nebraska Nurse Practice Act. Minimum of three (3) years nursing experience required. Experience with hospital/health operations and general background in all areas of nursing practice preferred.

Clinic RN-Bryan Urgent Care-Southeast

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

Employee Health Services RN

Summary GENERAL SUMMARY: The Employee Health Services RN practices according to the Standards of Occupational and Environmental Health Nursing as identified by the American Association of Occupational Health Nurses. The Employee Health Services RN collaborates with employees, employers, members of the occupational health and safety team, and other professionals to identify health and safety needs, prioritize interventions, develop and implement interventions and programs, and evaluate care and service delivery. PRINCIPAL JOB FUNCTIONS: 1. *Commits to the mission, vision, beliefs and consistently demonstrates our core values. 2. *Assesses the health status of the individual or population and the environment. 3. *Analyzes assessment data to formulate plan of care. 4. *Integrates standards of care, procedures, physician standard orders, age-specific needs, regulations and professional recommendations into the plan of care. 5. *Incorporates cultural consideration as well as home and family dynamics into the plan of care. 6. *Implements nursing actions and therapeutic interventions to carry out the plan of care. 7. *Provides education with consideration for learning abilities, preferences and readiness to learn, using appropriate resources and teaching aids. 8. *Evaluates the client's response to interventions. 9. *Provides discharge instructions regarding ongoing plan of care, including alternative follow-up strategies depending on the client's condition and response to therapies. 10. *Promotes appropriate self-care strategies. 11. *Promotes wellness and disease prevention. 12. *Makes appropriate referrals and facilitates referral contacts as needed. 13. *Documents all aspects of the plan of care, including outcomes. 14. Practices collaboratively with other members of the interdisciplinary team. 15. *Communicates appropriate information to coworkers and Employee Health Services Manager. 16. *Maintains confidentiality of the client's health information. EDUCATION AND EXPERIENCE: Current Registered Nurse licensure from the State of Nebraska or approved compact state of residence as defined by the Nebraska Nurse Practice Act required. Bachelor of Science in Nursing preferred. OTHER CREDENTIALS / CERTIFICATIONS: Basic Life Support (CPR) certification required

Staff RN-ED experienced RN

Summary 3-5 years of experienced RN. SUMMARY The Emergency RN performs therapeutic nursing interventions consistent with the Emergency Department including: ACLS/PALS protocols; Arrhythmia detection and treatment; Airway management; Wound care; Pain management; Crisis intervention; Discharge planning/instructions; Stroke scale. Initiates appropriate Emergency Protocols. Manages the care of pediatric/adult patients with conditions common to the Emergency Department, including: Cardiac, respiratory distress, ENT, GYN, wound, orthopedic, and neurological emergencies; Trauma emergencies. Serves as preceptor, charge nurse, or triage nurse based on skill development and at the discretion of the manager. Serves as resource for student and orientees. Assists in the collection of data for medical screenings. Anticipates and intervenes to meet patient and family needs. Makes appropriate referrals to Care Management, ED Connections, Voices of Hope, etc. Assists the Sexual Assault Nurse Examiner in the care of the sexual assault patient. The Staff Registered Nurse (RN) is responsible for meeting patient's priority needs by assessing, participating in interdisciplinary care planning, providing and /or delegating care and evaluating patients' responses and progress toward clinical outcomes. The Staff RN contributes to an efficient and effective work environment through activities including professional communication and documentation, preceptoring and/or resourcing of others. The Staff RN supervises Licensed Practical Nurses and/or other support staff in the delivery of patient care as described in Nebraska Statute 38. RESPONSIBILITIES INCLUDE BUT ARE NOT LIMITED TO: *Commits to the mission, vision, beliefs and consistently demonstrates our core values. *Initiates assessment and reassessment based on the patient's presenting problems/needs in accordance with Bryan Medical Center's procedures. *Synthesizes pertinent initial and ongoing patient data to identify nursing priorities for care and desired outcomes/goals. *Integrates appropriate standards of care into the patient's plan of care based on the diagnosis and age-specific needs. *Executes therapeutic and/or supportive interventions. *Provides education for the patient and family to meet identified patient needs according to their needs, abilities, preferences and readiness to learn. *Evaluates the patient's response to and effectiveness of interventions. *Evaluates patient's progress toward established outcomes. *Incorporates cultural considerations into the plan/delivery of care. *Includes family or significant others in the care of the patient as appropriate. *Documents patient care and related information according to Bryan Medical Center procedures for documentation. *Provides care in conjunction with other members of the interdisciplinary team. *Facilitates patient's transition to the next level of care. *Actively participates in continued learning opportunities and continued self-development pertinent to the work unit and duties of the job. QUALIFICATIONS: Current Registered Nurse licensure from the State of Nebraska or approved compact state of residence as defined by the Nebraska Nurse Practice Act. Must provide evidence of certification and/or instruction for practice area as required by State or Federal standards/regulations. Basic Life Support (CPR) certification required. ACLS, PALS, TNCC and ENPC required within first year of employment. Two (2) years' experience as a Registered Nurse recommended.

