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MyMichigan Health West Branch, MI

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. This position is eligible for a $14,000 sign-on bonus 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. Certifications and Licensures Credential: RN: Registered Nurse 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: ACLS: Advanced Cardiac Life Support Equivalent Experience: Within 12 months of hire or transfer. 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 in Nursing required. Equivalent Experience: Bachelor's Degree in Nursing preferred. Education Specialization: NRG Essential: true Other 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. Is accountable in following medical center policy and procedures and work attendance. 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. Experience, Training And Skills Knowledge of nursing skills as normally acquired through 2 years of experience working in the medical center or similar setting. Mandatory tuberculosis (TB) testing must be as requested. Mandatory Occupational Safety and Health Administration (OSHA) training must also be completed annually according to the Exposure Control Plan. 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.

MyMichigan Health Gladwin, MI

Summary May be eligible for sign on bonus up to $7,500 "Service area would be Beaverton/Gladwin/Rhodes. 8a-5p 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.

RN

Part-time

2 weeks ago

Registered Nurse RN

MyMichigan Health Midland, MI

Summary This position maintains adequate respiratory and cardiac status of patients awakening from anesthesia. Continually assesses the patient, carries out doctor's orders while maintaining patient safety and comfort. Responsibilities (30%)* 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. (30%)* 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. 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 resident 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. Demonstrates and verbalizes the different types of anesthetic agents and methods of administration, their expected physiologic response and possible side effects. Demonstrates skills for assessment and maintenance of ventilation and homeostasis. Demonstrates and documents assessment of level of consciousness and promotes reactivity. Demonstrates assessment of pain, promotes comfort through required intervention and documents accordingly. Demonstrates and verbalizes intervention that moves the patient toward PACU discharge criteria and promotes continuity of care. Effectively completes final patient preparation in the Pre-Op holding area. Demonstrates skills for assessment, documentation, pre and post procedure care, and follow up for pain clinic patients including use of appropriate forms and safe monitoring of patient. 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: RN: Registered Nurse Equivalent Experience Qualification Source: MI Essential: true Credential: BLS: Basic Life Support Equivalent Experience: Within 1 month of hire or transfer Qualification Source: AHA 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 Basic knowledge of dysrhythmia and critical care. 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. Certification in perianesthesia (CPAN-Certified Post Anesthesia Nurse and/or CAPA-Certified Ambulatory Perianesthesia Nurse) 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. Other Comments There is an on call requirement.

Medical Office Nurse RN - Device Clinic - Cardiology (Midland)

MyMichigan Health Midland, MI

Summary This is a temporary position.* Under direct supervision of the specialty provider, will be responsible for patient assessment and care, and maintaining appropriate documentation. This position must have knowledge of specialty 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 health care providers, 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 (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 (50%)* Provides complete patient assessment within their scope of their licensure. Greets patients and/or family. Records objective and subjective data concerning present condition. Updates and maintains accurate patient record using, but not limited to, the device database Paceart, secure messaging (if available), electronic medical records. Able to accurately and safely perform Pacemaker, Internal Cardiac Defibrillator (ICD) and loop Recorder check in the office. Able to comprehend and document on the remote device sites. Communicate abnormalities from the device checks both remotely and in office to the provider. Assess and document the appearance of the device site post-implant. (20%)* Triages all device calls, schedules daily urgent/emergent add-ons, receives and relays information on alerts from device remote sites. Supports, directs and refers patients for consults and/or testing. Performs medication refills and reconciliation as needed within the scope of their license. (20%)* Coordinates the care teams with the care indicated by the provider. Provides patient and/or family teaching on, but not limited to, device function, remote monitoring, wound care, and disease process. (10%)* Assists provider with examinations and procedures. Other Duties And Responsibilities Demonstrates critical thinking for patient management. Able to navigate all remote monitor sites and the Paceart data base. Follow-up on the alerts from device checks and remote monitoring with provider. Update patient on plan of care. Provides for the age specific needs of the population served according to standards and policies/procedures as evidenced by observation, documentation and peer feedback. Remain competent on the programming of all devices and companies that are used in the department. Maintains contact with representatives from various device companies regarding the programmers and supplies. Engaged in device research studies and communicates with research department when needed to. Ensure data that is collected is accurate and precise. Maintains medical supplies to assure consistent supply levels to meet the needs of the patients. Understands necessary computer functions in the office setting which includes but not limited to electronic medical records 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. Certifications and Licensures BLS - Basic Life Support Required Equivalent Experience - Within 1 month of hire or transfer RN - Registered Nurse Required ACLS – Advanced Cardiovascular Life Support Required – Equivalent Experience within 3 months of hire or transfer into the position. Required Education Education: Associates Degree Comments: BSN is preferred. Other Information Experience, Training And Skills Working knowledge of the organization’s Lawson, 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 healthcare 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 MidMichigan 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

