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Summary Under direct supervision of the provider, will be responsible for patient assessment and care, and maintaining appropriate documentation. This position must have basic knowledge of specialty and/or primary care and able to assess, plan, implement and evaluate care for patients. This position is responsible for coordinating care to assure high quality, compassionate patient care is provided. They will maintain and oversee patients at the office locations and will act as the liaison with other organizations and departments. This position may be required to order all medical, pharmacy supplies, and office supplies to manage patient care. They will assure compliance with all the policies/procedures of MyMichigan Health and follow Occupational Safety and Health Administration (OSHA) guidelines, Clinical Laboratory Improvement Amendments (CLIA) regulations, and all appropriate regulatory agencies. They will coordinate with and train any new employees, students and float staff as required. The clinical person will provide patient education, assist with specialty care modalities, symptom management, be available for emergencies, monitor for compliance and the effects of care management with high risk patients, educate on prescriptions and teach the patient and family the reasons for the medication and side effects, coordinate and ensure continuity of care with other providers. Also, may perform general office duties (keyboarding, filing, telephone, computer and office equipment) as needed. The expectations outlined in this job description may vary slightly depending on the practice in which you are assigned. Your immediate supervisor will be able to clarify your responsibilities for you. Responsibilities (20%)* Triages all calls, schedules daily urgent/emergent add-ons, receives and relays test results, processes medication refills, supports, directs and refers patients for consults and/or testing and insurance pre-certification and documentation. (20%)* Provides complete patient assessment within their scope of their licensure. Greets patients and/or family, performs routine pre-examination procedures including vital signs, assessing and recording objective and subjective data concerning presenting condition. Updates and maintains an accurate patient record by performing but not limited to, orders reconciliation, secure messaging (if available) and other tasks as assigned. Performs medication reconciliation, enters allergy reaction type, processes refills within the scope of their certification. (20%)* Coordinates the care team with the care indicated by the provider, and works with the patient and families with the disease process and/or care management. (20%)* Assists provider with examinations and procedures. (20%)* Prepares and cleans the patient area, sets up equipment, cleans and facilitates room set up after a procedure. Disposes of contaminated supplies and sterilizes medical instruments. Other Duties And Responsibilities Demonstrates critical thinking for patient management. Provides for the age specific needs of the population served according to standards and policies/procedures as evidenced by observation, documentation and peer feedback. Maintains medical supplies to assure consistent supply levels to meet the needs of the patients. Understands necessary computer functions in the office setting: Michigan Automated Prescription System (MAPS), Michigan Care Improvement Registry (MCIR), Practice Management, Electronic Medical Records, Laboratory information system (LIS), Emageon, dictation systems, and any other necessary programs to assist providers and staff. If applicable, maybe required to travel to satellite clinics. Maintains a system for accurately documenting and coding in the medical record as appropriate per policy. Participate in annual review for quality and completeness as necessary. Management of the patient symptoms as directed by the provider. Coordinates and ensure continuity of care with other providers. MyMichigan Health is a technology driven organization and employees need to demonstrate Competency in Microsoft® Windows. Certifications and Licensures BLS - Basic Life Support Required Equivalent Experience - Within 1 month of hire or transfer RN - Registered Nurse Required Required Education Education: Associates Degree Comments: BSN is preferred. Other Information Experience, Training And Skills Working knowledge of the organization’s Infor, Electronic Medical Records, and Practice Management programs preferred or knowledge of similar software. PC software knowledge must include: Excel and Word. Knowledge of medical office policies, practices and procedures as normally acquired through three to five years working in the health care system or similar setting. Excellent interpersonal skills needed to communicate successfully with individuals and interact with people at all levels to communicate concepts in a clear and understandable manner. Physical/Mental Requirements And Typical Working Conditions Exposure to stressful situations, including those involving public contact, as well as, trauma, grief and death. Able to wear personal protective equipment that includes latex materials or appropriate substitute if required for your position. Is able to move freely about facility with or without an assisted device and must be able to perform the functions of the job as outlined in the job description. Overall vision and hearing is necessary with or without assisted device(s). Frequently required to sit/stand/walk for long periods of time. May require frequent postural changes such as stooping, kneeling or crouching. Some exposure to blood borne pathogens and other potentially infectious material. Must follow MyMichigan Health bloodborne pathogen and TB testing as required. Ability to handle multiple tasks, get along with others, work independently, regular and predictable attendance and ability to stay awake. Overall dexterity is required including handling, reaching, grasping, fingering and feeling. May require repetition of these movements on a regular to frequent basis. Physical Demand Level: Light. Must be able to occasionally (0-33% of the workday) lift or carry 11-20 lbs., frequently (34-66% of the workday) 10 lbs. and or Walk/Stand/Push/Pull of Arm/Leg controls.

