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Graduate Practical Nurse-Acute Care-Full Time

Job Description Position Summary: Under supervision of Registered Nurse, assist physician with duties necessary to support the needs of the practice working within and to the maximum scope of license. Education, License & Cert: Must be a graduate of a licensed practical nursing program. Must possess a current temporary practice permit (PA) or limited permit (NY) based on the state of practice. BLS Certification High School Grad or Equivalent Experience: Previous Experience In Healthcare Preferred But Not Required Essential Functions: Directs patient to exam room and prepares patient for exam or treatment by identifying height, weight, respirations, blood pressure, temperature, additional testing, and records same on chart. Will also interview patient to obtain history allergies, reconciles medication list and records on chart as requested. Write or call Rx after obtaining surgeon/provider authorization for all department surgeons/providers as needed. Chart as written in patient's chart. Email, fax or call in any insurance referrals. Follow up phone call with referral number to specialist if requested. Assists in smooth departmental operation by filling in for other LPNs, clinical assistant and MOA's as requested. Answers telephone and performs other clerical functions as necessary (screen calls according to urgency and need). Must train and maintain proficiency in the use of computer equipment and other computer program training as requested. Must train and maintain proficiency in the use of computer equipment and other computer program training as requested. Attends to exam and procedure rooms, including assurance that proper supplies are on hand, maintain order and cleanliness. Order medications or clinical supplies for the department as requested. Administers prescribed injections/medications and records them on patient's chart. Routes patient after exam to proper area for ancillary testing or follow‐up appointments, i.e. Blood work, x‐rays, and enter lab testing as requested. Basic knowledge of medications (side effects/contraindications, etc.). Be able to read and review pathology results with patients. Setup and tear down sterile fields. Basic knowledge of surgical instruments. Prepare surgical trays as needed for procedures for the day. Assist surgeon with operative procedures both in the office and Operating Room if necessary. Maintain infection control measures including but not limited to proper cleaning of surgical equipment and use of autoclave. Proficient with autoclave sterilization process. Knowledge and proficiency of dressing changes and suture removal. Assess signs and symptoms of infection and reporting to surgeon and/or provider. Hepatitis checks and protocol to protect surgeon, patient, and nurse. Other Duties: As assigned as appropriate for LPN licensure. Attend new employee orientation and all mandatory events such as in‐services, classes, training as required by the organization. Complies with the dress code policy as set forth by Guthrie. Attends and participates in Department meetings, along with contributing to department/office goals. Update: 5-27-25 About Us Joining the Guthrie team allows you to become a part of a tradition of excellence in health care. In all areas and at all levels of Guthrie, you’ll find staff members who have committed themselves to serving the community. The Guthrie Clinic is an Equal Opportunity Employer. The Guthrie Clinic is a non-profit, integrated, practicing physician-led organization in the Twin Tiers of New York and Pennsylvania. Our multi-specialty group practice of more than 500 physicians and 302 advanced practice providers offers 47 specialties through a regional office network providing primary and specialty care in 22 communities. Guthrie Medical Education Programs include General Surgery, Internal Medicine, Emergency Medicine, Family Medicine, Anesthesiology and Orthopedic Surgery Residency, as well as Cardiovascular, Gastroenterology and Pulmonary Critical Care Fellowship programs. Guthrie is also a clinical campus for the Geisinger Commonwealth School of Medicine.

LPN Licensed Practical Nurse - Utilization Mgmt Reviewer (Case Mgmnt) - Full Time