Per Diem

Staff RN-Affective Disorders

Summary SUMMARY The Staff Registered Nurse (RN) is responsible for meeting patient's priority needs by assessing, participating in interdisciplinary care planning, providing and /or delegating care and evaluating patients' responses and progress toward clinical outcomes. The Staff RN contributes to an efficient and effective work environment through activities including professional communication and documentation, preceptoring and/or resourcing of others. The Staff RN supervises Licensed Practical Nurses and/or other support staff in the delivery of patient care as described in Nebraska Statute 38. RESPONSIBILITIES INCLUDE BUT ARE NOT LIMITED TO: *Commits to the mission, vision, beliefs and consistently demonstrates our core values. *Initiates assessment and reassessment based on the patient's presenting problems/needs in accordance with Bryan Medical Center's procedures. *Synthesizes pertinent initial and ongoing patient data to identify nursing priorities for care and desired outcomes/goals. *Integrates appropriate standards of care into the patient's plan of care based on the diagnosis and age-specific needs. *Executes therapeutic and/or supportive interventions. *Provides education for the patient and family to meet identified patient needs according to their needs, abilities, preferences and readiness to learn. *Evaluates the patient's response to and effectiveness of interventions. *Evaluates patient's progress toward established outcomes. *Incorporates cultural considerations into the plan/delivery of care. *Includes family or significant others in the care of the patient as appropriate. *Documents patient care and related information according to Bryan Medical Center procedures for documentation. *Provides care in conjunction with other members of the interdisciplinary team. *Facilitates patient's transition to the next level of care. *Actively participates in continued learning opportunities and continued self-development pertinent to the work unit and duties of the job. QUALIFICATIONS: Current Registered Nurse licensure from the State of Nebraska or approved compact state of residence as defined by the Nebraska Nurse Practice Act. Must provide evidence of certification and/or instruction for practice area as required by State or Federal standards/regulations. Basic Life Support (CPR) certification required.

Staff RN-Med/Surg-Medical/Surgical

Summary GENERAL SUMMARY: Responsible for meeting patient priority needs by assessing, participating in interdisciplinary care planning, providing and /or delegating care and evaluating patient responses and progress toward clinical outcomes. Contributes to an efficient and effective work environment through activities including professional communication and documentation, precepting and/or resourcing of others. Supervises Licensed Practical Nurses and/or other support staff in the delivery of patient care as described in Nebraska Statute 38. PRINCIPAL JOB FUNCTIONS: 1. *Commits to the mission, vision, beliefs and consistently demonstrates our core values. 2. *Initiates assessment and reassessment based on the patient’s presenting problems/needs in accordance with Bryan Medical Center’s procedures. 3. *Synthesizes pertinent initial and ongoing patient data to identify nursing priorities for care and desired outcomes/goals. 4. *Integrates appropriate standards of care into the patient’s plan of care based on the diagnosis and patient-specific needs. 5. *Executes therapeutic and/or supportive interventions. 6. *Provides education for the patient and family to meet identified patient needs according to their needs, abilities, preferences and readiness to learn. 7. *Evaluates the patient’s response to and effectiveness of interventions. 8. *Evaluates patient’s progress toward established outcomes. 9. *Incorporates cultural considerations into the plan/delivery of care. 10. *Includes family, significant other, or identified support person in the care of the patient as appropriate. 11. *Documents patient care and related information according to Bryan Medical Center procedures for documentation. 12. *Provides care in collaboration with other members of the interdisciplinary team. 13. *Facilitates patient’s transition to the next level of care. 14. Assumes responsibility in a shared or delegated assignment and supports team member’s practices through timely communication. 15. Serves as a role model to colleagues, students and other care providers. 16. *Actively participates in continued learning opportunities and continued self-development pertinent to the work unit and duties of the job. EDUCATION AND EXPERIENCE: Current Registered Nurse licensure from the State of Nebraska or approved compact state of residence as defined by the Nebraska Nurse Practice Act. Must provide evidence of certification and/or instruction for practice area as required by State or Federal standards/regulations. Basic Life Support (CPR) certification required. Bryan Health recognizes American Heart Association (for healthcare professionals), American Red Cross (for healthcare professionals) and the Military Training Network.