MyMichigan Health Tawas City, MI

Registered Nurse RN

Summary Sign on Bonus up to 14k 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: ACLS: Advanced Cardiac Life Support Equivalent Experience: Within 12 months of hire or transfer Qualification Source: Essential: true Credential: BLS: Basic Life Support Equivalent Experience: Within 3 months of hire or transfer Qualification Source: AHA Essential: true Credential: TNCC: Trauma Nurse Core Course or ATCN Equivalent Experience: Within 12 months of hire or transfer Qualification Source: Essential: true Credential: PALS: Ped Advance Life Support Equivalent Experience: Within 24 months of hire or transfer Qualification Source: Essential: true Credential: RN: Registered Nurse Equivalent Experience: Knowledge of nursing technique as normally acquired through completion of at least an Associate's Degree in Nursing culminating in licensure in the State of Michigan. Knowledge of nursing skills as normally acquired through 2 years� experience working in Qualification Source: Essential: true Credential: ENPC: Emerg Nurse Pediatric Course Equivalent Experience: Within 12 months of hire or transfer. This is a one-time requirement for this position. (Employees at Saginaw, Tawas, and Standish locations will have until January 1st, 2026 to complete this course.) 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 Credential: FINGERPRIN: Fingerprinting Equivalent Experience: 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 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: Knowledge of nursing technique as normally acquired through completion of at least an Associate's Degree in Nursing culminating in licensure in the State of Michigan. Knowledge of nursing skills as normally acquired through 2 years� experience working in Qualification Source: Essential: true

MyMichigan Health Tawas City, MI

Registered Nurse RN

Summary Sign on Bonus up to 14k 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: ACLS: Advanced Cardiac Life Support Equivalent Experience: Within 12 months of hire or transfer Qualification Source: Essential: true Credential: BLS: Basic Life Support Equivalent Experience: Within 3 months of hire or transfer Qualification Source: AHA Essential: true Credential: TNCC: Trauma Nurse Core Course or ATCN Equivalent Experience: Within 12 months of hire or transfer Qualification Source: Essential: true Credential: PALS: Ped Advance Life Support Equivalent Experience: Within 24 months of hire or transfer Qualification Source: Essential: true Credential: RN: Registered Nurse Equivalent Experience: Knowledge of nursing technique as normally acquired through completion of at least an Associate's Degree in Nursing culminating in licensure in the State of Michigan. Knowledge of nursing skills as normally acquired through 2 years� experience working in Qualification Source: Essential: true Credential: ENPC: Emerg Nurse Pediatric Course Equivalent Experience: Within 12 months of hire or transfer. This is a one-time requirement for this position. (Employees at Saginaw, Tawas, and Standish locations will have until January 1st, 2026 to complete this course.) 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 Credential: FINGERPRIN: Fingerprinting Equivalent Experience: 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 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: Knowledge of nursing technique as normally acquired through completion of at least an Associate's Degree in Nursing culminating in licensure in the State of Michigan. Knowledge of nursing skills as normally acquired through 2 years� experience working in Qualification Source: Essential: true

