Location: New Parkland Hospital Shift: DAYS Work Hours: 7:30am-4pm (Monday-Friday) *This position will be onsite only** Employment Type: Full Time Primary Purpose Establishes and maintains an efficient, cost effective care management process by determining patient financial and medical eligibility, medical necessity, and by developing, implementing and monitoring individual patient plans of care and communicating these plans to patients, families, and Parkland staff to ensure quality patient care throughout the healthcare continuum and compliance with program/Parkland policies and procedures. Responsible for the maintaining the knowledge and skill set related to utilization review, care coordination, performance improvement and professional licensure and certification. Minimum Specifications Education Must be a graduate of an accredited school of Nursing. Experience Must have two (2) years of hospital or community based patient care nursing, preferably in assigned clinical area. Equivalent Education and/or Experience Certification/Registration/Licensure Must have current, valid RN license or temporary RN license from the Texas Board of Nursing; or, valid Compact RN license. Must have current healthcare provider BLS for Healthcare Providers certification from one of the following: American Heart Association American Red Cross Military Training Network Required Tests for Placement Skills or Special Abilities Provides care to assigned patient population in accordance with the current State of Texas Nursing Practice Act, established protocols, multidisciplinary plan of care, and clinical area specific standards. Must be able to communicate and collaborate effectively with a diverse group of patients, families and healthcare staff. Must be able to demonstrate a working knowledge of specific patient populations, and be able to demonstrate knowledge of disease processes affecting this group. Must be able to demonstrate a working knowledge of PC operations and the ability to use word processing software in a Windows environment. Must be able to demonstrate a working knowledge of the laws and regulations governing Medicare, Medicaid and community-based funding sources. Must be self-directed and capable of priority setting and problem solving. Must be able to demonstrate patient centered/patient valued behaviors. Responsibilities Conducts assessment of patients on assigned Care Coordination team to develop a case management plan of care. Gathers information from patient, physicians, other pertinent members of the healthcare team. Determines funding sources for patients and potential eligibility if appropriate. Plans and develops specific objectives, goals and actions designed to meet the patient's needs as identified through the assessment process. Utilizes hospital approved review criteria to ensure appropriate bed status. Identifies at-risk populations using approved screening tool and follows established reporting procedures. Ensures appropriate admission status is documented. Collaborates with all members of the multidisciplinary team and the patient to implement the plan of care. Monitors the patient's progress, intervening as necessary and appropriate to ensure that the plan of care and services provided are patient focused, high quality, efficient, and cost effective. Communicates all financial counseling as appropriate. Addresses and resolves system barriers impeding diagnostic or treatment progress. Proactively identifies and resolves delays and obstacles to discharge. Ensures/maintains plan consensus from patient/family, physician, and payer. Serves as patient advocate to secure coverage for needed community services. Mobilizes resources and coordinates the effort to the health care team to achieve a positive patient transition to appropriate next level of care. Communicates plan of care to patient and their family providing updates and reassesses the plan of care to determine effectiveness. Completes appropriate coordinator management documentation. Evaluates the plan of care at appropriate intervals to determine effectiveness in meeting outcomes and goals. Works with nursing and other disciplines to ensure that discharge needs, including teaching, are met. Collaborates with the healthcare team to identify 'best' practices for achieving patient outcomes. Develops reporting mechanisms to communicate outcomes to physicians and other members of the health care team. Responsible for Utilization Management activities for assigned patients. Applies approved utilization criteria to monitor appropriateness of admissions and continued stays, and documents findings based on department standards. Monitors length of stay (LOS) and ancillary resource use on an ongoing basis and takes action to achieve continuous improvement in both areas. Monitors and addresses outcome variances. Identifies causes of outcome variances and implements actions to improve the variances. Seeks the most efficient, cost effective ways to provide appropriate care. Supports cost containment efforts through the recommendation of performance improvement opportunities by the health care team. Communicates with Care Management team to facilitate covered-day reimbursement certification and/or authorization for assigned patients. Discusses payer criteria and issues on a case-by-case basis with clinical staff and follows up to resolve problems with payers as needed. Transitions patients through the health care system based upon individual and patient population needs. Directs liaison activities to appropriately integrate the patient into the health care continuum including procuring of services, health promotion and counseling, disease prevention, health education and screening, and community resource linkage. Engages in special projects and serves on committees, as assigned. Requisition ID: 988659