Guthrie Cortland, NY

$20.38 - $31.81 / hour

This position is eligible for up to $15,000.00 Sign on Bonus for those that are eligible. ($7,500.00 for those with less than one year of experience) Summary The LPN Utilization Management (UM) Reviewer, in collaboration with Care Coordination, Guthrie Clinic offices, other physician offices, and the Robert Packer Hospital Business Office, is responsible for the coordination of Utilization Management (UM) processes and requirements of prior authorization/certification for reimbursement of patient care services. The responsibilities include: - Facilitating communication between physician offices, payers, Care Coordination and other hospital departments as appropriate to obtain prior authorization required to meet contractual reimbursement requirements and to assist in ensuring generation of clean claims in a timely manner - Securing authorization as appropriate - Documenting payer authorization - Facilitating issue resolution with payer sources in collaboration with other hospital departments or clinic offices as appropriate - Demonstrating ongoing competence in payer requirements, as defined collaboratively with Patient Business Services and Care Coordination Additionally, the position works closely with the Care Coordination department to support data collection and aggregation associated with UM processes and operations. Experience Minimum of five years clinical experience in an acute health care setting. Must possess strong communication and organizational skills, be able to work independently and to complete work within specified time frames. Knowledge of health benefit plans and related UM requirements preferred. Experience with CPT/ICD coding, medical record or chart auditing, and experience in utilization management processes preferred. Knowledge of computer applications (such as Microsoft word processing and spreadsheets) desirable Education/License Current LPN licensure or eligibility for licensure required Essential Functions 1. Conducts validation of the authorization/certification process for elective short procedures and inpatient care services in collaboration with physician offices, hospital Business Office, Care Coordination and other hospital departments as appropriate.2. Ensures documentation and communication of authorizations and certifications as appropriate. 3. Performs routine admission and discharge notification according to payer requirements. 4. Assists to ensure compliance with documentation requirements and guidelines of third-party payers, regulatory and government agencies. 5. Develops and maintains collaborative relationships with members of the healthcare team. - Proactively researches case findings related to payer audits of UM decisions and prepares input for supporting documentation to complete the revenue cycle process, coordinates as necessary with the hospital Business Office, physician offices, Care Coordination, Medical Director and other hospital departments as appropriate.1. Serves as liaison with payers, hospital Business Office, physician offices, Care Coordination and other hospital departments as appropriate for resolution of issues or questions. 2. Collaborates with the hospital Business Office, physician offices, Care Coordination and other hospital departments as appropriate to track and monitor the status for denials and appeals. - Participates in performance improvement and educational activities.1. Serves as an educational resource to other members of the healthcare team with regards to changes in reimbursement, payers, and/or utilization requirements. 2. Participates in departmental long-range planning to meet the needs identified through utilization management activities. 3. Demonstrates appropriate problem solving and decision-making skills. 4. Maintains the required 8 hours of continuing education per year. Other Duties It is understood that this description is not intended to be all inclusive, and that other duties may be assigned as necessary in the performance of this position. Pay Range $20.38-$31.81/hr Dependent on years of applicable experience.

Registered Nurse - Cardiac Telemetry - Full Time - Days

Guthrie Sayre, PA

Up to $25,000 sign on bonus for qualified Registered Nurses! Position Details: Full Time - 12 hour Days - 36 hours a week - Robert Packer Hospital – 8 NW unit Department Details: 8 NW is a Cardiac Telemetry Unit with 20 beds that cares for a variety of Cardiac, Vascular and Cardio-Thoracic Patients. STEMI, PCI, TAVR, ICD, PPM, CABG Pre and Post interventions. Position Summary: The Registered Nurse (RN) provides professional, comprehensive nursing care for patients in an acute care environment. Accountable for the delivery of coordinated, safe, compassionate, therapeutic, evidence-based quality care to patients and families, based on individual physical, emotional, and spiritual needs, and appropriate care strategies throughout the lifespan. Practices in accordance with the Nurse Practice Act in the state of employment, the American Nurses Association (ANA) Code of Ethics for Nurses, and