MyMichigan Health West Branch, MI

Registered Nurse RN

Summary This position has basic knowledge of neonatal care and is able to assess, plan, implement and evaluate care for maternity patients. **This position is eligible for a $14,000 sign-on bonus** Responsibilities (40%)* Regularly assesses patient's/client's needs and provides skilled nursing services as prescribed by the physician authorized plan of care, and accepted standards of nursing practice. (20%)* Provides direct resident care including medication administration, treatments, call lights, assisting with transfers, responding to alarms, etc. (20%)* Evaluates effectiveness of treatment plan and makes suggestions or participates in updating/revising the treatment plan in collaboration with other team members, utilizing current information to improve patient care. (10%)* Processes physician/provider orders and performs physician ordered care accurately, completely and in a timely manner. (10%) Follows up regarding medication changes and order clarifications as requested. Certifications and Licensures Credential: BLS: Basic Life Support Equivalent Experience: Within 1 month of hire or transfer Qualification Source: AHA Essential: true Credential: NRP: Neonatal Resuscitation Equivalent Experience: NRP required within 12 months of hire or transfer to position. Qualification Source Essential: true Credential: RN: Registered Nurse Qualification Source: MI 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 Credential: ACLS: Advanced Cardiac Life Support Equivalent Experience: Required within 12 months of hire or transfer. Effective 5/8/24, current employees will have 12 months to obtain the certification. Essential: true Required Education Education: Associates Degree in Nursing required. Equivalent Experience: Bachelor's Degree in Nursing preferred. Education Specialization: NRG Essential: true Other Information Other Duties And Responsibilities Demonstrates the ability to interpret information and reports pertinent data to the physician, including pertinent clinical information. Assess learning needs considering readiness, ability, preferences, and cultural / spiritual variables. Provide education to meet the individual needs and ability to learn. Participates in care conferences as assigned. Develops and maintains good working rapport with interdisciplinary personnel to meet the needs of each patient. Coordinates care provided by patient care technicians. Demonstrates the ability to organize and prioritize the needs of groups of patients or an individual patient. Demonstrates a general ability to manage assignments and perform routine duties on the unit. Instructs other team members when appropriate, explaining goals and rationale for individualized care. Implements clinical and technical aspects of care in accordance with established policies and procedures. Demonstrates understanding of clinical pathways and utilizes appropriately. Remains calm and efficient when working in stressful situations. Documents in an accurate, clear, and concise way and includes pertinent clinical data. Shares information and reports significant changes and/or abnormal findings to appropriate team members. Participates in regulatory surveys. Participates in the performance improvement activities. Assists with orientation and ongoing competencies. Provides a safe and secure environment for patient care. Attend and participate in professional association activities and programs to assure being current on regulations, guidelines, and professional standards. Remain current on new developments by reading professional journals, and attending seminars. Demonstrates understanding of role in emergency preparedness procedures. Obtains prenatal history (prenatal Labor and Delivery (L&D) records) and antenatal care, gathering data and identifying risk factors. Performs physical assessment. Performs Loepold's maneuvers for fetal position. Assesses fetal heart rate and identifies maternal-fetal risk factors. Palpates uterus to assess frequency, length and quality of contractions. Distinguishes, reports and records normal and abnormal conditions. Identifies life-threatening/emergency situations. Formulates conclusions, making a diagnosis. Decides when to do or not to do a vaginal examination on the laboring patient. Assesses and evaluates dilatation and effacement of the cervix and station of presenting part via sterile vaginal examination. Graphs labor process based on Friedman labor curve. Distinguishes true labor from false labor. Assesses and evaluates suspected rupture of membranes. Visualizes pooling of amniotic fluid. Uses nitrazine paper to prepare slide for fern test. Performs and/or assists with sterile speculum examinations. Assesses and documents family interaction/support system. Identifies support person and desired birthing plan. Assesses effectiveness of patient's/family's current coping mechanisms. Evaluates level of childbirth preparation. Explains diet and activity orders during labor. Communicates and documents admission data with physician, nursing staff, family and appropriate personnel. Prioritizes and delivers care based on information obtained from maternal-fetal labor assessment of status and initial exam. Identifies those patients with high-risk conditions that may require consultation and/or transportation to a tertiary center. Assesses patient during all stages of labor, obtaining vital signs, fetal heart rate and patterns, and amount, color, and odor of amniotic fluid, etc. Continuously updates nursing care plan. Identifies common analgesic drugs, contraindications, dosage parameters, and acceptable routes of administration. Identifies and promptly initiates appropriate nursing intervention for maternal and/or fetal side effects of medication and/or complications. Sets up sterile delivery or operating instrument table using strict aseptic technique according to specific physician's request. Ensures presence and proper functioning of emergency/resuscitation equipment for mother and newborn and radiant warmer for infant if appropriate. Positions patient in desired delivery position. Experience, Training And Skills Interpersonal skills needed to communicate successfully with individuals and groups and interact with people at all levels to communicate ideas and concepts in a clear and understandable manner. MyMichigan Health is a technology driven organization and employees need to demonstrate competency in Microsoft Windows. An employee may be required to participate in further learning opportunities offered by MyMichigan Health. Physical/Mental Requirements And Typical Working Conditions Exposure to stressful situations, including those involving public contact, as well as, trauma, grief and death. Able to wear personal protective equipment that includes latex materials or appropriate substitute if required for your position. Is able to move freely about facility with or without an assisted device and must be able to perform the functions of the job as outlined in the job description. Overall vision and hearing is necessary with or without assisted device(s). Frequently required to sit/stand/walk for long periods of time. May require frequent postural changes such as stooping, kneeling or crouching. Some exposure to blood borne pathogens and other potentially infectious material. Must follow MyMichigan Health bloodborne pathogen and TB testing as required. Ability to handle multiple tasks, get along with others, work independently, regular and predictable attendance and ability to stay awake. Overall dexterity is required including handling, reaching, grasping, fingering and feeling. May require repetition of these movements on a regular to frequent basis. Physical Demand Level: Medium. Must be able to occasionally (0-33% of the workday) lift or carry 21-50 lbs., frequently 34-66% of the workday 20 lbs. and or Walk/Stand/Push/Pull of Arm/Leg controls and constantly (67-100% or the workday) 10 lbs.