Location: WISH: 1st FLR BLK 100 PRIMARY PURPOSE Responsible for assisting in the daily management of unit activities including staff supervision and development, planning, budget, quality and facility operations and coordinating patient services to ensure high quality patient care and optimal outcomes. MINIMUM SPECIFICATIONS Education Bachelor's degree in nursing, preferred. Experience Must have three (3) years of professional nursing experience. Equivalent Education and/or Experience Certification/Registration/Licensure Must have current RN license or valid temporary permit with the Texas Board of Nursing or valid Compact RN license Must have current healthcare provider BLS for Healthcare Providers certification from one of the following: American Heart Association American Red Cross Military Training Network Must have current Advanced Life Support (ALS) or Advanced Cardiac Life Support (ACLS) certification on hire or placement in role. Certification must be from the following: American Heart Association American Red Cross Military Training Network Skills or Special Abilities Provides care to assigned patient population in accordance with the current State of Texas Nurse Practice Act, established protocols, multidisciplinary plan of care, and clinical area specific standards Must be capable of serving as a clinical resource for staff. Must have a working knowledge of assigned department operations including policies, personnel and budget management. Must have effective verbal and written communication skills in working with a diverse population of physicians, patients, nursing staff, management and administration. Must demonstrate patient centered/patient valued behaviors. Responsibilities Responsible for assisting in the daily management of unit activities to ensure high quality patient care and optimal outcomes. Develops staff schedules to ensure maximum utilization of individual and group capabilities, while providing optimal service to internal and external customers. Directly supervises time, attendance and patient care activities of assigned Nursing and ancillary staff. Motivates, counsels, guides and evaluates staff. Delegates tasks effectively. Participates in the selection and orientation of new staff. Ensures that assigned employees receive opportunities to further their knowledge. Provides patient care, assessing patient needs, planning discharge and arranging support services to ensure effective, high quality patient care. Serves as a clinical role model and educational resource to ensure high quality, effective patient services. Maintains and implements knowledge of all Parkland, The Joint Commission and clinical area rules, regulations, policies, procedures, laws and guidelines and ensures that employee activities are in compliance. Identifies and analyzes the design of jobs, work processes and flows in the unit. Implements appropriate changes to improve effectiveness, productivity and efficiency that support the overall goals of the department and Parkland. Tracks and trends survey charts and other data sources and provides periodic reports. Monitors quality management practices on the unit including Nursing Standards and Practices, competencies and accreditation of staff. Collaborates with staff, physicians, administration and risk management to evaluate and improve patient services. Responsible for tracking the effectiveness of unit policies and procedures and assisting the Manager in policy development or revision. Develops and evaluates staff activities to promote knowledge of all rules, regulations, policies, procedures, laws and guidelines that impact the unit and ensures compliance. Educates patients and families on rules and regulations and updates procedure manuals. Responsible for a collaborative work team to ensure positive working relationships. Communicates effectively with physicians, students, and other departments such as Respiratory Therapy, Pharmacy, Property and Linen Services. Maintains good communication with other hospitals, government or regulatory agencies and community representatives. Responsible for effective facility management as measured by cleanliness, proper type, amount and functioning of equipment and overall environmental safety. Oversees timely and effective maintenance of equipment and rooms. Assists in developing and administering the annual operating, capital and payroll budget to ensure that the unit has the necessary funds to carry out established goals and objectives. Monitors charges and supplies, initiates orders and supervises capital improvements. Assists management in developing annual goals and objectives for the unit that reflect the mission and philosophy of Parkland and meet department goals. Serves on multidisciplinary, department and Nursing committees as selected and assigned. Requisition ID: 988750