Staff RN-CVICU

Summary SUMMARY The Critical Care (CVICU) RN manages the care of patients with conditions including: acute cardiovascular disease, respiratory failure, and multi-system failure. Performs therapeutic nursing interventions consistent with the Critical Care Unit including: ACLS/PALS guidelines, dysrhythmia assessment and intervention, pre and postoperative of a patient undergoing cardiac bypass and thoracic surgery, airway and ventilator management, hemodynamic monitoring, vasoactive medication administration, and management of cardiac assistive devices including LVAD's. The Staff Registered Nurse (RN) is responsible for meeting patient's priority needs by assessing, participating in interdisciplinary care planning, providing and /or delegating care and evaluating patients' responses and progress toward clinical outcomes. The Staff RN contributes to an efficient and effective work environment through activities including professional communication and documentation, preceptoring and/or resourcing of others. The Staff RN supervises Licensed Practical Nurses and/or other support staff in the delivery of patient care as described in Nebraska Statute 38. RESPONSIBILITIES INCLUDE BUT ARE NOT LIMITED TO: *Commits to the mission, vision, beliefs and consistently demonstrates our core values. *Initiates assessment and reassessment based on the patient's presenting problems/needs in accordance with Bryan Medical Center's procedures. *Synthesizes pertinent initial and ongoing patient data to identify nursing priorities for care and desired outcomes/goals. *Integrates appropriate standards of care into the patient's plan of care based on the diagnosis and age-specific needs. *Executes therapeutic and/or supportive interventions. *Provides education for the patient and family to meet identified patient needs according to their needs, abilities, preferences and readiness to learn. *Evaluates the patient's response to and effectiveness of interventions. *Evaluates patient's progress toward established outcomes. *Incorporates cultural considerations into the plan/delivery of care. *Includes family or significant others in the care of the patient as appropriate. *Documents patient care and related information according to Bryan Medical Center procedures for documentation. *Provides care in conjunction with other members of the interdisciplinary team. *Facilitates patient's transition to the next level of care. *Actively participates in continued learning opportunities and continued self-development pertinent to the work unit and duties of the job. QUALIFICATIONS: Current Registered Nurse licensure from the State of Nebraska or approved compact state of residence as defined by the Nebraska Nurse Practice Act. Must provide evidence of certification and/or instruction for practice area as required by State or Federal standards/regulations. Basic Life Support (CPR) certification required. Experience in an ICU/CVICU is preferred. ECCO, ACLS, ECG, and Hemodynamic monitoring within 6 months of hire.

Staff RN-Cardiac/PCU

Summary The Cardiac Care RN manages the care of patients with acute and chronic cardiovascular disease, acute and chronic respiratory failure, multi-system failure or trauma, neurological impairment and cardiac diagnostic and invasive procedures, renal impairment or failure. The Staff Registered Nurse (RN) is responsible for meeting patient's priority needs by assessing, participating in interdisciplinary care planning, providing and /or delegating care and evaluating patients' responses and progress toward clinical outcomes. The Staff RN contributes to an efficient and effective work environment through activities including professional communication and documentation, preceptoring and/or resourcing of others. The Staff RN supervises Licensed Practical Nurses and/or other support staff in the delivery of patient care as described in Nebraska Statute 38. RESPONSIBILITIES INCLUDE BUT ARE NOT LIMITED TO: *Commits to the mission, vision, beliefs and consistently demonstrates our core values. *Initiates assessment and reassessment based on the patient's presenting problems/needs in accordance with Bryan Medical Center's procedures. *Synthesizes pertinent initial and ongoing patient data to identify nursing priorities for care and desired outcomes/goals. *Integrates appropriate standards of care into the patient's plan of care based on the diagnosis and age-specific needs. *Executes therapeutic and/or supportive interventions. *Provides education for the patient and family to meet identified patient needs according to their needs, abilities, preferences and readiness to learn. *Evaluates the patient's response to and effectiveness of interventions. *Evaluates patient's progress toward established outcomes. *Incorporates cultural considerations into the plan/delivery of care. *Includes family or significant others in the care of the patient as appropriate. *Documents patient care and related information according to Bryan Medical Center procedures for documentation. *Provides care in conjunction with other members of the interdisciplinary team. *Facilitates patient's transition to the next level of care. *Actively participates in continued learning opportunities and continued self-development pertinent to the work unit and duties of the job. QUALIFICATIONS: Current Registered Nurse licensure from the State of Nebraska or approved compact state of residence as defined by the Nebraska Nurse Practice Act. Must provide evidence of certification and/or instruction for practice area as required by State or Federal standards/regulations. Basic Life Support (CPR) certification required. Experience in a PCU/ICU is preferred. ACLS. ECCO, ECG monitoring, and PCU Hemodynamic monitoring within 1 year of assignment.