Registered Nurse RN

Summary The radiation oncology nurse works closely with the Radiation Oncologist and radiation oncology team in total care of the patient. They develop and implement an individualized plan of care for each patient. Distributes and explains information regarding treatments and department procedures. Informs patient’s regarding implants, brachytherapy and other special procedures. Obtains current medical history and assists with physical exams. Works with the physicist, physician and staff in coordinating activities throughout the department. Responsibilities (35%)* The radiation oncology nurse works closely with the Radiation Oncologist and radiation oncology team in total care of the patient. They develop and implement an individualized plan of care for each patient. Distributes and explains information regarding treatments and department procedures. Informs patient’s regarding implants, brachytherapy and other special procedures. Obtains current medical history and assists with physical exams. Works with the physician to implement and evaluate an individualized plan of care for each patient referred for radiation therapy on a regular basis. (25%)* Records and reports to physician patient daily clinical data, i.e., labs and images. Implements special interventions for patients with abnormalities as ordered per radiation oncologist. Has a full understanding of the electronic medical record and uses it to document all clinical data and notes. (15%)* Observe and monitor physical and psychological effects of radiation therapy. Responds to acute and emergent changes in patient condition within the department. Offers phone consultation to patients experiencing treatment difficulties. (15%)* Performs nursing care procedures. Coordinates the ordering/dispensing of medications under the direction of the Radiation Oncologist. Complete in depth education regarding radiation therapy to the patient. (10%)* Coordinates hospital transfers and admissions. Acts as liaison between admitting physician and radiation oncologist. Coordinates referral of patients to subspecialties and to University settings when ordered per physician. Responsible for transfer of appropriate information and education to patient and family. Other Duties And Responsibilities Maintains compliance with State and JCAHO requirements in regard to radiation safety and protection for patients and staff. Attends scheduled in-services to review policy/procedure and safety measures. Participates in process improvement activities. Contributes to the development of students in the department and is responsible for teaching and completing radiation therapy student competencies. May be asked to rotate to another Radiation Therapy center to cover staff shortages or fluctuations in patient volume. Has a thorough understanding of proper billing practices and is able to use site specific office management system for scheduling and billing. Performs and documents proper charge capture for all procedures performed. MyMichigan Health is a technology driven organization and employees need to demonstrate competency in Microsoft® Windows. An employee may be required to participate in further learning opportunities offered by MyMichigan Health. Other duties as assigned. Certifications and Licensures Credential: BLS: Basic Life Support Equivalent Experience: Within 1 month of hire or transfer Qualification Source: AHA Essential: true Credential: RN: Registered Nurse Equivalent Experience Qualification Source: MI Essential: true Required Education Education: Associates Degree Equivalent Experience: Bachelor's degree in nursing preferred. Education Specialization: NRG Essential: true Other Information Experience, Training And Skills Knowledge of general nursing technique with knowledge of organizational functions, policies and regulations including current and evolving trends and developments in the field. Demonstrates the ability to effectively communicate with others in person and on the telephone. Radiation Oncology Nursing Experience Preferred. Knowledge and experience with the current radiation oncology electronic medical record used in the clinic/department preferred. Physical/Mental Requirements And Typical Working Conditions Exposure to stressful situations, including those involving public contact, as well as, trauma, grief and death. Able to wear personal protective equipment that includes latex materials or appropriate substitute if required for your position. Is able to move freely about facility with or without an assisted