Overview Child Development 8 hours per week Pediatric Specialties is seeking an experienced RN to join our Child Development team. The patient population could include but is not limited to children with autism, developmental delays, behavior disorders, sleep disturbances, ADD/ADHD, and trisomy. In addition to phone triage responsibilities, there is also the opportunity to liaison with school/IEP meetings. This clinic is open Monday through Friday, 8am-5pm, with this position being just 8 hours per week. No nights, weekends, or holidays. Responsibilities The Clinical Nurse is an engaged and credentialed member of the Professional Nursing Organization and is responsible for autonomous practice directed by the professional tenets of practitioner, leader/decision maker, scientist and transferor. The Clinical Nurse is responsible for utilizing the nursing process to provide evidence-based care and to continuously monitor and evaluate practice to ensure safe passage of patients that is in the best interest of populations served. Practitioner Utilizes the nursing process to assess, diagnose, identify outcomes, plan, implement and evaluate an individualized plan of care. Utilizes critical thinking and the nursing process to anticipate and recognize changes in patient status, taking action to modify the plan of care or to elevate to the care team as necessary. Practices in accordance with the ANA Code of Ethics to advocate for patients, uphold their autonomy in decision-making, ensure informed consent and assist patients in families in expressing self-determination. Actively seeks feedback and acts to improve performance. Engages in the governance of practice. Leader/Decision Maker Manages interpersonal relationships for self and with others. Mentors colleagues for the advancement of nursing practice and the profession. Assumes authority and accountability for the nursing care of patients while appropriately delegating elements of care to others members of the care delivery team in accordance with laws, regulations and policies and procedures. Prioritizes and organizes time to optimize patient outcomes. Scientist Actively seeks out the most current evidence and standards and applies and translates to daily practice. Role models a culture of inquiry, developing new knowledge by contributing to research, quality improvement, and evidence-based practice at the local level. Transferor Communicates effectively in a variety of formats in all areas of practice. Actively partners with others to effect change that produces positive outcomes through the exchange of knowledge. Precepts the student nurse, nurse extern, nurse resident, experienced clinical nurse and other members of the healthcare team. Performs other duties as required or assigned. Qualifications Graduate from an accredited Nursing Program required. Bachelor of Science Degree in Nursing (BSN) preferred. Required Licensure/Certifications Licensed Registered Nurse with NH eligibility Basic Life Support (BLS) Certificate required upon hire.
Overview Care Manager, RN - Capacity Coordination Center 4 x 10 hour shifts Days, with every other Weekend As part of a multi-disciplinary team, applies nursing knowledge and processes to facilitate patient transfers for inpatient hospitalization, between levels of care during inpatient hospitalization, and post-acute care discharge coordination. Processes require review of the medical record, extensive collaboration with hospital providers, and transportation teams using electronic and telephone communication. Capacity Coordination Center Nurses are responsible for providing a high level of customer service in a high stress, fast paced environment while maintaining flexibility and the ability to adapt, improvise and problem solve in rapidly changing conditions. Responsibilities Obtains and documents relevant clinical data to individually assess the needs of each patient to ensure appropriate level of care and proper placement of patients. Acts as a navigator for referring providers in identifying and accessing appropriate Dartmouth Health services. Manages and coordinates communications between DH providers and other facilities via telephone and electronic communication methods. Identifies patients and facilitates redirect and placement to DH system members. Monitors referrals to system members and collaborates with local decision makers to identify barriers and resources required to support system transfers. In collaboration with the UM/AMD determines appropriateness of requests for inpatient transfers from outside of the DH system. In collaboration with DHMC and DH system care management acts as a conduit to communication to address barriers to post-acute care transfers Arranges and coordinates local, regional and international transfers to DH, for patients who require tertiary care or who have established care at DH. . Works with medical staff to appropriately re-prioritize transfer queue. Directs, coordinates, and updates patient transfer queue. In collaboration with the care team formulates and implements a care management plan that addresses patient/family needs, issues, resources and care goals; determining the choices available to individual patients Communicates and collaborates with DH medical staff to prioritize activities associated with accurate transfer timing, placement needs, and bed assignment. . Coordinates and actively participates in daily capacity huddles with On-Call Medical Director, administration, and designated system member nurse leaders to get the right patient, in the right bed, for the right care level. Identifies and delegates appropriate tasks to assistive personnel/coordinators. Develops and promotes long-term relationships with referring facilities and providers. Determines and assigns accurate patient admission type following established guidelines and criteria. Actively engages in the daily implementation of strategic goals. Engages with leadership to develop, maintain, and improve departmental policies, procedures, and workflows. Interprets and supports policies, procedures, and safety standards to facilitate daily operations. Perform other duties as required or assigned. Qualifications Graduate from an accredited Nursing Program required. Bachelor of Science Degree in Nursing (BSN) is strongly preferred. 3 years of Care Management experience strongly preferred. Previous computer experience required (EPIC, CarePort, Word, Windows, and Excel). Proven organizational and multi-tasking abilities along with strong customer service skills that include excellent phone and email/electronic communication etiquette. Required Licensure/Certifications Licensed Registered Nurse in New Hampshire required. Basic Life Support (BLS) Certificate required.