Clinic RN-Bryan Urgent Care-Northpointe

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

Clinic RN-Bryan Urgent Care-Southeast

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

Staff RN - Outpatient Surgery

Summary SUMMARY The Staff Registered Nurse (RN) is responsible for meeting patient's priority needs by assessing, participating in interdisciplinary care planning, providing and /or delegating care and evaluating patients' responses and progress toward clinical outcomes. The Staff RN contributes to an efficient and effective work environment through activities including professional communication and documentation, preceptoring and/or resourcing of others. The Staff RN supervises Licensed Practical Nurses and/or other support staff in the delivery of patient care as described in Nebraska Statute 38. RESPONSIBILITIES INCLUDE BUT ARE NOT LIMITED TO: *Commits to the mission, vision, beliefs and consistently demonstrates our core values. *Initiates assessment and reassessment based on the patient's presenting problems/needs in accordance with Bryan Medical Center's procedures. *Synthesizes pertinent initial and ongoing patient data to identify nursing priorities for care and desired outcomes/goals. *Integrates appropriate standards of care into the patient's plan of care based on the diagnosis and age-specific needs. *Executes therapeutic and/or supportive interventions. *Provides education for the patient and family to meet identified patient needs according to their needs, abilities, preferences and readiness to learn. *Evaluates the patient's response to and effectiveness of interventions. *Evaluates patient's progress toward established outcomes. *Incorporates cultural considerations into the plan/delivery of care. *Includes family or significant others in the care of the patient as appropriate. *Documents patient care and related information according to Bryan Medical Center procedures for documentation. *Provides care in conjunction with other members of the interdisciplinary team. *Facilitates patient's transition to the next level of care. *Actively participates in continued learning opportunities and continued self-development pertinent to the work unit and duties of the job. QUALIFICATIONS: Current Registered Nurse licensure from the State of Nebraska or approved compact state of residence as defined by the Nebraska Nurse Practice Act. Must provide evidence of certification and/or instruction for practice area as required by State or Federal standards/regulations. Basic Life Support (CPR) certification required.