device and must be able to perform the functions of the job as outlined in the job description. Overall vision and hearing is necessary with or without assisted device(s). Frequently required to sit/stand/walk for long periods of time. May require frequent postural changes such as stooping, kneeling or crouching. Some exposure to blood borne pathogens and other potentially infectious material. Must follow MyMichigan Health bloodborne pathogen and TB testing as required. Ability to handle multiple tasks, get along with others, work independently, regular and predictable attendance and ability to stay awake. Overall dexterity is required including handling, reaching, grasping, fingering and feeling. May require repetition of these movements on a regular to frequent basis. Physical Demand Level: Medium. Must be able to occasionally (0-33% of the workday) lift or carry 21-50 lbs., frequently 34-66% of the workday 20 lbs. and or Walk/Stand/Push/Pull of Arm/Leg controls and constantly (67-100% or the workday) 10 lbs.

Patient Placement Coord RN

Summary The Patient Placement Coordinator RN is responsible for accurately applying admission criteria for patients that have a physician requesting an initial bed assignment to ensure timely and appropriate status and room placement. This involves interaction with physicians, nursing staff, Medical Social Work, community resources, patients/families. Medical necessity criteria and record reviews. In addition, the Patient Placement Coordinator RN practices in accordance with the care management process utilizing tools, standards, models, goals and objectives, and performance improvement concepts. Active participation in team meetings and education of the staff is a key role. Responsibilities (50%)* Performs medical necessity assessment to ensure accurate and timely patient status and bed assignment using hospital selected medical necessity criteria such as InterQual. (30%)* Actively educates the health care team and physicians regarding the appropriate patient status and bed assignment. (10%)* Completes all documentation and data entry requirements in EPIC. (10%)* Communicates with outside agencies to ensure accurate information is received to evaluate if transfers are appropriate prior to patient arrival. Other Duties And Responsibilities Uses critical thinking in all interactions. Sets priorities so that patient needs are met in a timely way. Explains the process to use when a patient’s condition does not match the Utilization Review (UR) criteria. Interacts positively with personnel and shows respect for physicians and other members of the team. Builds professional relationships with patient, families, facilities and resources. Accepts mentoring. Describes how medical necessity and denial prevention relate. Assigs bed placement according to medical necessity for surgical admissions, transfers in-house and other affiliates. Early intervention with review of potential Inpatient and Observation patients by using all available test results within EPIC chart including ED provider note and/or admiting physician H&P. Willingly and consistently offers to help peers who are experiencing high volume case loads. Accepts accountability for the clinical outcomes that the Patient Placement Coordinator role can facilitate. Anticipates potential problems and pitfalls of vacation, holidays and weekends and proactively manages to avoid delays. Provides excellent customer service to patients, physicians, office staff, and medical staff requiring the service of patient placement. Delegates tasks appropriately to Patient Placement assistant and oversees their role. Other duties as assigned. Certifications and Licensures Credential: RN: Registered Nurse Equivalent Experience Qualification Source: MI Essential: true Required Education Education: Associates Degree Equivalent Experience: Bachelor's degree preferred. Education Specialization: NRG Essential: true Other Information Experience, Training And Skills Organizational, analytical, writing and interpersonal skills. Dependable, self-directed and pleasant. Critical thinking, problem solving, and deductive reasoning skills. Knowledge of Pathophysiology and Disease Process. Basic computer and courteous phone skills. 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. Recent hospital experience in ICU, CCU, or strong Med/Surg. Knowledge of Commercial and Government Payer guidelines. Ability to communicate payer guidelines and impact on patient status and bed assignment. 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.