the ANA scope and standards of practice. Essential functions and specific skills for the job are found in the unit specific onboarding checklist and in standards that are applicable to the specialty. Education, License, & Certification(s): - Registered Nurse in the State of Practice - BSN in Nursing preferred - Any previously agreed upon effective date for obtaining a Bachelor's degree in nursing between individuals and facilities will remain in effect, including those who transition to their position from the NLRN Program - Any contract with specific time frames for obtaining a bachelor’s degree in nursing will supersede the above point and will remain in effect - Specialty Certification is preferred - BLS certification - ACLS is unit dependent Experience: The Registered Nurse must be a registered nurse currently licensed in the state of employment with at least one year of experience. Alternately, the Registered Nurse may have less than one year of experience if they have been transitioned to their position from the Newly Licensed Registered Nurse Residency (NLRN) Program. The Registered Nurse must meet the individual nursing unit specifications regarding educational requirements during employment. Must maintain BLS certification. ACLS is unit dependent. Specifications regarding educational requirements during employment are determined by the Nursing Department and Nursing Unit. Essential Functions: - Employs Nursing Professional Practice: Assesses, diagnoses, plans, implements, and evaluates patients' care. Develops updates and coordinates the patients' plan of care to achieve patient goals and to optimize outcomes and transitions across the continuum. Monitors, records, and communicates patient condition as appropriate. Performs and maintains the currency of essential competencies as required by a specific area of hire and population served - Advocates: Effectively advocates for ethical and holistic care by partnering in care planning to promote the autonomy, dignity, rights, values, and beliefs of those we serve - Facilitates Learning: Fosters a learning environment for patients/families, nursing, and other members of the healthcare team, including student; Facilities formal and informal learning for patients/families, nursing, other members of the healthcare team, and community - Aligns Practice with Safety and Quality: Accountable for safety, identifies and corrects problems, and integrates evidence and best practice into nursing care; uses data and evidence to improve patient outcomes. Aligns patient safety, self-safety, and environmental safety as equally important for best outcomes - Engages in Professional Development: Engages in ongoing professional development; practices at the top of license within the legal parameters of the Nurse Practice Act, the ANA Code of Ethics for Nurses, and specialty standards. Promotes a culture of inquiry that explores, integrates, and disseminates research and evidence-based practice - Leader in Practice Setting & Community: demonstrates leadership as change agents using the collaborative leadership skills of advocacy, influence and innovation. In partnering with colleagues appropriately delegates, coordinates care, and collaborates with others as equal members of the inter-professional care team to integrate nursing knowledge. Models professional behaviors as a representative of the nursing profession. Participates in the planning and presentation of educational programs - It is understood that this description is not intended to be all-inclusive and that other duties may be assigned as necessary in the performance of the position Other Duties: - Proficiency in Information Technology, such as electronic health records, communication systems, computers, and equipment necessary to perform essential functions of the position - Skilled to work with a wide range of staff as part of an interdisciplinary team, including physicians, nurses, and ancillary staff - Ability to use independent, critical judgment in all aspects of patient care delivery - Demonstrated interpersonal skills that convey a positive and supportive attitude - Ability to effectively manage multiple responsibilities, urgent responses, and challenging situations Benefits Summary: A nursing career with Guthrie means being part of a focused organization that provides each team member an opportunity to advance and grow. We have invested in resources to empower our employees to succeed and use their passion and talent to provide excellence. You take care of our patients. We take care of you. - $25,000 sign-on bonus* - Generous shift differentials - Career advancement opportunities - Tuition reimbursement - Excellent benefits - Experiential PTO accrual - Competitive salary - Rewarding career - Magnet driven - Refinancing support with SoFi *Exclusions apply. To see why nurses love Guthrie, click HERE! “We are more than a team, we’re family. And we’re committed to hold each other to the highest professional standard so our patients get the best care every time they choose Guthrie.” – Jennifer Hepinger, RN