Registered Nurse RN Mental Health

MyMichigan Health Midland, MI

Summary This position functions as a Registered Nurse (RN) providing direct care to patients on the Mental Health Unit using the nursing process. This includes ongoing assessment of the total patient. The RN provides interventions to treat the presenting symptoms and evaluates the effect of nursing interventions and patient's responses. This position functions as a team member and resource to others. The RN delegates, oversees and provides direction to Mental Health Counselors. The RN is responsible for meeting the needs of all types of psychiatric patients, including those with medical complications. Responsibilities (25%)* Provides high quality, evidence based nursing care to patients using neurobiological and cognitive-behavioral frameworks and techniques. (25%)* Using the nursing process, completes assessments, provides interventions and evaluates patient outcomes according to the appropriate pathway guidelines. (20%)* Provides education to patients on illness, coping alternatives and relapse prevention. (15%)* Delegates, oversees and provides direction to Mental Health Counselor team members. (15%)* Takes initiative to provide appropriate activities for patients when needed (such as during evenings or weekends). Certifications and Licensures Credential: RN: Registered Nurse Qualification Source: MI Essential: true Credential: BLS: Basic Life Support Equivalent Experience: Within 1 month of hire or transfer Qualification Source: AHA Essential: true Credential: FINGERPRINT: Fingerprinting Essential: true Credential: RECIPIENT: Recipient Rights Essential: true Credential: ICHAT: iChat(annually on Hire Date) 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 Communicates information accurately and effectively (verbal and written) to treatment team, to patient, to family, to other appropriate agencies. Demonstrates interest and pursues advancement of clinical skills (asks questions, seeks feedback, shares articles, attends continuing education opportunities, enrolls in classes). Monitors and manages the milieu in order to maintain a safe environment. Identifies and intervenes appropriately in any potential crisis. Possesses crisis intervention skills. Keeps updated on the use of nonphysical as well as physical management techniques and implements using sound judgment and according to established current policy. Conducts groups - provides individual education as appropriate. Maintains patient dignity and rights. Collaborates effectively with other departments and agencies on behalf of the patient. Documents according to policy. Monitors and documents changes in patient status. Participates in performance improvement projects. Completes admission assessments in an accurate, complete, and timely manner. Correctly completes basic nursing tasks such as obtaining vital signs, weight, I&O, specimen collection and assistance with personal care. Correctly assesses and utilizes seclusion and restraints and documents according to policy. Behaves in a courteous, professional manner at all times with patients, visitors, and co-workers. Conveys a positive attitude and works with others to constructively solve identified problems. Knowledgeable about mental health code and is a patient advocate. Knowledge and ability to work with probate courts and attorneys to resolve patient legal issues. Follows hospital policy and procedures. Has working knowledge of computers, phones, and the equipment on the unit. Responds to all disasters and codes promptly and correctly. Administers medications as ordered. Obtains and transcribes physician orders. Completes nursing assessments, performs ongoing assessments and communicates patient status and changes to physician and other team members as appropriate. Attends treatment team meetings. Provides nursing treatments, such as dressing changes, to all patients. Provides medication teaching. Completes nursing duties in accurate, timely, and thorough manner. Is a team leader when needed for decision-making regarding patient, family, or milieu issues. Experience, Training And Skills Good interpersonal skills, ability to take initiative, to work as a team, and to work with a variety of patients' needs. 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. Knowledge of psychiatric-mental health nursing as normally acquired through one or more years of experience in mental health nursing 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.