Registered Nurse RN- Medical Oncology

Summary 14K sign on bonus for qualified candidates The medical oncology unit will consist of patients with a cancer diagnosis, medical step-down patients, and general medical overflow. This position has basic knowledge of pathophysiology of cancer and is able to assess, plan, implement and evaluate care for patients on this unit. Employees who are in the casual position are required to pick up shifts as outlined in the Midland Nursing Casual Employee Policy. Responsibilities (30%)* Regularly assesses patients/clients needs and provides skilled nursing services as prescribed by the physician authorized plan of care, and accepted standards of nursing practice. (30%)* Provides direct patient care, including nursing assessment, medication administration, treatments, call lights, assisting with transfers, responding to alarms, etc. (20%)* Evaluates effectiveness of treatment plan and patients' condition to make suggestions and participate in updating/revising the treatment plan in collaboration with other team members, utilizing current information and assessments to improve patient care. (10%)* Processes physician/provider orders and performs physician ordered care accurately, completely and in a timely manner. (10%)* Follows up regarding medication changes and order clarifications. OTHER DUTIES AND RESPONSIBILITIES: Demonstrates the ability to interpret information and reports pertinent data to the physician, including pertinent clinical information. Assess learning needs considering readiness, ability, preferences, and cultural / spiritual variables. Provide education to meet the individual needs and ability to learn. Participates in care conferences as assigned. Develops and maintains good working rapport with interdisciplinary personnel to meet the needs of each patient. Coordinates care provided by patient care technicians. Demonstrates the ability to organize and prioritize the needs of groups of patients or an individual patient. Demonstrates a general ability to manage assignments and perform routine duties on the unit. Instructs other team members when appropriate, explaining goals and rationale for individualized care. Implements clinical and technical aspects of care in accordance with established policies and procedures. Demonstrates understanding of clinical pathways and utilizes appropriately. Remains calm and efficient when working in stressful situations. Documents in an accurate, clear, and concise way and includes pertinent clinical data. Shares information and reports significant changes and/or abnormal findings to appropriate team members. Participates in regulatory surveys. Participates in the performance improvement activities. Assists with orientation and ongoing competencies. Provides a safe and secure environment for patient care. Attend and participate in professional association activities and programs to assure being current on regulations, guidelines, and professional standards. Remains current on new developments by reading professional journals, and attending seminars. Demonstrates understanding of role in emergency preparedness procedures Administers cardiac drips and chemotherapy per provider orders. Assesses patient for signs or symptoms of complications of cancer or treatment protocols. Accurately uses central lines for drawing blood, administering chemotherapy, etc. Interacts positively with patients and families during severe stress situations. Demonstrates critical thinking and integration of theory to practice for medical patients, oncology patients, medical step-down, and telemetry patients. Participates in Transition of Care course for first 12 months after hire or transfer to position. Monitors and initiates the need to institute safety measures to prevent patient injury. Other duties as assigned. Certifications and Licensures Credential: RN: Registered Nurse Equivalent Experience: Qualification Source: MI Essential: true Credential: BLS: Basic Life Support Equivalent Experience: Within 3 months of hire or transfer. Qualification Source: AHA Essential: true Credential: DIMC: Dysrhythmia Interpretation Man Equivalent Experience: Employees hired after January 1, 2025, are required to take, and pass Telemetry Monitoring and management class (DIMC) within 12 months of hire or transfer. Qualification Source: Essential: true Credential: ACLS: Advanced Cardiac