Registered Nurse - Cardiac Telemetry - Full Time - Days

Guthrie Sayre, PA

Up to $25,000 sign on bonus for qualified Registered Nurses! Position Details: Full Time - 12 hour Days - 36 hours a week - Robert Packer Hospital – 8 NW unit Department Details: 8 NW is a Cardiac Telemetry Unit with 20 beds that cares for a variety of Cardiac, Vascular and Cardio-Thoracic Patients. STEMI, PCI, TAVR, ICD, PPM, CABG Pre and Post interventions. Position Summary: The Registered Nurse (RN) provides professional, comprehensive nursing care for patients in an acute care environment. Accountable for the delivery of coordinated, safe, compassionate, therapeutic, evidence-based quality care to patients and families, based on individual physical, emotional, and spiritual needs, and appropriate care strategies throughout the lifespan. Practices in accordance with the Nurse Practice Act in the state of employment, the American Nurses Association (ANA) Code of Ethics for Nurses, and the ANA scope and standards of practice. Essential functions and specific skills for the job are found in the unit specific onboarding checklist and in standards that are applicable to the specialty. Education, License, & Certification(s): - Registered Nurse in the State of Practice - BSN in Nursing preferred - Any previously agreed upon effective date for obtaining a Bachelor's degree in nursing between individuals and facilities will remain in effect, including those who transition to their position from the NLRN Program - Any contract with specific time frames for obtaining a bachelor’s degree in nursing will supersede the above point and will remain in effect - Specialty Certification is preferred - BLS certification - ACLS is unit dependent Experience: The Registered Nurse must be a registered nurse currently licensed in the state of employment with at least one year of experience. Alternately, the Registered Nurse may have less than one year of experience if they have been transitioned to their position from the Newly Licensed Registered Nurse Residency (NLRN) Program. The Registered Nurse must meet the individual nursing unit specifications regarding educational requirements during employment. Must maintain BLS certification. ACLS is unit dependent. Specifications regarding educational requirements during employment are determined by the Nursing Department and Nursing Unit. Essential Functions: - Employs Nursing Professional Practice: Assesses, diagnoses, plans, implements, and evaluates patients' care. Develops updates and coordinates the patients' plan of care to achieve patient goals and to optimize outcomes and transitions across the continuum. Monitors, records, and communicates patient condition as appropriate. Performs and maintains the currency of essential competencies as required by a specific area of hire and population served - Advocates: Effectively advocates for ethical and holistic care by partnering in care planning to promote the autonomy, dignity, rights, values, and beliefs of those we serve - Facilitates Learning: Fosters a learning environment for patients/families, nursing, and other members of the healthcare team, including student; Facilities formal and informal learning for patients/families, nursing, other members of the healthcare team, and community - Aligns Practice with Safety and Quality: Accountable for safety, identifies and corrects problems, and integrates evidence and best practice into nursing care; uses data and evidence to improve patient outcomes. Aligns patient safety, self-safety, and environmental safety as equally important for best outcomes - Engages in Professional Development: Engages in ongoing professional development; practices at the top of license within the legal parameters of the Nurse Practice Act, the ANA Code of Ethics for Nurses, and specialty standards. Promotes a culture of inquiry that explores, integrates, and disseminates research and evidence-based practice - Leader in Practice Setting & Community: demonstrates leadership as change agents using the collaborative leadership skills of advocacy, influence and innovation. In partnering with colleagues appropriately delegates, coordinates care, and collaborates with others as equal members of the inter-professional care team to integrate nursing knowledge. Models professional behaviors as a representative of the nursing profession. Participates in the planning and presentation of educational programs - It is understood that this description is not intended to be all-inclusive and that other duties may be assigned as necessary in the performance of the position Other Duties: - Proficiency in Information Technology, such as electronic health records, communication systems, computers, and equipment necessary to perform essential functions of the position - Skilled to work with a wide range of staff as part of an interdisciplinary team, including physicians, nurses, and ancillary staff - Ability to use independent, critical judgment in all aspects of patient care delivery - Demonstrated interpersonal skills that convey a positive and supportive attitude - Ability to effectively manage multiple responsibilities, urgent responses, and challenging situations Benefits Summary: A nursing career with Guthrie means being part of a focused organization that provides each team member an opportunity to advance and grow. We have invested in resources to empower our employees to succeed and use their passion and talent to provide excellence. You take care of our patients. We take care of you. - $25,000 sign-on bonus* - Generous shift differentials - Career advancement opportunities - Tuition reimbursement - Excellent benefits - Experiential PTO accrual - Competitive salary - Rewarding career - Magnet driven - Refinancing support with SoFi *Exclusions apply. To see why nurses love Guthrie, click HERE! “We are more than a team, we’re family. And we’re committed to hold each other to the highest professional standard so our patients get the best care every time they choose Guthrie.” – Jennifer Hepinger, RN