Cath Lab RN - Electrophysiology

Summary GENERAL SUMMARY: The Cardiovascular Specialties RN is responsible for identifying patient needs and priorities for care through assessment, planning care based on patient needs, and consistent with the patient's expectation of treatment. Executes therapeutic physician or nursing-initiated interventions, and evaluates the patient's response to care and the attainment progress toward patient outcomes. The Cardiovascular Specialties RN assists in all procedures performed in the Invasive Cardiology Labs. Through documentation and verbal communication, coordinates care between other professional disciplines as needed. Performs Unit-based activities which contribute to a positive work and professional environment. PRINCIPAL JOB FUNCTIONS: 1. *Commits to the mission, vision, beliefs and consistently demonstrates our core values. 2. *Initiates assessment based on the patient's presenting problems or needs and the physician's medical diagnosis including collecting key information from patient, laboratory, and other medical reports, determining which standards of care and practice apply to the patients situation and documenting assessment and clinical judgments and related information according to Bryan Medical Center procedures. 3. *Works closely with other care providers to complete the initial and ongoing assessments of patients and to provide clinical assistance as needed; re-prioritizes care based on new information. 4. *Performs therapeutic interventions as ordered by the physician with consideration given to knowledge gained from the initial and ongoing assessment of the patient and consistent with population specific standards of care and practice, Invasive Cardiology procedures, demonstrated competencies, and with consideration given to risk management and infection control practices. 5. *Documents care based on standards of care and practice and/or clinical priorities for documentation including: a. Assessment and ongoing assessment findings; b. Updated clinical priorities for documentation; c. Therapeutic nursing interventions with specific attention to patient teaching and patient's response to interventions and progress towards outcomes are noted. 6. *Initiates communication with peers and other members of the health care team about clinical priorities for care. 7. *Initiates problem-solving and conflict resolution skills to foster effective work relationships with peers. 8. *Determines the impact of Cath Lab and nursing interventions on the patient's condition and recognizes the patient's progress towards meeting desires outcomes. 9. *Initiates problem-solving and conflict resolution skills to foster effective work relationships with peers. 10. *Provides direct care to patients as assigned based on caseload acuity, needs and the qualifications and competencies of self and of other staff members. EDUCATION AND EXPERIENCE: Graduation from a School of Nursing with current Registered Nurse licensure from the State of Nebraska or approved compact state of residence as defined by the Nebraska Nurse Practice Act. Minimum of one (1) year experience as a Critical Care or Medical/Surgical nurse or equivalent required. Previous experience in hemodynamic monitoring skills and ECG interpretative skills preferred. OTHER CREDENTIALS / CERTIFICATIONS: Basic Life Support (CPR) certification required. Advanced Cardiac Life Support (ACLS) certification or certification within six (6) months of hire required.

Staff RN-Functional Care

Summary Job Summary GENERAL SUMMARY: Responsible for meeting patient priority needs by assessing, participating in interdisciplinary care planning, providing and /or delegating care and evaluating patient responses and progress toward clinical outcomes. Contributes to an efficient and effective work environment through activities including professional communication and documentation, precepting and/or resourcing of others. Supervises Licensed Practical Nurses and/or other support staff in the delivery of patient care as described in Nebraska Statute 38. PRINCIPAL JOB FUNCTIONS: *Commits to the mission, vision, beliefs and consistently demonstrates our core values. *Initiates assessment and reassessment based on the patient’s presenting problems/needs in accordance with Bryan Medical Center’s procedures. *Synthesizes pertinent initial and ongoing patient data to identify nursing priorities for care and desired outcomes/goals. *Integrates appropriate standards of care into the patient’s plan of care based on the diagnosis and patient-specific needs. *Executes therapeutic and/or supportive interventions. *Provides education for the patient and family to meet identified patient needs according to their needs, abilities, preferences and readiness to learn. *Evaluates the patient’s response to and effectiveness of interventions. *Evaluates patient’s progress toward established outcomes. *Incorporates cultural considerations into the plan/delivery of care. *Includes family, significant other, or identified support person in the care of the patient as appropriate. *Documents patient care and related information according to Bryan Medical Center procedures for documentation. *Provides care in collaboration with other members of the interdisciplinary team. *Facilitates patient’s transition to the next level of care. Assumes responsibility in a shared or delegated assignment and supports team member’s practices through timely communication. Serves as a role model to colleagues, students and other care providers. *Actively participates in continued learning opportunities and continued self-development pertinent to the work unit and duties of the job. Integrates evidence based research findings into practice in accordance with policy and procedure. Engages in department specific and organizational performance improvement initiatives. Appropriately utilizes all safety equipment when indicated and as defined by organizational procedure (i.e. lifting equipment, PPE, sharps, etc.). Maintains professional growth and development through seminars, workshops, and professional affiliations to keep abreast of latest trends in field of expertise. Participates in meetings, committees and department projects as assigned. Performs other related projects and duties as assigned. (Essential Job functions are marked with an asterisk “*”. Refer to the Job Description Guide for the definition of essential and non-essential job functions.) Attach Addendum for positions with slightly different roles or work-specific differences as needed. REQUIRED KNOWLEDGE, SKILLS AND ABILITIES: Maintains clinical competency as required for the unit of assignment including but not limited to population-specific competencies and participates in annual skill competency verification. Knowledge of federal and state regulations related to nursing applications and relative practice area. Knowledge of computer hardware equipment and software applications relevant to work functions. Ability to communicate effectively both verbally and in writing. Ability to delegate, provide instruction and evaluate the work of LPN’s and unlicensed professional Ability to maintain confidentiality of patient information. Ability to exercise professional judgment, courtesy and tact in daily interactions with others. Ability to establish and maintain effective working relationships with health care team members and diverse patient populations. Ability to work in a fast-paced environment relevant to changing patient needs, including work with patients with acute, chronic, and complex disease processes, and those who are dying. Ability to maintain regular and punctual attendance. EDUCATION AND EXPERIENCE: Current Registered Nurse licensure from the State of Nebraska or approved compact state of residence as defined by the Nebraska Nurse Practice Act. Must provide evidence of certification and/or instruction for practice area as required by State or Federal standards/regulations. OTHER CREDENTIALS / CERTIFICATIONS: Basic Life Support (CPR) certification required. Bryan Health recognizes American Heart Association (for healthcare professionals), American Red Cross (for healthcare professionals) and the Military Training Network. NOTE: See Staff RN – Addendum A for any additional credentials and certifications required for practice area. PHYSICAL REQUIREMENTS: (Physical Requirements are based on federal criteria and assigned by Human Resources upon review of the Principal Job Functions.) (DOT) – Characterized as medium work requiring exertion of 35 to 50 pounds of force occasionally, and/or 10 to 35 pounds of force frequently, and/or a greater than negligible up to 10 pounds of force constantly to move objects.