Life Support Equivalent Experience: Within 6 months of hire or transfer (Employees who are in this position on or before 12/31/2023 will have 24 months to complete this certification). Qualification Source: AHA Essential: true Credential: TEAM ADVANCED: Techniques for Effective Aggression Mgt Equivalent Experience: Within 6 months of hire or transfer (Employees who are in this position on or before 12/31/2023 will have 24 months to complete this certification) Qualification Source: Essential: true Credential: ONS BIOCRT: ONS/ONCC Chemotherapy Bio Cert Equivalent Experience: Required within 12 months of hire or transfer into positions. Must be renewed every 24 months. Qualification Source: Essential: true Required Education Education: ASSOC Equivalent Experience: Bachelor's degree in nursing preferred. Education Specialization: NRG Essential: true Other Information EXPERIENCE, TRAINING AND SKILLS: The following education outline is intended for new hires or transfers who are new to Oncology Nursing. Any new hire or transfer who has already received their ONS Chemo / Bio safe handling card and/or their OCN certification is exempt from completing Cancer Basics or Chemotherapy Fundamentals. Chemotherapy Education Pathway: Full time & Part time RN Pass ONS Cancer Basics course within 6 months. Pass ONS Chemotherapy/ Biotherapy Fundamentals of Administration course within 12 months. Maintain ONS Chemotherapy/ Biotherapy Fundamentals of Administration or ONS Chemotherapy and Biotherapy Certificate course (if applicable) per ONS recommendations. Additional components of demonstrating competency for all nurses administering antineoplastic agents include: Demonstration of safety and proficiency in the preparation, administration, handling, and disposal of antineoplastic agents as defined in the ONS Chemotherapy/ Biotherapy Fundamentals of Administration course and or the ONS Chemotherapy and Biotherapy Certificate course. Demonstration of compliance with policy for management of chemotherapy spills and extravasation. Demonstration of skill in compliance with the health system's policy for accessing, dressing, and flushing a variety of vascular access devices including Hohn, PICCs, Groshong, Hickman, and implanted medports. Demonstration of skills in the assessment, planning, implementation, and evaluation of the oncology patient and family's learning needs. Interpersonal skills needed to communicate successfully with individuals and groups and interact with people at all levels to communicate ideas and concepts in a clear and understandable manner. MyMichigan Health is a technology driven organization and employees need to demonstrate competency in Microsoft Windows. An employee may be required to participate in further learning opportunities offered by MyMichigan Health. PHYSICAL/MENTAL REQUIREMENTS AND TYPICAL WORKING CONDITIONS: Exposure to stressful situations, including those involving public contact, as well as, trauma, grief and death. Able to wear personal protective equipment that includes latex materials or appropriate substitute if required for your position. Is able to move freely about facility with or without an assisted device and must be able to perform the functions of the job as outlined in the job description. Overall vision and hearing is necessary with or without assisted device(s). Frequently required to sit/stand/walk for long periods of time. May require frequent postural changes such as stooping, kneeling or crouching. Some exposure to blood borne pathogens and other potentially infectious material. Must follow MyMichigan Health bloodborne pathogen and TB testing as required. Ability to handle multiple tasks, get along with others, work independently, regular and predictable attendance and ability to stay awake. Overall dexterity is required including handling, reaching, grasping, fingering and feeling. May require repetition of these movements on a regular to frequent basis. Physical Demand Level: Medium. Must be able to occasionally (0-33% of the workday) lift or carry 21-50 lbs., frequently 34-66% of the workday 20 lbs. and or Walk/Stand/Push/Pull of Arm/Leg controls and constantly (67-100% or the workday) 10 lbs. Equivalent Experience And Other Comments (Education) Education: ASSOC Equivalent Experience: Bachelor's degree in nursing preferred. Education Specialization: NRG Essential: true Other Comments #Indeed1RN