Location: Henry Wade Juvenile Center PRIMARY PURPOSE Responsible for providing total nursing care for assigned patients, under the guidance of a Registered Nurse, in order to ensure quality care. MINIMUM SPECIFICATIONS Education Must be a graduate of an accredited school of vocational nursing and/or licensed by the Texas Board of Nursing as a Licensed Vocational Nurse; or have a valid Compact LVN License. Experience None. Virtual Care Only: 2 years healthcare experience preferred. 1 year of care coordination and planning, chronic disease management, population health, and/or telehealth preferred. Certification/Registration/Licensure Must have current, valid LVN license or temporary LVN license from the Texas Board of Nursing; or, valid Compact LVN license. Must have current healthcare provider BLS for Healthcare Providers certification from one of the following: American Heart Association American Red Cross Military Training Network Skills or Special Abilities Provides care to assigned patient population in accordance with the current State of Texas Nurse Practice Act, established protocols, multidisciplinary plan of care and clinical area specific standards. Must be able to communicate effectively with all levels of staff, management, patient, and families. Must be able to demonstrate patient centered/patient valued behaviors. Must be able to demonstrate knowledge of appropriate nursing skills. Responsibilities Screens and prioritizes patients with regard to medical problems, ensuring that appropriate treatment is delivered in a timely manner per physician orders and established policies and procedures. Assists with inpatient/clinic coordination and flow of patients to include patient treatments as directed by physician and nursing/medical staff, and/or discharge activities. Maintains and implements knowledge of all the rules, regulations, policies, procedures, guidelines, laws, and Joint Commission standards that impact and govern nursing processes and ensures that their work practices are in compliance. Identifies and meets educational needs of patients and families by communicating and distributing appropriate information as needed. Reinforces patient/family education teaching that was initiated by RN or NP. May participate in community outreach activities (such as health fairs, community collaborations or outreach clinics) as assigned. Assists with precepting (training, motivating, and supervising) new employees and students as directed by supervisor. Completes appropriate written and computer documentation according to established procedures and guidelines. Consults with other team members as required and provides nursing care which demonstrates patient centered/patient valued care while anticipating and accommodating patients, families, physicians, and other system staff to ensure the workflow is coordinated and patients receive timely and appropriate treatment. Ensures that appropriate supplies are available for individual patient care by gathering all necessary items together in advance. May assist with ordering and stocking supplies as needed. Responsible for cleaning and sterilizing both patient areas and medical instruments to ensure an appropriate healthcare environment. Identifies ways to improve work processes and improve internal and external customer satisfaction. May assist with developing annual goals and objectives for the nursing area that support the mission and objectives. Makes recommendations to supervisor, implements and monitors results as appropriate in support of the overall goals, objectives and mission of Parkland. Stays abreast of the latest developments, advancements, and trends in the field of nursing by attending seminars/workshops, reading professional journals, and maintaining LVN licensure. Integrates knowledge gained into current work practices. Sets up patient appointments and referrals for further testing and follow-up care as needed. Assists in transporting patients as needed. Virtual Care Only: Actively participates in proactive patient outreach utilizing motivational interviewing approach to coach patients, support health behavior change, and collaboratively set goals toward self-management, self-efficacy, and activation. Instructs the patient on condition management, behavioral support, and addresses emotional demands while reinforcing care plan and follows ups. Conducts a comprehensive chart review with focus on inadvertent diagnostic findings requiring follow up testing and closing gaps in care. Assists patients and families with health system navigation, making appointments, patient advocacy, determination of community resources to reduce barriers to care, and support set-up and initiation of electronic communication modes (email, MyChart, etc.). Requisition ID: 988928