Staff RN-Med/Surg-Critical Care-Observation Unit - 2 year experience

Summary GENERAL SUMMARY: Responsible for meeting patient priority needs by assessing, participating in interdisciplinary care planning, providing and /or delegating care and evaluating patient responses and progress toward clinical outcomes. Contributes to an efficient and effective work environment through activities including professional communication and documentation, precepting and/or resourcing of others. Supervises Licensed Practical Nurses and/or other support staff in the delivery of patient care as described in Nebraska Statute 38. PRINCIPAL JOB FUNCTIONS: Commits to the mission, vision, beliefs and consistently demonstrates our core values. Initiates assessment and reassessment based on the patient’s presenting problems/needs in accordance with Bryan Medical Center’s procedures. Synthesizes pertinent initial and ongoing patient data to identify nursing priorities for care and desired outcomes/goals. Integrates appropriate standards of care into the patient’s plan of care based on the diagnosis and patient-specific needs. Executes therapeutic and/or supportive interventions. Provides education for the patient and family to meet identified patient needs according to their needs, abilities, preferences and readiness to learn. Evaluates the patient’s response to and effectiveness of interventions. Evaluates patient’s progress toward established outcomes. Incorporates cultural considerations into the plan/delivery of care. Includes family, significant other, or identified support person in the care of the patient as appropriate. Documents patient care and related information according to Bryan Medical Center procedures for documentation. Provides care in collaboration with other members of the interdisciplinary team. Facilitates patient’s transition to the next level of care. Actively participates in continued learning opportunities and continued self-development pertinent to the work unit and duties of the job. (Essential Job functions are marked with an asterisk “*”. Refer to the Job Description Guide for the definition of essential and non-essential job functions.) Attach Addendum for positions with slightly different roles or work-specific differences as needed. REQUIRED KNOWLEDGE, SKILLS AND ABILITIES: 1. Maintains clinical competency as required for the unit of assignment including but not limited to population-specific competencies and participates in annual skill competency verification. 2. Knowledge of federal and state regulations related to nursing applications and relative practice area. 3. Knowledge of computer hardware equipment and software applications relevant to work functions. 4. Ability to communicate effectively both verbally and in writing. 5. Ability to delegate, provide instruction and evaluate the work of LPN’s and unlicensed professional 6. Ability to maintain confidentiality of patient information. 7. Ability to exercise professional judgment, courtesy and tact in daily interactions with others. 8. Ability to establish and maintain effective working relationships with health care team members and diverse patient populations. 9. Ability to work in a fast-paced environment relevant to changing patient needs, including work with patients with acute, chronic, and complex disease processes, and those who are dying. 10. Ability to maintain regular and punctual attendance. EDUCATION AND EXPERIENCE: Current Registered Nurse licensure from the State of Nebraska or approved compact state of residence as defined by the Nebraska Nurse Practice Act. Must provide evidence of certification and/or instruction for practice area as required by State or Federal standards/regulations. OTHER CREDENTIALS / CERTIFICATIONS: Basic Life Support (CPR) certification required. Bryan Health recognizes American Heart Association (for healthcare professionals), American Red Cross (for healthcare professionals) and the Military Training Network.

Staff RN - Emergency (West Campus)