RN

Full-time

2 weeks ago

Registered Nurse RN- SICU

MyMichigan Health Midland, MI

Summary 14K sign on bonus for qualified candidates This position performs a variety of integrated pre and post-operative critical care 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 patients 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 patients plan of care or clinical path. (25%)* Consults and collaborates with members of the healthcare team in planning and implementing total patient care for individuals. OTHER DUTIES AND RESPONSIBILITIES: 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: Adolescent - 13 to 17 years Adult - 18 to 64 years Later Adult - 65 years and older Demonstrates proficiency (according to hospital and unit policy and procedure) in nursing skills to carry out the patients 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 healthcare 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. 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: 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 described in the Critical Care Competency Policy, and as outlined for the care of the post-operative cardiothoracic surgery patient and general surgery patient requiring critical care nursing skills. Open-heart trained within one year of hire and with manager approval. 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

RN

Full-time

2 weeks ago

Case Manager RN

MyMichigan Health Midland, MI

Summary The RN Case Manager plays a pivotal role in maintaining the quality of care patients receive during medical centerization and post discharge while ensuring the organization is fully reimbursed. The RN CM must have a high level of expertise and skill to create highly effective strategies for short term and long term goals in order to prevent readmissions and address unpredictable situations. CM must be proficient in planning, executing and monitoring effectiveness of the care provided to ensure timely transition through the continuum of care. Educating and consulting with the physician and the healthcare team to ensure accuracy of medical necessity criteria and to ensure timely and appropriate level of care is achieved. This requires effective skills in conflict resolution, decision making and team building. The Nurse Case Manger practices in accordance with the care management process utilizing tools, standards, models, goals and objectives, and performance improvement concepts. The Nurse Case Manager provides pertinent clinical data to outside agencies as needed to assure compliance with their requirements and represents the organization professionally. The ability to analyze, evaluate and distribute resources and educational information to ensure understanding of services to all educational level is key to the role. Responsibilities (30%)* Work with healthcare team, patient, family and/or significant others to continually transition the patient to the appropriate level/place of care. Advocate, mediate, and negotiate, with an emphasis on self-determination for the patient system, to formulate a cohesive plan for maintaining the patient's health status, improving social supports, and moving the patient safely into less restrictive, less costly levels of care according to available resources. (20%)* Collaborates with all members of the Care Management Team including physicians, nurses, medical social workers, health information analysts, and others to provide information relating to admission, continued stay, discharge criteria, managed care, federal program regulations, reimbursement fundamentals, and regulatory standards on a daily basis. (20%)* Actively participate in care coordination efforts to successfully identify high-risk factors and respond appropriately so that key information, next steps and available days are captured and documented. Is able to lead, with the case management team, daily care coordination meetings. (10%)* Facilitates discharge planning for patients i.e. extended care placements, other facility transfers, and home care arrangements in collaboration with the health care team. (10%)* Determines the necessity for second-level review and implement process per hospital policy. Collaborates with physicians to determine appropriate patient status and successfully negotiates patient status with the payer. (10%)* Analyzes the clinical information on admission, concurrently, and retrospectively (per medical necessity criteria/InterQual Guidelines) to assure quality care is being provided to the patient, in the appropriate location, on a daily basis. Other Duties And Responsibilities Accepts accountability for the clinical outcomes that the Utilization Review and Discharge Planning role can facilitate. Provides pertinent clinical data to designated outside agencies to assure compliance with their requirements. Assures compliance with regulatory requirements and acts as a resource/liaison to physicians and hospital staff regarding all aspects of Case Management activities. Provides education to the physicians and healthcare team regarding medical necessity criteria, resources to ensure a safe and timely discharge. During Care Coordination Rounds, RN CM communicates with the healthcare team a patient-centered plan that is needs based, appropriate to patient resources, timely and addresses the risk of readmission. Builds professional relationships with patient, families, facilities and resources to address conflict resolution with positive outcomes. Maintains timely, clear and concise documentation in all required systems. Is skilled in determining the need for and implementing the hospital notices of non-coverage. Identifies high risk population and addresses opportunities for intervention. Willingly and consistently offer to help peers as needed. Communicates teamwork, caring and compassion. Provide excellent customer service with internal and external customers. Assume responsibility for professional development and education requirements for maintenance of professional licensure. RN CM may be responsible for Utilization Review and Discharge Planning simultaneously or separately based on department and health system needs. Additional cross training will be available when required or requested. Other duties as assigned. Certifications and Licensures Credential: RN: Registered Nurse Equivalent Experience: Certification in case management preferred. Recommend that the Case Manager receives their ACM certification after two years of experience. Qualification Source: MI Essential: true Required Education Education: ASSOC Equivalent Experience: BSN preferred. Education Specialization: NRG Essential: true Other Information Experience, Training And Skills Three to five years clinical experience. 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. Certification in case management preferred. Recommend that the Case Manager receives their ACM certification after two years of 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: Sedentary. Must be able to occasionally (0-33% of the workday) lift or carry 0-10 lbs. Equivalent Experience And Other Comments (Education) Other Comments