Overview Manages patient assignments and flow within inpatient care unit. Provides oversight of direct patient care to support patient and staff needs. Serves as a lead, clinical resource, role model, and extension of management to uphold institutional priorities, policies and practices. Responsibilities Assigns staff to patients per current unit workload. Considers pod acuity, staff experience and competency, learning needs and patient acuity/complexity when considering shift assignments. Participates in performance management of staff members to include coaching, preparation of performance evaluations, and the performance management process. Initiates disciplinary action as appropriate. Addresses conflicts as they may arise. Assists/mediates to maintain smooth operations of the unit. Involves unit leadership or House Supervisor as appropriate. Facilitates timely admissions and discharges to optimize clinical capacity. Performs other duties as required or assigned. Qualifications Graduate from an accredited Nursing Program required. Bachelor’s Degree (e.g. BSN, BA, BS) at time of hire, or degree expected within 36 months of hire. 2 years of progressive responsibility within an acute care setting required. Specialty certification preferred. Must obtain and maintain clinical competencies within assigned unit. Excellent written, verbal and computer skills required. Demonstrated abilities with problem solving, leadership, communication, fiscal responsibility and teamwork. Ability to work effectively in groups of employees and with patients and patient families is essential. Required Licensure/Certifications Licensed Registered Nurse with New Hampshire eligibility. Basic Life Support (BLS) upon hire.
Overview The Clinical Nurse is an engaged and credentialed member of the Professional Nursing Organization and is responsible for autonomous practice directed by the professional tenets of practitioner, leader/decision maker, scientist and transferor. The Clinical Nurse is responsible for utilizing the nursing process to provide evidence-based care and to continuously monitor and evaluate practice to ensure safe passage of patients that is in the best interest of populations served. Responsibilities Practitioner Utilizes the nursing process to assess, diagnose, identify outcomes, plan, implement and evaluate an individualized plan of care. Utilizes critical thinking and the nursing process to anticipate and recognize changes in patient status, taking action to modify the plan of care or to elevate to the care team as necessary. Practices in accordance with the ANA Code of Ethics to advocate for patients, uphold their autonomy in decision-making, ensure informed consent and assist patients in families in expressing self-determination. Actively seeks feedback and acts to improve performance. Engages in the governance of practice. Leader/Decision Maker Manages interpersonal relationships for self and with others. Mentors colleagues for the advancement of nursing practice and the profession. Assumes authority and accountability for the nursing care of patients while appropriately delegating elements of care to others members of the care delivery team in accordance with laws, regulations and policies and procedures. Prioritizes and organizes time to optimize patient outcomes. Scientist Actively seeks out the most current evidence and standards and applies and translates to daily practice. Role models a culture of inquiry, developing new knowledge by contributing to research, quality improvement, and evidence-based practice at the local level. Transferor Communicates effectively in a variety of formats in all areas of practice. Actively partners with others to effect change that produces positive outcomes through the exchange of knowledge. Precepts the student nurse, nurse extern, nurse resident, experienced clinical nurse and other members of the healthcare team. Performs other duties as required or assigned. Qualifications Graduate from an accredited Nursing Program required. Bachelor of Science Degree in Nursing (BSN) preferred. Required Licensure/Certifications Licensed Registered Nurse with New Hampshire eligibility. Basic Life Support (BLS) Certificate required upon hire.