Psychiatric Care Specialist RN

Summary This position is a split role between the Adolescent Intensive Outpatient Program and the adult Partial Hospitalization Program. The essential functions of this position include, but are not limited to: completing nursing intake assessments for patients entering the IOP or PHP; establishing a therapeutic relationship with all patients and families; providing nursing care, assessment, support, and education to patients/families; maintaining a therapeutic environment through general knowledge of patients’ therapy plans and reinforcement of desired behaviors; participating in delivery of educational services to patients and their families; performing discharge functions; collaborating with the psychiatric multidisciplinary team and attending regular treatment team meetings; providing pertinent clinical data to outside agencies as needed to assure compliance with their requirements; assist with Utilization Review tasks as needed. Other duties may be assigned. Responsibilities (25%)* Completion of nursing IOP/PHP assessment for all incoming patients involving biopsychosocial data collection from patient, caregiver/family, and collateral contacts as needed. Completes medication reconciliation. Maintains patient medical records and records information legibly, accurately, using the approved format, timely, and following all procedures. Communicates assessment needs to treatment team. (25%)* Assists in screening IOP/PHP program applicants for applicability in program, including phone calls and coordination of care needs. Addresses questions about program to family members and other interested parties. (25%)* Participates improving the patients' physical/mental health and maintaining patient safety. Responds appropriately to patient conditions utilizing critical thinking skills. Coordinates medical issues for patients with the Primary Care team. Reviews medications with every patient and family as needed. Coordinates physician orders. Provides ongoing case management and assists in discharge planning. Ensures all discharge forms are completed and distributed to the appropriate parties. Assists patient with completing paperwork as needed. Assists with Utilization Review tasks for coverage needs. (25%)* Participates in treatment team meetings/huddles to review IOP patient progress. Conducts educational sessions for patients. Provides support to the treatment team. Participates in training activities as needed. Certifications and Licensures BLS - Basic Life Support Within in 1 month of hire or transfer date. TEAM ADVANCED – Techniques for Effective Aggression Management Required within 6 months or hire or transfer. RN - Registered Nurse Required BSN preferred - At least one year psychiatric nursing experience Required Education Associate's degree is required BSN preferred. Other Information Educates casual staff regarding documentation and facilitates compliance. Collaborates with psychiatrist regarding discharge criteria or length of stay. Prepares patients for discharge from admission through their length of stay. Works with therapist and outside agencies for follow up care concerns. Assists program supervisor with Quality Assurance/Quality Monitoring. Attends Coordination of Care meetings. Prepares for and attends Team Meetings. Participates in marketing program as time permits. Experience, Training And Skills REQUIRED EXPERIENCE, TRAINING AND SKILLS Must have been involved in the delivery of mental health services for at least 1 year within the previous 5 years. Experience with adolescents preferred. Demonstrates effective and pleasant interpersonal relations. Demonstrates ability to be flexible in changing work environment. 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. Ensures program meets insurance company criteria and required documentation for reimbursement. Complies with MyMichigan Medical Center Midland policies and procedures. Adheres to all policies and procedures related to employment, safety, program provision and operations. Is familiar with the Michigan Mental Health Code as it relates to: recipient rights, confidentiality, abuse and neglect, and Duty to Warn. MyMichigan Health is a technology driven organization and employees need to demonstrate competency in Microsoft Windows and other technology. Demonstrates competency in Infection Prevention and Control Practices and Policies. Other duties as assigned. Must have been involved in the delivery of mental health services for at least 1 year within the previous 5 years. Experience with adolescents 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: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. Other Comments #Indeed1HP

MyMichigan Health Saginaw, MI

3 months ago

Registered Nurse RN

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: 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 1 month of hire or transfer Qualification Source: AHA 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: 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. Equivalent Experience And Other Comments (Education) Education: ASSOC Equivalent Experience: Bachelor's degree in nursing preferred. Education Specialization: NRG Essential: true Other Comments Credential: RN: Registered Nurse Qualification Source: Essential: true Credential: BLS: Basic Life Support Equivalent Experience: Within 1 month of hire or transfer Qualification Source: AHA Essential: true