Manager Nursing RN - Operating Room - Saginaw

MyMichigan Health Saginaw, MI

Summary Under general direction of nursing leadership, the Manager RN position is responsible for planning, organizing, and directing of the operations and staff of the respective department. This position has 24-hour responsibility and accountability for planning, directing, coordinating, and evaluating nursing care to ensure optimal patient health outcomes in their respective department. This position links nursing leadership with nursing care through the application of organizational and nursing service policies, procedures, and care delivery model. The Manager RN uses the Code of Ethics for Nurses with Interpretive Statements to guide leadership and practice. The Manager RN attains knowledge and competence reflective of current nursing practice; promotes innovation and futuristic thinking by incorporating evidence based practice and research findings. Has responsibility for the Surgical Department. Is competent to assure provision of effective, high quality patient care, which includes coordinating clinical nursing practice and patient care delivery, managing surgery and personnel schedule, development of personnel, and compliance with regulatory and professional standards. Responsibilities 40%)* Coordination of Operating Room, PACU, Ambulatory Surgery and pain procedures. (30%)* Responsible for supervising care of patients in preoperative, perioperative, and post-operative phases. (30%)* Serves on Nursing Management Committee, Infection Control Committee, Safety committee, and any others that may apply. OTHER DUTIES AND RESPONSIBILITIES: Responsible for maintenance of quality monitors in OR with strict observance of medical and surgical asepsis. Responsible for monitors such as refrigerator temperature logs, eye wash station check, crash cart checks, and maintaining medication inventory. Participates in Performance Improvement activities. Responsible for observance of standard universal precautions for staff. Insures that hospital policies are followed regarding completion of history and physical, lab work, consents, consultations and assistants. Schedules surgeries and procedures according to surgeon and pain specialist designated privileges. Provides administration with monthly statistics of census, PI activities, chart review activities, and meeting minutes. Maintains records of preventative maintenance of anesthesia equipment, autoclaves, and appropriate OR Pain procedure equipment. Responds appropriately to variances in equipment. Responsible for monitoring and scheduling surgery, monitoring distribution of the surgery schedule. Responsible for scheduling personnel, including daily and call schedules for all levels of staff Will be responsible to fill in as OR staff member, and take call as needed. Responsible for reviewing and updating policies and procedures in collaboration with Radiology/Cardiology Manager, Administration and/or Infection Control Manager in accordance with current standards. Conducts and maintains annual evaluations. Conducts staff competency reviews. Conducts staff meetings and in-services and maintains documentation of competency reviews and meeting attendance. Responsible for new employee orientation. Responsible for ordering supplies and equipment as needed and planning for capital equipment. Responsible to schedule equipment maintenance and repairs and monitor equipment for trends of breakage and recommendations for new. Responsible to collaborate with Radiology/Cardiology manager and Pain Clinic Supervisor to schedule and support Pain Procedures. Oversees sterile processing department in