Registered Nurse - Emergency Department - Part Time Day 7a-7:30p

Guthrie Cortland, NY

$39 - $54.12 / hour

Job Description Job Summary: Responsible for delivery of patient care through the nursing process of assessment, planning, implementation, and evaluation. Directs and guides patient teaching and the activities of ancillary personnel while maintaining standards of professional nursing. Understands and adheres to GCMC’s Compliance Standards as they appear in GCMC’s Corporate Compliance Policy, Code of Conduct and Conflict of Interest Policy. Keeps abreast of all pertinent federal, state and GCMC regulations, laws, and policies as they presently exist and as they change or are modified. Experience: Entry level-graduate per Education requirements Specialty Units-At least 1 year of medical-surgical nursing preferred. (i.e. ICU, Maternity, Psych) Skills: See core competencies and unit specific competencies Licensure/Certificates/Certification: Current NYS license to perform as a registered professional nurse Current BLS-CPR certification required (or within first 30 days of employment) Specialty Unit - Maternity – Neonatal Resuscitation Certification within 6 months of employment Specialty Unit –ICU- ACLS within 6 months of hire Essential Job Functions: Accordingly, employees may be asked to perform duties that are outside the specific functions that are listed. Assessment-Performs patient assessment and documents accurately in a timely manner per nursing and department policy. Performs nursing admission assessment thoroughly and within timeframe. Documents the admission assessment accurately and completely Performs skin risk assessment accurately and reassessment per policy and protocol Performs pain assessment and reassessment per policy and utilizes hospital approved pain scale and documents appropriately Patient Monitoring-Monitors patient as appropriate for condition, status and safety according to nursing department policy. Monitors patient’s vital signs and systems per protocol and documents on appropriate forms Recognizes change in patient’s condition or status and reports to charge nurse or physician as appropriate Calls CAT team for patients who meet criteria Works to ensure patient safety is maintained in all aspects of patient care, by following all policies related to National Patient Safety Goals, etc Raises concern about patient care and utilizes the Chain of Command as needed to prevent patient harm Medication Administration-Performs safe administration and complete documentation of medications, IV fluids, and blood products in accordance with nursing policy. Follows medication administration policy using e-Mar, bar coding and scanning of medications and has at least an 85% scan rate Insertion of IVs under aseptic technique and follows IV policy by changing site, tubing and dressing and documents accordingly Always follows hospital policy when administering blood products Maintains security of electronic signature with Omnicell and accounts for all narcotics removed from automated dispensing system through proper waste/return administration documentation. Patient and Family Education Assesses and addresses educational needs of patients and families to include disease state, care and treatment Documents educational needs Distributes appropriate teaching sheets Includes evaluation of learner’s understanding post-teaching Safe Discharge/Discharge Planning Contributes to or initiates discharge plan upon day of admission and participates in interdisciplinary planning Completes all pre-discharge checklist items Always gives patient correct forms and discharge instructions by using 2 patient identifiers Provides patient a safe discharge and appropriate follow-up information and community resources are in place Assist Providers-Assist providers in performing procedures and treatments per unit, department specific and hospital policy. Assist physicians/providers with beside procedures and remains competent with unit-specific procedures Performs read back of critical values and telephone orders when interacting with physicians as warranted Uses SBAR when giving physicians report on change in patient condition Equipment Use Demonstrates knowledge and ability to use equipment safely and effectively Utilizes hospital equipment per policy (i.e., guardrails for IV pumps, alarm settings) Uses patient lift equipment per policy at all times Nursing Clinical Skills- Demonstrates the ability to perform nursing treatments and procedures. Demonstrates competency, knowledge, and ability to perform nursing treatments and procedures safely and effectively Conducts Hourly Rounds on patients using 4 “P’s” and documents on appropriate forms Regularly uses patient room white boards to communicate information to patients and families. Emergency Preparedness-Demonstrates working knowledge and understanding of emergency preparedness plans and operations. Aware of and actively participates in emergency preparedness procedures and operations Aware of and actively participates in Code Blue, Green, Pink, Orange, White, and Silver drills and actual events Documentation-Completely and accurately documents patient care activities and response in a timely manner in accordance with department and hospital policy. Documents on a regular, real time basis all patient care activities in accordance to hospital policy Nursing Promotion-Promotion of professional nursing to include participation in PI/QI, Customer satisfaction, community involvement, committee activities and nursing continuing education. Actively sits on and attends at least 1 team or committee, or participates in unit PI activity or department team or projects Attends at least 75% of all staff meetings Attends at least 1 clinical update and all mandatory in services Participates in unit specific or hospital wide PI/QI activity Infection Control-Provide safe and effective patient care in accordance with hospital Infection Control policy and procedures. Wears appropriate PPE as warranted Follows hand hygiene protocol Follows all isolation procedures Utilize nursing process-Identify patient needs and problems through assessment. Implement nursing interventions based on nursing diagnosis. Develop individualized patient care plan. Provide appropriate discharge instructions to patient and family. Initiates individualized patient plan of care for all admissions Edits Plan of Care on a regular basis per policy Document’s interventions every shift based on nursing diagnosis Assist and provide for participation in clinical learning experiences. Participates in learning experiences for orientees, nursing and ancillary staff and students by serving as a preceptor Participates in Nursing Grand Rounds at least quarterly by either attending a session or assisting in preparing for unit topic. Provide for continuum of care-Assure safe patient hand off through effective communication of the treatment status of each patient. Participates in interdisciplinary care/discharge planning Uses SBAR for patient handoffs Uses Ticket to Ride and communicates important information to other departments Other Duties As Assigned Employees may be asked to perform duties that are outside the specific functions that are listed. The pay range for this position is $39.00 to $54.12 per hour. About Us Joining the Guthrie team allows you to become a part of a tradition of excellence in health care. In all areas and at all levels of Guthrie, you’ll find staff members who have committed themselves to serving the community. The Guthrie Clinic is an Equal Opportunity Employer. The Guthrie Clinic is a non-profit, integrated, practicing physician-led organization in the Twin Tiers of New York and Pennsylvania. Our multi-specialty group practice of more than 500 physicians and 302 advanced practice providers offers 47 specialties through a regional office network providing primary and specialty care in 22 communities. Guthrie Medical Education Programs include General Surgery, Internal Medicine, Emergency Medicine, Family Medicine, Anesthesiology and Orthopedic Surgery Residency, as well as Cardiovascular, Gastroenterology and Pulmonary Critical Care Fellowship programs. Guthrie is also a clinical campus for the Geisinger Commonwealth School of Medicine. Show more Show less