conjunction with infection control nurse to ensure policies are adhered to and environment is maintained in a clean/safe manner. Also orients new personnel and schedules CS aides, participates in budgetary considerations for central sterile, and evaluates sterile processing personnel. Responsible for performing and/or delegating charge posting. Ensures that all staff attend annually Net Learning BLS training ACLS training for RN’s. Competent to function in the OR staff nursing role, recovery nurse role, ambulatory surgery nurse and Pain Procedure staff role fulfilling each area of duties. Competent to assess the physiological health status of patients of all age groups. Assessment is age specific (pediatric, adult, and geriatric). Verifies operative procedure/operative site. Communicates variances to CRNA/physician prior to surgery. Complete s time-out on all procedures and ensures OR and Pain Procedure staff meet this standard. Must attend 75% of all nursing, management, and inservice meetings. 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: CNOR: Peri-Operative Nurs-NCC Equivalent Experience: 2 years from hire date or transfer and maintain. (Employees who are in this position on or before 8/1/2024 will have 24 months to complete this certification) Qualification Source: Essential: true Credential: RN: Registered Nurse Equivalent Experience: Qualification Source: Essential: true Credential: BLS: Basic Life Support Equivalent Experience: Within 1 month of hire or transfer Qualification Source: AHA 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 Credential: NIMS IS 200: NIMS IS 200 Basic Incident Command System Initial Response Equivalent Experience: Within 6 months of hire or transfer Qualification Source: Essential: true Required Education Education: BACH Equivalent Experience: Master's Degree in clinical or health related field preferred at the time of hire or transfer to position. Associate's prepared managers must enroll in a Bachelor's program with in 1 year of hire or transfer with completion in 3 years. Education Specialization: NRG Essential: true Other Information EXPERIENCE, TRAINING AND SKILLS: EXPERIENCE, TRAINING AND SKILLS: Knowledge of nursing practices and procedures as normally acquired through 4 years’ experience working in a Medical Center or similar setting. Knowledge of nursing leadership as normally acquired through working 2 years’ in a Medical Center or similar setting with involvement in supervision, charge nurse, project implementation, professional development program, shared governance leadership role, or equivalent. Two to five years of clinical experience as an operating room nurse. Demonstrates leadership abilities; able to work under stressful situations; and possesses good oral and written communication skills. 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: BACH Equivalent Experience: Master's Degree in clinical or health related field preferred at the time of hire or transfer to position. Associate's prepared managers must enroll in a Bachelor's program with in 1 year of hire or transfer with completion in 3 years. Education Specialization: NRG Essential: true Other Comments Credential: CNOR: Peri-Operative Nurs-NCC Equivalent Experience: 2 years from hire date or transfer and maintain. (Employees who are in this position on or before 8/1/2024 will have 24 months to complete this certification) Qualification Source: Essential: true #Indeed1RN

Home Health Nurse RN

MyMichigan Health Gladwin, MI

Summary May be eligible for sign on bonus up to $7,500 "Service area would be Beaverton/Gladwin/Rhodes. 8a-5p 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.

RN

Full-time

3 weeks ago

MyMichigan Health Saginaw, MI

Summary 2 years for 14K sign on bonus for qualified candidates 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: RN: Registered Nurse Equivalent Experience: Qualification Source: MI Essential: true 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: ENPC: Emerg Nurse Pediatric Course Equivalent Experience: Employees at Saginaw, Tawas, and Standish locations will have until January 1st, 2026 to complete this course. New employees in this position will have 12 months from hire or transfer to obtain. 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 8/1/2024 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: ASSOC Equivalent Experience: Associate's degree in Nursing required, Bachelor's degree in Nursing preferred. Education Specialization: NRG Essential: true 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) Education: ASSOC Equivalent Experience: Associate's degree in Nursing required, Bachelor's degree in Nursing preferred. Education Specialization: NRG Essential: true Other Comments #Indeed1RN

RN

Full-time

3 weeks ago

Registered Nurse RN-MICU

MyMichigan Health Saginaw, MI

Summary 14K for 2 years sign on bonus for qualified candidates 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 patients/clients 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 patients condition and takes action to manage, reduce, or eliminate symptoms and promote comfort. Demonstrates respect for patients 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. Is accountable in following medical center policy and procedures and work attendance. 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: 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: Essential: true Credential: ACLS: Advanced Cardiac Life Support 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 8/1/2024 will have 24 months to complete this certification) Qualification Source: Essential: true Required Education Education: ASSOC Equivalent Experience: Associate's Degree in Nursing required. Bachelor's Degree in Nursing preferred. Education Specialization: NRG Essential: true 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. Mandatory tuberculosis (TB) testing must be as requested. Mandatory Occupational Safety and Health Administration (OSHA) training must also be completed annually according to the Exposure Control Plan. 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: Associate's Degree in Nursing required. Bachelor's Degree in Nursing preferred. Education Specialization: NRG Essential: true Other Comments #Indeed1RN

RN

Full-time

3 weeks ago

Cath Lab Nurse RN

MyMichigan Health Midland, MI

Summary This position cares for patients before, during and after angiography and interventional cardiac catheterization procedures. This position cares for Structural heart, Interventional Radiology, Diagnostic / planned intervention Neuro, Vascular and EP pacemaker / device patients. This includes pre-procedure assessment, pre-medication, documentation of procedural process, post-procedure care and patient education. Responsibilities (35%) * Performs nursing care of the cardiac catheterization, Structural heart, Interventional Radiology, Diagnostic / planned intervention Neuro, Vascular and EP pacemaker / device patients. (35%) * Calculates cardiac output, performs hemodynamic monitoring, Procedural set up and operates lifesaving equipment such as intra-aortic balloon pump (IABP), Impella, etc. Transfers patients, stocks supplies and performs basic office procedures. Scrubbing cases. (15%) * Records all pertinent information on appropriate data sheets. (15%) * Assists Radiologic Technologists circulate cases, sterically drop procedural supplies on tray. Certifications and Licensures Credential: ACLS: Advanced Cardiac Life Support Equivalent Experience: Within 1 month 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: RN: Registered Nurse Equivalent Experience: Knowledge of nursing technique as normally acquired through completion of an Associate�s degree in Nursing culminating in licensure as a RN. ACLS certified. Knowledge of critical care nursing as normally acquired through 2 years of experience working in a Medical Center or similar setting. Qualification Source: MI Essential: true Required Education Education: Associates Degree in Nursing is required. Equivalent Experience: Bachelor's Degree in Nursing is preferred. Education Specialization: NRG Essential: true Other Information Other Duties And Responsibilities Collaborates with physicians to provide a plan of care for each individualized patient. Assists in other radiology/cardiology procedures as needed. Performs clinical functions as needed. Delegation and coordination of tasks and assignments of nursing care. Assumes the responsibility for processional growth by seeking out educational opportunities and utilizing programs in the hospital. Precepts / mentors new employees and students This position requires call. 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. Education, Experience, And Training Knowledge of critical care nursing as normally acquired through 2 years of experience working in a Medical Center or similar setting. 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. 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 wearing lead and 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

Medical Office Nurse RN - West Branch Health Park

MyMichigan Health Gladwin, MI

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. 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